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Hello Brains Trust,
I am on our Local Health District AS/NZS4187:2014 working group to update our procedures in relation to reprocessing reusable medical devices (RMDs).The following topics have been raised and am seeking your expert advice and also interested in what your thoughts/comments/happens at your facility please:
* When reprocessing power & air tools does your CSSD test them prior to packing and sterilising?
* Does your CSSD use internal chemical indicators (type 4 CI) with every reprocessed instrument tray?
* Does your CSSD haemo-check all identified difficult to clean RMDs each time they are reprocessed?
Many thanks in advance,
Kind regards,
BarbBarbara May
CNC Infection Prevention and Control |Port Macquarie Base Hospital |Mid North Coast Local Health District
PO Box 2466, PORT MACQUARIE NSW 2444 | Tel 02 5524 2061| Fax 02 55242568| Mob 0402890677[Description: Description: Copy of MNCLHD logo no background colour – Copy]
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Hi Barbara,
Please see my comments in blue.
* When reprocessing power & air tools does your CSSD test them prior to packing and sterilising?
Yes, we check power & air tools prior to packing and sterilising
* Does your CSSD use internal chemical indicators (type 4 CI) with every reprocessed instrument tray?
Yes, we use class 5 internal chemical indicators with every reprocessed instrument tray (due to HICMR recommendation)
* Does your CSSD haemo-check all identified difficult to clean RMDs each time they are reprocessed?
No, only random weekly check
Regards, Kavitha
Kavitha Kugathas | Director
Food and Sterilising Services |Sterilising Services
Canberra Health Services | ACT Government[Canberra Health Services_RGB]
RELIABLE | PROGRESSIVE | RESPECTFUL | KIND
Hello Brains Trust,
I am on our Local Health District AS/NZS4187:2014 working group to update our procedures in relation to reprocessing reusable medical devices (RMDs).The following topics have been raised and am seeking your expert advice and also interested in what your thoughts/comments/happens at your facility please:
* When reprocessing power & air tools does your CSSD test them prior to packing and sterilising?
* Does your CSSD use internal chemical indicators (type 4 CI) with every reprocessed instrument tray?
* Does your CSSD haemo-check all identified difficult to clean RMDs each time they are reprocessed?Many thanks in advance,
Kind regards,
BarbBarbara May
CNC Infection Prevention and Control |Port Macquarie Base Hospital |Mid North Coast Local Health District
PO Box 2466, PORT MACQUARIE NSW 2444 | Tel 02 5524 2061| Fax 02 55242568| Mob 0402890677[Description: Description: Copy of MNCLHD logo no background colour – Copy]
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Hi Barbara,
I managed two Adelaide hospital CSSDs in recent years, prior to my current role. Their practice is as follows:
Hospital 1
Hospital 2
Power and air tools
Mostly air tools. Test with medical air prior to packing.
Almost exclusively battery powered tools. Do not check.
Inchecks
Class 4 in all trays.
Class 6 in all trays.
Routine monitoring of RMDs
No post-cleaning tests.
ATP bioluminescence is currently being set up.
As you can see, they differ in each regard despite being located within the same Network.
The ideal combination for me would be; that air and battery tools are quality checked at packing per their mode of operation, that Class 4 inchecks are used in all packs and that routine monitoring of cleaned RMDs (as well as environmental surfaces) occurs to a schedule.
With regard to inchecks in wrapped trays, these are not mandated in ASNZS4187 but in their absence the only visual indicator is the Class I tape. In the event that the tape has changed following exposure to heat but not a correct sterilisation cycle (there being several rare but not impossible ways this could occur), the clinical staff have no cue on opening. At a minimum, a failed incheck provides an immediate halt to proceedings. My clinical colleagues have always agreed to the value of this measure. I think that Class 4 is sufficient for this task.
Regards,
Andrew Ellis
Sterilising and Reusable Medical Device Reprocessing State Coordinator
Infection Control Service | Communicable Disease Control Branch
Health Regulation & Protection
Department for Health and Wellbeing | Government of South Australia
Level 3 | Citi Centre | 11 Hindmarsh Square | Adelaide SA 5000
HCW infection prevention: http://www.sahealth.sa.gov.au/infectionprevention
General public: http://www.sahealth.sa.gov.au/hospitalinfectionsThis email may contain confidential information, which also may be legally privileged. Only the intended recipient(s) may access, use, distribute or copy this email. If this email is received in error, please inform the sender by return email and delete the original. If there are doubts about the validity of this message, please contact the sender by telephone. It is the recipient’s responsibility to check the email and any attached files for viruses.
Hello Brains Trust,
I am on our Local Health District AS/NZS4187:2014 working group to update our procedures in relation to reprocessing reusable medical devices (RMDs).The following topics have been raised and am seeking your expert advice and also interested in what your thoughts/comments/happens at your facility please:
* When reprocessing power & air tools does your CSSD test them prior to packing and sterilising?
* Does your CSSD use internal chemical indicators (type 4 CI) with every reprocessed instrument tray?
* Does your CSSD haemo-check all identified difficult to clean RMDs each time they are reprocessed?
Many thanks in advance,
Kind regards,
BarbBarbara May
CNC Infection Prevention and Control |Port Macquarie Base Hospital |Mid North Coast Local Health District
PO Box 2466, PORT MACQUARIE NSW 2444 | Tel 02 5524 2061| Fax 02 55242568| Mob 0402890677[Description: Description: Copy of MNCLHD logo no background colour – Copy]
[Alternate text]
This message is intended for the addressee named and may contain confidential information. If you are not the intended recipient, please delete it and notify the sender.
Views expressed in this message are those of the individual sender, and are not necessarily the views of NSW Health or any of its entities.
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
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 acipclist@acipc.org.au
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MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
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