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NewSplash Archive – February 2019

Issue 9 – 2/26

What is the stylet used for on Frazier, Baron, and House suction tubes?
A: The stylet is not to be used as a cleaning device. Its designed purpose is the dislodge bone chips during surgery. The proper sized brush should be used for cleaning. (p. 321)

Q: What can be done to reduce arthroscopy instrument damage? (See next issue.)

Culture Beats Talent, and Talent without Healthy Culture Is Killing Healthcare by Shawn Flynn
Recently, I had a conversation with a friend and colleague about the lack of point-of-use cleaning compliance and a consistent theme we have both experienced: the attitude by end users that it’s not their job to remove gross debris during and at the conclusion of a procedure. Having extensive backgrounds in sterile processing operations, we discussed our constant dismay when we hear hospital personnel deflect accountability, especially with the awareness that patient safety may be at stake.

Sign Up Now Campaign is underway
Throughout the months of February, March, and April, NewSplash is holding a Sign Up Now Campaign. Encourage your team to sign up for NewSplash between February 1 and April 30 and you and those you refer will be automatically entered into a drawing to receive a $100 gift card given away monthly (one card per month from February, March, and April).

Intuitive Surgical’s Ion robotic endoluminal platform receives 510(k) clearance
Intuitive Surgical recently released the Ion endoluminal system, a new robotic platform for minimally invasive biopsy in the peripheral lung. The system features and ultrathin and maneuverable catheter that allows navigation deep into the peripheral lung.

Philips and Microsoft team to develop mixed reality concept for future ORs
Philips has teamed with Microsoft to develop an augmented reality concept for image-guided, minimally invasive therapies. The concept combines Philips’ Azurion image-guided therapy platform with Microsoft’s HoloLens 2 mixed reality computing platform to be used in the operating room of the future.

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

New Beyond Clean episode is now available
Beyond Clean concludes its third season with a conversation with Daniel Taggart of SteriO3. This week’s topic is remote casualty care and the future of portable sterilization technologies. Tune in and complete the exam for CE credit.

 

Issue 8 – 2/19

Do ear curettes need to be sharpened frequently?
A: No. Ear curettes come in sharp and blunt configurations and sharpening is rare. It is best practice to purchase new. (p. 287)

Q: What is the stylet used for on Frazier, Baron, and House suction tubes? (See next issue.)

A Worker, Not a Widget: Humanity in the Age of Sterile Processing Optimization by Hank Balch
While many sterile processing departments across the globe have yet to feel the full impact of the coming digital revolution in our industry, many others are already in the thick of it. When you walk into most departments today, you are likely to hear the beep, beep of a barcode scanner tracking trays from point A to point B. You’d also probably hear the tap, tap, tap of a keyboard entering results from an automatic biological indicator reader. With each passing day, you are more and more likely to hear the low rumble of robotic carts transporting instrument sets to and from the operating room.

There’s no question that the technological and digital revolution is coming for those of us currently working in CS/SPD. The only question that remains is this: What will we look like when this digital optimization has come, seen, and conquered our departments?

Sign Up Now Campaign is underway
Throughout the months of February, March, and April, NewSplash is holding a Sign Up Now Campaign. Encourage your team to sign up for NewSplash between February 1 and April 30 and you and those you refer will be automatically entered into a drawing to receive a $100 gift card given away monthly (one card per month from February, March, and April).

New column by Shawn Flynn debuts next issue
It is our pleasure to announce that Shawn Flynn is joining NewSplash as a contributing writer beginning next issue (Issue 9). Shawn has more than 27 years of combined experience as a clinician, technician, manager, director, and senior-level executive in the perioperative/SPD/tissue banking and medical device industry. He is the president and co-founder of a medical device manufacturing company focused on products and techniques that promote SSI reduction, safety, and productivity in sterile processing and perioperative services. He is also a 2019 candidate for an IAHCSMM board of directors seat. Check out Shawn’s column, The Dirty Truth, here in NewSplash and at Ultra Clean Systems.

