Quality Assurance: Crisis to Control Linda L. Condon, MBA, BSN, RN Cynthia Spry, MSN, MA, RN, CNOR, CRCST
|
|
- Chester Lynch
- 6 years ago
- Views:
Transcription
1 SESSION NAME SPEAKERS SESSION NUMBER 0027 DATE/TIME CONTACT HOURS (CH) 1.0 SESSION OVERVIEW: Quality Assurance: Crisis to Control Linda L. Condon, MBA, BSN, RN Cynthia Spry, MSN, MA, RN, CNOR, CRCST Monday, March 31, 2014, 4-5pm In the Sterile Processing Department (SPD), there is high risk for error because of complex products and processes, interruptions, scheduling conflicts, and other factors. Quality assurance is imperative and high reliability can only be achieved if processes are continually evaluated and monitored. This interactive presentation will define and identify process deviations that can occur in any SPD. Identifying process deviations allows departments to seek opportunities to continually improve operations and outcomes. Continual assessment allows the SPD to quickly identify process deviations so corrections can be made promptly. How do you determine if the sterilization process in your department is in control? Does your set quality data accurately measure set quality? This presentation will review how a SPD can implement proactive continual quality performance monitoring specific to set assembly and sterilization. This presentation will review two quality indicators and provide the attendee several tools that can be used to measure outcomes and help ensure that a safe quality product is delivered to the OR. OBJECTIVES: 1. Describe and develop tools that can be used to measure assembly and sterilizations processes. 2. Discuss how to implement a proactive quality assurance program to measure the quality of set assembly and sterilization. 3. Identify process deviations in the Central Sterile Processing Department that can impact set quality and sterilization outcomes. SPEAKER BIOGRAPHIES: Linda Condon, MBA, BSN, RN, is a registered nurse with over 29 years' experience working in or around the perioperative environment. Currently she works as the Assistant Director of the Sterile Processing Department at Johns Hopkins Hospital in Baltimore, Maryland. She has held various positions throughout her career including Manager and Educator of Central Sterile Processing. For the past 18 years, her attention has been focused on improving the practices in the Operating Room and Central Sterile Processing Department related to the cleaning, disinfection, sterilization, and distribution of surgical instrumentation.
2 AORN Surgical Conference & Expo 2014 P a g e 2 o f 2 Cynthia Spry, MSN, MA, RN, CNOR, CSIT, is an independent consultant with over 30 years of perioperative experience; with over seven years as an OR educator, five years as a director of surgical services, and 12.5 years as an international clinical consultant for a Johnson & Johnson Company. She provides consultation and education in sterilization, disinfection, and infection control. She is a past president of AORN. In 2002, Spry received the Association's Award for Excellence in Perioperative Nursing for her achievements in practice, education, and research, and The Jerry G. Peers Award. Spry has written more than 75 articles and has authored two books on topics relating to perioperative nursing. She lectures on a variety of topics and has presented in more than 17 countries. Her major area of expertise and consultation is sterilization and disinfection. She is currently the co-chair of the AAMI committee responsible for ST79 Guideline to Steam Sterilization and Sterility Assurance in Health Care Facilities. SPEAKER CONTACT INFORMATION: Linda L. Condon, MBA, BSN, RN Director Central Sterile Processing Johns Hopkins Hospital Baltimore, Maryland llcondon@jhmi.edu Cynthia Spry, MSN, MA, RN, CNOR, CRCST Consultant/Speaker New York, New York Cynthia350@gmail.com FACULTY DISCLOSURE: Linda Condon: 7. No conflict. Cynthia Spry: 1. Consultant/Speakers Bureau - Stryker, Aesculap, 3M, Best Practice Professionals
3 Scenario One 1 Scenario Two 2 1
4 Scenario Three 3 Crisis 4 2
5 Set Assembly Defects Missing instrument/s Damaged instrument/s Extra instrument/s Soiled instrument/s Stained instrument/s Missing/failed chemical indicator Compromised packaging Torn wrap Missing locks Wet set 5 Sterilization Defects Biological Indicator Failed test Missing test Read too early Missing documentation Load contents Signatures/sign off s Inaccurate sterilization Wrong cycle selected Wrong method (H vs. EtO) 6 3
6 Defect Impact Patient infection Cancelled case Case delay Wasted supplies Feelings of mistrust Frustration Risk of patient or staff injury Poor relations between CS and OR Unhappy customers 7 Quality Assurance in Sterile Processing OR sees only the final product Many steps to prepare an instrument from the time it leaves the OR until it is returned for use Each step in the preparation is/should be accompanied with a quality assurance activity Beyond that are quality improvement initiatives that: Identify potential problems Identify activities to improve processes 8 4
