the future of sterilization/disinfection€¦ · sterilization finds itself on a roundabout. •...
TRANSCRIPT
The future of The future of sterilization/disinfection/
Wim Renders
“Panta rei”Panta rei
“Everything is in motion”
Herakleitos
Clinical pathwaysClinical pathways
Not new technologies but new trends will have thebiggest impact on how the CSSD will function in thefuture
Rutala
Not new technologies but new trends will have thebiggest impact on how the CSSD will function in thefuture
RutalaAttention to:
• Cleaning, disinfecting• Outsourcing or centralization• Introduction of QMS
Is sterilization necessary and useful?Is sterilization necessary and useful?
Is sterilization necessary and useful?Is sterilization necessary and useful?
Yes !Yes !
David Hurrell
In case of infectious incidents the authoritiesintervened and imposed measures to improvesterilization practice.
The NetherlandsGreat-Britain
Super centreSuper centre
In case of infectious incidents the authoritiesintervened and imposed measures to improvesterilization practice.
The NetherlandsGreat-BritainFrance
In case of infectious incidents the authoritiesintervened and imposed measures to improvesterilization practice.
The NetherlandsGreat-BritainFranceTurkey
What kind of sterilization department a d o s e a o depa e do we want?
What kind of sterilization practice do we want?
Sterilization has grown up!Sterilization has grown up!
Sterilization has grown up!Sterilization has grown up!
A. Centralization of the sterilization activities
Better quality
Cost reduction
Efficient use of personnel and means
Prof WeekersProf. Weekers
Specific training coursesSpecific training courses
Sterilization has grown up!Sterilization has grown up!
A. Centralization of the sterilization activities
B Th E di ti di l di blB. The European directive on medical disposables
The Medical Device DirectiveThe Medical Device Directive
Industrial sterilizationIndustrial sterilization
CSSD
Sterilization has grown up!Sterilization has grown up!
A. Centralization of sterilization activities
B Th E di ti di l di blB. The European directive on medical disposables
C N ti l t ili ti i tiC. National sterilization societies
www wfhss comwww.wfhss.com
K l d i th b t di l d iKnowledge is the best medical device
Jan HobornJan Hoborn
Sterilization has grown up!Sterilization has grown up!
A. Centralization of sterilization activities
B. The European directive on medical disposables
C. National sterilization societies
D. The apointment of a responsible
‘Shortcuts’: Re useShortcuts : Re-use
‘Shortcuts’Shortcuts
‘Shortcuts’: Flash sterilizationShortcuts : Flash sterilization
‘Shortcuts’: High level disinfectionShortcuts : High level disinfection
Sterilization finds itself on a roundaboutSterilization finds itself on a roundabout.
CentralizationCentralization
Sterilization finds itself on a roundaboutSterilization finds itself on a roundabout.
• The shortest route: sterilization within the hospital, i d t t b th h it lin a department run by the hospital.
Sterilization finds itself on a roundaboutSterilization finds itself on a roundabout.
• The shortest route: sterilization within the hospital, i d t t b th h it lin a department run by the hospital.
Th f t t t t i t l • The fastest route: outsourcing or external centralization
CentralizationLyon, France
CentralizationLyon, France
What kind of sterilization practice do we want?
What kind of sterilization practice do we want?
• Voice in the writing of norms
What kind of sterilization practicedo we want?
• Voice in the writing of norms
• Scientific underpinning of our discipline
Research on sterilization:High pressure processing
Thyroiedectomy:Thyroiedectomy:
• Farabeuf: 2 cfu• Farabeuf: 2 cfu• Needle holder: 6 cfu
Thrombectomy:
• Suction tube: 14 cfu• Wound spreader: 3 cfu• Pincet: 40 cfu
Thyroiedectomy: Before AfterF b f 2 f 10 f• Farabeuf: 2 cfu 10 cfu
• Needle holder: 6 cfu 6 cfu
Thrombectomy:• Suction tube: 14 cfu 6 cfu• Wound spreader: 3 cfu 6 cfu• Pincet: 40 cfu 7 cfu
Ultrasonic unitUltrasonic unit
Rinsing
Ultrason bath is:
• emptied in the evening and dried out.
• The sides and the lid are sprayed with alcohol 70°, and some alcohol is poured down in the drain.
Suction tubes are:
• first rinsed with cold water and
• than treated with hydrogen peroxide 3 %,
• next: normal procedure.
What kind of sterilization practice do we want?
• Voice in the writing of norms
• Scientific underpinning of our discipline
• Future developments
Future developmentsFuture developments
• Consolidation of quality
• Validation
Future developmentsFuture developments
• Consolidation of quality
• Validation
• Controls
Future developmentsFuture developments
• Consolidation of quality
• Validation
• Controls
• Back to the future?
Natural Orifices Transluminal Endoscopic surgery
ConclusionConclusion
D t f t ili ti ithi t l • Do we opt for sterilization within our own control or not, inside or outside the hospital?
• Do we opt for an independent department which • Do we opt for an independent department which has an “evidence based’ practice?
• Are we prepared to do an effort to maintain our p plevel of knowledge?
• Do we choose for co-operation in order to stimulate progress and innovation?progress and innovation?
We can and have to be big in We can and have to be big in something small !
THANK YOUTHANK YOU