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NewSplash Archive – April 2019

Issue 18 – 4/30

Why are some cardiac instruments made of aluminum?
A: Aluminum is used because it is very lightweight. A common example of an instrument made of aluminum is a pediatric rib spreader. (p. 160)

Q: Can a dented jaw of a bone cutter or rongeur be sharpened? (See next issue.)

Cleaning Verification: If It’s Not Clean It Can’t Be Sterilized by Rose Seavey, MBA, BS, RN, CNOR, CRCST, CSPDT
You have heard it over and over again: If it’s not clean, it can’t be sterilized or high-level disinfected (HLD). Previously, cleaning verification was hard to accomplish and therefore rarely completed by sterile processing (SP) personnel. Fortunately, easy-to-use cleaning verification tests that can be performed by frontline workers are readily available. Healthcare organizations have routinely used sterilization monitors (e.g., physical, chemical, and biological) to verify that sterilization or HLD conditions have been met; however, these monitors do not indicate if the items were properly cleaned, which we know is even more important. Therefore, verifying the cleaning processes should be routinely completed as part of the sterilization or HLD process.

Sign Up Now Campaign is underway
Last chance! April is the final month (and today is the final day) of the NewSplash Sign Up Now Campaign. Encourage your team to sign up for NewSplash by April 30 and you and those you refer will be automatically entered into a drawing to receive a $100 gift card. Click here to sign up. Good luck!

Bacteria in healthcare workers’ clothes jumps fourfold when worn more than one shift
study published in the Journal of Hospital Infection found that the amount of time healthcare professionals wear their work attire affects the amount of bacteria in their work clothes.

Lifelike material created from DNA undergoes metabolism
Engineers at Cornell University have created material constructed of DNA that undergoes metabolism and is capable of self-assembly and organization—three key traits of life.

Medgadget interviews CEO and founder of PlasmaBiotics about endoscope drying and storage device
PlasmaTYPHOON is an endoscope drying and storage system that aims to greatly reduce the risk of bacterial contamination of endoscopy equipment via a drying procedure followed by storage in a biocidal environment. The device can dry an endoscope within five minutes, then it can be safely stored in a PlasmaBAG in a biocidal and protective ozone atmosphere for up to 31 days.

76% of ED room contaminated after MRSA patient visit, study finds
Patients colonized with methicillin-resistant Staphylococcus aureus can contaminate emergency department environments, according to a study published in Annals of Emergency Medicine.

Register now for APIC 2019
Registration is open for APIC 2019 in Philadelphia, PA. APIC is the largest gathering of infection prevention professionals in the world.

OR Today Live registration is open
Registration is now open for OR Today Live in Las Vegas. The conference features industry-leading speakers covering the latest in clinical, management, and CS/SPD; the opportunity to earn up to 16 CEs; exhibit hall with the latest technology, products, and services; and more.

New Beyond Clean episode now available
How much protein is left on your surgical instruments after cleaning? How much protein is too much? This week’s guest on Beyond Clean is Dr. Thomas Vanzieleghem, scientific director and biofilm expert with OneLIFE SA. The topic is protein-detection technologies in the sterile processing industry and the importance of protein monitoring.

 

Issue 17 – 4/23

What is a malleable retractor?
A: A malleable retractor can be bent and shaped so it can perform the proper retraction. The metal is soft, allowing it to continually be angled/bent and straightened. (p. 122)

Q: Why are some cardiac instruments made of aluminum? (See next issue.)

The Sterile Processing Triangle of Truth: Getting to the Heart of Problems and People by Hank Balch
Early in my sterile processing career I encountered a concept that has been a pivotal force in building trust among frontline technicians, cultivating high-performing departments, and ensuring my underlying vision for leadership never missed the mark. I call the concept the Triangle of Truth, and if you haven’t heard of it before, it might change the way you approach the everyday problems in your department and give you critical insight into why some of your current challenges haven’t gone away.

Sign Up Now Campaign is underway
April is the final month of the NewSplash Sign Up Now Campaign. Encourage your team to sign up for NewSplash by April 30 and you and those you refer will be automatically entered into a drawing to receive a $100 gift card.

