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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15 January/February 2019 ICT 800.525.1698 | tomimist.com IMPLEMENT STERAMIST INTO YOUR FACILITY Super solution to reduce spread of Superbugs* including C. diffcile spores (ATCC #43598), MRSA (ATCC #33592), and Pseudomonas aeruginosa (ATCC #15442) No wipe, no rinse, and leaves no residue saving time between patient room disinfection *For more information, refer to EPA Reg. No. 90150-2 Customizable to best accommodate any hospital's needs, protocols and budget and instruments with lumens should be fushed. Prior to transport items should be prepared in a way that maintains moisture and provides three examples. The facility must also follow OSHA regulations which require that the contaminated reusable sharps shall be placed in containers that are puncture resistant; labeled with a biohazard label or color-coded red and leakproof on the sides and bottom. The facility is deemed, so the CoPs for Hospitals are reviewed and state that items must be thoroughly cleaned and visually inspected for soil according to manufacturer instructions prior to steril- ization. Manufacturer instructions for the instruments indicate that the soiled instrument should be kept moist and gives the option of using a pre-treatment gel or a moistened towel. The hospital now had the information to write a policy that is compliant with standards. An example of a policy statement based on the information could be: During use, the orthopedic instruments are wiped and fushed to remove gross contamination that could interfere with the procedure. At the end of the procedure, all used instruments will be placed in a container that is puncture resistant and leakproof on sides and bottom and be covered with a moist towel for transport to decontamination. A biohazard label is affxed to the cover of the transport cart if multiple containers are transported on the same cart or the individual container if it will be transported independently. Most facilities will fnd that there is no requirement to completely remove all visible bioburden in the operating room for most instruments, instead regulations and CoPs recommend following manufacturer instructions and most manufacturer instruction recommend keeping the item moist until it can be cleaned. In developing their policies, infection control professionals should follow the standard approach and include input from leadership and staff who will implement the policies. If recommended processes are followed, facilities can explain it to the surveyor and should do well on survey. Surveys are meant to identify deviations from regulations, CoPs, EBGs and standards that are promulgated to keep patients and staff safe. Organizations with questions about the survey scoring process can contact The Joint Commission's Standards Interpretation Group for further information. Sylvia Garcia, MBA, RN, CIC, is director of infection prevention and control within the Division of Healthcare Improvement at the Joint Commission. Garcia has more than 30 years of experience in infection control in hospital and long-term care settings, as well as eight years of clinical microbiology experience. Ò Surveys are meant to identif y deviations from regulations, CoPs, EBGs and standards that are promulgated to keep patients and staf safe.

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