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Home Improvement GI

Stacie Ast-Kutzbach

Created on November 7, 2023

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Transcript

Reveal Improvements

Dosing Pump

Chemistry is not hooked up to an automated dosing pump to help maintain ideal enzymatic tempurature

No Critical Water Plumbed

"Critical water for final rinsing should be provided in necessary locations" -Section 4.3.2 Sinks and Accessories, ANSI/AAMI ST91: 2021

Lack of Wrist Rests

Working with basins that are at a 90 degree angle can cause stress in the wrists when working for long periods of time

Lack of Storage Shelves

Storage shelves underneath the sink can provide much needed space to securly store cleaning supplies and alleviate space for on top the sink

Lack of Lighted Magnification for Inspection

“Lighted magnification should be used to inspect endoscopes and accessories for external cleanliness and damage.” -Section 7.8.2 Visual Inspection; ANSI/AAMIST91:2021

Eye Wash Stations

"Eyewash stations should be located: in an area that does not require flushing of the eyes in the decontamination sink." -Section 4.3.10 Eyewash/Shower Equipment, ANSI/AAMI ST91: 2021

Lack of Staging Area

No place to safely rest endoscope for dry leak test or decompression. "Sinks should have attached solid counters or adjacent work surfaces on which to place the endoscope while attaching it to the leak tester, detach and separate removable components, and to inspect the endoscope for physical damage and cleaning effectiveness." -Section 4.3.2 Sinks and Accessories, ANSI/AAMI ST91: 2021

Bottle Holder and Utility Bins

Disinfectant and wipes can be a fall hazard. In addition, No extra gloves are present.

Volume Stickers

Volume Stickers can wear and tear, leaving residue and debris inside of the sink basin and making it difficult to remove.

Lack of Automated Flushing System

When decontaminating devices with lumens, personnel should... soak and flush the lumen according to the manufacturer’s written IFU... Thoroughly flushing lumens helps ensure complete surface contact with the solution. If a brush is too large, it will not fit into the lumen; if it is too small, it will not have complete contact with the lumen walls and, consequently, will not clean them thoroughly. – ANSI/AAMI ST79: 2017, 7.6.2

Electrical Systems

Exposed cords can get wet, damaged, entagled, and in the way. It is important that electrical cords are stored properly out of harms way. "The complexity of processing and sterilization technologies, as well as patient and employee safety, requires adequate, safe, and reliable electrical service." -Section 3.3.2 Electrical Systems, ANSI/AAMI ST79: 2017

Height-Adjustability

"Sinks, counters, and work surfaces should be height-adjustable or positioned at heights that accommodate the average height of employees and the tasks to be performed at each location” -Section 4.2.1 General Considerations; ANSI/AAMIST91:2021

Lack of Basin Lighting

Shadows casted into basins can reduce visibility, leading to inaccurate leak testing.