Complex surgical instruments require the specialized expertise of sterile processing (SP) department staff to competently and reliably disassemble, decontaminate, wrap, sterilize, and deliver or store instruments. This process is guided by professional evidenced-based guidelines and by the instrument manufacturer’s
instructions for use. Inadequately reprocessed sterile (critical) instruments have been associated with surgical infection.A strong relationship between SP professionals and IPs can facilitate safe patient care. Infection preventionists can support SP departments as they do in ORs, with departmental site visits focusing on elements affecting surgical infection prevention, in partnership with the SP department manager. These visits can also be helpful in other locations where critical instruments (eg, sterile instruments) may be reprocessed, such as in orthopedics,ophthalmology, and podiatry. In addition, instrument reprocessing is a critical aspect of care that must be included during a root cause analysis (RCA) of surgical infection. Key issues of focus for site visits and RCA include point-of-use instrument decontamination, quality assessment of automated and manual decontamination processes,disassembling of instruments before reprocessing, use of disposable instead of reusable cleaning brushes, and use of the appropriate brush size(s) for cleaning lumens.
Complex surgical instruments require the specialized expertise of sterile processing (SP) department staff to competently and reliably disassemble, decontaminate, wrap, sterilize, and deliver or store instruments. This process is guided by professional evidenced-based guidelines and by the instrument manufacturer’sinstructions for use. Inadequately reprocessed sterile (critical) instruments have been associated with surgical infection.A strong relationship between SP professionals and IPs can facilitate safe patient care. Infection preventionists can support SP departments as they do in ORs, with departmental site visits focusing on elements affecting surgical infection prevention, in partnership with the SP department manager. These visits can also be helpful in other locations where critical instruments (eg, sterile instruments) may be reprocessed, such as in orthopedics,ophthalmology, and podiatry. In addition, instrument reprocessing is a critical aspect of care that must be included during a root cause analysis (RCA) of surgical infection. Key issues of focus for site visits and RCA include point-of-use instrument decontamination, quality assessment of automated and manual decontamination processes,disassembling of instruments before reprocessing, use of disposable instead of reusable cleaning brushes, and use of the appropriate brush size(s) for cleaning lumens.
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