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“For the Environmentally conscious” Steelco Academy Training for success

Steelco Academy - Washer disinfectors and Sterilizers · 6 Subject matter courses from basic principles to designing of a new facility Flexible endoscope reprocessing 2 day course

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“For the Environmentally conscious”

Steelco AcademyTraining for success

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Because you deserve....world class training in world class facilities from a leader in Infection Control

Steelco is a leading infection control solution provider, supplying the healthcare, laboratory research and pharma sectors. Active in over 100 countries, Steelco has equipped numerous world renown hospitals and counts among its customers household names in the laboratory, pharmaceutical, and industrial sectors.

Driven by customer feedback, Steelco develops, manufactures and supplies solutions that maximize infection control safety, optimize processes and minimize costs. Our focus on innovation has led us to become leaders in areas such as automation, improving the efficiency and working environment of those that use Steelco products.

With headquarters that overlook the Alps, a core value of Steelco is to minimize our carbon footprint by manufacturing in modern premises in as efficient a manner as possible. We are dedicated to reducing the energy and water consumption of our equipment whilst improving performance.

Whether you are just wishing to replace a single small machine or assistance in designing and equipping a large central CSSD, Steelco and it’s factory trained dealers are here to help you.

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Steelco Academyspecialist training facility

Ottorino CasonatoPresident

Steelco offers training courses at it’s specialist training facility in Riese Pio X (Treviso) near Venice in Italy on a wide number of topics that are focused on:

• Standardsandworkpractices

• Equipmentanditsuse

• Technicalservicetraining

Training is provided through a combination of Steelco’s own subject matter experts as well as independent recognized industry key opinion leaders and trainers.

Steelco prides itself on the quality of it’s courses contents that includes both classroom and hands on usage of equipment with a number of courses accredited by professional bodies.

Steelco can additionally tailor make the content of training courses to suit individual customer or groups needs.

“As a privately owned company, we are proud to always put our customers first and recognize the importance of knowledge sharing.

We hope you ‘ll find our training courses both informative and enjoyable and we look forward to seeing you”

 

         Rev.  00              3  

 CLASSIFICATION  OF  ENDOSCOPIC  EQUIPMENT  

  According   to   the   Spaulding   classi

fication,   most   flexible   endoscopes   used   in  

gastrointestinal  endoscopy  are  classi

fied  as  semicritical  devices,  as  they  come  into  

contact  with  mucous  membranes.  

 Dr.Earle   Spaulding   Microbiologist   of   T

emple   University   (Philadelphia)   in   19

39  

proposed   "a   strategy   for   sterilizat

ion/disinfection”  based   on   a   class

ification   of  

medical  reusable  devices.  

Nowadays   this   classifications   is   recognized   in   National   and   International  

Guidelines.  

 Semi−critical  devices  r

equire  disinfection,  but  sterilization  i

s  not  necessary.    

Accessories  which  come  into  contact  onl

y  with  the  skin  and  mucosa  do  not  nee

d  

to  be  sterile,  but  must  undergo  high  l

evel  disinfection.    

Endoscopy  accessories  which  penet

rate  the  mucosal  barrier   (e.  g.biopsy   forceps,  

guide  wires,   polypectomy   snares,   injection

  needles,   etc)   are   classified   as   criti

cal  

devices  and  therefore  must  be  sterile  at  th

e  point  of  use.  

Single−use  devices  should  not  be  re

processed.    

National  regulations  should  be  follo

wed.  

 

 

   

STERILIZATION  –  DEFINITION  

 Sterilization  is  the

 complete  elimination  or  destruction  of  all  bacterial  spores.    

The  term  sterilization  is  intended  to  convey  an

 absolute  meaning,  not  a    relative  one.  

Sterility  Assurance  Level  (SAL)  =  SAL  of  10-­‐6  (1:1.000.000)  

This  means  that  there  is  less  than  one  chan

ce  in  a  million  that  an  item  remains  contaminated  or  non  ster

ile.    

To  mantein  sterility  devices  must  be  packed  in  pouches,  rolls,  TNT  tissues  or  containers.  

