Home › Forums › Infexion Connexion › Re: Disinfection requirements for glidescope using disposable baldes
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Fiona de Sousa.
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27/01/2011 at 12:00 pm #68540
Jennifer McCarthy
ParticipantAuthor:
Jennifer McCarthyPosition:
Infection Control CoordinatorOrganisation:
Maryvale Private HospitalState:
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
MichaelMichael 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.auRamsay 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 ZealandThis e-mail message and any accompanying files may contain
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27/01/2011 at 12:06 pm #68541Hi 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 baldesHi 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 baldesHi 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
MichaelMichael 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.auRamsay Health Care is an environmentally responsible corporation, please
consider the environment before printing this email.
________________________________________
Behalf Of Ruth Barratt
glidescope using disposable baldesHi 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 ZealandThis 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.auTo 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 NoticeThis 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.auTo 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.auIf 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.
Any views expressed in this message are solely those of the individual sender, except where the sender is specifically authorised
by Sydney Adventist Hospital to state that they are the views of Sydney Adventist Hospital.
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