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Semi-critical devices and High level disinfection

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  • #76313
    kate.ryan@austin.org.au
    Participant

    Author:
    kate.ryan@austin.org.au

    Email:
    kate.ryan@austin.org.au

    Organisation:

    State:

    Can I please ask for assistance with the following question:

    How are semi-critical devices being high level disinfected in other organisations? Specifically devices (RMD) that come into contact with non-intact skin, blood or body fluid; that can’t be reprocessed in CSSD or an automatic HLD unit e.g. stethoscope, blood pressure cuffs, EEG/ECG leads etc.

    Furthermore, how do you track the reprocessing of these items?

    Kind regards

    Kate Ryan

    RMD Program Officer

    [logo_austin]

    0434 609 208 | 03 9496 6706

    Infectious Diseases Department
    Level 7, Harold Stokes Building
    145 Studley Road, Heidelberg
    PO Box 5555, Victoria, 3084

    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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    #76314
    Glenys Harrington
    Participant

    Author:
    Glenys Harrington

    Email:
    infexion@ozemail.com.au

    Organisation:
    Infection Control Consultancy (ICC)

    State:

    Hi Kate,

    In the first instance it would depend on the manufactures/ suppliers
    instructions

    Regards

    Glenys

    Glenys Harrington

    Consultant

    Infection Control Consultancy (ICC)

    P.O. Box 6385

    Melbourne

    Australia, 3004

    M: +61 404816434

    E: infexion@ozemail.com.au

    Kate
    disinfection

    Can I please ask for assistance with the following question:

    How are semi-critical devices being high level disinfected in other
    organisations? Specifically devices (RMD) that come into contact with
    non-intact skin, blood or body fluid; that can’t be reprocessed in CSSD or
    an automatic HLD unit e.g. stethoscope, blood pressure cuffs, EEG/ECG leads
    etc.

    Furthermore, how do you track the reprocessing of these items?

    Kind regards

    Kate Ryan

    RMD Program Officer

    0434 609 208 | 03 9496 6706

    Infectious Diseases Department

    Level 7, Harold Stokes Building

    145 Studley Road, Heidelberg

    PO Box 5555, Victoria, 3084

    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

    To send a message to the list administrator send an email to
    admin@acipc.org.au

    You can unsubscribe manually from this list by sending ‘signoff acipclist’
    (without the quotes) to listserv@aicalist.org.au

    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.

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    #76316
    Brett, Judy
    Participant

    Author:
    Brett, Judy

    Email:
    Judy.Brett@MH.ORG.AU

    Organisation:

    State:

    Kate

    It’s been a while since I have been in the clinical area however I believe your examples stethoscope, blood pressure cuffs, EEG/ECG leads (note: EEG electrodes may not be included in this group if the skin is abraded before attachment) would be considered non-critical items according to Spaulding, that is items that come in contact with intact skin but not mucous membranes. Most noncritical reusable items may be decontaminated where they are used and do not need to be transported to a central processing area (thus no tracking required).

    Regards
    Judy

    _______________________________________________________________________________
    Judith Brett
    Infection Control Consultant, VICNISS Coordinating Centre
    T +61 (0) 3 9342 9353 T +61 (0) 3 9342 9333 (Reception)
    judy.brett@mh.org.au |www.vicniss.org.au
    The Peter Doherty Institute for Infection and Immunity
    792 Elizabeth Street | Melbourne | Victoria | Australia | 3000
    doherty.edu.au
    [cid:image009.jpg@01D2D3C9.3CE16F60]

    Can I please ask for assistance with the following question:

    How are semi-critical devices being high level disinfected in other organisations? Specifically devices (RMD) that come into contact with non-intact skin, blood or body fluid; that can’t be reprocessed in CSSD or an automatic HLD unit e.g. stethoscope, blood pressure cuffs, EEG/ECG leads etc.

    Furthermore, how do you track the reprocessing of these items?

    Kind regards

    Kate Ryan

    RMD Program Officer

    [logo_austin]

    0434 609 208 | 03 9496 6706

    Infectious Diseases Department
    Level 7, Harold Stokes Building
    145 Studley Road, Heidelberg
    PO Box 5555, Victoria, 3084

    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

    To send a message to the list administrator send an email to admin@acipc.org.au

    You can unsubscribe manually from this list by sending ‘signoff acipclist’ (without the quotes) to listserv@aicalist.org.au

    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

    To send a message to the list administrator send an email to admin@acipc.org.au

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    #76317
    kate.ryan@austin.org.au
    Participant

    Author:
    kate.ryan@austin.org.au

    Email:
    kate.ryan@austin.org.au

    Organisation:

    State:

    Hi All,
    Apologies for the multiple emails, but this is the exact issue that I am being asked to advise on.

    Yes – in most circumstances these devices are non-critical items, however it is my understanding that if you are using Spaulding to classify a device, then contact with non-intact skin immediately classifies the device as a semi-critical device, which according to AS4187 requires HLD. Thus a stethoscope could be non-critical if used on intact skin, or semi-critical if used on broken skin. An ultrasound probe could be non-critical if used on intact skin, semi-critical if used on a wound, and critical if used in theatre.

    For clarity of instruction in my organisation I am trying to find out what others are doing in these exact circumstances.

    Thanks again for all your responses
    Kate

    Kate

    It’s been a while since I have been in the clinical area however I believe your examples stethoscope, blood pressure cuffs, EEG/ECG leads (note: EEG electrodes may not be included in this group if the skin is abraded before attachment) would be considered non-critical items according to Spaulding, that is items that come in contact with intact skin but not mucous membranes. Most noncritical reusable items may be decontaminated where they are used and do not need to be transported to a central processing area (thus no tracking required).

    Regards
    Judy

    _______________________________________________________________________________
    Judith Brett
    Infection Control Consultant, VICNISS Coordinating Centre
    T +61 (0) 3 9342 9353 T +61 (0) 3 9342 9333 (Reception)
    judy.brett@mh.org.au |www.vicniss.org.au
    The Peter Doherty Institute for Infection and Immunity
    792 Elizabeth Street | Melbourne | Victoria | Australia | 3000
    doherty.edu.au
    [cid:image009.jpg@01D2D3C9.3CE16F60]

    Can I please ask for assistance with the following question:

    How are semi-critical devices being high level disinfected in other organisations? Specifically devices (RMD) that come into contact with non-intact skin, blood or body fluid; that can’t be reprocessed in CSSD or an automatic HLD unit e.g. stethoscope, blood pressure cuffs, EEG/ECG leads etc.

    Furthermore, how do you track the reprocessing of these items?

    Kind regards

    Kate Ryan

    RMD Program Officer

    [logo_austin]

    0434 609 208 | 03 9496 6706

    Infectious Diseases Department
    Level 7, Harold Stokes Building
    145 Studley Road, Heidelberg
    PO Box 5555, Victoria, 3084

    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

    To send a message to the list administrator send an email to admin@acipc.org.au

    You can unsubscribe manually from this list by sending ‘signoff acipclist’ (without the quotes) to listserv@aicalist.org.au
    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

    To send a message to the list administrator send an email to admin@acipc.org.au

    You can unsubscribe manually from this list by sending ‘signoff acipclist’ (without the quotes) to listserv@aicalist.org.au

    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

    To send a message to the list administrator send an email to admin@acipc.org.au

    You can unsubscribe manually from this list by sending ‘signoff acipclist’ (without the quotes) to listserv@aicalist.org.au

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