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Copyright © 2008

People, Places, Processes & Products that Influence the Supply Chain

INSIDE THE CURRENT ISSUE

May 2007

CS Questions ● CS Answers

Connect with this month's featured Advertisers:

AHRMM
Alco Sales & Service Co.
APIC
Armstrong Medical Industries
Artromick International Inc.
Ascent Healthcare Solutions
ASHCSP
BD Medical
Bernard Hodes Group
Boehringer Labs
Cardinal Health
ChemDAQ Corp
ConvaTec
Enthermics Medical Systems
Exergen Corp
Gebauer Company
Global Healthcare Exchange
Healthmark Industries
IMS
InnerSpace Corp.
IRSG
Kimberly Clark Professional
Lionville Systems Inc.
Masimo
Millennium Marking Co.
Olympus America Inc.
Premier Healthcare
Ruhof Corporation
SciCan
SterilMed, Inc.
STERIS
Stretchair
TekTone Sound & Signal
TSK Products, Inc.
Uni-med

 

Questions can be sent to:jakridge@hpnonline.com
called in to Jeannie Akridge at HPN:(941) 927-9345 ext.202
or mailed to: HPN CS Questions, 50 So. Tamiami, Suite.10, Sarasota, FL 34231
Names and hospital identification will be withheld upon request.

CS tech certification;
laundering scrubs at home

by Ray Taurasi

Q I keep hearing a lot of talk about requiring central service technicians to become certified and licensed. To become certified we have to take a course, which requires lots of time, work and money. To keep our certification we have to get CEUs each year, which requires more money to register for seminars, then we have to pay association dues. If we have to be licensed we will have to pay even more money to the state. I don’t see any sense for this. Why should I go to all this expense if I am not going to be paid any more?

A I think that it is sad when one feels that education and knowledge is only of value if you benefit by financial gains. Education is an investment in one’s self; knowledge is a gift that you can give yourself and once gained it can never be taken away from you. Knowledge gleaned through education can be the bridge to job enrichment, personal fulfillment, greater self-esteem and professional growth. Professional development and growth may lead to increased earning potential in the future.

The professional organizations have made it very easy and inexpensive to obtain CEUs and contact hour points to maintain your certification. As a matter of fact it is possible to obtain your recertification points with out spending any more than postage to send the documentation in. Some options include hospital sponsored in service education programs; free self-study lesson plans and programs offered on manufacturers and association websites. Education and knowledge can arm you with the expertise, skills, confidence and other tools that could open the doors for greater opportunities in time. When opportunity comes knocking at your door will you be prepared? Will you have the knowledge and expertise to make you a viable and marketable candidate for a position that may offer greater financial benefits?

QThe hospital where I work requires us to launder our scrubs at home. I would like to know the policy on this. In the past, the CS manual has stated the hospital facility should provide hospital or contracted laundered scrubs. I am concerned about transferring germs to my home and ultimately to my family. Any information or assistance you can offer would be appreciated.

A The 2007 edition of AORN Standards, Recommended Practices, and guidelines does not endorse the home laundering of scrub apparel. If scrub attire is worn outside of the hospital or to and from work they should be changed prior to entering any restricted or semi-restricted work areas in order to minimize the risk of contamination (e.g. animal hair, soil and cross contamination from other uncontrolled environments). Clean, freshly laundered scrub attire should be donned in a designated dressing area of the hospital facility. Scrub attire should be changed immediately should it become wet, and or soiled by blood or bodily fluids. AORN recommendations states that any scrub attire contaminated with visible blood or body fluids must remain at the hospital and be laundered by the hospital or a hospital contracted commercial laundry. Controlled laundering of such attire reduces the potential risks of transferring pathogenic microbes from the hospital to the home or public environments.

Commercial laundries that handle hospital linens and uniforms are required to follow very rigid guidelines and monitoring practices which would be challenging to replicate in the home environment. These guidelines include:

• Proper water conditions and controlled temperatures

• Water quality must be maintained including frequent and appropriate changes

• Appropriate selection and use of laundering detergents

• Use of effective oxidizing agents such as chorine bleaches

• Chemical and detergent concentrations must be specific and monitored

• Thermal presses, driers and iron devices require elevated temperatures that are different from home laundering equipment.

Still the home laundering of scrub attire that is not visibly soiled remains to be controversial and there is no concrete evidence to either support or deny the practice. As CS professionals we have been educated and understand that all soil is not visible and we know that microbes, pathogenic and non-pathogenic, are not visible to the naked eye. Due to the nature of the work performed in CS and the very nature of the hospital environment itself there it is likely that CS workers scrub attire could become contaminated with pathogens, which are not visible. Taking worn, soiled or contaminated scrub attire into the home can result in the spread of contamination. I believe it would behoove hospitals to use microbial common sense and to act proactively by not allowing the home laundering of scrub attire, which is worn in restricted controlled environments such as CPD and the OR.

While professional organizations do not support the practice of home laundering of scrub attire it is recognized that some hospitals do require personnel to launder their scrubs at home. When such is the case in order to reduce the potential of contaminating the home environment individuals should strive to follow the same laundering practices, standards and regulations required of commercial laundries. The following are some key points and criteria to consider:

• Keep soiled and cleaned scrub attire contained in a plastic bag or other containment device during transit to and from the hospitals

• Keep the soiled attire contained until paced in the washer

• Soil attire should be laundered as soon as possible in order to reduce the growth of microbes

• Minimize personal contact with soiled attire

• Use automated washer and drier

• Segregate hospital attire from personal attire - launder in separate loads

• Launder hospital attire as the last load following all personal laundry loads

• Use water temperature range of 110Ί - 125Ί F

• Select a detergent suitable for hot temperature cycles

• Use chlorine bleach

• Follow detergent manufacturers
instructions

• Wash hands after handling soiled scrub attire

• Be certain that laundry is completely submerged during entire wash and rinse cycles

• Avoid placing hands in wash or rinse water

• Clean the washer door and lid before removing washed items from the washer (this will eliminate the potential of recontamination)

• Use highest possible drying temperature setting which will not damage fabrics.

There is not a firm regulation against the practice of home laundering of scrubs, however based on the fact that a professional entity such as AORN advises against it and the fact that those individuals laundering at home most likely will not be able to abide by the same standards required of a commercial laundry nor comply to the key criteria I outlined above, one would think that hospitals would not condone or require the practice. Share the information with your infection control and risk management departments and see if it helps.

About the Author: Ray Taurasi, MBA, ACE, FCS, CHL, CRCST is an independent consultant for surgical support services and sterile processing with offices in the metro DC area. His career spans over 3 decades as an administrator, educator, technologist and consultant. He is a past president of IAHCSMM and has served on and contributed to many national committees with a myriad of professional organizations, manufacturers, corporations and prestigious healthcare networks.