7 Receiving Decontamination area Prevent debris from adhering and potential risk that debris will not be removed during cleaning Instruments opened and disassembled Cannulated instruments flushed Possible delay before can be put into washer Items sprayed with enzyme to prevent adherence of debris ANSI/AAMI ST79: 2010 & 2012 & 2012, Section 7 AORN Perioperative Standards and Recommended Practices, 2013 RP Care of Instruments, Rec.V 9 Manual Cleaning IFU detergent Measured concentration Automated concentration mechanism/pump Manual - Temperature - thermometer Time - timer 5
8 Automated cleaning Washer disinfector/decontaminator Doser check and documentation 11 Automated cleaning equipment washer-disinfector Daily maintenance check and documentation Screens, Washer arms/spray nozzles Free of debris Present Spin Direction Racks aligned Drains Lights 12 ANSI/AAMI ST79: 2010 & 2012 & 2012, Section 7 6
9 Efficacy testing Standard Weekly, preferably daily 13 Cleaning equipment Ultrasonic tested and documented Sonic check transducers in multiple locations Degassed 14 7
10 Quality Improvement Sterile Processing Post cleaning QA initiatives Protein tests ATP testing Inspection Function testing
11 Set Assembly Printed or electronic content list Check off and signed Missing elements, etc., identified 17 Sterilization 4 levels of testing Efficacy Load Release Qualification Product Testing ANSI/AAMI ST79: 2010 & 2012 & 2012, Section 10 9
12 Sterilization Physical monitors Parameter check and sign off Sterilization Chemical indicators Outside and inside Air removal test (Bowie-Dick) daily Sterilization Biological indicators Efficacy testing, Load release, Qualification Testing, Product Testing ANSI/AAMI ST79: 2010 & 2012 & 2012, Section 10 AORN Perioperative Standards and Recommended Practices, 2013 RP Sterilization Recommendation 19 Efficacy Daily spore kill Daily air removal for dynamic air removal sterilizers Load Release Non implant Implant ANSI/AAMI ST79: 2010 & 2012 & 2012, Section 7 AORN Perioperative Standards and Recommended Practices, 2013 RP Sterilization Recommendation VII 10
13 Qualification testing Installation Repair Location change Product testing Testing product under facility resources Your equipment, your load, your utilities, etc Reason why so important to receive loaners 24 hrs ahead 21 Reprocessing Volumes ~ 520 set assemblies/day ~150 peel packs/day ~ 40,000 instruments handled/day ~ 115 surgeries on average/day ~ 46 steam sterilization loads/day ~ 21 hydrogen peroxide loads/day ~ 1 EtO load/day 22 11
14 Controlling the Chaos OR Rounds First Case Auditing Decontamination Pre-assembly Post-assembly Sterilization Quality monitoring Equipment Biological indicators Cannulas and complex instruments 23 Auditing Our Processes Review sterilization records Daily Check biological indicators Each shift Audit Sterilization loads Every load Audit assemblies OR 1 set from 1 st case CS per shift First Case Rounds 24 12
15 First Case Rounds Audit Form 25 Courtesy Johns Hopkins Hospital Pre-Assembly Audit Courtesy Johns Hopkins Hospital 13
16 Post Assembly Audit Courtesy Johns Hopkins Hospital Sterilization Audit Form Courtesy Johns Hopkins Hospital 14
17 Set Assembly Auditing Operating Room First cases Additional Central Sterile Percentage per employee Percentage of production 29 Courtesy Johns Hopkins Hospital Reporting the Data Total first cases Total set assemblies with no issues from first cases Break down of errors Process or system error Additional errors reported Audits performed by CSP Total sterilization deviations 30 15
18 Sterilizer Deviations 186 Total Cycles Nov 17- Nov 23 Linking Error 4 Missing Documentation Aborted Load Ran/Chose Wrong Cycle Deviations Load Opened in Error % Accuracy Rate Courtesy Johns Hopkins Hospital Total First Case Audits for October % 77% 81% JHOC WBG ZAYED Total 1st Cases Total 1st Case Audits No Issues Courtesy Johns Hopkins Hospital 16
19 1 st Case Rounds Set Quality Data October Total 1st Cases % 43 95% 20 Reported Issue 0 WBG ZAYED Courtesy Johns Hopkins Hospital Interventions Standardized procedures Minimize distractions Re-training Back up inventory Automated Stocked daily Onsite repair Second sign-off on problematic sets Sterilization zones Unsterile/sterile Restricted area 34 17
20 Developing Central Sterile Training Create a career ladder Instrument Processor I, II, and III Require certification Create new job descriptions Quality assurance Trainer/Educator 35 Collaboration OR/CS Task group Infection Control Practioner Operating Room Central Sterile CS Open House Transparency Report defects and interventions Back up processes Automated peel pack storage 36 18
21 THE BEST 37 EVIDENCE-BASED REFERENCES Association for the Advancement of Medical Instrumentation, Arlington VA. ANSI/AAMI ST79: 2010 & 2012 & 2012 Comprehensive guide to sterilization and sterility assurance in healthcare facilities, Section 7. Association of perioperative Registered Nurses (AORN), Denver, CO. Perioperative Standards and Recommended Practices, 2013 RP Sterilization RP Care of Instruments 38 19
3M Sterile U Network 3M Sterile U Web Meeting January 16, 2014
3M Sterile U Network 3M Sterile U Web Meeting January 16, 2014 Today s meeting times: 9:00 a.m., 11:00 a.m. and 1:00 p.m. CST To hear audio, call 800-937-0042 and enter access code 7333633 Phone lines
More informationCharles Hughes. Instrument Reprocessing Update: What s New?
