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NewSplash Archive – November 2019

Issue 48 – 11/26

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: How are clip applicator sizes determined? (See next issue.)

Preventing Theft in Healthcare by Sara Freiberg
In the spring of 2019, on a typical Saturday afternoon, hospital video surveillance uncovered three unsuspecting individuals walking casually out of a Pennsylvania hospital, each disguised and carrying full backpacks. Two days later, the hospital reported 18 endoscopy devices missing, totaling nearly a half-million dollars. Currently, the suspects have not been identified or located and the hospital is conducting an internal investigation.

Take the NewSplash Improvement Survey
On Friday, November 15, we invited our readers to take a short survey asking what you like and what you would like to see more of in NewSplash. Some of you have already taken the survey. Thank you. There are still a few $10 Amazon gift cards available, so enter now before they’re gone.

FDA clears first duodenoscope with disposable elevator piece, reducing the number of parts needing disinfection
The U.S. Food and Drug Administration (FDA) cleared for marketing in the U.S. the first duodenoscope with a sterile, disposable elevator component that will reduce the number of parts that need to be cleaned and disinfected (reprocessed) in between uses. The Pentax Medical Video ED34-i10T2 model duodenoscope is intended to provide visualization and access to the upper gastrointestinal (GI) tract to treat bile duct disorders and other upper GI problems.

avateramedical receives CE Mark for surgical robot
avateramedical GmbH announced the successful completion of the CE conformity assessment procedure for its avatera system for robot-assisted, minimally invasive surgery. All four components of the system—the surgical robot and control unit, the instruments, the endoscopes, and the sterile components—can now carry the CE mark.

The medical industry’s single-use plastics problem
We hear about plastic pollution nearly every day, whether it’s from straws, microplastics, or any other source. The medical industry is also a big contributor to plastic pollution, and the increased reliance on disposable, single-use plastics to prevent the spread of bacteria and infection makes the problem even more prevalent.

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 inaugural episode of Beyond Clean from 2017 features an interview with Michael Matthews, who was then the manager of central sterile at Baptist Health in Arkansas. They discuss how managers can determine the value of high-quality technicians, make the most of a role in sterile processing, and open new opportunities while advancing their career. 

 

Issue 47 – 11/19

Should rubber tubing be put on the jaws [of hemostats]?
A: NEVER. Putting rubber tubing on the jaws of a hemostat to be used as a tube occluding clamp is dangerous. Tube clamps are designed for this purpose. (p. 87)

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

Ask and You Shall Receive: Leveraging the Power of Surveys in Your SPD by Hank Balch
What did your new employees think about their orientation process? How does the operating room feel about the new policy on instrument turnover requests? Is there anything your leadership team could be doing better to recognize your technicians for going above and beyond? Each of these questions has an answer, and it’s an answer that would be helpful for you to know.

How do you get people talking? One of the best tools available for getting at these insights and walking away with information that you can use is an online survey questionnaire. We’ll take a look at a couple of examples of what these can look like and how they can help you improve your sterile processing department today and in the years to come.

Take the NewSplash Improvement Survey
On Friday, November 15, we invited our readers to take a short survey asking what you like and what you would like to see more of in NewSplash. Some of you have already taken the survey. Thank you. There are still a few $10 Amazon gift cards available, so enter now before they’re gone.

ECRI Institute and Institute for Safe Medication Practices join forces to enhance patient safety
Leaders of ECRI Institute and the Institute for Safe Medication Practices (ISMP) announced a definitive agreement that bolsters both organizations’ efforts to make medication, medical devices, and healthcare practices across care settings safer for patients.

Cleveland Clinic performs world’s first single-port kidney transplant
Cleveland Clinic is the first hospital in the world to successfully perform a robotic single-port kidney transplant, which enables all surgical instruments and the donor kidney to be placed through one small abdominal incision.

More people in the U.S. dying from antibiotic-resistant infections than previously estimated
The Centers for Disease Control and Prevention (CDC) released its updated Antibiotic Resistance Threats in the United States (AR Threats Report) indicating that antibiotic-resistant bacteria and fungi cause more than 2.8 million infections and 35,000 deaths in the United States each year. That means, on average, someone in the United States gets an antibiotic-resistant infection every 11 seconds and every 15 minutes someone dies.

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.

New Beyond Clean episode now available
This week on Beyond Clean, Lindsay Brown discusses the ways in which peer-to-peer and peer-to-mentor connections open the door to opportunities for learning and growth. She also introduces the idea of imposter syndrome in the sterile processing industry. What’s that? Tune in to find out.

 

Issue 46 – 11/12

How is loose laparoscopic insulation visually tested?
A: To test the insulation visually, inspect the entire shaft for any nicks or cuts. Next, lightly pull back on the insulation. If the insulation slides back, the instrument is in need of reinsulation. (p. 68)

Q: Should rubber tubing be put on the jaws [of hemostats]? (See next issue.)

