JCR EBCDS21SL 2023

Failure to appropriately reprocess reusable medical devices is a top-cited challenge for many Joint Commission–accredited health care organizations; in some cases, this failure leads to an immediate threat to health or safety. Proper cleaning, disinfection, or sterilization of medical devices are essential to prevent and control infection among patients and to mitigate exposure of patients and staff to chemicals used in these processes. This book provides step-by-step guidance on the sterilization of medical devices used in critical applications and on the high-level disinfection of heat-sensitive flexible endoscopes and ultrasound probes that encounter mucous membranes and nonintact skin. The Joint Commission Guide to Reprocessing Reusable Medical Devices also emphasizes the importance of understanding the Spaulding classification system, following manufacturer instructions for use (IFUs), and resolving any discrepancies among IFUs of medical device and reprocessing equipment manufacturers. Key Topics Hierarchy to follow when developing reprocessing policies, procedures, and protocols Outbreaks related to improperly disinfected or inadequately sterilized medical devices Joint Commission and Joint Commission International standards related to device cleaning, disinfection, and sterilization Importance of precleaning/point-of-use treatment, before beginning high-level disinfection or sterilization What Joint Commission surveyors look for when observing reprocessing activities Essential quality control measures Training and competency assessment of all staff involved in medical device reprocessing

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