4 Workflow Overview
Nanosonics AuditPro brings infection control traceability into the clinical workflow. The system provides continuous on-the-job reprocessing compliance according to Spaulding Classification and facility SOP into the clinical workflow.
A workflow consists of:
• Probe reprocessing prior to the patient procedure
• Probe selected according to the needs for the patient procedure
• Logging of Patient Procedure ID to Nanosonics AuditPro
• Performing patient procedure
Nanosonics AuditPro logging can be done either:
• Immediately before commencing the patient procedure
• Immediately after the patient procedure is complete
• Up to 72 hours after the patient procedure was performed (not recommended).
4.1 Probe Reprocessing
All probes must have undergone an appropriate level of reprocessing, consistent with the applicable Spaulding Classification:
Figure 25: Spaulding Classification
Probes used in each of the following circumstances will need the corresponding level of reprocessing:
Critical patient procedures - for example intraoperative, guided percutaneous procedures where the probe contacts sterile tissue.
Probes must be Sterilized or, if not possible, High-Level disinfected and used with a sterile sheath.
Semi-Critical patient procedures - for example intracavity or skin with wounds, rash or burns.
Probes must be reprocessed using at least a High-Level disinfection process. Nanosonics AuditPro users must use a trophon2 device for this process, which will link more reprocessing cycle data.
Non-Critical patient procedures - for example skin with no wounds, rash or burns.
Probes must be reprocessed using at least a Low-Level disinfection process.
4.1.1 Probes Sterilization
If your probe is compatible with a sterilization system, the Nanosonics AuditPro system allows you to log the associated sterilization tracking ID from your sterilization system for full traceability. Current standards and guidelines state that where sterilization is not possible, a probe may be used in a critical application provided the probe has been high level disinfected and covered with a sterile sheath.
4.1.2 High-Level Disinfection (HLD)
Probes requiring HLD must be reprocessed using trophon2 devices so reprocessing cycle data is uploaded to the Cloud. See [2] for details on how to perform a complete high level disinfection cycle using a trophon2 device.
An overview of the workflow involving patient procedures that require HLD reprocessing (using a trophon2 device) and immediate logging is shown in Figure 26.
Figure 26: Nanosonics AuditPro Workflow Using trophon2 Device and Immediate Procedure Logging
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Figure 26 depicts a timeline which includes the steps for Initial Registration and Probe Preparation required when first setting up Nanosonics AuditPro in your Facility. |
4.1.3 Intermediate-Level Disinfection (ILD)
Probes requiring ILD can be cleaned and disinfected in accordance with the manufacturer’s instructions.
4.1.4 Low-Level Disinfection (LLD)
Probes requiring LLD can be cleaned and disinfected in accordance with the manufacturer’s instructions.
4.2 Logging of Patient Procedures Workflow
Patient procedures are logged using the Mobile Scanning Device. The information below describes the workflow of logging procedures.
For information about how to log procedures within AuditPro, see Logging Patient Procedures.
4.2.1 Immediate Procedure Logging
Immediate logging of procedures is the recommended workflow sequence. When logging takes place immediately before the patient procedure, the current timestamp, provided by the Mobile Scanning Device by default, will be sufficiently accurate to enable the procedure and its probe reprocessing to be linked in the Nanosonics AuditPro database.
4.2.2 Delayed Procedure Logging
Where the workload may not permit immediate logging, patient procedures may be logged up to 72 hours after the patient procedure was performed.
When logging has been delayed, it is important to enter the exact date and time for the actual procedure so that Nanosonics AuditPro can correctly pair to the HLD cycle.
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It is the Facility’s responsibility to ensure that procedure times are logged accurately. Should the procedure timestamps be outside of this 7-minute tolerance, Nanosonics AuditPro may not be able to correctly pair the trophon2 HLD cycle and the procedure being logged. |
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If you have not a logged patient procedure within 72 hours of its execution, you will not be able to log it to the Nanosonics AuditPro Mobile Application. The Procedure Date and Time screen (see Figure 34) will not allow you to select a time more than 72 hours earlier than the current time. Please contact Nanosonics Customer Service to discuss an alternative solution. |