1 Instrument Reprocessing Update: What s New? 2 Objectives Upon completion, participants will be able to... 1. Explain various national accreditation organizations along with their new survey methods,
More informationBRIGHT EYES SESSION. Bridging the gap through collaboration:
BRIGHT EYES SESSION Bridging the gap through collaboration: Why Central Sterile Processing is central to you! Cynthia McDonough, RN, CPSN, CNOR, CSPDT ASPSN 38 th Annual Convention New Orleans, Louisiana
More information3M Sterilization Assurance Standards Practice. In Sterilization with the Core Four
3M Sterilization Assurance Standards Practice 1 2 3 4 Confidence In Sterilization with the Core Four 1 Equipment Monitoring Equipment Monitoring is a way to find out whether or not your sterilizer is doing
More informationCRCST Self-Study Lesson Plan Lesson No. CRCST 136 (Technical Continuing Education - TCE)
Lesson No. CRCST 136 (Technical Continuing Education - TCE) Sponsored by: by Susan Klacik, ACE, BS, CIS, CRCST, FCS CSS Manager, St. Elizabeth Health Center, Youngstown, OH The Flash Dance is Over! IUSS
More informationEVEN THOUGH THE ACCREDITATION PROCESS HAS BEEN IN PLACE
CIS Self-Study Lesson Plan Lesson No. CIS 263 (Instrument Continuing Education - ICE) Sponsored by: by Christina Poston, CRCST, CIS, CHL, BA ED and Gwendolyn Byrd, CRST, CHL CIS, CFER, GTS Preparing for
More informationCLEANING Reusable Medical Devices. AAMI/FDA Medical Device Reprocessing Summit October 11-12, 2011 Silver Spring, MD
CLEANING Reusable Medical Devices AAMI/FDA Medical Device Reprocessing Summit October 11-12, 2011 Silver Spring, MD CLEAN is defined several ways in the dictionary, one being Free from contamination or
More informationNJ Dept of Health Central Service Standards SUBCHAPTER 8. CENTRAL SERVICE. 8:43G-8.1 Central service policies and procedures
NJ Dept of Health Central Service Standards SUBCHAPTER 8. CENTRAL SERVICE 8:43G-8.1 Central service policies and procedures (a) The hospital's central service shall have written policies and procedures
More informationSterile Processing Management, Regulations and Responsibilities WEBINAR 2018
Sterile Processing Management, Regulations and Responsibilities WEBINAR 2018 A course for Sterile Processing Managers and Supervisors, Infection Preventionists, Ambulatory Surgery Nurse Managers, Materials
More informationSterile Processing Management, Regulations and Responsibilities WEBINAR
Sterile Processing Management, Regulations and Responsibilities WEBINAR A course for Sterile Processing Managers and Supervisors, Infection Preventionists, Ambulatory Surgery Nurse Managers, Materials
More information9/14/2017. Best Practices in Instrument Cleaning. Objectives. Healthcare-associated Infections
in Instrument Cleaning Crit Fisher, CST, FAST Director, Field Operations Protection1 Services Karl Storz Endoscopy-America, Inc. Objectives Discuss regulations, standards and guidelines of equipment management
More informationTHE BEGINNING OF THE END OF THE FLASH DANCE, WHICH
Lesson No. CRCST 136 (Technical Continuing Education - TCE) Sponsored by: by Susan Klacik, ACE, BS, CIS, CRCST, FCS CSS Manager, St. Elizabeth Health Center, Youngstown, OH THE FLASH DANCE IS OVER! IUSS
More informationCENTRAL SERVICE (CS) PERSONNEL AND THEIR HEALTHCARE
by Rose Seavey, MBA, BS, RN, CNOR, CRCST, CSPDT President/CEO of Seavey Healthcare Consulting Quality Management in Central Service Using a Systematic Approach LEARNING OBJECTIVES 1. Define the terms quality
More informationINSTRUMENT CLEANING HAS BECOME A TOPIC OF INTEREST IN
Lesson No. CRCST 150 (Technical Continuing Education - TCE) Sponsored by: by Gwendolyn Byrd, CHL, CIS, CRCST CPD Educator, Children s Hospital of Philadelphia Christina Parson, CHL, CIS, CRCST SP Manager,
More informationCentral Sterile Processing and Operative Services: Consults, Leadership Staff, Assessments and Education
Central Sterile Processing and Operative Services: Consults, Leadership Staff, Assessments and Education Angela Lewellyn - SPD Director LaWayne Perkins - National Project Manager Advantage Support Services,
More informationSterile Processing: Preparing for Accreditation Surveys. Monday, March 4, 2013, 8-9am & 9:30-10:30am
SESSION TITLE: SPEAKER NAME: SESSION NUMBER: DATE/TIME: CONTACT HOURS: Sterile Processing: Preparing for Accreditation Surveys Rose E. Seavey, MBA, BS, RN, CNOR, CRCST 9015 & 9106R Monday, March 4, 2013,
More informationSurgical Instrumentation: Eliminating Chaos. The Complex Process of Surgical Instrument Maintenance and Improving the Healthcare Environment
Surgical Instrumentation: Eliminating Chaos The Complex Process of Surgical Instrument Maintenance and Improving the Healthcare Environment 1 Knowledge of Surgical Instrument Procedures Individuals considering
More informationOf Critical Importance: Infection Prevention Strategies for Environmental Management of the CSSD. Study Points
Of Critical Importance: Infection Prevention Strategies for Environmental Management of the CSSD I. Introduction Study Points Management of the CSSD environment is vital to preventing surgical site infections.
