Using the right type of water for instrument reprocessing can prolong the life of medical instrumentation, contribute to effective function, and—most importantly—minimize the risk of adverse patient outcomes from contamination. The water quality requirement for various stages of instrument reprocessing depends on the type of instrument and the disinfection or…

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When it comes to patient safety in the OR, the risk of fire or other damage caused by surgical instruments is an area that deserves greater attention. Professional medical societies concerned about such risks have developed a multidisciplinary curriculum that addresses appropriate and safe use of energy devices in surgery…

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Reports about problems associated with power morcellation in gynecologic surgery led to safety warnings in November 2014 by the Food and Drug Administration (FDA) and the Joint Commission. The FDA on November 24 updated its Safety Communication on the use of laparoscopic power morcellation in hysterectomies and myomectomies. The previous…

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The Centers for Medicare & Medicaid Services (CMS) has replaced the term “flash sterilization” with “immediate use steam sterilization” (IUSS) in surgical settings. The change in terminology, which applies to Medicare-participating hospitals, critical access hospitals, and ambulatory surgical centers that are subject to Conditions of Participation or Conditions of Coverage,…

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With more than 36 years of experience in sterile processing, I have seen many changes occur, and I know what it takes to be an effective sterile processing (SP) manager. The goal of an effective SP manager is to determine where the department is now, where you want it to…

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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…

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Bristol Hospital had a supply problem. Instruments were often missing from case carts, so nurses had to scramble to find the items on the morning of a scheduled procedure. Staff wondered whether the problem was caused by shortages, but a Lean process revealed an entirely different scenario and forged a…

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Surgical case delays have been found to last an average of nearly 17 minutes. Not only do such delays make surgeons dissatisfied, they also reduce case volume and related revenues, and they may lead to additional time under anesthesia for patients. The root causes of instrument-based delays are seldom simple,…

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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…

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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…

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