 DISINFECTION  –  DEFINITION  

 Disinfection  descri

bes  a  process  that  eliminates  many  microorganisms,  with  the  except

ion  of  bacterial  spores.  

   HLD  is  achieved  using  liquid  chemicals  by  immersion/bath  procedures.  

   Remember  that  even  if  a  device  has  been  disinfected  with  Peracetic  

   Acid  (Sporicidal  action/Liquid  sterilant),  the  device  it’s  not  packed  so,  as  soon  as  you  take  out  the  item  from  the  liquid  

you’ll  loose  the  claim!  

[Digitare  qui]    

         

   

   

                                             

 

TRAINING  MANUAL  ARES  PLATFORM  MICROBIOLOGICAL  &  ENDOSCOPE  ARCHITECTURE  BACKGROUND  

         

 Rev.  00  

 

5) With  the  duodenoscope  you  are  able  t

o  see?  

 

a) The  intestine  

b) The  first  part  of  the  small  intestine  

c) All  the  above  

 

6) The  Elevator  Channels  belongs  to?  

 

a) Bronchoscope  

b) Colonoscope  

c) Duodenoscope  

 

 

         

 Rev.  00  

 Date:  ……………………………………………………………………………………………………………………………………………….  Name:  ……………………………………………………………………………………………………………………………………………..  Company:  ……………………………………………………………………………………………………………………………………….  

 

STEELCO  ACCADEMY  ENTRY  TEST:    

MICROBIOLOGICAL  AND  ENDOSCOPE  ARCHITECTURE  BACKGROUND  

Multiple-­‐choice  answers  

1) Which  of  the  following  medical  devices  would  typically  undergo  high-­‐level  disinfection?  

a) Blood-­‐pressure  cuffs  b) Flexible  endoscope  c) Surgical  instrument  

 2) Match  descriptions  of  device  reprocessing  actions:  associate  the  right  number  to  the  right  letter:  

a) Pre-­‐cleaning  !  correspond  to  number:  b) Sterilizing  !  correspond  to  number:  c) Manual  cleaning  !  correspond  to  number:  d) High-­‐level  disinfecting  !  correspond  to  number:  

 1) Reduce  bioburden  by  wiping  and  flushing  2) Kill  most  pathogens  including  mycobacteria  3) Kill  all  microorganisms  including  spores  4) Remove  bioburden  by  immersion  in  detergent    

3) According  to  the  European  Medical  Device  Directive  which  is  the  detergents  class?  

a) Class  IIb  b) Class  I  c) Class  IIa  

 4) What  is  the  application  of  a  sigmoidoscope?    

a) The  same  application  of  a  colonoscope  to  examin  the  entire  colon  b) The  same  application  of  a  duodenoscope  c) Specific  device  to  see  only  the  last  part  of  the  colon  

     

   

Rev.  00    

Share  questions  about  the  

topics  discussed  during  the  

training  session  

Clarify  all  the  unmet  needs  or  doubt

s  

 

   

Rev.  00    

STEELCO  ACADEMY    ARES  TRAINING  PROGRAM:  

 ARES  PLATFORM  &  MICROBIOLOGICAL  AND  ENDOSCOPE  ARCHITECTURE  BACKGROUND  

Date:    

Topic   Objectives  Introduction  to  Microbiology    

To  list  the  Spaulding  Classification  system  and  HLD  requirements    

Microorganisms  Scale  of  Resistance      Cleaning  Phase     Improve  Microbiological  Knowledge  The  ideal  Detergent   Stress  the  Importance  of  Manual  Cleaning  Phase  Enzime  Legenda   Highlight  on  Regulatories  aspects  Reusable  Medical  Devices  Reprocessing  Cycle      CE  Mark  and  ISO  15883  digression      Knowledge  of  the  Endoscope  

Deep  dive  into  the  endoscope  features  &  components  

Endoscope  criticity   Learn  about  the  endoscope  to  be  able  to  recognize  different  models  and  applications.    