More informationLegal Implications Recommended Practices
Legal Implications of Standards and Recommended Practices for CS Departments by Rose Seavey, MBA, BS, RN, CNOR, CRCST, CSPDT Learning Objectives 1. describe applicable terms and how they apply to the CS
More informationSterile Processing Management, Regulations and Responsibilities WEBINAR
Sterile Processing Management, Regulations and Responsibilities WEBINAR A course for Sterile Processing Managers and Supervisors, Infection Preventionists, Materials Managers and PeriOperative Managers
More information10/11/2013. Immediate-Use Steam Sterilization in the OR. House Keeping. House Keeping. Questions. Martha Young, MS, BS,
3M Infection Prevention Solutions Learning Connection Immediate-Use Steam Sterilization in the OR Martha Young, MS, BS, CSPDTmarthalyoung1@aol.com October 8, 2013 House Keeping Questions From the GoToWebinar
More informationSterile Processing in Healthcare Facilities
Advancing Safety in Health Technology Sterile Processing in Healthcare Facilities PREVIEW COPY Preparing for Accreditation Surveys, 3rd Edition Rose Seavey Sterile Processing in Healthcare Facilities PREVIEW
More informationCMS REQUIREMENTS: ESSENTIAL ELEMENTS FOR ASCS
CMS REQUIREMENTS: ESSENTIAL ELEMENTS FOR ASCS Luci Perri, RN, MSN, MPH, CIC, FAPIC Infection Control results OBJECTIVES Identify three areas frequently cited by surveyors State how to avoid two common
More information8/9/2015. Fundamentals of Cleaning and Decontamination. Disclosure. Learning Objectives
Infection Prevention Division 3M Sterile U Network Fundamentals of Cleaning and Decontamination 1 3M 2012. All Rights Reserved. Disclosure Vickie Edwards, BS, CSPDT Field Technical Consultant Infection
More information3M Sterile U Sterilization Assurance Continuing Education
3M Sterile U Sterilization Assurance Continuing Education Take the Lead in Infection Prevention What to Look For in Your Sterile Processing/Central Sterile Supply (SP/CSSD) Department Martha Young, BS,
More informationPart I AAMI ST79 Recommended Practice
Infection Prevention Division Attest Sterile U Network Part I AAMI ST79 Recommended Practice June 9, 2011 Welcome! Topic: Part I AAMI ST79 Recommended Practice Facilitator: Jamie Meilahn, 3M Marketing
More informationCENTRAL SERVICE (CS) PROFESSIONALS REQUIRE SIGNIFICANT
by Rose Seavey, MBA, BS, RN, CNOR, CRCST, CSPDT President/CEO of Seavey Healthcare Consulting Safety in Handling Chemical Sterilants LEARNING OBJECTIVES 1. Describe how governmental regulating agencies
More informationToward a Cleaner Future
A Roundtable Discussion Toward a Cleaner Future Mary K. Logan, Moderator Roundtable Participants Mary K. Logan, JD, CAE is president of AAMI. E-mail: mlogan@aami.org Cynthia Spry, CNOR, CSIT, is an independent
More informationMONITORING. learning objectives:
Infection prevention corner STERILIZATION MONITORING Infection Prevention Corner KAY C. CARL, RN, BS, CIC learning objectives: After reading this article, the reader should be able to: narrow the gap between
More informationJOB ANALYSIS FOR THE STERILE PROCESSING AND DISTRIBUTION TECHNICIAN CERTIFICATION EXAM
JOB ANALYSIS FOR THE STERILE PROCESSING AND DISTRIBUTION TECHNICIAN CERTIFICATION EXAM Conducted on behalf of: The Certification Board for Sterile Processing and Distribution, Inc. (CBSPD) By Tony Bonell,
More informationAllied institute of professional Studies N. Broadway. #340. Chicago, IL Page 1
Allied Institute of Professional Studies Course Catalog for 2017-2018 Allied Institute of Professional Studies 4554 North Broadway Street Suite: 340 Chicago, IL 60640 (773) 961-8150 / (773) 709-4228 Effective
More informationHAVING THE CORRECT KNOWLEDGE TO ASK THE RIGHT
Lesson No. CHL 360 (Supervisory Continuing Education - SCE) Sponsored by: by Richard Schule, BS, MBA, FAST, CST, FCS, CRCST, CHMMC, CIS, CHL, AGTS Director of Clinical Education, STERIS Corporation Implementing
More informationThe Changing Role of People & Technology in Medical Devices Reprocessing
The Changing Role of People & Technology in Medical Devices Reprocessing By: Abool Karim, BSC, MD, MBA Manager, Medical Devices Reprocessing Centre(MDRC) Sunnybrook Health Sciences Centre Toronto, ON Key
More informationMedical Equipment, Devices, & Supplies
Medical Equipment, Devices, & Supplies BPHC Community Health Centers December 7, 2017 Lisa Waldowski, DNP,PNP,CIC Infection Control Specialist Joint Commission Enterprise Learning Objectives At the conclusion
More informationPROCESS IMPROVEMENT AND ENHANCED QUALITY CARE ARE THE
by Rose Seavey, MBA, BS, RN, CNOR, CRCST, CSPDT President/CEO of Seavey Healthcare Consulting Accreditation Surveys Focus on CS LEARNING OBJECTIVES 1. Explain the importance of a successful accreditation
More informationThis course presents the applications of sterile processing theory in the clinical setting.
