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Re bronchoscopes and ureteroscopes

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  • #68273
    Beckingham, Wendy
    Participant

    Author:
    Beckingham, Wendy

    Email:
    Wendy.Beckingham@ACT.GOV.AU

    Organisation:

    State:

    Currently we have bronchoscopes that are cleaned and high level
    disinfected through the soluscope and micro tested as per the GENCA
    guidelines.

    We have another facility on our campus that uses the Sterrad to
    sterilize the bronchoscopes and ureteroscopes. We also do micro testing
    of both of these scopes.

    We are wondering what other facilities around Australia are currently
    doing in relation to instruments going through the STERRAD and micro
    testing.

    Wendy Beckingham
    CNC Infection Control
    The Canberra Hospital
    pager 50390 or phone 43695

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    #68274
    Wishart, Michael
    Participant

    Author:
    Wishart, Michael

    Email:
    WishartM@ramsayhealth.com.au

    Organisation:

    State:

    Hi Wendy

    We process most of our GI endoscopes in a peracetic acid cycle, but
    bronchoscopes and some cystoscopes/ureteroscopes are sterilised in
    hydrogen peroxide plasma, and wrapped. We only do micro testing 12
    monthly on sterile wrapped endoscopes currently, but the latest draft of
    the GENSA/GECA infection control guidelines says this (same as what was
    in the micro testing recommendations from 2008):

    ‘4. Endoscopes that have been reprocessed through a sterilisation cycle
    and stored in a wrapped state should be monitored every 3 months.’

    Not sure if I agree with this from a quality control perspective, as we
    don’t test any other sterile items 3 monthly, but do validation of the
    packaging process 12 monthly. I’d be interested to hear any rationale
    for the 3 monthly micro testing of wrapped sterile endoscopes.

    The biggest question is: what do we do with sterile wrapped scopes that
    are not used within 12 months (eg emergency intubating bronchoscopes)?
    According to these recommendations we should open, test and
    re-sterilize/re-wrap them every three months. That does not sound like a
    reasonable use of resources to me.

    Cheers
    Michael

    Michael Wishart | GPH – Infection Control Coordinator

    GPH – Quality & Safety Unit (Infection Control) | Greenslopes Private
    Hospital
    Newdegate St, Greenslopes QLD 4120
    t: 07 3394 7919 | pager 047 | f: 07 3394 7985
    e: WishartM@ramsayhealth.com.au | w: http://www.ramsayhealth.com.au

    Ramsay Health Care is an environmentally responsible corporation, please
    consider the environment before printing this email.

    —–Original Message—–
    Behalf Of Beckingham, Wendy

    Currently we have bronchoscopes that are cleaned and high level
    disinfected through the soluscope and micro tested as per the GENCA
    guidelines.

    We have another facility on our campus that uses the Sterrad to
    sterilize the bronchoscopes and ureteroscopes. We also do micro testing
    of both of these scopes.

    We are wondering what other facilities around Australia are currently
    doing in relation to instruments going through the STERRAD and micro
    testing.

    Wendy Beckingham
    CNC Infection Control
    The Canberra Hospital
    pager 50390 or phone 43695

    ———————————————————————–
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    privileged. If you are not the intended recipient, please notify the
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    attachments immediately. You should not copy or use it for any purpose,
    nor disclose its contents to any other person.
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    #68276
    Debbie Macqueen
    Participant

    Author:
    Debbie Macqueen

    Email:
    Debbie.Macqueen@HEALTHSCOPE.COM.AU

    Organisation:

    State:

    Hello Wendy
    We have both intubating bronchoscopes and video bronchoscopes. Our
    intubating Bronchoscopes are Ethylene Oxide gas sterilised off site
    (wrapped), our video bronchoscopes are also wrapped but go through our
    Sterrad (wrapped). We also follow the GENCA micro testing guidelines. We
    have decided to follow the first guideline where the Bronchoscopes
    (including the Intubating Bronchs), Duodenoscopes and Cystoscopes are
    tested monthly – even though they are wrapped and sterilised. Some
    institutions follow the guideline that recommends 3 monthly testing of
    wrapped, sterilised scopes.
    My philosophy is to sterilise scopes that can tolerate a sterilising
    method. the companies are happy to assist your queries.
    I guess we err on the side of caution, so it will be interesting once
    the new Infection Control guidelines are released. We will probably need
    to alter our practice to conform with the new guidelines.
    Regards
    Debbie McQueen
    Endoscopy Coordinator
    Hobart Private Hospital
    phone : 03 62143158
    mobile: 0419320211
    email: debbie.macqueen@healthscope.com.au

    PPlease consider the environment before printing this message

    >>> “Beckingham, Wendy” 4/05/2010 8:32 am
    >>>
    Currently we have bronchoscopes that are cleaned and high level
    disinfected through the soluscope and micro tested as per the GENCA
    guidelines.

