Session Desciptions

Medical Device Reprocessing in a Mobile Unit

Stephenie Naugler and Catherine Hogan

We will review the 18 month renovation project of our MDRD at St. Michael’s Hospital from the beginning June, 2016 to it’s conclusion early December, 2017. We will review the various pathways and decisions we made along the way and how we managed 62 average cases per day in a trauma facility without having to cancel any procedures.


Practical Toolkits in MDR – Using Audit Tools in MDR

Merlee Steele-Rodway


Certification Exam Success: Improving Your Score on the CSA Medical Device Reprocessing Technician Exam

Barbara Bolding

Key concepts that often pose learning challenges for CSA certification exam writers, and so may be addressed during this session include:

  • Microbiology and infection prevention
  • Selection and use of cleaning agents and disinfecting chemicals
  • Classes of chemical indicators
  • Low temperature sterilization methods
  • Flexible endoscope anatomy and general reprocessing requirements

However, the actual content that will be presented in this interactive session will depend on the needs of the participants.

The session will also provide some strategies for writing exams.

So, here’s a chance to improve your MDRT certification exam performance.  Bring your questions and concerns.  Be prepared to study and learn, and to leave the session with a better understanding of some of the theoretical concepts that are essential to medical device reprocessing practices (and to exam success).


What’s new with CSA Standards (Higher level view explanation)

Click to read the new CSA Standards.

Colleen Landers, Sylvia Cleaver, and Gale Schultz


Practical Toolkits in MDR – LEAN

Shelley Oldham

Kaizen 5S Lean Journey in Medical Device Reprocessing Departments Lean Healthcare is a structured way of continuously exposing and solving problems to eliminate waste in Systems that deliver VALUE to Customers (Patients).

The 5S Lean principles have been used effectively in manufacturing companies for decades. The Institute for Healthcare Improvement believes that lean principles can be
successfully applied to the delivery of health care.

Lean thinking begins with driving out waste so that all work adds value and serves the customer’s needs. Identifying value-added and non-value-added steps in every process is the beginning of the journey toward lean operations.

5S is a workplace organization method that uses a list of five Japanese words: seiri, seiton, seiso, seiketsu, and shitsuke. These have been translated as “Sort”, “Set In Order”, “Shine”, “Standardize” and “Sustain”. The list describes how to organize a work space for efficiency and effectiveness by identifying and storing the items used, maintaining the area and items, and sustaining the new order.

The word ‘kaizen’ translates as “change for the better” (kai=change + zen = for the better).
A Kaizen event is a structured team exercise which focuses on creating more value and less waste in an activity or process. It is a knowledge creation event intended to promote the reliable delivery of a product or service. The purpose of a Kaizen event is not to create new processes or products, but to ensure best practices are incorporated into processes,
thereby making them more efficient.


What’s new with CSA Standards (Higher level view explanation)

Gale Schultz


Endoscope reprocessing – Paradigm Shift

Dr. Michelle Alfa

This presentation will review recent published data related to transmission of infections from contaminated endoscopes and whether the manufacturer’s instructions for use ensure patient-safe endoscopes. The recently published data related to the FDA recommendations double reprocessing of duodenoscopes for sites offering ERCP procedures will be summarized. The FDA stakeholder recommendation for a shift to sterilization of flexible endoscopes and the related AAMI guidance document changes will be reviewed. The new FDA/CDC/ASM protocol for sample collection from duodenoscopes for culture will also be reviewed.


How do you ensure endoscope reprocessing – quality approach

Dr. Michelle Alfa

This presentation will outline the components of a quality systems program for endoscope reprocessing.

In addition an audit tool with a checklist for assessing the current gaps in reprocessing will be summarized. The Pros and Cons of current published information on the role of endoscope culture and cleaning compliance monitoring as part of a quality systems approach will be reviewed.


Performance Qualification (Product & Process)

Linda Jakeman

Performance Qualification This presentation will review the performance Qualification as described in Z314_ 2018 Canadian Medical Device Reprocessing. Review the steps involved in how to complete performance qualification for the equipment that is used in MDR . Review how to do the product testing for Medical devices including documentation


Importance of Water Quality

Dr. Herbert Kaiser

This presentation will cover Water Quality in Hospitals and Its Importance in the Reprocessing of Medical Instrumentation and the problems that water can cause.

