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UNIVERSIDADE DA AMAZONIACENTRO DE CIENCIAS BIOLOGICAS E DA SAUDE (CCBS)

DISCIPLINA: BIOSSEGURANA

DISCENTES: JESSICA BRENDA, KARINGONALVES, LETICIA MARTINS, RAPHAELRESENDE, SAMILE ALMEIDA, VALBER HOLANDAE VICTORIA RIBEIRO.DOCENTE: RUBENILSON VALOIS.

CENTRAL DE MATERIAIS EESTERIALIZAO

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INTRODUO A CME u !"#$%& '"*& +u! *! $ u-$!

/&"#0$1$2 !"0! $3!-0! ! !"0-$& $ 2!*!3!2$0!2$" "u4&" ! *&-0$-$&", #$2$ "!2! 1#&"! !#&" !"0!215671&" '*$-& $#0&" $ "!2!2!u015$&".

C& & $8$-%& $ *9-*$ ! & !"*&32!-0& &"*2&2$-"&" *2&"*;#*&" *&& $" 3$*02$,

&" 82u", 'u-&" '& -!*!""62& 3u"*$2 u$ '&2$! *&& !

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CONCEITO DE CME

A C.M.E u$ u-$! ! $#&& 0*-*& !-02& &!"0$3!1!*!-0& ! "$>! !"0-$$ $ 2!*!3!2

$0!2$1 *&-"!2$& "u4& ! *&-0$-$&,

!"*&-0$-671&", #2!#$2671&" ! !"0!215671&", 3!

*&&, #2!#$2$2 ! !"0!215$2 $" 2&u#$" 1#$"

&2u-$" $ 1$8$-!2$ ! $2$5!-$2 !""!" $20&"#$2$ 'u0u2$ "023u%?& (LEITE@P., ).

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HISTRICO

Dcada de 40 A limpeza, preparo e armazenamentodos materiais era realizado pela equipede enfermagem das prprias unidades.

Dcada de 50

Surgiram os Centros de Materiaisparcialmente centralizados e a CMsemicentralizada na qual parte dosinstrumentos e materiais come!ou aserem preparados e esterilizados

sculo ""

A CM torna#se centralizada, com asuper$is%o de um enfermeiro e passa aser definida como uma unidade de apoio

tcnico a todas as unidades

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TIPOS DE C.M.E

D!"*!-02$15$$

S! - *!-02$15$$C$$ u-$! #2!#$2$ "!u" $0!2$", $" &"

!-*$-/$ #$2$ "!2! !"0!215$&" ! u >-*& 1&*$1.

(ROMANO, P.F, F)

N!"0! 0#& ! *!-02$1 *$$ u-$! &u *&-4u-0& !1$"

2!"#&-"68!1 #&2 #2!#$2$2 ! !"0!215$2 &" $0!2$" +u!

u015$@ (ROMANO, P.F, F)

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C!-02$15$$

U015$$ $0u$1!-0!, &" $0!2$" & /&"#0$1 "?&

#2&*!""$&" -& !"& 1&*$1, &u "!4$, &" $0!2$" "?&

#2!#$2$&", !"0!215$&", "023u&" ! *&-02&1$&"

+u$-00$08$ ! +u$10$08$!-0! -$ CME. (ROMANO, P.F,F)

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REA FSICA DO CME

A 62!$ '"*$ & CME !8! #!202 -?& "; &

!"0$3!1!*!-0& ! u '1u

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ESTRUTURA DO CME

P"& ! "!2 ! *&2 *1$2$, 2!""0!-0! $& *$1&2,u$! ! $"&1u%!" *&22&"8$".

P$2!!" !8! "!2 1"$" ! #1$-$", "! "$19-*$" *$-0&"&u +u-$",*-*$8&" ! $3$u1$&". R!8!"0!-0& 1$868!1, !*&2 "u$8!.

&22& $*>"0*&.

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J$-!1$" $#1$",$10$" ! 0!1$$".

P&20$" 1$868!".

