Course Access
Verily,
In NSW the “mandatory” document for public health services is:
Document Number PD2005_132
Publication date 25-Jan-2005 (due for update in 2016)
Sharps:
“Sharps: Any object capable of inflicting a penetrating injury, which may
or may not be
contaminated with blood and or body substances. This includes needles and
any other
sharp objects or instruments designed to perform penetrating procedures”
Pharmaceutical waste:
Consists of pharmaceuticals or other chemical substances specified as
regulated goods in
the Poisons and Therapeutic Goods Act 1966. This includes any substance
that is
specified in a Schedule of the Poisons List under that Act, as well as any
therapeutic good
which is unscheduled. Pharmaceutical waste includes expired or discarded
pharmaceuticals
and filters or other materials contaminated by pharmaceutical products.
Clinical waste:
Bulk body fluids and blood;
Visibly blood stained body fluids and visibly blood stained disposable
material
and equipment;
Consider the following when determining policy for your organisation over
and above the requirements in the above document:
If the spike remains encased in the bag is it an object capable of
inflicting a penetrating injury?
If you cut the spike off, is this an occupational/ consumer safety risk –
during the action of cutting/ removing the spike/spigot, and/or if not
correctly disposed of as a sharp?
If blood or bulk body fluids (peritoneal dialysis bags) is present, should
manipulation occur, or should you leave the spike/spigot intact and
discard directly as clinical waste or if additives present then
pharmaceutical waste?
In relation to other IV products requiring a giving set to administer: In
some states/territories hydration fluids (such as saline/dextrose) and
nutritional fluids/TPN (both without additives) are not clinical or
pharmaceutical waste and may be discarded as general waste.
Regards
Sue
Sue Atkins
Regional Infection Control Consultant | CICP | Service & Workforce
Development | Grampians Region
Department of Health | 35 Armstrong Street South, Ballarat, Victoria, 3350
p. 03 5333 6023 | f. 03 5333 6093 | m. 0438 227 989
e. sue.e.atkins@health.vic.gov.au | http://www.grhc.org.au
From:
Terry Grimmond
To:
AICALIST@AICALIST.ORG.AU
Date:
18/11/2013 12:51 PM
Subject:
Re: How to appropriately dispose of used IV lines/drainage bags/systems
Sent by:
ACIPC Infexion Connexion
Hi Michael,
I agree. In some jurisdictions/institutions, sharps definition (along with
..could penetrate human skin) includes or puncture waste bags. i.e.
IV spikes and other sharp-edged items that might puncture/rupture a yellow
bag with resultant potential for blood/OPIM leakage onto handlers.
T.
Terry Grimmond FASM, BAgrSc, GrDpAdEd
Consultant Microbiologist
Grimmond and Associates
Ph/Fx (NZ): +64 7 856 4042
Mob (NZ): +64 274 365 140
E: tg@gandassoc.com
“This email (including any attachments) is intended only for the use of
the individual or entity named above and may contain information that is
confidential and privileged. If you are not the intended recipient, you
are reminded that any dissemination, distribution or copying of this email
or attachments is prohibited. If you have received this email in error,
please notify me immediately by return email or telephone and destroy the
original message. Thank you.”
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf
Of Michael Wishart
Sent: Monday, November 18, 2013 1:40 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: How to appropriately dispose of used IV lines/drainage
bags/systems
Hi Verily
The problem with this question is it is local legislation and local waste
management regulation specific. It will depend upon what your state
legislation requires, and also what your local waste management
regulations (eg local council area or landfill site) requires.
In principle, the spigot end of an IV giving set is not a sharp designed
to penetrate skin, or to be used for that purpose, and thus may not meet
the definition for sharp in some jurisdictions. But your local legislation
and regulations may have specific guidance for this, so that should be
your first line of enquiry.
Most regulations allow facilities to develop their own polices with in the
guidance of the regulations. Thus, if you want to consider all IV
administration sets as clinical waste, it can be a facility decision. You
could not decide to allow used clinical sharps to be placed in general
waste, though, if this would be a breach of the regulations.
Hope these thoughts help.
