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Hi All, just hoping for a little advice on the plans for our new CSSD. Of course we do not have enough space for a clear dirty to clean flow round trip so we are trying to prioritise so we as compliant with AS4187. One member of our team does not like the plan of the trolley washer in the decon zone going in and out in the same zone before going back down the corridor to the packing zone (not ideal!) as the wheels will be contaminated. The other option is to have a flow through cart washer that flows through from decon to the packing zone but this poses the risk of excess water as the carts are wheeled past the packing benches. We have tried all possible different spaces for the cart washer but we are really limited with the design! Any advice would be greatly appreciated.
Thank you
Michelle Kennedy
CNC | Infection Prevention Service
Maitland/Kurri Kurri Hospitals
550-560 High Street
Maitland NSW 2320
Tel 02 4939 2467 or 0437919767 |
michelle.kennedy@health.nsw.gov.au[cid:image001.png@01D3B0A1.DB49DAB0]
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Hi Michelle,
It is not completely unheard of for a cart washer to unload in a packing area. Most cart washers these days have a tilting mechanism to assist in water draining during the drying stage.
If residual wetness is a concern for the brand of cart washer under consideration, then I suggest you speak to the suppliers to identify if there are strategies that could be used to ensure that the residual wetness is minimised.
You could also consider selecting case carts that have a free draining design.
Kind Regards
Terry McAuley
Director
MSc Medical Device DecontaminationPO BOX 2249, Greenvale, VIC Australia 3059
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Hi All, just hoping for a little advice on the plans for our new CSSD. Of course we do not have enough space for a clear dirty to clean flow round trip so we are trying to prioritise so we as compliant with AS4187. One member of our team does not like the plan of the trolley washer in the decon zone going in and out in the same zone before going back down the corridor to the packing zone (not ideal!) as the wheels will be contaminated. The other option is to have a flow through cart washer that flows through from decon to the packing zone but this poses the risk of excess water as the carts are wheeled past the packing benches. We have tried all possible different spaces for the cart washer but we are really limited with the design! Any advice would be greatly appreciated.
Thank you
Michelle Kennedy
CNC | Infection Prevention Service
Maitland/Kurri Kurri Hospitals
550-560 High Street
Maitland NSW 2320
Tel 02 4939 2467 or 0437919767 |
michelle.kennedy@health.nsw.gov.au[cid:image001.png@01D3B0A1.DB49DAB0]
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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 Michelle,
Apologies if it sounds obvious, but prior to procurement, do check any proposed carts/trolleys for design elements which may be prone to water retention. It’s also good to consider the thermal load incurred by the design and material. This applies especially to bespoke designs and modifications, which should be accompanied by a full engineering risk assessment before being altered further.
I have had some experiences with a bespoke case cart design an subsequent modifications which retained rinse water in an internal structure and therefore risked re-contaminating sterile packs during transport. This caused rework and expensive interim controls until it was resolved. Also the very heavy, closed design means that washer cycle time and energy are increased in order to reach the required surface temperatures.
Regards,
Andrew Ellis
Senior Project Officer, CSSD
Central Adelaide Local Health Network
L5, Royal Adelaide HospitalWe are here to provide a quality Sterile Supply service that is patient-focused, reliable and personally accountable.
Hi All, just hoping for a little advice on the plans for our new CSSD. Of course we do not have enough space for a clear dirty to clean flow round trip so we are trying to prioritise so we as compliant with AS4187. One member of our team does not like the plan of the trolley washer in the decon zone going in and out in the same zone before going back down the corridor to the packing zone (not ideal!) as the wheels will be contaminated. The other option is to have a flow through cart washer that flows through from decon to the packing zone but this poses the risk of excess water as the carts are wheeled past the packing benches. We have tried all possible different spaces for the cart washer but we are really limited with the design! Any advice would be greatly appreciated.
Thank you
Michelle Kennedy
CNC | Infection Prevention Service
Maitland/Kurri Kurri Hospitals
550-560 High Street
Maitland NSW 2320
Tel 02 4939 2467 or 0437919767 |
michelle.kennedy@health.nsw.gov.au[cid:image001.png@01D3B0A1.DB49DAB0]
THIS E-MAIL AND ANY ATTACHMENTS ARE CONFIDENTIAL AND MAY BE PRIVILEGED. If you have received this e-mail in error, please notify the sender immediately and delete the e-mail and any attachments from your system. If you are not the intended recipient, any use or dissemination, interference with, disclosure or copying of this e-mail, including attachments is unauthorised and expressly prohibited.
This message is intended for the addressee named and may contain confidential information. If you are not the intended recipient, please delete it and notify the sender.
Views expressed in this message are those of the individual sender, and are not necessarily the views of NSW Health or any of its entities.
