Outpatient Surgery Magazine

Did Skin Prep Fuel This Fire? - February 2017 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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Page 86 of 146

in one end and have them come out the other end having gone through all the essential cycles — seem to be falling out of favor with both manufacturers and users. In addition to providing less control — for example, you can't change the length of time instruments spend in the sonic cycle, which is an important consideration in orthopedics — they take up a lot of space and are extremely expensive. For the price of one tunnel washer, you can get several mechanical washers. Test your cleaners every day A lot of surgical centers that were set up to do small procedures and have since gone way beyond that still have small processing rooms and a small tabletop ultrasonic cleaner that's not powerful enough to do the job. So the staff doesn't use it. We live in a litigious world. Surgeons have the right, legally speak- ing, to assume that everything brought into the OR is safe to use. If an instrument turns out to be unsafe, the person running the facility is the one who's liable. Make sure you have mechanical cleaners that comply with IFUs, and test them continually to make sure they're doing the job. One test uses actual blood and fibrinogen, and not just chemicals. That's my preference — the most stringent test available. The Association for the Advancement of Medical Instrumentation (AAMI) recom- mends testing at least once a week. But if possible, you should test every day. After all, if you test on one Monday, and the next Monday you find out the machine has failed, you'll have no idea when it went bad. And you'll be looking at a whole week's worth of instruments that might not have been adequately cleaned. OSM J A N U A R Y 2 0 1 7 • O U T PA T I E N TS U R G E R Y. N E T • 8 7 Ms. Chobin (nancy@spdceus.com) is the president and CEO of Chobin and Associates Consulting and Sterile Processing University in Lebanon, N.J., and the author or co-author of 3 sterile processing textbooks.

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