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Good afternoon everyone,
We use a 3 wipe high level disinfection process for non-channelled ENT scopes.
We were wondering if the new 4187 standard will not permit wipe systems to be used for high level disinfection for reusable medical devices.
Does anyone have any advice?
Thanks so much in advance.
Cheers from Pam (sweating +++ in Darwin!!)
Pamela Boon | Clinical Nurse Manager
Infection Prevention & Management Unit
Royal Darwin Hospital |Top End Health and Hospital ServicesMESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
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Hi Pam,
It is not within the scope of AS/NZS4187 to specifically allow or not allow
any particular method / system for cleaning, disinfection or sterilisation.
The requirements would be that the system is entered on the ARTG and the
process can be validated.In this case I would make reference to Clause 5.1.2 in AS/NZS4187:2014.
It provides what I refer to as a reprocessing hierarchy – in brief the
Clause says that critical RMDs must be sterilised by steam unless they are
not compatible with steam. If not compatible with steam then a low
temperature sterilisation system can be used.Semi-critical RMDs must be sterilised with either steam or a low temperature
sterilisation system unless they not compatible with these processes. If
not compatible the next process to be applied is a thermal disinfection
process. If not compatible with that then the next process to be applied is
a chemical disinfection process.So the fundamental question is – What level in this reprocessing hierarchy
does the non-channelled ENT scope fall into? Once you have determined that
then you know what process should be applied.I hope this helps?
Kind Regards
Terry McAuley
Sterilisation & Infection Prevention and Control Consultant
STEAM Consulting Pty Ltd ACN 604 439 698
E: terry@steamconsulting.com.au
W: http://www.steamconsulting.com.au
A: PO BOX 779
Endeavour Hills
VIC Australia 3802
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any kind unless otherwise expressly indicated.Of Pamela Ann Boon
Good afternoon everyone,
We use a 3 wipe high level disinfection process for non-channelled ENT
scopes.We were wondering if the new 4187 standard will not permit wipe systems to
be used for high level disinfection for reusable medical devices.Does anyone have any advice?
Thanks so much in advance.
Cheers from Pam (sweating +++ in Darwin!!)
Pamela Boon | Clinical Nurse Manager
Infection Prevention & Management Unit
Royal Darwin Hospital |Top End Health and Hospital Services
Casuarina, NT 0811
pamela.boon@nt.gov.auMESSAGES 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 –
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the quotes) to listserv@aicalist.org.auMESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
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Hi Pam
Some points for you to ponder, from myself and my CSSD Manager
* The TGA licensing (ARTG entry) will outline the basis for the use of the product. Deviation from the licensed use is deemed non-0compliance.
* The Information For Use (IFU) for any product is to be the basis for use.
* Note where a product requires specific timings for contact and specific sequence of a cleaning / disinfection / neutralisation process for the product to be effective than this process needs to be followed, and documented.
* Non completion of the supplier recommended process will mean noncompliance with the approved use of the product, and the product will not have achieved the High Level Disinfection required. The operator then must accept they are using a contaminated reusable medical device (RMD)!
* NSW Health requires where these types of product are used, a formal education and annual competency on using these wipes for all staff who are involved in areas such as ENT clinics where this product is known to be used.
* If you do not have a documented training process and competency then I believe the organisation must accept they are potentially supplying contaminated RMD (ie no evidence the manufacturer’s process has been followed), and wear any subsequent legal action for cross contamination. Be warned!
* Be aware that there are specific transmittable viruses that are not inactivated by these wipes if not used correctly.
Good luck! We have been lucky (!) enough here to steer clear of use of this type of product thus far.
Cheers
MichaelMichael Wishart
Infection Control CoordinatorA 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
[cid:image001.png@01D01926.61F1C2B0]
P Please consider the environment before printing this emailGood afternoon everyone,
We use a 3 wipe high level disinfection process for non-channelled ENT scopes.
We were wondering if the new 4187 standard will not permit wipe systems to be used for high level disinfection for reusable medical devices.
Does anyone have any advice?
Thanks so much in advance.
Cheers from Pam (sweating +++ in Darwin!!)
