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Good morning,
May I address the brains trust to ask – when accessing CVAD’s in the home environment some staff draw up their flushes in the hospital clinic using no touch technique. They then wrap and carry the flushes to the home to flush and then attach IV A/B’s. Sometimes the drawing up is some hours prior to administration.Others take sterile equipment with them ( dressing pack, sterile syringes needles and gloves) and draw up in the home immediately prior to flushing and attaching…
I can’t find any evidence to tell me if having the Normal Saline sit in the syringe during transport in a car for some hours prior to administration is unsafe i.e. how long is too long for the flush to sit prior to administration…?My gut tells me that drawing up as close as possible to administration is ideal – however no evidence available to change clinical practice.
Any help gratefully appreciated
Clare Fowler
Clinical Nurse
Hospital in the Home, Hervey Bay
Wide Bay Hospital and Health Service
p: 07 43256646 | m: 0417013047
a: Hervey Bay Hospital, Cnr Urraween and Nissen Sts, Hervey Bay, QLD 4655
e: clare.fowler2@health.qld.gov.au | w: http://www.health.qld.gov.au/widebay[wbhhs logo]
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Good morning,
I only answered this question yesterday.
They should be drawing up and dispensing straight away.
As per NPS
https://www.nps.org.au/medical-info/medicine-finder/sodium-chloride-0-9-injection
After being given Sodium Chloride 0.9% Injection
Storage
Sodium Chloride 0.9% Injection will be stored in the surgery, pharmacy or ward of a hospital.
It should be kept in a cool, dry place where the temperature stays below 25C.
Sodium Chloride 0.9% Injection will only be opened when it is time for you to have the injection.
It should not be stored after it is opened or used for more than one person.
Kind Regards
Marija Juraja |Nurse Unit Manager -CALHN Infection Prevention & Control Unit|
Division of Acute Medicine (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 | Division of Health Sciences
[Conumers]Good morning,
May I address the brains trust to ask – when accessing CVAD’s in the home environment some staff draw up their flushes in the hospital clinic using no touch technique. They then wrap and carry the flushes to the home to flush and then attach IV A/B’s. Sometimes the drawing up is some hours prior to administration.Others take sterile equipment with them ( dressing pack, sterile syringes needles and gloves) and draw up in the home immediately prior to flushing and attaching…
I can’t find any evidence to tell me if having the Normal Saline sit in the syringe during transport in a car for some hours prior to administration is unsafe i.e. how long is too long for the flush to sit prior to administration…?My gut tells me that drawing up as close as possible to administration is ideal – however no evidence available to change clinical practice.
Any help gratefully appreciated
Clare Fowler
Clinical Nurse
Hospital in the Home, Hervey Bay
Wide Bay Hospital and Health Service
p: 07 43256646 | m: 0417013047
a: Hervey Bay Hospital, Cnr Urraween and Nissen Sts, Hervey Bay, QLD 4655
e: clare.fowler2@health.qld.gov.au | w: http://www.health.qld.gov.au/widebay[wbhhs logo]
[https://encrypted-tbn0.gstatic.com/images?qtbn:ANd9GcSQWOotOf58xTU3bxZ1gVGpeiYdxrPg5BD2tAA3xfYc_zbPsRjeOpqj2w] [linked in, linkedin icon] [Image result for twitter icon] follow us on social media
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Hi Clare,
In another life, I was coordinator of HITH at the Tweed.
We always did everything in the home at the time of connection using aseptic technique.
Kind regards
KristinKristin Ryan-Agnew
Kristin Ryan-Agnew (MPH/Grad Cert IP&C)
Infection Prevention & Control Clinical Nurse Consultant
The Tweed Hospital[cid:image001.png@01D36E89.D6B88C30] National Standard 3 : Preventing and Controlling Healthcare Associated Infections
[Description: Description: Description: Description: cid:image001.png@01CC899A.70FE88C0]
I acknowledge the Bundjalung people as traditional owners of the land on which I work and live.
