Through follow-up with user facility personnel, the technician was informed that the employee was not wearing proper ppe, specifically gloves as stated in the operator manual.The v-pro max 2 sterilizer operator manual states (6-35), "steris recommends (in accordance with ansi/aami st58, 2013) wearing chemical-resistant gloves when using the sterilization unit." the operator manual further states (1-3), "danger - chemical injury hazard: any visible liquids in the chamber or on the load must be treated as concentrated hydrogen peroxide.Observe all hydrogen peroxide handling precautions." additionally, user facility personnel should ensure all instruments are properly dry prior to placement in the v-pro max 2 sterilizer.The v-pro max 2 sterilizer operator manual states (a-3), "a.Dry all items thoroughly.B.Ensure all moisture is removed from all internal parts (including lumens).If not, residual hydrogen peroxide may remain at cycle completion." the technician inspected the unit and ran a test cycle which failed for "pressure rise high." the technician replaced the injection manifold and manifold valves, tested the unit, confirmed it to be operating according to specification, and returned it to service.The technician counseled user facility personnel on the proper use and operation of the v-pro max 2 sterilizer, specifically wearing proper ppe and properly drying instruments before processing.No additional issues have been reported.
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