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woman-centered postabortion care

Processing Ipas MVA Plus

Audrey
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woman-centered postabortion care

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    1. Processing Ipas MVA Plus™ and Ipas EasyGrip® Cannulae 1 Woman-Centered Postabortion Care

    2. Processing Ipas MVA Plus™ and Ipas EasyGrip® Cannulae 2

    3. Processing Ipas MVA Plus™ and Ipas EasyGrip® Cannulae 3 Purpose This module describes the processing techniques which help protect against microorganisms that can be transmitted by contaminated MVA instruments and cause post-procedure infections.

    4. Processing Ipas MVA Plus™ and Ipas EasyGrip® Cannulae 4 Objectives At the end of this module, learners will be able to: Identify options and steps for processing the Ipas MVA Plus™ aspirator and Ipas EasyGrip® cannulae Assemble and disassemble the aspirator

    5. Processing Ipas MVA Plus™ and Ipas EasyGrip® Cannulae 5 Ipas MVA Plus™ and Ipas EasyGrip® Cannulae Reusable in settings where instrument reuse is permitted by local regulations More processing options than Ipas Double- and Single-Valve syringes, Karman cannulae

    6. Processing Ipas MVA Plus™ and Ipas EasyGrip® Cannulae 6 Standard Precautions When Processing Consider all blood and body fluids from every woman to be infectious Use barriers when cleaning: gloves, arm, face protection Guard against puncture injuries

    7. Processing Ipas MVA Plus™ and Ipas EasyGrip® Cannulae 7 Difference Between Disinfectants and Antiseptics Disinfectants are strong germicides used to clean equipment Antiseptics are weak germicides used on people, not instruments

    8. Processing Ipas MVA Plus™ and Ipas EasyGrip® Cannulae 8 Skin Antiseptics Cannot Be Used for Instruments • Zephiran® • Cetavlon® • Savlon® • Hibitane®

    9. Processing Ipas MVA Plus™ and Ipas EasyGrip® Cannulae 9 Why Do We Soak Instruments Before Cleaning? Makes cleaning easier by keeping them wet Use of chlorine solution assists disinfection Removes some material Items are still not safe to handle with bare hands

    10. Processing Ipas MVA Plus™ and Ipas EasyGrip® Cannulae 10 Steps in Decontamination Soak Fill a container with solution Can use 0.5% chlorine solution in a plastic container Wearing gloves, draw solution into cannula and aspirator Submerge instruments Soak until ready to clean Use gloves or forceps to remove

    11. Processing Ipas MVA Plus™ and Ipas EasyGrip® Cannulae 11 Instrument Parts

    12. Processing Ipas MVA Plus™ and Ipas EasyGrip® Cannulae 12 Instrument Disassembly Cannula is removed by twisting the base, pulling it out of valve Wings on cannula can be gripped to help removal Do not remove base from cannula Pull cylinder out of valve Press down cap-release tabs to remove cap Open hinged valve by pulling open clasp

    13. Processing Ipas MVA Plus™ and Ipas EasyGrip® Cannulae 13 Instrument Disassembly (cont.) Remove valve liner Disengage collar stop: slide it sideways under retaining clip Collar stop can also be removed completely Pull plunger completely out Displace plunger O-ring: squeeze its sides, roll it down into groove below Don’t have to completely remove the O-ring

    14. Processing Ipas MVA Plus™ and Ipas EasyGrip® Cannulae 14 Removing the O-ring

    15. Processing Ipas MVA Plus™ and Ipas EasyGrip® Cannulae 15 Parts Disassembled

    16. Processing Ipas MVA Plus™ and Ipas EasyGrip® Cannulae 16 Cleaning Wash all surfaces in warm water and detergent Use probe or cloth to remove material Clean all crevices and inside cylinder, valve, plunger Use a soft brush; nothing sharp or pointed Clean until no blood or tissue is visible, then rinse

    17. Processing Ipas MVA Plus™ and Ipas EasyGrip® Cannulae 17 Ipas MVA Plus™ Aspirator Does not have to be sterile or HLD: does not contact the patient Aspirator can be used after cleaning Can be further processed after cleaning, if desired

    18. Processing Ipas MVA Plus™ and Ipas EasyGrip® Cannulae 18 Ipas EasyGrip® Cannulae Cannulae must be HLD or sterilized.

    19. Processing Ipas MVA Plus™ and Ipas EasyGrip® Cannulae 19 Processing Options: Ipas MVA Plus™ and Ipas EasyGrip® Cannulae Boiling Glutaraldehyde (Cidex) 0.5% chlorine solution Steam autoclave

