ASUM guidelines and US probe cleaning

[Anonymous]

Dear All,

I am seeking some assistance with interpreting the ASUM guidelines and their requirements for US probe cleaning.

We are using the Trophon for all intracavity probes and wiping over all other probes used for routine imaging, biopsy guidance etc with a disinfectant wipe. The current wipe in use is not one of the four recommended disinfection methods referred to in their guidelines.
We use probes covers routinely for all interventional procedures or on mucous membranes, wounds etc.

Am I correct in interpreting the ASUM guidelines – that all probes regardless of cover usage must be cleaned in one of the four ways stated by ASUM. Can anyone throw some more light on this issue for me please.

We have received full Imaging reaccreditation and our current practise was not raised as an issue.

Regards

Phillipa Parsons
Infection Prevention and Control Clinical Coordinator
Cabrini Health
183 Wattletree Rd
Malvern Vic 3144
03 9508 1577
0400 369 741

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[Diane Hobday]

Hello

All intracavity probes *must* be disinfected using a high level disinfectant included on the ARTG as such – in essence, one of the four methods listed in the ASUM guidelines.

This disinfection is in addition to the use of covers. Covers should never be considered an alternative to appropriate cleaning and disinfection.

For external intact skin a less stringent process, in addition to a cover, can be used because these do not require ‘high level’ disinfection. (see TGO 54 for more information about what does and does not require high level disinfection)

I hope this helps.

Cheers
Diane

Diane Hobday

Accreditation Manager – DIAS
National Association of Testing Authorities, Australia
1/675 Victoria Street
Abbotsford VIC 3067

03 9274 8200
http://www.nata.com.au

Dear All,

I am seeking some assistance with interpreting the ASUM guidelines and their requirements for US probe cleaning.

We are using the Trophon for all intracavity probes and wiping over all other probes used for routine imaging, biopsy guidance etc with a disinfectant wipe. The current wipe in use is not one of the four recommended disinfection methods referred to in their guidelines.
We use probes covers routinely for all interventional procedures or on mucous membranes, wounds etc.

Am I correct in interpreting the ASUM guidelines – that all probes regardless of cover usage must be cleaned in one of the four ways stated by ASUM. Can anyone throw some more light on this issue for me please.

We have received full Imaging reaccreditation and our current practise was not raised as an issue.

Regards

Phillipa Parsons
Infection Prevention and Control Clinical Coordinator
Cabrini Health
183 Wattletree Rd
Malvern Vic 3144
03 9508 1577
0400 369 741

Please consider the environment before you print this e-mail.
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This email and any attachments may be confidential, and are intended
solely for the use of the individual(s) or entity to whom they are
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please notify the sender immediately and delete the email and any
attachments.
Cabrini does not guarantee that this email is virus or error free.
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[Scott Pabst]

Dear Phillipa,

Please find links to:

1) 2012 ASUM statement regarding the use of the wipes you refer to

2) Current Policy position of Australian Sonographers Association on the use of the wipes you refer to

3) WA Health operational directive regarding the re-processing of Ultrasound Transduces (including specific reference to the wipes you refer to).

http://www.asum.com.au/newsite/Files/Documents/Policies/2012.05.28_SOP%20Press%20Release%20Tristel.pdf

http://www.a-s-a.com.au/fileRepository/files/Website/Public%20site/Quality%20Practice/ASA%20Guidelines/0295_ASA-Guideline_ID_Update%20May2012.pdf

http://www.health.wa.gov.au/circularsnew/pdfs/12913.pdf

Yours Sincerely

Scott Pabst
National Sales Manager
AshMed Pty Ltd
Ph. 0435 843 950
E. scott@ashmed.com.au

Dear All,

I am seeking some assistance with interpreting the ASUM guidelines and their requirements for US probe cleaning.

We are using the Trophon for all intracavity probes and wiping over all other probes used for routine imaging, biopsy guidance etc with a disinfectant wipe. The current wipe in use is not one of the four recommended disinfection methods referred to in their guidelines.
We use probes covers routinely for all interventional procedures or on mucous membranes, wounds etc.

