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NewSplash Archive – December 2019

Issue 53 – 12/31

Are the teeth on micro-tying forcep able to be replaced?
A: Yes. Many times, the teeth of 0.12mm, 0.3mm, and 0.5mm forceps are able to be recut at a fraction of the cost of replacing the instrument. (p. 259)

Happy New Year! Welcome 2020
The new year is a time of reflection, introspection, planning, and the dawn of new hope and goals. What are the takeaways from 2019 that we can use in 2020 to improve ourselves and our surroundings? Picture them, exhale, and get to work. Set aside differences, look inside yourself, and find common ground with others to inspire and empower others.

 

Issue 52 – 12/24

How often should a Tischler cervical biopsy punch be sharpened?
A: Sharpening every 3 months is a good practice; however, sharpening should be based on usage and surgeon satisfaction. (p. 224)

Q: Are the teeth on micro-tying forcep able to be replaced? (See next issue.)

All of us at Ultra Clean Systems and NewSplash wish you and your family a happy, joyful, and safe holiday season. We will see you in 2020 with a brand new look and more.

Making Your Sterile Processing Wish List More Than a Dear Santa by Rebecca Kinney
Dear Santa,

This year for Christmas our sterile processing department would like 8 new cleaning brushes added to par level inventory, 7 new technicians (preferably certified), 6 sterilizers deep cleaned, 5 take-apart Kerrisons, 4 cushy floor mats, 3 borescopes, 2 turtle doves, and a partridge in a pear tree.

Love,
Susan
Struggling, Overworked CS Manager

You get the idea. Wouldn’t it be lovely if Santa could magically appear on Christmas Eve, PPE it up, and leave the department fully staffed and equipped with all the tools necessary for patient safety? The sad reality faced so often is financial decisionmakers don’t see your wish list as critical needs, but rather as another capital equipment request. So, let’s break this down into the three approaches and the people you need to get involved to build a case for your immediate needs. It starts internally and moves outward.

FDA launches app for healthcare professionals to report novel uses of existing medicines for patients with difficult-to-treat infectious diseases
The U.S. Food and Drug Administration announced the global launch of CURE ID, an internet-based repository that will allow the clinical community to report their experiences treating difficult-to-treat infectious diseases with novel uses of existing FDA-approved drugs through a website, a smartphone, or other mobile device.

Respiratory viruses cling to personal protective equipment and bodies of healthcare workers
Investigators at the U.S. Centers for Disease Control and Prevention (CDC) have found that the clothing, skin, and personal protective equipment (PPE) of healthcare workers are frequently contaminated with respiratory viruses after they care for patients.

IAHCSMM 2020 early bird registration now open
Early bird registration for the 2020 IAHCSMM Annual Conference & Expo in Chicago, IL, is open now through December 31. The conference runs from April 25–29, 2020.

IAHCSMM 2020 conference schedule published
IAHCSMM has published the conference program and sessions schedule for the IAHCSMM 2020 Annual Conference & Expo. There are three preconference sessions, which require separate registration and fees.

IAHCSMM accepting nominations for awards
The IAHCSMM Awards Program honors central sterile professionals who demonstrate excellence in patient safety. The awards pay tribute to professionals’ contributions and successes, and their commitment to delivering safe, high-quality service every day.

IAHCSMM issues call for posters
Have you learned something that will benefit other sterile processing professionals? Do you like to create art? If you do, IAHCSMM invites you to submit a poster or PowerPoint presentation for the 2020 IAHCSMM Annual Conference & Expo.

 

Issue 51 – 12/17

Can a Kerrison go into an ultrasonic cleaner?
A: Yes. Ultrasonic cleaning can remove hidden blood, tissue, and bone that can’t be reached with manual cleaning, especially in non-take-apart designs. (p. 209)

Q: How often should a Tischler cervical biopsy punch be sharpened? (See next issue.)

