Sterile Processing

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November 2025
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A day in the life in SPD

Ambulatory surgery centers (ASCs) are continuing to perform more and more surgical procedures. According to Fortune Business Insights, ASCs can expect to see even greater case volumes as the number of outpatient procedures is estimated to increase by 15% by 2028. With an increase in procedures, it is essential that…

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By: Erica Smith, MBA
April 24, 2023
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From buddy to boss: Path from SPD peer to SPD leader  

Congratulations. You have worked hard to master your skills in the sterile processing department (SPD). You have prepared, been interviewed, and finally been promoted to a leadership position. Now, what? Yesterday you were working as a peer in your department, and now you are the leader. Are you prepared for…

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By: W. Zeh Wellington, DNP, RN, NE-BC, and Cherie Dominguez, CSPDT
March 17, 2023
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Collaborate to prevent infections in the OR

OR cleaning infection prevention

Protecting patient safety in the OR is everyone’s business. No single group should shoulder the full responsibility for reducing healthcare-associated infections (HAIs). In addition to infection preventionists, epidemiologists, and environmental services personnel, it is the duty of everyone involved in patient care to provide an optimal clean and aseptic surgical…

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By: Steve Wilson
March 17, 2023
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Other requirements for processing electrosurgical instruments

The use of electrosurgical instrumentation is common in minimally invasive surgery (MIS). However, while these instruments are common, processing them is complex and time-consuming. Insulated electrosurgical instrumentation can cause patient harm, including an electrical burn, if there is a breach in the insulation. These instruments are designed to have an…

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By: Susan Klacik, BS, FCS, ACE, CHL, CIS, CRCST, AAMIF
January 19, 2023
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Tackling internal objections to single-use device reprocessing

Many healthcare professionals are aware of single-use device reprocessing and its benefits. According to the Association of Medical Device Reprocessors, the savings generated by such programs can strengthen a facility’s financial sustainability and help provide a path for more responsible environmental stewardship. Sometimes, ambulatory surgery centers (ASCs) may experience situations…

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By: Ken Diebner and Scott Jackson
December 15, 2022
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Revised AORN Flexible Endoscope Processing Guideline

On September 15, 2022, AORN released its updated Guideline for Processing Flexible Endoscopes. Over the past several years, there has been significant research on flexible endoscope processing—research that met the stringent requirements and has been included in this revised guideline by AORN’s lead author and team. Endoscope processing begins with…

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By: Susan Klacik, BS, FCS, ACE, CHL, CIS, CRCST, AAMIF
November 17, 2022
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A team approach to reducing instrumentation, costs during the age of COVID-19

ORs rebounding from the financial impact of COVID-19 are looking for ways to reduce expenses. With rising costs coming from all angles of the economy, some have adopted systemwide processes to reduce, streamline, and improve surgical instrumentation sets. Two major health systems, the Cleveland Clinic and Thomas Jefferson University Hospital…

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By: Jennifer Lubell
July 26, 2022
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Revisions to ANSI/AAMI ST91, flexible endoscope processing

The Association for the Advancement of Medical Instrumentation (AAMI) released the updated ANSI/AAMI ST91:2021 Flexible and semi-rigid endoscope processing in healthcare facilities. The revised version reflects current research and advancements in flexible endoscope processing. What follows is an abbreviated summary of some of the key revisions and additions. Future columns…

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By: Susan Klacik, BS, FCS, ACE, CHL, CIS, CRCST, AAMIF
May 24, 2022
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Acclimating to OR, sterile processing department cultures

The differences between sterile processing (SP) and OR tasks and department cultures are significant. However, they share a collective goal: both work toward the best outcome for every patient. Still, both departments often suffer from having unrealistic goals for each other. One example is that the OR may expect instruments…

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By: Angela Lewellyn, LPN, CRCST, CER, CHL
February 16, 2022
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Vital role of the central sterile department in ASCs

According to the Centers for Disease Control and Prevention, about one in 31 hospital patients has at least one healthcare-associated infection (HAI) on any given day. To help mitigate HAIs, implementing infection control procedures and policies, frequently performing hand hygiene by all staff and patients, and keeping the healthcare environment…

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By: Erica Smith, MBA
February 16, 2022
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