‘Bulla Yana Yabur’ Standing Together As OneGood morning,
May I address the brains trust to ask – when accessing CVAD’s in the home environment some staff draw up their flushes in the hospital clinic using no touch technique. They then wrap and carry the flushes to the home to flush and then attach IV A/B’s. Sometimes the drawing up is some hours prior to administration.Others take sterile equipment with them ( dressing pack, sterile syringes needles and gloves) and draw up in the home immediately prior to flushing and attaching…
I can’t find any evidence to tell me if having the Normal Saline sit in the syringe during transport in a car for some hours prior to administration is unsafe i.e. how long is too long for the flush to sit prior to administration…?My gut tells me that drawing up as close as possible to administration is ideal – however no evidence available to change clinical practice.
Any help gratefully appreciated
Clare Fowler
Clinical Nurse
Hospital in the Home, Hervey Bay
Wide Bay Hospital and Health Service
p: 07 43256646 | m: 0417013047
a: Hervey Bay Hospital, Cnr Urraween and Nissen Sts, Hervey Bay, QLD 4655
e: clare.fowler2@health.qld.gov.au | w: http://www.health.qld.gov.au/widebay[wbhhs logo]
[https://encrypted-tbn0.gstatic.com/images?qtbn:ANd9GcSQWOotOf58xTU3bxZ1gVGpeiYdxrPg5BD2tAA3xfYc_zbPsRjeOpqj2w] [linked in, linkedin icon] [Image result for twitter icon] follow us on social media
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If you are not the intended recipient(s), or if you have received this email in error, you are asked to immediately notify the sender by telephone collect on Australia +61 1800 198 175 or by return email. You should also delete this email, and any copies, from your computer system network and destroy any hard copies produced.
If not an intended recipient of this email, you must not copy, distribute or take any action(s) that relies on it; any form of disclosure, modification, distribution and/or publication of this email is also prohibited.
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Unless stated otherwise, this email represents only the views of the sender and not the views of the Queensland Government.
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Hi Clare
My personal opinion is that this would be an ideal situation for the use of commercial, prefilled saline flush syringes. Would certainly take the uncertainty out of preparing the flush syringes in the home.
Cheers
MichaelMichael Wishart | Infection Control Coordinator, CICP-E
St Vincent’s Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
W https://www.svphn.org.au[cid:image001.jpg@01D46C86.4CDB6090]
[2019 conference email signature]Good morning,
May I address the brains trust to ask – when accessing CVAD’s in the home environment some staff draw up their flushes in the hospital clinic using no touch technique. They then wrap and carry the flushes to the home to flush and then attach IV A/B’s. Sometimes the drawing up is some hours prior to administration.Others take sterile equipment with them ( dressing pack, sterile syringes needles and gloves) and draw up in the home immediately prior to flushing and attaching…
I can’t find any evidence to tell me if having the Normal Saline sit in the syringe during transport in a car for some hours prior to administration is unsafe i.e. how long is too long for the flush to sit prior to administration…?My gut tells me that drawing up as close as possible to administration is ideal – however no evidence available to change clinical practice.
Any help gratefully appreciated
Clare Fowler
Clinical Nurse
Hospital in the Home, Hervey Bay
Wide Bay Hospital and Health Service
p: 07 43256646 | m: 0417013047
a: Hervey Bay Hospital, Cnr Urraween and Nissen Sts, Hervey Bay, QLD 4655
e: clare.fowler2@health.qld.gov.au | w: https://clicktime.symantec.com/38NAFC4KcZZizXjvuG8acg7Vc?uwww.health.qld.gov.au%2Fwidebay[wbhhs logo]
[https://encrypted-tbn0.gstatic.com/images?qtbn:ANd9GcSQWOotOf58xTU3bxZ1gVGpeiYdxrPg5BD2tAA3xfYc_zbPsRjeOpqj2w] [linked in, linkedin icon] [Image result for twitter icon] follow us on social media
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Any unauthorised use, alteration, disclosure, distribution or review of this email is strictly prohibited. The information contained in this email, including any attachment sent with it, may be subject to a statutory duty of confidentiality if it relates to health service matters.
If you are not the intended recipient(s), or if you have received this email in error, you are asked to immediately notify the sender by telephone collect on Australia +61 1800 198 175 or by return email. You should also delete this email, and any copies, from your computer system network and destroy any hard copies produced.
If not an intended recipient of this email, you must not copy, distribute or take any action(s) that relies on it; any form of disclosure, modification, distribution and/or publication of this email is also prohibited.
