Becker's Clinical Quality & Infection Control

35 Executive Briefing Standardized documentation through digitization Documentation is essential for communication and continuity of patient care through the healthcare system. Whether considering laboratory, pharmacy, imaging, communications or other hospital sub-systems, standardization of data collection and linkage to the patient is critical for meaningful interpretation and reporting. In medical device reprocessing, American National Standards recognize that digitization allows "better legibility, accuracy, traceability, security, and data integrity." 4 Documentation is also evidence of a department or facility's ultrasound IP quality control program. These qualities are essential for decision making about device recalls or patient notifications in outbreak settings. Digitization can streamline workflow and standardize data collection compared to paper-based record keeping, enabling accuracy and demonstrated compliance. Nanosonics AuditPro TM : Data driven insight for frontline and facility The new Nanosonics AuditPro provides facilities with the opportunity to improve and standardize ultrasound infection control compliance across all ultrasound procedures, supporting the management of organizational and facility risk and patient care. Nanosonics AuditPro comprises a mobile scanning device (MSD) for ultrasound users coupled with sophisticated software to manage compliance. The MSD uniquely sits with the ultrasound console at point of care enabling staff to incorporate infection control considerations as part of everyday practice. With built in education as part of the workflow, staff qualify every procedure against the Spaulding classification for probe disinfection requirements, standardizing the IP decision every time. "I like that [AuditPro includes] the Spaulding classification on the MSD, it educates the sonographer, makes them critically think. I really like that part of it." 9 The software combines ultrasound patient procedures and probe disinfection information, and interrogates data captured through the clinical workflow to create non- compliance notifications and intuitive information rich dashboards. The standardized reporting can support data driven decision making at the system level about training needs, providing inputs into quality and risk management programs. The AuditPro software also combines HLD records from the Nanosonics trophon®2 device with ultrasound patient procedures and probe information, streamlining data searching capabilities. "I like, most importantly, that you can pull your logs, and that you can connect your cycle with the patient, [AuditPro] gives us this capability." 9 trophon®2: leader in automated ultrasound probe HLD Nanosonics trophon® is the global standard of care in ultrasound probe HLD helping protect patients from the risk of cross contamination. The trophon family includes trophon® EPR and trophon®2 which share the same core technology of sonically activated hydrogen peroxide. trophon is bactericidal, fungicidal, virucidal and mycobactericidal. Every day, 88,000 patients are protected from cross contamination risk because the ultrasound probe used in their procedure has undergone HLD with trophon. Over 23,000 units are used across North America, in over 5,000 hospitals and clinics including all luminary hospitals. The trophon HLD process is standardized in every department. The critical parameters are automatically controlled and validated by the device, further verified with a chemical indicator each cycle. Nanosonics' second generation device, trophon2, launched in 2018 and is enabled with AcuTrace® RFID technology to deliver digitized capture of the reprocessing record. "The trophon device has been a wonderful addition to the ultrasound room as it's reduced the time we need to reprocess equipment while giving us the peace of mind that our equipment will be properly disinfected and ready for each new patient." Tia Bowen, Clinic Manager, Physicians for Women: Melius, Schurr & Cardwell Together, trophon2 and AuditPro mitigate risk to patients and healthcare facilities, arming healthcare staff, IPs and risk and quality managers with tools to drive compliance. Discover how Nanosonics AuditPro can standardize your ultrasound IP practices, help you meet accreditation requirements and deliver best practice patient care across your organization. n References 1. TJC Online. 8/11/21. Surveyors' observations related to reprocessing ultrasound transducers. 2. CDC. 8/19/21. Multistate Outbreak of Burkholderia cepacia Infections Associated with Contaminated Ultrasound Gel. Website. 3. FDA. 8/18/21. Rev 9/10/21. Stop Using All [manufacturer] Ultrasound Gels and Lotions Due to Risk of Bacterial Contamination – Letter to Health Care Providers. Website. 4. AAMI ST58:2013 Chemical sterilization and HLD in health care facilities. 5. FDA. 7/24/20. The FDA is Recommending Transition to Duodenoscopes with Innovative Designs to Enhance Safety: FDA Safety Communication. Website. 6. Ofstead CL et al. 2010. Gastroenterol Nurs 33(4): 304-311. 7. RKI 2020. Aufbereitung von Medizinprodukten. Zur Frage der Validierbarkeit der abschließenden Desinfektion von semikritischen Medizinprodukten mittels Wischtüchern 8. Carrico RM et al. 2018. Am J Infect Control 46(8): 913-920. 9. AuditPro usability study. Nanosonics Ltd. Nanosonics is an Australian infection prevention company that has successfully developed and commercialized a unique automated disinfection technology, trophon®. Since 2009, trophon EPR and trophon2 have redefined the standard of care in ultrasound probe reprocessing providing fail-safe ultrasound probe high level disinfection (HLD) to protect patients from the risk of cross contamination. Nanosonics is proud to introduce Nanosonics AuditPro™. Nanosonics AuditPro provides facilities and their broader organizations a digital workflow compliance management system by tracking ultrasound procedures across all departments to ensure probes have been appropriately disinfected according to the Spaulding classification. To learn more, visit https://www.nanosonics.us/

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