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Hi Jayne,
Recently there was a case when a woman was injected with clear
chlorhexidine by error – she was having an epidural inserted .Because of this; it is preferred that prep for lines be dyed. This also
has the advantage of being able to see what parts of the skin have been
prepped.The ICU I used to work in used “lollipops”; so there could be no error.
Regards
Prue Wright
Infection Control Co-ordinator
Hurstville Private
Behalf Of Tim Spencer
Hi Jayne,
Currently, the CDC Guidelines, along with NICE (UK), SHEA (USA), INS
(USA) and AVA (USA), ESPEN (Europe) and IVNNZ (New Zealand) all
recommend 2% CHG with 70% IPA.It’s is pretty much the worldwide standard for skin antisepsis prior to
inserion of a IV device (peripheral or central), as well as
hub/cap/valve decontamination on any IV device.Never heard of it being injected into the patient! I would be interested
to see your ID physicians supportive evidence to show any accidental
injection of CHG & IPA into the patient and any detriments it may have.The evidence speaks correctly. I would base your policy from
“evidence-based research and practices’, not speculation from various
individuals.There is plenty of supportive literature.
Regards,
Tim..
Timothy R. Spencer, RN, APN, DipAppSci, Bach.Health, ICCert.
Clinical Nurse Consultant | Central Venous Access & Parenteral Nutrition
ServiceConjoint Lecturer, University of NSW
Dept of Critical Care, Level 2, Clinical Building, Liverpool Hospital,
Elizabeth Street, Liverpool, 2170, NSW, Australia
Tel 02 8738 3603 | Fax 02 8738 3551 | Mob 0409 463 428 |
Tim.Spencer@sswahs.nsw.gov.au | Timothy.Spencer@unsw.edu.au________________________________
Behalf Of Jayne OConnor
Dear All,
We are currently revising our CVC policy and just wondering what
everyone used for cleaning the ports? All evidence points to 2%
Chlorhexidine in 70% alcohol, but we have had conflicting advice from
our ID physicians due to safety issues of injecting chlorhexidine into
lines?Look forward to responses.
Kind Regards
Jayne
Jayne O’Connor RN, BSc.in Infection Control
Clinical Nurse Consultant- Infection Prevention & Control
Sydney Adventist Hospital,
185 Fox Valley Rd,.
Wahroonga,
NSW 2076.
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That’s correct Jayne
NSW Ministry of Health sent out a Safety Alert in September 2010 in response to this incidenthttp://www.health.nsw.gov.au/quality/sabs/index.asp
Thanks
Joe
Joe-anne Bendall
Infection Prevention and Control CNC
Sydney Hospital and Sydney Eye Hospital
Macquarie St
Sydneyjoeanne.bendall@sesiahs.health.nsw.gov.au
Hi Jayne,
Recently there was a case when a woman was injected with clear chlorhexidine by error – she was having an epidural inserted .
Because of this; it is preferred that prep for lines be dyed. This also has the advantage of being able to see what parts of the skin have been prepped.
The ICU I used to work in used “lollipops”; so there could be no error.
Regards
Prue Wright
Infection Control Co-ordinator
Hurstville PrivateHi Jayne,
Currently, the CDC Guidelines, along with NICE (UK), SHEA (USA), INS (USA) and AVA (USA), ESPEN (Europe) and IVNNZ (New Zealand) all recommend 2% CHG with 70% IPA.
It’s is pretty much the worldwide standard for skin antisepsis prior to inserion of a IV device (peripheral or central), as well as hub/cap/valve decontamination on any IV device.Never heard of it being injected into the patient! I would be interested to see your ID physicians supportive evidence to show any accidental injection of CHG & IPA into the patient and any detriments it may have.
The evidence speaks correctly. I would base your policy from “evidence-based research and practices’, not speculation from various individuals.
There is plenty of supportive literature.
Regards,
Tim..Timothy R. Spencer, RN, APN, DipAppSci, Bach.Health, ICCert.
Clinical Nurse Consultant | Central Venous Access & Parenteral Nutrition Service
Conjoint Lecturer, University of NSW
Dept of Critical Care, Level 2, Clinical Building, Liverpool Hospital, Elizabeth Street, Liverpool, 2170, NSW, Australia
Tel 02 8738 3603 | Fax 02 8738 3551 | Mob 0409 463 428 | Tim.Spencer@sswahs.nsw.gov.au | Timothy.Spencer@unsw.edu.au
[cid:815383006@24052012-2F04][cid:815383006@24052012-2F0B]
________________________________
Dear All,We are currently revising our CVC policy and just wondering what everyone used for cleaning the ports? All evidence points to 2% Chlorhexidine in 70% alcohol, but we have had conflicting advice from our ID physicians due to safety issues of injecting chlorhexidine into lines?
Look forward to responses.
