Course Access
- This topic is empty.
-
Posts
-
Dear ACIPC members
I would greatly appreciate feedback from anyone more familiar than me with requirements for eye surgery instrument processing.
We are to commence basic surgery soon and do not have RO water at present albeit on the list as a must have sooner rather than later.
Our central sterilising unit have proposed a ‘workaround’ as below as a risk mitigation strategy acknowledging it is not gold standard practice.
Would you accept this process as an alternative??The suggested cleaning processes at Redland Hospital for eye instruments requiring HSO approval are as follows;
The Washer Disinfectors have an established validated eye cycle in place effective from February 2020* Neutral Enzymatic chemical for the cleaning process
* Thermal disinfection
* Additional rinse phases during the validated cycle
* Removal of rinsing chemicals to avoid any residual on instruments
* Manually rinse individual instruments immediately following the validated cleaning cycle with 1 litre bottled sterile water to replicate the RO water final rinsing of the instruments
* Protein detection test of instruments
* Place instrument trays into the validated dryers
Infection Control will also initiate infection surveillance as it is a new procedure at our facility as well.Appreciate any thoughts
Best wishes
Robyn
Robyn Birch
MAdv Prac IP&C, CICP
CNC Infection Control
Redland Hospital
Department of Health | Queensland Government
PO Box 585, ClevelandQLD 4163
t. (07) 3488 3518
m. 0412 585 099
Robyn.Birch@health.qld.gov.au | http://www.health.qld.gov.au
[cid:image002.png@01D5F792.D01F3650]**********************************************************************************
Queensland Health carries out monitoring, scanning and blocking of emails and attachments sent from or to addresses within Queensland Health for the purposes of operating, protecting, maintaining and ensuring appropriate use of its computer network.
**********************************************************************************
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.
Replies to this message will be directed back to the list. To create a new message send an email to acipclist@acipc.org.au
To send a message to the list administrator send an email to admin@acipc.org.au
You can unsubscribe manually from this list by sending ‘signoff acipclist’ (without the quotes) to listserv@aicalist.org.au
Hi Robyn,
Might I suggest you contact either the Sydney Eye or Royal Victorian Eye and
Ear hospital sterilising department managers to ascertain their processes to
validate yours.Enzymatic chemical use is not recommended for eye instruments due to the
associated TASS (Toxic anterior segment syndrome).Kind regards
Sam Dickson
IPAC CNC
Birch
RO waterDear ACIPC members
I would greatly appreciate feedback from anyone more familiar than me with
requirements for eye surgery instrument processing.We are to commence basic surgery soon and do not have RO water at present
albeit on the list as a must have sooner rather than later.Our central sterilising unit have proposed a ‘workaround’ as below as a risk
mitigation strategy acknowledging it is not gold standard practice.Would you accept this process as an alternative??
The suggested cleaning processes at Redland Hospital for eye instruments
requiring HSO approval are as follows;The Washer Disinfectors have an established validated eye cycle in place
effective from February 2020*Neutral Enzymatic chemical for the cleaning process
*Thermal disinfection
*Additional rinse phases during the validated cycle
*Removal of rinsing chemicals to avoid any residual on instruments
*Manually rinse individual instruments immediately following the
validated cleaning cycle with 1 litre bottled sterile water to replicate the
RO water final rinsing of the instruments
*Protein detection test of instruments
*Place instrument trays into the validated dryersInfection Control will also initiate infection surveillance as it is a new
procedure at our facility as well.Appreciate any thoughts
Best wishes
Robyn
Robyn Birch
MAdv Prac IP&C, CICP
CNC Infection Control
Redland Hospital
Department of Health | Queensland Government
PO Box 585, ClevelandQLD 4163
t. (07) 3488 3518m. 0412 585 099
Robyn.Birch@health.qld.gov.au |
http://www.health.qld.gov.au****************************************************************************
******confidential information and may be protected by copyright. You must not use
or disclose them other than for the purposes for which they were supplied.
The privilege or confidentiality attached to this message and attachments is
not waived by reason of mistaken delivery to you. If you are not the
intended recipient, you must not use, disclose, retain, forward or reproduce
this message or any attachments. If you receive this message in error,
please notify the sender by return email or telephone and destroy and delete
all copies. Unless stated otherwise, this email represents only the views of
the sender and not the views of the Queensland Government.Queensland Health carries out monitoring, scanning and blocking of emails
and attachments sent from or to addresses within Queensland Health for the
purposes of operating, protecting, maintaining and ensuring appropriate use
of its computer network.****************************************************************************
******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.Replies to this message will be directed back to the list. To create a new
message send an email to acipclist@acipc.org.auTo send a message to the list administrator send an email to
admin@acipc.org.auYou can unsubscribe manually from this list by sending ‘signoff acipclist’
(without the quotes) to listserv@aicalist.org.auMESSAGES 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.
