Home › Forums › Infexion Connexion › Re bronchoscopes and ureteroscopes
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Claire Boardman.
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04/05/2010 at 8:32 am #68273
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
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You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au04/05/2010 at 9:37 am #68274Hi 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
MichaelMichael 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.auRamsay Health Care is an environmentally responsible corporation, please
consider the environment before printing this email.—–Original Message—–
Behalf Of Beckingham, WendyCurrently 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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You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au04/05/2010 at 4:34 pm #68276Hello 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.auPPlease 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.
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You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au05/05/2010 at 8:04 am #68277Dear 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.auThe 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.auPPlease 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.
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Replies to this message will be directed back to the list. To create a
new message send an email to aicalist@aicalist.org.au
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(without the quotes) to listserv@aicalist.org.auIMPORTANT – 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
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
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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