Home › Forums › Infexion Connexion › Semi-critical devices and High level disinfection
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17/02/2020 at 12:16 pm #76313kate.ryan@austin.org.auParticipant
Author:
kate.ryan@austin.org.auEmail:
kate.ryan@austin.org.auOrganisation:
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, 3084MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
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17/02/2020 at 1:10 pm #76314Glenys HarringtonParticipantAuthor:
Glenys HarringtonEmail:
infexion@ozemail.com.auOrganisation:
Infection Control Consultancy (ICC)State:
Hi Kate,
In the first instance it would depend on the manufactures/ suppliers
instructionsRegards
Glenys
Glenys Harrington
Consultant
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
Kate
disinfectionCan 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.auTo send a message to the list administrator send an email to
admin@acipc.org.auYou can unsubscribe manually from this list by sending ‘signoff acipclist’
(without the quotes) to listserv@aicalist.org.auMESSAGES 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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17/02/2020 at 2:43 pm #76316Kate
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, 3084MESSAGES 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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17/02/2020 at 4:27 pm #76317kate.ryan@austin.org.auParticipantAuthor:
kate.ryan@austin.org.auEmail:
kate.ryan@austin.org.auOrganisation:
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
KateKate
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, 3084MESSAGES 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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