Disinfection
cases. An investigation identified several lapses including the absence of terminal disinfection after cleaning, lack of sterile protective sheath use and the use of a damaged probe. Following corrective measures, including the implementation of traceability practices, no further S. marcescens infections were reported.19
Traceability System Reprocessing Record In non-outbreak settings, traceability
allows facilities to demonstrate that they have met their duty of care to patients. Incorporating digitisation into traceability is the best way to ensure standardised information across the entire workflow. Digitisation can reduce manual administrative burden, the risk of operator error, and incomplete record keeping.
Safety considerations for POC reprocessing Safety of point of care reprocessing systems is another key factor for consideration. The ideal disinfection technology for use at point of care is a closed system that requires minimal handling of the disinfectant, as this protects both patients and staff from being in contact with the active chemistry. Manual technologies, such as wipes, require direct handling of the disinfectant and the use of a rinsing step to remove residual chemicals from the surface of the probe. When appropriate risk assessments and safety
l Operator l Probe serial number or other identification
l Date and time of HLD cycle l Shelf-life date of high-level disinfectant l Lot number of high-level disinfectant l Exposure time and temperature l Results of critical cycle parameters
Procedure Record
l Patient identifier l Medical Recorder Number l Operator l Procedure
Figure 3. Traceability involves linking both a reprocessing record and procedure record to a medical device. A suggested dataset to be collected and linked to the patient for every high-level disinfection cycle is shown above.
measures are taken into account, when designing clinical workflows, automated HLD technologies offer point of care disinfection with less hands-on time, that is safer for both patients and staff.
Streamlining POC disinfection workflows One of the most important considerations for point of care reprocessing is the segregation
of clean and dirty processes to prevent recontamination of clean probes. For manual disinfection processes, this is often achieved through segregation of clean and dirty areas with physical barriers or demarcation of zones. In the patient room, the same outcome can
be achieved by adopting a structured workflow. Under normal circumstances, the patient room becomes “dirty” during a patient stay or
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H.pylori-Qpage_Mar_2023.indd 1 March 2023 I
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