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NewSplash Archive – May 2019

Issue 22 – 5/28

Are the teeth on a 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 re-cut at a fraction of the cost of replacing the instrument. (p. 259)

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

Cleaning Indicators: What, Exactly, Are They Telling Us about Washer-Disinfectors? by Jonathan A. Wilder, Ph.D.
Do you test your washers? AAMI ST79:2017, section 13.2, says, “Mechanical cleaning equipment should be tested upon installation, each day that it is used, and after major repairs.” (I would add that full testing should be done when a new detergent is put into use. They are not all the same.) Okay, now that we’ve determined that you should be testing, what, where, and how should you be testing? And what do the results tell you?

IAHCSMM 2019 video recap, part 2
This final recap of IAHCSMM 2019 Conference & Expo features some highlights from the expo floor and interviews with Braun Keiss of RST Automation and Hassan Bilal with Medline Industries, who discuss their products and how they relate to patient safety. Happy viewing!

Special IAHCSMM Sign Up Now Campaign is underway
For IAHCSMM 2019 attendees, we have extended the NewSplash Sign Up Now Campaign through the month of May. Sign up for NewSplash by May 31 and you will be automatically entered into a drawing to receive a $100 gift card.

Panel identifies interventions and preferred measures to advance antimicrobial stewardship
The growing problem of drug-resistant bacteria has led the majority of healthcare organizations to establish formal antimicrobial stewardship programs to help combat the issue. Findings from a 2018 meeting identified a need to strengthen these programs by going beyond current guidelines and practices.

The Joint Commission issues Quick Safety advisory on disinfection of ophthalmology devices
According to a report from the American Academy of Ophthalmology (AAO), the failure to adequately disinfect ophthalmology devices such as tonometers can lead to the transmission of serious viruses, such as adnovirus, HIV, and hepatitis C. The AAO report, which incorporates data from The Joint Commission, identifies an immediate threat to patients’ health and safety.

2019 UDI Conference registration now open
Registration is now open for the 2019 UDI Conference in Baltimore, Maryland. The annual unique device identification (UDI) conference is dedicated to guidance and training for those affected by UDI regulation.

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
Is your facility and staff prepared for a visit by The Joint Commission? On this episode from season 1, the hosts speak with Jenny Manderino about how sterile processing teams can best prepare for a visit from The Joint Commission and not be caught off-guard. Check it out and take the exam for CE credit.

 

Issue 21 – 5/21

Why do some uterine sounds begin to tarnish/discolor over time?
A: Some instruments, such as Sims and Simpson uterine sounds, are silver-plated and made to be malleable. As time passes, the silver plating may begin to tarnish and discolor. If this happens, the instrument must be replaced. (p. 223)

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

No More Excuses: Late Loaner Tray Deliveries Should Be a Thing of the Past by Hank Balch
Assuming there will always be emergent needs, we still need to fix the rest of the loaner process.

Dear Mr. Spine and Mrs. Orthopedic Rep, this one is for you. And don’t think you’re getting out of this either, Mr. Courier, or even Ms. Territory Sales Manager.

We have heard every excuse under the sun for why you can’t get your vendor loaner trays to our sterile processing departments within established timelines, and as creative as the excuses may be, they are not good enough. You no longer have any excuse for not getting your trays delivered on time, and I’m about to tell you why.

IAHCSMM 2019 expo recap, part 1
The IAHCSMM 2019 Conference & Expo recently concluded in Anaheim, CA. This issue’s recap features highlights from the expo floor, with an emphasis on education. Enjoy the video.

Special IAHCSMM Sign Up Now Campaign is underway
For IAHCSMM 2019 attendees, we have extended the NewSplash Sign Up Now Campaign through the month of May. Sign up for NewSplash by May 31 and you will be automatically entered into a drawing to receive a $100 gift card.

PREVENA negative pressure system approved by FDA to combat SSIs
The PREVENA Incision Management System is the first negative pressure incision management system to receive the U.S. Food and Drug Administration’s (FDA) indication to aid in the reduction of superficial surgical site infections (SSIs) in patients at risk for postoperative infections. It is also indicated to aid in reducing the incidence of seromas.

HCA Healthcare created alert system to detect sepsis sooner
Nashville, Tenn.-based HCA Healthcare aims to detect and treat patients with sepsis sooner with the help of a home-grown alert system called Sepsis Prediction and Optimization of Therapy.

Researchers biopsy tissue samples with lasers
Researchers at Caltech are developing a new technique that uses lasers instead of scalpels to biopsy tissues. Rather than using dyes to label specific proteins or cell structures, the researchers are using pulses of light to image the sample.

2019 UDI Conference registration now open
Registration is now open for the 2019 UDI Conference in Baltimore, Maryland. The annual unique device identification (UDI) conference is dedicated to guidance and training for those affected by UDI regulation.

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
The topic this week on Beyond Clean is reprocessing explant devices, something SPD technicians have likely encountered. There has been very little written or discussed on the topic, so the hosts turned to Nancy Chobin, president of Sterile Processing University, to answer some of the most pressing questions related to reprocessing an implant device that has been removed from a patient. Make sure you tune in and take the exam for CE credit.

 

Issue 20 – 5/14

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: Why do some uterine sounds begin to tarnish/discolor over time? (See next issue.)

Trust the Checklist by Sara Freiberg
Twenty years ago, the Institute of Medicine published a report, To Err is Human: Building a Safer Health System, which called for efforts to reduce the epidemic of healthcare-related complications, stating that healthcare in the U.S. is not as safe as it should and can be. The report stated that as many as 98,000 people die each year in hospitals due to medical errors that could have been prevented.