COURSE INFORMATION Course Prefix/Number: SUR 125 Course Title: Sterile Processing Practicum (Central Service Technician) Lecture Hours/Week: 3.0 Lab Hours/Week: 6.0 Credit Hours/Semester: 5.0 VA Statement/Distance
More informationConducting Mock Surveys for Risk Assessment: Infection Control and Prevention
Conducting Mock Surveys for Risk Assessment: Infection Control and Prevention Presented by: Joyce Webb, RN, MBA Project Director, Department of Standards and Survey Methods Nurse Surveyor, Ambulatory Care
More informationSterile Supply Techniques. Level 5 L Module Descriptor
The Further Education and Training Awards Council (FETAC) was set up as a statutory body on 11 June 001 by the Minister for Education and Science. Under the Qualifications (Education & Training) Act, 1999,
More informationSPD Continuing Education Programs Last updated 4/23/2015
KNOWLEDGE NETWORK* is a dynamic collection of educational resources designed to provide insight and information on relevant healthcare issues. This value-added service provides knowledge to improve: Patient
More informationChallenges in the US Approach to Disinfection and Sterilization
Challenges in the US Approach to Disinfection and Sterilization Lisa Huber, BA, CRCST, FCS Sterile Processing Manager Anderson Hospital IAHCSMM President Objectives Discuss the challenges of communication
More informationRigid Containers for Immediate Use Steam Sterilization
CE ONLINE Rigid Containers for Immediate Use Steam Sterilization An Online Continuing Education Activity Sponsored By Funds Provided By Welcome to Rigid Containers for Immediate Use Steam Sterilization
More informationMANY ORGANIZATIONS ARE TAKING A CLOSER LOOK AT THE
Lesson No. CRCST 161 (Technical Continuing Education - TCE) Sponsored by: by Jean Ludwig, MS, RN, CRCST, CCRN SPS Educator and Nursing Service Orientation Coordinator VA Maryland Health Care System Tools
More information2016 Sterilization Standards Update
2016 Sterilization Standards Update Susan Klacik BS, CRCST, CIS, FCS IAHCSMM Representative to AAMI Thank you to Onesourcedocs for your sponsorship Objectives Discuss the FDA Panel on Gastroenterology
More information1.2 billion ambulatory care visits in US: physician offices, outpatient hospital and ED
Overview More patients obtain healthcare in specialty clinics and physicians offices in the United States than in hospitals 1.2 billion ambulatory care visits in US: physician offices, outpatient hospital
More informationSterile Processing Department Design and HVAC Considerations
Sterile Processing Department Design and HVAC Considerations Paula Wright, RN, BSN, CIC Infection Prevention Massachusetts General Hospital Byron Burlingame, RN, MS, CNOR Association of perioperative Registered
More informationHygiene Management Guide for Surgical Instruments. 3M Clean-Trace Hygiene Management System
Hygiene Management Guide for Surgical Instruments 3M Clean-Trace Hygiene Management System Contents Aim 2 Introduction 2 ATP Bioluminescent Monitoring Technology 3 What is Adenosine Triphosphate? 3 The
More information26/04/2016. Welcome! House Keeping. From the GoToWebinar page:
SM 3M Health Care Academy What you need to know Preparing for a Survey of Sterile Processing in the Ambulatory Surgery Environment April 27, 2016 3M 2016. All Rights Reserved Welcome! Topic: What you need
More informationAmbulatory Surgical Center (ASC) INFECTION CONTROL SURVEYOR WORKSHEET
Ambulatory Surgical Center (ASC) INFECTION CONTROL SURVEYOR WORKSHEET Name of State Agency or AO (please print at right): HFAP Instructions: The following is a list of items that must be assessed during
More information12/02/2016. It's Survey Time! Preparing for TJC or CMS Accreditation Survey. Welcome! House Keeping. From the GoToWebinar page:
SM 3M Health Care Academy It's Survey Time! Preparing for TJC or CMS Accreditation Survey February 18, 2016 Welcome! Topic: It's Survey Time! Preparing for TJC or CMS Accreditation Survey Facilitators:
More informationReview of Decontamination Practices within the Winnipeg Health Region
Review of Decontamination Practices within the Winnipeg Health Region Linda Kingsbury 30/04/2011 TABLE OF CONTENTS 1. Executive Summary...3 2. Project Background and Scope..3 3. Methodology.5 4. General
More informationHEALTHCARE FACILITIES ARE FACING INCREASING PRESSURE
CIS Self-Study Lesson Plan Lesson No. CIS 253 (Instrument Continuing Education - ICE) by Lisa Huber, BA, CRCST, FCS, ACE Sterile Processing Manager Sponsored by: Anderson Hospital Maryville, Ill. SURFACE
More informationWorksheet: Friend, Foe or Both?
