Sterile Processing What’s in it for Infection Control?

RME- Reusable Medical Equipment Spaulding Classifications Manufacturer Instructions Reprocessing standards

Decontamination PPE Workflow Airflow Manual vs automated ◦ Detergent ◦ Brushes ◦ Flushing devices ◦ Take apart Ultrasonic Thermal Disinfection

Endoscope Processing Manufacturer Instructions Manual cleaning Quality indicators ◦ ATP ◦ Channel Check Automatic Endoscope Reprocessors (AER) ◦ Validation

High Level Disinfection Cidex Cidex OPA Hydrogen Peroxide Paracetic Acid

QA in Decon TOSI- for washers ◦ All levels ◦ Check blades ◦ Cycles Sonochek- for ultrasonic ATP/Channel Check for lumens/surfaces Cidex strip QA validation ◦ MEC and Temperature validation EVERY time Logs for all endoscopes

Preparation/Assembly Apparel Airflow Workflow Inspection ◦ Stains/cracks ◦ Sharpness ◦ Take-apart Lubrication

Sterilization Steam ◦ PreVac ◦ Gravity ◦ IUSS Hydrogen Peroxide Plasma ◦ Sterrad ◦ Vpro Max Ethylene Oxide (ETO)

Packaging Validation Filters Liners Manufacturer instructions Validation

Indicators Chemical ◦ Internal ◦ External  Outdates  Temperature and Light ◦ Validation Mechanical ◦ Bowie Dick

Biological Indicators Validation ◦ Each type of sterilization has its own Placement Incubation ◦ 1 hr- 3 hr- 24 hr- 48 hr

Clean and Sterile Storage Temperature and humidity ranges Routine cleaning Free from air currents Event related sterility vs. exp date

Questions??