Surgical Instruments

Latest Issue of OR Manager
November 2017
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Preference card cleanup projected to cut costs across departments

Fine-tuning physician preference cards to reduce instrument use and sterilization is a well-known way to cut costs, but one that is often hard to implement. At Bassett Healthcare (Cooperstown, New York), we had success with a simple intervention involving collaboration with nearly 50 surgeons across multiple departments. We reviewed more…

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By: OR Manager
May 17, 2017
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Consider a sterilization subject matter expert to increase compliance

Compliance with sterilization and disinfection standards is critical to patient safety, yet Joint Commission surveyors continue to cite healthcare facilities for noncompliance with high-level disinfection (HLD) and sterilization processes during accreditation surveys. Organizations with HLD and/or sterilization breaches during a survey may receive an immediate threat to life or adverse…

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By: Susan Klacik, BS, ACE, CHL, CRCST, FCS
May 17, 2017
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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…

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By: OR Manager
January 18, 2017
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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…

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By: OR Manager
November 14, 2016
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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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By: OR Manager
July 19, 2016
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What You Should Know About Reprocessing Surgical Instruments On Demand Webinar

Keeping up to date with recommended practices for reprocessing surgical instruments is a challenge, but it’s something OR managers need to do. The speaker will give you the key points about cleaning, packaging, and sterilization and will discuss the importance of following the manufacturer’s instructions for use (IFU) to reduce…

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FDA: Pentax validates reprocessing instructions for ED-3490 TK Video Duodenoscope

Editor's Note The Food and Drug Administration (FDA) on February 19 announced that it had reviewed updated reprocessing instructions and validation data issued by Pentax Medical (Montvale, New Jersey) for its ED-3490 Video Duodenoscope. The FDA recommends that facilities train staff on the updated instructions and implement them as soon…

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By: Judy Mathias
February 22, 2016
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Proper packaging ensures integrity of sterilization

Sterilization packaging is considered a medical device and thus it must undergo validation testing before being used in healthcare facilities. To ensure proper packaging that will maintain the integrity of sterilization, consult the packaging manufacturers’ instructions for use (IFU) and follow the sterilization standards and guidelines from the Association for…

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By: OR Manager
February 19, 2016
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Lean tools help staff weed out bioburden pests

At least half the battle in making and sustaining process improvements is getting the entire team on board with a new workflow. One key to getting buy-in from staff is to clarify why changes are needed and what the consequences may be if the new processes aren’t followed. In a…

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By: OR Manager
July 22, 2015
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Creating a powerful partnership between the OR and the SPD

Perhaps no other departments in a hospital work as closely together as the OR and the sterile processing department, yet friction isn’t uncommon as both areas strive to meet service demands. Although the relationship between the two is unlikely to ever be free of tension, leaders of both departments increasingly…

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By: OR Manager
July 22, 2015
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Better communication and teamwork improve sterile processing efficiency

Relations between the OR and the sterile processing department (SPD) are not always smooth. OR staff need timely, accurate instrument trays that meet the highest standards of safety. Anything short of 100% performance leads to complaints about the SPD. But many OR staff members do not appreciate the challenges faced…

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By: OR Manager
May 14, 2015
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