A sterile processing technician received an orthopedic set from the OR. What type of detergent should be used by the technician?

For cleaning orthopedic instruments, a lipolytic enzyme-based detergent is particularly effective. This type of detergent is designed to break down lipids and fats, which can be prevalent in the organic materials that may adhere to surgical instruments used in orthopedic procedures. These instruments may come into contact with fatty tissues, bone marrow, or fluids rich in lipids during surgeries, making lipolytic enzymes essential for effectively removing these residues and ensuring thorough cleaning.

The choice of detergent is critical in the decontamination process, as it directly impacts the cleanliness of the instruments and their readiness for sterilization. By using a detergent that breaks down lipid-based contaminants, the technician can help ensure that the instruments are properly cleaned before they undergo the sterilization process. Proper cleaning is vital to prevent any potential infection or complications during surgical procedures.

Other types of detergents may not effectively target the specific types of contaminants found on orthopedic instruments. Proteolytic enzyme-based detergents focus on breaking down proteins, which, while useful for some types of residues, may not be as effective for lipid-heavy contamination. High alkaline detergents are more aggressive and can potentially damage delicate instruments. Organic acid detergents are typically used for different types of cleaning, such as removing mineral deposits, rather than for cleaning