Course Access
Hi Claire,
If the hub of the cannula cannot or is very difficult disinfect before accessing and the cap of the hub does not stay securely in place (as per Tim and Rosie reports/observations) there is no need to do additional QI/research.
This is a faulty product and should be reported to the supplier/manufacturer and the TGA IRIS reporting scheme.
In order for the healthcare facility to minimise the risk and their exposure in terms of litigation they should note the problem on their risk register and include their plan to replace the product with an alternative.
Regards
Glenys
Glenys Harrington
Consultant
Infection Control Consultancy (ICC)
PO Box 5202
Middle Park
Victoria, 3206
Australia
H: +61 3 96902216
M: +61 404 816 434
ABN 47533508426
That’s a great idea Claire!
Show them the evidence!!
Tim..
Timothy R. Spencer, RN, APN, DipAppSci, Bach.Health, ICCert, VA-BC.
Independent Vascular Access Consultant
President, Australian Vascular Access Society
Conjoint Lecturer, South West Sydney Clinical School | Faculty of Medicine | University of NSW
Representative – WoCoVA Global Strategic Committee
M: +1(623)326.8889 (USA)
M: +61(0)409463428 (AU)
E: tim.spencer68@icloud.com
Sent from my iPhone
On Mar 18, 2015, at 9:22 PM, Claire Rickard wrote:
HI Rosie
I would recommend you do a small quality improvement/research study and culture some of the used cannula. It would be great to get the ports cultured (and also check the tip culture (internal and external)). Have a talk to your micro lab senior scientist and ID physician, they might be interested in helping you and collaborating on a study? And I would get the anaesthetists on board with it too, – if they think they are good to use, let us get data and find out!!?? You would also need some control catheters (non-ported) also used in theatre for similar number of hours/accessed. And some no-used controls (from straight out of the packet).
Would be exciting and useful research to present at ACIPIC!!
PM me if you would like any advice 😀
—
Dr Claire Rickard, Professor, NHMRC Centre of Research Excellence in Nursing Interventions in Hospitalised Patients, Menzies Health Institute Queensland
Alliance for Vascular Access Teaching and Research (AVATAR)
Visiting Scholar at the Princess Alexandra, Prince Charles, and Royal Brisbane & Women’s Hospitals
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