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NewSplash Archive – October 2019

Issue 44 – 10/29

Is it true that certain scissors need to be sharpened more often?
A: Yes. The black-handled SuperCut scissor needs to be sharpened the most (quarterly) because it has a knife edge. (p. 15)

Q: Why do needle holders crack in the neck? (See next issue.)

Achievers: End Infection scholarship grand prizewinner
This issue we would like to introduce our Achievers: End Infection grand prizewinner, Melissa Albright of UnityPoint Health – Meriter. Melissa received a scholarship to attend IAHCSMM 2020, a one-year subscription to PROCESS magazine, and her IAHCSMM membership was renewed for one year. In addition, Melissa received $500 in expense assistance.

How Nature Inspires Healthcare by Sara Freiberg
Nature is filled with inspiration for technology: technology for architects, engineers, and the medical research community. We may like to believe that future innovation comes from our own human ingenuity; however, innovation is much more complicated than simply having great ideas. Regardless of our own human advances, identifying research becomes increasingly challenging as we attempt to address more complex issues and answer scientific questions. Time, materials, costs, and man power are crucial concerns when it comes to research and experimentation.

Cleveland Clinic, American Well partner to launch digital health company
Cleveland Clinic and American Well are partnering on a first-of-its-kind initiative to provide broad access to comprehensive and high-acuity care services via telehealth. Together, the organizations will form a Cleveland-based joint venture company, named The Clinic, which will offer virtual care from Cleveland Clinic’s highly specialized experts through American Well’s well-established digital health technology platform.

Lab team from Rock Mountains wins international award
A research team at Rocky Mountain Laboratories in Hamilton, Montana, received the Aspen Institute Italia Award for developing a nasal brushing test for Creutzfeldt-Jakob disease (CJD). For the test, nasal samples from the patient are analyzed using a new technique to amplify prions.

FDA issues statement on concerns of medical device availability due to sterilization facility closures
The U.S. Food and Drug Administration (FDA) has been closely monitoring the supply chain effects of closures and potential closures of certain large-scale sterilization facilities that use a gas called ethylene oxide to sterilize medical devices prior to their use. The recent closure of a Sterigenics ethylene oxide sterilization facility in Illinois, the temporary closure of another Sterigenics facility in Georgia, and the potential closure of a large Becton Dickinson sterilization facility in Georgia could affect the availability of some sterile medical devices used by healthcare delivery organizations and patients.

OR Today presents UV disinfection webinar
On Thursday, October 31, at 2:00 ET, OR Today will host How St Francis Hospital Uses UV Disinfection to Provide a Cleaner Health Care Environment webinar. The 60-minute webinar is presented by Eric Grantham, unit director at Crothall/St. Francis Hospital, and Alice Brewer, clinical director of Tru-D SmartUVC. The presenters will discuss the benefits of UVC disinfection and how it has been implemented and accepted at St. Francis Hospital.

New Beyond Clean episode now available
Flexible endoscopes pose a safety risk, to the extent that they top the ECRI Institute’s Top 10 Health Technology Hazards for 2020 report. Mishandled flexible endoscopes have led to infectious outbreaks and death. This week on Beyond Clean, Dr. Larry Muscarella discusses the evolution of bacteria that has led to the need for a paradigm shift in endoscope reprocessing.

 

Issue 43 – 10/22

What is the difference between carbon and stainless steel scalpel blades?
A: Stainless steel scalpel blades are sharper than carbon scalpel blades but dull faster. Carbon scalpel blades hold their edges longer during a surgical procedure. (p. 365)

Q: Is it true that certain scissors need to be sharpened more often? (See next issue.)

Achievers: End Infection scholarship runners-up
We are pleased to introduce our two runners-up for the Achievers: End Infection scholarship, Sarah Cruz of MidState Medical Center in Meriden, CT, and Tetiana Sotnik or Oregon Health & Science University in Portland, OR. Sarah and Tetiana received a scholarship to IAHCSMM 2020, a one-year subscription to PROCESS magazine, and their IAHCSMM memberships were renewed for one year. Congratulations Sarah and Tetiana!

ECRI Institute releases 2020 health technology hazards list
The ECRI Institute released its Top 10 Health Technology Hazard for 2020 report, and at the top of the list is injury and death from surgical staplers. The guidance outlined in the report was developed from years of investigating cases that involved serious injury or death and will help stapler users avoid many of the common errors that can lead to patient harm.

World’s smallest image sensor to be used for disposable medical applications
OmniVision Technologies announced that its OV6948 imaging sensor is the winner of the Guinness World Record for “The Smallest Commercially Available Image Sensor. The sensor measures 0.575 mm x 0.575 mm x 0.232 mm.

New 3D printer produces ultrarealistic anatomical models
Stratasys Ltd. has released its new J750 Digital Anatomy 3D Printer, which is designed to replicate the feel, responsiveness, and biomechanics of human anatomy in medical models. The goal is to one day replace cadavers and animal models.