Medicare s ASC Infection Control Worksheet: Friend, Foe or Both? Tammeria Tyler, RN CIC Infection Preventionist Learning Objectives To understand outlined Conditions for Coverage in the ASC Infection Control
More information18/11/2015. Sterile Processing for the Infection Preventionist: What you need to know? November 19, Welcome! House Keeping
SM 3M Health Care Academy Sterile Processing for the Infection Preventionist: What you need to know? November 19, 2015 Welcome! Topic: Sterile Processing for the Infection Preventionist: What you need
More informationTaking the Chaos out of Accreditation Surveys in Sterile Processing
SHC Taking the Chaos out of Accreditation Surveys in Sterile Processing Objectives Identify accreditation standards that pertain to highlevel disinfection and sterilization. Describe current published
More informationSterilization Service Revolution in Hospital Authority Hospital
Sterilization Service Revolution in Hospital Authority Hospital Date: 2 nd March 2017 Workshop on Sterilization and Infection Control related to Operating Theatre Lecture Theatre, G/F, Centre for Health
More informationCENTRAL SERVICE (CS) IS A VITAL DEPARTMENT IN ANY HOSPITAL
CRCST Self-Study Lesson Plan Lesson No. CRCST 158 (Technical Continuing Education - TCE) by Jon Wood, BAAS, IAHCSMM Clinical Educator Sponsored by: Understanding and Preventing Cross Contamination LEARNING
More informationCENTRAL SERVICE (CS) TECHNICIANS PERFORM MANY IMPORTANT
by Rose Seavey, MBA, BS, RN, CNOR, CRCST, CSPDT President/CEO of Seavey Healthcare Consulting LEGAL ISSUES: Regulations That Protect the Healthcare Worker and Their Patients LEARNING OBJECTIVES 1. Identify
More information4/7/15. ASC Regulatory Update and Survey Trends. Objectives. Disclosure. Describe recent changes to the CMS interpretive guidelines.
ASC Regulatory Update and Survey Trends ASCRS/ASOA Symposium and Congress San Diego, CA April 2015 Regina Boore, RN, BSN, MS, CASC Objectives Describe recent changes to the CMS interpretive guidelines.
More informationTOP 10 ASC COMPLIANCE FAQs
TOP 10 ASC COMPLIANCE FAQs January2013 Read the 10 most common compliance issues from real ASCs in more than 40 states and our tips on how to solve them. www.pss4asc.com Q 1: When and how often should
More informationINFECTION CONTROL SURVEYOR WORKSHEET
Attachment 2 Exhibit 351 INFECTION CONTROL SURVEYOR WORKSHEET Instructions: The following is a list of items that must be assessed during the on-site survey, in order to determine compliance with the infection
More informationSterile Processing Department s Role in Patient Safety
TM AUGUST 2012 Volume 4, Number 3 TM Share Learn Protect Sterile Processing Department s Role in Patient Safety Leadership CONSEQUENCES OF SUBOPTIMAL REPROCESSING Every day, healthcare facilities sterile
More informationTaking the Chaos out of Preparing for an Accreditation Survey in Sterile Processing
SHC Taking the Chaos out of Preparing for an Accreditation Survey in Sterile Processing Objectives Identify accreditation standards that pertain to sterile processing. Develop a plan for how to be prepared
More informationInfection Prevention & Control February 22-23, 2017 Sheraton Hotel, Manama, Bahrain
Infection Prevention & Control February 22-23, 2017 Sheraton Hotel, Manama, Bahrain Infection prevention & Control This training program is designed for healthcare workers to teach them best practices
More informationSurgical Conscience: A guiding light in the modern OR. Brian Bui
Surgical Conscience: A guiding light in the modern OR Brian Bui Regardless of their spiritual beliefs, almost everyone would agree that, as human beings, each of us has a conscience. It s that little voice
More informationQUESTIONS PERTINENT TO PRODUCT SELECTION:
QUESTIONS PERTINENT TO PRODUCT SELECTION: Impact on patient outcomes Impact on patient/staff safety Economic considerations Use the following pages to help facilitate discussion with vendors, write your
More informationPOSITION DESCRIPTION. Position title: CSSD Supervisor Workflow processes
POSITION DESCRIPTION Position title: CSSD Supervisor Workflow processes Date Produced/Reviewed: June 2014 Position Holder's Name: Position Holder's Signature:... Line Manager s Name: Line Manager s Signature:...
