If flash sterilization of an implantable device is unavoidable, recordkeeping (i.e., load identification, patient’s name/hospital identifier, and biological indicator result) is essential for epidemiological tracking (e.g., of surgical site infection, tracing results of biological indicators to patients who received the item to document sterility), and for an assessment of the reliability of the sterilization process (e.g., evaluation of biological monitoring records and sterilization maintenance records noting preventive maintenance and repairs with dates). Because of the potential for serious infections, flash sterilization is not recommended for implantable devices (i.e., devices placed into a surgically or naturally formed cavity of the human body) however, flash sterilization may be unavoidable for some devices (e.g., orthopedic screw, plates). Flash sterilization should not be used for reasons of convenience, as an alternative to purchasing additional instrument sets, or to save time 817.
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Note that our scripts evaluate BLINK in a full Wikipedia setting, that is, the BLINK entity library contains all Wikipedia pages. It also is used when there is insufficient time to sterilize an item by the preferred package method. We provide scripts to benchmark BLINK against popular Entity Linking datasets. Patient burns may be prevented by either air-cooling the instruments or immersion in sterile liquid (e.g., saline).įlash sterilization is considered acceptable for processing cleaned patient-care items that cannot be packaged, sterilized, and stored before use. 850 Staff should use precautions to prevent burns with potentially hot instruments (e.g., transport tray using heat-protective gloves). 849A report of two patients who received burns during surgery from instruments that had been flash sterilized reinforced the need to develop policies and educate staff to prevent the use of instruments hot enough to cause clinical burns. When evaluating an increased incidence of neurosurgical infections, the investigators noted that surgical instruments were flash sterilized between cases and 2 of 3 craniotomy infections involved plate implants that were flash sterilized. Sterilization cycle parameters for flash sterilization are shown in Table 8.Ī few adverse events have been associated with flash sterilization. Thus, the longer a sterile item is exposed to air, the greater the number of microorganisms that will settle on it.
When sterile items are open to air, they will eventually become contaminated. 812, 817-819, 845, 848 Further, some rigid, reusable sterilization container systems have been designed and validated by the container manufacturer for use with flash cycles.
To address some of these concerns, many healthcare facilities have done the following: placed equipment for flash sterilization in close proximity to operating rooms to facilitate aseptic delivery to the point of use (usually the sterile field in an ongoing surgical procedure) extended the exposure time to ensure lethality comparable to sterilized wrapped items (e.g., 4 minutes at 132☌) 846, 847 used biological indicators that provide results in 1 hour for flash-sterilized items 846, 847 and used protective packaging that permits steam penetration.
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