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DM Keeping It Clean
Cleaning Your Instruments
Pressure Cooker Intro
Pressure Cooker How To
Pressure Cooker Illustrations DungeonMaster 45, page 21
Reprinted and annotated with permission.Each person must understand that these are RELATIVE degrees of cleanliness as they apply to various kinds of contaminants. As with all SM play, both Top and bottom must understand the levels of risk and accept that risk for the activities in which they engage.
STERILE: Something that is sterile is cleaned of all forms of life including viruses and bacterial spores. Many medical supplies, including hypodermic needles, sutures, catheters, and lubricants are available in pre-sterilized packages. Sterilizing occurs in an autoclave, a device for applying steam heat under pressure. If you do not have access to an autoclave you can sterilize anything that will stand the heat in a home pressure cooker. Place the object be sterilized into a paper bag and seal securely with masking tape. Place it in basket, or on a rack, above the water in a pressure cooker and process at 15 lbs of pressure for 30 minutes. When the cooker has cooled, transfer the rack or bask without touching the wet bags with anything that was not in the pressure cooker, to a preheated 200 degree oven. Turn the oven off and leave the packages there until they dry.
Ideally everything that comes in contact with a person's body fluids should be sterilized before being reused. Anything that has come in contact with the blood or semen of one person, MUST be sterilized before being used on another person. Since it is virtually impossible to clean dried blood and tissue out of the lumen of a hypodermic needle it is virtually impossible to assure sterilization even with an autoclave. These should be disposed of in an appropriate "Sharps" container after a single use.
DECONTAMINATED: In current usage this means that the object has been washed in soap and water or otherwise cleaned of all grease then cleaned with either a I0% solution of chlorine (bleach), a 10% solution of hydrogen peroxide, or a 70% alcohol solution. These agents will kill most bacteria and some viruses, including HIV. They will not kill hepatitis or herpes viruses. Be certain to thoroughly rinse all items well before reuse, particularly those cleaned in chlorine.
This procedure can be used on items that cannot be sterilized, such as dildos, Lexan cock rings and similar toys and leather whips which have drawn blood. It can be used on sounds and piercing implements (not hollow needles) if hepatitis, herpes, etc. are not a danger.
PERSONAL RESERVE: This is used to refer to items that are not sterilized, and possibly not even decontaminated, between uses. But are reserved for use on only one person. On the theory that you cannot catch anything you do not already have, this is permissible. However, anything that breaks the skin, like a needle, or that enters the bladder, like a catheter MUST be kept in a clean container safe from ambient contaminants between uses. (CU Ed. Note: This is not a very good thing to do. Especially needles and catheters. They are CHEAP! Not worth the risk!)
CLEAN UNUSED: This refers to the original condition a new object arrives in. It is based upon the assumption that the object has not previously come in contact with any person's body fluids. For example a package of stainless steel diaper pins purchased at a store. One can relatively safely assume that they have not yet pierced the skin of anyone and that they are relatively free of general bacterial contamination. The same could be safely assumed for a urethral sound purchased still in it's plastic bag at a medical supply outlet.
STERILE TECHNIQUE: This means that all aspects of the operation have been brought to the highest possible levels of sterility. Including a surgical scrub of the operator's hands (CU Ed. Note: 5 minutes scrub with brush not forgetting under the finger nails and the webs between fingers from elbow to finger tips. Final rinse should be from finger tips to elbow.), the victim's body, removal of hair near the operation site, sterile masks, etc. Usually this level of sterility is achieved only in hospitals, medical clinics and similar facilities.
CLEAN TECHNIQUE: This means that all of the implements are sterile, if that is required, or at least decontaminated, including any lubricants in use, that sterile, or at least clean unused gloves are being used to handle catheters, sounds, piercing needles, etc. And that the work area is kept as free from contaminants as is possible. This is the technique usually found at a first aid site, and which should be found in the playroom when these techniques are being performed.
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dm45_1.htm: Last revised: December 15, 2004 by