More informationSurface Changes on Materials a Holistic Approach - Brisbane/2016; Dr. Ulrike Weber
a Holistic Approach - Brisbane/2016; Dr. Ulrike Weber And other discolouration Autumn colours 2 And other discolouration Autumn colours Picture 1: Example of pitting* Picture 3: Steriliser chamber wall
More informationCSSD Vision on JCI Accreditation. Yaffa Raz, RN, BA, CSSD Manager Lady Davis Carmel Medical Center, Haifa, Israel
CSSD Vision on JCI Accreditation Yaffa Raz, RN, BA, CSSD Manager Lady Davis Carmel Medical Center, Haifa, Israel Haifa Healthcare Accreditation Hospital accreditation is an assessment process used by
More informationPerformance improvement project in the Sterile Processing Department at a university hospital in Egypt: redesign to centralize the process
International Journal of Infection Control www.ijic.info ISSN 1996-9783 ORIGINAL ARTICLE Performance improvement project in the Sterile Processing Department at a university hospital in Egypt: redesign
More informationOR staffing supports the provision of safe perioperative patient care and promotes a safe perioperative environment
ACCREDITATION STANDA RDS INTRAOPERATIVE CARE OR staffing supports the provision of safe perioperative patient care and promotes a safe perioperative environment A minimum of two perioperative nurses are
More informationAustralian/New Zealand Standard
AS/NZS 4815:2001 AS/NZS 4815 Australian/New Zealand Standard Office-based health care facilities not involved in complex patient procedures and processes Cleaning, disinfecting and sterilizing reusable
More informationDIRTY SCOPES: What You Need to Know About the New Reprocessing Guidelines and Infection Risk
DIRTY SCOPES: What You Need to Know About the New Reprocessing Guidelines and Infection Risk A collaborative industry presentation on September 14, 2016 sponsored by the American Bar Association s Health
More informationINFECTION PREVENTION & CONTROL, INCLUDING PROCESSING ITEMS FOR REUSE, IN GENERAL PRACTICE
INFECTION PREVENTION & CONTROL, INCLUDING PROCESSING ITEMS FOR REUSE, IN GENERAL PRACTICE Rose Griffiths May 2016 Rose.griffiths1@gmail.com M 0425 736 817 Ref: RACGP Infection Prevention and Control Standards
More informationEAST CAROLINA UNIVERSITY INFECTION CONTROL POLICY
EAST CAROLINA UNIVERSITY INFECTION CONTROL POLICY Department: Family Practice Dental Clinic Date Originated: 05-31-2006 Date Reviewed: 06-21-2006 Date Approved: Page 1 of 7 Approved by: Department Chairman
More informationPRINTED: 09/01/2015 FORM APPROVED CENTERS FOR MEDICARE & MEDICAID SERVICES OMB NO (X2) MULTIPLE CONSTRUCTION A.
CENTERS FOR MEDICARE & MEDICA SERVICES OMB NO. 0938-0391 (X1) PROVER/SUPPLIER/CLIA ENTIFICATION NUMBER: (X3) SURVEY NAME OF PROVER OR SUPPLIER (X4) REGULATORY OR LSC ENTIFYING INFORMATION) PROVER'S PLAN
More informationOffsite theatre sterile surgical units a clinical risk?
Offsite theatre sterile surgical units a clinical risk? R. Madhu, R. Kotnis, C.S. Galasko, K. Willett. Rachala Madhu MRCS Rohit Kotnis MRCS Professor Charles Galasko FRCS Professor Keith Willett FRCS Research
More informationThe Joint Commission and Facility Design: A Partnership for Patient Safety and Quality Care
The Joint Commission and Facility Design: A Partnership for Patient Safety and Quality Care A Webinar Presentation for the AIA AAH 8 January 2013 1 Topic 1: Driving Safety through Good Design Presenter:
More informationAS/NZS 4187:2003 AS/NZS
AS/NZS 4187:2014 Incorporating Amendment No. 1 Australian/New Zealand Standard Reprocessing of reusable medical devices in health service organizations Superseding AS/NZS 4187:2003 AS/NZS 4187:2014 AS/NZS
More informationPost Graduate Diploma in CSSD
Post Graduate Diploma in CSSD TRIMESTER I Objectives: At the end of the course, the candidate will be 1. Acquire the updated knowledge what CSSD for, and what are the core activities 2. Also will know
More informationDiploma In Drug & Pharmacy CURRICULUM/SYLLABUS. Course Code: 8274
Diploma In Drug & Pharmacy CURRICULUM/SYLLABUS Course Code: 8274 This program is aimed at training candidates for the job of a Working in Medical Stores or in Pharmacy Company where he/she can able to
More information11/16/17. Annual Survey Watch Report. Surveyors. Keeping you in the know in the ASC industry CMS. Accreditation
Keeping you in the know in the ASC industry Annual Survey Watch Report Crissy Benze, MSN, BSN, RN Progressive Surgical Huddle November 20, 2017 Surveyors CMS Accreditation 1 Governance Governing Body failed
More informationReference: AORN Standards 2001 Recommended Practice for Surgical Attire pp
EVERYTHING we are going to talk about today is ultimately based on what will provide the patient with the best care possible. All of the work place practices and rules we will review are designed to result
More informationLESSON ASSIGNMENT. After completing this lesson, you should be able to: 2-3. Distinguish between medical and surgical aseptic technique.