Device lures aggressive brain tumor cells out of the patient
Researchers at Georgia Tech, Emory University, and Duke University have developed a biomedical tool that tricks aggressive brain tumors, such as glioblastoma, into migrating into an external container instead of throughout the brain. The device, which has been designated a “Breakthrough Device” by the U.S. Food and Drug Administration (FDA), is dubbed the Tumor Monorail.

Microrobots diagnose Clostridium difficile in 15 minutes
A collaborative research team from the Faculty of Engineering and the Faculty of Medicine at The Chinese University of Hong Kong (CUHK) has developed fungi spore-inspired microrobots to detect Clostridium difficile (C. difficile) bacterial toxins. The microrobots are active sensors capable of detecting toxins accurately within 15 minutes, based on a specific combination.

100 infection control products to know | 2019
Patient safety and infection control are critical for hospitals and healthcare providers to produce the best possible outcomes for patients and avoid preventable infections and errors. This list examines technology and products designed to disinfect medical instruments and operating rooms, reduce preventable complications, stop the spread of germs and make surgery safer for patients.

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

New Beyond Clean episode is now available
This week’s guest on Beyond Clean is Michael Diamond, cofounder and executive director of The Infection Prevention Strategy (TIPS). The discussion is about the work TIPS is doing to change the way innovators are approaching the challenges of global health and what opportunities are available for listeners to join the cause. Don’t forget to complete the exam for CE credit.

 

Issue 7 – 2/12

Is it okay if curettes and sounds are bent?
A: Yes. This is normal due to the usage. When the instruments are returned to sterile processing they can be straightened out. (p. 224)

Q: Do ear curettes need to be sharpened frequently? (See next issue.)

Instrument Processing in the Ambulatory Surgery Setting by Rose Seavey, MBA, BS, RN, CNOR, CRCST, CSPDT
In the last 30-plus years, healthcare has had a major shift from the acute, inpatient hospital setting to ambulatory settings. Today, more than 3/4 of surgical procedures are performed in outpatient settings such as freestanding or hospital-based ambulatory surgery centers (ASC), physician offices, and other dedicated settings.

Any patient having surgery or an invasive procedure has a right to efficient and safe care, including surgical instrument reprocessing, no matter where that care is provided. Unfortunately, evidence-based best practices in reprocessing reusable medical devices are not always followed. Reprocessing has become abig focal point for regulatory and accreditation surveys. One of the major focuses of the Centers for Medicare and Medicaid Services (CMS) and The Joint Commission (TJC) is prevention of healthcare-associated infections. The Joint Commission’s National Patient Safety Goals include implementing evidence-based practices for preventing surgical site infections.

Sign Up Now Campaign is underway
Throughout the months of February, March, and April, NewSplash is holding a Sign Up Now Campaign. Encourage your team to sign up for NewSplash between February 1 and April 30 and you and those you refer will be automatically entered into a drawing to receive a $100 gift card given away monthly (one card per month from February, March, and April).

The Joint Commission launches Speak Up campaign to focus on ways to prevent infection
Speak Up To Prevent Infection is a new patient safety campaign from The Joint Commission that offers free materials for healthcare facilities and staff to download and provide to patients and their families so they can reduce their exposure to germs and bacteria. The educational materials include an infographic poster available in three sizes, an animated video to incorporate into hospital programming, and a distribution guide with recommendations on how healthcare organizations can use and provide the materials for patients and their families, caregivers, and advocates.

Microchip system can determine appropriate medication and dosage
The rise of antibiotic-resistant bacteria forces doctors and patients to contend with shifting treatment plans. Current laboratory tests to determine what bacteria is causing a particular infection takes days to complete and, in cases of serious infection, the results are often too late for the patient.

Top 10 infection control, patient safety stories in January
A patient who died hours after being turned away from a Wisconsin hospital captured readers’ attention the most in January.

Western Wisconsin Chapter Spring Conference
The Western Wisconsin Chapter of IAHCSMM is holding its spring conference on March 22–23, 2019, at Sacred Heart Hospital in Eau Claire, Wisconsin. The two-day event features guest speakers covering a variety of topics, and attendees can earn up to 10 IAHCSMM- and CBSPD-approved CE credits.

