DS 42 - Working Smarter: Implementation of a Newly Approved Device with Reprocessing Challenges for Cancer Treatment at an Oncology Center

Background: The Radiology and Urology Departments at a cancer center approached Infection Control for assistance in implementing a device recently approved by the United States Food and Drug Administration (FDA). The ultrasound probe’s manufacturer’s instructions for use (MIFU) were complex, difficult to understand, and required detailed review by multiple departments due to materials necessary for reprocessing and potential patient and staff exposure to chemicals.

Methods: Infection Control assembled a multidisciplinary team, including Central Processing Department, Environmental Health & Safety, Radiology, and Urology, to address the challenges within the MIFU. Six focus areas were identified: storage, cart preparation, pre-procedure high-level disinfection, procedure, post-procedure probe cleaning, and post-procedure cart cleaning. A detailed workflow chart was created by Infection Control and the probe vendor to re-arrange the MIFU in a chronological order. Meetings were scheduled every 2-3 weeks to discuss progress, issues, and solutions. Team simulations were arranged to observe potential workflows and identify gaps in patient safety.

Results: Through collaboration and coordinated efforts, use of a device with challenging reprocessing instructions was successfully accomplished. Multidisciplinary meetings of relevant departments created a shared goal, open communication when obstacles were identified, and solution development.

Conclusions: Complexities in MIFUs create challenges in infection prevention and both patient and staff safety. Interdepartmental collaboration, organization, and accountability must be established for appropriating resources needed and maintaining high standards of care. Subsequent success can also lead to better rapport between departments for future issues.