hydrogen peroxide chemical disinfector for vaginal ultrasound – advice please

[Lindy Ryan]

Good afternoon

We are currently reviewing our processing of our vaginal ultrasounds &
using a hydrogen peroxide device (trophon) to achieve high level
disinfection (in line with ASUM guidelines) in our very busy women’s and
children’s outpts dept here.

I am wondering if there is anybody out there who would be willing to
contact me/ email me off line and share with me their process for
quality control and validation of the process on each scope being
processed and used on our ladies each time to ensure we are in line
with AS4187 and standard 3.

Our clinicians here are thinking I am being a little over the top in
wanting this process in place and believe no one else out there is going
to this trouble and that its very time consuming and so wondering what
other sites with this equipment has in place and how they make it
workable (looking for ideas here that may be more agreeable for our
clinicians!!) . So would appreciate any assistance/ advice or others
progress/ barriers out there re these machines.

Also just wondering of anyone using the same Hydrogen peroxide chemical
disinfecting device is having any issues / difficulties with that
chemical indicators that are purchased and required to be used each
cycle and if so what have you managed to sort? Our staff find them a
bit subjective to read at times for a pass or fail

Thanking you in advance for any useful advice

Kind regards

Lindy Ryan

Infection control CNC

Nepean Hospital, NBMLHD.

Lindy.ryan@swahs.health.nsw.gov.au

02 4734 2228

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05/01/13 – 17:51:25

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[Sony SO]

[Roel Castillo]

Hi Lindy

Standard 4187, Standard 3 and NSW Health Infection Control Policy refers to manufacturer$B!G(Bs instructions for use as well. Whatever reprocessing method chosen to satisfy the Spaulding classification must be validated and monitored. If there is a sterilising service department(SSD) in your facility I would recommend sending it through to them. Thermal disinfection is always preferred if its available. Most SSD washers have provisions for thermal disinfection and you can always opt to sterilise them as best practice entails, remember that disinfection is the minimum requirement and for best patient care results it is pretty straight forward.
If there is no SSD or opt to stay on, please make sure you have the following:

* documentations in place, including your indicator strips,

* do some random blood/carbohydrate/protein residue tests on your processed items and document them,

* do microbiological swabs every year by your local microbiologist,

* revalidate your equipment every year to make sure it is working as it is designed to do so and delivers consistent quality of products, the manufacturer should help you with that.
Any queries please do not hesitate to phone me.

Cheers

Roel Castillo
Project Officer – SSD

Dear Lindy,

We are using Trophon as high level disinfection for used transvaginal USG probes, and we use the chemical indicators that are provided by the manufacturer as process indicator for validation for each cycle.

I think we should caution for the storage of chemical indicators, and do not place it near the Trophon. To store the indicators in zip lock bag should be safer.

Regards,

Sony SO
Nursing Officer, Infection Control Team
Kwong Wah Hospital
HK SAR, CHINA

________________________________
$B4s7o<T(B: ACIPC Infexion Connexion [AICALIST@AICALIST.ORG.AU] $BBeI(B Lindy Ryan [Lindy.Ryan@SWAHS.HEALTH.NSW.GOV.AU]
$B4s7oF|4|(B: Wednesday, 1 May, 2013 15:51
$BZ@7o<T(B: AICALIST@AICALIST.ORG.AU
$B<g;](B: hydrogen peroxide chemical disinfector for vaginal ultrasound – advice please
Good afternoon

We are currently reviewing our processing of our vaginal ultrasounds & using a hydrogen peroxide device (trophon) to achieve high level disinfection (in line with ASUM guidelines) in our very busy women$B!G(Bs and children$B!G(Bs outpts dept here.

I am wondering if there is anybody out there who would be willing to contact me/ email me off line and share with me their process for quality control and validation of the process on each scope being processed and used on our ladies each time to ensure we are in line with AS4187 and standard 3.

Our clinicians here are thinking I am being a little over the top in wanting this process in place and believe no one else out there is going to this trouble and that its very time consuming and so wondering what other sites with this equipment has in place and how they make it workable (looking for ideas here that may be more agreeable for our clinicians!!) . So would appreciate any assistance/ advice or others progress/ barriers out there re these machines.

Also just wondering of anyone using the same Hydrogen peroxide chemical disinfecting device is having any issues / difficulties with that chemical indicators that are purchased and required to be used each cycle and if so what have you managed to sort? Our staff find them a bit subjective to read at times for a pass or fail

Thanking you in advance for any useful advice

Kind regards

Lindy Ryan

Infection control CNC
Nepean Hospital, NBMLHD.
Lindy.ryan@swahs.health.nsw.gov.au
02 4734 2228

___________________________________

Unless you are the intended recipient any unauthorised use, dissemination,further distribution or reproduction of this communication in any form whatsoever, is strictly prohibited.

If this communication has been sent to you in error, please notify the sender by return e-mail and delete and/or destroy your copy of this communication (including attachments).

Any views expressed in this communication are those of the individual sender, except where the sender states them to be the views of the Nepean Blue Mountains Local Health District/Western Sydney Local Health District.

Unless otherwise expressed, it is not represented, warranted or guaranteed that the integrity of this communication has been maintained nor that the communication is free of virus, errors or interference.

05/01/13 – 17:51:25
Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

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Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

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