Channels  Description   Gain  experience  in  connecting  the  endoscope  (different  color  code  connection  sets)  

Type  of  Endoscopes      Endoscope  Reprocessing  Phases  

Awareness  about  the  different  steps  needed  in  endoscope  reprocessing  (mix  of  manual  and  automated  process)  

ARES  OVERVIEW   Presentation  of  STEELCO  ARES  PRODUCT  PORTFOLIO      EW1,  EW2,  EW2  3S,  ED  200,  ED  100,  ED  250,  ED  150  

General  presentation  of  the  platform  to  provide  a  full  picture  of  the  ARES  family  

       EW1  Product  Presentation   Learn  about  the  right  product  positioning  and  Technical  Features  EW2  Product  Presentation   Learn  about  the  right  product  positioning  and  Technical  Features  EW2  3S  Product  Presentation  

Learn  about  the  right  product  positioning  and  Technical  Features  

ED  200  -­‐  ED  100  Product  Presentation  

Learn  about  the  right  product  positioning  and  Technical  Features  

ED  250  -­‐  ED  150  Product  Presentation  

Learn  about  the  right  product  positioning  and  Technical  Features  

BUILD  THE  MARKET   Winnig  actions  and  behaviours  to  create  the  HLD  Market  Drivers  to  buid  the  Market   Learn  a  method    Q&A  Open  Session      

         

 Rev.  00  

 

4) Which  is  the  cell  shape  of  a  COCCI?    

a) Rectangular  

b) Spherical  

5) Which  is  the  most  important  enzyme  in  a  detergent  used  in  a  GI  lab?  

a) Cellulase  

b) Lipase  

c) Protease  

d) Amylase  

 

6) Complete  the  phrase  selecting  the  appro

priate  word.  

High  level  disinfection  kills  all  [xx1],  

except  for  some  bacterial  [xx2].  Many  countries  measure  

high  level  disinfection  performance  by  its  ability  

to  destroy  [xx3].  

a) xx1  =  micro  organisms  /  viruses  /  spores  

b) xx2  =  infections  /  organisms  /  spores  

c) xx3  =  Methicillin-­‐resistant  Staphylococcus  a

ureus  /  Mycobacterium  tuberculosis  /  Clostridium  

difficile  

 

7) What  is  the  function  of  the  channel  se

parator?  

a) Maximum  contact  between  scope  and  fluid  

b) Guarantee  the  unidirectional  chann

els  flow  irrigation  

c) Prevent  contamination  

 

8) Which  of  the  following  features  would  be  found  in  the  ED200™  System  (more  than  one)?  

a) Vertical  storage  

b) HEPA  filter  

c) Display  LCD  

d) Single  scope  position  control  

 

9) The  requirements  for  high-­‐level  disinfection  using

 washer-­‐disinfectors  are  specified  in  w

hich  ISO  

standard?  

a) IS0  10746  

b) IS0  29816  

c) IS0  15883  

d) IS0  45953  

 

10) According  to  the  European  Medical  Device  Dire

ctive  which  is  the  detergents  class?  

a) Class  IIb  

         

 Rev.  00  

 Date:  ……………………………………………………………………………………………………………………………………………….  Name:  ……………………………………………………………………………………………………………………………………………..  Signature(1):  …………………………………………………………………………………………………………………………………….  Job  Title  &  Company:  ………………………………………………………………………………………………………………………  Score(2):  ……………………………………………………………………………………………………………………………………………    STEELCO   ACCADEMY   FINAL   TEST:   ARES   PLATFORM   &   MICROBIOLOGICAL   AND  ENDOSCOPE  ARCHITECTURE  BACKGROUND  

 Multiple-­‐choice  answers  

1) Which  of  the  following  medical  devices  would  typically  undergo  high-­‐level  disinfection?  

a) Blood-­‐pressure  cuffs  b) Flexible  endoscope  c) Surgical  instrument  

 2) Name  the  3  external  structures  of  the  Endoscope:  

 

 3) Match  descriptions  of  device  reprocessing  actions:  associate  the  right  number  to  the  right  letter:  

a) Pre-­‐cleaning  !  correspond  to  number:  b) Sterilizing  !  correspond  to  number:  c) Manual  cleaning  !  correspond  to  number:  d) High-­‐level  disinfecting  !  correspond  to  number:  

 1) Reduce  bioburden  by  wiping  and  flushing  2) Kill  most  pathogens  including  mycobacteria  3) Kill  all  microorganisms  including  spores  4) Remove  bioburden  by  immersion  in  detergent  

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Certificate Pre-reading materials

Ass

essm

ent

A C A D E M Y

Course Preparatory

wor

k

Learning pathwith you every step of the way

Pre-reading materials, training manuals and assessment tests are available on the Steelco website for all the registered participants.

