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Q
We are considering using open wire rack mobile storage carts in our OR to store various implants and sterile supplies. We will use clear plastic cart covers to protect the stored items. Do mobile supply carts present a greater risk for patient infection? Are there other issues or concerns we should consider prior to moving forward with our plan?A
I am unaware of any evidence that suggests that the use of mobile storage carts increases the risk of infection for patients. Such carts are widely used successfully in many facilities. When used for sterile items, you will want to select a cart that has smooth, nonabrasive shelves that will not damage the sterile packaging. For added protection, you might consider the use of shelf liners and/or container bins to hold the sterile packages safely, especially if open wire shelving is used. If your carts are truly going be mobile, it’s best to purchase carts with a solid bottom shelf. These will prevent dust and other particulate, stirred up by wheel motion and air currents in transit, from contaminating the sterile packages. You will want to establish the items that will be stored on the carts and provide a designated location with adequate space for each item. To minimize unnecessary handling, each location should be clearly labeled and organized.Q
A few of our sterile processing workstations require long periods of standing in place. We always have had soft floor mats at these stations for employee comfort. We have a new nurse manager who had the mats removed. He claimed they served no purpose, presented a safety hazard, were a source of contamination and were a violation of standards. Do you think it is acceptable to use these floor mats in the sterile processing department?A
There is no standard that prohibits the use of antifatigue mats in the sterile processing department or other work areas. They are even used frequently in operating rooms. There have been studies that have demonstrated the advantages of the use of antifatigue mats for employee comfort.The flooring in the sterile processing area typically consists of very hard surfaces. As you noted, the tasks performed at some workstations entail long periods of static standing. The prolonged contact of the feet and hard flooring result in great discomfort and fatigue that can affect an individual’s perfomance and productivity. Antifatigue mats provide a softer cushion between the floor and the feet, which can counter the adverse effects of static motion of lower extrimities. The design of an antifatigue mat creates a slight swaying motion of the body, which causes a slight activity of leg muscles and stimulates blood flow.
It of course is important to select a quality antifatigue mat appropriate for use in the healthcare setting. Features to consider include:
- Mat edges should be tapered to align with the floor to minimize the risk of tripping
- Mat top surface and undersurface should be skid- and slip- resistant
- Mat must be capable of frequent cleaning and disinfection
Sterilizable mats are available - Mat should be sized appropriatly for point of use
