When do you document the biological indicator and re-usable brushes? Perspectives offers new guidance on this topic.
They state, organizations should not be scored for failure to document lot numbers of biological indicators. Unless, the indicator IFU, clinical practice guideline or hospital policy mandate such documentation.
Also, there is another complex new guidance. It covers the disinfecting process for re-useable brushes utilized in the decontamination process. For example, it states that surveyors should not score a failure to document lot number and expiration date of the disinfectant solution if the IFU itself does not require this documentation.
However the very next bullet point creates confusion. It advises the surveyors to score failure to document lot number and expiration date of the disinfectant if the:
- Organization follows AAMI or AORN
- IFU is not available
- Organization is using a manual method to disinfect those brushes
Sadly, this information is conflicting. But, you can avoid the confusion by using single use brushes.
Do you need assistance interpreting and implementing these or other Joint Commission guidelines? Patton Healthcare Consulting provides Joint Commission Compliance Assistance and a full range of pre-survey and post survey services to healthcare organizations. Contact our office at 888-742-4621, via email or through our website contact page to schedule a discussion of your needs and learn more about our compliance and readiness expertise.