THURSDAY 27 OCTOBER
0730 – 0815 M1 – Breakfast Symposium Cantel Medical, Reprocessing Issues and Solutions
Chuck Hughes – VP, Infection Prevention Consulting Services
This program reviews common issues with reprocessing reusable medical devices from point of use to sterile storage. Solutions are provided based on “best practices” as defined by current AAMI Standards and AORN Guidelines for Perioperative Practice. The program is presented in a slide/lecture format with discussion throughout.
After viewing this presentation, participants will be able to…
• explain why it’s important to comply with best practices,
• identify common issues with reprocessing complex medical devices, and
• explain solutions for common issues based on best practices.
0730 – 0815 M2 – Breakfast Symposium Matachana Group, Low temperature sterilization specialist (Is the coexistence of the hydrogen peroxide sterilization devices and LTSF sterilizers possible?)
Elena Lorenzo – Infection Control Manager at Matachana Group
When a hospital is considering the acquisition of a Low Temperature equipment, the first thing to do is an objective assessment of the real need for sterilization of heat sensitive materials, to avoid investment in a device and mainly in consumables with a limited shelf life and resulting underutilized. There are, of course, a number of mandatory criteria that a center must assess given this obstacle, mainly related to patient safety, workers and medical devices themselves: the microbicidal effectiveness of the technology, the hypothetical presence of residues and compatibility with materials commonly used by manufacturers of medical devices.
1205 – 1250 M1 – Lunch Symposium Steelco Spa, Technology leadership in the CSSD
John Hansson – Commercial Director at Steelco Group
Greater volumes of ever increasingly complex instruments need to be available in shorter timeframes, reprocessed to a higher standard using less water and energy.
This presentation focuses on recent developments in department layout and equipment design that enables CSSDs to reprocess more instruments at a lower cost to in the same department footprint. A number of different topics will be explored including:
• Enhancing productivity in difficult existing department layouts with architectural constraints.
• Doubling the number of trays washed and decontaminated.
• Doubling the throughput of cart washers.
• Latest developments in reprocessing complex instruments including those used in robotic surgery.
• Automation solutions for loading and unloading sterilizers up to 18 DIN capacity
1205 – 1250 M2 – Lunch Symposium Atherton, A manufacturer’s guide to simplifying the new reusable medical device reprocessing standards.
Brett Benz and Jean Danré
A presentation by Atherton to simplify the requirements of the recently released Australian and New Zealand Standard (AS/NZS 4187:2014). The presentation will address often misunderstood issues in relation to ensuring CSSDs’ meet these standards. The primary objective of the presentation is to increase knowledge of the updated Australian & New Zealand reprocessing standards for reusable medical devices and the following components will be covered: validation process and protocols; routine monitoring and control requirements; new water quality requirements; maintaining process effectiveness; and what the future may hold for sterilization.
1300 – 1350 M1 – Lunch Symposium Getinge, Endoscope Reprocessing – Challenges and Solutions
Christina Bailey – Laboratory Manager of the Hospital Infection Research Laboratory at the Queen Elizabeth Hospital Birmingham (University Hospital Birmingham NHS Foundation Trust).
Flexible endoscopes are probably the most challenging of medical devices to decontaminate. They are heat sensitive, have a complex internal lumen configuration and there is a requirement in many endoscopy units for a rapid turnaround. The challenges are numerous and this presentation will aim to present the issues that the UK have been facing over the last few years e.g. centralisation of endoscope decontamination and design of decontamination facilities, bacterial quality of final rinse water, validation of endoscope washer disinfectors, processing of duodenoscopes, storage of endoscopes, protection of patients from the risk of transmission of prions. These challenges are not unique to the UK so it will be good to share experiences.
1300 – 1345 M2 – Lunch Symposium MMM Group, New integrated fault indication systems in washer/disinfectors and steam sterilizers.
Andreas Schneider, Marketing Director MMM Group.
Learn about new ways of automatic built-in process indicators for more safety and reliability in the daily CSSD routine in our Satellite Symposium! Everyone working in the CSSD knows the challenge of process monitoring for both washers/disinfectors and steam sterilizers with process indicators: It’s time consuming, resources in terms of personnel and also indicators are needed and there’s always the risk of failure. Our expert Andreas Schneider will present how to make a change in the CSSD workflow and documentation of sterilization and cleaning processes. New innovative integrated process monitoring systems will be introduced – for more safety and efficiency in your CSSD.