Although Queensland Health takes all reasonable steps to ensure this email does not contain malicious software, Queensland Health does not accept responsibility for the consequences if any person’s computer inadvertently suffers any disruption to services, loss of information, harm or is infected with a virus, other malicious computer programme or code that may occur as a consequence of receiving this email.
Unless stated otherwise, this email represents only the views of the sender and not the views of the Queensland Government.
**********************************************************************************
______________________________________________________________________
This email and any attachments to it (the “Email”) is confidential and is for the use only of the intended recipient, and may not be duplicated or used by any other party without the express consent of the sender. If you are not the intended recipient of the Email, please notify the sender immediately by return https://clicktime.symantec.com/3KVwFJb6MgaYp4Bq3EJSDE87Vc?uemail%2C%20delete%20the%20Email%2C%20and%20do not copy, print, retransmit, store or act in reliance on the Email. St Vincent’s Health Australia (“SVHA”) does not guarantee that the Email is free from errors, viruses or interference. Emails to and from SVHA or its related entities may be scanned and filtered in locations outside Australia.
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They must use 10 ml syringes and draw up as the caliber is different to pre filled syringes. Pre filled syringes are not recommended for CVAD s . They should be drawing up at the time of commencing a flush
Sent from my iPhone
On 15 Feb 2019, at 8:23 am, Elizabeth A. Reading <Liz.Reading@hnehealth.nsw.gov.au> wrote:
Hi Clare,
Yes, I agree with Michael.
We use the pre-filled syringes too.Cheers
LizLiz Reading
Clinical Nurse Consultant | Infection Prevention Service
Lower Mid North Coast Sector, HNELHD
C/o Manning Base Hospital, 26 York Street, TAREE, NSW, 2430
Tel 02 6592 9351 | Mob 0427 777 612 | liz.reading@hnehealth.nsw.gov.au
http://www.health.nsw.gov.auFrom: ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] On Behalf Of Michael Wishart
Sent: Tuesday, 12 February 2019 2:25 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] CVAD access and flushingHi Clare
My personal opinion is that this would be an ideal situation for the use of commercial, prefilled saline flush syringes. Would certainly take the uncertainty out of preparing the flush syringes in the home.
Cheers
MichaelMichael Wishart | Infection Control Coordinator, CICP-E
St Vincents Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
W https://www.svphn.org.au[cid:image001.jpg@01D46C86.4CDB6090]
[2019 conference email signature]From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> On Behalf Of Clare Fowler
Sent: Tuesday, 12 February 2019 10:36 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: CVAD access and flushingGood morning,
May I address the brains trust to ask when accessing CVADs in the home environment some staff draw up their flushes in the hospital clinic using no touch technique. They then wrap and carry the flushes to the home to flush and then attach IV A/Bs. Sometimes the drawing up is some hours prior to administration.Others take sterile equipment with them ( dressing pack, sterile syringes needles and gloves) and draw up in the home immediately prior to flushing and attaching
I cant find any evidence to tell me if having the Normal Saline sit in the syringe during transport in a car for some hours prior to administration is unsafe i.e. how long is too long for the flush to sit prior to administration?My gut tells me that drawing up as close as possible to administration is ideal however no evidence available to change clinical practice.
Any help gratefully appreciated
Clare Fowler
Clinical Nurse
Hospital in the Home, Hervey Bay
Wide Bay Hospital and Health Service
p: 07 43256646 | m: 0417013047
a: Hervey Bay Hospital, Cnr Urraween and Nissen Sts, Hervey Bay, QLD 4655
e: clare.fowler2@health.qld.gov.au | w: https://clicktime.symantec.com/38NAFC4KcZZizXjvuG8acg7Vc?u=www.health.qld.gov.au%2Fwidebay[wbhhs logo]
[https://encrypted-tbn0.gstatic.com/images?q=tbn:ANd9GcSQWOotOf58xTU3bxZ1gVGpeiYdxrPg5BD2tAA3xfYc_zbPsRjeOpqj2w] [linked in, linkedin icon] [Image result for twitter icon] follow us on social media
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Any unauthorised use, alteration, disclosure, distribution or review of this email is strictly prohibited. The information contained in this email, including any attachment sent with it, may be subject to a statutory duty of confidentiality if it relates to health service matters.
