Optim 1 results in Environmental Surface Cleaning Investigation

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 moreOptim 1 results in Environmental Surface Cleaning Investigation

Avoid Long Delays in Instrument Decontamination, Reprocessing

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.

General Statim questions and answers for Body Artists

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 moreGeneral Statim questions and answers for Body Artists

SALUS™ – Hygiene Sterility Maintenance Container | SciCan

COMING SOON The world’s first paperless, rack & sleeve, hygiene sterility maintenance container. The revolutionary SALUS – Hygiene Sterility Maintenance Container eliminates the costly and time consuming use of sterilization paper and pouches. Save hours spent wrapping, hundreds of dollars in sterilization paper and reduce waste. A reusable container, SALUS – Hygiene is intended to … Read moreSALUS™ – Hygiene Sterility Maintenance Container | SciCan

Double pouching for sterile presentation? ATP use in CS? May 2014 – CS Solutions

From May 2014 – CS Solutions.

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.

Read moreDouble pouching for sterile presentation? ATP use in CS? May 2014 – CS Solutions

FDA Antiseptic sterility report

Sterility of Antiseptic Products:

FDA Investigates, Deliberates on Potential Recommendations

(Infection Control Today, PDF)
FDA investigates Antiseptics Sterility and potential recommendations_Page_01

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.

Distilled water vs. saline soak; tears in wrapped sets; keeping instruments open for cleaning

December 2013 – CS Solutions. More insightful answers to infection control questions from Ray T. Surgical instruments should not be soaked in saline. Saline contains chloride ions which can be very damaging to surgical instruments. These chloride ions are highly caustic and can cause pitting and deterioration to instruments. (See figures 1 and 2.) For support … Read moreDistilled water vs. saline soak; tears in wrapped sets; keeping instruments open for cleaning

Sponsorship for BMXnet 2013 infection control

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 moreSponsorship for BMXnet 2013 infection control

APP Conference soon!

  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 moreAPP Conference soon!

Processing Devices

Standards are useful, and guidance based on evidence is often even more so.

Scope

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.

Read moreProcessing Devices

Effects of Non-Condensable Gases (NCGs) on Steam Sterilisation Processes

Read the full text: Effects of Non Condensable Gases on Sterilization

Summary:

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.

REVIEW

395 CENTRAL SERVICE Volume 13 2005

ZENTRAL STERILISATION

Effects of Non-Condensable Gases (NCGs) on Steam Sterilisation Processes

U. Kaiser

Keywords

  • steam sterilisation process
  • non-condensable gases (NCGs)
  • process challenge device (PCD)

Introduction

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.

Read moreEffects of Non-Condensable Gases (NCGs) on Steam Sterilisation Processes

Water quality; staining of sterile packaging; soil detection devices

March 2013 – CS Solutions.

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.

Read moreWater quality; staining of sterile packaging; soil detection devices

Bravo

Welcome to Bravo! A fractionated vacuum autoclave from SciCan Buy a Bravo now     BRAVO chamber autoclave   Features Fractionated vacuum system 17L or 21L chamber capacity Intelligent closed door drying Integrated datalogger Industry leading cycle times Single use Pull’n Push water system 2 Year warranty The BRAVO fractionated vacuum chamber autoclave continues the … Read moreBravo

Disposable wrap

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.

Read moreDisposable wrap

Returning explants to patients

Do not buy or sell used body jewelry brnskll dot com

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


Question

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]

Read moreReturning explants to patients

Sharpies for labeling

Can we label sterilization packages with a Sharpie brand marker?

Question

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.

Read moreSharpies for labeling

OPTIM 33TB protocol

OPTIM 33 TB is a One-Step Cleaner Disinfectant with no hazardous ingredients.

For the modern body artist, OPTIM offers a number of advantages for cleaning and thorough and safe disinfection in one minute for:

  • Temperature sensitive Body jewelry materials for healed piercings
    Such as wood, horn, stone, bone, certain polymers
    Break the chain of infection for MRSA, VRE, HCV, HBV, HIV, Mycobacteria and other pathogens for non-critical items that can not withstand the heat of an autoclave.
  • Tattoo machine frames, coils, springs, clip cords
  • Mayo trays and other work surfaces
  • Exam tables, massage tables, tattoo chairs
  • Display cases
  • Furniture in your waiting area including fabric covered items.
  • Suspension rigs and equipment

Read moreOPTIM 33TB protocol