[Histonet] New cryostat decontamination CAP statndard

[Rene J Buesa]

Please remember that from time to time CAP inspectors sit to ponder "what something new can we add to our list so it appears that we are not using always the same old one?".
And from time to time the come up with requirements like this. You will never change them and the requirements will keep piling up one on top of the other.
Caveat: sometimes the changes are warranted (only some).
René J.
 


--- On Tue, 2/23/10, Pamela Marcum <mucram11 <@t> comcast.net> wrote:


From: Pamela Marcum <mucram11 <@t> comcast.net>
Subject: Re: [Histonet] New cryostat decontamination CAP statndard
To: "Jeffrey Silverman" <JSilverman <@t> NSHS.edu>
Cc: histonet <@t> lists.utsouthwestern.edu, "Jeffrey Silverman" <JSilverman <@t> NSHS.edu>
Date: Tuesday, February 23, 2010, 10:05 AM




Thank you Jeffery.  I am not sure how we get to CAP on this however; it makes no sense for a really busy lab unless they want to give us enough cryostats to make up for the problem this will cause.  Is this something NSH might decide to help with?  



It may be time to bombard them (CAP) with questions and report the issues it will cause with patient care.  None of us want to use a contaminated cryostat but we also know how to decontaminate without being in danger and stopping surgery for frozens . 



Pam Marcum 

UAMS - Anatomic Pathology 



----- Original Message ----- 
From: "Jeffrey Silverman " < JSilverman @ NSHS . edu > 
To: histonet @lists. utsouthwestern . edu 
Cc: "Jeffrey Silverman " < JSilverman @ NSHS . edu > 
Sent: Tuesday, February 23, 2010 8:23:39 AM GMT -06:00 US/Canada Central 
Subject: [ Histonet ] New cryostat decontamination CAP statndard 

Here is the new standard for cryostat decontamination. No references are given documenting or supporting the need for this onerous and cumbersome weekly requirement. I suggest we lobby the CAP and demand  both documentation supporting the need for weekly defrosting or, better, a more user friendly and sensible standard. 

Jeff Silverman 


**REVISED** 06/15/2009 
ANP .12087 Phase II N/A YES NO 
Is there a documented procedure for the routine decontamination of the cryostat at defined intervals, 
and are decontamination records evident? 
NOTE: The cryostat must be defrosted and decontaminated with a tuberculocidal disinfectant at an 
interval appropriate for the institution; this must be weekly for instruments used daily. Trimmings and 
sections of tissue that accumulate inside the cryostat must be removed during decontamination. Although 
not a requirement, steel mesh gloves should be worn when changing knife blades. 





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