Within the last 3 years, JCAHO regulation states that all clinics that are under a Hospital or IDN system need to have a Clean room and a Decontamination room. If a clinic does not have both rooms, instruments will need to be transported to the closest hospital for processing. Instruments should be sprayed with enzymatic cleaner after the procedure and kept moist. A foaming enzymatic will work well to attack the bio-burden and cover the instruments for transport.
Read more about the challenges and lessons in Building a New Central Sterile Processing Department in this article from Infection Control Today, written by William DeLuca Challenges & Lessons in Building a New Sterile Processing Dept
Transporting Instruments for Processing. Instruments should be placed in a pierce proof, sealed bio-hazard container. It is advised that the instruments are soaked in a solution for transport as if the transport container is opened by JCAHO and there is visible bio-burden (fluids, blood, skin, bone) on the instruments, the hospital can be cited by JCAHO. Hospitals should have a transport path for all decontaminated instruments from the OR to SPD.
Care & Cleaning
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