I1u-$%?& $!+u$$.

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S"0!$ ! !

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R!*!3!-0& ! $0!2$""u4&" D!"*&-0$-$%?& #28$ L$8$! S!*$!

2!$C&-0$-$$

D!"-'!*%?&

P2!#$2& A*&-*&-$!-0& E"0!2!15$%?& D"023u%?& & $0!2$1

2!$ L#$

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SETORES DA CENTRAL DEMATERIAIS DE ESTERIALIZAO.

EPURGO

PREPARO DEMATERIAIS

PREPARO DE INSTRUMENTOCIRURGICO

ESTERIALIZAO

ARMAZENAMENTO E

DISTRIBUIO

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F.EPURGO

S!0&2 2!"#&-"68!1 #&2 2!*!3!2, 1$8$2 ! "!*$2 &"$0!2$" #2&8!-!-0!" & C!-02& C2>2*& !U-$!" ! I-0!2-$%?&.

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. PREPARO DE MATERIAIS

S!0&2 2!"#&-"68!1 #&2 #2!#$2$2 (!3$1$2, "!1$2,2&0u1$) ! $*&-*&-$2 &" $0!2$".

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.PREPARO DE INSTRUMENTAISCIRRGICOS

S!0&2 2!"#&-"68!1 #&2 *&-'!22, #2!#$2$2 !$*&-*&-$2 *$2*$".

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4. ESTERILIZAO

& respons'$el pela limpeza deartigos mdico (ospitalares que s%outilizados nos diferentes setores

de um (ospital.

Mtodos)*u+mico

+sico

stufaAutocla$e

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5. ARMAZENAMENTOE DISTRIBUIO

Setor respons'$el por distri-uirmateriais esterilizados para as

nidades de /nterna!%o eAm-ulatrios.

A 0!#!2$0u2$ $3!-0! ! $ u$! 2!1$08$

!8! "!2 *&-02&1$$".

N$ 62!$ 2!"020$ !8! *2*u1$2 #&u*&"

#2&'""&-$".

C&-02&1! $ u$! & $2 .

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L&*$1 ! $2$5!-$!-0& ! "023u%?& &"$0!2$" -$ u-$! /&"#0$1$2.

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CME PROCESSO DO PRODUTO.

flu1o de uma CM de$e sercontinuo e unidirecional dos artigos

e$itando o cruzamento de artigos su2os

com os limpos esterilizados

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M$0!2$1 *20*&(!"0!215$%?&)

Semi-crtico.(desinfeco

)

Nocrtico.

(limpeza)

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ESTERIALIZAO -!*!""62& *$1&2 u2$-0! u !0!2-$& 0!#&,!"02u-& 0&$" $" 3$*02$", "!u" !"#&2&", 82u" !'u-&".

T#&" ! !"0!215$%?&

C$1&2 "!*& C$1&2 >& R$$%?&

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C$1&2 S!*&: 2!$15$$ $ 0!#!2$0u2$ ! FQC $

FC.

C$1&2 &: $ !"0!215$%?& #!1& 8$#&2 "&3

#2!""?&. & 0&& #2&*!""$& #!1$ $u0&*1$8!.

R$$%?&: A !"0!215$%?& #&2 2$$%?& &30$

$02$8" ! 2$&" $$ ! *&3$10& . . u0&& $10$!-0! #!-!02$-0!, $02$8!""$-&

-8;1u*2& ! $0!2$".

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DESINFECO

A *&22!0$ 1#!5$ 2!#2!"!-0$ !0$#$ !""!-*$1 #$2$ &*&-02&1! *2&3$-&, 2!u5-& $ *$2$ 3$*0!2$-$. u$

"$3?& !"*&8$ S&1u%?& u10 u"&

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D!"-'!0$-0!" "?& #2&u0&" 2!#2!"!-0$&" #&2"u3"0=-*$" +u*$".

N8!"

A10& *20*& !

