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Hi All,
In our facility we have been using disposable anaesthetic circuits for a number of years. However with COVID / Pandemic demand there has been a shortage of disposable circuits and the alternative option has been a reusable circuit. I would be interested to hear from other facilities who use the reusable circuits regarding any identified IPC issues / risks and how these have been overcome.
Also if you have the choice is which type of circuit would you prefer and why?
Kind regards,
Fiona De Sousa CICP-E| Nurse Manager | Infection Prevention & Control Unit
Launceston General Hospital, Level 2, Launceston TAS 7250
phone: 6777 6715 | mobile: 0408 487 197 | fax: 6777 5170 | email: fiona.de.sousa@ths.tas.gov.au |
intranet: http://www.dhhs.tas.gov.au/intranet/thon/infection_controlIPCU – ‘By working together we promote a culture of safety to reduce preventable infections and transmission of multi-resistant organisms’
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Hi All,
I posted this query earlier in the month without a response, if anyone is able to provide some insight I would be happy for you to email me personally.
In our facility we have been using disposable anaesthetic circuits for a number of years. However with COVID / Pandemic demand there has been a shortage of disposable circuits and the alternative option has been a reusable circuit. I would be interested to hear from other facilities who use the reusable circuits regarding any identified IPC issues / risks and how these have been overcome.
Also if you have the choice is which type of circuit would you prefer and why?
Kind regards,
Fiona De Sousa CICP-E| Nurse Manager | Infection Prevention & Control Unit
Launceston General Hospital, Level 2, Launceston TAS 7250
phone: 6777 6715 | mobile: 0408 487 197 | fax: 6777 5170 | email: fiona.de.sousa@ths.tas.gov.au |
intranet: http://www.dhhs.tas.gov.au/intranet/thon/infection_controlIPCU – ‘By working together we promote a culture of safety to reduce preventable infections and transmission of multi-resistant organisms’
________________________________
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Dear Fiona,
As way of acknowledgement of your email, we use disposable breathing circuits – a Bain circuit and have been lucky not to experience any supply problems. So sorry I am of no help.
Kind regards Brenda
Brenda Fieldhouse
Clinical Nurse Manager“Empowering you on the journey to mental health recovery”
[cid:image001.png@01D64A11.668044B0]Hi All,
I posted this query earlier in the month without a response, if anyone is able to provide some insight I would be happy for you to email me personally.
In our facility we have been using disposable anaesthetic circuits for a number of years. However with COVID / Pandemic demand there has been a shortage of disposable circuits and the alternative option has been a reusable circuit. I would be interested to hear from other facilities who use the reusable circuits regarding any identified IPC issues / risks and how these have been overcome.
Also if you have the choice is which type of circuit would you prefer and why?
Kind regards,
Fiona De Sousa CICP-E| Nurse Manager | Infection Prevention & Control Unit
Launceston General Hospital, Level 2, Launceston TAS 7250
phone: 6777 6715 | mobile: 0408 487 197 | fax: 6777 5170 | email: fiona.de.sousa@ths.tas.gov.au |
intranet: http://www.dhhs.tas.gov.au/intranet/thon/infection_controlIPCU – ‘By working together we promote a culture of safety to reduce preventable infections and transmission of multi-resistant organisms’
________________________________
CONFIDENTIALITY NOTICE AND DISCLAIMER
The information in this transmission may be confidential and/or protected by legal professional privilege, and is intended only for the person or persons to whom it is addressed. If you are not such a person, you are warned that any disclosure, copying or dissemination of the information is unauthorised. If you have received the transmission in error, please immediately contact this office by telephone, fax or email, to inform us of the error and to enable arrangements to be made for the destruction of the transmission, or its return at our cost. No liability is accepted for any unauthorised use of the information contained in this transmission.
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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CONFIDENTIALITY NOTICE AND DISCLAIMER
The information in this transmission may be confidential and/or protected by legal professional privilege, and is intended only for the person or persons to whom it is addressed. If you are not such a person, you are warned that any disclosure, copying or dissemination of the information is unauthorised. If you have received the transmission in error, please immediately contact this office by telephone, fax or email, to inform us of the error and to enable arrangements to be made for the destruction of the transmission, or its return at our cost. No liability is accepted for any unauthorised use of the information contained in this transmission.
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 Fiona,
Going back to ancient times when I was a periop nurse and then a CSSD manager we used reusable anaesthetic circuits.
We would use a new circuit for each patient and theses were provided in clean tubs by CSSD and the used circuit was placed back into the same tub and transported to CSSD.
When viral filters became available, we retained the circuit for the day, much like is practised with disposable circuits.
From a CSSD perspective, the tubing we used to use had a limited number or reuses and from memory this was either 20 or 30 uses before the tubing had to be discarded.
Tracking individual pieces of tubing was challenging, so you may need to identify a suitable system for identification of circuits throughout the reprocessing cycle.