Crosswalks for Reprocessing Standards, Guidelines, and Recommended Practices by Rose Seavey, MBA, BS, RN, CNOR, CRCST, CSPDT
Sterile processing (SP) managers and supervisors must routinely update their departmental policies and procedures (P&P) to ensure they are following the most current evidence-based standards, guidelines, and recommended practices. Developing P&P should be an interdisciplinary process, depending on the stakeholders involved for each particular policy. For instance, creating P&P around care and handling of instruments should involve the operating room and infection prevention representatives. There are numerous published standards, guidelines, and recommended practices around reprocessing. Deciding on which ones to follow should be based on current evidence-based publications. There are many ways to help decipher how these published standards or guidelines relate to each other. Crosswalks can be very helpful when comparing these documents.

Take our NewSplash Improvement Survey and receive an Amazon gift card
We want to hear from you. Take the short survey and tell us what you like and what you would like to see more of in NewSplash and as our thanks to you, we will send the first 100 respondents an Amazon gift card. We want NewSplash to be the most relevant and useful newsletter for you.

UPS drone makes first commercial prescription deliveries for CVS
A United Parcel Service (UPS) Flight Forward drone has flown the first revenue-generating deliveries of prescription medications to the front lawn of a private residence and to a retirement center for the drugstore chain CVS.

Copper hospital beds kill bacteria, save lives
A new study has found that copper hospital beds in the intensive care unit (ICU) harbored an average of 95% fewer bacteria than conventional hospital beds, and maintained these low-risk levels throughout patients’ stay in hospital. The research is published this week in Applied and Environmental Microbiology, a journal of the American Society for Microbiology. 

Doctors use CRISPR gene editing to try fighting cancer
For the first time in the U.S., doctors used the CRISPR gene editing tool against cancer in three patients. While it’s too early to tell if it will improve survival, the use of the tool seems safe so far.

Groundbreaking new test for prion, Alzheimer’s, and Parkinson’s diseases on the horizon
Prion diseases are a group of fatal neurodegenerative illnesses caused by misfolded copies of a naturally occurring protein. There is no treatment and detection has been difficult due to the extremely low concentration of the misfolded protein in blood or other body fluids, compared to the normal protein that is abundant.

Infection prevention case study: How Robert Wood Johnson University Hospital Hamilton brought down HAIs
Robert Wood Johnson University Hospital Hamilton (NJ), an RWJBarnabas Health facility, added UVC disinfection to its already stringent manual cleaning process as an extra layer of protection against harmful germs like Clostridium difficile, norovirus, MRSA, and many others. With this added layer of protection and a strategic approach to disinfection, the hospital has seen reductions in its HAI rates.

New Beyond Clean episode now available
All stages of instrument reprocessing include a great deal of waste, from preparation for a case, case setup, and case breakdown. What can be done about it? Leveraging data in healthcare is one of the most efficient ways to reduce instrument reprocessing waste. Bryan Stuart and Jay Schrader discuss the actual numbers involved and explain how you can use data and numbers to build a case for critical department upgrades to hospital administration.

 

Issue 45 – 11/5

Why do needle holders crack in the neck?
A: Needle holders crack in the neck when a large needle is used in a small needle holder. Also, sometimes the needle holder is used like a pair of pliers to pull pins and twist wire. This type of crack is not repairable. (p. 48)

Q: How is loose laparoscopic insulation visually tested? (See next issue.)

The Fabulous Four: Getting Social Media Right in the Name of Sterile Processing by Hank Balch
When I took my first sterile processing manager role just six short years ago, I was not a fan of cell phones on the floor or Internet access on department computers (besides required websites for instructions for use and intranet capabilities). In my mind, the Internet was, and could only be, a distraction from the critical tasks before our team.

Scientists discover how potent bacterial toxin kills MRSA bacteria
Scientists from the University of Sheffield have discovered how a potent bacterial toxin is able to target and kill MRSA, paving the way for potential new treatments for superbugs. 

3D-printed cells and bioinks create implantable blood vessels
Researchers in South Korea and Hong Kong have fabricated a biomimetic blood vessel using a modified 3D cell printing technique and bioinks, which were formulated from smooth muscle cells from a human aorta and endothelial cells from an umbilical vein. The result is a fully functional blood vessel that outperforms existing engineered tissue and brings 3D-printed blood vessels closer to clinical use.

Too many older adults readmitted to hospitals with same infections they took home
About 15% of hospitalized older adults will be readmitted within a month of discharge; however, a new University of Michigan study found that a disproportionately high number return for preexisting or linked infections—infections presumably treated during the first hospital stay. Further, patients discharged home or to home care were more likely to return with a linked infection than those discharged to skilled nursing homes.

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.

New Beyond Clean episode now available
This week’s guest on Beyond Clean is Emily Smith, clinical marketing specialist with CIVCO Medical Solutions. The topic is tangible solutions to the issues surrounding the reprocessing of ultrasound probes.