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Morning,
I was just wondering what the general consensus is with regards to the use of alcohol wipe swabbing prior to giving Clexane/Fragmin/Heparin etc.
Some of the students we are seeing come through the hospital are educated not to.
With kind regards,
Lynette Cribb
Infection Control Coordinator | St Andrew’s War Memorial Hospital457 Wickham Terrace, Spring Hill, QLD, 4001
GPO Box 764, Brisbane, QLD, 4001
P: +61 7 3834 4328 F: +61 7 3834 4599
M: 0427 141 223
E: sawmh.icc@uchealth.com.au
W: http://www.uchealth.com.au
[Bugs-and-tear LR]Remember to protect your patients, family and yourself by getting the Influenza vaccination
_________________________________________________________________
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Hi Lynette
We had the same issue here, so we discussed in with our clinical educators. Our stand is that whilst we understand why the universities now teach this, for hospitalised patients we feel the possibility of increased skin flora due to being bed bound and the possible presence of MRO’s meant we cannot assume their skin is ‘clean’. So we have changed our medication administration procedure to mention specifically that our procedure includes alcohol wiping of the skin prior to each injection (regardless of whether sub-cutaneous or IM). We also emphasize it is important to allow a few seconds for the alcohol to dry before skin puncture.
I think this issue might remain somewhat controversial in acute hospitals.
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 emailMorning,
I was just wondering what the general consensus is with regards to the use of alcohol wipe swabbing prior to giving Clexane/Fragmin/Heparin etc.
Some of the students we are seeing come through the hospital are educated not to.
With kind regards,
Lynette Cribb
Infection Control Coordinator | St Andrew’s War Memorial Hospital457 Wickham Terrace, Spring Hill, QLD, 4001
GPO Box 764, Brisbane, QLD, 4001
P: +61 7 3834 4328 F: +61 7 3834 4599
M: 0427 141 223
E: sawmh.icc@uchealth.com.au
W: http://www.uchealth.com.au
[Bugs-and-tear LR]Remember to protect your patients, family and yourself by getting the Influenza vaccination
_________________________________________________________________
Uniting Care Health Email Disclaimer: http://www.uchealth.com.au/disclaimer
______________________________________________________________________
For the purposes of protecting the integrity and security of the SVHA network and the information held on it, all emails to and from any email address on the “svha.org.au” domain (or any other domain of St Vincent’s Health Australia Limited or any of its related bodies corporate) (an “SVHA Email Address”) will pass through and be scanned by the Symantec.cloud anti virus and anti spam filter service. These services may be provided by Symantec from locations outside of Australia and, if so, this will involve any email you send to or receive from an SVHA Email Address being sent to and scanned in those locations.Uniting Care Health Email Disclaimer: http://www.uchealth.com.au/disclaimer
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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Hi Lyn,
I’ve found the following information on the NPS website for Fragmin Single dose injections – Consumer medication information leaflet
Before you inject, make sure that the injection site is clean by wiping the area with an antiseptic swab, or by washing it with soap and water and patting it dry with a clean towel
http://www.nps.org.au/medicines/heart-blood-and-blood-vessels/anti-clotting-medicines/for-individuals/anticoagulant-medicines/for-individuals/active-ingredients/dalteparin-sodium/fragmin-single-dose-syringe-solution-for-injectionFor Clexane it didn’t specify cleaning of the skin
http://www.nps.org.au/medicines/heart-blood-and-blood-vessels/anti-clotting-medicines/for-individuals/anticoagulant-medicines/for-individuals/active-ingredients/enoxaparin-sodium/clexane-solution-for-injectionWhen administering vaccines, provided the skin is visibly clean, there is no need to wipe it with an antiseptic.
Regards
MarlizeMarlize Senekal
Infection Prevent & Control CNC – Education and ResearchT (07) 3621 4545 | M 0418 866 816
E m.senekal@wmb.org.au | http://www.wmb.org.au
Central Offices – Wheller Gardens: 930 Gympie Road, Chermside QLD 4032[cid:image001.gif@01D19C8E.47C30FB0]
[cid:image002.gif@01D19C8E.47C30FB0] [cid:image003.gif@01D19C8E.47C30FB0] [cid:image004.gif@01D19C8E.47C30FB0] [cid:image005.gif@01D19C8E.47C30FB0] [cid:image006.gif@01D19C8E.47C30FB0] [cid:image007.gif@01D19C8E.47C30FB0]Morning,
I was just wondering what the general consensus is with regards to the use of alcohol wipe swabbing prior to giving Clexane/Fragmin/Heparin etc.