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Subject matter coursesfrom basic principles to designing a new facility

CSSD and or endoscope department layout1 day course

Introduction to instrument and endoscope reprocessing1 day course

For architects, equipment planners or those wishing to refurbish an existing or plan a new facility.

The course covers general considerations as well as suitable layouts based on:

• available floor plan

• current and future planned workloads and types of medical devices to be reprocessed

Suitable as a subject matter introduction or for those wishing to refresh their knowledge:

• applicable standards

• need for reprocessing

• invasive and non invasive instruments

• flow of instruments

• disinfection and sterilization

Disinfection2 day course

The course covers:

• applicable standards

• manual cleaning and ultrasonic units

• automated thermal and chemical disinfection

• washer disinfectors and cart washers

• chemistries and process monitoring

• overview on department planning

Sterilization2 day course

The course covers:

• applicable standards

• steam sterilization principles

• sterilizers and their cycles

• process monitoring

• overview on department planning

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Subject matter coursesfrom basic principles to designing of a new facility

Flexible endoscope reprocessing2 day course

Day 1:

• the need for manual cleaning and high level disinfection

• design of flexible endoscopes and the decontamination challenges they create

• microbiology testing,

• ensuring safety for those handling scopes and patients

• responsibility and expertise in endoscopy

• future trends

Day 2:

• review of the applicable sections of ISO 15883

• best practice and equipment to assist operators in manual cleaning

• principles and use of the ARES range of flexible endoscope reprocessors with interactive attendee participation using equipment

• correct endoscope handling and storage

• review of the traceability, user information and on line capabilities of the SteelcoData control system

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Operator and technical courseshow to get the best performance for your Steelco equipment

Technical trainingfrom 1 day up to 1 week course depending on the aim and complexity of the systems

Equipment user courses1 day course

To obtain optimal performance over many years and meet international and local standards, maintaining equipment according to the supplier’s recommendations is important.

Steelco offers it’s distributors and partners training courses on installation, servicing and validation of equipment in a hands on environment. Course lengths vary depending on the type and number of equipment involved.

Chemistries and process monitoring products 2 day courses

Optimal outcomes are achieved using the most appropriate consumables with equipment and monitoring processes.

Day 1: analysis of which chemistries to use for thermal or chemical disinfection as part of manual and automated cleaning processes based on the type of load and soils

Day 2: review of process-monitoring devices for use with washer disinfectors, ultrasonic units and sterilizers, based on relevant international standards.

These courses cover user training for new or previously purchased Steelco equipment and are designed for those that will be operating equipment.

Courses can be held at either Steelco or customer premises.

www.steelcospa.com

STEELCO ASIA

6th floor, Suite 16, IOI Business ParkPersiaran Puchong Jaya Selatan - Bandar Puchong Jaya47100 Puchong, Selangor - MalaysiaPh +60 3 8064 4339 (Ext. 112) - Fax: +60 3 8064 4340e-mail: [email protected]

STEELCO S.p.A.

Via Balegante, 27 - 31039 Riese Pio X (TV) - ItalyPh. +39 0423 7561 - Fax +39 0423 755528e-mail: [email protected]

STEELCO HUNGARY

Temesvár u., 19-211116 Budapest - HungaryPh. +36 1 371 0257Fax +36 1 371 0258e-mail: [email protected]

STEELCO USA

999 Stinson Way - Unit 307West Palm Beach, FL 33411 USAPh. +1 561 791 8313Fax +1 561 791 8213e-mail: [email protected]

Branches

Headquarters

Flusher disinfectors

Dental washer disinfectors

ARES - flexible endoscopeautomated reprocessing system

Washing and sterilizing systems for lifescience and pharmaceutical applications

Laboratory glasswarewasher disinfectors

DC-P

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Washer disinfectors for central of sterilization departments

Steam sterilizing autoclaves