Sterile Processing

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October 2025
Home Sterile Processing

New recommendations issued for instrument care and cleaning

New recommendations developed from evidence-based research have been added to AORN’s Guideline for Care and Cleaning of Surgical Instruments. Several of these changes will have an impact on the quality of processing in sterile processing (SP) areas. This latest version, released on October 12, 2020, includes industry changes that have…

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By: Susan Klacik, BS, CRCST, ACE, CIS, FCS
November 17, 2020
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Faulty bronchoscope reprocessing raises risks of infection transmission

Preventing infection transmission has been a chief concern of healthcare leaders and staff striving to protect their patients and themselves from SARS-CoV-2, the virus that causes COVID-19. The virus poses an insidious threat that includes the possibility of bronchoscopy-associated transmission of COVID-19. Long before the pandemic, epidemiologist and researcher Cori…

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By: Judith M. Mathias, MA, RN
October 21, 2020
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Timely delivery needed to ensure safety of loaned instruments

Imagine that during a total joint surgical procedure, debris comes out of a surgical instrument and lands directly inside a patient’s open wound. Although such a scenario is rare, when it does occur, it creates a major patient infection risk. Many standards and guidelines recommend best practices that can help…

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By: Susan Klacik, BS, CRCST, ACE, CIS, FCS
October 21, 2020
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Different timetables, similar challenges seen in elective surgical caseloads

Resuming elective surgical procedures is critical for recovering revenue lost during the early phase of the COVID-19 pandemic and treating patients whose health may have been compromised while awaiting surgery. Timetables and protocols for resuming those procedures tend to differ by facility, but OR leaders nationwide feel that “we’re all…

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By: Elizabeth Wood
June 17, 2020
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Is your SPD ready for a post-COVID world?

While responding to demands of the COVID-19 pandemic, perioperative leaders are busy preparing staff and departments for life after the initial shock subsides. Chief among their preparations are strategies to address the glut of demand for surgery due to postponement of elective and nonessential surgical procedures. Naturally, many focus on…

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By: Derrick Bransby, MBA
June 17, 2020
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Device safety depends on routine cleaning, maintenance

Routine cleaning and maintenance of the equipment used to process medical devices is important to prevent contamination of medical devices. This article will discuss the required cleaning and maintenance in a sterile processing department (SPD) as well as the guidelines and regulations that inform these practices.   Environmental issues Recommendations…

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By: Susan Klacik, BS, CRCST, ACE, CIS, FCS
May 12, 2020
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OR business leaders anticipate growth and opportunities in 2020

Planning for volume growth and adopting best business practices for the perioperative environment were overarching themes at the 2020 OR Business Management Conference (ORBMC) in late January. Leading healthcare industry clinicians and experts offered fresh insights into competing in the burgeoning outpatient surgery market and persuading stakeholders to switch to…

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By: Elizabeth Wood
March 16, 2020
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Latest sterilization packaging guideline backed by evidence

In October 2019, AORN released its updated Guideline for Sterilization Packaging, which is based on evidence from peer-reviewed literature. This article includes recommendations from that guideline and addresses common misconceptions about sterilization packaging. Other resources for proper use of sterilization packaging include the Association for the Advancement of Medical Instrumentation…

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By: Susan Klacik, BS, CRCST, ACE, CIS, FCS
February 21, 2020
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Sterilization trumps high-level disinfection for semicritical items

In the never-ending quest to improve patient care, we are always seeking better ways to process medical devices. Many leading experts now recommend transitioning from high-level disinfection (HLD) to sterilization for semicritical items. Semicritical items are instruments or objects that contact mucous membranes or nonintact skin of a patient, but…

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By: Susan Klacik, BS, CRCST, ACE, CIS, FCS
November 18, 2019
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Is point-of-use treatment an integral part of your sterilization process?

Providing sterile instrumentation for patient care is a basic fundamental of surgery, and ensuring sterility means that instrumentation must first be thoroughly cleaned, step by step. Point-of-use treatment, an important part of this process, is gaining the attention of accrediting agencies such as the Joint Commission, and it is included…

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By: Susan Klacik, BS, CRCST, CHL, CIS, ACE, FCS
September 23, 2019
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