SPD Equipment Understanding requirements and differences and Quality

SPD Equipment: Understanding requirements and differences and Quality Control Brad O’Dell MBA, BS, ST, CHL, CIS, CRCST

Objectives: • Understand recognize primary equipment in an SPD environmen • Understand recognize secondary equipment in an SPD environm • Identify primary differences based on vendor • Understand testing requirements of equipment

Washer-Disinfector Pass-thru window Cart Washer Pasteurizer 3 -Basin Sink Decontamination Ultrasonic

High-impingement washer-disinfectors use more spray force than chemicals • Steris • Steelco Low-impingement washer-disinfectors use more chemicals than spray force • Belimed • Getinge AAMI 13. 2 Mechanical cleaning equipment should be tested upon installation, each day that it is used, and after major repairs. When evaluating or changing to a new type of cleaning solution and after all major repairs, all cycles used should be tested to ensure that the cleaning solution and cleaning action are effective. Multiple vendors for QC devices • Verify • TOSI (Test Object Surgical Instrument) • Wash Check Does your cart washer have an instrument validation?

Ultrasonics can be countertop or floor model, depends on capacity needs • Ultra Clean • Belimed • Steris • Steelco • Getinge AAMI 7. 6. 4. 4. 1 b) Perform cavitation testing daily whenever the equipment is in use. Multiple vendors for QC devices • Sonocheck • Verify • TOSI Are your sinks 3 basin, height-adjustable and have “treated water” rinse capabilities?

Sonocheck Verify TOSI Wash-Check

Electric Leak Tester AER Endoscope Flushing Aid Scope Cabinet Manual Leak Tester

Honey-Combed Anti-Fatigue Mat Eyewash/Shower Station

Personal Wash Units/Bottled Eyewash or other Personal Wash Units such as single head Drench Hoses are considered to be supplemental equipment only. These types of flushing units do not meet ANSI’s requirements for Eyewash and/or Drench Shower stations and should not be used as an alternative to a 15 minute flushing station The ANSI Z 358. 1 -2009 standard states, "A personal wash unit may be kept in the immediate vicinity of employees working in a potentially hazardous area. The main purpose of these units is to supply immediate flushing. With this accomplished, the injured individual should then proceed to a plumbed or self contained Eyewash and flush the eyes for the required 15 -minute period. "

Assembly

High capacity steam sterilizers, pre-vacuum is primary terminal sterilization cycle run, gravity capable • Steris • Belimed • Getinge Low capacity (tabletop) steam sterilizers, steam-flush pressure pulse cycle • Ritter Midmark Multiple vendors for QC devices • Steris • 3 M • Crosstex Multiple device configurations • Bowie-Dick • Biological & Chemical • Biological Only • Chemical Only AAMI 13. 4 Table 2 and Table 3

Process Challenge Devices (PCD’s)

Class 5 chemical integrators (CI’s)

Low-temperature sterilization using H 2 O 2 (Hydrogen Peroxide) 2 Primary Vendors • ASP (Johnson & Johnson): Sterrad • Steris: V-Pro Multiple vendors for QC devices • Velocity • Attest • Celerity

THANK YOU! QUESTIONS?