2. History and evolution of CME

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The history and evolution of the Sterilized Material Center (CME) in nursing is a complex and fascinating topic, which reflects changes and advances in medicine and technology over time. The CME is a vital sector in any healthcare institution, responsible for the cleaning, disinfection and sterilization of all instruments and equipment used in medical and surgical procedures.

The origin of CME can be traced back to the 19th century, with the advent of germ theory and the realization that sterilizing medical instruments could prevent the spread of disease. However, it was during World War I that the need for a unit dedicated to the sterilization of medical supplies became apparent. With the large number of injuries, proper sterilization of instruments has become an urgent necessity to prevent infections and save lives.

In 1915, German nurse Agnes Karll proposed the creation of a sterilization department in hospitals. She recognized the importance of having a specific place for cleaning and sterilizing instruments, rather than leaving this task to the nurses on duty. The idea was implemented in several German hospitals and soon spread to other countries.

In the 1950s, with the advancement of technology and the increasing complexity of surgical procedures, the MSC evolved to become a specialized department. Health professionals began to recognize the need for specialized training for MSC staff to ensure the effectiveness of sterilization processes. Then came the first training courses in sterilization, which became the basis for CME education and training today.

In the 1980s, CME underwent another major change with the introduction of new sterilization methods such as the use of ethylene oxide and gamma radiation. These methods allowed the sterilization of materials that could not be sterilized by heat, such as plastics and electronic equipment. This has led to an increase in CME's efficiency and security, as well as an expansion of its responsibilities.

Today, the CME is an essential part of any healthcare facility, responsible not only for the sterilization of instruments, but also for the maintenance and quality control of all medical equipment. The evolution of CME reflects advances in medicine and technology, as well as an ongoing commitment to patient safety.

CME professionals are highly trained and specialized, with a deep understanding of sterilization processes and infection control standards. They play a crucial role in preventing nosocomial infections and ensuring patient safety. CME training is now an integral part of nursing education, with courses ranging from basic to advanced.

In summary, the history and evolution of CME is a history of progress and innovation. From Agnes Karll's early proposals to modern high-tech sterilization units, CME has played a vital role in medicine and nursing. It is a testament to the nursing profession's ongoing commitment to patient safety and quality of care.

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33. Functions and responsibilities of CME in nursing