Duodenoscope contamination rates higher than expected
The U.S. Food and Drug Administration (FDA) recently issued a safety communication to remind facilities of the importance of strictly adhering to the manufacturer’s duodenoscope reprocessing instructions. The FDA noted that duodenoscope contamination rates are higher than expected and ordered all three device manufacturers (Fujifilm Medical Systems USA, Olympus Medical Systems Corporation, and Pentax of America) to conduct postmarket surveillance studies so the FDA can better understand how duodenoscopes are reprocessed in real-world settings.

Donor organs treated with ultraviolet and red light to kill infections
Researchers at the University of Toronto and University of São Paulo have developed a method of eradicating bacteria and viruses from donor organs using only ultraviolet and red light, therefore expanding the pool of potential donor organs.

OR Today offers free webinar
OR Today is presenting a free one-hour webinar featuring Deborah Hamrick, RN, MSN, CNOR. She will discuss patient care, employee resources, perioperative infection prevention, and who’s who in the OR team.

Register now for APIC 2019
Registration is open for APIC 2019 in Philadelphia, PA. APIC is the largest gathering of infection prevention professionals in the world.

Earn CE credits from IAHCSMM Expo floor
Attendees to IAHCSMM 2019 can earn CE credits from vendor experts on the expo floor, in addition to traditional educational sessions in classrooms and conference sessions. With more than 140 exhibitors on hand, attendees can see new products, learn about new services, and learn from central service and sterile processing experts.

Event at IAHCSMM to discuss sterility assurance
Attendees to the 2019 IAHCSMM Conference & Expo might want to RSVP for the 2nd Annual Beyond Clean LIVE Myth Busting Debate. The hosts of Beyond Clean are taking their show back on the road again this year, and the topic is sterility assurance.

IAHCSMM 2019 conference details
Register now for IAHCSMM 2019 Conference & Expo in Anaheim, CA. The conference runs from April 27 to May 1, 2019.

OR Today Live registration is open
Registration is now open for OR Today Live in Las Vegas. The conference features industry-leading speakers covering the latest in clinical, management, and CS/SPD; the opportunity to earn up to 16 CEs; exhibit hall with the latest technology, products, and services; and more.

New Beyond Clean now available
This week’s guest on Beyond Clean is international decontamination expert Pawel de Sternberg Stojalowski, who discusses the fundamentals of process challenge devices in the decontamination setting and why sometimes failure is a good thing. Tune in and take the exam for CE credit.

 

Issue 16 – 4/16

How do hemostats crack?
A: Hemostats crack for a variety of reasons. Most commonly, cracks occur when over-clamping or sterilizing with ratchets closed. (p. 87)

Q: What is a malleable retractor? (See next issue.)

Canary in the Coal Mine by Shawn Flynn
In 2016, a headline about Detroit Medical Center (DMC) read, “DMC dirty instruments escaped ’15 probe, records show.” Fast forward four years and the headline is, “Lawsuit: DMC cost-cutting, fraud led to patient deaths.” With the amount of information that we receive on a daily basis, it is hard for the public and our patients to connect the dots of the root cause of these healthcare failures, but many industry insiders see how and where these dots connect and where they lead.

Sign Up Now Campaign is underway
April is the final month of the NewSplash Sign Up Now Campaign. Encourage your team to sign up for NewSplash by April 30 and you and those you refer will be automatically entered into a drawing to receive a $100 gift card.

Cleaning bundle shows promise in reducing spread of pathogens
Hospitals are hot spots for the transmission of microorganisms, but a recent study published in The Lancet shows that when environmental services (EVS) teams across 11 acute care hospitals in Australia implemented the researching effective approaches to cleaning in hospitals (REACH) cleaning bundle, healthcare-associated infection rates dropped significantly.

Terminal cleaning for more than 25 minutes may not increase disinfection rates
study published in Infection Control & Hospital Epidemiology shows that increasing the amount of time spent on terminal cleaning of patient rooms may not have a significant effect on disinfecting high-touch surfaces.

