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High Level disinfection and Joint Commission Accreditation

Posted By Naveen K. Atray, Tuesday, August 21, 2018

Colleagues,

As some of you may know, CMS now requires High Level Disinfection (HLD)for all Medicare deemed ASC.

Failure to meet this requirement is considered a condition level deficiency.

In the context of Vascular Centers, this means HLD of ultrasound probes.

Only practical solution we have come up with is to consider Trophon since use of glutaraldehyde is impractical in our setting.

However, Trophon's list of compatible ultrasound probes is limited and may not include for example MindRay which is what we use at our Center.

I wonder if any one else is faced with similar challenge and what they're doing about it. Thank you in advance for your feedback.

 

Naveen Atray

Sacramento, CA

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Permalink | Comments (5)
 

Comments on this post...

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Antoine Samaha says...
Posted Tuesday, August 21, 2018
We are using Sani- cloth red color per US probe manufacturers recommendation. It has dimethyl ethylbenzyl ammonium chloride. Of note we passed our ASC deemed status with 0 clinical deficiency.
Tony Samaha
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Naveen K. Atray says...
Posted Tuesday, August 21, 2018
Congratulations and thanks for the reply, Tony. Our one center passed AAAHC survey just fine where we have been using Cavicide wipes for past 10 yrs. I think it has dimethyl benzyl ammonium chloride bd isopropranol as well.
MCare came out with the requirement of HLD a week later. Our second existing ASC was surveyed exactly 7 days after this new rule for renewal of exisitng accreditation by TJC and received a citation for using Sanicloth!
Did you go with AAHC or TJC? May I know the date of survey?
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Antoine Samaha says...
Posted Tuesday, August 21, 2018
TJC. That is odd but not surprising. These surveyors have mood points. On one hand u cannot find in their books the answers to these questions but they tell you to follow the manufacturer’s recommendations. However, it is not guaranteed that they won’t ding you!
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Gregg M. Gaylord says...
Posted Saturday, August 25, 2018
Have you asked their standards committee to reconsider? I would push the point that following the OEM recommendations is critical to maintaining safety and integrity of the device.
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Ryan D. Evans says...
Posted Friday, September 7, 2018
Thank you for this thread. We have an AAAHC inspection next week. We have been using Cavicide for disinfection of the US probe that we use for pre-surgical arm marking and the administering of regional (supraclavicular) nerve blocks. In terms of the inspection, I think I will use probe covers on the US for the above procedures. Do you know if HLD applies only if the probe comes in contact with blood or body fluids (ie nerve block or TDC insertion) or if this also applies to any patient contact, such as probes used for vascular mapping, pre-operative arm marking done in the ASC.
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