Course Access
Hi Lindy, I agree with Tim & Carolyn, you could use 70% alcohol (and of
course let it dry :)). If this is going to be a regular patient, there is
another good agent (and generally well tolerated e.g. Used in
neonates) called octenidine which is used ++ in Europe but not currently
registered in Aust, u could get your pharmacist to get Special Access
Scheme approval from TGA and order from o/s.
Hope this helps, C
*Claire Rickard **RN PhD FAHMS FACN*
*Director, Alliance for Vascular Access Teaching and Research
(AVATAR), & **Professor, National
Centre of Research Excellence in Nursing Interventions, Menzies Health
Institute Queensland*
*Visiting Scholar, Princess Alexandra, Prince Charles, and Royal Brisbane &
Women’s Hospitals*
*Honorary Professor, University of Manchester*
*Interested in IV research? http://www.avatargroup.org.au
*
*Follow the AVATAR Group*
*Interested in joining AVAS? http://www.avas.org.au *
On 9 December 2016 at 08:59, wrote:
> Hi Lindy,
> See below for haemodialysis access cleansing that we recommend for
> patients in our dialysis clinics across Australia and Asia Pacific.
>
> 1. Educate patients to wash their fistula with normal liquid hand soap (we
> do not use antimicrobial hand soap) at dedicated clinical hand basins (no
> liquids e.g. dialysate emptied into these sinks) on arrival.
> If patients have mobility issues and can’t access the clinical hand basins
> we offer alcohol based hand rubs to clean their hands and fistula.
>
> 2. We recommend Chlorhexidine (0.5% to 2%) combined with alcohol, swabs
> for all skin cleansing prior to cannulation.
> 2% chlorhexidine can cause skin irritation while rarely have issues with
> 0.5% or 1%chlorhexidine and alcohol.
> If chlorhexidine can’t be tolerated at all we either use povidine iodine
> or plain alcohol swabs.
> The very rare patients who are highly sensitive to everything we just
> ensure very good hand washing and washing fistula with liquid hand soap.
>
>
> With best regards
> * Carolyn Chenoweth*
> Quality & Infection Prevention and Control Manager, Australia
> Asia Pacific Quality & IPC SME. CICP
>
> Fresenius Medical Care Australia Pty Ltd
> Payneham Dialysis Clinic,
> 2 Portrush Road
> PAYNEHAM 5070
> Australia
> T: +61 (0) 8 8165 4313
> M: +61 (0) 407 810 800
> *www.fmc-ag.com*
>
>
>
>
>
> From: “EXTERN ACIPC Infexion Connexion”
> To: AICALIST@AICALIST.ORG.AU
> Date: 09/12/2016 07:59 AM
> Subject: skin prep for haemodyalisis – question
> ——————————
>
>
>
> Hello
>
> We have a pt with sensitivity to povidine /iodine and CHG who has a
> fistula & is having regular haemodialysis .
>
> Other than cleaning her skin with sterile normal saline prior to
> cannulating them for their dialysis is there any other skin antisepsis
> that could be used.
>
> I have looked at referenced from CDC and APIC but there is nothing useful
> re any other skin antisepsis just wondering if anyone out there was using
> anything else in these pts with success or is sterile normal saline the
> only best option to stick with ?
>
> Many thanks
>
> Kind regards
>
> Lindy
>
> *Lindy Ryan*
>
> Infection prevention & Control Clinical Nurse Consultant (CNC) | *Coffs
> Harbour Health Campus*
> Pacific Hwy Coffs Harbour NSW 2450
> Tel (02) 6656 7770 | *lindy.ryan@ncahs.health.nsw.gov.au*
>
> *www.health.nsw.gov.au*
>
>
>
>
> Wise and humane management of the patient is the best safeguard against
> infection
> (Florence Nightingale Circa 1860)
>
>
>
>
>
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—
*Claire Rickard **RN PhD FAHMS FACN*
*Director, Alliance for Vascular Access Teaching and Research
(AVATAR), & **Professor, National
Centre of Research Excellence in Nursing Interventions, Menzies Health
Institute Queensland*
*Visiting Scholar, Princess Alexandra, Prince Charles, and Royal Brisbane &
Women’s Hospitals*
*Honorary Professor, University of Manchester*
*Interested in IV research? http://www.avatargroup.org.au
*
*Follow the AVATAR Group*
*Interested in joining AVAS? http://www.avas.org.au *
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
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