Leaving instruments unprocessed for any period of time can lead to the development of biofilm. The recommendation is to begin the cleaning process as soon as possible. As a matter of fact, a number of manufacturer’s instructions for use (IFUs) are now specifying the time frame that cleaning should be implemented. This ranges from “immediately after use” to “within 10, 20 or 30 minutes;” it varies with the device/instrument manufacturer. The manufacturer’s IFUs should always be followed.
As President of the Association of Professional Piercers, I have a regular editorial column in The Point magazine. Issue 73 editorial Please enjoy my article on asepsis in the new issue of The Point by the Association of Professional Piercers
Glad you could visit my site, and I’ll be pleased to talk with you and address your questions in detail. As an authorized SciCan dealer for our lovely Body Modification world, and I’ve written quite a bit about protocol for Statim use in our field, especially for piercing and tattoo. https://brnskll.com/shares/statim has plenty of detail for you to dig into. … Read more General Statim questions and answers for Body Artists
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Original article: December 2014 – CS Solutions. How this applies to body artists: Start the cleaning process for instruments right away in the procedure area at the point of use by wiping them off and wetting them with a foam enzyme cleaner product such as the all-in-ONE™ Surgical Instrument Cleaners and Conditioners. Transport the instruments to an … Read more Passing the buck on contaminated instruments, washer placement
Double pouching for sterile presentation? ATP use in CS?
by Ray Taurasi
Q The OR requires that Sterile Processing double peel pouches all items sent to them. They claim this is essential to allow for sterile presentation to the sterile field. I cannot find anything in AAMI or AORN recommendations stating this is necessary. I find it strange that they have no issues with commercially prepared items they use from manufacturers that are all single packaged. Why should there be different packaging standards for items sterilized in-house versus commercially sterilized items?
A There are no AAMI or AORN recommendations that state you must double peel pouch items for use in the Operating Room. Both AORN and AAMI state that you should follow the manufacturer’s IFUs for any packaging materials. Their recommendations also advise that if a hospital chooses to double peel pouch they must be sure that the manufacturer has validated their pouches for double pouching.
In light of a number of high-profile recalls of contaminated alcohol prep products in the last several years, the Food and Drug Administration (FDA) is currently weighing whether or not to require sterility of patient skin prep products, specifically items such as alcohol prep pads used for injections, but it is not ruling out other surgical prep products.
On Dec. 12, 2012, the FDA held a hearing to receive expert testimony and public comment on how to address microbial contamination of these patient preoperative skin preparation drug products. It is a step in the ongoing investigational process that the agency is undertaking to determine issues related to sterility impacted by manufacturing processes.
An FDA spokesperson says that the panel members and FDA’s working group have received the submissions from the hearing and have been deliberating. FDA’s working group will be ready to make new recommendations in the coming months. The spokesperson adds that FDA’s working group has been soliciting clinician feedback from the FDA’s federal partners and other public health organizations, and that the agency will be ready to make new recommendations in the coming months.
Currently, patient preoperative skin preparations are not required to be sterile, since bacteria can contaminate these products at the time of manufacture or during product use. But because contaminated patient preoperative skin preparations have been associated with clinical infections and adverse outcomes, the FDA is exploring certain scientific and product-use issues related to patient preoperative skin preparations.
Patient preoperative skin preparations are over-the-counter (OTC) topical antiseptic drug products used to reduce the number of bacteria on the skin prior to medical procedures or injections. Although they are marketed predominantly to healthcare facilities, the use of these products extends beyond the healthcare facility setting.
