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Immediate-use sterilization should not be convenient-use

10/23/2013

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•Numerous healthcare industry associations, including the Association for the Advancement of Medical Instrumentation (AAMI), Association of perioperative Registered Nurses (AORN) and the International Association of Healthcare Central Service Materiel Management (IAHCSMM), have issued guidelines and recommendations on when and how to use IUSS (see sidebar below), but in reality, facilities often use this sterilization method outside these parameters to compensate for limited time, money and staff resources.•Most facilities are using IUSS for turnover, whether it’s turnover of their own sets, one-of-a-kind instruments where they don’t have enough, or loaner/vendor trays. The current ‘word on the street’ is that IUSS is now seen in a negative light. In the past, it was just something one HAD to do to compensate for the lack of inventory. Today it is seen as a failure to uphold the standard of care for all patients. This practice, if improperly used, is now thought to be an associated risk factor for surgical site infections, the reporting of which can have a negative effect on a healthcare facility.
•http://www.hpnonline.com/inside/2013-09/CS-ImmUse.html 

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    Maureen Spencer, RN, M.Ed., CIC is an Infection Preventionist Consultant in the Boston area. She has more than 40 years experience in the field and is board certified in infection control. You  may learn more at www.maureenspencer.com

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