1. Standardizing Cidex® OPA Use For Direct Users
2012 Cidex® OPA GUIDELINES
Standardizing Cidex® OPA Use
For Direct Users
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2. This Module: This module is applicable to direct users of Cidex OPA®
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3. Purpose To ensure correct Cidex® OPA guidelines are followed: OSHA
Manufacturer guidelines
Infection Control
Safety
Compliance
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4. Objectives
To Standardize the use of Cidex® OPA within the system including:
Safe Use
Labeling
Testing
Soaking
Documentation
Spill Protocol
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5. Safety Personal Protective Equipment
Always use PPE when handling Cidex® OPA
Placing probe into Cidex OPA®soak container
Removing probe from soak container
Testing solution/strips
Changing solution
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6. Cidex OPA® Stain
Cidex bottles were laying on side in drawer when one leaked. These stains are permanent and can occur on clothing, skin, nails, hair, transducers, or any contact surface. This is one of the things PPE protects against.
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7. Cidex OPA® Stain in drawer
Cidex OPA® leaked inside drawer staining surface.
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8. Safety (cont.) Ventilation Location of soak container GUS station
Low traffic area/secured from public access
Well ventilated room
Labeled containers
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9. Opening Cidex® OPA PPE Neutralize spilled solution with Glute-Out®
Gloves, gown, mask, eye protection
Neutralize spilled solution with Glute-Out®
Wait five minutes before pouring down drain, allow water to run for a few minutes
You do not have to neutralize unused solution in container prior to disposal (spills only)
Rinse containers until water runs clear
Cap and dispose of old bottle in trash
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10. Labeling (con) Original Bottle (not ‘in-use’ solution)
Expiration Date (75 days from opening)
(mm/dd/yy)
Soaking containers (‘in-use’ solution)
date poured (mm/dd/yy)
expiration date (EXP mm/dd/yy) (14 days)
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11. Labeling Secondary soaking containers Must be labeled “Cidex® OPA”
A warning sign must be visible to patients
An additional label must indicate it is a hazardous chemical
Obtained through Central Supply
A thermometer must be used to obtain accurate solution temperature
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12. Hazard Label for Cidex® OPA
Appropriate label for health hazard level one
NFPA rating:
Health: 1 flammability: 0 reactivity: 0
OSHA.GOV
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13. Labeling (con) Cidex® OPA Test strip containers Must be labeled with
date opened (mm/dd/yy)
expiration date of 90 days from date opened (mm/dd/yy) (make sure original “lot” exp date is not sooner than 90 days, use the earlier exp)_
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14. Testing Cidex® OPA solution must be tested:
Every new bottle of solution opened
With 3 full strength and 3 controls (half filled with cidex half filled with water )
Before soaking probe (every time)
Test strips must be tested:
each new bottle opened
Weekly QA (3 full strength/3 controls)
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15. How to Use Test Strips Opening Perform control test for
Mark the date on the bottle in space provided
Mark the expiration date (90 days from date of opening) in space provided
Perform control test for
each new bottle opened
On a weekly QA basis
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16. Testing Cidex® OPA with Test Strips
Submerge test strip in solution for one second, do not shake or swirl
Remove excess solution by standing the strip upright on a paper towel.
Read results at 90 seconds.
Do not read past 90 seconds the results will be invalid. Pad will be completely purple to indicate effective solution. If any blue remains on the pad, the solution is ineffective and must be discarded.
Advanced sterilization products (2012) retrieved 7/26/2012 from opa/features-and-benefits
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17. Test Strips (con) Results:
Advanced sterilization products (2012) retrieved 7/26/2012 from opa/features-and-benefits
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18. Test strips (con)
Follow same instructions for 3 full strength cidex tests and 3 controls (half water half cidex)
Test strip should fail for control/mark control in comment field
Highlight row on log sheet for QA tests
Tightly recap test strip bottle after each use.
Discard any unused test strips 90 days after bottle is originally opened.
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19. Testing Documentation
Record in log book
Date (mm/dd/yy)
Date solution activated/expired
Date test strips expire
Date of test
time of test start (hh:mm:ss)
time of test end (hh:mm:ss)
Must include seconds to demonstrate compliance
temperature of solution
results (pass or fail)
Time equipment placed in solution/taken out of solution (hh:mm)
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20. Soaking
Must have submersible thermometer to test temperature of solution
SOLUTION TEMPERATURE
Cidex® OPA solution must be at least 20C/68F to be effective
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21. Soaking Thoroughly remove gel from probe
Use sani-wipe/alternative to remove proteins
dry
Insert probe into solution-use clip to hold transducer to avoid breakage of scan head
12 minutes to high-level disinfect
Must be removed after 12 minutes (use timer)
Mark on log sheet time in/time out of solution
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22. Rinsing Before soak: Test solution Thoroughly remove gel from probe
Use Sani-wipe/alternative to remove protein
Dry probe prior to soak
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23. Rinsing After Soaking in Cidex OPA®
Remove probe from solution place in fresh water
Wait one minute, remove (place on towel)
Replace water
Repeat two additional times
Three separate one-minute soaks in fresh potable water
WATER MUST BE CHANGED AFTER EACH ONE MINUTE SOAK
Dispose of final rinse water after third rinse—do not leave standing water in soak container
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24. Documentation Use Cidex® OPA Log Sheets Documentation required for
Cidex® OPA solution control test performed on each newly opened bottle
Cidex® OPA test strips control test 3/3 for each new bottle of test strips opened
Cidex® OPA solution -test prior to soaking probe (after every pelvic patient)
QA weekly control test on test strips
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25. Documentation (con) Must include: Container number (where applicable)
Date of solution poured into container (mm/dd/yy)
Date of soak container solution expiration (mm/dd/yy) 14 days
Expiration date of test strips (mm/dd/yy)
Date of test (mm/dd/yy)
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26. Documentation (con) Temperature of solution
Time test started (HH:MM:SS)
Time test ended (HH:MM:SS)
Results
Initials of person testing
Time equipment placed in solution/time out (HH:MM)
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27. Log sheet
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28. Log sheet cont.
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29. Changing Solution PPE (gown, gloves, mask, and eye protectant)
No deactivation required (spills only)
Dispose down sink drain with water running
Rinse original container until water runs clear and discard
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30. Documents
All Cidex OPA® documents are available for technologists’ access in MEDEX under Cidex OPA® Packet
Log sheets
Competency forms
Guidelines for use/spill clean up/QA testing
Procedures
Safety information
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31. Changing Solution (cont)
Refill solution to fill line
Label Containers
Test Solution
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32. References OSHA (2006) Best Practices for the Safe Use of Glutaraldehyde in Health Care. Retrieved from
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