Outpatient Surgery Magazine

Special Outpatient Surgery Edition - Hot Technology - April 2019

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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storage capacity for a mobile device? Episodic disinfection It helps to categorize whole-room disinfection technologies by their time-dependent mode of operation: Is it episodic or continuous? Episodic disinfection includes mobile ultraviolet-C (UV-C) devices, hydrogen peroxide vapor (HPV) or mist systems, and ozone systems that provide disinfection within a discrete period of time in an unoc- cupied space because of safety concerns. You can deploy these devices at the end of the day or between cases, with varying "run" times. • Mobile UV-C systems. There are 2 classes of mobile ultraviolet light systems: those with steady-state, low-pressure mercury bulbs that emit light at the 254nm wavelength, and those with xenon bulbs that emit short, high-intensity pulsed light encompassing the UV (100nm to 280nm) and visible (380nm to 700nm) range, the former requiring a slightly longer "run" time than the latter. Under optimal conditions, mobile UV-C systems provide highly effective surface decontamination. UV-C irradiation is potent against a broad range of bacteria, viruses and fungi, including multidrug-resistant organisms. Research has repeatedly shown an association between their use and significant reductions in surface contamination as well as healthcare-associated infections. A few disadvantages to mobile UV-C systems: They're only safe for use in unoccupied spaces, limiting them to intermittent disinfection. And despite their "automated" nature, staff must deploy, maintain and monitor the units. While some facilities have the staff to assume this responsibility, others may find it prohibitive. A larger concern: Not knowing if you've delivered the appropriate dose to all areas of a room. Some systems have remote sensors you can position throughout a room; if the adequate dose is not registered, 7 0 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • A P R I L 2 0 1 9

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