My company Piercers.com and I are pleased to sponsor a Statim autoclave for sterilization at this year’s event again! I will be there to educate and to learn, as well as to sell infection control equipment and anodizers. The Statim 2000 G4 is on the way, and the new Optim 33TB Blue version for surface disinfection as well. — at Unperfekthaus for the BMXnet … Read more Sponsorship for BMXnet 2013 infection control
Copyright 2013 by Virgo Publishing http://www.infectioncontroltoday.com/ Posted on: 07/22/2013
Rice University graduate student Oara Neumann, left, and scientist Naomi Halas are co-authors of a new study about a highly efficient method of turning sunlight into heat. They expect their technology to have an initial impact as an ultra-small-scale system to treat human waste in developing nations without sewer systems or electricity. Photo by Jeff Fitlow/Rice University.
CONFERENCE IS ALMOST UPON US! THE CONFERENCE ADVANCED (ONLINE) REGISTRATION WILL SHUT DOWN AT MIDNIGHT ON MAY 17TH, PST ANY CHANGES TO YOUR REGISTRATION SHOULD BE MADE BEFORE THEN (OR WILL HAVE TO WAIT UNTIL WE ARE ONSITE IN LAS VEGAS) BANQUET DINNER SPONSORED BY INDUSTRIAL STRENGTH BODY JEWELRY; ANATOMETAL, INC.; LEROI, INC.; AND KAOS SOFTWEAR THURSDAY JUNE … Read more APP Conference soon!
Standards are useful, and guidance based on evidence is often even more so.
This guidance provides recommendations regarding reuse instructions in labeling for reusable medical devices and the validation of the recommended reprocessing process in the instructions. The recommendations are applicable to the three device reprocessing situations below.
A gravity displacement (class N) steam sterilization process can not reliably remove gases from hollow or porous items, resulting in areas that do not get sterilized, and the failure of the load. They should not be used for body jewelry, needles, tattoo tubes or textiles.
395 CENTRAL SERVICE Volume 13 2005
Effects of Non-Condensable Gases (NCGs) on Steam Sterilisation Processes
steam sterilisation process
non-condensable gases (NCGs)
process challenge device (PCD)
The dangers posed by non-condensable gases (NCGs) in steam sterilisation processes have long been underestimated. Biological indicators, or the best chemical indicators on the market, do not signal the presence of a NCG content of up to 10% in a sterilisation process so long as there is mixing of steam and NCGs in the sterilisation chamber.
Water quality; staining of sterile packaging; soil detection devices
by Ray Taurasi
Q I work in a small rural hospital in New Hampshire. We only have one OR and one sterilizer and no automated washers. All of our instruments and other reprocessable items are manually cleaned. I have noticed at times, especially during the winter months, our tap water has a cloudy color. Since we use tap water to clean our instruments and to mix with our chemical disinfectants, I was wondering if the water is safe to use or if it can damage our instruments.
A In the winter time in cold regions such as New Hampshire, the water coming into the hospital is extremely colder than the inside temperature and your water may have a milky or cloudy appearance. The reason for this is that cold water holds more oxygen than warmer water does.
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Can unused wrapped items be re-sterilized reusing the original wraps?
When unused sterile instrument sets are returned from the OR or patient floors our policy is to re-sterilize the sets. Since these were unopened we inspect the wrap to be sure there are no holes, replace the tapes and labeling and re-sterilize the item.
An interesting observation on safety issues raised in returning contaminated items such as jewelry to clients, as voiced by this medical professional’s concerns for their patients. It is evident that infection control measures should be carefully considered when previously worn jewelry or other contaminated personal items are to be returned to a customer.
Please regard the discussion in the comments below
I am an OR nurse and recently started a new job in a prestigious orthopedic hospital. At the request of a surgeon or patient when implants are removed we have been cleaning and flashing them and returning them to the patient in a plastic bag.
[NOTE: Flashing is an outdated term for sterilizing items unwrapped for immediate use]
Can we label sterilization packages with a Sharpie brand marker?
Our staff used to label all of our cardiovascular sets and supplies with a red Sharpie brand permanent marker and we would use a black Sharpie for all other items. This provided a quick and easy method to visually identify these special critical items. The labeling was restricted to the autoclave tape on the outside of wrapped packages and the film side of peel pouches.