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  • #72438
    Anonymous
    Inactive

    Author:
    Anonymous

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    Hi All,
    We are currently planning the rebuild of CCLHD. There has been much discussion about what is the best sharps disposal method in patient wards. We currently have wall mounted sharps bins in patient rooms and some clinical areas. Some wards just use sharps trolleys or staff carry the injection tray back to the clean utility room for disposal in areas of risk e.g. detox or confused / dementia patients wards. Reusable injection trays that included a sharps bin & alcohol hand rub that can be taken to a bedside have been trialled on various occasions but generally staff were very non-compliant with cleaning & there are problems with overstocking plus staff found the sharps container too small.
    The trend appears be moving towards sharps trolleys as trolleys best enable point of use disposal but there are issues with trolleys e.g. clutter corridors, trip hazard, compliance with taking trolley to bedside. One system does not always suit, but rebuild project people do like work towards standardisation where possible.
    We would greatly appreciate any feedback

    * Are sharps bins placed in patient rooms?

    * Do staff use sharps trolleys and take them to the patient?

    * If mobile trolleys used where do they store them?

    * How many trolleys would they have on the ward?

    * Any other issues you have experience with regard to sharps bins

    Many Thanks
    Cath Wade

    Clinical Nurse Consultant | Infection Prevention and Control
    Level 1, 67 Holden Street Gosford Hospital
    Catherine.Wade@health.nsw.gov.au or CCLHD-IPAC@health.nsw.gov.au
    [cid:image002.jpg@01D0E6E9.616CE7C0][cid:image004.jpg@01D0E6E9.616CE7C0]

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    #72439
    sara.godden@healthscope.com.au
    Participant

    Author:
    sara.godden@healthscope.com.au

    Email:
    sara.godden@healthscope.com.au

    Organisation:

    State:

    Morning Cath,

    We have 14 Litre sharps containers in all appropriate patient rooms and the container has the safety flip tray to prevent hands from being injured.

    We have a couple of mobile trolleys but these are bulky and you are correct storage is always a problem and staff forget to take it with them.

    We have a couple of sharps containers mounted to the side of the cannulation trolleys for easy access during these procedures.

    While I got initial resistance about the size and that it does not look ‘pretty’ once they were up they become part of the background appearance and patients do not seem to mind them.

    Hope that helps

    Sara

    Sara Godden
    Infection Control Coordinator – CICP
    Acting Stomal Therapy Nurse
    Brisbane Private Hospital
    259 Wickham Tce, Brisbane, QLD 4000

    Hi All,
    We are currently planning the rebuild of CCLHD. There has been much discussion about what is the best sharps disposal method in patient wards. We currently have wall mounted sharps bins in patient rooms and some clinical areas. Some wards just use sharps trolleys or staff carry the injection tray back to the clean utility room for disposal in areas of risk e.g. detox or confused / dementia patients wards. Reusable injection trays that included a sharps bin & alcohol hand rub that can be taken to a bedside have been trialled on various occasions but generally staff were very non-compliant with cleaning & there are problems with overstocking plus staff found the sharps container too small.
    The trend appears be moving towards sharps trolleys as trolleys best enable point of use disposal but there are issues with trolleys e.g. clutter corridors, trip hazard, compliance with taking trolley to bedside. One system does not always suit, but rebuild project people do like work towards standardisation where possible.
    We would greatly appreciate any feedback

    * Are sharps bins placed in patient rooms?

    * Do staff use sharps trolleys and take them to the patient?

    * If mobile trolleys used where do they store them?

    * How many trolleys would they have on the ward?

    * Any other issues you have experience with regard to sharps bins

    Many Thanks
    Cath Wade

    Clinical Nurse Consultant | Infection Prevention and Control
    Level 1, 67 Holden Street Gosford Hospital
    Catherine.Wade@health.nsw.gov.au or CCLHD-IPAC@health.nsw.gov.au
    [cid:image002.jpg@01D0E6E9.616CE7C0][cid:image004.jpg@01D0E6E9.616CE7C0]

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    #72440
    Carolyn.Chenoweth@FMC-ASIA.COM Subject: Re: Sharps Management In-Reply-To:
    Participant

    Author:
    Carolyn.Chenoweth@FMC-ASIA.COM Subject: Re: Sharps Management In-Reply-To:

    Email:
    4D02728BD0FCA142A4F138260A1E137C44893EC6@LVDCMBX-MEX004.nswh

    Organisation:

    State:

    HI Cath,
    We use mobile sharps trolleys in all our dialysis clinics. Compliance has
    greatly improved with continual auditing and education about taking the
    sharps trolley to the point of use before sharps are used.
    I don’t like sharps containers on our cannulation trolleys as that
    compromises the clean aseptic field required for cannulation.
    Yes it does take room having a cannulation trolley and separate mobile
    sharps trolley but the staff understand the safety and infection control
    reasons and work with it.
    We have one sharps trolley per staff member on shift
    The designs for our newly built clinics allows room for all the additional
    equipment, cannulation trolleys, sharps trolleys and clinical waste
    trolleys.

