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Surgical Set Wrapping: Have Your Say

ISO 11607 does not state how many layers of wrapping should be used on instrument sets. What it is clear about, is the aseptic presentation of the contents of the set of instruments. Clinipak works with clients to ensure that they ‘aseptically’ present the instrument set contents when using a single layer of compliant wrap, with a layer of transportation wrap.
But what’s your opinion? Use our voting poll below to join the debate on different wrap methods:

Given the choice which wrapping solution would you use

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Periodic testing and Bowie-Dick test packs: FAQs

What is it?

Periodic testing consists of a programme of tests that are intended to demonstrate that a steriliser’s performance is satisfactory.

When should it take place?

The tests should be carried out at daily, weekly, quarterly and annual intervals.

Who’s responsible?

It is the responsibility of a Test Person or qualified person (AED) and the decontamination unit manager to ensure that periodic testing is carried out.

What are Bowie and Dick tests?

Clinipak Bowie-Dick Test Pack

Clinipak Bowie-Dick Test Pack

One of the critical daily user tests is the Steam Penetration Test (Bowie and Dick Test).

The steam penetration test is intended to show that steam will penetrate rapidly and evenly into a test device that is at least as difficult to sterilise as the intended load.

The test device contains an indicator that responds only when steam penetration is adequate (usually it changes colour – and should do so completely).

NB – If a cycle is provided specifically to test the effectiveness of steam penetration, it should have the same air removal stage as used during routine sterilisation cycles.

 

Test procedure – our advice:

A standard test device should be placed in an otherwise empty chamber, in the position specified by the manufacturer. At the end of the process the test device is removed from the chamber. The test device is checked for a pass or fail in accordance with the manufacturer’s instructions. The test results should be recorded.

If the test is failed, the test should be repeated. If the repeat test fails, contact the appropriate personnel and record results.

 

For more information on periodic testing, or for a free sample of our Bowie and Dick Test Packs, get in touch by calling 01628 810626 or emailing us at sales@clinipak.co.uk

Instrument wrapping systems: how to always ensure compliance whilst making effective time and cost savings…

Our Clinical Lead, Joy Markey comments in a recent Clinical Services Journal article investigating packaging of instrument sets before sterilisation.

The article covers all commonly queried areas of instrument packaging, including:

Compliance with ISO 11607:
“ISO 11607 does not state how many layers of wrapping should be used… what it is clear about, however, is the aseptic presentation of the contents of the set of instruments.”

• Complicated terminology explained
• The Clinipak method of “…Transportation Wrap, alongside a standard certified barrier wrap”.

Cost and Time savings:
In today’s healthcare environment any new wrapping method being considered needs to be able to offer both cost and time saving benefits without compromising aseptic technique.”

• Is the single wrap method best?

Previous research:
“There was no ingress of viable bacteria during a 13 month period of storage following sterilisation.”

• Research study results from a Dublin university hospital on pack integrity.

AB C14-102 - Copy
Click here to read the full article.

Find out more and request free samples of our transport wrapping systems by clicking here.

Manual Cleaning for Instruments

The use of automated cleaning methods may be contra-indicated for washing certain delicate or complex instruments including the removal of gross soil prior to the Automated Washer Disinfection process. These instruments should be carefully cleaned and rinsed according to the manufacturer’s instructions.

AB C14-059

We suggest the following:

• Consult the manufacturer’s instructions for specific guidance on cleaning and decontamination process and to determine whether the instrument will tolerate immersion.
• They should be cleaned, handled and inspected according to manufacturer’s instructions.
• The instructions for cleaning and sterilisation should be such that if correctly followed the device can be reused, without causing injury to patients and personnel using the instrument.
• A separate dedicated sink should be used to manually clean/pre clean instruments.
• There should be adequate space provided as a “Dirty” put-down area adjacent to the wash sink close to the rinse sink.
• A validated method of dispensing a measured quantity of detergent should be in place and set as per chemical manufacturer’s recommendations.
• A method of controlling temperature of the water in the wash and rinse sinks including thermostatic mixer taps are preferred.
• A selection of brushes in a range of diameters and lengths for cleaning both the external surfaces and the internal surfaces of instruments should be available and used in accordance with the brush and instrument manufacturer’s recommendations, as some brushes are “single use”.
• Cleaning brushes should be identified for cleaning only and should be washed, thermally disinfected, and stored dry (if reusable).

