1. Cleaning your Respiratory Equipment Colleen Dunn, RRT, CCRC

2. The Process… Clean itClean it Disinfect itDisinfect it Rinse itRinse it Air dry itAir dry it

3. Step 1…. FIRST, wash your hands!FIRST, wash your hands! –Gel or –Soap and water (15 seconds) (15 seconds)

4. Clean it… Disassemble partsDisassemble parts Wash with liquid dish soapWash with liquid dish soap Use hot waterUse hot water

5. Step 2 DISINFECT all parts….DISINFECT all parts…. –NO VINEGAR –Boil –Microwave –Dishwasher –Soaking

6. Soaking… BleachBleach –1 part bleach, 50 parts water –Soak for 3 minutes Isopropyl alcoholIsopropyl alcohol –Use 70% –Soak for 5 minutes Hydrogen peroxideHydrogen peroxide –Use 3% –Soak for 30 minutes

7. Step 3 - Rinse After soaking rinse with sterile waterAfter soaking rinse with sterile water Sterile waterSterile water –Boil water for 5 minutes

8. Step 4 Lay out clean paper towelsLay out clean paper towels Clean and disinfected partsClean and disinfected parts Air dry completelyAir dry completely Store dry equipment in plastic bagStore dry equipment in plastic bag

9. Stanford’s Policy BoilBoil MicrowaveMicrowave DishwasherDishwasher

10. Option 1 BoilBoil –Clean parts with soapy water –Rinsed pieces into a pot –Boil for 5 minutes –Place all pieces on paper towel –Air dry

11. Option 2 MICROWAVEMICROWAVE –Clean parts with soapy water -Place all pieces in a bowl of water –Turn on high for 5 minutes –Place all pieces on paper towel to air dry

12. Option 3 DishwasherDishwasher –Rinse –Top shelf –Temp = 158 º for 30mintues

13. Questions: ASK Kristin!ASK Kristin! (650) 724-0206(650) 724-0206

14. Treatment Order

15. “Oh- PAAS” “O”- Bronchodilators (Albuterol) Open airways“O”- Bronchodilators (Albuterol) Open airways “h” - Hypertonic saline“h” - Hypertonic saline “P” - Pulmozyme®“P” - Pulmozyme® “A”- Airway Clearance (CPT, Flutter Acapella)“A”- Airway Clearance (CPT, Flutter Acapella) “A”- Antibiotics (Tobi, Colistin)“A”- Antibiotics (Tobi, Colistin) “S” - Steroids“S” - Steroids

16. Vest OK to use the vest while doing:OK to use the vest while doing: –Bronchodilators (Open airways) –Hypertonic saline –Pulmozyme® –Antibiotics and Steroids after

17. Flutter/CPT Do therapy after Pulmozyme®Do therapy after Pulmozyme® –Bronchodilators (Open airways) –Hypertonic saline –Pulmozyme® –Flutter/CPT (Airway Clearance)

18. IPV Ok to do with:Ok to do with: Bronchodilators (Open airways)Bronchodilators (Open airways) Hypertonic salineHypertonic saline Pulmozyme®, Antibiotics & Steroids after IPVPulmozyme®, Antibiotics & Steroids after IPV

19. Acapella OK to use the Acapella while doing:OK to use the Acapella while doing: –Bronchodilators (Open airways) –Hypertonic saline –Pulmozyme®, Antibiotics & Steroids after Acapella

20. “Keep it Simple” Don’t forget to sign up for a research study. YOU ARE THE KEY!