Which practice is recommended during the decontamination of used instruments?

• A. Disassemble all instruments regardless of their condition
• B. Use enzymatic detergent on heavily soiled instruments
• C. Wash instruments under cold water only
• D. Wear gloves only when using sharp instruments

Answer: (B)

Using enzymatic detergent on heavily soiled instruments is the recommended practice during the decontamination process. Enzymatic detergents are specifically designed to break down organic matter, such as blood, tissue, and other biological fluids that may be present on used surgical instruments. This is crucial because effective cleaning is the first step in preparing instruments for sterilization. By utilizing an enzymatic detergent, the process not only improves the removal of soil but also helps ensure that the instruments are appropriately cleaned and disinfected to prevent infection and maintain safety standards.

In contrast, disassembling instruments regardless of their condition can lead to unnecessary wear and tear and may not always be needed depending on the type of instrument. Washing instruments under cold water only does not adequately remove contaminants, as cold water can cause proteins to coagulate, making them more difficult to clean. Wearing gloves only when using sharp instruments is insufficient for protecting staff, as gloves should be worn whenever handling potentially contaminated materials, regardless of the sharpness of the instruments.