Sterile Processing 
The use of electrosurgical instrumentation is common in minimally invasive surgery (MIS). However, while these instruments are common, processing them is complex and time-consuming. Insulated electrosurgical instrumentation can cause patient harm, including an electrical burn, if there is a breach in the insulation. These instruments are designed to have an…
Many healthcare professionals are aware of single-use device reprocessing and its benefits. According to the Association of Medical Device Reprocessors, the savings generated by such programs can strengthen a facility’s financial sustainability and help provide a path for more responsible environmental stewardship. Sometimes, ambulatory surgery centers (ASCs) may experience situations…
On September 15, 2022, AORN released its updated Guideline for Processing Flexible Endoscopes. Over the past several years, there has been significant research on flexible endoscope processing—research that met the stringent requirements and has been included in this revised guideline by AORN’s lead author and team. Endoscope processing begins with…
ORs rebounding from the financial impact of COVID-19 are looking for ways to reduce expenses. With rising costs coming from all angles of the economy, some have adopted systemwide processes to reduce, streamline, and improve surgical instrumentation sets. Two major health systems, the Cleveland Clinic and Thomas Jefferson University Hospital…
The Association for the Advancement of Medical Instrumentation (AAMI) released the updated ANSI/AAMI ST91:2021 Flexible and semi-rigid endoscope processing in healthcare facilities. The revised version reflects current research and advancements in flexible endoscope processing. What follows is an abbreviated summary of some of the key revisions and additions. Future columns…
The differences between sterile processing (SP) and OR tasks and department cultures are significant. However, they share a collective goal: both work toward the best outcome for every patient. Still, both departments often suffer from having unrealistic goals for each other. One example is that the OR may expect instruments…
According to the Centers for Disease Control and Prevention, about one in 31 hospital patients has at least one healthcare-associated infection (HAI) on any given day. To help mitigate HAIs, implementing infection control procedures and policies, frequently performing hand hygiene by all staff and patients, and keeping the healthcare environment…
Sterilization containers are used in many surgery departments. They offer many benefits, including providing an exceptional barrier to microorganisms, protecting instruments from damage, and eliminating torn wrappers. These benefits can only be realized if the sterilization containers are used properly, however. Guidance for the use of sterilization containers is given…
The foundation of sterilization is cleaning. How can we be sure that the mechanical cleaning equipment being used is producing clean medical devices? There are methods available to verify that the mechanical equipment used to clean medical devices is functioning appropriately. ANSI/AAMI ST79:2017 Comprehensive guide to steam sterilization and sterility…
Part 1 of this two-part series discussed the splashes and the potential for exposure to pathogens that personnel face daily in sterile processing and endoscopy departments, as well as the current guidelines and strategies for reducing exposures (OR Manager, July 2021, pp 1, 9-11, 15). These risks were derived from…