    With best regards
    Carolyn Chenoweth
    ANZ Quality and Infection Prevention & Control Coordinator
    Fresenius Clinics

    Fresenius Medical Care Australia Pty Ltd
    Payneham Dialysis Clinic, 2 Portrush Road
    Payneham
    SA 5070
    Australia
    T: +61 8 8165 4313
    M: +61 407 810 800
    carolyn.chenoweth@fmc-asia.com
    http://www.fmc-ag.com

    THE RENAL COMPANY – A Lifelong Commitment

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    Sent by: ACIPC Infexion Connexion

    Hi All,
    We are currently planning the rebuild of CCLHD. There has been much
    discussion about what is the best sharps disposal method in patient wards.
    We currently have wall mounted sharps bins in patient rooms and some
    clinical areas. Some wards just use sharps trolleys or staff carry the
    injection tray back to the clean utility room for disposal in areas of
    risk e.g. detox or confused / dementia patients wards. Reusable injection
    trays that included a sharps bin & alcohol hand rub that can be taken to a
    bedside have been trialled on various occasions but generally staff were
    very non-compliant with cleaning & there are problems with overstocking
    plus staff found the sharps container too small.
    The trend appears be moving towards sharps trolleys as trolleys best
    enable point of use disposal but there are issues with trolleys e.g.
    clutter corridors, trip hazard, compliance with taking trolley to bedside.
    One system does not always suit, but rebuild project people do like work
    towards standardisation where possible.
    We would greatly appreciate any feedback
    Are sharps bins placed in patient rooms?
    Do staff use sharps trolleys and take them to the patient?
    If mobile trolleys used where do they store them?
    How many trolleys would they have on the ward?
    Any other issues you have experience with regard to sharps bins
    Many Thanks
    Cath Wade

    Clinical Nurse Consultant | Infection Prevention and Control
    Level 1, 67 Holden Street Gosford Hospital
    Catherine.Wade@health.nsw.gov.au or CCLHD-IPAC@health.nsw.gov.au

    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 aicalist@aicalist.org.au
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    aicalist-request@aicalist.org.au.
    You can unsubscribe from this list be sending ‘signoff aicalist’ (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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    #72444
    Terry Grimmond
    Participant

    Author:
    Terry Grimmond

    Email:
    terry@terrygrimmond.com

    Organisation:
    Grimmond and Associates, Microbiology Consultants

    State:
    Waikato

    Hi Cath,

    There some general rules that reduce staff risk of Sharps injury (SI):

    SC should be *as close as possible to the point of generation of
    the sharp*

    Bedside is ideal as thats where sharp is generated/used – and
    there are three options:

    o Mobile trolleys/medcarts – ensure all carts have SC mounted on them. If
    this is ONLY source of SC, then you need several trolleys per ward, and
    commensurately more parking space.

    o Carry SC to bedside in tray with injection items – but as you say, this
    mean carrying a small SC to and fro, and small SC increase the risk of SI;

    o Transport the sharp back to medroom SC – this should NEVER be done
    sharps transport has high SI risk.

    The next best to bedside is ergonomically wall-mounted, larger
    SC in patient room. In countries where this is possible it is the most
    common mode. (it is not possible in countries/facilities with nightingale
    wards).

    Hope this helps.

    Best regards, Terry

    Terry Grimmond FASM, BAgrSc, GrDpAdEd

    Consultant Microbiologist

    Grimmond and Associates

    Ph (NZ): +64 7 855 3212

    Mob (NZ): +64 274 365 140

    E: terry@terrygrimmond.com

    [image: Twitter_logo_blue]: @terrygrimmond

    W: http://terrygrimmond.com

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    *From:* ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] *On
    Behalf Of *Catherine Wade
    *Sent:* Friday, September 04, 2015 10:12 AM
    *To:* AICALIST@AICALIST.ORG.AU
    *Subject:* Sharps Management

    Hi All,

    We are currently planning the rebuild of CCLHD. There has been much
    discussion about what is the best sharps disposal method in patient wards.
    We currently have wall mounted sharps bins in patient rooms and some
    clinical areas. Some wards just use sharps trolleys or staff carry the
    injection tray back to the clean utility room for disposal in areas of risk
    e.g. detox or confused / dementia patients wards. Reusable injection trays
    that included a sharps bin & alcohol hand rub that can be taken to a
    bedside have been trialled on various occasions but generally staff were
    very non-compliant with cleaning & there are problems with overstocking
    plus staff found the sharps container too small.

    The trend appears be moving towards sharps trolleys as trolleys best enable
    point of use disposal but there are issues with trolleys e.g. clutter
    corridors, trip hazard, compliance with taking trolley to bedside. One
    system does not always suit, but rebuild project people do like work
    towards standardisation where possible.

    We would greatly appreciate any feedback

    Are sharps bins placed in patient rooms?

    Do staff use sharps trolleys and take them to the patient?

    If mobile trolleys used where do they store them?

    How many trolleys would they have on the ward?

    Any other issues you have experience with regard to sharps bins

    Many Thanks

    Cath Wade

    Clinical Nurse Consultant | *Infection Prevention and Control*

    Level 1, 67 Holden Street Gosford Hospital

    *Catherine.Wade@health.nsw.gov.au * or
    CCLHD-IPAC@health.nsw.gov.au

    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 aicalist@aicalist.org.au

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    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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    Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

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