Outpatient Surgery Magazine

The Power to Prevent SSIs - June 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 80 of 132

and efficiently. But you can do so only if you step foot in the scope room. Here's what to do once you're there. 1. Watch and learn Shadow a reprocessing tech from start to finish as she performs the 200-plus steps involved in reprocessing a scope — from bedside cleaning to leak testing to manual cleaning to rinsing to visual inspec- tion to high-level disinfection to rinsing (again) to drying to storage. Each of the directors of the 16 endoscopy centers that I oversee per- forms a monthly scope room audit. It's an invaluable exercise that will open your eyes to how mentally challenging and physically grueling the job is. You can learn a lot during a 15-minute visit. You might discover that your techs are skipping steps or cutting corners, or that they each have their own way of reprocessing scopes. "This is the way I do it." But the scope room is not the place for individual expression. One way to get all your techs on the same page: Paper the walls with cheat sheets and manufacturer's posters that illustrate the different steps. 2. What should you be looking for? If a tech doesn't follow or misinterprets manufacturer's reprocessing instructions — or follows them inconsistently — the results can be disastrous. Here are common reprocessing issues you should monitor and correct: • Using products that are not approved to clean scopes: bleach, hydrogen peroxide and surgical instrument detergent, for example. • Reusing disposable cleaning brushes because "the bristles are still good." Spot this by checking your supply ordering history against case volume. Other disposable/single-use items that shouldn't be reused: enzymatic solutions, valve brushes and inflation syringes. J U N E 2 0 1 7 • O U T PA T I E N TS U R G E R Y. N E T • 8 1

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