If you are not the intended recipient(s), or if you have received this email in error, you are asked to immediately notify the sender by telephone collect on Australia +61 1800 198 175 or by return email. You should also delete this email, and any copies, from your computer system network and destroy any hard copies produced.
If not an intended recipient of this email, you must not copy, distribute or take any action(s) that relies on it; any form of disclosure, modification, distribution and/or publication of this email is also prohibited.
Although Queensland Health takes all reasonable steps to ensure this email does not contain malicious software, Queensland Health does not accept responsibility for the consequences if any person’s computer inadvertently suffers any disruption to services, loss of information, harm or is infected with a virus, other malicious computer programme or code that may occur as a consequence of receiving this email.
Unless stated otherwise, this email represents only the views of the sender and not the views of the Queensland Government.
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This email and any attachments to it (the “Email”) is confidential and is for the use only of the intended recipient, and may not be duplicated or used by any other party without the express consent of the sender. If you are not the intended recipient of the Email, please notify the sender immediately by return https://clicktime.symantec.com/3KVwFJb6MgaYp4Bq3EJSDE87Vc?u=email%2C%20delete%20the%20Email%2C%20and%20do not copy, print, retransmit, store or act in reliance on the Email. St Vincent’s Health Australia (“SVHA”) does not guarantee that the Email is free from errors, viruses or interference. Emails to and from SVHA or its related entities may be scanned and filtered in locations outside Australia.
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This email and any attachments to it (the “Email”) is confidential and is for the use only of the intended recipient, and may not be duplicated or used by any other party without the express consent of the sender. If you are not the intended recipient of the Email, please notify the sender immediately by return email, delete the Email, and do not copy, print, retransmit, store or act in reliance on the Email. St Vincent’s Health Australia (“SVHA”) does not guarantee that the Email is free from errors, viruses or interference. Emails to and from SVHA or its related entities may be scanned and filtered in locations outside Australia.
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Unless explicitly attributed, the opinions expressed in this email are those of the author only and do not represent the official view of Hunter New England Local Health District nor the New South Wales Government..
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Hi Sheryl
We use 10ml pre-filled saline syringes for all CVAD flushing, and for peripheral device flushes as well.
It was just easier to have one pre-filled saline syringe size. We dont stock any pre-filled saline syringes smaller than 10 ml.
Cheers
MichaelMichael Wishart | Infection Control Coordinator, CICP-E
St Vincents Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
W https://www.svphn.org.au[cid:image001.jpg@01D46C86.4CDB6090]
[2019 conference email signature]From: ACIPC Infexion Connexion On Behalf Of Sheryl Perry
Sent: Friday, 15 February 2019 8:49 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: CVAD access and flushingThey must use 10 ml syringes and draw up as the caliber is different to pre filled syringes. Pre filled syringes are not recommended for CVAD s . They should be drawing up at the time of commencing a flush
Sent from my iPhoneOn 15 Feb 2019, at 8:23 am, Elizabeth A. Reading <Liz.Reading@hnehealth.nsw.gov.au> wrote:
Hi Clare,Yes, I agree with Michael.
We use the pre-filled syringes too.Cheers
LizLiz Reading
Clinical Nurse Consultant | Infection Prevention Service
Lower Mid North Coast Sector, HNELHD
C/o Manning Base Hospital, 26 York Street, TAREE, NSW, 2430
Tel 02 6592 9351 | Mob 0427 777 612 | liz.reading@hnehealth.nsw.gov.au
http://www.health.nsw.gov.auFrom: ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] On Behalf Of Michael Wishart
Sent: Tuesday, 12 February 2019 2:25 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] CVAD access and flushingHi Clare
My personal opinion is that this would be an ideal situation for the use of commercial, prefilled saline flush syringes. Would certainly take the uncertainty out of preparing the flush syringes in the home.
