orm_june-2024 - 25

Quality Improvement
terial created specifically for this
purpose. Various types of testing
material are available for different
instrument sizes.
* Rongeurs should take a clear, clean
bite out of an index card to demonstrate
proper cutting motion.
* Multipart instruments should be
assembled to ensure all parts are
present and are in good working
order. Unless otherwise stated in
the IFU, these instruments should
be disassembled before sterilization.
* Locking mechanisms on self-retaining
instruments should be actuated
to ensure proper hold.
* Insulation of electrosurgical instruments
should be inspected with an
active electrode insulation integrity
tester.
* Borescopes should be cleaned and
inspected between use. Also take
care to use the right size. A borescope
that is too thin will not provide
effective inspection of the dinner
lumen, and a borescope that is too
wide can damage the borescope.
These examples cover only some of
the instrument inspection points found
in a typical sterile processing department.
Beyond hand tools, technicians
must contend with power equipment,
endoscopes, and cords. They also must
stay abreast of new generations and
types of instruments. As witnessed with
the introduction of robotics, the complexity
of devices increases along with
www.ormanager.com
the complexity of surgical procedures.
Any review of a new procedure using
a new device should account for more
stringent processing requirements,
such as additional equipment and increased
inspection time.
Whatever the requirements, instrument
inspection is a vital process that
must never be skipped or expedited. All
technicians must be trained in various
inspection processes and techniques
and manage the process properly and
consistently. Doing so will help to ensure
that all instruments and equipment
are clean and well-functioning, inside
and out. ORM
-Susan Klacik, BS, FCS,
ACE, CHL, CIS, CRCST,
AAMIF, is clinical educator at
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.
References
ANSI/AAMI ST79:2017, Comprehensive
guide to steam sterilization
and sterility assurance in health
care facilities. AAMI. 2020.
Endoscope Reprocessing Manual, 2nd
edition. Healthcare Sterile Processing
Association. 2022
42475
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orm_june-2024

Table of Contents for the Digital Edition of orm_june-2024

orm_june-2024 - 1
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