CS CONNECTION


including its QuickScan baseline assessment and Process Ready Analysis. This combines tray utiliation data with work ow and pro- cess observation to develop solutions that streamline inventory and optimie surgical trays, helping to reduce complexity, assem- bly and inspection errors, and decreased bioburden and contamination risks. These best practices are easy to imple- ment and can save the SPD time and money in the long run,” said Schrader. “They can also greatly decrease the risk of sending a set to the OR that has a quality or sterility issue.” To help CPD technicians assemble


surgical instrument sets and packages of individual instruments in a safer, more consistent and more effi cient man- ner, T utomation has developed its Assisted Instrument Management (AIM) line of products. This includes the IM Tray Assembly solution, which uses machine vision (MV) technology and artificial intelligence (AI) to automatically identify and verify instruments on the count sheet; and the AIM Peel Pack tool, which uses MV technology and AI to automatically generate steriliation pouches and labels simultaneously.


instruments assembled and sterilized are available when needed, functional and safe to use on the patient. To accomplish 100 percent accuracy on these three critical factors, SPD management must determine the number of inspections that are neces- sary. These inspections must be conducted by a competent person who was not the person assembling the peel pack or tray. The number of inspected items can change as findings increasedecrease. indings should be documented so that trends can be identifi ed. oth the PD and O must accurately report events for the data to be meaningful. Trend data must then be used as a control tool. Training and process adustments must be applied to prevent errors from occurring.”


and AIM Tray Assembly solution RST Automation


AIM Peel Pack tool


Tracking and reporting errors Gregg Agoston, M.B.A., Vice President, usiness Development, PD Transformation ervices, says his number one recommenda- tion for quality and sterility assurance is to view the CPD as a manufactur- ing process. This means that quality assurances and quality control measures must be integral to C PD operations. goston explains how each C PD must determine an acceptable level of inspections of assembled sets prior to steriliation. The department must also put in place a formal system to track and report on errors discovered. “Based on assessment findings from hospitals across the country, there is sig- nificant need for improvement in  C practices, said goston. The goal should always be that 100 percent of the


Gregg Agoston


Proper protection chrader points out the need for hospitals and other healthcare facilities to properly protect their surgical assets during sterilia- tion and transportation to extend instru- ment life and optimie reprocessing. “A tray instrument organization system reduces instrument damage and reduces case delays by making it easy to identify missing andor wrong instruments during preparation, said chrader. During sur- gery, the staff is able to more easily locate the proper instrument. Placing these orga- nied sets in rigid sterile containers helps eliminate case delays related to holes in blue wrap and helps reduce overall sterile packaging processing costs and reprocess- ing time.” The esculap  eries terilContainer


2 is .. ood and Drug dministra- tion (D) cleared for low temperature (TD, TI V-PO, TIO), PreVac team and tO steriliation modali- ties. It features an anodied fi nish, and it is easily identifi ed by its gold container handles and lid latches. esculap has a wide variety of baskets, racks and Instru- ment Organization System (IOS) holders to organie and protect instrument sets. It can be used to sterilie pre-confi gured orthopaedic, spine and specialty medical instrument sets.


the hands of the CPD, O staff must also do their part to keep instruments safe and effective. As Ron Banach, Director of Clinical Training for uhof ealthcare, explains, point of use (PO) cleaning of instruments and scopes by clinical staff in procedural areas paves the way for effective cleaning and steriliation in the CPD. eeping instruments moist helps pre-


vent soil (e.g., blood, body  uids) from dry- ing and adhering to the instruments,” said Banach. “Dried soil can make instruments more diffi cult to clean and potentially lead to the formation of dry-surface biofi lm. Treating instruments with an enzymatic pretreatment at the point of use can help prevent rusting and corrosion prevent blood, organic materials and debris from drying on the instruments; and inhibit dry-surface biofi lm formation. anach says it is recom-


mended that perioperative personnel use enymatic pre-cleaning humectants and sprays to keep instru- ments and rigid scopes moist, especially those that sit for extended periods of time. One such enzymatic humectant spray is uhofs Prepyme orever et with moisture reten- tion properties lasting up to 2 hours, making


Ruhof’s Prepzyme Forever Wet


cleaning easier and more effective.


Sterilization success ith the onset of the COVID 19 pandemic, one of the biggest challenges facing sup- ply chain and PD professionals was the unpredictable demand for personal protec- tive equipment (PP), mostly notably the supply of 9s, said ulie orog, , , CO, Clinical ducation Consultant Clinical Trainer, dvanced teriliation Products. Due to unpredictability of the impact on hospitaliation admissions, healthcare facilities had to temporarily modify some of their practices that were inconsistent with professional standards and guidelines prior to the COVID-19 pandemic. orog points specifi cally to the Ds Emergency Use Authorization (EUA) for Sterilization Systems.1, 2, 3


This is intended Aesculap JS Series SterilContainers


Point of use (POU) cleaning While quality and sterility assurance of surgical instruments is typically placed in


34 January 2021 • HEALTHCARE PURCHASING NEWS • hpnonline.com


for decontamination of compatible 9 respirators for single-user reuse by health- care personnel in healthcare facilities to prevent exposure to pathogenic biological airborne particulates during the COVID-19 pandemic. This temporary authoriation was outside the recommended practices of the


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