B. False 2.When borrowing instruments, it is the using facilities ... - PDF document

B. False 2.When borrowing instruments, it is the using facilities B. False 5.The American Society for Healthcare Central ServiceProfessionals (ASHCSP) and the International Association of instruments. If they were never on the inventory list they werenot lost but never arrived. A facility should not be charged inthat situation.Ensuring Sterilization EffectivenessAs with any in-house processed devices, controls must a tray is overweight it may need to be separated into multiplecontainers provided by the instrument manufacturer. Do not placethe instruments inside generic rigid sterilization containers or other packaging unless you have FDA cleared instructions for usefrom the instrument manufacturer. Without that information youwould not know what sterilization parameters to use. The vendorrepresentative should be consulted in the reconfiguring sincehe/she will most likely be available during the procedure where theloaner tray will be used.Figure 1. Examples of placement of biological andchemical indicators in the master product forproduct testing the individual patient. Documentation is necessary in order toensure every load of sterilized items used on patients can be traced. Information that should be documented on the steril-ization records of each load include:!The item(s) processed, Loaner instrumentation policies and proceduresshould address the systematic management of loanerinstrumentation and implants from acquisition to disposi exposure cycle time using the packaging provided. Manyborrowed instruments are sophisticated devices requiring a longerthan the normal cycle exposure time, often referred to as anÒextendedÓ cycle time. SPD should maintain a record of each traythat is used on each patient, including time in and out, and otherprocessing specifics.6Staff responsible for the management of loaner instrumentsand implants should be trained and knowledgeable of all steps ofthe loaner process. The guidelines should discuss how the loaner In all cases the instruments must be considered contaminated. Thisincludes the items that may have been packaged and sterilized atanother facility. Loaner instrumentation is usually transported inan ÒuncontrolledÓ environment (i.e., trunks of cars, public trans-portation, etc.). Therefore, even if the trays have been ÒsterilizedÓby another facility, you must reprocess starting with the deconta-mination process.6Wearing proper personal protective equipment (PPE) theSPD staff should check the accuracy of the order, log the receiptof loaner instruments, verify types and quantities, and visuallyinspect for damage.6Why reprocess wrapped items? Patient safety depends on monitoring and documentation ofthe sterilization process. The borrowing facility should reprocess March 2011healthVIE.comProfessionalEducation & Trainingare transported in an uncontrolled environment and arenot always protected during the handling and transporta-tion process. 90 March 2011Education & Training 1. T2. T3. T4. F5. T6. T7. F8. F9. T10. T Nursing CEU Application Form5770 for 1 contact hour. This form is valid up to five (5) years from the date Add the last4 digits of your social security number or your nursing license number.KEEP A COPY FOR YOUR RECORDS.PO Box 25310, Scottsdale, AZ 85255-9998healthVIE.com’s_____________City, State, Country, Zip _________________________Position/Title_______________________On a scale of 1-5, 5 being Excellent and 1 being Poor, please rate this programCEU Applicant Name _______________________________________DO NOT SEND LESSON OR TEST TO CBSPD.For additional information regarding Certification contact: CBSPD, 148 Main St.,Lebanon, NJ, 08833 or call 908-236-0530 or 800-555-9765 or visit the Web site atwww.sterileprocessing.org.IAHCSMM has awarded 1.5 Contact Points for completion of this continuing &#x-360;03/2011 Rose Seavey, RN, MBA, BS, CNOR,CRCST, CSPDT is the president/CEOof Seavey Healthcare Consulting Inc.and formerly the director of the sterile processing department at TheChildren’s Hospital of Denver. Ms.Seavey was elected to the Associationof periOperative Registered Nurses(AORN) board of directors for 2008-2010. She was honored with AORN’saward for Outstanding Achievement in Clinical Nurse Education in 2001.Ms. Seavey served as the president ofthe American Society of HealthcareCentral Service Professionals (ASHCSP)in 2003 and is the 2002 recipient ofASHCSP National Educator of theYear award.Ms. Seavey is a member of severalAAMI working group committees thatare developing recommended practicesand is currently a co-chair for the ANSI/AAMI Working Group for HospitalSteam Sterilizers performance standards. In addition she has lectured andauthored many articles on varioustopics relating to perioperative servicesand sterile processing, locally, nationally and internationally.Copyright©2011/healthVIE.com/All Rights Reserved. 3M Sterilization Assurance, Attn HC4160585 Hale Ave N, Oakdale, MN 55128-9935