    We have another facility on our campus that uses the Sterrad to
    sterilize the bronchoscopes and ureteroscopes. We also do micro
    testing
    of both of these scopes.

    We are wondering what other facilities around Australia are currently
    doing in relation to instruments going through the STERRAD and micro
    testing.

    Wendy Beckingham
    CNC Infection Control
    The Canberra Hospital
    pager 50390 or phone 43695

    ———————————————————————–
    This email, and any attachments, may be confidential and also
    privileged. If you are not the intended recipient, please notify the
    sender and delete all copies of this transmission along with any
    attachments immediately. You should not copy or use it for any purpose,
    nor disclose its contents to any other person.
    ———————————————————————–

    Messages posted to this list are solely the opinion of the authors, and
    do not represent the opinion of AICA.
    Archive of all messages are available at
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    Replies to this message will be directed back to the list. To create a
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    #68277
    Claire Boardman
    Participant

    Author:
    Claire Boardman

    Email:
    Claire_Boardman@HEALTH.QLD.GOV.AU

    Organisation:

    State:

    Dear AICA members,
    It is timely that there has been some discussion regarding scopes,
    reprocessing and sheaths on Infexion Connexion as the GENCA Infection
    Control In Endoscopy 3rd ed. is currently available for review. On
    behalf of AICA Elizabeth Gillespie (Healthcare Infection Journal editor
    and manager Southern Health Infection Control & Epidemiology Unit) will
    be reviewing the document.

    AICA members are invited to send their comments to Elizabeth no later
    than May 21st for inclusion in the AICA submission to GENCA. Please
    contact Elizabeth via email for more information if you would like to
    contribute your feedback via the AICA submission process:
    Elizabeth.Gillespie@southernhealth.com.au

    The GENCA Guidelines are available from: http://www.genca.org/

    regards,
    Claire Boardman
    AICA President

    >>> Debbie Macqueen 4/05/2010 4:34
    pm >>>
    Hello Wendy
    We have both intubating bronchoscopes and video bronchoscopes. Our
    intubating Bronchoscopes are Ethylene Oxide gas sterilised off site
    (wrapped), our video bronchoscopes are also wrapped but go through our
    Sterrad (wrapped). We also follow the GENCA micro testing guidelines. We
    have decided to follow the first guideline where the Bronchoscopes
    (including the Intubating Bronchs), Duodenoscopes and Cystoscopes are
    tested monthly – even though they are wrapped and sterilised. Some
    institutions follow the guideline that recommends 3 monthly testing of
    wrapped, sterilised scopes.
    My philosophy is to sterilise scopes that can tolerate a sterilising
    method. the companies are happy to assist your queries.
    I guess we err on the side of caution, so it will be interesting once
    the new Infection Control guidelines are released. We will probably need
    to alter our practice to conform with the new guidelines.

    Regards
    Debbie McQueen
    Endoscopy Coordinator
    Hobart Private Hospital
    phone : 03 62143158
    mobile: 0419320211
    email: debbie.macqueen@healthscope.com.au

    PPlease consider the environment before printing this message

    >>> “Beckingham, Wendy” 4/05/2010 8:32 am
    >>>
    Currently we have bronchoscopes that are cleaned and high level
    disinfected through the soluscope and micro tested as per the GENCA
    guidelines.

    We have another facility on our campus that uses the Sterrad to
    sterilize the bronchoscopes and ureteroscopes. We also do micro
    testing
    of both of these scopes.

    We are wondering what other facilities around Australia are currently
    doing in relation to instruments going through the STERRAD and micro
    testing.

    Wendy Beckingham
    CNC Infection Control
    The Canberra Hospital
    pager 50390 or phone 43695

    ———————————————————————–
    This email, and any attachments, may be confidential and also
    privileged. If you are not the intended recipient, please notify the
    sender and delete all copies of this transmission along with any
    attachments immediately. You should not copy or use it for any purpose,
    nor disclose its contents to any other person.
    ———————————————————————–

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

    IMPORTANT – This email contains confidential information intended only
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    and may be subject to legal privilege. If you are not the intended
    recipient, any disclosure, copying or use
    of this information is prohibited. Healthscope provides no guarantee
    that this communication is free of
    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
    Healthscope. If this document is not required for record keeping
    purposes please consider the
    environment before storing or printing. This communication should not
    be copied or disseminated without
    permission.

    PPlease consider the environment before printing this message Messages
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    represent the opinion of AICA. Archive of all messages are available at
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