Fast forward to 2013 when patient safety experts at Johns Hopkins analyzed the medical death rate data over an eight-year period and calculated that in the U.S. more than 250,000 deaths per year are due to medical errors. This figure surpasses the third leading cause of death according to the Centers for Disease Control and Prevention (CDC), chronic respiratory disease (150,000 deaths per year).

IAHCSMM 2019 expo recap, part 1
The IAHCSMM 2019 Conference & Expo recently concluded in Anaheim, CA. Over the next three issues of NewSplash, we will recap some of the highlights from the expo. This issue will focus on all the smiling attendees throughout the conference. Do you see anyone you recognize? Enjoy the video.

April’s campaign winner: Susan Feliciano
The winner of the NewSplash Sign Up Now Campaign for the month of April is Susan Feliciano, SPD manager at UT Health East Texas. Susan was referred by Eva Bradford. Congratulations Susan!

Phage therapy employed to treat patient with drug-resistant bacterial infection
Scientists have used an experimental, personalized therapy that relies on genetically engineered bacteriophages (viruses that can infect and kill bacteria) to fight a Mycobacterium infection in a 15-year-old girl.

da Vinci SP robot wins FDA clearance for new procedures
The U.S. Food and Drug Administration (FDA) cleared the Intuitive Surgical da Vinci SP robot-assisted surgery device for single-port radical tonsillectomy and tongue base resection procedures.

Disinfection devices in ICU sinks dramatically reduce superbugs, study finds
Putting disinfection devices onto the siphons of sinks can help manage multidrug-resistant Pseudomonas aeruginosa colonization in intensive care units, according to a study published in Journal of Hospital Infection.

FDA approves temporary coil embolization assist device
The U.S. Food and Drug Administration (FDA) has approved Rapid Medical’s Comaneci temporary coil embolization assist device. Rapid Medical claims Comaneci is the first and only device in a new category of temporary coil embolization assist devices.

Long-term antibiotic use among women over 40 linked to higher heart disease risk
Women who use antibiotics for more than two months after the age of 40 may face an increased risk of cardiovascular disease, a study published in European Heart Journal found.

2019 UDI Conference registration now open
Registration is now open for the 2019 UDI Conference in Baltimore, Maryland. The annual unique device identification (UDI) conference is dedicated to guidance and training for those affected by UDI regulation.

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
This week’s guest on Beyond Clean is Chuck Hughes, the new executive advisor at Beyond Clean and retired founder of SPS Medical Supply Corp. The topic is high marks and high standards of compliant reprocessing of reusable medical devices. Tune in and take the exam for CE credit.

 

Issue 19 – 5/7

Can a dented jaw of a bone cutter or rongeur be sharpened?
A: Yes. Many times, unless the dent/damage is severe. A damaged/dented jaw can be repaired by a highly trained repair technician. (p. 170)

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

Passionate Data & Finding Real Strength in Numbers: A 2019 IAHCSMM Conference Reflection by Hank Balch
It was an education session like many others. I sat there with notebook in hand, nodding along with the important points, and trying to catch all the slides while feverishly writing down various statistics that came up. Little did I know this session would turn out to be one of the most pivotal points of my 2019 IAHCSMM Conference & Expo experience.

Like many other industry presentations you may have heard, this one piled on the data. Years of research in hospitals all over the country and even the globe had been brought together to show the current state of surgical instrumentation, and the findings were grim. More than half of all surgical instruments examined in our hospitals were rated “not okay” to use.

Ultra Clean Systems meets with Mission: Possible scholarship winners at IAHCSMM 2019
The 2019 IAHCSMM Conference & Expo in Anaheim, California, brought together attendees from all over the country, including two of the Ultra Clean Systems Mission: Possible scholarship winners. This provided the perfect opportunity for then president-elect (now president) of IAHCSMM, Tony Thurmond, to present Tracie Diggs and Dave Swory their awards in the Getinge booth (the third scholarship winner, Linda Schultz, was unable to attend).

Drone successfully delivers kidney for transplant
A University of Maryland drone aircraft has delivered a donor kidney to surgeons at the University of Maryland Medical Center in Baltimore for successful transplantation into a patient with kidney failure. This demonstration illustrates the potential of drone aircraft to provide organ deliveries that could be faster and safer than traditional transport methods.

Robot navigates autonomously inside the body
Bioengineers at Boston Children’s Hospital have developed a robot that can navigate autonomously inside the body. In an animal model of cardiac valve repair, the team programmed a robotic catheter to find its way along the walls of a beating, blood-filled heart to a leaky valve, without a surgeon’s guidance.

Levita Magnetic Surgical System cleared for prostatectomies
The U.S. Food and Drug Administration (FDA) has granted Levita Magnetics an expanded indication to market the first-of-its-kind Levita Magnetic Surgical System for use in prostatectomy procedures. The system was initially indicated for use in laparoscopic cholecystectomy and bariatric surgical procedures.

Medical student develops device to bring mobile healthcare apps into sterile settings
A medical student in the Michigan State University College of Osteopathic Medicine today announces the public launch and availability of the CleanCase sterile mobile devices cover, the first device-specific, fully FDA-complaint product on the market that allows surgeons to safely bring mobile devices into the sterile surgical field. The CleanCase cover uses patented technology to allow surgeons full mobile device functionality without compromising patient safety.

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
This week, the folks at Beyond Clean sit down with Ted May to discuss the hidden history of ethylene oxide and the importance of this sterilization modality to the past and future of the global sterile processing industry. Tune in and take the exam for CE credit.