Am I correct in interpreting the ASUM guidelines – that all probes regardless of cover usage must be cleaned in one of the four ways stated by ASUM. Can anyone throw some more light on this issue for me please.

We have received full Imaging reaccreditation and our current practise was not raised as an issue.

Regards

Phillipa Parsons
Infection Prevention and Control Clinical Coordinator
Cabrini Health
183 Wattletree Rd
Malvern Vic 3144
03 9508 1577
0400 369 741

Please consider the environment before you print this e-mail.
—————————————————————————————————————
This email and any attachments may be confidential, and are intended
solely for the use of the individual(s) or entity to whom they are
addressed. If you are not the intended recipient of this communication,
please notify the sender immediately and delete the email and any
attachments.
Cabrini does not guarantee that this email is virus or error free.
______________________________________________________________________
This email has been scanned by the Symantec Email Security.cloud service.
For more information please visit http://www.symanteccloud.com
______________________________________________________________________
Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

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

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[Roel Castillo]

Hi Philipa

With all due respect to ASUM, reprocessing of reusable medical and surgical devices and equipment must also comply with AS 4187:2003.
As long as you satisfy the reprocessing requirements for the devices intended use as per Spauldings classification, this process was validated, to ensure the level of cleanliness, degree of disinfection and the sterility assurance level of 10( at least). As far as I know ultrasound probes fall under either the category of semi critical items (being in contact with non-sterile tissue and mucous membranes) shall undergo disinfection (thermal is preferred if available) or non-critical items (being in contact with intact skin) requiring cleaning (mechanical preferred over manual). Please identify intended use and remember this are minimum requirements for reprocessing. Some may need sterilisation, in this regard if you have an SSD just let them reprocess you instruments, their washers doesnt only clean but provide thermal disinfection as well. You have options to sterilise them as best practice entails.
How do you validate your wiping process? Do you do random visual checks/residue checks? Are they being recorded? Do you have a procedure that this process is repeatable every time with the same level of cleanliness?
You can do random tests, that is every other third processed instrument of the third day (or any random design) and do protein/blood/carbohydrate residue checks and document them. What measures do you take in case these checks fail?

For better patient care
Roel

Roel Castillo
Project Officer – SSD
Mob: +61 434 496 829

From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Parsons, Phillipa
Sent: Tuesday, 21 May 2013 11:17 AM
To: AICALIST@AICALIST.ORG.AU
Subject: ASUM guidelines and US probe cleaning

Dear All,

I am seeking some assistance with interpreting the ASUM guidelines and their requirements for US probe cleaning.

We are using the Trophon for all intracavity probes and wiping over all other probes used for routine imaging, biopsy guidance etc with a disinfectant wipe. The current wipe in use is not one of the four recommended disinfection methods referred to in their guidelines.
We use probes covers routinely for all interventional procedures or on mucous membranes, wounds etc.

Am I correct in interpreting the ASUM guidelines – that all probes regardless of cover usage must be cleaned in one of the four ways stated by ASUM. Can anyone throw some more light on this issue for me please.

We have received full Imaging reaccreditation and our current practise was not raised as an issue.

Regards

Phillipa Parsons
Infection Prevention and Control Clinical Coordinator
Cabrini Health
183 Wattletree Rd
Malvern Vic 3144
03 9508 1577
0400 369 741
Email: pparsons@cabrini.com.au

Please consider the environment before you print this e-mail.
—————————————————————————————————————
This email and any attachments may be confidential, and are intended
solely for the use of the individual(s) or entity to whom they are
addressed. If you are not the intended recipient of this communication,
please notify the sender immediately and delete the email and any
attachments.
Cabrini does not guarantee that this email is virus or error free.
______________________________________________________________________
This email has been scanned by the Symantec Email Security.cloud service.
For more information please visit http://www.symanteccloud.com
______________________________________________________________________

______________________________________________________________________
This email has been scanned by the Symantec Email Security.cloud service.
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Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

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

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______________________________________________________________________
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