19. Quality Control a. Provide comprehensive and intensive training for all staff assigned to reprocess semicritical and critical medical/surgical instruments to ensure they understand the importance of reprocessing these instruments. To achieve and maintain competency, train each member of the staff that reprocesses semicritical and/or critical instruments as follows: 1) provide hands-on training according to the institutional policy for reprocessing critical and semicritical devices; 2) supervise all work until competency is documented for each reprocessing task; 3) conduct competency testing at beginning of employment and regularly thereafter (e.g., annually); and 4) review the written reprocessing instructions regularly to ensure they comply with the scientific literature and the manufacturers’ instructions. Category IB. 6-8, 108, 114, 129, 155, 725, 813, 819
B. Rankings Category IA. Strongly recommended for implementation and strongly supported by well-designed experimental, clinical, or epidemiologic studies. Category IB. Strongly recommended for implementation and supported by some experimental, clinical, or epidemiologic studies, and by a strong theoretical rationale. Category IC. Required by state or federal regulations. Because of state differences, readers should not assume that the absence of an IC recommendation implies the absence of state regulations. Category II. Suggested for implementation and supported by suggestive clinical or epidemiologic studies or by a theoretical rationale. No recommendation. Unresolved issue. These include practices for which insufficient evidence or no consensus exists regarding efficacy. Medicare/ Medicaid (Commercial) Hospital Acquired Infections costs to be covered by hospital http://www.cms.hhs.gov/apps/media/press/factsheet.asp? Counter=3227&intNumPerPage=10&checkDate=&checkKey=&srchType=1&numDays=3500&srchOpt=0& srchData=&keywordType=All&chkNewsType=6&intPage=&showAll=&pYear=&year=&desc=&cboOrder=da te