Environmental Services

This digital issue explores the challenges associated with proper cleaning and disinfection in the sterile processing department (SPD).

In recent years, bed bugs (Cimex lectularius) have been appearing more and more often in beds around the world, and entomologists need specimens for research purposes. Scientists in France have developed a tool that will aid this research, and their device is described in an article called "A High-Performance Vacuum Cleaner for Bed Bug Sampling: A Useful Tool for Medical Entomology" that was published in the Journal of Medical Entomology.

In 2009, healthcare leaders and experts began to focus more intensely on the risks associated with the improper processing (cleaning, disinfection and/or sterilization) of reusable medical devices and equipment. Within the U.S. Department of Veterans Affairs (VA) hospital system, the Memphis VA Medical Center (MVAMC) and other facilities initiated corrective actions to fine tune reprocessing policies, particularly those related to critical and semi-critical devices, to ensure compliance with manufacturers’ instructions for use. Since then, ensuring adequate device reprocessing has continued to be a concern for regulators, providers and medical device manufacturers. Ongoing discussions have led to direction such as an FDA draft guidance document for device manufacturers (FDA, 2011), and a report from the medical device reprocessing summit hosted jointly by AAMI and FDA (AAMI, 2011).