Kind Regards
Terry McAuley
Director
MSc Medical Device DecontaminationPO BOX 2249, Greenvale, VIC Australia 3059
[cid:image001.png@01D64A34.69E79DB0]
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Hi All,
I posted this query earlier in the month without a response, if anyone is able to provide some insight I would be happy for you to email me personally.
In our facility we have been using disposable anaesthetic circuits for a number of years. However with COVID / Pandemic demand there has been a shortage of disposable circuits and the alternative option has been a reusable circuit. I would be interested to hear from other facilities who use the reusable circuits regarding any identified IPC issues / risks and how these have been overcome.
Also if you have the choice is which type of circuit would you prefer and why?
Kind regards,
Fiona De Sousa CICP-E| Nurse Manager | Infection Prevention & Control Unit
Launceston General Hospital, Level 2, Launceston TAS 7250
phone: 6777 6715 | mobile: 0408 487 197 | fax: 6777 5170 | email: fiona.de.sousa@ths.tas.gov.au |
intranet: http://www.dhhs.tas.gov.au/intranet/thon/infection_controlIPCU – ‘By working together we promote a culture of safety to reduce preventable infections and transmission of multi-resistant organisms’
________________________________
CONFIDENTIALITY NOTICE AND DISCLAIMER
The information in this transmission may be confidential and/or protected by legal professional privilege, and is intended only for the person or persons to whom it is addressed. If you are not such a person, you are warned that any disclosure, copying or dissemination of the information is unauthorised. If you have received the transmission in error, please immediately contact this office by telephone, fax or email, to inform us of the error and to enable arrangements to be made for the destruction of the transmission, or its return at our cost. No liability is accepted for any unauthorised use of the information contained in this transmission.
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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The information in this transmission may be confidential and/or protected by legal professional privilege, and is intended only for the person or persons to whom it is addressed. If you are not such a person, you are warned that any disclosure, copying or dissemination of the information is unauthorised. If you have received the transmission in error, please immediately contact this office by telephone, fax or email, to inform us of the error and to enable arrangements to be made for the destruction of the transmission, or its return at our cost. No liability is accepted for any unauthorised use of the information contained in this transmission.
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.
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Hi Fiona,
When I was an anesthetic nurse in the late 80-early 90s, our circuits were reusable.
They were made from some sort of rubber black material and were changed between each patient.
We reprocessed them on a thermal disinfection cycle in a Miele and then they were placed into the dryer.
After drying each circuit was checked for integrity and then placed into a sealed clear plastic bag ready for use.
When filters came in, with disposable circuits that’s when we crossed over to completely disposable.Kind Regards
Marija Juraja |Nurse Unit Manager -CALHN Infection Prevention & Control Unit|
Specialty Medicine 2 RN, GCNS Inf Ctrl, CICP-E)
t: +61 8 7074 2810 (RAH) 8222 7588 (TQEH)| M: 0466 379 821|e:marija.juraja@sa.gov.au |
Adjunct Clinical Lecturer | University of South Australia | Horizon Hospital and Health Service
[Image result for 2020 year of the nurses]
“Nurses and midwives: clean care is in your hands”Hi All,
I posted this query earlier in the month without a response, if anyone is able to provide some insight I would be happy for you to email me personally.
In our facility we have been using disposable anaesthetic circuits for a number of years. However with COVID / Pandemic demand there has been a shortage of disposable circuits and the alternative option has been a reusable circuit. I would be interested to hear from other facilities who use the reusable circuits regarding any identified IPC issues / risks and how these have been overcome.
Also if you have the choice is which type of circuit would you prefer and why?
Kind regards,
Fiona De Sousa CICP-E| Nurse Manager | Infection Prevention & Control Unit
Launceston General Hospital, Level 2, Launceston TAS 7250
phone: 6777 6715 | mobile: 0408 487 197 | fax: 6777 5170 | email: fiona.de.sousa@ths.tas.gov.au |
intranet: http://www.dhhs.tas.gov.au/intranet/thon/infection_controlIPCU – ‘By working together we promote a culture of safety to reduce preventable infections and transmission of multi-resistant organisms’
________________________________
CONFIDENTIALITY NOTICE AND DISCLAIMER
The information in this transmission may be confidential and/or protected by legal professional privilege, and is intended only for the person or persons to whom it is addressed. If you are not such a person, you are warned that any disclosure, copying or dissemination of the information is unauthorised. If you have received the transmission in error, please immediately contact this office by telephone, fax or email, to inform us of the error and to enable arrangements to be made for the destruction of the transmission, or its return at our cost. No liability is accepted for any unauthorised use of the information contained in this transmission.
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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CONFIDENTIALITY NOTICE AND DISCLAIMER
The information in this transmission may be confidential and/or protected by legal professional privilege, and is intended only for the person or persons to whom it is addressed. If you are not such a person, you are warned that any disclosure, copying or dissemination of the information is unauthorised. If you have received the transmission in error, please immediately contact this office by telephone, fax or email, to inform us of the error and to enable arrangements to be made for the destruction of the transmission, or its return at our cost. No liability is accepted for any unauthorised use of the information contained in this transmission.