Earn CE credits from IAHCSMM Expo floor
Attendees to IAHCSMM 2019 can earn CE credits from vendor experts on the expo floor, in addition to traditional educational sessions in classrooms and conference sessions. With more than 140 exhibitors on hand, attendees can see new products, learn about new services, and learn from central service and sterile processing experts.

Event at IAHCSMM to discuss sterility assurance
Attendees to the 2019 IAHCSMM Conference & Expo might want to RSVP for the 2nd Annual Beyond Clean LIVE Myth Busting Debate. The hosts of Beyond Clean are taking their show back on the road again this year, and the topic is sterility assurance.

IAHCSMM 2019 conference details
Register now for IAHCSMM 2019 Conference & Expo in Anaheim, CA. The conference runs from April 27 to May 1, 2019.

OR Today Live registration is open
Registration is now open for OR Today Live in Las Vegas. The conference features industry-leading speakers covering the latest in clinical, management, and CS/SPD; the opportunity to earn up to 16 CEs; exhibit hall with the latest technology, products, and services; and more.

New Beyond Clean now available
This week’s episode of Beyond Clean features a conversation with Bob Marrs, the nationally known clinical educator, consultant, and brand new vice president of organizational development at Beyond Clean. The topic is tips for reigning in the chaos of loaner decontamination.

 

Issue 15 – 4/9

What is the difference between single-action and double-action jaws?
A: A single-action jaw has a stationary (nonmoving) bottom jaw, while the double-action design has two moving jaws. (p. 67)

Q: How do hemostats crack? (See next issue.)

Making Staff In-Services Impactful by Sara Freiberg
There is an old Chinese proverb that states, “What I hear, I forget. What I see, I remember. What I do, I understand.” Hearing is not as good as seeing, seeing is not as good as experience, and true learning is only evident when experience produces an action. In the ever-changing and complex world of healthcare, one thing is certain; some occupations require us to not only continue our education, but create an action plan following our education.

Sign Up Now Campaign is underway
April is the final month of the NewSplash Sign Up Now Campaign. Encourage your team to sign up for NewSplash by April 30 and you and those you refer will be automatically entered into a drawing to receive a $100 gift card.

Deadly infection quietly spreading globally
Recently, an elderly man who underwent abdominal surgery died at Mount Sinai after being hospitalized for 90 days with a Candida auris infection (C. auris). Candida auris is a fungus that preys on people with weakened immune systems and is spreading across the globe.

UPS partners with Matterhorn to transport medical samples via drone
UPS, through a collaboration with autonomous drone technology leader Matternet, announced a new logistics service to deliver medical supplies via unmanned drones. The program is taking place at WakeMed’s flagship hospital and campus in Raleigh, NC, and will be overseen by the Federal Aviation Administration and North Carolina Department of Transportation.

Earn CE credits from IAHCSMM Expo floor
Attendees to IAHCSMM 2019 can earn CE credits from vendor experts on the expo floor, in addition to traditional educational sessions in classrooms and conference sessions. With more than 140 exhibitors on hand, attendees can see new products, learn about new services, and learn from central service and sterile processing experts.

Event at IAHCSMM to discuss sterility assurance
Attendees to the 2019 IAHCSMM Conference & Expo might want to RSVP for the 2nd Annual Beyond Clean LIVE Myth Busting Debate. The hosts of Beyond Clean are taking their show back on the road again this year, and the topic is sterility assurance.

IAHCSMM 2019 conference details
Register now for IAHCSMM 2019 Conference & Expo in Anaheim, CA. The conference runs from April 27 to May 1, 2019.

OR Today Live registration is open
Registration is now open for OR Today Live in Las Vegas. The conference features industry-leading speakers covering the latest in clinical, management, and CS/SPD; the opportunity to earn up to 16 CEs; exhibit hall with the latest technology, products, and services; and more.