Click here to see our range of manual cleaning products.

The Use of PPE: Minimising Risk of Infection

Standard precautions and safe work practices are required to minimise the risk of infection to both Patients and Staff. They include, but are not limited to, good hygiene practices, particularly hand-washing, the use of Personal protective equipment (PPE) and the appropriate handling and disposal of waste.

PPE involves use of protective barriers such as gloves, gowns, aprons, masks or protective eyewear. PPE also provides protection against other hazards in the healthcare facility such as chemicals and physical injury.

PPE should be worn by personnel when decontaminating reusable medical devices to reduce the risk of exposure to potentially infectious material. Decontamination Unit Managers should ensure that PPE is made available and all personnel including contractors and personnel responsible for ensuring the correct use and disposal of same.

All personnel working in the decontamination unit should wear freshly laundered low linting attire (low-linting attire minimises bacterial shedding and provides comfort and professional appearance should be selected).

  • On leaving the decontamination unit, staff should change into their normal day wear.
  • Hands should be decontaminated before leaving the changing area.
  • Work attire should never be worn outside the decontamination unit.

Gowning for entry to the wash room

  1. The first item to be donned should be a clean, single-use, low lint surgical hat or hood that confines all hair.
  2. The hat or hood should be designed so that microbial dispersal is minimised.
  3. All hair should be confined as well as covered.
  4. After use, headgear should be discarded in the appropriate healthcare waste stream (note: Make-up or jewellery should not be worn in the decontamination unit).
  5. Staff should wear single use PPE to reduce the risk of body fluid exposure from splashing and spraying of blood or body fluids, protection for eyes/nose and mouth should include the following: a) face shield that covers the eyes, nose, mouth and chin; b) fluid repellent mask and separate goggles; c) fluid repellent mask with integrated eye shield; c) removed immediately if moist or visibly soiled and discarded in the appropriate healthcare waste stream.
  6. Goggles, masks and face shields should be: a) single-use; b) fitted and worn according to the manufacturers’ instructions; c) removed immediately if moist or visibly soiled and discarded in the appropriate healthcare waste stream.
  7. Goggles, masks and face shields with integrated eye protection should be: optically clear, anti-fog, distortion-free, close fitting and shielded at the side.
  8. Staff should wear plastic aprons or impermeable gowns with long cuffed sleeves and tuck-inside-gloves during procedures that are likely to generate splashes of blood or body fluids or during activities that may contaminate clothing, uniforms and/or personnel with microorganisms or infectious material.
  9. Fluid repellent attire and aprons should be changed whenever they become visibly soiled or wet.  After use, fluid repellent attire and aprons should be discarded in the appropriate healthcare waste stream.
  10. Using alcohol gel.Staff should decontaminate their hands before and after removing gloves by: a) handwashing; b) alcohol gel.
  11. Wearing gloves should not replace hand washing, as gloves may have defects that are not immediately obvious, or may become damaged during use. Gloves should be: a) used for handling contaminated RIMD, waste and when performing environmental cleaning activities; b) selected and worn according to the task and if torn or perforated.
  12. When removing gloves, the outer surface of the gloves should not come into contact with skin. Avoid letting the gloves snap, as this may cause contaminates to splash into eyes or mouth or onto skin or other personnel in the area.
  13. After use, gloves should be discarded in the appropriate healthcare waste stream. It is important to remove used gloves and decontaminate hands before touching a clean surface such as worktops.
  14. Staff should wear non-slip enclosed footwear that can protect them from injury or contact with sharp objects (e.g. if sharps are dropped accidentally). Please note: a) footwear should be regularly cleaned and disinfected; b) all footwear should be appropriate for the area in which healthcare worker is designated.
CLOGCART    Clogs (without holes) 

We now sell Wipak!

