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Hi
Quick few questions regarding drawing up from a (plastic) ampoule of sterile saline or water.
1) Would you recommend drawing up using a sterile needle and syringe or would you draw up using a sterile syringe only and
2) Does anyone know of any evidence or have any opinion that one method is preferential to the other for reducing risk of contamination of the syringe or fluid?
Regards
Pauline
Pauline Bass
Infection Prevention Nurse Consultant
Infection Prevention and Healthcare Epidemiology
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Hi Pauline,
I usually draw up directly from the ampoule with a new syringe……but…..if you really think about it, the risk of contamination is going to be higher, unless the technique and motor skills of the person drawing up is pretty near perfect.
The best way is to use a blunt drawing up needle for drawing up the saline/water and then a fresh one for diluting the medication. In the “real” world this is least likely to happen.
In a “scrub” situation, the fluid is usually emptied into a galley pot, or the scrub will draw up from the ampoule and leave the drawing up needle in the ampoule to be discarded by the scout.
I have not seen any evidence or research.
Hope this is some help
Prue Wright
Infection Control Co-ordinator
Hurstville PrivatePh: (02) 9579 7777
Fax: (02) 9570 8359
Mob: 0409 311 057Email: InfectionControl@hurstvilleprivate.com.au
—–Original Message—–
From: AICA Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Pauline Bass
Sent: Thursday, 5 May 2011 5:15 PM
To: AICALIST@AICALIST.ORG.AU
Subject: dRAWING UP FROM AMPOULES OF STERILE SALINE OR WATERHi
Quick few questions regarding drawing up from a (plastic) ampoule of sterile saline or water.
1) Would you recommend drawing up using a sterile needle and syringe or would you draw up using a sterile syringe only and
2) Does anyone know of any evidence or have any opinion that one method is preferential to the other for reducing risk of contamination of the syringe or fluid?
Regards
Pauline
Pauline Bass
Infection Prevention Nurse Consultant
Infection Prevention and Healthcare Epidemiology
Alfred HealthMessages posted to this list are solely the opinion of the authors, and do not represent the opinion of AICA.
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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Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of AICA.
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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Hi,
Evidence from the children’s hospital, Westmead, NSW, suggests that drawing up with just a syringe increases the risk of infection due to contamination of the syringe tip on the opening of the plastic ampoule. Therefore, using a sterile needle is preferable.
There is also evidence from James Paget University Hospitals in the UK to support this.
You can also get sterile pre filled syringes now with both saline and water.
Regards,
Helen.Helen Scott,
Infection Control Co-ordinator,
Nepean Private Hospital, Penrith, NSW.PPlease consider the environment before printing this message
>>> Pauline Bass
5/05/2011 5:14 pm >>>
HiQuick few questions regarding drawing up from a (plastic) ampoule of sterile saline or water.
1) Would you recommend drawing up using a sterile needle and syringe or would you draw up using a sterile syringe only and
2) Does anyone know of any evidence or have any opinion that one method is preferential to the other for reducing risk of contamination of the syringe or fluid?
Regards
Pauline
Pauline Bass
Infection Prevention Nurse Consultant
Infection Prevention and Healthcare Epidemiology
Alfred HealthMessages posted to this list are solely the opinion of the authors, and do not represent the opinion of AICA.
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
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