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[Posted on behalf of Dr Basseal Moderator]
Dear Kavitha,
Please note that the ASUM guidelines in the text read as follows in Section 3 (and includes step by step instructions for cleaning and disinfection under section 7):
3. Medical device classification
The Spaulding classification system states that medical devices are classified as non-critical, semi-critical or critical according to the risk of transmission of microorganisms associated with their use.3.1 Non-critical medical devices
Ultrasound transducers that come into contact with intact skin are considered non-critical medical devices and as such are reprocessed by cleaning and may be followed by low-level disinfection (LLD) method as described in Section 7.1 Low-level disinfection.
3.2 Semi-critical medical devices
Ultrasound transducers that come into contact with non-intact skin and / or mucous membranes and transducers that have had likely contact with blood / body fluids are considered as semi-critical medical devices due to the high risk of potential contamination. These transducers are reprocessed by cleaning followed by a high-level disinfection (HLD) method as described in Section 7.2 High-level disinfection.
3.3 Critical devices
Transducers are extremely delicate and heat sensitive and as such are reprocessed as a semi-critical medical device by cleaning followed by a HLD method as described in Section High-level disinfection. An appropriate sterile sheath or transducer cover is applied, allowing it to be used on the critical aseptic field (AS/NZS4187:2014 Clause 5.1.3 (e)).Hope this is helpful,
With best wishes
JocelyneDr Jocelyne Basseal
BSc (Hons), PhD
E: jbasseal@gmail.com [Twitter] [Linkedin]Honorary Associate, Discipline of Infectious Diseases & Immunology, Faculty of Medicine and Health, The University of Sydney
Vice President, Australasian Medical Writers Association (AMWA)On Wed, Jul 29, 2020 at 12:53 PM Kugathas, Kavitha (Health) <Kavitha.Kugathas@act.gov.au> wrote:
UNCLASSIFIED
Dear All,
How does the ultrasound probes/ transducers reprocessed at your hospitals. Does the ultrasound probe comes to CSSD for reprocessing.
As per ASUM guideline recommendation (attached), if the probes/transducers comes in direct contact with non -intact skin, blood, mucous membranes should be cleaned with High level disinfection irrespective of the use of as transducer cover.
Could you please let me know the process in place at your hospital. We have a National accreditation next year. I just want to bench mark/ best practice approach with some hospitals.
Regards, Kavitha
Kavitha Kugathas | Director
Phone: 02 512 43583 | M: 0423 296 689 | Email: kavitha.kugathas@act.gov.au
Food and Sterilising Services
Canberra Health Services | ACT GovernmentRELIABLE | PROGRESSIVE | RESPECTFUL | KIND
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___________________________________Dr Jocelyne Basseal
BSc (Hons), PhD
E: jbasseal@gmail.com [Twitter] [Linkedin]IPC Consultant (COVID-19), World Health Emergencies Programme, Western Pacific Regional Office (WPRO), World Health Organization (WHO)
Honorary Associate, Discipline of Infectious Diseases & Immunology, Faculty of Medicine and Health, The University of Sydney
Vice President, Australasian Medical Writers Association (AMWA)MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
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