New Beyond Clean episode now available
This week’s guest on Beyond Clean is Keith Miles, executive director of Safe Surgery Initiative, a nonprofit organization that provides on-site surgical instrument refurbishment and education to medical facilities in low- and middle-income countries. Safe Surgery Initiative was born from a two-week mission that became a passion to help disadvantaged people around the globe receive lifesaving surgical care by providing safe instruments. Tune in and learn how you can contribute.

 

Issue 42 – 10/15

[Urology] What is important to know when selecting a brush to clean working elements and sheaths? (See next issue.)
A: Nylon cleaning brushes are effective in cleaning the inner tubes of these instruments. When selecting a brush, it must be longer than the instrument to exit the distal tip. Also, select the proper diameter bristle for the most effective cleaning. (p. 343)

Q: What is the difference between carbon and stainless steel scalpel blades? (See next issue.)

Achievers: End Infection scholarship recipients
NewSplash and Ultra Clean Systems would like to thank everyone for your thoughtful, detailed, and passionate entries in our Achievers: End Infection challenge. This marks our third annual IAHCSMM scholarship challenge and we could not be happier with the overwhelming response by all of you dedicated central service professionals.

What’s the Big Deal with Big Brother? Taking a Look at Surveillance Cameras in Your Sterile Processing Department by Hank Balch
Believe it or not, you’ve likely been caught on multiple surveillance cameras this very day. Whether it was a traffic camera, at the ATM, gas station, hospital security, doorbell camera, or toll booth, surveillance is all around us. For many of these situations, we never give that little recording device on the wall a second thought. We understand the reasons behind most of these different examples and decide instead to focus on all the other things in life that require our attention. When it comes to cameras in sterile processing departments, however, the jury is still out for many teams. Do we need cameras? Do we want them? How should we consider it from the perspective of all parties involved? Let’s take a look at the various insights that inform this question of whether or not to put an eye in your SPD sky.

Bacteria trapped and killed by electrified graphene filter
Scientists at Rice University have adapted laser-induced graphene (LIG) to remove pathogens from the air. The self-sterilizing filters capture bacteria, fungi, spores, prions, endotoxins, and other contaminants carried by droplets, aerosols, and particulate matter out of the air and kill them with small pulses of electricity.

Synchron achieves first successful human implantation of brain-computer interface
Synchron, Inc. announced the first successful clinical implantation of the Stentrode, a minimally invasive neural interface technology and component of the Synchron Brain-Computer Interface. This is the first clinical feasibility trial to evaluate this technology for its potential to restore communication in people with severe paralysis.

Self-sterilizing polymer proves effective against drug-resistant pathogens
Researchers from North Carolina State University have found that an elastic polymer possesses broad-spectrum antimicrobial properties, allowing it to kill a range of viruses and drug-resistant bacteria in just minutes, including methicillin-resistant Staphylococcus aureus (MRSA).

OR Today presents How the Details in Quality Impact Your Bottom Line webinar
On Thursday, October 17, at 2:00 ET, OR Today will host How the Details in Quality Impact Your Bottom Line webinar. The 60-minute webinar is presented by Charlene Frizzera, member of the board of advisors at RepScrubs.

New Beyond Clean episode now available
This week, Thor Rollins joins the hosts of Beyond Clean to discuss the reasons and risks of coloration on surgical instrumentation. Can color additives cause harm to patients? How do manufacturers make decisions about these kinds of design questions? Tune in to learn more. Continuing education units for Season 6 will be bundled at the end of the season in a single quiz that includes all six episodes.

 

Issue 41 – 10/8

Can the ceramic tips be replaced on resectoscope sheaths?
A: Yes. The distal tip of a resectoscope sheath must be inspected prior to and after each use for cracks and chips. If damage is found, the instrument must be immediately removed from service and sent out for repair. (p. 343)

Q: [Urology] What is important to know when selecting a brush to clean working elements and sheaths? (See next issue.)

Final Days!
Enter the Achievers: End Infection challenge now
Deadline is Wednesday, 10/9, at 11:59 p.m.
It’s time for central service professionals to unite and end infection. Infection cannot be destroyed by a single person; it takes a team working harmoniously with a solitary vision. How did you help end infection in your department? Tell us by entering the Achievers: End Infection challenge.

Dealing with Drama in Sterile Processing: Important Thoughts on Team Dynamics by Hank Balch
Let’s face it, most sterile processing departments have to deal with drama. Any context where you have a team of people, complex tasks, customer service expectations, and high stress is a prime opportunity for drama to occur. Unfortunately, sometimes even the people who say they hate drama the most are the ones who are actually drawn to it like a moth to a flame. So how do you manage all this as a leader or navigate it safely as a frontline technician? Here are a few important thoughts on wisely handling the dynamics of your team in a way that reduces drama and encourages real teamwork and professionalism.

