OPERATING THEATRES
About the author
Robbie Cormie has been the decontamination lead at University Hospitals Coventry & Warwick NHS Trust SSD since 2014 and was the driving force behind implementing in situ testing in the department. Prior to this he was decontamination manager at Southport and Ormskirk Hospital NHS Trust where he was responsible for helping to redesign Southport Hospital’s SSD department with the addition of new washer- disinfector units and processes to reflect the work flow – and provide the highest quality decontamination environment. Robbie is a chartered member of the Institute of Decontamination Scientists and an Authorised Person (Decontamination).
have between 0 and 1µg of residual protein on them, well below the 5µg DoH requirement and the variation is due to the age and type of item. The hand washed instruments have between 0 and 3µg of residual protein on them, so in situ test is showing our SSD personnel the proven benefits of automated validated processing over handwashing as staff can see for themselves both the numerical data and images of the visible contamination on the surgical
instrument using the ProReveal viewing screen. The main trend we have seen in our data since October 2017 is that our automated cleaning process is below the DoH guidelines for residual protein, which is very reassuring. We have also seen that some old items and instruments hold on to more contamination than others due to the material they are made from. The benefit of having residual protein data, is that we can now use it to justify having
old items which are resistant to cleaning replaced or removed from circulation, so they are not re-used on patients. In summary, in situ testing is way ahead of swabbing for detecting residual protein and the numerical data the ProReveal generates provides peace of mind that our equipment, staff, chemicals and processes are working well to ensure the safety of the surgical instruments being used on our patients.
CSJ
Central Sterilising Club STUDY DAY 17 SEPTEMBER 2018 BIRMINGHAM BOTANICAL GARDENS
What could possibly go wrong? Lessons learned in decontamination
An excellent learning opportunity for all those involved in decontamination from hands-on operatives, decontamination managers, infection prevention practitioners and associated
professionals to extend their knowledge and improve practice. Register here:
csc.kinetixevents.co.uk
JUNE 2018
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©2015 Petar Neychev
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