CIDEX GUIDELINES - ultrasound tips & tricks

Report
Standardizing Cidex® OPA Use
For Direct Users
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
This module is applicable to direct users of
Cidex OPA®
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To ensure correct Cidex® OPA guidelines are
followed:

OSHA

Manufacturer guidelines

Infection Control

Safety

Compliance
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To Standardize the use of Cidex® OPA within the
system including:
 Safe Use
 Labeling
 Testing
 Soaking
 Documentation
 Spill Protocol
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Personal Protective Equipment
 Always
OPA
use PPE when handling Cidex®
 Placing probe into Cidex OPA®soak
container
 Removing probe from soak container
 Testing solution/strips
 Changing solution
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Cidex OPA® Stain
Cidex bottles were laying on side in drawer when one leaked. These stains are
permanent and can occur on clothing, skin, nails, hair, transducers, or any
contact surface. This is one of the things PPE protects against.
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Cidex OPA® Stain in drawer
Cidex OPA® leaked inside drawer staining surface.
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Ventilation
◦ GUS station

Location of soak container
◦ Low traffic area/secured from public access
◦ Well ventilated room
◦ Labeled containers
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PPE
◦ Gloves, gown, mask, eye protection

Neutralize spilled solution with Glute-Out®
◦ Wait five minutes before pouring down drain, allow
water to run for a few minutes
◦ You do not have to neutralize unused solution in
container prior to disposal (spills only)
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Rinse containers until water runs clear
◦ Cap and dispose of old bottle in trash
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Original 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)
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Secondary soaking containers
◦ Must be labeled “Cidex® OPA”
◦ A warning sign must be visible to patients
◦ An additional label must indicate it is a
hazardous chemical
 Obtained through Central Supply
A thermometer must be used to obtain accurate
solution temperature
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Appropriate label for health hazard level one
NFPA rating:
◦ Health: 1 flammability: 0 reactivity: 0
◦
OSHA.GOV
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Cidex® OPA 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)_
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Cidex® OPA 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)
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Opening
◦ 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
◦ On a weekly QA basis
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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.
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Read results at 90 seconds.

◦ 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 http://www.aspjj.com/us/products/cidexopa/features-and-benefits
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Results:
Advanced sterilization products (2012) retrieved 7/26/2012 from http://www.aspjj.com/us/products/cidexopa/features-and-benefits
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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.
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◦ Record in log book
 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)
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Must have submersible thermometer to test
temperature of solution

SOLUTION TEMPERATURE
◦ Cidex® OPA solution must be at least 20C/68F to
be effective
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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
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Before soak:
◦ Test solution
◦ Thoroughly remove gel from probe
◦ Use Sani-wipe/alternative to remove protein
◦ Dry probe prior to soak
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After Soaking in Cidex OPA®

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 ONE MINUTE SOAK
Dispose of final rinse water after third rinse—do not leave
standing water in soak container
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Use Cidex® OPA Log Sheets

Documentation required for
◦ Cidex® OPA solution control test performed on
each newly opened bottle
◦ Cidex® OPA test strips control test 3/3 for each
new bottle of test strips opened
◦ Cidex® OPA solution -test prior to soaking probe
(after every pelvic patient)
◦ QA weekly control test on test strips
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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)
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◦ 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)
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Log
sheet
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Log sheet cont.
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PPE (gown, gloves, mask, and eye
protectant)

No deactivation required (spills only)
◦ Dispose down sink drain with water running
◦ Rinse original container until water runs clear and
discard
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All Cidex OPA® documents are available for
technologists’ access in MEDEX under Cidex
OPA® Packet
◦
◦
◦
◦
◦
Log sheets
Competency forms
Guidelines for use/spill clean up/QA testing
Procedures
Safety information
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Refill solution to fill line

Label Containers

Test Solution
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References
OSHA (2006) Best Practices for the Safe Use of
Glutaraldehyde in Health Care. Retrieved from
www.osha.gov/Publications/glutaraldehyde.pdf
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