Cheers
MichaelMichael Wishart | Infection Control Coordinator, CICP-E
St Vincents Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
W https://www.svphn.org.au[cid:image001.jpg@01D46C86.4CDB6090]
[2019 conference email signature]From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> On Behalf Of Clare Fowler
Sent: Tuesday, 12 February 2019 10:36 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: CVAD access and flushingGood morning,
May I address the brains trust to ask when accessing CVADs in the home environment some staff draw up their flushes in the hospital clinic using no touch technique. They then wrap and carry the flushes to the home to flush and then attach IV A/Bs. Sometimes the drawing up is some hours prior to administration.Others take sterile equipment with them ( dressing pack, sterile syringes needles and gloves) and draw up in the home immediately prior to flushing and attaching
I cant find any evidence to tell me if having the Normal Saline sit in the syringe during transport in a car for some hours prior to administration is unsafe i.e. how long is too long for the flush to sit prior to administration?My gut tells me that drawing up as close as possible to administration is ideal however no evidence available to change clinical practice.
Any help gratefully appreciated
Clare Fowler
Clinical Nurse
Hospital in the Home, Hervey Bay
Wide Bay Hospital and Health Service
p: 07 43256646 | m: 0417013047
a: Hervey Bay Hospital, Cnr Urraween and Nissen Sts, Hervey Bay, QLD 4655
e: clare.fowler2@health.qld.gov.au | w: https://clicktime.symantec.com/38NAFC4KcZZizXjvuG8acg7Vc?u=www.health.qld.gov.au%2Fwidebay[wbhhs logo]
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Sat
Dear Claire – the environment for drawing up a syringe for later use i.e.
some hours later would need to be the standard used when making
pharmaceuticals (a clean room) i.e the same conditions that the prefilled
commercially avail syringes come in. As this is not possible in the first
scenario you mention, I would not be prefilling. In terms of evidence – a
trial to see whether the two are equal in preventing infection would be
unethical but I would suggest there would be evidence that this method in an
uncontrolled environment allows for the entry to and growth of, bacteria in
the syringe. In the delay of some hours and with an uncontrolled
temperature, some bacteria may multiply each half hour.Regards,
Margaret Jennings
Marjen Education Serviceswebsite. http://www.marjenes.com.au
email. marjenes@optusnet.com.aumob. 0404 088 754
fax. 03 9439 2436Elizabeth A. Reading
Hi Clare,
Yes, I agree with Michael.
We use the pre-filled syringes too.
Cheers
Liz
Liz Reading
Clinical Nurse Consultant | Infection Prevention Service
Lower Mid North Coast Sector, HNELHD
C/o Manning Base Hospital, 26 York Street, TAREE, NSW, 2430
Tel 02 6592 9351 | Mob 0427 777 612 |
liz.reading@hnehealth.nsw.gov.au
http://www.health.nsw.gov.auMichael Wishart
Hi Clare
My personal opinion is that this would be an ideal situation for the use of
commercial, prefilled saline flush syringes. Would certainly take the
uncertainty out of preparing the flush syringes in the home.Cheers
Michael
Michael Wishart | Infection Control Coordinator, CICP-E
St Vincent’s Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
> On Behalf Of Clare Fowler
Good morning,
May I address the brains trust to ask – when accessing CVAD’s in the home
environment some staff draw up their flushes in the hospital clinic using no
touch technique. They then wrap and carry the flushes to the home to flush
and then attach IV A/B’s. Sometimes the drawing up is some hours prior to
administration.Others take sterile equipment with them ( dressing pack, sterile syringes
needles and gloves) and draw up in the home immediately prior to flushing
and attaching.I can’t find any evidence to tell me if having the Normal Saline sit in the
syringe during transport in a car for some hours prior to administration is
unsafe i.e. how long is too long for the flush to sit prior to
administration.?My gut tells me that drawing up as close as possible to administration is
ideal – however no evidence available to change clinical practice.Any help gratefully appreciated
Clare Fowler
Clinical Nurse
Hospital in the Home, Hervey Bay
Wide Bay Hospital and Health Service
p: 07 43256646 | m: 0417013047
a: Hervey Bay Hospital, Cnr Urraween and Nissen Sts, Hervey Bay, QLD 4655
e: c
lare.fowler2@health.qld.gov.au | w:
https://clicktime.symantec.com/38NAFC4KcZZizXjvuG8acg7Vc?u=www.health.qld.go
v.au%2Fwidebayfollow us on social media
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or if it is transmitted/received in error.Any unauthorised use, alteration, disclosure, distribution or review of this
email is strictly prohibited. The information contained in this email,
including any attachment sent with it, may be subject to a statutory duty of
confidentiality if it relates to health service matters.If you are not the intended recipient(s), or if you have received this email
