orm_february-2024 - 13

Sterilization & Infection Prevention
patterns that demonstrate a need to
add additional instrumentation. For example,
purchasing an additional ear,
nose, and throat (ENT) set could be prudent
if a monthly record review of IUSS
items reveals frequent IUSS cycles for
those devices. Although IUSS should be
monitored to review and control its use,
there is currently no recommendation
for a specific metric for such monitoring.
In many healthcare facilities, the
IUSS rate is reported to the Infection
Control Committee.
Providing safe patient care must always
remain a top priority. IUSS is safe,
but only when performed properly, and
in the right situations. Performing IUSS
can provide sterile and safe instrumentation
if all standards and guidelines
are followed, and monitoring IUSS rates
and processes is essential for ensuring
its use remains limited to appropriate,
emergency situations.
The availability of this technique
does not preclude the need ensure adequate
instrument inventories to meet
the anticipated surgery schedule and
adequate time to process instrumentation.
ORM
-Susan Klacik, BS, FCS,
ACE, CHL, CIS, CRCST,
AAMIF, is clinical educator at
the Healthcare Sterile Processing
Association (HSPA)
and its representative to AAMI. Klacik
has authored numerous articles and
represents HSPA for regulatory
affairs dealing with
sterilization and disinfection.
Resources
AORN. Guideline for Sterilization. In
Guidelines for Perioperative Practice.
Denver, CO: AORN, Inc., 2023.
Are you correctly using rigid sterilization
containers for IUSS? OR Manager.
February 20, 2014.
Association for the Advancement of
Medical Instrumentation. ANSI/
AAMI ST79:2017 & 2020 Amendments
A1, A2, A3, A4 (Consolidated
Text) Comprehensive guide
to steam sterilization and sterility
assurance in healthcare facilities.
2017.
Healthcare Sterile Processing Association.
Sterile Processing Technical
Manual. 9th ed. Chicago: HSPA,
2023.
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