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.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
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Hi Fiona,
Adding on to Terry’s comment about the difficulty of identifying individual tubing – at a prior CSSD I managed, there was a manual tracking system and a reasonable volume of respiratory items from sleep studies, lung function and other areas. All deliveries of reusable respiratory items had to come with a supply docket from the user area and we recorded key data on it using a custom-made, self-inking stamp. I have to say, it was the largest stamp I have ever seen in order to fit all of this on it.
Key data included:
> Time received in Decon
> Time out of the Washer-Disinfector and signature
> Time into anaesthetic dryer and signature
> Time out of anaesthetic dryer, check for total dryness, check for coolness prior to bagging up, and signature
Tracking to patient was not really feasible but for as long as the delivery was kept together in the clinic, there was a link back to the washer cycle and we at least had a record that we were meeting requirements on an ongoing basis. CSSD retained a copy of these return dockets.
More importantly, I think it allowed us to review a couple of the key risks to proper thermal disinfection; the time between disinfection and drying (items left with residual moisture, cooling down on the unload side of the washer risk becoming recontaminated) and ensuring that adequate time was spent in the dryer as well as cooling down before bagging (either step potentially resulting in condensation and thus recontamination during storage). As thermal disinfection is the final step of reprocessing here, we felt that an explicit record of monitoring those risks added value to the process.
Depending on your existing dryer attachments, an increase in tubing through CSSD may create a processing bottleneck as well.
Regards,
Andrew Ellis
Sterilising and Reusable Medical Device Reprocessing State Coordinator
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/hospitalinfectionsThis 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.
Hi Fiona,
Going back to ancient times when I was a periop nurse and then a CSSD manager we used reusable anaesthetic circuits.
We would use a new circuit for each patient and theses were provided in clean tubs by CSSD and the used circuit was placed back into the same tub and transported to CSSD.
When viral filters became available, we retained the circuit for the day, much like is practised with disposable circuits.
From a CSSD perspective, the tubing we used to use had a limited number or reuses and from memory this was either 20 or 30 uses before the tubing had to be discarded.
Tracking individual pieces of tubing was challenging, so you may need to identify a suitable system for identification of circuits throughout the reprocessing cycle.
Kind Regards
Terry McAuley
Director
MSc Medical Device DecontaminationPO BOX 2249, Greenvale, VIC Australia 3059
[cid:image001.png@01D64A34.69E79DB0]
I endeavour to achieve a sensible work-life balance: There is no need to reply to this email from you outside of your normal working hours. Please expect the same from me.
CONFIDENTIAL COMMUNICATION: The information contained in this message may contain confidential information intended only for the use of the individual or entity named above. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution or duplication of this transmission is strictly prohibited. If you have received this communication in error, please notify us by telephone or email immediately and return the original message to us or destroy all printed and electronic copies. Nothing in this transmission constitutes an agreement of any kind unless otherwise expressly indicated.
Hi All,
I posted this query earlier in the month without a response, if anyone is able to provide some insight I would be happy for you to email me personally.
In our facility we have been using disposable anaesthetic circuits for a number of years. However with COVID / Pandemic demand there has been a shortage of disposable circuits and the alternative option has been a reusable circuit. I would be interested to hear from other facilities who use the reusable circuits regarding any identified IPC issues / risks and how these have been overcome.
Also if you have the choice is which type of circuit would you prefer and why?
Kind regards,
Fiona De Sousa CICP-E| Nurse Manager | Infection Prevention & Control Unit
Launceston General Hospital, Level 2, Launceston TAS 7250
phone: 6777 6715 | mobile: 0408 487 197 | fax: 6777 5170 | email: fiona.de.sousa@ths.tas.gov.au |
intranet: http://www.dhhs.tas.gov.au/intranet/thon/infection_controlIPCU – ‘By working together we promote a culture of safety to reduce preventable infections and transmission of multi-resistant organisms’
________________________________
CONFIDENTIALITY NOTICE AND DISCLAIMER
The information in this transmission may be confidential and/or protected by legal professional privilege, and is intended only for the person or persons to whom it is addressed. If you are not such a person, you are warned that any disclosure, copying or dissemination of the information is unauthorised. If you have received the transmission in error, please immediately contact this office by telephone, fax or email, to inform us of the error and to enable arrangements to be made for the destruction of the transmission, or its return at our cost. No liability is accepted for any unauthorised use of the information contained in this transmission.
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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CONFIDENTIALITY NOTICE AND DISCLAIMER
The information in this transmission may be confidential and/or protected by legal professional privilege, and is intended only for the person or persons to whom it is addressed. If you are not such a person, you are warned that any disclosure, copying or dissemination of the information is unauthorised. If you have received the transmission in error, please immediately contact this office by telephone, fax or email, to inform us of the error and to enable arrangements to be made for the destruction of the transmission, or its return at our cost. No liability is accepted for any unauthorised use of the information contained in this transmission.
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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