in error, you are asked to immediately notify the sender by telephone
collect on Australia +61 1800 198 175 or by return email. You should also
delete this email, and any copies, from your computer system network and
destroy any hard copies produced.If not an intended recipient of this email, you must not copy, distribute or
take any action(s) that relies on it; any form of disclosure, modification,
distribution and/or publication of this email is also prohibited.Although Queensland Health takes all reasonable steps to ensure this email
does not contain malicious software, Queensland Health does not accept
responsibility for the consequences if any person’s computer inadvertently
suffers any disruption to services, loss of information, harm or is infected
with a virus, other malicious computer programme or code that may occur as a
consequence of receiving this email.Unless stated otherwise, this email represents only the views of the sender
and not the views of the Queensland Government.****************************************************************************
******______________________________________________________________________
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used by any other party without the express consent of the sender. If you
are not the intended recipient of the Email, please notify the sender
immediately by return
https://clicktime.symantec.com/3KVwFJb6MgaYp4Bq3EJSDE87Vc?u=email%2C%20delet
e%20the%20Email%2C%20and%20do not copy, print, retransmit, store or act in
reliance on the Email. St Vincent’s Health Australia (“SVHA”) does not
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Emails to and from SVHA or its related entities may be scanned and filtered
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NOT REPRESENT THE OPINION OF ACIPC.The use of trade/product/commercial brand names through the list is
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are not the intended recipient of the Email, please notify the sender
immediately by return email, delete the Email, and do not copy, print,
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Australia (“SVHA”) does not guarantee that the Email is free from errors,
viruses or interference. Emails to and from SVHA or its related entities may
be scanned and filtered in locations outside Australia.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
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Hi Claire,
We use pre-filled syringes.
Convenience, cost effective.Regards,
TinaTina Muller
CNC, Theatre & CSD
Mackay Base Hospital
MHHSSat
Dear Claire – the environment for drawing up a syringe for later use i.e. some hours later would need to be the standard used when making pharmaceuticals (a clean room) i.e the same conditions that the prefilled commercially avail syringes come in. As this is not possible in the first scenario you mention, I would not be prefilling. In terms of evidence – a trial to see whether the two are equal in preventing infection would be unethical but I would suggest there would be evidence that this method in an uncontrolled environment allows for the entry to and growth of, bacteria in the syringe. In the delay of some hours and with an uncontrolled temperature, some bacteria may multiply each half hour.Regards,
Margaret Jennings
Marjen Education Serviceswebsite. http://www.marjenes.com.au
email. marjenes@optusnet.com.aumob. 0404 088 754
fax. 03 9439 2436Hi Clare,
Yes, I agree with Michael.
We use the pre-filled syringes too.Cheers
LizLiz Reading
Clinical Nurse Consultant | Infection Prevention Service
Lower Mid North Coast Sector, HNELHD
C/o Manning Base Hospital, 26 York Street, TAREE, NSW, 2430
Tel 02 6592 9351 | Mob 0427 777 612 | liz.reading@hnehealth.nsw.gov.au
http://www.health.nsw.gov.auHi Clare
My personal opinion is that this would be an ideal situation for the use of commercial, prefilled saline flush syringes. Would certainly take the uncertainty out of preparing the flush syringes in the home.
Cheers
MichaelMichael Wishart | Infection Control Coordinator, CICP-E
St Vincent’s Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
W https://www.svphn.org.au[cid:image001.jpg@01D46C86.4CDB6090]
[2019 conference email signature]Good morning,
May I address the brains trust to ask – when accessing CVAD’s in the home environment some staff draw up their flushes in the hospital clinic using no touch technique. They then wrap and carry the flushes to the home to flush and then attach IV A/B’s. Sometimes the drawing up is some hours prior to administration.Others take sterile equipment with them ( dressing pack, sterile syringes needles and gloves) and draw up in the home immediately prior to flushing and attaching…
I can’t find any evidence to tell me if having the Normal Saline sit in the syringe during transport in a car for some hours prior to administration is unsafe i.e. how long is too long for the flush to sit prior to administration…?My gut tells me that drawing up as close as possible to administration is ideal – however no evidence available to change clinical practice.