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LIMPEZA

Processo de remoo mecnica das

sujidades, realizado com ua, sa!oou deterente, tem por "nalidade deremo#er a sujidade, reduo de micro-oranismos

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TIPOS DE LIMPEZA

M$-u$1: 2!$15$$ $-u$1!-0! "!-& u015$&6u$ ! !0!2!-0!.

Au0&60*$: 2!$15$$ #&2 6+u-$"$u0&$05$$".

L$8$&2$ U102$""-*$: A%?& *&3-$$ $ !-!2$!*=-*$(832$%?& "&-&2$), 02*$ (0!#!2$0u2$!-02! W ! WC) ! +u*$(!0!2!-0!").

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L$8$&2$ D!"*&-0$-$&2$: J$0&" ! 6u$$""&*$$" $ !0!2!-0!".

L$8$&2$ T!2&7D!"-'!*0$&2$: A !"-'!*%?& "!6 #&2 !& ! $%?& 02*$ &u 0!2&+u*$.

E"0!215$&2$: R!$15$ **1&" ! #2 71#!5$.

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ENFERMAGEM E A CME

Ate os anos 30, a CM n%o era $alorizadasituando#se em locais inadequados e comrecursos insuficientes.

Da mesma forma o tra-al(o daenfermagem nesses locais n%o era$alorizado no con2unto da pratica social daenfermagem.

ram encamin(ados para a CM osprofissionais de enfermagem queapresenta$am pro-lemas derelacionamento na assistncia direta ao

paciente.

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O pro!""o #!$r%&%'(o #%

!)*!r+%,!+ )% CME.

P$2$ & #2&*!""& ! 02$3$1/& $ !-'!2$!'&2$ !'-&" +u$02& 2$-!" $2!":F C&-/!*!-0& *&u-*$%?&

7 2!1$*&-$!-0& -0!2#!""&$1Q 7 #1$-!4$!-0&

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N$ 62!$ ! *&u-*$%?& ! 2!1$*&-$!-0&-0!2#!""&$1:

F. T2$3$1/& ! !+u#!. P$20*#$%?& $08$. E-8&18!-0& *& $ !+u#!.

P!1$" *$2$*0!2"0*$" ! "!u #2&*!""& ! 02$3$1/$0*$ "&*$1 ! *&1!08& , & !-'!2!2& ! CME!"0$3!1!*! u$ 0!$ ! 2!1$%!" 2u#$" $&!"!-8&18!2 "u$" $%!", #&" $-0! 2!1$%!" *&02$3$1/$&2!" ! "u$ *$0!&2$ #2&'""&-$1, $ $2!$

$ "$>! !, -2!0$!-0!, *& #!""&$" +u!#2&*u2$ &" "!28%&" ! "$>! ! 3u"*$ !$0!-!-0&.

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A 62!$ ! #1$-!4$!-0& '& *&"0$ ! 0!*-&1&$",#1$-!4$!-0& ! &2$-5$%?&.

O #1$-!4$!-0& *&-"00u7"! *&& &u02& -"02u!-0&! 02$3$1/& $ !-'!2$! -$ CME, -$ !$ !+u! #2&&8! $ ""0!$05$%?& ! $%!" 'u0u2$" !$#2!"!-0$7"! *&& u "$3!2 $-"02$08& +u!$u

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O ENFERMEIRO DA CME E SUAPERCEPO DO PAPEL SOCIAL

N&" >10&" $-&" $1u-" '$0&2!" ! "u$"2!#!2*u""!" 8$1&25$2$ $ CME: !!29-*$,2$8$! $ -'!*%?& /&"#0$1$2 !-;!-$ !

u1022!""0!-0!..

E

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C& & -*& $ !-'!2$! &!2-$, !*&22!-0! $"2!1$%!" $ !-'!2$! *& $" -&8$" -!*!""$!" !#260*$" "&*$", -& =30& $" 02$-"'&2$%!" "&*$" $

#&*$, +u! -*1u $ 2!&2$-5$%?& & /&"#0$1.

O $2*& &*&22! *& 1&2!-*! N/0-$1!.