LESSON ASSIGNMENT LESSON 2 Medical Asepsis. LESSON OBJECTIVES After completing this lesson, you should be able to: 2-1. Identify the meaning of aseptic technique. 2-2. Identify the measures treatment personnel
More informationHospital Acquired Infections and Prevention
Hospital Acquired Infections and Prevention Introduction The physical environment of the hospital is similar in many respects to that of the industrial community and the potential environmental health
More informationDecontamination of equipment
Community Infection Prevention and Control Guidance for General Practice (also suitable for adoption by other healthcare providers, e.g. Dental Practice, Podiatry) Decontamination of equipment Version
More informationInfection Control in General Practice
Infection Control in General Practice August 2017 Magali De Castro Clinical Director, HotDoc Infection Control in General Practice This session will cover: Key infection control considerations for general
More informationMARCH 25-27, 2018 NEW ORLEANS, LA #AORN2018 CENTER FOR NURSING LEADERSHIP
MARCH 25-27, 2018 NEW ORLEANS, LA #AORN2018 CENTER FOR NURSING LEADERSHIP I learned how to get the attention of the CFO and have been able to successfully staff to AORN standards. Thank you! - Mary K.,
More informationRaising the bar for safety in the handling of surgical specimens Is this specimen fresh or frozen? Is it routine, or does it require a lung protocol?
Patient safety Raising the bar for safety in the handling of surgical specimens Is this specimen fresh or frozen? Is it routine, or does it require a lung protocol? Does it go to the frozen section lab
More informationArizona Department of Health Services Licensing and CMS Deficient Practices
Arizona Department of Health Services Licensing and CMS Deficient Practices Connie Belden, RN., Bureau of Medical Facility Licensing August 8, 2013 General Comments Deficient Practices per visit Trend
More informationCompliance Made Simple: 24/7/365
9/27/13 A webinar series that keeps you in the know Brought to you by Progressive Compliance Made Simple: 24/7/365 ì Crissy Benze, RN, BSN Progressive Huddle September 30, 2013 Objectives Know what to
More informationLinen Services Policy
Policy No: IC10 Version: 6.0 Name of Policy: Linen Services Policy Effective From: 18/08/2015 Date Ratified 15/07/2015 Ratified Infection Prevention and Control Committee Review Date 01/07/2017 Sponsor
More informationBossier Parish Community College Master Syllabus
Course Prefix and Number: STEC 102/102L Credits Hours: 4 Bossier Parish Community College Master Syllabus Course Title: Introduction to Surgical Techniques Prerequisites: STEC 101 Clock Hours: 30 hours
More informationRisk Assessment in the Sterile Processing Department: It s not what you know but what you don t
SM 3M Health Care Academy Risk Assessment in the Sterile Processing Department: It s not what you know but what you don t February 2, 2017 SM 3M Sterile Health Care U Webinar Academy 3M 2016. All Rights
More informationReprocessing of Flexible Endoscopic Instruments
Contents Purpose... 1 Policy... 1 Scope... 1 Definitions... 2 Roles and responsibilities... 2 Associated documents... 2 1 Personnel... 2 2 Reprocessing facilities... 3 3 High level disinfection / sterilisation...
More informationSTANDARD PRECAUTIONS POLICY Page 1 of 8 Reviewed: May 2017
Page 1 of 8 Policy Applies to: All Mercy Staff, Credentialed Specialists, Allied Health Professionals, students, patients, visitors and contractors will be supported to meet policy requirements Related
More informationThe Role of Cleaning and Sterilization in Infection Prevention CE ONLINE. An Online Continuing Education Activity Sponsored By.
The Role of Cleaning and Sterilization in Infection Prevention CE ONLINE An Online Continuing Education Activity Sponsored By Funds Provided By Welcome to The Role of Cleaning and Sterilization in Infection
More informationSterile Services Best Value Group Report
Sterile Services Best Value Group Report 2014-15 Jo Kerrigan, Group Facilitator Telephone: 07760 491 900 Fax: 01245 544610 Email:jo_kerrigan@hotmail.com www.npag.org.uk NPAG 2015 The NPAG is a part of
More information1. Describe the role of the Sterile Processing Department (SPD) within an organizational structure.
LEARNING OBJECTIVES: Sterile Processing University, LLC Module 1: Roles and Responsibilities Part I [Technician] Copyright Sterile Processing University, LLC 2016 All Rights Reserved. This material may
More informationImplementing a Leadership Development Program AMANDA HAWKINS, BSN, RN, CASC ADMINISTRATOR THE SURGERY CENTER OF CHARLESTON/CHARLESTON ENT
Implementing a Leadership Development Program AMANDA HAWKINS, BSN, RN, CASC ADMINISTRATOR THE SURGERY CENTER OF CHARLESTON/CHARLESTON ENT Agenda Why do you need a leadership development program What are
More informationValue in Single Use Instruments for Total Knee Arthroplasty: Patient Outcomes and Operating Room Efficiency
Value in Single Use PROVEN M.O.R.E. ACCURACY for Total Journal AND Knee - March EFFECTIVENESS Arthroplasty 2013, Supplement OF MYKNEE Value in Single Use for Total Knee Arthroplasty: Patient Outcomes and
More information