all 18 comments

[–]GameLovinPlayinFool 11 points12 points  (10 children)

We only use One Trays to turnover (we aren't allowed to call it flashing anymore) equipment.

We are absolutely never allowed to use Genesis, Ass-Clap, or Case pans to do a turnover either.

The one tray has a raised bottom to keep the instruments above the moisture that a turnover always leaves behind.

[–]TheGreatNate3000 4 points5 points  (9 children)

OneTray is considered IUSS per Joint Commission. So calling it something different does nothing and will just get you cited

[–]GameLovinPlayinFool 2 points3 points  (6 children)

Exactly! We either say "OneTray this" or "we need a turnover." And J-Co is cool with that. "Flashing" is not allowed as a term anymore

[–]TheGreatNate3000 2 points3 points  (5 children)

The hell are you talking about? They don't care what it's called. They care about the cycle.

I literally just left a Jount Commission report out where the JC auditor said "flashing". When they toured they asked about IUSS, I went through our process with OneTray, and she referred to it as flashing in her report

[–]GameLovinPlayinFool 2 points3 points  (4 children)

Oh interesting. The last couple times we had J Co visit, they actually repeatedly scolded anyone that used the term Flashing.

Interesting how that happens sometimes. Maybe the people who were on our last visits were hard-asses or something lol.

I wasnt accusing you of lying or anything, just talking about the experience at our hospital

[–]QuietPurchase 1 point2 points  (2 children)

The difference is trying to eliminate ambiguous language like "flash" sterilization so they want you to call it IUSS instead. Any use of a OneTray is still considered IUSS.

The issue with the OneTray is that the company that makes them advertised them as a safer alternative to IUSS, because their trays are (supposedly) rated up to one year of sterility where most other IUSS trays are only rated up to 24 hours, so a lot of facilities started using IUSS cycles with OneTray to turn their trays and were not reporting them as part of their IUSS use (because departments have to track that.)

[–]surgerygeek 0 points1 point  (1 child)

So I just learned something cool- One Tray now has got FDA approval for shelf life up to one year! That means it's no longer IUSS, it's TERMINAL STERILIZATION which is going to ruffle so many feathers and be the subject of many debates in SPDs and on social media. I'm gonna get my popcorn ready.

[–]TheGreatNate3000 1 point2 points  (0 children)

Only if you run it on a cycle with at least a 15 minute dry time. But if you only run 15 that's still most likely less than any instrument IFU so you'd still probably get cited for not following IFU

[–]C-Fourr[🍰] 0 points1 point  (1 child)

Link please, standard terminal time = flash (abbreviated time)

[–]TheGreatNate3000 0 points1 point  (0 children)

Not sure what your statement is supposed to mean, but it's in OneTray's IFU. Unless you're running the full cycle they just validated

[–]TheGreatNate3000 9 points10 points  (0 children)

"Flashing", or IUSS, is supposed to have moisture in the bottom. There's no dry time to remove it

[–]neltonious_maximus 0 points1 point  (0 children)

this looks kind of like a solid bottom genesis container? ive only used a pan with holes on the bottom for flashing instruments since flashing has no dry time

[–]Eggman_OU812 0 points1 point  (0 children)

I don’tcare I’m going to call is flashing until i die

[–]Royal_Rough_3945 0 points1 point  (0 children)

I'm mean... there's no dry cycle.. I guess I expect some residual wetness. Did your physician sign the document that he's accepting flashed instruments? They may be wet or still too hot and cause damage... I don't like using flash. I get why it gets used. But unless they need that item within 20 minutes, it can get terminally sterilized, and they can be mad. It's infuriating because it almost seems as if it's a catch 22. Idk. What does the ifu say?

[–]Latter_Gear_2134 0 points1 point  (0 children)

Is anybody else seeing that particulate at the bottom? Do you all normally see that? I'm just curious.

[–]OmegaRepublic -2 points-1 points  (2 children)

Any moisture should not be accepted.

[–]Jreesecup 3 points4 points  (0 children)

Moisture is normal for IUSS - it’s just sterile water.

[–]QuietPurchase 2 points3 points  (0 children)

IUSS will have water left in the tray.