Replies to this message will be directed back to the list. To create a new message send an email to acipclist@acipc.org.au
To send a message to the list administrator send an email to admin@acipc.org.au
You can unsubscribe manually from this list by sending ‘signoff acipclist’ (without the quotes) to listserv@aicalist.org.au
Hi Robyn,
We were in a similar predicament some time ago. The work around looks very similar to the procedures that we adopted, although because of the potential for the thermal disinfection rinse (at the time not supplied with RO water) to increase the endo toxin level, we did not use an Automated Washer Disinfector.
We did designate one ultrasonic as “Eyes only”, this was drained and filled degassed with each cycle. It was also dosed with an non enzymatic neutral detergent rather than the enzymatic, used in the other machines. In the literature some authors have suggested a link between enzyme residue and TASS.
The other important process change was to designate the top shelf of the drying cupboard as “eyes only” and ramp up the cleaning of the drying cupboard. The reasoning behind this was that the drying cupboard was primarily used for “hand washed instruments” and on several occasions I observed orthopaedic/cardiac drills and saws above dripping onto eye sets
We also introduced a “priority process” for eye sets to avoid wet sets sitting for long periods and in the packing area avoid potential contamination prior to packing. Any sets that were not wrapped with in four hours of washing were sent back for reprocessing.
For the most part the written procedure referenced the manufacturers IFU (many having manual cleaning options at the time) and we produced a step by step, pictorial laminated “how to”guide. One common problem we had was operators not fully understanding the role of the sterile rinse water. On several occasions I found them decanting sterile water into un-sterile bowls as well as reusing irrigation syringes (Phaco equipment). This was after an education program and competency check.Kind regards
Ken
Ken Chapman
BNurs/BAppSc(HealthProm), PG cert Ed, MAqua
Infection Prevention and Control Clinical Coordinator
Cabrini Health________________________________
Dear ACIPC members
I would greatly appreciate feedback from anyone more familiar than me with requirements for eye surgery instrument processing.
We are to commence basic surgery soon and do not have RO water at present albeit on the list as a must have sooner rather than later.
Our central sterilising unit have proposed a workaround as below as a risk mitigation strategy acknowledging it is not gold standard practice.
Would you accept this process as an alternative??
The suggested cleaning processes at Redland Hospital for eye instruments requiring HSO approval are as follows;
The Washer Disinfectors have an established validated eye cycle in place effective from February 2020
* Neutral Enzymatic chemical for the cleaning process
* Thermal disinfection
* Additional rinse phases during the validated cycle
* Removal of rinsing chemicals to avoid any residual on instruments
* Manually rinse individual instruments immediately following the validated cleaning cycle with 1 litre bottled sterile water to replicate the RO water final rinsing of the instruments
* Protein detection test of instruments
* Place instrument trays into the validated dryersInfection Control will also initiate infection surveillance as it is a new procedure at our facility as well.
Appreciate any thoughts
Best wishes
Robyn
Robyn Birch
MAdv Prac IP&C, CICP
CNC Infection Control
Redland Hospital
Department of Health | Queensland Government
PO Box 585, ClevelandQLD 4163
t. (07) 3488 3518m. 0412 585 099
Robyn.Birch@health.qld.gov.au | http://www.health.qld.gov.au
[cid:image002.png@01D5F792.D01F3650]
**********************************************************************************
Queensland Health carries out monitoring, scanning and blocking of emails and attachments sent from or to addresses within Queensland Health for the purposes of operating, protecting, maintaining and ensuring appropriate use of its computer network.
**********************************************************************************
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.
Replies to this message will be directed back to the list. To create a new message send an email to acipclist@acipc.org.au
To send a message to the list administrator send an email to admin@acipc.org.au
You can unsubscribe manually from this list by sending ‘signoff acipclist’ (without the quotes) to listserv@aicalist.org.au
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.
Replies to this message will be directed back to the list. To create a new message send an email to acipclist@acipc.org.au
To send a message to the list administrator send an email to admin@acipc.org.au
You can unsubscribe manually from this list by sending ‘signoff acipclist’ (without the quotes) to listserv@aicalist.org.au
- The forum ‘Infexion Connexion’ is closed to new topics and replies.