Good morning Teri
We have autoclave in many of our practices, as well as some of our practices that have TJC oversight that use their hospitals CSD. We have a policies and best practice standard that we have built a training class around. We have over 90% of our practices with autoclave have had at least 1 staff member attend formal training. We have also worked with our CSD from the hospital and created a standard work instruction for proper preprocessing and transport in order to comply with TJC and safe practice.
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Terri Shaver BSN, RN
Director of Clinical Operations
Trinity Health IHA Medical Group
Ann Arbor, Michigan
734-747-6766
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Original Message:
Sent: 11-13-2024 16:33
From: Teri Corless
Subject: Autoclaves in outpatient clinic settings
Hi team,
We are trying to determine our policy/procedure for reprocessing instruments in our outpatient clinic settings. We are having a hard time finding EBP for location of autoclave and clean/dirty rules for cleaning and/or disinfecting instruments. Mostly these are going to be minor procedure instruments. We do have a Trophon for our US reprocessing and we follow the manufacture recommendations for our colonoscopy scopes.
Do you follow any rules about how far away from walls/items an autoclave needs to be?
Do you have a specific way to designate clean/dirty areas for reprocessing if you do not have a dirty utility room?
Does your autoclave have a specific location within your clinic? Can it be in a room that is also performing procedures when the autoclave is not in use?
Please share your autoclave process rules for outpatient clinic settings. Thank you!
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Teri Corless
Madison Health
Ammon ID
(801) 792-6331
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