The October 2017 issue of the Healthcare Purchasing News highlights a number of important changes in the updated AAMI ST79 comprehensive guide titled “Comprehensive guide to steam sterilization and sterility assurance in health care facilities”. One significant change affects the overall quality control efforts in Sterile Processing departments, specifically with the frequency of monitoring automated cleaning equipment. According to this article, “It is now recommended that mechanical cleaning equipment be monitored daily and the results be documented.” (Sections 188.8.131.52 and 13.2) This article indicates the “ST79 states that, Methods of verification include: a) directly testing individual instruments for residual soils; b) employing a test device that is a consistent and repeatable challenge to the cleaning effectiveness of the equipment; and c) monitoring critical parameters to evaluate the performance of the mechanical cleaning equipment.”
This article also discusses recommendations for manual cleaning solutions. “With manual cleaning, it is important that cleaning agents be appropriately diluted” and “When using an automated chemical delivery system/device or sink proportioner, the automated doser should be routinely verified or calibrated.”(Section 7.6.3)
With these updated guidelines, many hospitals and surgery centers may need to evaluate both cost and performance of their current cleaning verification tests. Increasing testing frequency will dramatically increase cost based on the price of some products. In addition, performance of cleaning verification products should be reviewed to ensure they effectively evaluate all critical parameters affecting overall cleaning performance as recommended.
Please see our PINNACLE™ Monitor for Automated Enzymatic Cleaning Process (PINNACLE AEC) product page to learn more about our cleaning verification test for use in both washer-disinfectors and ultrasonic cleaners and our PINNACLE Monitor for Manual Enzymatic Cleaning Process (PINNACLE MEC) product page to learn about our test for manual cleaning solutions.
Becker’s Healthcare recently hosted a webinar that discussed a number of important considerations for using ultrasonic cleaners to clean medical instruments. One important item discussed was verifying the cleaning process including the detergent, water temperature and water quality. A number of products are available for verifying the cleaning process and our PINNACLE AEC test was designed to specifically respond to all critical aspects of cleaning: enzymatic detergent concentration and activity, wash cycle time, wash cycle temperature and mechanical action. This provides a more complete verification of the entire cleaning process than the commonly used cavitation test. Our PINNACLE MEC test can also be used with ultrasonic cleaning units to determine the presence of active enzymes in the detergent solution. This test provides a method to determine when a solution should be changed rather making the subjective determination to change the solution because it looks visibly soiled.
A summary of topics included in this webinar can be found at: http://www.beckershospitalreview.com/quality/trust-but-verify-the-importance-of-sonic-cleaner-verification.html
We will be attending two national trade shows this year. Stop by and visit us at IACHSMM in Nashville (booth #119) and APIC in Portland (booth 468) to learn more about our products for Sterile Processing, High Level Disinfectants and water quality testing products.
Healthcare Purchasing Online recently addressed the frequency of testing automated instrument cleaning units in their November on-line Q&A column. In addition to discussing the current guidelines for the frequency of testing, they also mentioned the importance of the enzymatic detergent chemistry along with wash time, temperature and water chemistry. In addition to the frequency of testing, it is also important to know the cleaning monitors/performance tests are affected by chemistry, water temperature, wash cycle and mechanical action of washer disinfectors and ultrasonic cleaners.
There has been a wide range of advances in the technology for cleaning, disinfecting, and sanitizing medical instruments and equipment. While not new, ultrasonic cleaners have become more advanced, leading to more effective cleaning of even the most complex and delicate medical instruments. Continue reading
The FDA Food Safety Modernization Act (FSMA) rule on Sanitary Transportation of Human and Animal Food is now final, advancing FDA’s efforts to protect foods from farm to table by keeping them safe from contamination during transportation.
Serim Research will be attending the 2016 IAHCSMM National Conference and Expo in San Antonio TX, April 24 – 26. Stop by and visit us at vendor booth #534 to learn more about our products for verifying instrument reprocessing, testing HLD solutions and general sanitation assurance testing and how these products can help reduce SSI and HAI’s at your hospital and surgery center.
Outpatient Surgery magazine recently posted an article about top products useful for fighting surgical site infections. The second item included items for improving manual cleaning of surgical instruments. Our Manual Enzymatic Cleaning Monitor (MEC) can be used during manual cleaning of surgical instruments to determine if there are active enzymes in your enzymatic cleaning solution .
Healthcare Purchasing News published information about the “Best Practices for Instrument Processing” in their August 2015 issue. This article reviews new products available to aid in monitoring the cleaning of surgical/medical instruments and includes the PINNACLE product line from Serim Research. This article can be found at: http://www.hpnonline.com/inside/2015-08/1508-CS-SterilityAssurance.html