Hygiene

Personal protection

 

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SAFETY GLASSES
Wearing safety glasses when working with rotating instruments is a requirement of the statutory accident insurance (BGW) and of the German Ordinance of Biological Substances. This is to protect you from splinters but also from germs - both very dangerous for the sensitive mucous membranes.


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FACE MASKS
During all ablative processes, especially when using rotating instruments, it is necessary to protect yourself against pathogenic germs. The protection of the airways is of particular importance; to wear a face mask is already a requirement according to most hygiene regulations.


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SKIN CARE
Apply protective cream at the start of the working day – and care cream at the end of it. Your skin is subject to enormous strain and deserves special care.

   

PROTECTIVE CLOTHING
Despite powerful suction techniques, grinding dust can be found in the working clothes. This dust can contain pathogenic germs. Therefore, it is advisable to wear disposable clothes on top of the working clothes.


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WORKING CLOTHES
This is not a status symbol but integral part of the hygiene management. The care instructions of the clothes are to be considered. It is a requirement that the clothes be washable at 90 or 60 degrees with the addition of disinfectant detergent.


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EXAMINATION GLOVES
During a treatment, the hands are the “instruments” that require the most protection since they are the key mode of germ transmission. Please make sure to select gloves of high quality, from a suitable material and pursuant to the DIN EN 455.


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HAND DESINFECTION
The correct means, sufficient exposure time, and the correct use - three factors that are decisive for this most important procedure to avoid the spreading of germs.

Room and surface hygiene

 

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FURNISHINGS
Cabinets, carts, foot basins, leg rests, arm rests and seating surface of the treatment chair - all objects in immediate customer surroundings are subject to wipe-down disinfection.

   

WORKING DEVICES
Foot care devices are supposed to be cleaned with a wipe disinfectant that is listed with the Association of Applied Hygiene (VAH - Verbund für angewandte Hygiene). Do not forget the handpiece and the tube!


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FLOOR
Here is your plan for correct floor care: Areas without contamination are to be wet cleaned; the working area is to be disinfected.

Instrument preparation

 

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1. TRANSPORT | PREPARATION | SORTING
After treatment, the instruments will be taken immediately to the preparation area. After putting on the protective gloves, multi-part instruments, i.e. scalpels, gouge blades, or corn cutters are disassembled. Disposable products like blades are to be immediately disposed of in to an opaque, unbreakable, sealable bin of rigorous material.


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2. DISINFECTING
All instruments must be disinfected after use. Two methods apply: Disinfection in an ultrasound device with shortened exposure time or in a disinfection bath. The ultrasound preparation is especially recommended for rotating instruments (diamond bur, etc.) because of its high purification capacity. Make sure to use appropriate VAH listed disinfectants - approved by the Association of Applied Hygiene - that are suitable for the use in ultrasound devices. For all cases, you are well prepared with RUCK’s instrument disinfection.


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3. RINSING | DRYING
In general, all instruments have to be rinsed under running water and rid of disinfectant residue. Thorough drying with disposable tissues is the best prevention of unsightly stains on instruments.

   

4. MAINTANANCE | REPAIRING
After drying, the instruments are thoroughly checked for cleanliness and functioning. Damaged instruments are either repaired or set aside for maintenance work. A sterilizable lubricant for instrument care can now be applied.


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5. PACKAGING
The packaging of instruments is a decisive step to guarantee instrument sterility until needed for patient treatment. RUCK’s compact sealing units make sealing your instrument packages easy and safe. Always take care to not accidentally pierce packaging with unprotected sharps.


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6. STERILIZATION
The legal regulations for non-medical applications (cosmetic foot care) require thermal disinfection in a dry heat sterilizer at 180°C and 30 minutes of exposure time. However, medical applications like podiatry require a class N autoclave with active drying cycles (which fulfils the standards of a class S autoclave) or a class S autoclave. Class B autoclaves are specialized for the sterilization of hollow bodies which is not a mandatory requirement in podiatry. It is equally important to regularly check and maintain the respective units regardless of the sterilisation method.


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7. STORAGE
Store your sterilized and wrapped instruments dust protected in a drawer. You can generally assume a storage suitability of six months. Rightly so, your customer expects carefully prepared instruments and it is a very positive criterion if you are able to present your instruments sealed and wrapped.

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8. DOCUMENTATION
The public health authorities require complete documentation of your instrument preparation with a mandatory archiving duration of ten years. The batch documentation provides important evidence on correct preparation.