Brainlab introduces mobile intraoperative imaging robot
Brainlab unveiled Loop-X, the first mobile intraoperative imaging robot for spinal procedures. Loop-X automates imaging workflow steps and robotically moves with the procedure and stays out of the way of robotic instruments and OR staff.

Nevada fighting to keep CWD-infected deer from entering state
Wildlife regulators in Nevada are working to keep deer infected with chronic wasting disease (CWD) out of the state. Chronic wasting disease is a highly contagious and fatal neurological prion disorder that causes symptoms such as lack of fear of humans, lethargy, and emaciation.

Cellular-connected drones deliver emergency defibrillators
A groundbreaking trial using 4G LTE cellular connectivity to enable beyond-visual-line-of-sight (BVLOS) drones to deliver automated external defibrillators (AEDs) to the scene of a cardiac arrest has taken place in the County of Renfrew, Ontario, Canada. Working in partnership with technology providers, including InDro Robotics, Cradlepoint, and Ericsson, the trial demonstrated the drones’ capabilities to arrive more than seven minutes before paramedic vehicles during each test flight.

2020 Hospital National Patient Safety Goals now available for download
The 2020 National Patient Safety Goals (NPSGs) are now available for download from The Joint Commission’s website. You can download the entire chapter from the accreditation standards manual or a simplified version.

OR Today presents How the Details in Quality Impact Your Bottom Line webinar
On Thursday, October 17, at 2:00 ET, OR Today will host How the Details in Quality Impact Your Bottom Line webinar. The 60-minute webinar is presented by Charlene Frizzera, member of the board of advisors at RepScrubs.

New Beyond Clean episode now available
This week, the hosts of Beyond Clean speak with Brian Reed about predictive staffing in CS/SPD and how data can be used to make educated staffing decisions for the department. Tune in to hear how this concept can change how you approach the challenge of growing surgical volume and traditional staffing shortfalls. Continuing education units for Season 6 will be bundled at the end of the season in a single quiz that includes all six episodes.

 

Issue 40 – 10/1

What is the most common damage to arthroscopy graspers?
A: Cracks at the distal tip near the pin. It is important to inspect this area after each use. Cracks cannot be repaired, and a cracked instrument must be removed from service and replaced. (p. 329)

Q: Can the ceramic tips be replaced on resectoscope sheaths? (See next issue.)

Achievers: End Infection challenge
It’s time for central service professionals to unite and end infection. Infection cannot be destroyed by a single person; it takes a team working harmoniously with a solitary vision. How did you help end infection in your department? Tell us by entering the Achievers: End Infection challenge.

Personal Protective Equipment for Endoscope Processing
Personal protective equipment (PPE) is defined as dedicated attire and equipment for protection against infectious materials. Personal protective equipment includes:

  • Gloves to protect the hands
  • Gowns or aprons to protect the skin and clothing
  • Masks and respirators to protect the mouth and nose
  • Goggles to protect the eyes
  • Face shields to protect the entire face

The respirator has been designed to also protect the respiratory tract from airborne transmission of infectious agents.

Medtronic unveils robot-assisted surgery platform
Medtronic unveiled its long-awaited Hugo RAS robot-assisted surgery system to compete with Intuitive Surgical’s da Vinci SP. According to Medtronic, the Hugo RAS is more flexible and cost-effective than other robot-assisted surgery systems currently on the market.

Bacteria shed cell wall to evade antibiotics
Scientists at Newcastle University have filmed bacteria removing their outer layer, or cell wall, to evade antibiotics and survive. Antibiotics can attack cell walls, causing the scientists to think this could be a new form of drug resistance.

Microsurgery system eliminated hand tremors during surgery
Baltimore, MD-based Galen Robotics is developing a robotic microsurgery system that eliminates hand tremor and provides unprecedented precision when operating using microscopes. The system features an interface between the surgeon’s hands and a specially designed robot based on technology from Johns Hopkins University’s robotics program and Galen.

55% of ASCs have infection control problems, OIG finds
Infection control was the most frequently cited ambulatory surgery center problem between 2013 and 2017, with 55% of ambulatory surgery centers having one or more deficiency in this area, according to a report from HHS’ Office of Inspector General.

OR Today presents How the Details in Quality Impact Your Bottom Line webinar
On Thursday, October 17, at 2:00 ET, OR Today will host How the Details in Quality Impact Your Bottom Line webinar. The 60-minute webinar is presented by Charlene Frizzera, member of the board of advisors at RepScrubs.

New Beyond Clean episode now available
Season 6 of Beyond Clean begins with a conversation with David Taylor about the world of hospital consulting, focusing on sterile processing consultants. You will get a look at what these consultants do when they come to your facility and learn how they might help your team improve. Continuing education units for Season 6 will be bundled at the end of the season in a single quiz that includes all six episodes.