Pamela Boon | Clinical Nurse Manager
Infection Prevention & Management Unit
Royal Darwin Hospital |Top End Health and Hospital Services______________________________________________________________________
This email and any attachments to it (the “Email”) is confidential and is for the use only of the intended recipient, and may not be duplicated or used by any other party without the express consent of the sender. If you are not the intended recipient of the Email, please notify the sender immediately by return email, delete the Email, and do not copy, print, retransmit, store or act in reliance on the Email. St Vincent’s Health Australia (“SVHA”) does not guarantee that the Email is free from errors, viruses or interference. Emails to and from SVHA or its related entities may be scanned and filtered in locations outside Australia.
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.
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______________________________________________________________________
This email and any attachments to it (the “Email”) is confidential and is for the use only of the intended recipient, and may not be duplicated or used by any other party without the express consent of the sender. If you are not the intended recipient of the Email, please notify the sender immediately by return email, delete the Email, and do not copy, print, retransmit, store or act in reliance on the Email. St Vincent’s Health Australia (“SVHA”) does not guarantee that the Email is free from errors, viruses or interference. Emails to and from SVHA or its related entities may be scanned and filtered in locations outside Australia.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.
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Interesting summary Michael.
Do you have a link to the NSW Health requirement that you refer to below?
Regards
Glenys
Glenys Harrington
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
Of Michael Wishart
disinfection wipe systemsHi Pam
Some points for you to ponder, from myself and my CSSD Manager
. The TGA licensing (ARTG entry) will outline the basis for the use
of the product. Deviation from the licensed use is deemed non-0compliance.. The Information For Use (IFU) for any product is to be the basis
for use.. Note where a product requires specific timings for contact and
specific sequence of a cleaning / disinfection / neutralisation process for
the product to be effective than this process needs to be followed, and
documented.. Non completion of the supplier recommended process will mean
noncompliance with the approved use of the product, and the product will not
have achieved the High Level Disinfection required. The operator then must
accept they are using a contaminated reusable medical device (RMD)!. NSW Health requires where these types of product are used, a
formal education and annual competency on using these wipes for all staff
who are involved in areas such as ENT clinics where this product is known to
be used.. If you do not have a documented training process and competency
then I believe the organisation must accept they are potentially supplying
contaminated RMD (ie no evidence the manufacturer’s process has been
followed), and wear any subsequent legal action for cross contamination. Be
warned!. Be aware that there are specific transmittable viruses that are
not inactivated by these wipes if not used correctly.Good luck! We have been lucky (!) enough here to steer clear of use of this
type of product thus far.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
cid:image001.png@01D01926.61F1C2B0P Please consider the environment before printing this email
Of Pamela Ann Boon
Good afternoon everyone,
We use a 3 wipe high level disinfection process for non-channelled ENT
scopes.We were wondering if the new 4187 standard will not permit wipe systems to
be used for high level disinfection for reusable medical devices.Does anyone have any advice?
Thanks so much in advance.
Cheers from Pam (sweating +++ in Darwin!!)
Pamela Boon | Clinical Nurse Manager
Infection Prevention & Management Unit
Royal Darwin Hospital |Top End Health and Hospital Services
Casuarina, NT 0811
pamela.boon@nt.gov.au______________________________________________________________________
This email and any attachments to it (the “Email”) is confidential and is
for the use only of the intended recipient, and may not be duplicated or
used by any other party without the express consent of the sender. If you
are not the intended recipient of the Email, please notify the sender
immediately by return email, delete the Email, and do not copy, print,
retransmit, store or act in reliance on the Email. St Vincent’s Health
Australia (“SVHA”) does not guarantee that the Email is free from errors,
viruses or interference. Emails to and from SVHA or its related entities may
be scanned and filtered in locations outside Australia.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
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the quotes) to listserv@aicalist.org.au______________________________________________________________________
This email and any attachments to it (the “Email”) is confidential and is
for the use only of the intended recipient, and may not be duplicated or
used by any other party without the express consent of the sender. If you
are not the intended recipient of the Email, please notify the sender
immediately by return email, delete the Email, and do not copy, print,
retransmit, store or act in reliance on the Email. St Vincent’s Health
Australia (“SVHA”) does not guarantee that the Email is free from errors,
viruses or interference. Emails to and from SVHA or its related entities may
be scanned and filtered in locations outside Australia.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.auTo 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.auMESSAGES 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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I need to clarify a point in my previous email.
As far as I am aware, there is not a written requirement from NSW Health for annual competency education on high level disinfection wipe systems. (I would be happy to be proven wrong, but I do not have any such documentation available to me.)
