Home › Forums › Infexion Connexion › air dryer gun on cannulated instruments
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Andrew Ellis.
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06/04/2020 at 1:15 pm #76677
Anonymous
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HI there
I was asked by CSSD this morning regarding the use of our air dryer gun on cannulated instruments. Staff are still using this to dry cannulated instruments as the new washers drying cycle does not completely dry these instruments.
I’m just wondering whether there is any advice on the use of this with covid19. They stated they had read one paper that did mention this but now find it.
Any advice would be appreciated.
Cate Coffey
Clinical Nurse ManagerCentral Australia Health Service
Department of Health
Northern Territory GovernmentInfection Prevention and Control Unit
Alice Springs Hospital
PO Box 2234, Alice Springs, NT 0871t. 08 8951 7737
http://www.health.nt.gov.auThe Central Australia Health Service would like to acknowledge Aboriginal and Torres Strait Islander peoples as Australia’s First People and Traditional Custodians. We pay our respects to Elders past, present and emerging.
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07/04/2020 at 7:44 am #76679Good morning,
I don’t understand how they are using the air gun post washer/disinfector. I have never seen an air gun in the packing area. Our washers do not totally dry some cannulated instruments however they are placed in the dryer in an upright position for 15 mins then retested to see if they are dry.
We have decided that for any cases with confirmed Covid-19 the instrument trays will go through the washer/disinfector for thermal disinfection, prior to any other cleaning. The cycle will be manually aborted at the drying stage to enable them to be taken back out in the receive area. Then any brushing, flushing, ultrasonic etc as per manufacturers instructions will be carried out prior to them being put back through an entire cycle.Regards Kerrin
Kerrin Maher RN BN
Nurse Unit Manager | Central Sterilising Department
QEll Jubilee Hospital | Metro South Health
Kessels Road QLD 4108
t. 07 31826151
e. kerrin.maher@health.qld.gov.auHI there
I was asked by CSSD this morning regarding the use of our air dryer gun on cannulated instruments. Staff are still using this to dry cannulated instruments as the new washers drying cycle does not completely dry these instruments.
I’m just wondering whether there is any advice on the use of this with covid19. They stated they had read one paper that did mention this but now find it.
Any advice would be appreciated.
Cate Coffey
Clinical Nurse ManagerCentral Australia Health Service
Department of Health
Northern Territory GovernmentInfection Prevention and Control Unit
Alice Springs Hospital
PO Box 2234, Alice Springs, NT 0871t. 08 8951 7737
http://www.health.nt.gov.auThe Central Australia Health Service would like to acknowledge Aboriginal and Torres Strait Islander peoples as Australia’s First People and Traditional Custodians. We pay our respects to Elders past, present and emerging.
Use or transmittal of the information in this email other than for authorised NT Government business purposes may constitute misconduct under the NT Public Sector Code of Conduct and could potentially be an offence under the NT Criminal Code. If you are not the intended recipient, any use, disclosure or copying of this message or any attachments is unauthorised. If you have received this document in error, please advise the sender. No representation is given that attached files are free from viruses or other defects. Scanning for viruses is recommended.
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
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07/04/2020 at 10:12 am #76680Hi Kerrin,
It is not uncommon for a CSSD to have an air gun in the clean area. With change comes unexpected issues. Air guns were usually in the manual cleaning section of CSSD to enable flushing of cleaned cannulated items and assisted drying of anaesthetic items, even those that came out of washers.
With the move to segregated areas through the use of pass through washers many facilities have put an air gun in the clean area as close as possible to where instruments are removed from dryers or washers as you are right they are often not well dried.
There is a small risk of aerosol spray so in SA we have encouraged facilities to have a cabinet of for use of air guns. The air gun is passed through the back of the cabinet and the cabinet has sufficient room to lift the lid to put the RMD inside and handle the RMD and air gun. The short lid gives some user protection. There are commercial lab type cabinets that can be purchased as well although these often take a lot of room and are expensive.
It is also recommended that a low lint wipe is on the floor of the cabinet to catch any contents flushed out. I haven’t seen staff wearing PPE in the clean area but this could be considered.
I don’t know if there is an extra risk with Covid-19 but this cabinet protects staff from flushing body fluids in to the environment, although it is hoped that the RMD is cleaned well enough not to have any body fluid remnants, just water.
If you can use your dryer and it works that is fine but it is not always easy to get droplets of water out of cannulated items.
I shall try and find out if the Infectious Disease people have an opinion on Covid-19 and use fo air guns.
Best wishes
Sylvia
________________________________
Good morning,
I dont understand how they are using the air gun post washer/disinfector. I have never seen an air gun in the packing area. Our washers do not totally dry some cannulated instruments however they are placed in the dryer in an upright position for 15 mins then retested to see if they are dry.
