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Very often due to the disparity of roles between surgeons, anaesthesia, nursing, techs and ES- each coming with their own perspective and agenda- it is safe to say that friction is often generated between the disciplines.

Another option is to mark the specific objects with a bioluminescence marker, allow for the cleaning, then check to see if the luminescence was removed using a black light.

This is repetitive and may lead to marked areas being targeted by ES workers.

Ultraviolet disinfection does not validate terminal cleaning but is in itself a standard for effective disinfection and should be mentioned as an option.

Neither ES nor Peri-op wants to change their duties to include a Terminal Cleaning validation, but at the same time all want the process to change. What is being missed by not validating Terminal Cleaning? What can you put into practice that can be maintained and sustained?

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