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  • #76677
    Anonymous
    Inactive

    Author:
    Anonymous

    Position:

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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 Manager

    Central Australia Health Service
    Department of Health
    Northern Territory Government

    Infection Prevention and Control Unit
    Alice Springs Hospital
    PO Box 2234, Alice Springs, NT 0871

    t. 08 8951 7737
    http://www.health.nt.gov.au

    The 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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    #76679
    kerrin Maher
    Participant

    Author:
    kerrin Maher

    Position:

    Organisation:

    State:

    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.au

    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 Manager

    Central Australia Health Service
    Department of Health
    Northern Territory Government

    Infection Prevention and Control Unit
    Alice Springs Hospital
    PO Box 2234, Alice Springs, NT 0871

    t. 08 8951 7737
    http://www.health.nt.gov.au

    The 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.

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    #76680
    Morris, Sylvia (Health)
    Participant

    Author:
    Morris, Sylvia (Health)

    Position:

    Organisation:

    State:

    Hi 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.au

    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.

    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 Manager

    Central Australia Health Service
    Department of Health
    Northern Territory Government

    Infection Prevention and Control Unit
    Alice Springs Hospital
    PO Box 2234, Alice Springs, NT 0871

    t. 08 8951 7737
    http://www.health.nt.gov.au

    The 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.

    Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

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    #76686
    Andrew Ellis
    Participant

    Author:
    Andrew Ellis

    Position:
    State Coordinator, Sterilisation & Reprocessing

    Organisation:
    SA Health

    State:

    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
    General public: http://www.sahealth.sa.gov.au/hospitalinfections

    This email may contain confidential information, which also may be legally privileged. Only the intended recipient(s) may access, use, distribute or copy this email. If this email is received in error, please inform the sender by return email and delete the original. If there are doubts about the validity of this message, please contact the sender by telephone. It is the recipient’s responsibility to check the email and any attached files for viruses.

    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.au

    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 Manager

    Central Australia Health Service
    Department of Health
    Northern Territory Government

    Infection Prevention and Control Unit
    Alice Springs Hospital
    PO Box 2234, Alice Springs, NT 0871

    t. 08 8951 7737
    http://www.health.nt.gov.au

    The 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

    To send a message to the list administrator send an email to admin@acipc.org.au

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    Queensland Health carries out monitoring, scanning and blocking of emails and attachments sent from or to addresses within Queensland Health for the purposes of operating, protecting, maintaining and ensuring appropriate use of its computer network.

    **********************************************************************************
    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.

    Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

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