Sterile Processing 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…
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…
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,…
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…
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…
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…
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…
Some complex medical devices cannot withstand high-temperature sterilization. An alternative is low-temperature sterilization, which works for heat- and moisture-sensitive devices. There are different types of low-temperature sterilizers, and this article will review them. Spaulding classification A deciding factor in whether an instrument can undergo high-level disinfection is the Spaulding…
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…
Using best practices to sterilize surgical instruments can help lower infection rates and, in some cases, prevent death. Over the past few years, staff at Banner Boswell Medical Center in Sun City, Arizona, have worked to reduce immediate use steam sterilization (IUSS) rates. Thanks to improved communication and workflow between…
