Outpatient Surgery Magazine

Her Loss, Their Gain - October 2019 - Subscribe to Outpatient Surgery Magazine

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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that's inside. If a staff member in a procedure room finds a scope inside the container that's different than what's noted on the contain- er, the scope must be reprocessed. If the right scope is inside, but the transport container doesn't have green clips, or is unlocked, the scope must be considered dirty and sent back for reprocessing. If the container is locked with green clips, the staff member should peel off the green sticker to reveal, underneath, a red bio- hazard sticker. When the procedure is done and pre-cleaning is performed, the dirty scope is placed right back in that transport container, which already identifies it as dirty. Red biohazard locks are affixed to the container. There's another safeguard on the scope itself. Have reprocessing techs attach a white "Clean" tag with the completed processing paper- work over the scope's control head or user end port. Again, if the paperwork doesn't have a white "Clean" tag attached, a staff member should automatically deem the scope dirty and not for use, and send it back to the decontamination area for reprocessing. Hard stops Before the procedure begins, the nurse or tech, scope and reprocessing form in hand, should say, "I have a [type of scope] that's been cleaned and high-level disinfected." The proceduralist says, "I agree" (or something similar). The team confirms the scope's model and serial number, verifying with the attached paperwork that it has been cleaned and high-level disinfected. After agreement, the "Clean" white tag attached to the scope is removed. In the EMR, the nurse documents the serial number, model number and confirmation by the team as "Ready for Use." A laminated reminder to perform this hard stop should be posted in procedure rooms. 2 O C T O B E R 2 0 1 9 • O U T PA T I E N T S U R G E R Y. N E T • 2 7

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