Techniques for using sterilization containers, case-by-case basis
Sterilization containers are used in many surgery departments. They offer many benefits, including providing an exceptional barrier to microorganisms, protecting instruments from damage, and eliminating torn wrappers. These benefits can only be realized if the sterilization containers are used properly, however. Guidance for the use of sterilization containers is given…
Quality monitoring for decontamination process
The foundation of sterilization is cleaning. How can we be sure that the mechanical cleaning equipment being used is producing clean medical devices? There are methods available to verify that the mechanical equipment used to clean medical devices is functioning appropriately. ANSI/AAMI ST79:2017 Comprehensive guide to steam sterilization and sterility…
Participate in survey on effects of COVID-19 on evacuation of surgical smoke
Editor's Note Please participate in an important nationwide perioperative survey on surgical smoke evacuation. The purpose of the research led by Brenda Ulmer MN, RN, CNOR, is to determine evacuation behaviors in hospitals before COVID-19, and then note changes as the virus continued to spread in the US. Ulmer and…
AORN to launch ‘Center of Excellence in Surgical Safety: Prevention of RSI’
Editor's Note AORN announced on August 15 that it will launch a new “Center of Excellence in Surgical Safety: Prevention of RSI.” Facilities will be recognized as Centers of Excellence for implementing a surgical team-based program to prevent retained surgical items (RSI). The complimentary program, sponsored by the AORN Foundation…
Researchers raise the alarm on splashing during reprocessing--Part 2
Part 1 of this two-part series discussed the splashes and the potential for exposure to pathogens that personnel face daily in sterile processing and endoscopy departments, as well as the current guidelines and strategies for reducing exposures (OR Manager, July 2021, pp 1, 9-11, 15). These risks were derived from…
New term clarifies instrument point-of-use treatment
What exactly is required to prepare instruments for transport to the decontamination room after a surgical procedure? Point-of-use cleaning, which may also be referred to as precleaning, has been used to describe instrument preparation at the point of use after a surgical procedure. But both point-of-use cleaning and precleaning have…
FDA: Class I recall of Medtronic angiographic guidewire
Editor's Note The Food and Drug Administration (FDA) on July 2 identified the recall by Medtronic Vascular of its angiographic guidewire component as Class I, the most serious. The recall was initiated because the devices were not sterilized before being shipped to hospitals. The guidewire is used during angiography or other interventional…
Researchers raise the alarm on splashing during reprocessing--Part 1
Does it really matter if surgical instruments are submerged in cleaning solution when technologists or nurses scrub them after a case? Is there a reason for the 3-foot separation between dirty and clean areas? Do germs stop at the red line? During the COVID-19 pandemic, much attention has been focused…
Risk of COVID-19 transmission via electrocautery plume
Editor's Note In this Canadian experimental study, SARS-CoV-2 was not detectable in aerosolized electrocautery plume generated from any of the conditions investigated. The researchers mimicked surgery by applying electrocautery at 25 W using three different methods (monopolar cut, monopolar coagulate, and bipolar electrocautery) for 1 minute on raw chicken breast.…
ANSI/AAMI ST79 amendments refine sterilization practices
Amendments have been added to the Association for the Advancement of Medical Instrumentation (AAMI) standard ANSI/AAMI ST79, Comprehensive Guide to Steam Sterilization and Sterility Assurance in Health Care Facilities. The standard, which is used in healthcare facilities to guide their sterilization processes, is considered a useful resource to promote best…
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