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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Hi
I received this response from our CSSD Managers…..hope it helps!
CART WASHER for Trolleys
We have a pass through cart washer and on unloading of the trolleys they do have some excess water on completion even though our cycle times have been increased. The trolleys after they are removed from the washer ramp they sit to the side until we wipe the excess water off with low lint cloths before taking them past out packing tables and out the door down to the corridor to trolley room.
When passing the tables they are to one side and we have some space that assists with this. As long as staff wipe excess water off and they come out dry there is no issue.
Dirty room
Our trolleys go through the cart washer and loaded in the dirty room however sometimes if the unit is out for servicing then we hand wipe them in dirty room and take them out of the room and down the corridor to the trolley room. Also once you have a cart washer you realise that the trolleys bank up or theatres require one therefore you need to wipe them over, many SSD unit do not have more than one cart washer. This is a contingency plan for when the unit is not available or is in use, we are still compliant to the standard as we have clean / dirty work flows however than you need to look at operationally how you manage this.
Kim
Kind Regards,
Kim Beard
Manager | Gosford Sterilising Services
Holden Street Gosford NSW 2250
Tel (02) 4320 2341 | Mob 0433 165 969 | Kim.beard@health.nsw.gov.au
http://www.health.nsw.gov.auNurse Manager | CCLHD Infection Prevention and Control (IPAC)
Level 6, K6 (COB) Gosford Hospital
Tel 02 4320 3382 (Internal 93382)| Fax 02 4320 2874 (Internal 92874) | Pager – 18028
kirsty.graham@health.nsw.gov.au________________________________
From: ACIPC Infexion Connexion on behalf of Ellis, Andrew (Health)
Sent: Tuesday, 4 February 2020 18:29
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] AS4187 and CSSD trolley/cart washerHi Michelle,
Apologies if it sounds obvious, but prior to procurement, do check any proposed carts/trolleys for design elements which may be prone to water retention. Its also good to consider the thermal load incurred by the design and material. This applies especially to bespoke designs and modifications, which should be accompanied by a full engineering risk assessment before being altered further.
I have had some experiences with a bespoke case cart design an subsequent modifications which retained rinse water in an internal structure and therefore risked re-contaminating sterile packs during transport. This caused rework and expensive interim controls until it was resolved. Also the very heavy, closed design means that washer cycle time and energy are increased in order to reach the required surface temperatures.
Regards,
Andrew Ellis
Senior Project Officer, CSSD
Central Adelaide Local Health Network
L5, Royal Adelaide Hospital
Tel: (08) 7074 1848
Fax: (08)7074 6205
Email: andrew.ellis@sa.gov.auWe are here to provide a quality Sterile Supply service that is patient-focused, reliable and personally accountable.
From: ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] On Behalf Of Michelle Kennedy (Hunter New England LHD)
Sent: Friday, 31 January 2020 3:49 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: [ACIPC_Infexion_Connexion] AS4187 and CSSD trolley/cart washerHi All, just hoping for a little advice on the plans for our new CSSD. Of course we do not have enough space for a clear dirty to clean flow round trip so we are trying to prioritise so we as compliant with AS4187. One member of our team does not like the plan of the trolley washer in the decon zone going in and out in the same zone before going back down the corridor to the packing zone (not ideal!) as the wheels will be contaminated. The other option is to have a flow through cart washer that flows through from decon to the packing zone but this poses the risk of excess water as the carts are wheeled past the packing benches. We have tried all possible different spaces for the cart washer but we are really limited with the design! Any advice would be greatly appreciated.
Thank you
Michelle Kennedy
CNC | Infection Prevention Service
Maitland/Kurri Kurri Hospitals
550-560 High Street
Maitland NSW 2320
Tel 02 4939 2467 or 0437919767 |
michelle.kennedy@health.nsw.gov.au[cid:image001.png@01D3B0A1.DB49DAB0]
THIS E-MAIL AND ANY ATTACHMENTS ARE CONFIDENTIAL AND MAY BE PRIVILEGED. If you have received this e-mail in error, please notify the sender immediately and delete the e-mail and any attachments from your system. If you are not the intended recipient, any use or dissemination, interference with, disclosure or copying of this e-mail, including attachments is unauthorised and expressly prohibited.
This message is intended for the addressee named and may contain confidential information. If you are not the intended recipient, please delete it and notify the sender.
Views expressed in this message are those of the individual sender, and are not necessarily the views of NSW Health or any of its entities.
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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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 message is intended for the addressee named and may contain confidential information. If you are not the intended recipient, please delete it and notify the sender.
Views expressed in this message are those of the individual sender, and are not necessarily the views of NSW Health or any of its entities.
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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