A recent Joint Commission article outlined the most common findings in Ambulatory Surgical Centers. (https://www.evolvedsterileprocessing.com/news)
The areas that were most cited were:
environment of care (EC)
infection control (IC)
human resources (HR)
Ensure compliance when reprocessing reusable medical devices, including but not limited to:
ultrasound probes
instruments used for surgery and/or procedures
other reusable patient care equipment
Evolved Sterile Processing Consulting worked with several healthcare facilities in 2021 and has listed below the most common issues found in the sterile processing department:
Training & documentation of orientation
Competency documentation
Policies and Procedures
Improper use of chemicals
Improper lighting
IUSS Sterilization documentation and tracking
Lack of supply receiving space
Transporation of soiled items
Lack of point of use preparation in the OR and Clinical spaces
Staff understanding how to read sterilization printouts
Improper testing of rigid containers
Poor instrument repair management systems
Following manufacturer's instructions for use (MIFU)
Lack of best practice resources
New product evaluation
The infection control practices in healthcare settings continue to be problematic during CMS surveys. Often, the sterile processing departments are understaffed and undermanaged. The sterile processing department (SPD) has a pivotal job protecting the patients from acquiring hospital-acquired infections (HAIs). In 2021 the lack of supplies affected resources for reprocessing reusable medical devices, and 2022 isn't faring any better. The SPD department was also turned to for the reprocessing of N95 masks. This change opened some eyes to how important this department is to the overall functioning of the hospital setting. Overall, more resources need to be given to SPD. Education for the SPD staff and management teams is lacking. An adage goes, "you need to spend money to make money." The sterile processing department is an excellent place to put your money. The department protects your patients and your staff and carries significant legal ramifications if it doesn't follow national standards and manufacturer's instructions. The other adage that applies is "pay me now or pay me later"; it's your choice. I would choose the SPD department.
At Evolved Sterile Processing, our consultants have a greater focus on sterile processing. With our decades of experience, we will help you develop better processes and educational resources for your staff.