CS CONNECTION
tamination in a facility in which I’m consulting, I have taken to arming myself and those with whom I’m consulting with as many industry standards documents as possible to plead their case when meeting with surgical services on the subject,” said Ciullo. “I tend to start with the AORN and AST documents, because they are written for preoperative nurses and surgical technicians and also because I still come across professionals who want to know ‘who Amy is and does she work here’ when referencing AAMI.” Tanya Cambise, CHL, CRCST, RVT, Sterile
Processing Manager for Presbyterian Healthcare Services, points out how nurses and scrub techs in the OR require decontamination training just as much as CS/SPD techs. She recommends that during the orientation process, new OR staff spend time in the CS/SPD so they gain a clear understanding of all the steps required to process instruments. She also suggests that the CS/SPD provide OR staff with fre- quent in-services where they can reinforce the proper processes for instrument pre-cleaning and post-procedure transport.
Tanya Cambise
Bob Marrs, Director of Aesculap Consulting Services & Field Operations, acknowledges that OR staff can become frustrated at CS/SPD staff’s attempts to teach them proper instrument han- dling post procedure and recommends CS/SPD professionals refer back to the standards when making their case for proper pre-cleaning. “I always tell folks that when you’re looking at issues like
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this see what the standards and best practices recommend first because it’s easier to say to OR staff ‘hey don’t be frustrated with me, be frustrated with AORN, AAMI or whatever organization is making the recommendations for these practices,’” said Marrs. “Furthermore, the CS/SPD can point out to OR staff that heavily soiled instruments can take double or triple the time to process so it’s in the OR’s best interest to pre-clean them. These standards and recommended practices are in place to guide facilities with development of departmental policies and procedures but most importantly to enhance patient care.”
According to Ferriero, “Pictures are worth 1,000 words.” When he worked as a CS/SPD manager, he would task his decontami- nation coordinator with taking pictures of “bad” case carts that would arrive for processing and then work with OR leadership to track these back to the specific OR and the staff would be held
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