Hi Roy!  The "Germinator 500"  Sounds like something from Phineas and Ferb.  
Hahaha.
Anyway - The mandate from CAP is designed to clean the instruments, not 
sterilize them.  If the instruments aren't cleaned before stuffing them into a 
250'C trough of glass beads (the Germinator),  you will just have burnt on 
fragments of other tissue stuck on forceps.  The thought of what molten 
paraffin at the embedding unit would do to those glass beads is downright 
scary.  I would certainly check with the manufacturer of both the unit, and the 
paraffin before attempting. Also, the Germinator manual states that instruments 
be allowed to cool for 30 seconds before reuse.  Can you imagine how that might 
slow everything down. It just doesn't sound appropriate for what CAP is trying 
to accomplish.
Our policy calls for wiping of forceps with gauze between cases at gross and at 
embedding. At gross, we use a disposable absorbant lined pad on the cutting 
board for each larger case, and just a fresh c-fold paper towel between small 
biopsy cases.  We do not allow double-dipping of swabs into ink, but instead, 
pour out small amounts into a large plastic weigh boat which is also discarded 
after the case. We use disposable safety scapels, with a 70 blade (love 'em) 
for each case. For excessively bloody/fatty cases, we put the dirty forceps 
into an enzyme pre-soak (Aseptizyme) to remove all tissue debris.  Then they 
are scrubbed with a brush,  then rinsed in a disinfectant before being re-used.
I sure hope this helps

Terri L. Braud, HT(ASCP)
Anatomic Pathology Supervisor
Laboratory
Holy Redeemer Hospital
1648 Huntingdon Pike
Meadowbrook, PA 19046
ph: 215-938-3689
fax: 215-938-3874
Care, Comfort, and Heal
 

  3. New Cap cross contamination at gross bench (Roy, Ryan)
Date: Fri, 12 Jan 2018 15:39:05 +0000
From: "Roy, Ryan" <ryan....@va.gov>
Subject: New Cap cross contamination at gross bench

Anyone out there see the new CAP requirement regarding cross contamination at 
gross bench and cleaning of forceps.
How are other people planning to comply. My supervisor has instructed me to use 
a Germinatior 500 at gross bench and at Embedd center.
I have no experience using these sterilizers but my initial thought is that I 
will need to be really careful not to inadvertently apply too much heat to the 
tissue.
Any thoughts appreciated,

Ryan Roy HTL (ASCP)
Manchester VA Medical Center




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