However, Queensland Health does definitely have this requirement (see ‘Reprocessing audit tool’ on this page: https://www.health.qld.gov.au/clinical-practice/guidelines-procedures/diseases-infection/reprocessing/intracavity-ultrasound-transducers)
As a general rule, competencies that seek to validate a process should be undertaken regularly (eg annually), so you can demonstrate that the process is indeed being followed. This is most important when there are no physical parameters documented (like temperatures or chemical concentrations) to show proof of process.
I hope this clarifies the previous comment I made.
Thanks
MichaelMichael Wishart
Infection Control CoordinatorA 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
[cid:image001.png@01D01926.61F1C2B0]
P Please consider the environment before printing this emailHi Pam
Some points for you to ponder, from myself and my CSSD Manager
* The TGA licensing (ARTG entry) will outline the basis for the use of the product. Deviation from the licensed use is deemed non-0compliance.
* The Information For Use (IFU) for any product is to be the basis for use.
* Note where a product requires specific timings for contact and specific sequence of a cleaning / disinfection / neutralisation process for the product to be effective than this process needs to be followed, and documented.
* Non completion of the supplier recommended process will mean noncompliance with the approved use of the product, and the product will not have achieved the High Level Disinfection required. The operator then must accept they are using a contaminated reusable medical device (RMD)!
* NSW Health requires where these types of product are used, a formal education and annual competency on using these wipes for all staff who are involved in areas such as ENT clinics where this product is known to be used.
* If you do not have a documented training process and competency then I believe the organisation must accept they are potentially supplying contaminated RMD (ie no evidence the manufacturer’s process has been followed), and wear any subsequent legal action for cross contamination. Be warned!
* Be aware that there are specific transmittable viruses that are not inactivated by these wipes if not used correctly.
Good luck! We have been lucky (!) enough here to steer clear of use of this type of product thus far.
Cheers
MichaelMichael Wishart
Infection Control CoordinatorA 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
[cid:image001.png@01D01926.61F1C2B0]
P Please consider the environment before printing this emailGood afternoon everyone,
We use a 3 wipe high level disinfection process for non-channelled ENT scopes.
We were wondering if the new 4187 standard will not permit wipe systems to be used for high level disinfection for reusable medical devices.
Does anyone have any advice?
Thanks so much in advance.
Cheers from Pam (sweating +++ in Darwin!!)
Pamela Boon | Clinical Nurse Manager
Infection Prevention & Management Unit
Royal Darwin Hospital |Top End Health and Hospital Services______________________________________________________________________
This email and any attachments to it (the “Email”) is confidential and is for the use only of the intended recipient, and may not be duplicated or used by any other party without the express consent of the sender. If you are not the intended recipient of the Email, please notify the sender immediately by return email, delete the Email, and do not copy, print, retransmit, store or act in reliance on the Email. St Vincent’s Health Australia (“SVHA”) does not guarantee that the Email is free from errors, viruses or interference. Emails to and from SVHA or its related entities may be scanned and filtered in locations outside Australia.
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
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______________________________________________________________________
This email and any attachments to it (the “Email”) is confidential and is for the use only of the intended recipient, and may not be duplicated or used by any other party without the express consent of the sender. If you are not the intended recipient of the Email, please notify the sender immediately by return email, delete the Email, and do not copy, print, retransmit, store or act in reliance on the Email. St Vincent’s Health Australia (“SVHA”) does not guarantee that the Email is free from errors, viruses or interference. Emails to and from SVHA or its related entities may be scanned and filtered in locations outside Australia.______________________________________________________________________
This email and any attachments to it (the “Email”) is confidential and is for the use only of the intended recipient, and may not be duplicated or used by any other party without the express consent of the sender. If you are not the intended recipient of the Email, please notify the sender immediately by return email, delete the Email, and do not copy, print, retransmit, store or act in reliance on the Email. St Vincent’s Health Australia (“SVHA”) does not guarantee that the Email is free from errors, viruses or interference. Emails to and from SVHA or its related entities may be scanned and filtered in locations outside Australia.
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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______________________________________________________________________
This email and any attachments to it (the “Email”) is confidential and is for the use only of the intended recipient, and may not be duplicated or used by any other party without the express consent of the sender. If you are not the intended recipient of the Email, please notify the sender immediately by return email, delete the Email, and do not copy, print, retransmit, store or act in reliance on the Email. St Vincent’s Health Australia (“SVHA”) does not guarantee that the Email is free from errors, viruses or interference. Emails to and from SVHA or its related entities may be scanned and filtered in locations outside Australia.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.
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