STERILE PROCESSING
that their endoscopes, surgical instruments, and surfaces are indeed clean. ATP Complete 2 is a quick, easy to use cloud-based cleaning monitoring system to help hospitals and other health- care organizations achieve optimal standardized cleaning levels. Advanced features include a smart handheld mobile platform, WiFi connectivity, infinite users and test points, customizable dashboard, RFID reader, user friendly interface and more.”
Fisher
“There are plenty of studies out there pointing to the most effec- tive use of time to keep the department running efficiently while maintaining the highest standards. There is inspection/testing equipment that have various applications to achieve the results indicated by these recommendations. Ease of use is something that you want to be able to look for in a product.”
Mandava
“Mobile Aspects’ iRIScope solution is a simple way to meet the new endoscope drying guidelines while minimizing time, space, and cost impacts. Our iRIScope solution dries the channel in 10 minutes, and not a minute more. Our compressors are built into our systems without taking up valuable real estate in the hospital. They can be up and running in a matter of 30 days for a hospital. We have had several hospitals who asked us to install quickly before a regulatory visit and they were up and running within weeks.”
What is one piece of advice for CSSD teams regarding endoscope reprocessing? Beyond the updated AORN guidelines, HPN asked the article contributors for their general advice on effectively and safely reprocessing scopes.
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Banach
“I would suggest that the CSSD teams work closely with their respective Endoscopy and OR departments to ensure endoscopes are kept moist during transport and an effective pre-cleaning treatment program is followed.”
Escobar
“My biggest piece of advice is to incorporate long-range planning, since endoscopy volumes are likely to continue increasing. Look at all available options in reusable and single use to best plan out what will support high-vol- ume patient throughput without straining CSSD staff and systems.
“There’s a real opportunity to allocate single-use to off-
set the expense of additional reprocessing equipment, to limit the documentation needs, eliminate cross-infection risks, and support critical areas of patient care that require endoscopes be ready when needed.”
Fisher
“Make sure that all the staff is trained and competent on the IFUs and reprocessing instructions for the flexible scope portfolio. Following these steps helps to assure that the scope is reprocessed in a manner to rid it of bioburden and make it safe for patient use. Finally, take pride in the critical role that the CSSD team plays in the continuum of care. You may be the last person to touch that medical device before it is used on a patient. That is a very hum- bling feeling.”
Lewellyn
“When reprocessing endoscopes, the CSSD should initiate two or three Super-Users. The Super-Users role is defined by having in-depth knowledge of the design intricacies of each endoscope used, the processing steps recommended by the manufacturers, and best practice recommendations of AORN, SGNA, HSPA, the CDC, and others. The posi- tion/s must be educated about the MIFU and standards of care with extensive hands-on training by a vendor or an experienced re-processor that has completed a high competency level. “We at Advantage Support have had the privilege of educating and training endoscope reprocessing techni- cians to a full competency using instrument instructions for use and industry resources. An excellent resource for the educator/trainers of the Super-Users is the Second edition of the Healthcare Sterile Processing Association (HSPA) Endoscope Reprocessing Manual. Many chapters provide step-by-step instructions from the point of use to the sterilization/HLD tasks. This manual will also help prepare the technician to achieve a Certified Endoscope Reprocessor (CER) status. “As the CSSD, OR leaders, and their customers suc-
cessfully achieve consistent delivery of endoscopes to the end-users, the Super Users can be not only the ‘go-to’ experts for the department but also advance the depart- ment by cross-training all technicians to the proper care and handling of endoscopes.”
Mandava “The rules and regulations around endoscope reprocessing are constantly changing. Be ready for it, and not surprised. Most of our hospitals clients are looking at the guidelines and purchasing our systems to ensure they meet guidelines today and can meet guidelines in the future.” HPN
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