Operating Room Turnover Times: How the OR and SPD Can Help Bridge the Gap by Sara Freiberg
The operating room is a significant cost center and revenue generator for the hospital, accounting for approximately 40% of the total overall revenue. According to a recent study in a New York hospital, 1 minute of surgical time equates to approximately $150 in costs. As time is critical, a model that reduces room turnover time to less than 20 minutes is ideal. The average turnover time of an operating room depends upon many factors: the setting of the facility (ambulatory versus hospital), the type of procedure performed (endoscopy versus cardiac surgery), equipment readiness, surgeon arrival, and the proper supporting staff.

Boston Scientific receives FDA clearance for world’s first single-use duodenoscope
The U.S. Food and Drug Administration (FDA) granted 510(k) clearance of Boston Scientific’s EXALT Model D Single-Use Duodenoscope for use in endoscopic retrograde cholangiopancreatography (ERCP) procedures. The EXALT Model D is the first FDA-cleared, single-use duodenoscope on the market and was granted Breakthrough Device Designation from the FDA.

Potent antimicrobial shows promise in fighting staph infections
Scientists from McMaster University in Canada have discovered a potent microbial that works against antibiotic-resistant infections. The discovery is important as it is directly related to the development of Staphylococcus aureus diseases, known as staph infections, which are the leading cause of the growing global danger of antimicrobial resistance, particularly Methicillin-resistant (MRSA) strains that are becoming resistant to all current antibiotics.

Antibiotic resistance more prevalent in device-related infections, study finds
Healthcare-associated infections were more likely to be antibiotic-resistant when related to medical devices than surgical procedures, according to a report from the CDC’s National Healthcare Safety Network published Nov. 25 in Infection Control & Hospital Epidemiology.

IAHCSMM 2020 early bird registration now open
Early bird registration for the 2020 IAHCSMM Annual Conference & Expo in Chicago, IL, is open now through December 31. The conference runs from April 25–29, 2020.

IAHCSMM accepting nominations for awards
The IAHCSMM Awards Program honors central sterile professionals who demonstrate excellence in patient safety. The awards pay tribute to professionals’ contributions and successes, and their commitment to delivering safe, high-quality service every day.

IAHCSMM issues call for posters
Have you learned something that will benefit other sterile processing professionals? Do you like to create art? If you do, IAHCSMM invites you to submit a poster or PowerPoint presentation for the 2020 IAHCSMM Annual Conference & Expo.

Beyond Clean rewind
This week’s Beyond Clean rewind features a conversation with David Taylor, president of the Resolute Advisory Group, LLC. David specializes in the operational improvement of surgical services and central sterile/sterile processing departments. The interview addresses the challenges these departments face when trying to work together.

 

Issue 50 – 12/10

How often should osteotomes and chisels be sharpened?
A: They should be sharpened a minimum of 4 to 6 times per year depending on the usage, number of sets, and surgeon satisfaction. (p. 169)

Q: Can a Kerrison go into an ultrasonic cleaner? (See next issue.)

On-Time Case Starts: Start with Sterile Processing by Hank Balch
If you want to insert your sterile processing department into a high-level C-suite conversation, bring up the impact your team has on on-time case starts. Besides sheer surgical volume, there are few other metrics with as much facility focus today as ensuring that surgical cases are beginning on time, every time. The reasons this metric is important are evident. Every minute wasted waiting on anything—whether it’s a late doctor, an untransported patient, or unavailable instrumentation—is an expensive minute, with many calculations putting the cost above $100 per minute. Add to that the snowball effect that happens to operating room schedules when the first case of the day starts late, which impacts every other case in that room for the day—potentially prohibiting any opportunity for add-ons later in the afternoon—and you have everyone’s attention for any idea to get it fixed. Which brings us to sterile processing.

FDA authorized marketing of diagnostic test that uses novel technology to detect MRSA bacteria
The U.S. Food and Drug Administration (FDA) authorized marketing of a new diagnostic test based on bacterial viability and novel technology to detect Methicillin-resistant Staphylococcus aureus (MRSA) bacterial colonization, a widespread cause of hospital-acquired infections. The cobas vivoDx MRSA diagnostic test may allow healthcare professionals to evaluate patients for colonization with MRSA bacteria more quickly than traditional culture-based techniques when such testing is needed.