Some of the students we are seeing come through the hospital are educated not to.
With kind regards,
Lynette Cribb
Infection Control Coordinator | St Andrew’s War Memorial Hospital457 Wickham Terrace, Spring Hill, QLD, 4001
GPO Box 764, Brisbane, QLD, 4001
P: +61 7 3834 4328 F: +61 7 3834 4599
M: 0427 141 223
E: sawmh.icc@uchealth.com.au
W: http://www.uchealth.com.au
[Bugs-and-tear LR]Remember to protect your patients, family and yourself by getting the Influenza vaccination
_________________________________________________________________
Uniting Care Health Email Disclaimer: http://www.uchealth.com.au/disclaimer
Uniting Care Health Email Disclaimer: http://www.uchealth.com.au/disclaimer
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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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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As an aside to this conversation, there appears to be a difference in risk between subcutaneous injections and IM injections. There is a definite rare but documented risk of sepsis following IM injection (see http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2769353/ as an example).
The risk of sepsis from subcutaneous injections seems to be much lower, and possibly more to do with incorrect technique than anything.
I am not sure if universities are taking a blanket approach to injecting and teaching students not to use alcohol disinfection of the skin for all injections. Do we have any academics on the list that can answer this question?
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 Lyn,
I’ve found the following information on the NPS website for Fragmin Single dose injections – Consumer medication information leaflet
Before you inject, make sure that the injection site is clean by wiping the area with an antiseptic swab, or by washing it with soap and water and patting it dry with a clean towel
http://www.nps.org.au/medicines/heart-blood-and-blood-vessels/anti-clotting-medicines/for-individuals/anticoagulant-medicines/for-individuals/active-ingredients/dalteparin-sodium/fragmin-single-dose-syringe-solution-for-injectionFor Clexane it didn’t specify cleaning of the skin
http://www.nps.org.au/medicines/heart-blood-and-blood-vessels/anti-clotting-medicines/for-individuals/anticoagulant-medicines/for-individuals/active-ingredients/enoxaparin-sodium/clexane-solution-for-injectionWhen administering vaccines, provided the skin is visibly clean, there is no need to wipe it with an antiseptic.
Regards
MarlizeMarlize Senekal
Infection Prevent & Control CNC – Education and ResearchT (07) 3621 4545 | M 0418 866 816
E m.senekal@wmb.org.au | http://www.wmb.org.au
Central Offices – Wheller Gardens: 930 Gympie Road, Chermside QLD 4032[cid:image001.gif@01D19C8E.47C30FB0]
[cid:image002.gif@01D19C8E.47C30FB0] [cid:image003.gif@01D19C8E.47C30FB0] [cid:image004.gif@01D19C8E.47C30FB0] [cid:image005.gif@01D19C8E.47C30FB0] [cid:image006.gif@01D19C8E.47C30FB0] [cid:image007.gif@01D19C8E.47C30FB0]Morning,
I was just wondering what the general consensus is with regards to the use of alcohol wipe swabbing prior to giving Clexane/Fragmin/Heparin etc.
Some of the students we are seeing come through the hospital are educated not to.
With kind regards,
Lynette Cribb
Infection Control Coordinator | St Andrew’s War Memorial Hospital457 Wickham Terrace, Spring Hill, QLD, 4001
GPO Box 764, Brisbane, QLD, 4001
P: +61 7 3834 4328 F: +61 7 3834 4599
M: 0427 141 223
E: sawmh.icc@uchealth.com.au
W: http://www.uchealth.com.au
[Bugs-and-tear LR]Remember to protect your patients, family and yourself by getting the Influenza vaccination
_________________________________________________________________
Uniting Care Health Email Disclaimer: http://www.uchealth.com.au/disclaimer
Uniting Care Health Email Disclaimer: http://www.uchealth.com.au/disclaimer
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
______________________________________________________________________
For the purposes of protecting the integrity and security of the SVHA network and the information held on it, all emails to and from any email address on the “svha.org.au” domain (or any other domain of St Vincent’s Health Australia Limited or any of its related bodies corporate) (an “SVHA Email Address”) will pass through and be scanned by the Symantec.cloud anti virus and anti spam filter service. These services may be provided by Symantec from locations outside of Australia and, if so, this will involve any email you send to or receive from an SVHA Email Address being sent to and scanned in those locations.
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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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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