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Glad you enjoyed it! Happy SPD Week!

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Thank you for your question! At this time, both AAMI ST91:2021 and the FDA recommend that each facility determine how often surveillance testing (culturing) is performed within their own policy and procedures.

If you don't have decision making or purchasing authority in your facility, then you are limited in what you can do. You might try looking into the IFU of the instrument and find where it states to keep the instruments in the open position during the soaking and cleaning part of the process. Then share your findings with the department manager to support your request.

Great question! ANSI/AAMI ST79 recommends that we test our ultrasonic cleaner daily for cavitation. It also states that we should be monitoring "critical parameters" so we can evaluate the performance of our cleaning equipment. To answer your question, yes. SonoCheck is used to test specifically for cavitation. Soil removal tests like TOSI, tell you if multiple parameters like cavitation, detergent dosing, length of time of the cycle, and temperature of the water are all working together to remove surgical soils effectively. Hope that helps!

We love this idea! Thank you for sharing. We could certainly do something like this. Let us know if you would like to be a part of it!

@@HealthmarkEducation absolutely I want to be apart of it 🙌

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Great question! Open case carts are permissible as long as soiled instrumentation is contained in a puncture resistant, leak proof on the sides and bottom container with a lid. This is an OSHA requirement.

@@HealthmarkEducation So minimally the instruments need to be put back into their rigid containers with their lids on and any other soiled random items (including soft goods/ loose trash) must be put puncture proof closed containers if being transported on an opened and uncovered casecart? As well, is any type of “Dirty” / “Biohazard “ signage required? As far as the units transporting their soiled to items to decontamination… are they expected to display a “dirty” / “biohazard” sticker / signage on their puncture proof containers?

You're very welcome! We are glad you found the information helpful. Feel free to reach out if you have any questions.

Thank you for watching!

In ANSI/AAMI ST79:2017, it is recommended to place one or more internal CI in a package so that one of them is visible to the person opening the package, one of them is in an area that is considered least accessible to steam penetration, and in accordance with all applicable IFUs.

Thank you

We would recommend that you consult the manufacturer's IFU for the BI product you are using. Some of them have a spot to write the load number, and some may have it on the side.

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Yes, it would be more challenging to place tests by the corners of baskets and/or at the outer edges of the washer cart shelf out from under the spray arms. For the TOSI, we recommend that you place the test under the spray arms though as this is where your instruments should be loaded.

@@HealthmarkEducation Thank you

Are you still having trouble getting it to play all the way through?

Yes, that's correct.

@@HealthmarkEducation the facility that I am at is currently processing them via recert 😑 I wish they would steam sterilize them. Thank you .

We understand this problem that you are dealing with. That's why we have the instrument bands/spreaders you can find here: www.hmark.com/product/clamps-spreaders-for-effective-cleaning-of-bone-forceps-and-with-ring-handles/. We also have a short video on how to use these products that you can find here: ua-cam.com/video/belhVEYt8js/v-deo.htmlsi=tufDd5ns4B7sxbdh

@@HealthmarkEducation I have seen those! Those look great! I doubt they will purchase those as they won’t even buy level 5 indicators or small or larger brushes to properly fit the lumens …10 -20 other items that other facilities have to do the job is better properly :(

You would follow your facility policy on this. However, ANSI/AAMI ST79:2107 in annex O states that if two or more packages are found to be wet on the outside or inside of the package, then the entire load should be considered a wet load and redone.

@@HealthmarkEducation thank you

We like this one: www.hmark.com/product/robotic-instrument-protector-card/. Try it and see what you think!

We appreciate the positive feedback! Thank you for watching & supporting our channel. If you have any questions, feel free to share.

Visit our website to find the Pouch Seal Integrity Test: www.hmark.com/product/pouch-seal-integrity-test/

Glad we can help! Thank you for watching!