We have decided that for any cases with confirmed Covid-19 the instrument trays will go through the washer/disinfector for thermal disinfection, prior to any other cleaning. The cycle will be manually aborted at the drying stage to enable them to be taken back out in the receive area. Then any brushing, flushing, ultrasonic etc as per manufacturers instructions will be carried out prior to them being put back through an entire cycle.Regards Kerrin
Kerrin Maher RN BN
Nurse Unit Manager | Central Sterilising Department
QEll Jubilee Hospital | Metro South Health
Kessels Road QLD 4108
t. 07 31826151
e. kerrin.maher@health.qld.gov.auHI there
I was asked by CSSD this morning regarding the use of our air dryer gun on cannulated instruments. Staff are still using this to dry cannulated instruments as the new washers drying cycle does not completely dry these instruments.
Im just wondering whether there is any advice on the use of this with covid19. They stated they had read one paper that did mention this but now find it.
Any advice would be appreciated.
Cate Coffey
Clinical Nurse ManagerCentral Australia Health Service
Department of Health
Northern Territory GovernmentInfection Prevention and Control Unit
Alice Springs Hospital
PO Box 2234, Alice Springs, NT 0871t. 08 8951 7737
http://www.health.nt.gov.auThe Central Australia Health Service would like to acknowledge Aboriginal and Torres Strait Islander peoples as Australias First People and Traditional Custodians. We pay our respects to Elders past, present and emerging.
Use or transmittal of the information in this email other than for authorised NT Government business purposes may constitute misconduct under the NT Public Sector Code of Conduct and could potentially be an offence under the NT Criminal Code. If you are not the intended recipient, any use, disclosure or copying of this message or any attachments is unauthorised. If you have received this document in error, please advise the sender. No representation is given that attached files are free from viruses or other defects. Scanning for viruses is recommended.
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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07/04/2020 at 12:36 pm #76686Andrew Ellis
ParticipantAuthor:
Andrew EllisPosition:
State Coordinator, Sterilisation & ReprocessingOrganisation:
SA HealthState:
Hi Kerrin,
Air guns post-washer are found in most facilities in SA. Even where new washers are installed and the product is more reliably dried, many facilities still operate with a policy of blowing out lumens onto a low-linting cloth within a covered enclosure directly adjacent the washer unload.
It has been protocol at the CSSDs I have managed to blow out lumens and items with complex crevices inside an enclosure such as that depicted in the other post. For items where one can’t look down a lumen, this provides extra certainty that water (and, as is occasionally discovered) contaminants are not present.
Regards,
Andrew Ellis
Sterilising and Reusable Medical Device Reprocessing State Coordinator (Part Time: Monday/Friday)
Infection Control Service | Communicable Disease Control Branch
Health Regulation & Protection
Department for Health and Wellbeing | Government of South Australia
Level 3 | Citi Centre | 11 Hindmarsh Square | Adelaide SA 5000
HCW infection prevention: http://www.sahealth.sa.gov.au/infectionprevention
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Good morning,
I don’t understand how they are using the air gun post washer/disinfector. I have never seen an air gun in the packing area. Our washers do not totally dry some cannulated instruments however they are placed in the dryer in an upright position for 15 mins then retested to see if they are dry.
We have decided that for any cases with confirmed Covid-19 the instrument trays will go through the washer/disinfector for thermal disinfection, prior to any other cleaning. The cycle will be manually aborted at the drying stage to enable them to be taken back out in the receive area. Then any brushing, flushing, ultrasonic etc as per manufacturers instructions will be carried out prior to them being put back through an entire cycle.Regards Kerrin
Kerrin Maher RN BN
Nurse Unit Manager | Central Sterilising Department
QEll Jubilee Hospital | Metro South Health
Kessels Road QLD 4108
t. 07 31826151
e. kerrin.maher@health.qld.gov.auHI there
I was asked by CSSD this morning regarding the use of our air dryer gun on cannulated instruments. Staff are still using this to dry cannulated instruments as the new washers drying cycle does not completely dry these instruments.
I’m just wondering whether there is any advice on the use of this with covid19. They stated they had read one paper that did mention this but now find it.
Any advice would be appreciated.
Cate Coffey
Clinical Nurse ManagerCentral Australia Health Service
Department of Health
Northern Territory GovernmentInfection Prevention and Control Unit
Alice Springs Hospital
PO Box 2234, Alice Springs, NT 0871t. 08 8951 7737
http://www.health.nt.gov.auThe Central Australia Health Service would like to acknowledge Aboriginal and Torres Strait Islander peoples as Australia’s First People and Traditional Custodians. We pay our respects to Elders past, present and emerging.
Use or transmittal of the information in this email other than for authorised NT Government business purposes may constitute misconduct under the NT Public Sector Code of Conduct and could potentially be an offence under the NT Criminal Code. If you are not the intended recipient, any use, disclosure or copying of this message or any attachments is unauthorised. If you have received this document in error, please advise the sender. No representation is given that attached files are free from viruses or other defects. Scanning for viruses is recommended.
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 acipclist@acipc.org.au
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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.
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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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