CS CONNECTION
sterilization and sterility assurance in healthcare facilities where section 3.3.5.6 defines the range of light levels for each woring area. How to you measure the light level There’s an app for that, free ones, and for both Android and iPhone,” said Wilder.
Get closer “Visual and enhanced inspections are more critical now than ever in the sterile processing and endoscopy areas, said Cheron Rojo, AA, CRCST, CIS, CER, CFER, CHL, Clinical Education Coordinator for Healthmar Industries. The technology advances alone in the power of magnifi- cation have syroceted by offering more advanced and specialized visualization from the magnification to the design. This can be used to view areas lie lumens that cannot be seen with the naked eye or the standard magnification that sterile processing and endoscopy was used to over the years. The purchase of enhanced magnifica-
tion technologies and specific magnifica- tion stated in the IFU of the instrument or device is essential, ojo added. But consideration also needs to be placed on the amount of magnification you purchase to maintain compliance with front-line technicians at each workstation. One type of magnification cannot be the save all and placed in the dar corner of the sterile processing department on either the decontamination or prep-n- pac areas. The type of magnification is determined by the type of instrumenta-
tion and devices in your inventory and all their IFUs.” anufacturers have added not only
the use of magnification to their IFs, but also specific power of magnification, said ojo. He points to Intuitive robotic instru- mentation, noting how the products IF specifies magnification in the decon- tamination area. Rojo adds that numerous arthroscopy shaver manufacturers specify the use of an endoscopic camera or (bore- scope) in their IFUs as well.
Specific to scopes s noted by the .S. Food and Drug Administration (FDA), clinicians perform over million endoscopic procedures in the U.S. each year.3
While endoscopes
are essential to many minimally invasive procedures, their use comes at a cost – the risk for contamination and infectious disease spread among patients. In studies performed by manufacturers on endo- scopes used in clinics, about 2-5 percent have bacterial contamination. “In response to the spread of infections
by contaminated devices, government agencies, standards committees and medical societies are calling for visually inspecting the internal mechanisms and lumens, said Banach. They advocate the use of inspection scopes for this purpose.” ith regards to rigid endoscopes used
in visualization during laparoscopic pro- cedures, Rojo says most manufacturers’ IFs recommend visual inspection by looing through the eyepiece and rotating the endoscope. This is a very subjective
test, he says. There are better verifica- tion tools to identify damage to the optics that can obstruct the surgeons view dur- ing the procedure.
Video borescopes are recommended in NSII ST20 sections ... and D., eplains ilder Borescopes can get into places where you cant see, the same places that can hide patient soil residues. They belonged to the previous patient. e dont want to give them to the net patient as a gift. nd with the advent of better visual inspection, there is less of an opportunity to do that.” Borescopes are a great tool to see inside lumens and other small areas of an instrument, said goston. In addition, the various tests for cleanliness such as Healthmark’s ChannelCheck that test lumens for protein, carbohydrates and hemoglobin is an ecellent way to verify cleanliness.” For eample, uhof Corporations IB
(isual Inspection Borescope) features an HD digital camera to allow for instant visual detection of internal debris and damage inside the channels of an endo- scope, reducing the ris of device-related infections. uhof IBs intuitive software provides high-resolution images and can build a reference-based library of images to assist CS/SPD to determine conditions of medical devices and instruments. The uhof IBs software labels and archives both images and videos for emailing and reporting.
A note on IFUs s reene-olden eplains, a manufac- turers IF is the official playboo for effectively and safely reprocessing instru- ments in the CS/SPD.
“All products found in our field of
service help us in our uest to perform inspections of instrumentation used in surgical procedures, she said. It is our main goal to give our patients world class service by doing our due diligence to ensure instruments sets are meeting the parameters of cleanliness and workability. It is about reading and understanding IFs. digital tool lie oneSOC maes accessing IFs easy 2, as they guide you in what you are looing for as you check each instrument. All instru- ments are not created eual, what you see is important and we need the human factor to make the call.” But as ichulo points out, following the
Healthmark EPRO-001SK (EndoPro-Cam) is used to identify damage to the optics in rigid endoscopes
42 February 2021 • HEALTHCARE PURCHASING NEWS •
hpnonline.com
steps outlined in the IF is not enough. CSSD professionals must validate that
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