Reprocessing Recommendations

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Cleaning Products, HLD & Sterilization,

HLD Solution Testing & Disposal

This page includes summaries that should not be used to create policies and procedures. Please refer to the original source documents for exact language. Links can be found here.

Multisociety, 2016

Routinely check that HLD is at least minimum concentration. Dispose of solution if minimum concentration is not met, and also at end of use per manufacturer's instructions. "Topping off" the solution does not extend its reuse life.

HICPAC, 2016

Document results of testing for effective concentration and expiration dates for test strips and chemical disinfectants.

AORN, 2016

Before each use, check that minimum concentration is met. "Topping off" the solution does not extend its reuse life. Thoroughly document all results.

ANSI/AAMI ST91, 2015

Before each use, check that minimum concentration is met. "Topping off" the solution does not extend its reuse life. Thoroughly document all results.

APIC/JCR, 2017

Make sure test strips are also quality tested and not expired. Document quality testing of HLD solution.

CMS, 2016

Refer to manufacturers' IFUs.

TJC Booster Pak, 2015

Follow manufacturer’s IFUs for testing of HLD solution between each use, temperature of high-level disinfectant, time based on manufacturer IFUs of the solution, and test strips are used as indicated and not expired.
 Solution and concentration should be monitored and documented and dated as per manufacturer IFUs.

Guideline Details

Explore the parts behind the rigorous procedure needed to ensure flexible bronchoscopes are ready for re-use.