Dental Advisor and Dr John Molinari: Environmental Surface Cleaning Investigation Are your surfaces really clean? Dr John Molinari tests alcohol and QUAT surface cleaners, as well as OPTIM 1: One-Step Cleaner & Intermediate Disinfectant.OPTIM 1 was the only disinfectant wipe to successfully clean and remove proteins with a single application. Buy direct from Brian‘s Statim.us … Read more Optim 1 results in Environmental Surface Cleaning Investigation
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.
Researchers have found a molecule that breaks down the clumps of protein linked with Alzheimer’s disease. Source: Novel Chemical ‘Washes Away’ Alzheimer’s Plaque in Mice Can this be applied to treat or protect from TSE? Reference https://www.nature.com/ncomms/2015/151208/ncomms9997/full/ncomms9997.html PDF of original journal submission
Are you using sterile gloves for body piercing procedures? If you are not, using an Aseptic Non Touch Technique with sterile engineering controls to prevent client contamination is an alternative that you can use now with equipment that you already have. The burden of proof Fitness for purpose: Sterile gloves, be they exam or surgical are designed … Read more Sterile gloves use rationale
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
Our friends at the CDC created a helpful website about hand washing, which is worth the time to read through. I particularly appreciate their “Show me the science” section. ;) How to make your own “Didn’t Wash Hands” Alarm | MAKE. Big brother says, “wash your hands” More on Germ theory by How Stuff Works: Related: … Read more “Didn’t Wash Hands” Alarm
Aseptic No Touch Technique may be used in conjunction with sterile gloves as an alternative to full surgical asepsis for body piercing procedures. I demonstrated variations on this with colleagues during the Versatility in Piercing Techniques series of workshops for the 2014 APP conference. The following is from ANTT.org: What is Aseptic Non Touch Technique ANTT? ANTT is … Read more What is Aseptic Non Touch Technique ANTT?
This is very similar to what I saw when I visited Industrial Strength LLC Sharp Ass Needles, without the hubs, followed by cleaning and chemical passivation. They are ready to be sterilized and used. We use 304 SST and keep on file for every lot of needles we make a passivation certificate. We also have an … Read more How It’s Made – Hypodermic Needles
“This article presented some sound information, but there’s still much more to know. When piercings are performed by a trained professional using sterile equipment and high quality jewelry, and appropriate aftercare is followed, the risks are drastically minimized.” — Elayne Angel, APP President
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.
SSI Prevention: Evidence-Based Practices Replace Lingering “Sacred Cows’ in the OR This report explores the prevention of surgical site infections (SSIs) within the context of evidence-based practices replacing “sacred cows” in the operating room. It focuses on the critical practice of preoperative hair removal.
When Thomas Paine noted in 1776 that, “A long habit of not thinking a thing wrong, gives it a superficial appearance of being right,” he could not have imagined that he was describing a current tug-of-war that still exists in some operating rooms today.
Copyright 2013 by Virgo Publishing https://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.
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.
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.