New antibiotic to combat drug-resistant bacteria is in sight
More and more bacterial pathogens of infectious diseases become resistant to customary antibiotics. Typical hospital germs such as Escherichia coli and Klebsiella pneumoniae have become resistant to most—and in some cases all—currently available antibiotics.

OR Today presents Human Factors and Quality Testing for Device Reprocessing webinar
On Thursday, December 12, at 2:00 ET, OR Today will host the Human Factors and Quality Testing for Device Reprocessing webinar. The 60-minute webinar is presented by Jahan Azizi, special projects manager at Healthmark Industries.

IAHCSMM 2020 early bird registration now open
Early bird registration for the 2020 IAHCSMM Annual Conference & Expo in Chicago, IL, is open now through December 31. The conference runs from April 25–29, 2020.

IAHCSMM accepting nominations for awards
The IAHCSMM Awards Program honors central sterile professionals who demonstrate excellence in patient safety. The awards pay tribute to professionals’ contributions and successes, and their commitment to delivering safe, high-quality service every day.

IAHCSMM issues call for posters
Have you learned something that will benefit other sterile processing professionals? Do you like to create art? If you do, IAHCSMM invites you to submit a poster or PowerPoint presentation for the 2020 IAHCSMM Annual Conference & Expo.

Beyond Clean rewind
On this week’s throwback episode, René Vis, product manager at Steelco Benelux B.V., talks about business training for sterile processing leaders. He then discusses thermometric validation.

 

Issue 49 – 12/3

How are clip applicator sizes determined?
A: The manufacturer designates size by the color of the ring handles. (p. 160)

Q: How often should osteotomes and chisels be sharpened? (See next issue.)

Half-Truths and Misinformation: How #FakeNews on Social Media Hurts the Sterile Processing Industry by Hank Balch
When you have a particular instrument sterilization question, who do you ask? When you’re not sure what an instrument is called or the correct procedure for decontaminating an HIV+ case cart, where do you go for answers? As argued in a recent NewSplash article, more and more of these questions today are being posed online where anyone can ask and, more importantly for the purposes of this article, anyone can answer.

New steps to advance innovation in medical device sterilization with ethylene oxide
The U.S. Food and Drug Administration (FDA) is closely monitoring the supply chain effects of closures and potential closures of specific large-scale sterilization facilities that use ethylene oxide to sterilize certain medical devices prior to their use. Ethylene oxide is used in the manufacturing processes for a variety of medical and nonmedical products.

Social media is transforming the healthcare industry
Social media has had a profound effect on the way we communicate and distribute information, and this includes the healthcare industry. Individuals are increasingly turning to the internet for medical advice, and social media is the medium of choice.

CDC identifies antibiotic-resistant threats in 2019 report
The Centers for Disease Control and Prevention (CDC) released the Antibiotic Resistance Threats in the United States, 2019 report, which includes the latest national death and infection estimates that underscore the continued threat of antibiotic resistance in the U.S. In this report, the CDC identified 18 threats in three categories: Urgent, Serious, and Concerning.

Infection control case study: How BayCare Health System is taking on HAIs
According to the CDC, there are nearly 700,000 hospital-acquired infections every year in the U.S. In 2016, Clearwater, FL-based BayCare Health System began trialing UVC disinfection technology at its community hospitals. The trial was a success.

IAHCSMM 2020 early bird registration now open
Early bird registration for the 2020 IAHCSMM Annual Conference & Expo in Chicago, IL, is now open through December 31. The conference runs from April 25–29, 2020.

IAHCSMM issues call for posters
Have you learned something that will benefit other sterile processing professionals? Do you like to create art? If you do, IAHCSMM invites you to submit a poster or PowerPoint presentation for the 2020 IAHCSMM Annual Conference & Expo.

Beyond Clean rewind
This week’s throwback episode of Beyond Clean features a conversation with consultant, entrepreneur, and medical device inventor Shawn Flynn. Topics include a peek inside the process of gaining 510k approval, building a quality system that includes a risk analysis component, and whether employing a sterile processing expert helps technical writers develop instructions that can be more easily interpreted.