Sterilization & Disinfection
Rigorous reprocessing doesn’t free scopes of contamination
Editor's Note This study by Cori L. Ofstead, MSPH, and associates found that more rigorous reprocessing was not consistently effective in freeing endoscopes of contamination, and many had scratches and dents that could harbor blood, tissue, and bacteria. Even after reprocessing using current guidelines or additional measures, 12 of 20…
IUSS drops to 5% with team intervention
Reducing immediate use steam sterilization (IUSS) can be challenging, but adhering to standards is essential not only for patient safety, but also for successful accreditation surveys. “Accrediting organizations are hitting hard on all of sterilization, but especially IUSS,” says Rose Seavey, MBA, BA, RN, CNOR, CRCST, CSPDT, president and CEO…
Joint Commission offers new blog for infection preventionists
Editor's Note A new blog from the Joint Commission on Infection Prevention & Control covers experiences, case studies, and news for infection preventionists. The latest blog post details the BoosterPak for High-Level Disinfection and Sterilization processes, which is applicable to hospitals, critical access hospitals, plus ambulatory and office-based surgery settings.…
Cleaning verification tests boost confidence in instrument decontamination
Even when recommended cleaning and disinfection protocols are followed, residual contamination of instruments is possible, researchers have found (OR Manager, November 2016, 1, 10-11). Visual inspection can catch some signs of contamination, but it won’t reveal problems within channels and other areas of complex medical devices. That’s why it’s important…
Dirty scopes persist despite cleaning protocol compliance
Recent outbreaks of deadly infections linked to flexible endoscopes have made headlines, and the Food and Drug Administration has issued strict guidelines for reprocessing these devices. However, cleaning and disinfection may not be effective under the recommended protocols, says Cori L. Ofstead, MSPH, epidemiologist and president and chief executive officer,…
Action steps for safe use of reprocessed single-use medical devices
In the United States and globally, the use of reprocessed medical devices labeled and marketed by their original equipment manufacturers as “for single use only” has become commonplace. Large health systems have saved many millions of dollars annually and diverted many hundreds of tons of medical waste by using reprocessed…
Air Force Academy alerts patients to improperly processed endoscopes
Editor's Note The Air Force Academy (Colorado Springs, Colorado) is notifying 267 patients from the school’s medical clinic and the Veterans Affairs Eastern Colorado Health Care System that they are at risk of infections from improperly processed gastrointestinal endoscopy equipment, according to the September 21 MilitaryTimes. Air Force officials say…
Three steps forward: Designing a superior sterile processing system
It is easy to overlook the sizable effort required to ensure that instrumentation and supplies are available to surgeons in the OR when needed, in the right amount, and in the right condition. Though sterile processing may not be the most glamorous element of a hospital or surgery center, it…
2016 IAHCSMM Conference: A comprehensive CS learning experience
More than 1,200 individuals from the US and abroad attended the 2016 annual conference of the International Association of Healthcare Central Service Materiel Management (IAHCSMM) in San Antonio, Texas. The conference, which covered sterile processing techniques, management skills, and regulations, also provided numerous networking opportunities. Preconference educational events included IAHCSMM’s…
Process improvements raise SPD standards and quality
When audits revealed areas of deficit in the sterile processing departments (SPDs) of the Memorial Hermann Health System in Houston, leaders pulled together a team to help implement a quality improvement plan. By analyzing and standardizing their processes, creating auditing tools, and educating staff, they significantly increased quality scores throughout…
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