Infection Control Today

FEB 2019

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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Page 14 of 44

14 ICT January/February 2019 EPA registered disinfectant that is quick and easy to use throughout your facility. THE DIFFERENCE OF STERAMIST DISINFECTION The only active ingredient is 7.8% hydrogen peroxide making disinfection compatible with a variety of materials including rubbers, fnished surfaces, and all electronic devices. For example: The organization cannot find direction on how to store an endoscope after high level disinfection. They have reviewed their state health department regulations, the CoPs, and the manufacturer instructions for use and all state to store in a manner that prevents contamination. They chose to follow AAMI ST91(2015) which states "… The endoscope should be hung vertically with the distal tip hanging freely in a well-ventilated, clean area, following the endoscope manufacturer's written IFU for storage." And then provides some additional detail and a rationale. This provides the facility with direction to store the endoscopes that have been high level disinfected in this manner and it is incorporated into their policy. 5. Position Statements In the absence of regulation, CoPs, manufacturer instruction, evidence-based guidelines, or national standards, healthcare organizations may then consider position statements and other documents as guidance for developing infection control-related policies. For example: Many ophthalmology practices follow recommendations from the American Society of Cataract and Refractive Surgery and the American Society of Ophthalmic Registered Nurses which re-enforce following manufacturer IFUs but additionally provide guidance to prevent Toxic anterior segment syndrome (TASS). This information can be incorporated into facility policy. Organizations have experienced adverse accredi- tation decisions because they are surveyed in accordance with their policies. To review, implementing policy that requires wiping all the bioburden off instruments at point of use may not lead to a successful outcome. While it may sound acceptable as a concept, it is important to ask how this impacts staff during a long cardiac case when a chest retractor has been "drying" in the incision for eight hours of surgery? OR staff do not have the equipment necessary to remove the bioburden. A review of regulations, CoPs, and manufacturer instructions may provide guidance. If an organization's regulations fail to provide guidance, then it is time to check the EBGs. Using a hospital in New Jersey as an example, let's look at the basis for a policy about handing soiled instruments in the OR. First, we review at regulations. New Jersey implements regulation which requires by incorporation that facilities follow current Association for the Advancement of Medical Instrumentation (AAMI) standards. When AAMI standards are reviewed it states that instruments should be wiped during the procedure Ò Organizations have experienced adverse accreditation decisions because they are surveyed in accordance with their policies.

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