Sterilization & Disinfection
Researchers raise the alarm on splashing during reprocessing--Part 2
Part 1 of this two-part series discussed the splashes and the potential for exposure to pathogens that personnel face daily in sterile processing and endoscopy departments, as well as the current guidelines and strategies for reducing exposures (OR Manager, July 2021, pp 1, 9-11, 15). These risks were derived from…
New term clarifies instrument point-of-use treatment
What exactly is required to prepare instruments for transport to the decontamination room after a surgical procedure? Point-of-use cleaning, which may also be referred to as precleaning, has been used to describe instrument preparation at the point of use after a surgical procedure. But both point-of-use cleaning and precleaning have…
FDA revokes EUA for non-NIOSH-approved respirators
Editor's Note The Food and Drug Administration (FDA) on June 30 announced that it is revoking the Emergency Use Authorizations (EUAs) for non-NIOSH-approved disposable respirators (including N95s), effective July 6. The announcement also revokes EUAs for decontamination and bioburden reduction systems for disposable respirators, effective immediately. The FDA says the…
Researchers raise the alarm on splashing during reprocessing--Part 1
Does it really matter if surgical instruments are submerged in cleaning solution when technologists or nurses scrub them after a case? Is there a reason for the 3-foot separation between dirty and clean areas? Do germs stop at the red line? During the COVID-19 pandemic, much attention has been focused…
No such thing as downtime: CSP renovation does not stop surgery
Many of today’s medical facilities have been modernized, but some still have areas of aging infrastructure. The central sterile processing (CSP) department at Cleveland Clinic Mercy Hospital in Canton, Ohio, is one such example. The original Terrazzo floor from when the facility was built in 1953 had become hazardous. The…
FDA clears single-use flexible cystoscope from UroViu
Editor's Note UroViu Corporation, Bellevue, Washington, announced May 24 that it has received clearance from the Food and Drug Administration (FDA) for its portable, flexible single-use cystoscope. The Uro-G has a fully deflectable tip that enables physicians to perform interventional and diagnostic urologic procedures in various settings, without reprocessing.
ANSI/AAMI ST79 amendments refine sterilization practices
Amendments have been added to the Association for the Advancement of Medical Instrumentation (AAMI) standard ANSI/AAMI ST79, Comprehensive Guide to Steam Sterilization and Sterility Assurance in Health Care Facilities. The standard, which is used in healthcare facilities to guide their sterilization processes, is considered a useful resource to promote best…
The Joint Commission announces top 5 most challenging requirements for 2020
Editor's Note The Joint Commission, on May 12, listed the top 5 standards most frequently identified as “not compliant” during surveys and reviews from January 1 to December 31, 2020. The top five for accredited hospitals are: NPSG.15.01.01: Reduce the risk for suicide. EP1. IC.02.02.01: The hospital reduces the risk…
Breathe easier with the right respiratory protection
The COVID-19 pandemic has underscored the importance of respiratory protection in healthcare settings and in the community. Healthcare workers at high risk of infection need the most effective respiratory protection, and not all surgical masks and respirators are alike. Checking for proper fit, donning and doffing correctly, and following manufacturers’…
Systematic review of N95 respirator reprocessing
Editor's Note This systematic review by researchers from the University of California, Los Angeles, of five decontamination processes for N95 respirators finds ultraviolet germicidal irradiation, moist heat, and microwave generated steam reprocessing to be effective and simple to implement. A total of 42 studies were reviewed. Ultraviolet germicidal irradiation, moist heat,…
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