Cheers
Michael
Michael Wishart
CNC Infection Control
Holy Spirit Northside Private Hospital
627 Rode Road, Chermside, Qld 4032
t: (07) 3326 3068 | f: (07) 3607 2226
e: Michael.Wishart@hsn.org.au
w:www.holyspiritnorthside.org.au
Please consider the environment before printing this email
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf
Of Verily Thomas
Sent: Friday, 15 November 2013 2:09 PM
To: AICALIST@AICALIST.ORG.AU
Subject: How to appropriately dispose of used IV lines/drainage
bags/systems
Dear All
I wonder if anyone out there can assist with a good response to feedback
to staff regarding this question I am so often asked. I have tried with
reason to advise however I would appreciate any further input from out
there to address this issue:
The question:
During one of the COPS meetings a question was raised around how to
appropriately dispose of peritoneal dialysis fluid and whether the spigot
of an IV line is classified as a sharp. Some wards believe that if they
separate a used IV bag from the line, they must cut the spigot end off and
put this in the sharps bin and dispose of the rest of the line in the
clinical waste bin. I was hoping to get some clarification on these issues
so I can feed it back to the COPS group.
Thanks for your assistance.
Regards
Verily Thomas
Clinical Nurse Consultant | Infection Prevention and Control
SWSLHD-Bankstown/Lidcombe Hospital
Eldridge Road, Bansktown.NSW 2200
Tel 02 97228000 pager 28230
Tel 02 9722 8633 | Fax 02 9722 7822 | verily.thomas@sswahs.nsw.gov.au
http://www.health.nsw.gov.au
LET’S KEEP OUR HOSPITAL ENVIRONMENT CLEAN
HAND HYGIENE SAVES LIVES
_____________________________________________________________________
This email has been scanned for the Sydney & South Western Sydney Local
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MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO
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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.
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Replies to this message will be directed back to the list. To create a new
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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.
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j[^v^n{n{^j{z’rbVerily,
In NSW the "mandatory" document
for public health services is:
Document Number PD2005_132
Publication date 25-Jan-2005 (due
for update in 2016)
Sharps:
"Sharps: Any object capable of inflicting
a penetrating injury, which may or may not be
contaminated with blood and or body substances.
This includes needles and any other
sharp objects or instruments designed to
perform penetrating procedures"
Pharmaceutical waste:
Consists of pharmaceuticals or other chemical
substances specified as regulated goods in
the Poisons and Therapeutic Goods Act 1966.
This includes any substance that is
specified in a Schedule of the Poisons List
under that Act, as well as any therapeutic good
which is unscheduled. Pharmaceutical waste
includes expired or discarded pharmaceuticals
and filters or other materials contaminated
by pharmaceutical products.
Clinical waste:
Bulk body fluids and blood;
Visibly blood stained body fluids and visibly
blood stained disposable material
and equipment;
Consider the following when determining policy
for your organisation over and above the requirements in the above document:
- If the spike remains encased in the bag is
it an object capable of inflicting a penetrating injury? - If you cut the spike off, is this an occupational/
consumer safety risk – during the action of cutting/ removing the spike/spigot,
and/or if not correctly disposed of as a sharp? - If blood or bulk body fluids (peritoneal
dialysis bags) is present, should manipulation occur, or should you leave
the spike/spigot intact and discard directly as clinical waste or if additives
present then pharmaceutical waste? - In relation to other IV products requiring
a giving set to administer: In some states/territories hydration
fluids (such as saline/dextrose) and nutritional fluids/TPN (both without
additives) are not clinical or pharmaceutical waste and may be discarded
as general waste.
Regards
Sue
| Sue Atkins Regional Infection Control Consultant | CICP | Service & Workforce Development | Grampians Region Department of Health | 35 Armstrong Street South, Ballarat, Victoria, 3350 p. 03 5333 6023 | f. 03 5333 6093 | m. 0438 227 989 e. sue.e.atkins@health.vic.gov.au | http://www.grhc.org.au |
| From: | Terry Grimmond <tg@GANDASSOC.COM> |
| To: | AICALIST@AICALIST.ORG.AU |
| Date: | 18/11/2013 12:51 PM |
| Subject: | Re: How to appropriately dispose of used IV lines/drainage bags/systems |
| Sent by: | ACIPC Infexion Connexion <AICALIST@AICALIST.ORG.AU> |
Hi Michael,
I agree. In some jurisdictions/institutions,
sharps definition (along with ..could penetrate human skin)
includes or puncture waste bags. i.e. IV spikes and other
sharp-edged items that might puncture/rupture a yellow bag with resultant
potential for blood/OPIM leakage onto handlers.
T.
