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Re: Disinfection requirements for glidescope using disposable baldes

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  • #68540
    Jennifer McCarthy
    Participant

    Author:
    Jennifer McCarthy

    Email:
    jenny@maryvaleph.com.au

    Organisation:
    Maryvale Private Hospital

    State:

    Hi Ruth

    We use this videolaryngoscope in the operating room here – the company do have a reusable blade that we high level disinfect (soluscope machine) between uses and terminally sterilise (thru the
    Sterrad machine) at the end of the day. Might be a bit more tricky for you in the ER though!

    Jenny McCarthy
    Maryvale Private Hospital
    Morwell

    —–Original Message—–

    Hi Ruth

    We looked at some similar devices here, and I was concerned that these devices use a ‘sheath’, which means the device part covered by the sheath (that enters mucous membrane area) would need high level disinfection between uses. Never really resolved this, as manufacturer stated it was not a sheath, so we were all set to do some clinical testing of contamination of the device under the hard plastic cover in use, when the doctors decided to buy a difference scope that was fully sterilisable, so we dropped the whole thing.

    I had mixed opinions from colleagues about this when I posted to this list in March last year, so will be interested in further comments here. You can see that thread if you search ‘sheath’ in the website archives.

    Cheers
    Michael

    Michael Wishart | GPH – Infection Control Coordinator

    GPH – Quality & Safety Unit (Infection Control) | Greenslopes Private Hospital
    Newdegate Street, Greenslopes QLD 4120
    t: 07 3394 7919 | 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.
    ________________________________________

    Hi all,
    I would appreciate input for this query from my cross-Tasman colleagues.

    I am currently working in an acute care tertiary hospital and the emergency department has recently purchased a new videolaryngoscope – The Glidescope. It has a digital camera incorporated in the blade which displays a view of the vocal cords on a monitor. This instrument has been on the market for a number of years originating from Canada. I am told that some Australian facilities uses it too.

    The model we have purchased uses a single use blade that fits snugly (clicks into place) and is totally enclosed. – that is there is no opening in the plastic blade at the end.

    My question is for any one that is familiar with this piece of equipment. Are you satisfied that the single use blades negate the need to high-level disinfect the video baton that inserts into these blades. The product rep suggests that routine high-level disinfection of the baton is not required between cases and that the baton need only be wiped down with detergent and a 70% alcohol wipe if necessary. The baton is capable of being high-level disinfected if it is visibly contaminated but this is not usually undertaken routinely.

    Apparently it is routine practice worldwide to accept the single use blades as an adequate precaution to prevent cross infection between patients.

    Any opinions or advice would be appreciated.

    Regards

    Ruth

    Ruth Barratt
    Clinical Nurse Specialist – Infection Prevention and Control
    Christchurch Hospital
    New Zealand

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    #68541
    Fiona de Sousa
    Participant

    Author:
    Fiona de Sousa

    Email:
    Fiona.DeSousa@SAH.ORG.AU

    Organisation:

    State:

    Hi Ruth,

    Our facility originally looked at this item but were not convinced about
    the cleaning / disinfection requirements as outlined by the company. We
    are currently reviewing an alternative product.

    Kind Regards,

    Fiona De Sousa
    Infection Prevention & Control Coordinator
    Sydney Adventist Hospital
    Fiona.Desousa@sah.org.au
    185 Fox Valley Road, Wahroonga, NSW, 2076

    —–Original Message—–
    Behalf Of Jenny McCarthy
    glidescope using disposable baldes

    Hi Ruth

    We use this videolaryngoscope in the operating room here – the company
    do have a reusable blade that we high level disinfect (soluscope
    machine) between uses and terminally sterilise (thru the
    Sterrad machine) at the end of the day. Might be a bit more tricky for
    you in the ER though!

    Jenny McCarthy
    Maryvale Private Hospital
    Morwell

    —–Original Message—–
    Behalf Of Wishart, Michael
    glidescope using disposable baldes

    Hi Ruth

    We looked at some similar devices here, and I was concerned that these
    devices use a ‘sheath’, which means the device part covered by the
    sheath (that enters mucous membrane area) would need high level
    disinfection between uses. Never really resolved this, as manufacturer
    stated it was not a sheath, so we were all set to do some clinical
    testing of contamination of the device under the hard plastic cover in
    use, when the doctors decided to buy a difference scope that was fully
    sterilisable, so we dropped the whole thing.

    I had mixed opinions from colleagues about this when I posted to this
    list in March last year, so will be interested in further comments here.
    You can see that thread if you search ‘sheath’ in the website archives.

    Cheers
    Michael

    Michael Wishart | GPH – Infection Control Coordinator

    GPH – Quality & Safety Unit (Infection Control) | Greenslopes Private
    Hospital
    Newdegate Street, Greenslopes QLD 4120
    t: 07 3394 7919 | 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.
    ________________________________________
    Behalf Of Ruth Barratt
    glidescope using disposable baldes

    Hi all,
    I would appreciate input for this query from my cross-Tasman colleagues.

    I am currently working in an acute care tertiary hospital and the
    emergency department has recently purchased a new videolaryngoscope –
    The Glidescope. It has a digital camera incorporated in the blade which
    displays a view of the vocal cords on a monitor. This instrument has
    been on the market for a number of years originating from Canada. I am
    told that some Australian facilities uses it too.

    The model we have purchased uses a single use blade that fits snugly
    (clicks into place) and is totally enclosed. – that is there is no
    opening in the plastic blade at the end.

    My question is for any one that is familiar with this piece of
    equipment. Are you satisfied that the single use blades negate the need
    to high-level disinfect the video baton that inserts into these blades.
    The product rep suggests that routine high-level disinfection of the
    baton is not required between cases and that the baton need only be
    wiped down with detergent and a 70% alcohol wipe if necessary. The baton
    is capable of being high-level disinfected if it is visibly contaminated
    but this is not usually undertaken routinely.

    Apparently it is routine practice worldwide to accept the single use
    blades as an adequate precaution to prevent cross infection between
    patients.

    Any opinions or advice would be appreciated.

    Regards

    Ruth

    Ruth Barratt
    Clinical Nurse Specialist – Infection Prevention and Control
    Christchurch Hospital
    New Zealand

    This e-mail message and any accompanying files may contain
    information that is confidential and subject to privilege. If you
    are not the intended recipient, and have received the e-mail
    in error, you are notified that any use, dissemination,
    distribution, forwarding, printing or copying of the message
    and any attached files is strictly prohibited. If you have
    received this e-mail message in error please immediately
    advise the sender by return e-mail, or telephone 1800 243 903.
    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 Ramsay Health Care.
    This communication should not be copied or disseminated
    without permission.
    ————————————————————————

    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
    Maryvale Private Hospital Confidentiality and Privacy Notice

    This email and any attachments transmitted with it are confidential and
    may be subject to legal professional privilege. If you are not the
    intended recipient, you are prohibited from using, disclosing, or
    copying the information (including any personal information) contained
    in it unless lawfully authorised to do so by the intended recipient. Any
    misuse may contravene Australian privacy and other laws where personal
    information is included.
    If you have received this email in error, please inform us by return
    email and
    then delete the all copies of the email and any attachments from your
    mailbox and computer storage.

    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

    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.
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    by Sydney Adventist Hospital to state that they are the views of Sydney Adventist Hospital.
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