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Dear all,
we are currently seek guidance on some advice we were recently given with respect to our CSD department sterilisation processes. The issue is in reference to the way in which we package our instruments within our excision packs prior to the sterilisation process.
We use large plastic Kidney dishes to house our surgical instruments (allowing for instrument extension to expose the hinges during the sterilisation process, and to immobilise them) and galipots within the excision packs. The way in which the instruments are extended within the kidney dishes, allows for some space between the instruments and the base of the kidney dish. Additionally we add a steam indicator into the pack. The kidney dishes x2 are then wrapped in Kimguard prior to sterilisation.
They are then placed into a Tuttnaeur Prevac autoclave. We have been told that this packaging is not going to allow for the adequate sterilisation of the instruments as the kidney dishes will not allow permeation of the steam process. Our question is, since the machine is a prevac should this in fact be a problem? Our steriliser is regularly serviced and undergoes annual validation and calibration to ensure correct sterilisation occurs.
Thank you for your time and help with this issue, I look forward to a response.Kind regards,
[cid:image002.jpg@01CDD12D.6061FB60]Annette Kennedy
DDON
Skin & Cancer Foundation Australia
7 Ashley Lane Westmead NSW 2145Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.
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Hi Annette
May I suggest if perforated trays can be used for sterilisation of the
instruments and the kidney trays can be done separately. The galipot can
be placed in a kidney tray and be wrapped as a separate pack.With Regards
Johan Perrine
CSSD Manager
Bankstown Hospital
Phone 97228045
Behalf Of Annette Kennedy
Dear all,
we are currently seek guidance on some advice we were recently given
with respect to our CSD department sterilisation processes. The issue
is in reference to the way in which we package our instruments within
our excision packs prior to the sterilisation process.We use large plastic Kidney dishes to house our surgical instruments
(allowing for instrument extension to expose the hinges during the
sterilisation process, and to immobilise them) and galipots within the
excision packs. The way in which the instruments are extended within
the kidney dishes, allows for some space between the instruments and the
base of the kidney dish. Additionally we add a steam indicator into the
pack. The kidney dishes x2 are then wrapped in Kimguard prior to
sterilisation.They are then placed into a Tuttnaeur Prevac autoclave. We have been
told that this packaging is not going to allow for the adequate
sterilisation of the instruments as the kidney dishes will not allow
permeation of the steam process. Our question is, since the machine is
a prevac should this in fact be a problem? Our steriliser is regularly
serviced and undergoes annual validation and calibration to ensure
correct sterilisation occurs.Thank you for your time and help with this issue, I look forward to a
response.Kind regards,
Annette Kennedy
DDON
Skin & Cancer Foundation Australia
7 Ashley Lane Westmead NSW 2145_____________________________________________________________________
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(without the quotes) to listserv@aicalist.org.au_____________________________________________________________________
This email has been scanned for the Sydney & South Western Sydney Local Health Districts by the MessageLabs Email Security System.
Sydney & South Western Sydney Local Health Districts regularly monitor email and attachments to ensure compliance with the NSW Ministry of Health’s Electronic Messaging Policy.Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.
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Dear Annette
I recommend that you refer to the Australian Standard 4185. Yes perforated
instrument trays should be used, even though you are using a pre-vac
steriliser. Racks should be used to hold bowls (kidney dishes, gallipots
etc.) on their side to enable the steam to penetrate into the bowls etc. and
prevent “nesting”. The autoclave/steriliser should also record the data on
parameters reached (or print out the validation) of every cycle which is
kept for a few years. Stickers with the time, date, steriliser and cycle
should be attached to every pack/packet for tracking of instruments; these
stickers are then attached to the patients, operation notes for tracking if
required.Kind regards
Maureen Cremin
Regional Infection Control Co-ordinator
SCHS Great Southern WA
Of Annette Kennedy
Dear all,
we are currently seek guidance on some advice we were recently given with
respect to our CSD department sterilisation processes. The issue is in
reference to the way in which we package our instruments within our excision
packs prior to the sterilisation process.We use large plastic Kidney dishes to house our surgical instruments
(allowing for instrument extension to expose the hinges during the
sterilisation process, and to immobilise them) and galipots within the
excision packs. The way in which the instruments are extended within the
kidney dishes, allows for some space between the instruments and the base of
the kidney dish. Additionally we add a steam indicator into the pack. The
kidney dishes x2 are then wrapped in Kimguard prior to sterilisation.They are then placed into a Tuttnaeur Prevac autoclave. We have been told
that this packaging is not going to allow for the adequate sterilisation of
the instruments as the kidney dishes will not allow permeation of the steam
process. Our question is, since the machine is a prevac should this in
fact be a problem? Our steriliser is regularly serviced and undergoes annual
validation and calibration to ensure correct sterilisation occurs.Thank you for your time and help with this issue, I look forward to a
response.Kind regards,
Annette Kennedy
DDON
Skin & Cancer Foundation Australia
7 Ashley Lane Westmead NSW 2145Messages posted to this list are solely the opinion of the authors, and do
not represent the opinion of ACIPC.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.auTo send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.You can unsubscribe from this list be sending ‘signoff aicalist’ (without
the quotes) to listserv@aicalist.org.auMessages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.
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
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
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