Terry Grimmond
FASM, BAgrSc, GrDpAdEd
Consultant Microbiologist
Grimmond and Associates
Ph/Fx (NZ): +64
7 856 4042
Mob (NZ): +64
274 365 140
E: tg@gandassoc.com
"This email (including
any attachments) is intended only for the use of the individual or entity
named above and may contain information that is confidential and privileged.
If you are not the intended recipient, you are reminded that any dissemination,
distribution or copying of this email or attachments is prohibited. If
you have received this email in error, please notify me immediately by
return email or telephone and destroy the original message. Thank you."
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU]
On Behalf Of Michael Wishart
Sent: Monday, November 18, 2013 1:40 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: How to appropriately dispose of used IV lines/drainage
bags/systems
Hi Verily
The problem with this question
is it is local legislation and local waste management regulation specific.
It will depend upon what your state legislation requires, and also what
your local waste management regulations (eg local council area or landfill
site) requires.
In principle, the spigot
end of an IV giving set is not a sharp designed to penetrate skin, or
to be used for that purpose, and thus may not meet the definition for sharp
in some jurisdictions. But your local legislation and regulations may have
specific guidance for this, so that should be your first line of enquiry.
Most regulations allow facilities
to develop their own polices with in the guidance of the regulations. Thus,
if you want to consider all IV administration sets as clinical waste, it
can be a facility decision. You could not decide to allow used clinical
sharps to be placed in general waste, though, if this would be a breach
of the regulations.
Hope these thoughts help.
Cheers
Michael
Michael Wishart
CNC Infection
Control
Holy Spirit
Northside Private Hospital
627 Rode Road,
Chermside, Qld 4032
t: (07)
3326 3068 | f: (07) 3607 2226
e: Michael.Wishart@hsn.org.au
w:http://www.holyspiritnorthside.org.au
Please consider
the environment before printing this email
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU]
On Behalf Of Verily Thomas
Sent: Friday, 15 November 2013 2:09 PM
To: AICALIST@AICALIST.ORG.AU
Subject: How to appropriately dispose of used IV lines/drainage bags/systems
Dear All
I wonder if anyone out there can assist
with a good response to feedback to staff regarding this question I am
so often asked. I have tried with reason to advise however I would appreciate
any further input from out there to address this issue:
The question:
During one of the COPS meetings a question
was raised around how to appropriately dispose of peritoneal dialysis fluid
and whether the spigot of an IV line is classified as a sharp. Some wards
believe that if they separate a used IV bag from the line, they must cut
the spigot end off and put this in the sharps bin and dispose of the rest
of the line in the clinical waste bin. I was hoping to get some clarification
on these issues so I can feed it back to the COPS group.
Thanks for your assistance.
Regards
Verily Thomas
Clinical Nurse Consultant | Infection
Prevention and Control
SWSLHD-Bankstown/Lidcombe Hospital
Eldridge Road, Bansktown.NSW
2200
Tel 02 97228000 pager 28230
Tel 02 9722 8633 | Fax 02
9722 7822 | verily.thomas@sswahs.nsw.gov.au
http://www.health.nsw.gov.au
LET’S
KEEP OUR HOSPITAL ENVIRONMENT CLEAN
HAND HYGIENE SAVES LIVES
_____________________________________________________________________
This email has been scanned for the Sydney & South Western Sydney Local
Health Districts by the MessageLabs Email Security System.
Sydney & South Western Sydney Local Health Districts regularly monitor
email and attachments to ensure compliance with the NSW Ministry of Health’s
Electronic Messaging Policy.
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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be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
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Report
this message as spam
WARNING : This email contains information, which is CONFIDENTIAL, and that
maybe subject to LEGAL PRIVILEGE. This e-mail and any attachments to it
(the "Communication") is confidential and is for the use only
of the intended recipient, and may not duplicated or used by any other
party without the express consent of the sender. The Communication may
contain copyright material of St Vincent’s Health & Aged Care("SVHAC"),
or any of its related entities or of third parties. If you are not the
intended recipient of the Communication, please notify the sender immediately
by return e-mail, delete the Communication, and do not read, copy, print,
retransmit, store or act in reliance on the Communication. Any views expressed
in the Communication are those of the individual sender only, unless expressly
stated to be those of SVHAC. SVHAC does not guarantee the integrity of
the Communication, or that it is free from errors, viruses or interference.
Thank-you.
Message protected by MailGuard:
e-mail anti-virus, anti-spam and content filtering.
http://www.mailguard.com.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.
You can unsubscribe from this list
be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.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.
You can unsubscribe from this list
be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.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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j[^v^n{n