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Allison Hodge, CNC Infection Control, Ballarat Health Services
I have seen different practices in my workplace in relation to drawing up saline from plastic ampoules deemed to be needle-less. There are differing views on the best aseptic way to do this. Some believe it acceptable to connect the syringe hub to the opened ampoule top (key part to sterile opening); others believe for hub protection a needle should be used to draw up the saline, adding a step to the procedure. My extensive research has shown both methods used but failed to give me clear rationale for either. I would appreciate any thoughts on this. Do you know of any evidence for rationale? What do you recommend in your workplace and why?
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Hi Alison
What type of syringe are you using, a luer-slip or a luer-lock?
In principle one could argue that with careful technique it could be assured that the key part of a luer-slip syringe would only have contact with the key part of the plastic ampoule.
However, my personal opinion is that the same assurance can’t be extended to the use of a luer-lock syringe as the luer-lock part of the syringe (a key part) has direct contact with the external “non-sterile” part of the plastic ampoule.
I am not sure how this may add to any of the information you already have, but it has certainly been a discussion point on our site as well. I will be very interested to hear from other members regarding this matter.
Cheers
BethBeth Bint
Clinical Nurse Consultant | Infection Management and Control Service
Level 1 Lawson House, Wollongong Hospital 2500, NSW
Tel. 02 4222 5869 | Fax. 02 4222 5367 | beth.bint@sesiahs.health.nsw.gov.au—–Original Message—–
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Allison Hodge, CNC Infection Control, Ballarat Health Services
Sent: Friday, 17 May 2013 5:49 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Drawing up from plastic ampoules for intravenous useAllison Hodge, CNC Infection Control, Ballarat Health Services
I have seen different practices in my workplace in relation to drawing up saline from plastic ampoules deemed to be needle-less. There are differing views on the best aseptic way to do this. Some believe it acceptable to connect the syringe hub to the opened ampoule top (key part to sterile opening); others believe for hub protection a needle should be used to draw up the saline, adding a step to the procedure. My extensive research has shown both methods used but failed to give me clear rationale for either. I would appreciate any thoughts on this. Do you know of any evidence for rationale? What do you recommend in your workplace and why?
Thank youMessages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.
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Hi
We had the same issues raised when the organisation switched away from luer slip to luer lock for safety reasons – as a result we introduced blunt drawing up needles for this purpose.Jane Barnett
Infection Prevention & Control Nurse Specialist
Christchurch Women’s Hospital
3644510 or int 85510
Pager 5200—–Original Message—–
Hi AlisonWhat type of syringe are you using, a luer-slip or a luer-lock?
In principle one could argue that with careful technique it could be assured that the key part of a luer-slip syringe would only have contact with the key part of the plastic ampoule.
However, my personal opinion is that the same assurance can’t be extended to the use of a luer-lock syringe as the luer-lock part of the syringe (a key part) has direct contact with the external “non-sterile” part of the plastic ampoule.
I am not sure how this may add to any of the information you already have, but it has certainly been a discussion point on our site as well. I will be very interested to hear from other members regarding this matter.
Cheers
BethBeth Bint
Clinical Nurse Consultant | Infection Management and Control Service
Level 1 Lawson House, Wollongong Hospital 2500, NSW
Tel. 02 4222 5869 | Fax. 02 4222 5367 | beth.bint@sesiahs.health.nsw.gov.au—–Original Message—–
Allison Hodge, CNC Infection Control, Ballarat Health Services
I have seen different practices in my workplace in relation to drawing up saline from plastic ampoules deemed to be needle-less. There are differing views on the best aseptic way to do this. Some believe it acceptable to connect the syringe hub to the opened ampoule top (key part to sterile opening); others believe for hub protection a needle should be used to draw up the saline, adding a step to the procedure. My extensive research has shown both methods used but failed to give me clear rationale for either. I would appreciate any thoughts on this. Do you know of any evidence for rationale? What do you recommend in your workplace and why?
Thank youMessages 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.
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
———————————————————————————————
Illawarra Shoalhaven Local Health District, South East Sydney Local Health District and Sydney Children’s Hospital Network (Randwick Campus) Confidentiality Notice
This email, and the files transmitted with it, are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you are not the intended recipient, you are not permitted to distribute or use this email or any of its attachments in any way. We also request that you advise the sender of the incorrect addressing.
This email message has been virus-scanned. Although no computer viruses were detected, Illawarra Shoalhaven Local Health District, South East Sydney Local Health District and Sydney Children’s Hospital Network (Randwick Campus) accept no liability for any consequential damage resulting from email containing any computer viruses.
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.
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
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.
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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