The practice needs to document its reprocessing policies and procedures. These need to address, at a minimum, the categories in Table 10.3.
Reprocessing activities need to align with existing relevant practice policies, such as work health and safety, training, response planning, immunisations).
Table 10.3 Documented reprocessing procedures
|
Category
|
Inclusions
|
|
Procurement and equipment
|
- Purchasing of reusable medical devices and reprocessing equipment, including instructions for use
- Qualification of equipment, including reusable medical devices and reprocessing equipment
|
|
Collection and cleaning
|
- Collection of used reusable medical devices from their point of use
- Cleaning of reusable medical devices prior to disinfection and/or sterilisation
|
|
Inspection and preparation
|
- Inspection, assembly, and testing (where applicable) of reusable medical devices prior to disinfection
- Inspection, assembly, testing (where applicable), and packaging of reusable medical devices prior to sterilisation
|
|
Processing and sterilisation
|
- Loading and unloading of equipment used to reprocess reusable medical devices (eg washer-disinfector)
- Disinfection and sterilisation of cleaned reusable medical devices
|
|
Validation and monitoring
|
- Validation and routine control of cleaning, disinfection, and sterilisation processes, including rationale for assigning a particular reusable medical device to a specific product family and processing category
- Routine monitoring and control of cleaning, disinfection, and sterilisation processes
|
|
Traceability and release
|
- Traceability of reprocessed semi-critical reusable medical devices
- Release of reusable medical devices after reprocessing
|
|
Storage and handling
|
- Handling, transport, and storage of reprocessed reusable medical devices
- Handling of specialised, loaned, and trial reusable medical devices
|
|
Maintenance and cleaning
|
- Cleaning of reprocessing equipment and the reprocessing area
- Periodic preventive maintenance (eg calibration) of reprocessing equipment
|
|
Incident management
|
- Actions to be taken in the event of a biological or chemical spill or exposure
- Control of non-conforming reusable medical devices
- Recall of reusable medical devices
|
|
Quality and compliance
|
- Review of deviation reports and other indicators of quality or procedural problems
|