Any help gratefully appreciated
Clare Fowler
Clinical Nurse
Hospital in the Home, Hervey Bay
Wide Bay Hospital and Health Service
p: 07 43256646 | m: 0417013047
a: Hervey Bay Hospital, Cnr Urraween and Nissen Sts, Hervey Bay, QLD 4655
e: clare.fowler2@health.qld.gov.au | w: https://clicktime.symantec.com/38NAFC4KcZZizXjvuG8acg7Vc?uwww.health.qld.gov.au%2Fwidebay[wbhhs logo]
[https://encrypted-tbn0.gstatic.com/images?qtbn:ANd9GcSQWOotOf58xTU3bxZ1gVGpeiYdxrPg5BD2tAA3xfYc_zbPsRjeOpqj2w] [linked in, linkedin icon] [Image result for twitter icon] follow us on social media
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If not an intended recipient of this email, you must not copy, distribute or take any action(s) that relies on it; any form of disclosure, modification, distribution and/or publication of this email is also prohibited.
Although Queensland Health takes all reasonable steps to ensure this email does not contain malicious software, Queensland Health does not accept responsibility for the consequences if any person’s computer inadvertently suffers any disruption to services, loss of information, harm or is infected with a virus, other malicious computer programme or code that may occur as a consequence of receiving this email.
Unless stated otherwise, this email represents only the views of the sender and not the views of the Queensland Government.
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Thank you for your reply.
Yes I agree. And as I understand the prefilled cannot be used on a sterile field and my practice is to always open a sterile field at the home ( as variable conditions apply as you would imagine!) and draw up on the sterile field immediately prior to administration.Much appreciated
Clare
From: ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] On Behalf Of Sheryl Perry
Sent: Friday, 15 February 2019 8:49 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: CVAD access and flushingThey must use 10 ml syringes and draw up as the caliber is different to pre filled syringes. Pre filled syringes are not recommended for CVAD s . They should be drawing up at the time of commencing a flush
Sent from my iPhoneOn 15 Feb 2019, at 8:23 am, Elizabeth A. Reading <Liz.Reading@hnehealth.nsw.gov.au> wrote:
Hi Clare,Yes, I agree with Michael.
We use the pre-filled syringes too.Cheers
LizLiz Reading
Clinical Nurse Consultant | Infection Prevention Service
Lower Mid North Coast Sector, HNELHD
C/o Manning Base Hospital, 26 York Street, TAREE, NSW, 2430
Tel 02 6592 9351 | Mob 0427 777 612 | liz.reading@hnehealth.nsw.gov.au
http://www.health.nsw.gov.auFrom: ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] On Behalf Of Michael Wishart
Sent: Tuesday, 12 February 2019 2:25 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] CVAD access and flushingHi Clare
My personal opinion is that this would be an ideal situation for the use of commercial, prefilled saline flush syringes. Would certainly take the uncertainty out of preparing the flush syringes in the home.
Cheers
MichaelMichael Wishart | Infection Control Coordinator, CICP-E
St Vincents Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
W https://www.svphn.org.au[cid:image001.jpg@01D46C86.4CDB6090]
[2019 conference email signature]From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> On Behalf Of Clare Fowler
Sent: Tuesday, 12 February 2019 10:36 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: CVAD access and flushingGood morning,
May I address the brains trust to ask when accessing CVADs in the home environment some staff draw up their flushes in the hospital clinic using no touch technique. They then wrap and carry the flushes to the home to flush and then attach IV A/Bs. Sometimes the drawing up is some hours prior to administration.Others take sterile equipment with them ( dressing pack, sterile syringes needles and gloves) and draw up in the home immediately prior to flushing and attaching
I cant find any evidence to tell me if having the Normal Saline sit in the syringe during transport in a car for some hours prior to administration is unsafe i.e. how long is too long for the flush to sit prior to administration?My gut tells me that drawing up as close as possible to administration is ideal however no evidence available to change clinical practice.
Any help gratefully appreciated
Clare Fowler
Clinical Nurse
Hospital in the Home, Hervey Bay
Wide Bay Hospital and Health Service
p: 07 43256646 | m: 0417013047
a: Hervey Bay Hospital, Cnr Urraween and Nissen Sts, Hervey Bay, QLD 4655
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