Infection Control Today

APR 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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16 www.infectioncontroltoday.com ICT April 2019 Changing the face of patient safety ONESOURCEDOCS.COM 1-800-701-3560 CONTINUOUSLY UPDATED. ALWAYS ONLINE. Consider this. When a patient's life hangs in the balance, are you confi dent you have the latest validated manufacturers' IFU documents? With oneSOURCE you never have to worry. Thousands of the IFUs you need are available instantly online, keeping you in compliance with the CMS, Joint Commission, and AAAHC Accreditation. And if we don't have it, we'll do our best to fi nd it for you ASAP. So, join the thousands of facilities that have relied on oneSOURCE for the past 10 years, and put your IFU concerns to bed. YOUR ONE COMPLIANCE SOURCE OF THE LATEST IFUs that they contain potentially biohazardous materials. If bags are used, they should only be used to contain non-sharps; they will not protect from punctures of instruments through the bags. Care must be taken to avoid damage to instrumen- tation and equipment during transport. All reusable transport containers must be cleaned and disinfected between uses. If bins are used for transport of used instruments, only purchase bins whose manufacturer has provided written instructions for their cleaning, disinfection or sterilization between uses. I have seen where chemical disinfectant wipes are used to "clean" the bins after use, which is unacceptable. In summary, compliance with OSHA regulations is required. Non-compliance with correct transport of used instruments not only can lead to an employee exposure but also subject your facility to fnes from OSHA. Consult with your facility's infection preventionist about this and plan to correct this violation immediately. Nancy Chobin, RN, AAS, ACSP, CSPM, CFER, is a sterile processing consultant and educator. References: ANSI/AAMI: ST79:2017. Comprehensive Guide to Steam Sterilization and Sterility Assurance in Healthcare Facilities. Basics of Sterile Processing 6th Edition. Sterile Processing University, LLC. Lebanon, N.J. Occupational Safety and Health Administration, Blood Borne Pathogens Ruling (29 CFR 1910.1030), 1991, 2001. that are capable of producing disease in humans. The three bloodborne pathogens of most signifcance to healthcare workers are HBV, HCV, and HIV. During the transport of contaminated instruments or equipment, there is signifcant potential for exposure of many individuals—including staff, patients, and visitors—to potentially hazardous contaminants and a high risk of contaminating the environment. To minimize those risks, items must be appropriately handled, confned, and contained after use and during transport. At the point of use, contaminated items should be handled as little as possible and only by individuals wearing PPE appropriate to the task. The PPE required depends on the exposure risks (e.g., the likelihood of splashing and soaking of clothing). Disposable items should be removed and discarded in the appropriate containers at the point of use, whereas reusable items should be contained in such a way that staff and others will not be exposed to contaminants during transport of the items to the decontamination area. Acceptable methods include covered or enclosed carts, bins with lids, sterilization containers with solid bottoms and covers, and disposable impermeable bags. If reusable, containment devices should be able to withstand repeated cleaning and disinfection. It is important to purchase transport containers that can be disinfected or sterilized. You should follow the manufacturer's written instructions for use (IFU) for processing. Containment devices or bags should be labeled with a biohazard label to alert personnel Ò Non-compliance with correct transport of used instruments not only can lead to an employee exposure but also subject your facility to fnes from OSHA.

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