195 - Instrument Decontamination Partnership for Midland Memorial OR/SPD
Description: The issue is that surgical instruments had been leaving the surgical case grossly contaminated to the sterile processing department. The participants involved are the surgeons, Circulating Nurses, Surgical Techs, and the Sterile Processing staff along with Leadership. To prepare the Surgical team and the Sterile Processing (SPD) team both reviewed literature and guidelines from Association Operating Room Nurse (AORN),Association of Surgical Tech (CST), Association for Advancement of Medical Instrumentation (AAMI). Once that was complete the team agreed that Decontamination starts at the point of use in the Operating room (OR.) The CST should remove as much blood, Bone and Tissue as safely as possible and spray with a enzymatic cleaner. The team trialed 2. Midland has Open case carts so the team had to figure out how to safely transport the contaminated instruments through out the hospital. The team used ridged containers as recommended by the ligature. For those carts that have holed containers such as the trials for Orthopedics a plastic bag will be placed over the cart. Also carts will have a bio hazard sticker on it once contaminated instruments are on the cart. The leadership team spent time educating both the OR and SPD on what the proper cart should look like before going down to SPD, as well as the rationale. The leadership team gave a grace period so the teams could adjust to the new requirement. The Team Also agreed to have infection prevention audit 20 case carts a month for compliance. The outcome is that cleaning the instruments is occurring at point of use. Decreasing the amount of bio-burden with the use of the enzymatic spray. Decreasing the incidence of surgical site infections. Also that the instruments are handle in a way preserving the length of use.Implications for Nursing safer outcomes for both patients and staff.