New Beyond Clean episode now available
This week’s guest on Beyond Clean is pediatric surgeon and industry advocate Dr. Peter Nichol. The topic is hospitals saving many thousands of dollars by investing in their sterile processing departments to reduce costs and increase quality related to surgical instrument reprocessing. The hosts also make a big announcement about the future of Beyond Clean.

 

Issue 14 – 4/2

Can a standard non-gold needle holder be rejawed?
A: No. A standard non-gold German needle holder cannot be rejawed once the jaw wears out. It must be replaced. It is not repairable and not able to be replaced under warranty. (p. 47)

Q: What is the difference between single-action and double-action jaws? (See next issue.)

Keep the Change: Seven Steps to Hardwiring Your Sterile Processing Improvements by Hank Balch
Change is hard, or perhaps we should say making changes well is hard. Just mixing up the status quo is easy. It doesn’t take a Ph.D. to decide to start putting “Missing” stickers on the outside of sterilization packaging and containers. It doesn’t require a lot of planning to simply tell sterile processing staff members to start prioritizing clinic instruments after 3 p.m. But how do you do these things in a way that doesn’t stress out your staff, gives space for frontline technician input, and has a chance of actually working—not only today, but also three years from now? Here are seven steps to hardwiring your department improvements in a way that can make the changes stick.

Sign Up Now Campaign is underway
April is the final month of the NewSplash Sign Up Now Campaign. Encourage your team to sign up for NewSplash by April 30 and you and those you refer will be automatically entered into a drawing to receive a $100 gift card.

March’s campaign winner: Rebecca Stanfield
The winner of the NewSplash Sign Up Now Campaign for the month of March is Rebecca Stanfield, perioperative educator at Community Hospital Anderson. Rebecca has referred numerous people to NewSplash, and for that we thank her. Congratulations to Rebecca on winning the $100 gift card for the month of March.

Report shows HAI rates decreased in 2017
According to the 2017 National and State Healthcare-Associated Infections (HAI) Progress Report released by the Centers for Disease Control and Prevention (CDC), rates of healthcare-associated infections in the U.S. decreased between 2016 and 2017. The report provides a summary of select HAIs across four healthcare settings: acute care hospitals (ACHs), critical access hospitals (CAHs), inpatient rehabilitation facilities (IRFs), and long-term acute care hospitals (LTACHs).

ECRI Institute opens international medical device evaluation center
ECRI Institute is launching its first medical device evaluation laboratory outside the U.S. The ECRI International Research Centre will conduct rigorous, hands-on testing and evaluation of devices to help medical professionals make informed decisions that improve patient safety.

Lessening antibiotic use can help reduce hospital-onset C. diff
Reducing total antibiotic use resulted in decreased rates of hospital-onset Clostridioides difficile infection, according to a study published in Clinical Infectious Diseases.

Earn CE credits from IAHCSMM Expo floor
Attendees to IAHCSMM 2019 can earn CE credits from vendor experts on the expo floor, in addition to traditional educational sessions in classrooms and conference sessions. With more than 140 exhibitors on hand, attendees can see new products, learn about new services, and learn from central service and sterile processing experts.

Event at IAHCSMM to discuss sterility assurance
Attendees to the 2019 IAHCSMM Conference & Expo might want to RSVP for the 2nd Annual Beyond Clean LIVE Myth Busting Debate. The hosts of Beyond Clean are taking their show back on the road again this year, and the topic is sterility assurance.

IAHCSMM 2019 conference details
Register now for IAHCSMM 2019 Conference & Expo in Anaheim, CA. The conference runs from April 27 to May 1, 2019.

OR Today Live registration is open
Registration is now open for OR Today Live in Las Vegas. The conference features industry-leading speakers covering the latest in clinical, management, and CS/SPD; the opportunity to earn up to 16 CEs; exhibit hall with the latest technology, products, and services; and more.

Beyond Clean Season 4 premiere
Beyond Clean kicks off Season 4 with a conversation with Dr. Jason Bingham from the Behind the Knife podcast. They discuss how podcasting and social media is affecting the next generation of surgeons and what impact do nonfunctional surgical instruments have on the surgeon. Tune in and take the exam for CE credit.