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

New Beyond Clean episode is now available
This week’s guest on Beyond Clean is Joel Schafer, vice president of engineering at Sterile Services. The topic is the science of steam sterilization, how and why autoclaves should be tested, and when is it necessary to validate their performance. Be sure to complete the exam for CE credit.

 

Issue 6 – 2/5

Should Kerrisons be kept in a rack?
A: Yes. Placing Kerrisons in a sterilization rack/protective case not only organizes them according to size but also helps to reduce damage and repairs. (p. 209)

Q: Is it okay if curettes and sounds are bent? (See next issue.)

Surgical (Wedding Cake) Crashers: 7 Surprising Things Your SPD Should Not Be Sterilizing by Hank Balch
The average sterile processing department has a number of similarities with a wedding cake: lots of expensive ingredients mixed together and every step and ingredient have to be perfect, or it has the potential to ruin someone’s big day. And just like a wedding cake, there are certain things that should not be included in the final product. No one wants to accidentally take a bite of a decorative flower or chip a tooth on a plastic bride-and-groom figurine. Likewise, surgeons and surveyors don’t want to open a surgical tray to find something in there that really shouldn’t belong. Wedding cake surprises may ruin a day, but sterilization surprises can impact lives.

What are these surprising additions to surgical trays that don’t deserve to be there? What items most often show up without an IFU invite? Let’s take a look at seven sterile processing ingredients that you should leave out of your trays and out in the cold.

Sign Up Now Campaign is underway
Throughout the months of February, March, and April, NewSplash is holding a Sign Up Now Campaign. Encourage your team to sign up for NewSplash between February 1 and April 30 and you and those you refer will be automatically entered into a drawing to receive a $100 gift card given away monthly (one card per month from February, March, and April).

New column by Rose Seavey begins next issue
We are thrilled to announce that Rose Seavey is joining NewSplash as a contributing writer beginning with the next issue (Issue 7). Rose is president and CEO of Seavey Healthcare Consulting. She served on the board of directors for AORN, is a past president of ASHCSP, and serves on several AAMI committees helping to write national standards. Look for her column, Staying on Track, here in NewSplash and at Ultra Clean Systems.

First U.S. patients undergo robot-assisted spine surgery with new Mazor X Stealth Edition
The first U.S. patients have been treated with Medtronic’s newly acquired Mazor X Stealth Edition for spine surgery. The system incorporates Medtronic’s Stealth software technology into the Mazor X robotic-assisted surgery platform to deliver workflow predictability and flexibility through real-time image guidance, visualization, and navigation guided by interactive 3D planning and information systems.

Register now for SHEA 2019
The Society for Healthcare Epidemiology of America (SHEA) is holding SHEA Spring 2019 from April 24–26 in Boston, MA. The conference is designed for physicians, infection preventionists, infectious disease specialists, microbiologists, nurses, pharmacists, and other healthcare professionals interested in healthcare epidemiology, infection prevention, surveillance, research methods, patient safety, environmental issues, and quality improvement. SHEA 2019 offers preconference workshops, training courses, a mentorship program, and more.

St. Jude study is first to assess priorities for patient safety in pediatrics
In the first study to comprehensively evaluate research priorities for patient safety in pediatrics, researchers from Memphis, TN-based St. Jude Children’s Research Hospital and other children’s hospitals outlined 24 research priorities for improving pediatric patient care.

Meritech introduces first-ever ADA compliant automated handwashing system
Meritech has introduced the world’s only fully automated hand washing system that meets ADA requirements. The CleanTech 500 ADA handwashing system provides the world’s only technology-based approach to automated hand hygiene by removing 99.98% of dangerous pathogens, such as norovirus, with a single 12-second wash cycle.

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

New Beyond Clean episode is now available
This week, Beyond Clean welcomes Daniel Coole, managing director of Surgical Holdings. The hosts asked Daniel everything you ever wanted to know about stainless steel, a ubiquitous material in SPDs about which many things are still unknown or misunderstood. Be sure to complete the exam for CE credit.