St Elizabeth Health Care 2013 Cidex PA GUIDELINES Standardizing Cidex PA Use For Direct Users
This Module: This module is applicable to direct users of Cidex PA
Purpose To ensure correct Cidex PA guidelines are followed: SHA Manufacturer guidelines Infection Control Safety Compliance
bjectives To Standardize the use of Cidex PA within the system including: Safe Use Labeling Testing Soaking Documentation Spill Protocol
Safety Personal Protective Equipment Always use PPE when handling Cidex PA Placing probe into Cidex PA soak container Removing probe from soak container Testing solution/strips Changing solution
Ventilation GUS station Safety (cont.) Location of soak container Low traffic area/secured from public access Well ventilated room Labeled containers
pening Cidex PA PPE Gloves, gown, mask, eye protection Neutralize spilled solution with Glute-ut Wait five minutes before pouring down drain, allow water to run for a few minutes You have to neutralize unused solution in container prior to disposal Rinse containers until water runs clear Cap and dispose of old bottle in trash
Labeling (con) riginal Bottle (not in-use solution) Expiration Date (75 days from opening) (mm/dd/yy) Soaking containers ( in-use solution) date poured (mm/dd/yy) expiration date (EXP mm/dd/yy) (14 days)
Labeling Secondary soaking containers Must be labeled Cidex PA A warning sign must be visible to patients An additional label must indicate it is a hazardous chemical btained through Central Supply A thermometer must be used to obtain accurate solution temperature
Hazard Label for Cidex PA Appropriate label for health hazard level one NFPA rating: Health: 1 flammability: 0 reactivity: 0 SHA.GV
Labeling (con) Cidex PA Test strip containers Must be labeled with date opened (mm/dd/yy) expiration date of 90 days from date opened (mm/dd/yy) (make sure original lot exp date is not sooner than 90 days, use the earlier exp)_
Testing Cidex PA solution must be tested: Every new bottle of solution opened With 3 full strength and 3 controls (half filled with cidex half filled with water ) Before soaking probe (every time) Test strips must be tested: each new bottle opened Weekly QA (3 full strength/3 controls)
How to Use Test Strips pening Mark the date on the bottle in space provided Mark the expiration date (90 days from date of opening) in space provided Perform control test for each new bottle opened n a weekly QA basis
Testing Cidex PA with Test Strips Submerge test strip in solution for one second, do not shake or swirl Remove excess solution by standing the strip upright on a paper towel. Read results at 90 seconds (PRIR T SAKING PRBE) Do not read past 90 seconds the results will be invalid. Pad will be completely purple to indicate effective solution. If any blue remains on the pad, the solution is ineffective and must be discarded. Advanced sterilization products (2012) retrieved 7/26/2012 from www.aspjj.com/us/products/cidexopa/features-and-benefits
Test Strips (con) Results: Advanced sterilization products (2012) retrieved 7/26/2012 from http://www.aspjj.com/us/products/cidex-opa/features-and-benefits
Test strips (con) Follow same instructions for 3 full strength cidex tests and 3 controls (half water half cidex) Test strip should fail for control/mark control in comment field Highlight row on log sheet for QA tests Tightly recap test strip bottle after each use. Discard any unused test strips 90 days after bottle is originally opened.
Record in log book Testing Documentation Date (mm/dd/yy) Date solution activated/expired Date test strips expire Date of test time of test start (hh:mm:ss) time of test end (hh:mm:ss) Must include seconds to demonstrate compliance temperature of solution results (pass or fail) Time equipment placed in solution/taken out of solution (hh:mm)
Soaking Must have an accurate/calibrated thermometer to test temperature of solution SLUTIN TEMPERATURE Cidex PA solution must be at least 20 C/68 F to be effective
Soaking Thoroughly remove gel from probe Use sani-wipe/alternative to remove proteins dry Insert probe into solution-use clip to hold transducer to avoid breakage of scan head 12 minutes to high-level disinfect Must be removed after 12 minutes (use timer) Mark on log sheet time in/time out of solution
Rinsing Before soak: Test solution Thoroughly remove gel from probe Use Sani-wipe/alternative to remove protein Dry probe prior to soak
Rinsing After Soaking in Cidex PA Remove probe from solution place in fresh water Wait one minute, remove (place on towel) Replace water Repeat two additional times Three separate one-minute soaks in fresh potable water WATER MUST BE CHANGED AFTER EACH NE MINUTE SAK Dispose of final rinse water after third rinse do not leave standing water in soak container
Documentation Use Cidex PA Log Sheets Documentation required for Cidex PA solution control test performed on each newly opened bottle Cidex PA test strips control test 3/3 for each new bottle of test strips opened Cidex PA solution -test prior to soaking probe (after every pelvic patient) QA weekly control test on test strips
Documentation (con) Must include: Container number (where applicable) Date of solution poured into container (mm/dd/yy) Date of soak container solution expiration (mm/dd/yy) 14 days Expiration date of test strips (mm/dd/yy) Date of test (mm/dd/yy)
Documentation (con) Temperature of solution Time test started (HH:MM:SS) Time test ended (HH:MM:SS) Results Initials of person testing Time equipment placed in solution/time out (HH:MM)
Log sheet
Changing Solution PPE (gown, gloves, respiratory mask, and eye protectant) Neutralization required prior to disposal of both used and stored solution that has expired Dispose down sink drain following five minute neutralization with Glute ut (glycine) Rinse original container until water runs clear and discard
Documents All Cidex PA documents are available for technologists access in MEDEX/Compliance 360 under Cidex PA Log sheets Competency forms Guidelines for use/spill clean up/qa testing Procedures Safety information
Changing Solution (cont) Refill solution to fill line Label Containers Test Solution
References Kentucky Department of Waste Management and Environmental Protection. 2013 http://eec.ky.gov/searchcenter/results.aspx?k=cidex SHA (2006) Best Practices for the Safe Use of Glutaraldehyde in Health Care. Retrieved from www.osha.gov/publications/glutaraldehyde.pdf
Cidex PA Procedure Guidelines Please review material as many times necessary before proceeding to test.