A risk analysis of the steam sterilization process can improve patient safety
The steam sterilization process is complex and includes a number of important steps: decontamination, preparation and packaging, sterilization, quality control, sterile storage, and product distribution. The effectiveness of this process cannot be determined by inspection or testing of each product, and because sterility assurance is a probability function, it must…
Are you correctly using rigid sterilization containers for IUSS?
Although immediate-use steam sterilization (IUSS) is a safe method to sterilize emergently contaminated instruments, inappropriate use may lead to an increased risk for surgical site infection, according to a study in the American Journal of Infection Control. This study stated the only acceptable indicator for use of IUSS based on…
Cleaning audits lead to better environmental hygiene
Environmental hygiene is an ongoing concern in all hospitals because of its role in patient safety and infection control. Standardized processes can greatly improve the efficacy of OR cleaning, but continuous monitoring is needed to ensure compliance with those steps. Inconsistent cleaning processes, staff turnover, new equipment, and unclear expectations…
Using chemical sterilants and high-level disinfectants in health care facilities
The update of the Association for the Advancement of Medical Instrumentation American National Standard Chemical sterilization and high-level disinfection in health care facilities, ANSI/AAMI ST58:2013, is available for purchase and should become part of health care facilities’ evidence-based library. Below is a brief description of the contents of the recommended…
APIC guide highlights role of ambulatory care in disaster response
A new publication by the Association for Professionals in Infection Control and Epidemiology (APIC) zeros in on the role of outpatient care facilities in responding to disasters—specifically, how they can prevent infection in their patients, staff, and the community at large. The guide, “Infection Prevention for Ambulatory Care Centers During…
Editorial
Despite increasingly stiff penalties, health care-associated infections persist. Total annual costs for the 5 major health care-associated infections are $9.8 billion, say researchers led by Eyal Zimlichman, MD, of the Center for Patient Safety Research and Practice at Brigham & Women’s Hospital in Boston. Surgical site infections rack up about…
Sterile processing questions and answers
Answers to some of the questions asked at several recent annual meetings, notably AORN, APIC (Association for Professionals in Infection Control and Epidemiology), and IAHCSMM (International Association of Healthcare Central Service Materiel Management), are offered by sterilization expert Martha Young. Also included are questions from seminars and webinars she has…
Follow protocols when using medications from compounding pharmacies
Compounding pharmacies have long been valued for their ability to tailor prescription drugs for specific patients. More recently, they have helped conserve scarce drugs by redistributing them from larger to smaller single-use vials. For an ambulatory surgery center (ASC) that is not associated with a hospital and therefore has no…
Unprocessed tray incident prompts investigation, leads to process improvements
The circulating nurse was cleaning up after surgery in an ambulatory surgery center (ASC) when she noticed the internal chemical indicator (a Class 5 integrating indicator) had not reached its appropriate endpoint response, which is a pass. That meant an unprocessed instrument tray had been used on the patient. Her…
ASCs must prepare to meet latest CMS infection control expectations
A perennial concern associated with surgery is avoidance of infection. As science reveals new risks and remedies, protocols change and so do regulations. To monitor infection control at ambulatory surgery centers (ASCs), surveyors use a 15-page worksheet from the Centers for Medicare and Medicaid Services (CMS). The ASC Infection Control…
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