Decontamination
the more steps and special requirements are needed to achieve the requested level of cleanliness. Compared to general surgery instruments, reusable robotic surgical instruments present multiple challenges to the sterile processing department (Figure 4). However, simultaneous to advancements
in surgical techniques, advancements in reprocessing techniques have emerged. The introduction of automated processes has helped minimise the risk of infection; in particular, the introduction of washer disinfectors. Washer-disinfector processing involves two distinct stages: cleaning and microbial inactivation. In this process, cleaning is achieved by using the right detergent solutions, mechanical action, contact time and temperature. The automation of the cleaning removes the risk of human errors, enhancing efficiency, consistency, and reliability. Disinfection is achieved by the action of moist heat maintained on the surface to be disinfected at a particular temperature for a particular time. The combination of time and temperature should satisfy the A0 requirement of BS EN ISO 15883- 1 for disinfection to be achieved.11
Disinfection is not only crucial for the
inactivation of organisms but also allows the safe handling of surgical instruments. This step helps protect the users, as well as the patients. Nonetheless, following a lengthy procedure
for proper reuse can be a chore. The FDA identifies training as one of the factors affecting reprocessing quality (Factors Affecting Quality of Reprocessing FDA 2018). This is also recognised by international standards, ISO
17664-1, which highlights the need for user training. Manufacturers need to understand user behaviour and ease the demanding task of reprocessing. For this, usability validation, professional education and training are required. To monitor the application of reprocessing
procedures, a traceability system is needed and to link the medical device to the patients, which is part of the quality system of the hospital. This reprocessing quality control system is a key part for the mitigation of the risk of contaminated instrument-associated SSIs.
Summer school is back
Introduction to healthcare engineering, estates and facilities
We are delighted to announce two new dates for this year’s Introduction to healthcare engineering, estates and facilities course also known as ‘Summer School’.
This five day residential, City & Guilds Assured course offers a broad overview of the healthcare estates industry focussing on a full range of portfolios. From medical gas to lift safety, decontamination and many more.
Places are filling up fast so book now to secure your space! 01 - 05 July 2024
29 July - 02 August 2024
eastwoodparktraining.co.uk training@eastwoodpark.co.uk May 2024 I
www.clinicalservicesjournal.com 51
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