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Great question! ANSI/AAMI ST79 recommends that we test our ultrasonic cleaner daily for cavitation. It also states that we should be monitoring "critical parameters" so we can evaluate the performance of our cleaning equipment. To answer your question, yes. SonoCheck is used to test specifically for cavitation. Soil removal tests like TOSI, tell you if multiple parameters like cavitation, detergent dosing, length of time of the cycle, and temperature of the water are all working together to remove surgical soils effectively. Hope that helps!
I have an idea for a series of episodes. What if you walked through the process of being apart of an AAMI Work Group? How to join, what the different groups review, what the actual process of reviewing, commenting, voting, and other things of working on the actual document.
In ANSI/AAMI ST79:2017, it is recommended to place one or more internal CI in a package so that one of them is visible to the person opening the package, one of them is in an area that is considered least accessible to steam penetration, and in accordance with all applicable IFUs.
We would recommend that you consult the manufacturer's IFU for the BI product you are using. Some of them have a spot to write the load number, and some may have it on the side.
Yes, it would be more challenging to place tests by the corners of baskets and/or at the outer edges of the washer cart shelf out from under the spray arms. For the TOSI, we recommend that you place the test under the spray arms though as this is where your instruments should be loaded.
The facility that I am currently at has the staff use a broken off wooden cotton swab to hold the naturally closed instruments. I just love to check for and pick the little splinters out of the tray from its disintegration during the wash cycle. 😑 I am pretty sure those do not break down well in the washer either and may cause issues.
We understand this problem that you are dealing with. That's why we have the instrument bands/spreaders you can find here: www.hmark.com/product/clamps-spreaders-for-effective-cleaning-of-bone-forceps-and-with-ring-handles/. We also have a short video on how to use these products that you can find here: ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-belhVEYt8js.htmlsi=tufDd5ns4B7sxbdh
@@HealthmarkEducation I have seen those! Those look great! I doubt they will purchase those as they won’t even buy level 5 indicators or small or larger brushes to properly fit the lumens …10 -20 other items that other facilities have to do the job is better properly :(
You would follow your facility policy on this. However, ANSI/AAMI ST79:2107 in annex O states that if two or more packages are found to be wet on the outside or inside of the package, then the entire load should be considered a wet load and redone.
At some facilities I see techs wearing neck fans on the clean side. I have seen techs bring covered “water” to their assembly stations after management leaves.
What about the DaVinci arms? What is the best tip protector? I separate the tips and it's hard to they don't have those sizes of protectors for the small tips.
Nice videos. I just want to comment that the bag is inflating during the vacuum pulses and deflate when steam pulse started. The chart following the video shows the opposite.
26:15 Although the sterile items are esentially wrapped and sealed, can micropores from what one hopes would be sanitised and cleaned hands still cominate the sterile wraps into the sterile package?
Hello! Thank you for watching! Passing the quiz (link in video description) with a 70% or better will issue you a 1.0 CE credit certificate of completion that will be emailed to the email address provided. If you do not receive the certificate automatically, please check that you entered the correct email address and check your "Spam" or "Junk" folders. If you have any questions, please email: hmedu@hmark.com
When the OR brings their uncovered, open case carts with exposed grossly contaminated, bioburdened, no pre-spray, uncovered instruments with no point of use cleaning down patient hallways to decontam… I am going to assume that the surveyors (ACHC) are going to have an issue with that? ;/ With that being said…who would be cited for this or responsible for such negligence? The OR? Sterile processing? Any other areas? Additionally, other departments in the facility will bring their dirty instruments back in all sorts of random bags and packaging and anything, but something that says or indicates that it is dirty/biohazard. Sometimes they’ll leave it outside of the door in the hallway in front of Deacon. Again, if the surveyor saw this who would be at fault for not enforcing proper transportation protocols of soiled instruments?
As far as transport bins for biohazard materials/instruments… are they allowed to have cracks in them? Can they be the types of plastic bins you can purchase at a local retail store? (Clear bottom/white lids/ no biohazards) symbols whatsoever) If your answer is no … who would the survivor hold accountable for the facility not having enforcing the proper transportation protocols?
All this information is so helpful as things change . Is there any credit for watching these given . I did watch what I’m I signing my name to on March 26 how can I get credit for that I will also watch and register for webinar on April 11 thank you Maria dizon
Hi Maria. Thank you for watching! Credit is given to our “7 Days of CEs” videos after passing the quiz (link in video description). You can find the playlist on our channel. Also, visit our website to listen to our new CE approved podcast episode on ST91! If you have any questions, please email: hmedu@hmark.com
Hello, once you take the quiz (link provided in video description) and pass, the certificate will pop up. You can download the certificate and print. Also, the certificate will be emailed to the email address you provided. I hope this helps!
I need help with pcd we test the Bowie dick then we run a pcd in a empty load for a 5/1 then they run a load without a pcd 5/30 how do I find proof the correct processing?
