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CS CONNECTION Sponsored by


delivered. Creating ‘Supervisor Routines’ that allow them the time to observe their staff and work processes, ensure compliance to standard work, and identify opportunities for improvement can make a tremendous impact on quality. Supervisors must be actively engaged on the floor. This is simultaneously easy and hard. Easy because it doesn’t cost anything and only requires the supervisor to become involved and hard because it requires time and the potential for confrontation.”


Relationship building


“Of the best practices I employ number one is building relation- ships,” said Andrea M. Harris, B.A., CSPDT, Central Service Manager for AdventHealth Apopka and Winter Garden. “I consider building relationships as a best practice because when you have a good relationship with your vendors, the operating room (OR), the environmental services (EVS) team, knowledge- able members of the industry, etc., it makes it easier to get things done the correct way.” “With our vendors, expectations are stated at the door,” Har- ris explained. “Our OR team usually coordinates the delivery of vendor trays, but they know to request instructions for use (IFU) from the vendors if we have not previously processed the tray. Our department must be kept clean; therefore, building a relationship with EVS is important, so that our work environ- ment begins in the state we need it to be in. Finally, we build relationships with others in the industry. Networking is one of the best practices that one can have. This allows you to have a group of people who can help you identify better practices and how to improve your processes that are currently in place.”


Personal technology


When it comes to potential sources of contamination in the CS/SPD, an important but sometimes over- looked area is the mobile devices used by department professionals. “It is well established that mobile devices harbor


dangerous pathogens, including multidrug-resistant microbes,” said Andrew McCarthy, President of Seal Shield. “It is therefore critical for the profession- als who work in the CS/SPD to follow the CDC’s recommendation to disinfect their mobile devices


Detergent considerations


Marc Esquenet, Vice President of Ruhof Corporation, says one key area that product committees and CS/SPD professionals must address as part of their quality assurance plan for sterilization is the use of an optimized, quality detergent, stating: “Quality assurance starts with knowing


you’re using quality detergents. Not all deter- gents are created equal. If you don’t select the right one, your likelihood of success is compromised.” He explains how enzymatic detergents


designed specifically for cleaning reusable medical devices have been proven to improve performance over non-enzymatic detergents for cleaning soiled devices, therefore, choosing an enzymatic detergent that conforms to the


new 2019 ASTM:D8179 Standard Guide For Characterizing Detergents For The Cleaning Of Clinically-Used Medical Devices guideline can assure positive results. “According to the guideline, detergents are made up of a collection of cleaning agents with no one component exclusively responsible for its performance,” said Esquenet. “There are appropriate test methods to determine if a detergent has all of the required components. The tests set out to determine rinseability, biodegradability, cleaning efficacy, material compatibility and toxicity.” Esquenet points to Ruhof’s new enzymatic


detergent, ELEMENTUM, as an example of advanced product innovation that conforms to ASTM:D8179. He says the product consists


30 January 2020 • HEALTHCARE PURCHASING NEWS • hpnonline.com


of the first new protease enzyme created in the healthcare field in 40 years. “Passing all of the required tests, Elementum consists of powerful dispersing agents, tough solubilizing agents, advanced build- ers, four enzymes and produces astonishing results,” said Esquenet. “At an extremely low dilution rate, 1/8th oz per gallon, this best-in- class solution rapidly breaks down organic, protein rich soils and breaks down the multi layers of bioburden.”


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at least daily, and to clean those devices at least five times be- tween disinfections. The constant handling of mobile devices - the typical cellphone user touches their device more than 2,500 times daily - means that they can serve as a primary vehicle for the spread of nosocomial infec- tions. UV-C disinfec- tion, accomplished


Seal Shield’s ElectroClave


through devices like the ElectroClave, is an easy way to disinfect mobile devices in seconds without the utilization of harsh clean- ers, which damage those devices over time. Regular cleanings are thereafter best performed using a microfiber cloth.”


Processes and workflow At each stage of the sterile processing workflow, CS/SPD profes- sionals have the opportunity to improve quality, whether it is through adherence to manufacturer IFUs, process automation and/or standardization, enhanced product selection, or monitor- ing, testing and validation of their equipment and work.


A holistic approach


According to Joseph Hannibal, Marketing Director for Steril- ization, Surgical and Infection Prevention, Halyard, a holistic approach to sterile processing is an effective way to not only improve quality but also boost efficiency.


HALYARD and BELINTRA SMART-FOLD STERISYSTEM


“Given that space is often a factor for sterile processing departments, an ideal solu- tion maintains sterility while saving on space and creating a more efficient workflow,” said


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