A high quality range of pouches and reels with a unique 9-layer film.

Key features of the range:

Unique 9 layer film features seven polypropylene (PP) layers which makes it very elastic, tough and durable.

Suitable for all common methods of sterilisation.

 

Range of sizes which can be used for individual items or smaller sets, some larger and heavier items as well as instrument and laundry sets.

Excellent strong seals. The factory-made seals withstand vigorous processing and handling. The package is safely closed and is not bursting open during autoclaving.

Safe clean peel feature. The closure and seals are the critical part of a sterile barrier system. The strong seals are not too strong and they peel open cleanly without tears and breaks.

Stock Codes and Sizes

Product range available:

  • Regular Flat Pouches
  • Regular Flat Reels
  • Regular Pouches with Gussets
  • Regular Reels with Gussets
  • Regular Self Seal Pouches
  • Self Seal Plus Pouches
  • Tyvek Pouches and Reels

For stock codes, sizes and prices please ask a member of the sales team.

uk_map UK Distribution Only

Distributor Training Feb 2014

Another fantastic session of distributor training was conducted at the end of February.

This initiative is proving to be extremely beneficial for both Clinipak and for our distributors. We are able to improve relationships with distributors by opening up lines of communication and offering solutions to any problems. It is a great opportunity to understand export markets more clearly.

We are also able to give more in depth training on Clinipak’s extensive product portoflio.

We are really looking forward to conducting more training with a wider range of
distributors throughout the rest of 2014.

Please get in touch if you would like more information about being a distributor or about attending a distributor training session.

CBM Range

Permaside Aluminium Containers are rigid, EN868-8 and ISO11607-1 compliant containers designed to be used in steam sterilizers conforming to EN285. The body is made from anodized aluminium for increased corrosion resistance, particularly against modern alkaline washing cycles, whilst the lid is manufactured from stainless steel for improved scratch resistance.

Permaside Aluminium Containers employ permanent PTFE filter cartridges which are certified for more than 2000 cycles, giving them a general shelf life of 5 years. The expiration date is engraved on each cartridge. The filters cartridges are located on the side of the container, avoiding problems arising from stacking.

Each container is supplied with a unique serial number barcoded on the lid and body.

Compliance

Permaside Aluminium Containers comply with the essential requirements of the Medical Devices Directive EC 93/42 – 2007/47/EC – Class 1. The containers are CE Marked.

Sterilisation Compatibility
Permaside Aluminium Containers are compatible with steam sterilisation at temperatures up to 137°C. Permaside Aluminium Containers are not compatible with any other type of sterilisation process.
Stock Codes and Sizes

For stock codes and sizes please conatct a memeber of the sales team.

Distributor Meeting 2013

At the end of 2013, we conducted training with a selection of our distributors.

This initiative proved to be extremely beneficial for both Clinipak and our distributors. We were able to improve relationships by opening up the lines of communications and offering solutions.

We are really looking forward to conducting more training with a wider range of
distributors throughout 2014.

Please get in touch if you would like more information about being a distributor or about attending a distributor training session.

Exhibitions

Clinipak attend a number of medical events and tradeshows throughout the UK and the rest of the world. This allows us to build strong relationships with our customers, display our lastest products and stay close to market changes. See below which events we will be attending soon!

22 – 30 January 2014 ARAB HEALTH
Dubai http://www.arabhealthonline.com/home/
Hall: 6
Stand: 6G50

Arab Health is the largest medical exhibiton in the Middle East. Clinipak’s export team will be attending the exhibition again this year so come along to the stand and say hello. We will have a range of new products on display!

View products

A selection of products to support each
stage of the decontamination process.

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