HEALTHCARE
PURCHASING EWSN SELF-STUDY SERIES
July 2021 The self-study lesson on this central service topic was developed by STERIS. The lessons are admin- istered by Endeavor Healthcare Media.
Earn CEUs After careful study of the lesson, complete the examination at the end of this section. Mail the completed test and scoring fee to Healthcare Purchasing News for grading. We will notify you if you have a passing score of 70% or higher, and you will receive a certifi cate of completion within 30 days. Previous lessons are available at
www.hpnonline.com.
Certifi cation The CBSPD (Certification Board for Sterile Processing and Distribution) has pre-approved this in-service for one (1) contact hour for a period of fi ve (5) years from the date of original publication. Successful
completion of the lesson and post-test must be documented by facility management and those records maintained by the individual until recertifi cation is required. DO NOT SEND LESSON OR TEST TO CBSPD. For additional information regarding certifi cation, contact CBSPD - 148 Main Street, Suite C-1, Lebanon, NJ 08833 • www.
sterileprocessing.org.
IAHCSMM (International Association of Health- care Central Service Materiel Management)
has pre-approved this in-service for 1.0 Continuing Education Credits for a period of three years, until June 4, 2024. The approval number for this lesson is STERIS-HPN 210406. For more information, direct any questions to Healthcare Purchasing News (941) 259-0832.
LEARNING OBJECTIVES
1. Defi ne potable water 2. Identify areas within SPD impacted by a water crisis
3. Describe actions to take during and after a mandated boil advisory
4. Develop an emergency water supply plan
Sponsored by:
Managing a water crisis
What do you mean we don’t have any water?! by Robert Williams
S
terile processing professionals face daily challenges. pecifi cally, steam uality issues, biologic failures,
euipment breakdowns and staffing issues are common problems in sterile processing departments Ds and managers typically have plans in place for when these happen. ut there is a less common challenge that can catch the team off-guard and possibly turn the D upside down a water crisis. ater crises are often not top-of-mind for hospital leaders or sterile processing managers. et when water is not available or cant be used, instrument processing must come to a halt, which dramatically impacts the hospitals surgical schedule. The crisis may be related to a break-
down in the water supply that causes an outage, but it may also be a lack of access to a specifi c uality of water needed for D systems and processes. ust as with all other potential problems, hospitals and especially sterile processing departments should have an emergency water supply plan in place to address these issues if they should arise.
It begins with potable water otable water is defi ned as water that has been deemed safe for human use or con- sumption. otable water is also referred to as tap water or drinking water. To be considered potable, testing must confi rm that contaminants and microorganisms in the water are below certain levels as speci- fi ed by the U.. nvironmental rotection gency . ater can come from lakes, rivers, res- ervoirs, wells or a combination of these sources. one of these sources are potable. ften, they contain contaminants and microorganisms. ater utility companies that supply potable water are responsible for testing and treating water to achieve compliance with regulations. ach municipal water supply is main-
tained by local water agencies in each state. This includes the source from which water is drawn, treatment facilities, sup- ply pipes to homes and facilities and all
28 July 2021 • HEALTHCARE PURCHASING NEWS •
hpnonline.com
reuired testing and monitoring. ow- ever, water supplied by a facility-owned well is the responsibility of the facility. The facility must ensure proper testing and treatment of the water prior to its use, as dictated by the . number of things can happen to interrupt the ow of potable water to a healthcare facility. ater pipes can break, treatment facilities can malfunction, and maor weather events like hurricanes and oods can contaminate the water sources on which facilities rely. hen potable water is contaminated, municipalities may issue a boil alert to make water safe to drink or they may temporarily stop supplying it.
Impacted functions, systems ater is a critical component of sterile processing. ational standards and guide- lines specify the water uality needed for various functions. For example, accord- ing to I TI , ater for the reprocessing of medical devices, manual cleaning of instruments should be carried out with tap water that is free from any contaminants that may cause a risk to the public also referred to as potable water. Final rinses, however, reuire the use of critical water, which is achieved by using fi ltration systems to remove many of the minerals and metals in potable water, creating deionized or reverse osmosis water. These components are removed because they can cause staining, hard water deposits and other types of dam- age to surgical instruments and devices. The type of water reuired is determined by the process and euipment for which it is used. The sinks used for reprocessing in an
D reuire large volumes of water. inks are used when manually cleaning soiled or contaminated instruments and devices sent through for reprocessing. Water is used in initial rinse sinks, soak and wash sinks and for the fi nal rinse after cleaning. fter manual cleaning, instrumentation may go through additional automated cleaning processes.
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