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Archive Hot Technology 2019

A Wide-Angle View of Today's Whole-Room Disinfection Systems

­Which automated surface-sterilizing technology best suits your needs?

Hellen Johnson

Hellen Johnson


Pamela Bevelhymer, RN, BSN, CNOR
ENVIRONMENTAL DISINFECTION The persistent contamination of OR surfaces despite traditional cleaning and disinfection methods has led to the emergence of whole-room disinfection technologies.

The evidence is clear: to fully clean and disinfect the OR, manual cleaning alone just doesn't cut it. Despite your turnover team's best efforts to wipe and mop every inch of cart, counter, table and floor, studies show that up to half of all operating room surfaces will remain contaminated with pathogens — including multidrug-resistant organisms such as methicillin-resistant Staphylococcus aureus (MRSA) — when you wheel the next patient in. The shortcomings of manual cleaning have ushered in a new era of whole-room disinfection technology. Which whole-room system is right for your facility? Let's start by considering:

  • Throughput/turnaround time. What is your average caseload? How quickly do you need an OR to be cleaned and disinfected? Do you aim for end-of-day, between-cases or continuous disinfection?
  • Personnel/staffing. Do you have staff available to oversee a technology that requires manual remote operation, room evacuation/sealing and device repositioning?

  • Ergonomics/space. What distance must a device that you wheel from room to room cover? What are the entrance/exit dimensions through which you would need to maneuver a device? What is your storage capacity for a mobile device?
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