Course Access
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> On 30 Mar 2021, at 09:19, Kareen Dunlop wrote:
>
> Hi Simon
> An interesting point you make there.
>
> rom my reading, my opinion is that the use of sterile prep pads is best practice (chlorhex and alcohol are best) due to the research that shows that disinfectants can be contaminated.
>
> Kind regards
> Kareen Dunlop
Consultant Nurse Educator
Healthcare Australia
>
> Sent from my iPhone
>
>>> On 29 Mar 2021, at 17:28, Meyer-Henry, Simon wrote:
>>>
>>
>> Hello everyone,
>> With regard to scrubbing the hub for active disinfection of peripheral IV cannulas and central lines; Id like some advice or opinions on whether or not sterile 70% isopropyl alcohol skin cleansing swabs are preferable to non-sterile 2% chlorhexidine & 70% isopropyl alcohol skin cleansing swabs.
>>
>> The use of 2% chlorhexidine and 70% alcohol for hub disinfection is commonly referenced in the literature and best practice guidelines, however, usually without mention of any requirement for sterility of the solution. This is likely due to the difficulty in sterilising chlorhexidine.
>>
>> I have two questions
>> 1. Are skin cleansing swabs TGA approved for use on invasive medical devices such as PIVC, Central lines? (regardless of whether they are non-sterile 2% chlorhexidine & 70% isopropyl alcohol skin cleansing swabs or sterile 70% isopropyl alcohol)
>> 2. Does use of non-sterile chlorhexidine/alcohol combination skin cleansing swabs for active disinfection of IV access hubs accord with aseptic technique principles? How is it any different from the expectation that sterile 70% alcohol swabs are used for active disinfection of the rubber stoppers on medication vials prior to accessing. (Thats certainly the standard within sterile prep areas in Pharmacies)
>>
>> Im very interested in your opinion and the current practice of your organisation.
>>
>> Thank you.
>>
>> Simon
>>
>>
>> Simon Meyer-Henry CICP-E | A/Coordinator
>> Infection Prevention & Management
>> Royal Perth Bentley Group
>> Level 6, A Block, Wellington Street, Perth, WA, 6000
>> T: (08) 9224 2805 M: 0437212588
>> E: Simon.Meyer-Henry@health.wa.gov.au
>> W: http://www.rph.health.wa.gov.au
>>
>>
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