Best practice forum: standard high level disinfection protocol development.
Gluteraldehyde-based high-level disinfection (HLD) poses significant safety risks for staff and patients as well as institutional cost concerns. A value analysis team reviewed HLD practices, available products, and environmental requirements in view of the literature and standards developed by the Occupational Safety and Health Administration (OSHA). Institutional areas were identified and standardized unit-specific educational and competency programs were established. The overall use of gluteraldehyde-based HLD was decreased in this institution based on the findings and policy and procedure modification.
Dawson
Cindy J
CJ
Otolaryngology-Head and Neck Surgery Clinic, Oral Surgery Clinic, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.
Nielsen
Ruth
R
Dawson
Douglas E
DE
D019985:Benchmarking; D002983:Clinical Competence / Q000592:standards; D002985:Clinical Protocols / Q000592:standards*; D004203:Disinfection / Q000379:methods / Q000592:standards*; D004509:Education, Nursing, Continuing; D019723:Endoscopes / Q000382:microbiology; D004866:Equipment Contamination / Q000517:prevention & control*; D005976:Glutaral / Q000009:adverse effects; D006801:Humans; D007318:Inservice Training; D009741:Nursing Staff, Hospital / Q000193:education; D016273:Occupational Exposure / Q000009:adverse effects / Q000517:prevention & control; D016272:Occupational Health
D005976:Glutaral