Infection Control Today

SEP 2018

ICT delivers to infection preventionists & their colleagues in the operating room, sterile processing/central sterile, environmental services & materials management, timely & relevant news, trends & information impacting the profession & the industry

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8 www.infectioncontroltoday.com ICT September 2018 Q SPD dialogue Print-outs are a Vital Component of Documentation in the SPD By Nancy Chobin RN, AAS, ACSP, CSPM Sterilizer gauges. Sterilizer control panel. One type of steam sterilizer print-out. Example of a tabletop sterilizer print-out. Q: Recently our facility was cited for not signing all the sterilizer print-outs. The surveyor asked us what the readings on the print-out meant but we didn't know. We were always told just to sign it. Can you help us with this because we want to do the right thing. A: Physical monitoring is the observation of the charts, gauges, and print-outs from sterilizers and other processing equipment such as washers and automated endoscope reprocesssors. According to the Association for the Advancement of Medical Instrumentation (AAMI), "At the end of each sterilization cycle, the sterilizer operator should review the print-out and verify that the time, temperature, and pressure were correct for the load contents. Then the print-out or chart should be signed or initialed by the sterilizer operator. (See photos for examples of sterilizer gauges, sterilizer settings, and cycle print-outs, respectively.) Any discrepancies should be reported immediately to a supervisor, and the load should not be released. It is important that the competent sterile processing technician be able to read and interpret all charts or print-outs. It is also important to verify that the print-out is legible, indicating that there is adequate ink in the cartridge and that the paper on the roll is positioned correctly before the cycle is run. SPD technicians need to know how to change the paper and/or ink cartridge to ensure legible records. Ò At the end of each sterilization cycle, the sterilizer operator should review the print-out and verify that the time, temperature, and pressure were correct for the load contents. T en the print-out or chart should be signed or initialed by the sterilizer operator.

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