Kind Regards
Jayne
Jayne O’Connor RN, BSc.in Infection Control
Clinical Nurse Consultant- Infection Prevention & Control
Sydney Adventist Hospital,
185 Fox Valley Rd,.
Wahroonga,
NSW 2076.If you are not the intended recipient you are hereby notified that any dissemination, distribution or reproduction of this message
is prohibited. If you have received this message in error please notify the sender immediately, then destroy the original message.
Any views expressed in this message are solely those of the individual sender, except where the sender is specifically authorised
by Sydney Adventist Hospital to state that they are the views of Sydney Adventist Hospital.
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Yes, an unfortunate incident.
And on that DOH Safety Alert, we changed ALL our CHG & IPA to red tinted
solution.
We also use the large and small lollipops.
However, I think the swabs are still clear – not sure if they come in a
tinted solution.
Timothy R. Spencer, RN, APN, DipAppSci, Bach.Health, ICCert.
Clinical Nurse Consultant | Central Venous Access & Parenteral Nutrition
Service
Conjoint Lecturer, University of NSW
Dept of Critical Care, Level 2, Clinical Building, Liverpool Hospital,
Elizabeth Street, Liverpool, 2170, NSW, Australia
Tel 02 8738 3603 | Fax 02 8738 3551 | Mob 0409 463 428 |
Tim.Spencer@sswahs.nsw.gov.au | Timothy.Spencer@unsw.edu.au________________________________
Behalf Of Prue Wright
Hi Jayne,
Recently there was a case when a woman was injected with clear
chlorhexidine by error – she was having an epidural inserted .Because of this; it is preferred that prep for lines be dyed. This also
has the advantage of being able to see what parts of the skin have been
prepped.The ICU I used to work in used “lollipops”; so there could be no error.
Regards
Prue Wright
Infection Control Co-ordinator
Hurstville Private
Behalf Of Tim Spencer
Hi Jayne,
Currently, the CDC Guidelines, along with NICE (UK), SHEA (USA), INS
(USA) and AVA (USA), ESPEN (Europe) and IVNNZ (New Zealand) all
recommend 2% CHG with 70% IPA.It’s is pretty much the worldwide standard for skin antisepsis prior to
inserion of a IV device (peripheral or central), as well as
hub/cap/valve decontamination on any IV device.Never heard of it being injected into the patient! I would be interested
to see your ID physicians supportive evidence to show any accidental
injection of CHG & IPA into the patient and any detriments it may have.The evidence speaks correctly. I would base your policy from
“evidence-based research and practices’, not speculation from various
individuals.There is plenty of supportive literature.
Regards,
Tim..
Timothy R. Spencer, RN, APN, DipAppSci, Bach.Health, ICCert.
Clinical Nurse Consultant | Central Venous Access & Parenteral Nutrition
ServiceConjoint Lecturer, University of NSW
Dept of Critical Care, Level 2, Clinical Building, Liverpool Hospital,
Elizabeth Street, Liverpool, 2170, NSW, Australia
Tel 02 8738 3603 | Fax 02 8738 3551 | Mob 0409 463 428 |
Tim.Spencer@sswahs.nsw.gov.au | Timothy.Spencer@unsw.edu.au________________________________
Behalf Of Jayne OConnor
Dear All,
We are currently revising our CVC policy and just wondering what
everyone used for cleaning the ports? All evidence points to 2%
Chlorhexidine in 70% alcohol, but we have had conflicting advice from
our ID physicians due to safety issues of injecting chlorhexidine into
lines?Look forward to responses.
Kind Regards
Jayne
Jayne O’Connor RN, BSc.in Infection Control
Clinical Nurse Consultant- Infection Prevention & Control
Sydney Adventist Hospital,
185 Fox Valley Rd,.
Wahroonga,
NSW 2076.
information intended for the addressee named above.
If you are not the intended recipient you are hereby notified that any
dissemination, distribution or reproduction of this message
is prohibited. If you have received this message in error please notify
the sender immediately, then destroy the original message.
Any views expressed in this message are solely those of the individual
sender, except where the sender is specifically authorised
by Sydney Adventist Hospital to state that they are the views of Sydney
Adventist Hospital.
_____________________________________________________________________
This e-mail has been scanned for viruses by Symantec Hosted Services
Scanning Services – powered by MessageLabs. For further information
visit http://www.messagelabs.com_____________________________________________________________________
This email has been scanned for the Sydney & South Western Sydney Local
Health Districts by the MessageLabs Email Security System.
Sydney & South Western Sydney Local Health Districts regularly monitor
email and attachments to ensure compliance with the NSW Ministry of
Health’s Electronic Messaging Policy.
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.auTo send a message to the list administrator send an email to
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(without the quotes) to listserv@aicalist.org.auMessages 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.auTo send a message to the list administrator send an email to
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(without the quotes) to listserv@aicalist.org.au_____________________________________________________________________
This email has been scanned for the Sydney & South Western Sydney Local
Health Districts by the MessageLabs Email Security System.
Sydney & South Western Sydney Local Health Districts regularly monitor
email and attachments to ensure compliance with the NSW Ministry of
Health’s Electronic Messaging Policy.
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
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