2012 Cidex® OPA GUIDELINES

Standardizing Cidex® OPA UseFor Direct Users

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This module is applicable to direct users of Cidex OPA®

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This Module:

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To ensure correct Cidex® OPA guidelines are followed:

OSHA

Manufacturer guidelines

Infection Control

Safety

Compliance

Purpose

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To Standardize the use of Cidex® OPA within

the system including:

Safe Use

Labeling

Testing

Soaking

Documentation

Spill Protocol

Objectives

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Personal Protective EquipmentAlways use PPE when handling

Cidex® OPA Placing probe into Cidex OPA®soak

container Removing probe from soak container Testing solution/strips Changing solution

Safety

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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

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Cidex OPA® leaked inside drawer staining surface.

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Cidex OPA® Stain in drawer

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Ventilation◦ GUS station

Location of soak container◦ Low traffic area/secured from public access◦ Well ventilated room◦ Labeled containers

Safety (cont.)

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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)

Rinse containers until water runs clear

◦ Cap and dispose of old bottle in trash

Opening Cidex® OPA

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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)

Labeling (con)

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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

Labeling

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Appropriate label for health hazard level one

NFPA rating:◦ Health: 1 flammability: 0 reactivity: 0

◦ OSHA.GOV

Hazard Label for Cidex® OPA

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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)_

Labeling (con)

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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)

Testing

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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

How to Use Test Strips

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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.

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/cidex-opa/features-and-benefits

Testing Cidex® OPA with Test Strips

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Results:

Advanced sterilization products (2012) retrieved 7/26/2012 from http://www.aspjj.com/us/products/cidex-opa/features-and-benefits

Test Strips (con)

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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.

Test strips (con)

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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)

Testing Documentation

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Must have submersible thermometer

to test temperature of solution

SOLUTION TEMPERATURE

◦ Cidex® OPA solution must be at least 20C/68F to

be effective

Soaking

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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

Soaking

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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

Rinsing

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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

Rinsing

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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

Documentation

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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)

Documentation (con)

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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)

Documentation (con)

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Logsheet

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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

Changing Solution

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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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Documents

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Refill solution to fill line

Label Containers

Test Solution

Changing Solution (cont)

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ReferencesOSHA (2006) Best Practices for the Safe Use of Glutaraldehyde in Health Care. Retrieved from www.osha.gov/Publications/glutaraldehyde.pdf