We are not meant to scrub instruments as this can cause small scratches where bacteria can bed. Also, it is mandatory to now use a disinfectant washer rather than an ultrasonic bath.. Scrubbing can cause an aerosol in the decontamination room, and this aerosol can then transport onto 'steralised' instruments.
We use Hospec liquid detergent to scrub instruments, then ultrasonic bath, then rinse in distilled water and dry with non linting cloths(we use yellow jcloths) once dry they are bagged and autoclaved. instruments only rust if using corrosive solutions and if they are left wet.
Hand pieces should never be submerged. Blast plenty of oil through before every autoclaving (it is tempting to skip this if pressed for time but if not done they won't last long). Or are you putting hypochlorous acid in the water bottle? (We don't, apparently kills off handpieces quick).
Yes, Milton's will cause rust. Oil the hinges on the pliers. Our instrument reprocessing procedures have not changed due to COVID.
We use an Assistina to flush through and oil the hand pieces before autoclaving , all the other instruments are scrubbed in detergent and then put in the ultrasonic bath then autoclave. Milton corrodes metal so it’s used to cold sterilise anything that isn’t metal . I hope that helps.
We are using a variety of products to disinfect our instruments, we were soaking it in DURR soloution and then autoclaving. However we recently switched to Milton due to COVID.
Does anyone find that Milton is corrosive for the instruments with hinges? Alot of the orthodontic pliers and dental forceps have a carbon steel tip which corrodes the stainless steel instruments are not as badly affected. We are also going through handpieces like no ones business. We recently purchased an oiler to help but I am wondering if it is anything to do with how nurses are cleaning the handpieces. Can anyone recommend a protocol for disinfecting instruments and tell us what they use? Many thanks !