Re: Disinfection requirements for glidescope using disposable baldes

[Kathy Dempsey]

Hi Ruth,
we also had some concerns re this piece of equipment and due to those
concerns and the question around the cleaning made a desicion that our
ED could not go ahead and purchase. The company have incorrectly
reported it’s use at some of our facilities, We looked at it, the ED
physicians were keen, we raised concerns re the issue around cleaning
and have recommended it not to be used.
Regards
Kathy

Kathy Dempsey
CNC Infection Control & Hospital Epidemiology Department
ph: 61 2 9845 7501
mobile:0423 000169
pager 27230 (M,T,W,T)
Clinical pager 9868

email: kathy_dempsey@wsahs.nsw.gov.au

>>> Fiona.DeSousa@SAH.ORG.AU 27/01/2011 12:06 pm >>>
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,
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________________________________________
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

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