STERILE PROCESSING
any successful operation. The focus also always needs to remain on the end result – producing an effectively cleaned and disinfected or sterilized endoscope to the next patient.”
John Whelan, Clinical Education Specialist, Healthmark Industries
John Whelan Gearing up
“For facilities that follow AAMI standards, the ST91 updates may add time to the reprocessing procedure for leak testing, drying time and cleaning verifi cation depending on endoscope
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risk. CS/SPD departments should make trial reprocessing runs based on the new standards to determine how the updates may impact their specifi c facilities. There are products on the market that already provide built-in features that address the guideline changes.
“CS/SPD departments will need to determine whether existing equipment and processes are suffi cient to meet the new standards. A facility, for instance, may need more drying equipment to incorporate the additional reprocessing time or new equipment to track reprocessing and storage steps. Facilities may need to schedule more time between pro- cedures to account for the longer reprocessing requirements.”
Melinda Benedict, Director, Infection Prevention and Control, Olympus Corporation of the Americas
Melinda Benedict
Follow evidence, embrace science “Adding additional guideline recommendations poses the ques- tion: Are the recommendations backed by evi- dence-based science? The idea that a recommendation can point out an improvement in a best practice is extremely important. However, it is critical that evidence, education, staff training and effective implementation can support the change.”
Ron Banach, Director, Clinical Training, Ruhof Healthcare
Ron Banach
Work in progress fi nd that the biggest changes impacting both PD and endo- scope processing areas are the new requirements for cleanliness testing after manual washing and 10-minute drying times. Both requirements impact the reprocessing of fl exible endoscopes by adding procedures that take time. Another important change has to do with the requirement to report damage. Section 7.4.8 d) states, ‘Report the leak test failure per organizational policy and procedure, including the endoscope product identifi cation and traceability information. T calls for cleanliness testing after each use for high-risk endoscopes and the verifi cation of all other endoscopes on a statistically signifi cant frequency ‘3.31 High-risk endoscopes and/or those that are of complex design (e.g., duodenoscopes, linear ultrasound (EUS) endoscopes, bronchoscopes, endobronchial ultrasound (EBUS) endoscopes, ureteroscopes, cystoscopes and as determined by the facility) sall be monitored it cleaning verifi cation tests after eac cleaning anal cleaning of eible endoscopes tat are not determined to be ig ris sold be verifi ed sing cleaning verifi cation tests en new endoscopes are purchased and at established intervals (e.g., at a statistically signifi cant freency based on te nmber of procedres performed).’ “I believe that the requirement for cleanliness testing is a move
Gregg Agoston
in the right direction. The lumen of a fl exible endoscope is very small and even with brushing and fl ushing bioburden can remain in the channel. The use of a test to detect organic materials will assist in ensuring that the endoscope is clean. My question is shouldnt we test all fl exible endoscopes after each use Doesnt every patient deserve to have a clean and properly processed endoscope? The endoscope must be thoroughly cleaned prior to sterilization or HLD.
26 November 2022 • HEALTHCARE PURCHASING NEWS •
hpnonline.com
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