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Could I ask is air sampling required for commissioning of new ICU or just Opersting Theatre?
Thanks
Cate Coffey__________________________
From: ACIPC Infexion Connexion [AICALIST@AICALIST.ORG.AU] on behalf of Michael Wishart [Michael.Wishart@SVHA.ORG.AU]
Sent: Tuesday, October 25, 2016 5:02 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Air sampling – operating theratre commissioning is it still necessary
Oh boy, where to start?
I agree there is conflicting information about the validity and utility of air sampling for commissioning new (or refurbished) operating rooms. The real commissioning, in my view, is to ensure that all of the mechanicals are working appropriately, and demonstration of appropriate pressure gradients.
There is, as far as I am aware, no definitive requirement in Australia to perform air sampling of this nature. No specific requirement form any regulatory body. Please correct me if you are aware of something.
Having said that, some people (aka administrators and surgeons, mainly) like to have scientific evidence that the theatres are safe from things we cant see. So, whilst not mandated, it is sometimes required, and we have to do it.
As far as accredited labs goes, there are a few around the country, I believe but very few. I would have to check what accreditation is required form this apart from being accredited to process environmental samples, but that would be my guess as to what you need to look for.
The trick is to work with the lab about air volumes required to process, and what you are actually looking for (who many of what kind of bugs, basically). You then have to have a plan on what to do if the count is higher than you agreed on something the4 administrators and surgeons are loath to agree to (yet more testing!??!).
I wish you luck, and I also wish someone would give us some clearer direction on where to go with this. Save us all time and money and effort.
Cheers
Michael
Michael Wishart
Infection Control Coordinator
A 627 Rode Road, Chermside QLD 4032
P (07) 3326 3068 | F (07) 3607 2226 | E michael.wishart@svha.org.au | W http://www.hsnph.org.au
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P Please consider the environment before printing this email
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Ryan, Lindy
Sent: Tuesday, 25 October 2016 4:10 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Air sampling – operating theratre commissioning is it still necessary
Dear brains trust
I have a Question around the validity of undertaking air sampling as part of infection control QA for commissioning of operating theatres.
I have read around current literature and guidelines attached it being recommended (& I have undertaken air sampling and had the micro lab previously read and report on the results which have been reviewed with the Clinical microbiologist/ID) I have attached a coupe I have looked data and used previously at what I thought were great documents!!
However recently I was asked to undertake this again as we will be undertaking work in OT re our air-conditioning system and was happy to progress as previous with sir sampling . however the health laboratory I am currently working with has declined to accept and undertake the analysis and reporting as they have indicated they are not NATA accredited to undertake this analysis and reporting .
So we have been looking around for an external private laboratory to undertake this analysis and reporting at great cost to us .
However in asking around my colleagues I have also been advised that there is no current NATA credentialing for air sampling (so even the private lab we will need to use wont be accredited accredited?)
Can I clarify with anyone else working elsewhere if this is true, and /or what their experience has been in undertaken air sampling and how they have had it analysed and reported on
I am seriously wondering if I have missed anything new or different in the literature that has changed the concept of air sampling as useful tool for commissioning given if there is no there is no standard (ie NATA) of accreditation around the sample data analysis & reporting methodology and its validity then why would an air sampling need test still be recommended to be done at all if the labs are telling us the info cant be considered accurate or correct without NATA validation
Any thoughts responses or advice greatly appreciated as we look at our next step here around value for money and safety
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
http://www.health.nsw.gov.au
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Wise and humane management of the patient is the best safeguard against infection
(Florence Nightingale Circa 1860)
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