M A Y 2 0 1 5 O U T P A T I E N TS U R G E R Y. N E T 3 5
some deliver flashed instruments to the sterile field unwrapped, uncovered and
wet, never having taken the time to visibly inspect each instrument for debris
and damage under magnification.
"If you don't hand-wash, inspect, ultrasonic-clean, irrigate and make sure the
instruments are all in fine working condition, and then wrap them carefully in
trays and rack them,
you're changing the stan-
dards of patient care,"
she says.
In an August 2014 posi-
tion paper
(osmag.net/cM2PpV), CMS
says that practices asso-
ciated with the outmoded
term "flash" sterilization
have been implicated in
SSIs and pose an
increased risk of compli-
cations because of poten-
tial barriers to thorough
completion of all neces-
sary reprocessing steps.
"Even when all steps are
performed properly,
[IUSS] should be limited
to situations in which
there is an urgent need
and insufficient time to
process an instrument by
A lot has changed since the 1970
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