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SELF-STUDY SERIES Device


Sediment and cartridge filters Water softener Anti-scalant feed Carbon adsorption Reverse osmosis


Sponsored by What to monitor


Pressure drop across the filter (∆P) Outlet water hardness Usage and container level


Product conductivity Product flow rate Reject flow rate Pump pressure


Deionizer


Submicron and Ultrafilters Ultraviolet disinfector


Distribution piping or loop Product Resistivity


Pressure drop across the filter (∆P) Energy output


Bacteria (and endotoxin)


* Levels are set by the application and/or manufacturer’s recommendation. Source: AmeriWater, Inc. (SUEZ Environnement)


Knowledge assures water and process quality


Before investing in a water treatment system, select a vendor who will educate you about the water you have in your department. With a thorough understanding of your water composition and how your water quality can impact equipment, instruments and processes, you can customize a water treatment system that will help optimize the condition, opera- tion and useful life of your washing and ster- ilization equipment and produce high quality reprocessing results. HPN


James Baker is the Vice President of AmeriWa- ter, Inc. (SUEZ Environnement). He is a leading industry authority on water quality with over 30 years of experience in the water treatment industry. He is a member of AAMI Sterilization Standards Committees, ST/WG84 and ST/WG 95; and on the AAMI Renal Disease and Detoxification Commit-


tee. He is also past president of the International Water Quality Association, serving on the Board of Directors and on various committees, and was inducted into the International Water Quality Hall of Fame.


George Godfrey is the Director of National Accounts for STERIS Corporation. A registered nurse by training, he has worked in the healthcare field for over 30 years, and has two decades of ex- perience in operating rooms and sterile processing departments. He is a member of AMSUS (society of federal health professionals) and the Health Facility Institute.


References


1. STERIS Corp TSSR (Technical Service Sales Request) Program – Water Analysis.


2. Water Quality for Health Care, AmeriWater White Paper, Jim Baker, January 2012.


3. U.S. Food and Drug Administration and Centers for Disease Control and Prevention. FDA and CDC Public Health Advisory: Infections from


endoscopes inadequately reprocessed and automated endoscope reprocessing system. Rockville (MD): FDA, September 10, 1999.


4. U.S. Pharmacopeial Convention. The United States Pharmacopeia. Current ed Rockville (MD): USP.


5. Water Quality Association. Glossary of terms. Lisle (II.), 1997.


6. British Standards Institute. Washer-disinfectors for medical pur- poses. BS2745. BSI: London, 1993.


7. Centers for Disease Control and Prevention and the Healthcare Infection Control Practices Advisory Committee (HICPAC). Guidelines for environmental infection control in health-care facilities. Atlanta (GA) CDC, 2003.


8. Clinical and Laboratory Standards Institute. Preparation and testing of reagent water in the clinical laboratory. Approved Guideline – Fourth Edition, 2006.


9. CSA International. Decontamination of Reusable medical devices. CSA Z314.8-00(R2005). Toronto (ON): CSA International, March 2000.


10. International Organization for Standardization. Washer-disin- fectors. Part 5: Test soils and methods for demonstrating cleaning efficacy of washer disinfectors. (Switzerland) ISO. 2005.


ISO/TS 15883-5 2005: Geneva


11. Muscarella LF. Application of environmental sampling to flexible endoscope reprocessing. The importance of monitoring the rinse water, Infect control Hosp Epidemol. 23(5) 285-289. 2002.


12. Phillips G. McEwan H. and Butler J. Quality of water in washer- disinfectors. J Hosp Infect. 31: 152-154, 1995.


13. ASTM International. Standard guide for biomedical grade water. ASTM d5196-91 (1999). Philadelphia (PA). ASTM International, 1999.


14. Association for the Advancement of Medical Instrumentation. Comprehensive guide to steam sterilization and sterility assurance in health care facilities. AAMI, 2006.


ANSI/AAMI ST79: 2006 Arlington (VA):


ETO Sterilant Phaseout Notice: Action Required All Oxyfume®


ethylene oxide (ETO)


sterilant blend production will cease at Honeywell at the end of 2013 in response to U.S. EPA Clean Air Act regulations. Even if you no longer use this product, check your facility for old cylinders today. Then, contact Honeywell for free information on how to return the cylinders you find. Doing so could help you avoid the high costs of hazardous waste disposal.


To contact Honeywell and learn more about what you should do, visit www.sterilantphaseout.com.


15. Association for the Advancement of Medical Instrumentation. Baterial endotoxin – Test methodology, routine monitoring and alternatives to batch testing. (VA). AAMI, 2002.


16. Association for the Advancement of Medical Instrumentation. Water for the reprocessing of medical devices. AAMI TIR34-2007.


17. Association for the Advancement of Medical Instrumentation. Water treatment equipment for hemodialysis applications and related therapies. ANSI/AAMI/ISO 26722:2009. Arlington (VA). AAMI, 2011.


18. Association for the Advancement of Medical Instrumentation. Water for hemodialysis and related therapies. ANSI/AAMI/ISO 13959: 2009. Arlington (VA). AAMI, 2011.


19. Association for the Advancement of Medical Instrumentation. Concentrates for hemodialysis and related therapies. ANSI/AAMI/ ISO 13958: 2009. Arlington (VA). AAMI, 2011.


20. Association for the Advancement of Medical Instrumentation. Water treatment equipment for hemodialysis applications. AAMI RD62:2006. Arlington (VA). AAMI, 2007.


ANSI/


21. Association for the Advancement of Medical Instrumentation. Dialysate for hemodialysis. ANSI/AAMI RD52:2004. Arlington (VA) I. AAMI, 2004.


22. Association for Professionals in Infection Control and Epidemiol- ogy, APIC Text of infection control and epidemiology. Washington (DC). APIC, 2005.


34 January 2013 • HEALTHCARE PURCHASING NEWS • www.hpnonline.com ANSI/AAMI ST72:2002. Arlington


Frequency Daily Daily Daily


Outlet chlorine level (free chlorine or total chlorine) Daily


Daily Daily Daily Daily


Daily Daily


Monthly Monthly


Parameters <10 psig. (∆P) <1GPG


Liquid level <0.1 ppm * uS


* GPM * GPM * PSIG


* ohms or megaohms * (∆P) * mJ


* CFU/EU


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