FRIDAY 28 OCTOBER
1205 – 1250 M1 – Lunch Symposium Miele, Decontamination of Medical Devices: CSSD Processes “Safe by Design”
René Vis, Development manager CSSD projects International at Miele Professional AND Nadine Wermers, Head of Professional ANZ at Miele Professional
Within the responsibilities of a CSSD it is clear that every medical device that is labelled “STERILE” is reprocessed according the latest professional standards and that the patient safety is guaranteed. But is that enough?
Besides having the right equipment and using the appropriate processes there are more things to consider. Challenges in reprocessing are an everyday event and how does the staff of the CSSD make sure they are prepared for these events.
Water of many qualities is used in disinfection and sterilization processes and has a direct effect on maintaining the quality of the medical devices processed by the CSSD. For 40 years the AKI has been supporting the knowledge of instrument reprocessing. The “Red Book” has become a reference document for many professionals in the field of decontamination.
New medical devices are put on the market every day, measuring the efficacy of the used processes change, following the Instructions for use (IFU) is not always easy. And what effect has the layout of the department and the ongoing training of the staff on the quality of reprocessing?
Is the “best practice” also “state of the art”? And how does someone as a professional make sure your CSSD department keeps up with the ever changing field of sterilization?
All these questions are part of the daily routine of the CSSD. Surgical instruments are no longer simple forceps and scissors, they have become highly complicated in design and function and therefore the department and facilities and staff should be equipped to process them in a safe, secure and reliable way.
In our presentation we will address these topics and hopefully give some food for thought.
1205 – 1250 M2 – Lunch Symposium ASP, Development of a Rapid-Read Biological Indicator and Reader System for H2O2 Gas-Plasma Sterilization.
Griffith Altmann, Vice President of Research & Development, Advanced Sterilization Products
A Biological indicator (BI) is a (microbiological) test system containing viable microorganisms providing a defined resistance to a specified sterilization process (FDA, ISO 11138-1:2006). As such BIs need to be more resistant and present in greater numbers than are the common microbial contaminants found on patient-care equipment. This presentation will focus on the research, development, and technology required in a BI for H2O2 Gas Plasma Sterilizers that will read and provide that indication in 30 minutes as opposed to the standard 24 hour offerings. Delegates will learn about the complexities involved in BI development and the high level of science and R&D required to ensure they deliver consistent results for the intended sterilization system and cycle. Delegates will also have the opportunity to ask questions regarding this complex area of verification.
1300 – 1350 M1 – Lunch Symposium Getinge, Next Level of Automation in Sterile Supply Reprocessing
Jacob Petersen – Senior Director Infection Control and Integrated Workflow Solutions, Asia Pacific, Getinge
Trine Frederiksen – Clinical Project Manager for the Regional CSSD at Rigshospitalet, Capital Region of Denmark
Lars Søndergaard – Chief Architect, Sterile Supply Management Solutions, Getinge
Opening mid-2018, Capital Region of Denmark are currently building 2 state of the art CSSD’s supporting 9 hospitals that are fully integrated into their hospital information systems and with the use of groundbreaking new technology. Using robots, self-driven transportation and automated multiple floor storage, staff are only required for washing, rack stacking and packing – the rest of the workflow is fully automated. Meet Trine Frederiksen, Clinical Project Leader of one of the sites and Lars Søndergaard, Chief Architect of the T-DOC Sterile Supply Management Solution, who will share with us how this project became a reality.
1300 – 1350 M2 – Lunch Symposium Device Technologies, A robotic solution for deliveries between CSD and theatres, overcoming the limitations of existing hospital infrastructure.
Jaime Todd – CSSD Nurse Unit Manager, Royal Melbourne Hospital
Jaime Todd will be presenting on the redevelopment of the CSSD at Royal Melbourne Hospital (RMH) and the introduction of Autonomous Mobile Robots (AMR’s) for deliveries between CSD and the Operating Theatre Suite.
In 2015, the CSSD was relocated out of the Perioperative Suite to a new area, three levels above the existing department.
In 2016, the Victorian Comprehensive Cancer Centre (VCCC) became the new home for the Peter McCallum Cancer Centre, at a new site, opposite the RMH.
RMH is currently providing the sterilizing services for this new facility that is linked via a covered skybridge.
This presentation will cover the unique challenges encountered as a result of the relocation, combined with the revised AS4187 standard and how the implementation of robotic technology assisted in this process.
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