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  • #68618
    Anonymous
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    Anonymous

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    Hi all
    I am trying to find information on the practice of changing mop heads in the operating room between all cases and also at the end of the list.

    Do all operating rooms change mops and water between every case or is it done from a risk assessment point of view?
    How big is the risk. eg between cataract cases or other surgery where there is minimal risk of blood and body substance splash.
    Is it mandated in ACORN or other publications to do this?
    Any references specifically relating to this would be most welcome.
    Thanks

    Brenda Evans
    Infection Control

    PO Box 751, Mildura VIC 3502
    http://www.milduraprivatehospital.com.au
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    #68619
    Helen Scott
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    Helen Scott

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    Hi Brenda,
    We had this dilemma also.
    We decided, in consultation with HICMR, that all mop heads and
    definitely water should be changed after each case. At first, there were
    a few grumbles from the wardsmen who clean the floors but it now works
    fine. However, you’re right about risk assessment like in cataract
    surgery, so we don’t do it there.
    Also, the following are parts of our policy:
    Floors of the OT/IPR should be cleaned between lists, or as soon as
    possible if contaminated by organic debris, fluid or after any
    blood/body substance spillage.
    All cloths, mops, scrubbers and buckets should be colour coded (White)
    to the appropriate national standards. In addition, they should be clean
    and dry prior to use.
    Detachable white mop heads that can be laundered after each day’s use
    are recommended. Refer Policy: Cleaning Equipment Selection and Care.
    Solutions used for general cleaning should be freshly made up just
    prior to use, ensuring that the correct concentration of cleaning agent
    is used. Choice of agent is dictated by cleaning ability, lack of
    residue and cost, refer Policy: Cleaning Chemicals
    Selection and Appropriate Use.
    Regards,
    Helen.
    Helen Scott,
    Infection Control Co-ordinator,
    Nepean Private Hospital, Penrith, NSW.

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    >>> Brenda Evans 15/05/2011 4:31 pm >>>
    Hi all
    I am trying to find information on the practice of changing mop heads
    in the operating room between all cases and also at the end of the
    list.

    Do all operating rooms change mops and water between every case or is
    it done from a risk assessment point of view?
    How big is the risk. eg between cataract cases or other surgery where
    there is minimal risk of blood and body substance splash.
    Is it mandated in ACORN or other publications to do this?
    Any references specifically relating to this would be most welcome.
    Thanks

    Brenda Evans
    Infection Control

    PO Box 751, Mildura VIC 3502
    http://www.milduraprivatehospital.com.au
    The information contained in this email message is intended for the
    named addressee only.
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    #68626
    Teresa Lewis
    Participant

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    Teresa Lewis

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    Hello everyone
    I would like to know what the practice is in other facilities for skin preparation prior to blood collection, especially prior to collection of blood for blood cultures?
    I believe best practice is to prep skin with 70%alcohol + 2% chlorhexidine, am I correct in this?
    Yet I find that the practice of most blood collectors is to use just 70% alcohol. And I note that as much education I give to them re-the 5 Moments, their habits are very difficult to change.
    They are performing a procedure which involves great risk of contamination to the patient yet, it appears that all staff do their own thing re-technique and sequence of doing things and glove use.
    It also seems that as soon as I have trained someone in the correct technique in regards to hand hygiene they are then moved to another location and I need to start all over again. Some of the staff feel that they have been doing the same job for 20 years and don’t feel there is need to change anything.
    Has anyone had any success in involving the pathology/ blood collecting staff in the ownership of prevention of infection? If you have, could you please share how you have done it.
    Thanks, hope you all have a great day.
    PS. (Sorry if this is a dumb query)
    Teresa

    Teresa Lewis
    Infection Control/Prevention
    Clinical Nurse Consultant
    Newcastle Private Hospital
    Email:teresa.lewis@healthscope.com.au

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    “IMPORTANT – This email contains confidential information intended only for the person named above
    and may be subject to legal privilege. If you are not the intended recipient, any disclosure, copying or use
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    virus or that it has not been intercepted or interfered with. If you have received this email in error or have
    any other concerns regarding its transmission, please notify Postmaster@healthscope.com.au. You must
    destroy the original transmission and its contents. Any views expressed within this communication are
    those of the individual sender, except where the sender specifically states them to be the views of
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