The various types of water and water parameter definitions will be described. Water Standards will be discussed as in terms of potable requirements vs. treated requirements vs. various guidance’s’ recommendations and which ones we should follow. The differences between tap water, softened water, deionized water, reverse osmosis water, and polished reverse osmosis water will be discussed and how each one firs into the hierarchy of water quality along with how the different types are produced. The use of each type of water will be discussed in terms of where they are used: washing, rinsing, disinfection (thermal rinse vs. HLD), and steam generation. Finally, the importance of monitoring will be discussed.


Biofilm – Myths & Risks

Dr. Gerry McDonnell

 


Changing Behaviors and Infection Prevention and Control

Barley Chironda

Barley Chironda a Registered Practical Nurse, is also the Infection Control Specialist with Clorox Canada. Barley is typically found engaged in motivating Hospital Staff, Patients and the public on proper infection prevention practices. Barley also volunteers as the Infection Control Specialist with the Cdiff Foundation and is former IPAC-GTA President as well as IPAC-Canada Social Media Manager and has held roles as Infection Control and MDRD Manager at Toronto Area Hospitals.


Inspection of endoscopes: how to interpret findings

Mary Ann Drosnock

This presentation will address the process of visual and enhanced inspection of endoscopes using lighted magnification and the addition of a borescope for internal inspection. We will discuss where to inspect and what to look for both internally and externally. Examination of the exterior components for findings such as debris or damage will be presented. The presentation will outline the interpretation of borescope findings in patient-used endoscope channels compared to borescope examination of new endoscope channels. A summary of potential abnormalities that could be found will be provided.


We Do No Harm

Stephen Kovac

This presentation will explore why Medical Device Reprocessing Departments must put in effective quality management programs, to help ensure “We do no Harm”.

Objectives

  • Understand how  standards, guidelines and Instructions for Use play a role in putting in an effective quality management program
  • Understand how quality management programs reduce the sources of patient risk
  • Attendees will be given practice solutions and examples of implementing  a quality management program

Are You Ready for Competency Assessment?

Sue Lafferty

Competency assessment has become pivotal in many professions and occupations. The discipline of Medical Device Reprocessing in health care settings is no different, requiring that its practitioners perform their tasks and employ their skills in a safe, knowledgable and consistent manner.

This presentation will present myths and facts regarding the process of competency assessment. Guidance will be provided regarding how to set up and implement a competency assessment program as well as how to prepare for competency assessment.


Infection Prevention in Endoscopy, Keeping Patients and Practioners Safe

Cheri Ackert-Burr


Bridging the Gap Between OR & MDR

Beth Kingsbury and Becky White

Bridging the Gap is a Clinical Collaborative Project that began in January 2016.

Communication between the OR and MDR was identified as having a break within the team and improvements were recognized as being beneficial to both departments. An RN was asked to spend time in MDR to improve communication and to work with both areas to improve our working relationship . Both departments had the same goal and outcome , to recognize that we both are working for the same patient . This project is ongoing.


3M Presents: Improving the quality of flexible endoscope reprocessing

Janet Prust

  • Summarize the current evidence related to the risk of transmission of endoscopy-associated infections (EAIs).
  • Discuss recommendations for Quality Control to help improve endoscope reprocessing
  • Describe the methods used to monitor the efficacy of manual cleaning of flexible endoscopes
  • Review current opinion of sterilization of critical flexible endoscopes

 


Nanosonics Presents – Interfacing reprocessing with the expanded clinical use of ultrasound

Ruth Carrico and Rose Seavey

Learning Objectives 

  • Describe how practice gaps identified by a U.S. ultrasound probe reprocessing and use survey represents some of the challenges with applying guidelines
  • Identify Canadian and U.S. regulatory requirements for the traceability of semi-critical and critical ultrasound probes
  • Describe practical implementation options for traceability of ultrasound probes
  • Review recent research documenting outbreaks and increased infection risk from the use of ultrasound in interventions