    20. Processing Ipas MVA Plus™ and Ipas EasyGrip® Cannulae 20 Options for Processing

    21. Processing Ipas MVA Plus™ and Ipas EasyGrip® Cannulae 21 Boiling (HLD) Place in water at rolling boil Boil for 20 minutes Remove using HLD or sterile gloves or forceps Dry with sterile cloth if desired Cool before use

    22. Processing Ipas MVA Plus™ and Ipas EasyGrip® Cannulae 22 Boiling

    23. Processing Ipas MVA Plus™ and Ipas EasyGrip® Cannulae 23 Option: Glutaraldehyde (Sterilization) Fully immersed; solution fills instruments Soak according to manufacturer’s instructions Soak for 10 hours for Cidex Remove with sterile forceps or gloves

    24. Processing Ipas MVA Plus™ and Ipas EasyGrip® Cannulae 24 Option: Glutaraldehyde (Sterilization) (cont.) Rinse with sterile water Dry with sterile towel, if desired Change solution when it expires

    25. Processing Ipas MVA Plus™ and Ipas EasyGrip® Cannulae 25 Option: Glutaraldehyde (HLD) Fully immersed; solution fills instruments Soak according to manufacturers instructions Soak for 20 minutes for Cidex Remove using HLD or sterile gloves or forceps Rinse with sterile or boiled water Dry with sterile cloth, if desired Change solution when it expires

    26. Processing Ipas MVA Plus™ and Ipas EasyGrip® Cannulae 26 Option: 0.5% Chlorine (HLD) Fully immersed; solution fills instruments Soak for 20 minutes Remove using HLD or sterile gloves or forceps Rinse with boiled or sterile water Dry with sterile cloth, if desired

    27. Processing Ipas MVA Plus™ and Ipas EasyGrip® Cannulae 27 HLD Soak

    28. Processing Ipas MVA Plus™ and Ipas EasyGrip® Cannulae 28 Option: Steam Autoclave (Sterilization) Wrap clean, disassembled items in paper or linen Arrange items so steam penetrates all surfaces Instrument openings not obstructed; parts do not touch Cool before use

    29. Processing Ipas MVA Plus™ and Ipas EasyGrip® Cannulae 29 Paper Wrap

    30. Processing Ipas MVA Plus™ and Ipas EasyGrip® Cannulae 30 Steam Autoclave: Caution Process at 121°C (250°F) with 106 kPa (15 lbs/in²) pressure for 30 minutes Be sure the autoclave is set to these parameters Do not use other autoclave settings or “flash” the instruments Higher temperature settings can damage instruments

    31. Processing Ipas MVA Plus™ and Ipas EasyGrip® Cannulae 31 How to Store MVA Instruments Ideally, reprocess cannulae every day if boiled or soaked Storing items even slightly wet invites microbial growth Keep just a few cannulae in container Avoid touching cannulae tips; grasp by base

    32. Processing Ipas MVA Plus™ and Ipas EasyGrip® Cannulae 32 Assembling the Ipas MVA Plus™ Place valve liner in valve by aligning ridges Close valve: ensure it snaps into place Snap cap onto end of valve Push cylinder into base of valve Place O-ring into groove near tip of plunger

    33. Processing Ipas MVA Plus™ and Ipas EasyGrip® Cannulae 33 Assembling the Ipas MVA Plus™ (cont.) Spread one drop of lubricant around O-ring with finger Any non-petroleum based lubricant can be used Squeeze plunger arms, push fully into cylinder Be sure that plunger is introduced straight into cylinder

    34. Processing Ipas MVA Plus™ and Ipas EasyGrip® Cannulae 34 Assembling the Ipas MVA Plus™ (cont.) Do not introduce at an angle Move plunger in and out to lubricate Insert collar stop tabs into holes in cylinder

    35. Processing Ipas MVA Plus™ and Ipas EasyGrip® Cannulae 35 When to Discard MVA Instruments Cannulae or cylinder are brittle, cracked, twisted, bent Mineral deposits inhibit plunger motion Buttons are broken Tissue or blood cannot be removed Aspirator parts broken or arms do not lock Aspirator does not hold a vacuum

    36. Processing Ipas MVA Plus™ and Ipas EasyGrip® Cannulae 36

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