skin prep prior to venepuncture

[Anonymous]

Hi all,

Can anyone tell me where I can find some info on using CHG impregnated
alcohol swabs for skin prep prior to blood collection/venepuncture. Page 15
of PD2019_040 states skin cleansing for all other device insertions is CHG
+ alcohol. Do you translate this as being venepuncture too, seeing as we
are inserting a device into a vein?

Thanks,

Helen.

*Helen Scott *

*A/Clinical Nurse Consultant Infection Prevention & Control*

Clinical Governance Unit Far West LHD

Broken Hill Health Service, Thomas Street

Broken Hill, NSW, 2880
Tel (08) 8080 1331 | Mob 0427 671 755 | Email *helen.scott1@health.nsw.gov.au
*

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[Michael Wishart]

Hi Helen

I know I have recently seen a document on this, but I cant recall where!

From a biological plausibility perspective, alcohol is a great instantaneous skin disinfectant. The addition to chlorhexidine to alcohol improves the residual activity markedly, but does not necessarily improve actual disinfection. So, for any device that remains at the venepuncture site (eg a peripheral IV cannula), a 2% chlorhexidine plus alcohol preparation is the preferred disinfectant for insertion and management.

For routine venepuncture to draw blood for analysis, for swabbing access ports of IV lines, or for any other procedure that does not need a residual effect, 70% alcohol is sufficient.

Hopefully someone else can actually cite a study or guidelines this is actually spelled out in.

Cheers
Michael

Michael Wishart | Infection Control Coordinator, CICP-E

St Vincents Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
W https://www.svphn.org.au

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[2019 conference email signature]

From: ACIPC Infexion Connexion On Behalf Of Helen Scott
Sent: Monday, 23 September 2019 12:44 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: [ACIPC_Infexion_Connexion] skin prep prior to venepuncture

Hi all,
Can anyone tell me where I can find some info on using CHG impregnated alcohol swabs for skin prep prior to blood collection/venepuncture. Page 15 of PD2019_040 states skin cleansing for all other device insertions is CHG + alcohol. Do you translate this as being venepuncture too, seeing as we are inserting a device into a vein?

Thanks,
Helen.

Helen Scott

A/Clinical Nurse Consultant Infection Prevention & Control
Clinical Governance Unit Far West LHD
Broken Hill Health Service, Thomas Street
Broken Hill, NSW, 2880
Tel (08) 8080 1331 | Mob 0427 671 755 | Email helen.scott1@health.nsw.gov.au
[Far West Health Jobs]

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.

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