Nurse’s role in processing materials for robotic surgery: experience report
DOI:
https://doi.org/10.5327/Z1414-44251055%20Keywords:
Nurses, Robotics, Sterilization, Surgical instruments, Materials management, hospitalAbstract
Objective: To report the experience of nurses in the processing of materials for robotic surgery in two Sterile Processing Departments (SPD), comparing the processes. Methods: Experience report based on the practices of two nurses working with robotic surgery material processing in two Class II SPDs located in southern Brazil. Results: Similar processing steps were identified, including pre-preparation, reception and inspection, pre-cleaning, manual cleaning and rinsing, automated cleaning, drying, final inspection and lubrication, packaging, sterilization, and storage. Steps performed in Institution A but not in B included filling and immersion, as well as adenosine triphosphate (ATP) testing. Conclusion: Sharing knowledge and promoting best practices in material processing is essential, given the importance of controlling healthcare-associated infections, particularly surgical site infections, which are among the main postoperative complications.
References
Santos ML, Novaes CO, Iglesias AC. Epidemiological profile of patients seen in the pre-anesthetic assessment clinic of a university hospital. Braz J Anesthesiol. 2017;67(5):457-67. https://doi.org/10.1016/j.bjane.2017.04.006
Weiser TG, Haynes AB, Molina G, Lipsitz SR, Esquivel MM, Uribe-Leitz T, et al. Estimate of the global volume of surgery in 2012: an assessment supporting improved health outcomes. Lancet. 2015;385 Suppl 2;S11. https://doi.org/10.1016/S0140-6736(15)60806-6
Morrell ALG, Morrell-Junior AC, Morrell AG, Mendes JMF, Tustumi F, De-Oliveira-E-Silva LG, et al. The history of robotic surgery and its evolution: when illusion becomes reality. Rev Col Bras Cir. 2021;48:e20202798. https://doi.org/10.1590/0100-6991e-20202798
Nacul MP. Laparoscopy & robotics: a historical parallel. Rev Col Bras Cir. 2020;47:e20202811. https://doi.org/10.1590/0100-6991e-20202811
Brasil. Ministério da Saúde. Agência Nacional de Vigilância Sanitária. Resolução – RDC no 15, de 15 de março de 2012. Dispõe sobre requisitos de boas práticas para o processamento de produtos para saúde e dá outras providências [Internet]. Brasília: Ministério da Saúde; 2012 [acessado em 15 Out. 2023]. Disponível em: http://bvsms.saude.gov.br/bvs/saudelegis/anvisa/2012/rdc0015_15_03_2012.html
Associação Brasileira de Enfermeiros de Centro Cirúrgico, Recuperação Anestésica e Centro de Material e Esterilização. Diretrizes de práticas em enfermagem cirúrgica e processamento de produtos para a saúde. 8a edição. Barueri: SOBECC; 2021.
Agência Nacional de Vigilância Sanitária. Informe Técnico no 01/09. Princípios básicos para limpeza de instrumental cirúrgico em serviços de saúde [Internet]. 2009 [acessado em 15 Out. 2023] Disponível em: https://www.saude.sp.gov.br/resources/cve-centro-de-vigilancia-epidemiologica/areas-de-vigilancia/infeccao-hospitalar/doc/if_anvisa_limpeza.pdf
Lipscomb IP, Sihota AK, Keevil CW. Comparative study of surgical instruments from sterile-service departments for presence of residual gram-negative endotoxin and proteinaceous deposits. J Clin Microbiol. 2006;44(10):3728-33. https://doi.org/10.1128/JCM.01280-06
Intuitive Surgical. Instruções de reprocessamento de instrumentos da Vinci Xi (EndoWrist, Single-Site e Grampeador) [Internet]. Intuitive Surgical Inc; 2023 [acessado em 23 Nov. 2023]. Disponível em: https://manuals.intuitivesurgical.com/c/document_library/get_file?uuid=7a94321b-4e89-7bfe-69bc-5a9a611cd8af&groupId=73750789
Alvim AL, Ramos MS, Durão PMS. Monitoramento da limpeza de produtos para a saúde com teste adenosina trifosfato. Rev SOBECC. 2019;24(2):57-61. https://doi.org/10.5327/Z1414-4425201900020002
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Silvia Viviane Rodrigues, Francine Ullrich Carrazzoni dos Reis, Patricia Conzatti, Dafny Waszak de Souza, Rita Catalina Aquino Caregnato
This work is licensed under a Creative Commons Attribution 4.0 International License.
By publishing in Revista SOBECC, authors retain the copyright of their article and agree to license their work using a Creative Commons Attribution (CC BY 4.0) International Public License, thus accepting the terms of this license. The CC BY 4.0 license allows others to distribute, remix, adapt, and create from the published article, even for commercial purposes, provided they give due credit to the creators of the work (authors of the article).
The authors grant to Revista SOBECC the right of first publication, to identify itself as the original publisher, and grant to the journal a non-exclusive license to use the work in the following ways: (1) to sell and/or distribute the article in hard copies and/or in electronic format; (2) to distribute parts and/or the entire article in order to promote the journal through the internet and other digital and printed media; (3) to record and reproduce the article in any format, including digital media.
With this license, authors can enter into separate contracts for non-exclusive distribution of the article (e.g., publishing in an institutional repository or as a book chapter), with acknowledgement of authorship and initial publication in Revista SOBECC. Authors are encouraged to publish and distribute their work online after publication in the Revista SOBECC, as this can increase the article's visibility and impact.
In line with the journal's policies, each published article will be assigned a CC BY 4.0 license, which will be visible on the abstract page and in the PDF of each article with the respective link to the license terms.
