standardizing cidex® opa use for direct users 4/1/12 tia gonnella
TRANSCRIPT
2012 Cidex® OPA GUIDELINES
Standardizing Cidex® OPA UseFor Direct Users
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This module is applicable to direct users of Cidex OPA®
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This Module:
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To ensure correct Cidex® OPA guidelines are followed:
OSHA
Manufacturer guidelines
Infection Control
Safety
Compliance
Purpose
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To Standardize the use of Cidex® OPA within
the system including:
Safe Use
Labeling
Testing
Soaking
Documentation
Spill Protocol
Objectives
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Personal Protective EquipmentAlways use PPE when handling
Cidex® OPA Placing probe into Cidex OPA®soak
container Removing probe from soak container Testing solution/strips Changing solution
Safety
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Cidex bottles were laying on side in drawer when one leaked. These stains are permanent and can occur on clothing, skin, nails, hair, transducers, or any
contact surface. This is one of the things PPE protects against.
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Cidex OPA® Stain
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Cidex OPA® leaked inside drawer staining surface.
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Cidex OPA® Stain in drawer
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Ventilation◦ GUS station
Location of soak container◦ Low traffic area/secured from public access◦ Well ventilated room◦ Labeled containers
Safety (cont.)
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PPE
◦ Gloves, gown, mask, eye protection
Neutralize spilled solution with Glute-Out®
◦ Wait five minutes before pouring down drain, allow water
to run for a few minutes
◦ You do not have to neutralize unused solution in container
prior to disposal (spills only)
Rinse containers until water runs clear
◦ Cap and dispose of old bottle in trash
Opening Cidex® OPA
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Original Bottle (not ‘in-use’ solution)
◦ Expiration Date (75 days from opening)
◦ (mm/dd/yy)
Soaking containers (‘in-use’ solution)
◦ date poured (mm/dd/yy)
◦ expiration date (EXP mm/dd/yy) (14 days)
Labeling (con)
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Secondary soaking containers
◦ Must be labeled “Cidex® OPA”
◦ A warning sign must be visible to patients
◦ An additional label must indicate it is a
hazardous chemical
Obtained through Central Supply
A thermometer must be used to obtain
accurate solution temperature
Labeling
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Appropriate label for health hazard level one
NFPA rating:◦ Health: 1 flammability: 0 reactivity: 0
◦ OSHA.GOV
Hazard Label for Cidex® OPA
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Cidex® OPA Test strip containers
◦ Must be labeled with
date opened (mm/dd/yy)
expiration date of 90 days from date opened
(mm/dd/yy) (make sure original “lot” exp date is not
sooner than 90 days, use the earlier exp)_
Labeling (con)
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Cidex® OPA solution must be tested:
◦ Every new bottle of solution opened With 3 full strength and 3 controls (half filled with cidex half
filled with water )
◦ Before soaking probe (every time)
Test strips must be tested:
◦ each new bottle opened
◦ Weekly QA (3 full strength/3 controls)
Testing
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Opening
◦ Mark the date on the bottle in space provided
◦ Mark the expiration date (90 days from date of opening)
in space provided
Perform control test for
◦each new bottle opened
◦On a weekly QA basis
How to Use Test Strips
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Submerge test strip in solution for one second, do not shake or swirl
Remove excess solution by standing the strip upright on a paper towel.
Read results at 90 seconds. ◦ Do not read past 90 seconds the results will be invalid.
Pad will be completely purple to indicate effective solution. If any blue remains on the pad, the solution is ineffective and must be discarded.
Advanced sterilization products (2012) retrieved 7/26/2012 from http://www.aspjj.com/us/products/cidex-opa/features-and-benefits
Testing Cidex® OPA with Test Strips
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Results:
Advanced sterilization products (2012) retrieved 7/26/2012 from http://www.aspjj.com/us/products/cidex-opa/features-and-benefits
Test Strips (con)
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Follow same instructions for 3 full strength cidex tests and 3 controls (half water half cidex)
◦ Test strip should fail for control/mark control in
comment field◦ Highlight row on log sheet for QA tests
Tightly recap test strip bottle after each use. Discard any unused test strips 90 days after
bottle is originally opened.
Test strips (con)
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◦ Record in log book Date (mm/dd/yy)
Date solution activated/expired
Date test strips expire
Date of test
time of test start (hh:mm:ss)
time of test end (hh:mm:ss)
Must include seconds to demonstrate compliance
temperature of solution
results (pass or fail)
Time equipment placed in solution/taken out of solution (hh:mm)
Testing Documentation
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Must have submersible thermometer
to test temperature of solution
SOLUTION TEMPERATURE
◦ Cidex® OPA solution must be at least 20C/68F to
be effective
Soaking
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Thoroughly remove gel from probe
◦ Use sani-wipe/alternative to remove proteins
dry
Insert probe into solution-use clip to hold
transducer to avoid breakage of scan head
12 minutes to high-level disinfect
Must be removed after 12 minutes (use timer)
Mark on log sheet time in/time out of solution
Soaking
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Before soak:
◦ Test solution
◦ Thoroughly remove gel from probe
◦ Use Sani-wipe/alternative to remove protein
◦ Dry probe prior to soak
Rinsing
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After Soaking in Cidex OPA®
Remove probe from solution place in fresh water
Wait one minute, remove (place on towel)
◦ Replace water
◦ Repeat two additional times
Three separate one-minute soaks in fresh potable water
WATER MUST BE CHANGED AFTER EACH ONE MINUTE SOAK
Dispose of final rinse water after third rinse—do not leave
standing water in soak container
Rinsing
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Use Cidex® OPA Log Sheets
Documentation required for◦ Cidex® OPA solution control test performed on
each newly opened bottle◦ Cidex® OPA test strips control test 3/3 for each
new bottle of test strips opened◦ Cidex® OPA solution -test prior to soaking
probe (after every pelvic patient)◦ QA weekly control test on test strips
Documentation
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Must include:
◦ Container number (where applicable)
◦ Date of solution poured into container (mm/dd/yy)
◦ Date of soak container solution expiration
(mm/dd/yy) 14 days
◦ Expiration date of test strips (mm/dd/yy)
◦ Date of test (mm/dd/yy)
Documentation (con)
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◦ Temperature of solution
◦ Time test started (HH:MM:SS)
◦ Time test ended (HH:MM:SS)
◦ Results
◦ Initials of person testing
◦ Time equipment placed in solution/time out
(HH:MM)
Documentation (con)
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Logsheet
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Log sheet cont.
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PPE (gown, gloves, mask, and eye
protectant)
No deactivation required (spills only)
◦ Dispose down sink drain with water running
◦ Rinse original container until water runs clear
and discard
Changing Solution
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All Cidex OPA® documents are available for technologists’ access in MEDEX under Cidex OPA® Packet◦ Log sheets◦ Competency forms◦ Guidelines for use/spill clean up/QA testing◦ Procedures◦ Safety information
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Documents
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Refill solution to fill line
Label Containers
Test Solution
Changing Solution (cont)
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ReferencesOSHA (2006) Best Practices for the Safe Use of Glutaraldehyde in Health Care. Retrieved from www.osha.gov/Publications/glutaraldehyde.pdf