P2&89-*$" ! *$260!2 &2$-5$*&-$1 *&&: -"0$1$%?& !*&5-/$", 1$8$-!2$", /!-5$%?& &" /&"#0$","u#2!-0& ! 2&u#$" ! !+u#$!-0&".

P2&89-*$", !""$", +u! #$""$2$ $ "!2 !2!-*$$" #!1&"!-'!2!2&", & +u! -*1u 0$3 $ !29-*$ $ CME.

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E""$ *$2$*0!2"0*$ & 02$3$1/& $-"02$08& -?& ,*&-0u&, #2!22&$08$ $ !-'!2$! $ CME.

E &u02$" u-$!", & !-'!2!2& 02$*&-$1!-0! 2!"#&-"68!1 #!1$ $!+u$%?& & $3!-0! #&2 !& $&0$%?&, *&-"!28$%?& ! *&-02&1! ! $0!2$" !!+u#$!-0&" -!*!""62&" !

*&" ! ! !-'!2$!.

N$" u-$!" ! -0!2-$%?&, /6 !"#$%& #$2$ $$-"02$%?& & #2&*!""& ! *u$2.

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CONCLUSO C&& !8!-*$&" -& !"0u& $ CME u$ 62!$ &

$3!-0! ! "$>! !"0-$$ $& 2!*!3!-0& ! $0!2$""u4&" ! *&-0$-$&". C& &34!08& ! 0&2-$ !"0!" $0!2$"1#&" ! !"02!" #$2$ +u! $"" #&""$ "!2 2!u015$&""! +u! 0!-/$ 2"*& ! *&-02$2 u$ -'!*%?& #&2 !"0!"

!+u#$!-0&"

H"0&2*$!-0! $ !-'!2$! #$""&u #&2 u #2&*!""& '*1-$ CME #2!2& $ 2!4!%?& ! "!u-& $" *&-%!" !$3!-0! ! 02$3$1/& +u! -?& !2$ '$8&268!1, #&" ! -*&-?& !2$ '!0$ u$ *&22!0$ $""!#"$ &" $0!2$" "&!-0!$#;" $ !"*&3!20$ $ 3$*02$ /&u8! u$ #2!&*u#$%?& !2!1$%?& $ *&22!0$ !"-'!*%?&.

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REFERENCIAS

TAUBE,S$$-0$ A-2-! M$2"*/$11 ! MEIER, M$2-!1 J&$+u. Opro!""o #! $r%&%'(o #% !)*!r+!r% )% !)$r%' #! +%$!r%' !!"$!r'%/0o. Cu203$, PR, #. Q7Q, $&. .

LEITE, 1$8$ B&2!". C!)$r%' #! M%$!r%' E"$!r!'%#o Pro1!$o #!R!!"$r2$2r%/0o ! A+p'%/0o #o Ho"p$%' R,o)%' #! Fr%)"o #! S3 .

S?& P$u1&, SP, #.7, .

BARTOLOMEI, S18$ R** T&-!11 ! LACERDA, R>3$ A#$2!*$. O!)*!r+!ro #% !)$r%' #! +%$!r%' ! !"$!r'%/0o ! % p!r!p/0o #o "!2p%p!' "o%'. P&20& A1!2!, RS, #.7, 4u-..

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BRASIL. M-"02& $ S$>!. B&'o$!% D,$%' #o M)"$4ro #%

S%#!. B2$"1$, D, M-"02& $ S$>!, FQ. D"#&-8!1 !

X/00#:YY#&20$1."&3!**.&2.32Y#7*&-0!-0Yu#1&$"YFFYFYFQ/7A3!-0!7

CAD"*&7-$7CME7E"02u0u2$7'CAD"*$7II7G!""1!-!7!7S&u5$7

B$23&"$F.#'[. A*!""$& !:FF ! -&8!32& ! FQ.

BRASIL. S!*2!0$2$ ! E"0$& $ S$>!. R!"o'2/0o SS-6789:5. B2$"1$,D,M-"02& $ S$>!, F.