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  • #76015
    Anonymous
    Inactive

    Author:
    Anonymous

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    Hi, there has been discussion here in the recommendations of whether there is a need to swab skin prior to injections.
    The universities seem to be teaching that yes you do swab.
    Immunisation guidelines suggest: The skin at the injection site should be visibly clean prior to administering a vaccine. The swabbing of clean skin before giving an injection is not necessary. If the skin is visibly dirty, clean the site with a single use alcohol swab and allow the site to dry completely before administering the injection.
    Insulin administration: I believe it is recommended not to swab but I cannot find guidelines on this.

    That leaves other medications via subcutaneous and intramuscular routes, Australian guidelines are scarce

    The WHO 2010 recommends in their “WHO best practices for injections and related procedures toolkit” available at https://apps.who.int/iris/bitstream/handle/10665/44298/9789241599252_eng.pdf;jsessionidCD16B9C3F48A46E6F10DEA429F8E7CA4?sequence1 accessed 20/11/19
    [cid:image003.jpg@01D59F7C.6CF19370]

    What are other places recommending to their staff?
    Regards Lyn

    Lyn Golden
    Infection Prevention and Control Manager
    Staff Health
    Echuca Regional Health
    226 Service Street
    Echuca 3564
    P 54855340
    E lgolden@erh.org.au

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    #76018
    Lauren Cullen
    Participant

    Author:
    Lauren Cullen

    Email:
    Lauren.Cullen@HEALTHSCOPE.COM.AU

    Organisation:

    State:

    Hi Linda
    At Knox & Bellbird hospitals we teach IM/SC administration in line with the immunisation guidelines
    The exception to this is if a person is immunocompromised – we would probably swab then, as they are more susceptible to infections from their own organisms
    On reading some articles there was evidence to suggest inoculation with your own organisms did not pose a risk and that a side effect from injections given prior to the alcohol drying could cause thickening or hardening of the skin tissue with no actual benefit to the person being injected
    I find when speaking to students – that universities are now starting to teach not to swab inmajority of cases (based in Melbourne)
    Cheers Lauren

    Lauren Cullen
    Infection Control Manager
    Knox Private Hospital & Bellbird Private Hospital
    03 9210 7485

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    Hi, there has been discussion here in the recommendations of whether there is a need to swab skin prior to injections.
    The universities seem to be teaching that yes you do swab.
    Immunisation guidelines suggest: The skin at the injection site should be visibly clean prior to administering a vaccine. The swabbing of clean skin before giving an injection is not necessary. If the skin is visibly dirty, clean the site with a single use alcohol swab and allow the site to dry completely before administering the injection.
    Insulin administration: I believe it is recommended not to swab but I cannot find guidelines on this.

    That leaves other medications via subcutaneous and intramuscular routes, Australian guidelines are scarce

    The WHO 2010 recommends in their “WHO best practices for injections and related procedures toolkit” available at https://apps.who.int/iris/bitstream/handle/10665/44298/9789241599252_eng.pdf;jsessionidCD16B9C3F48A46E6F10DEA429F8E7CA4?sequence1 accessed 20/11/19
    [cid:image003.jpg@01D59F7C.6CF19370]

    What are other places recommending to their staff?
    Regards Lyn

    Lyn Golden
    Infection Prevention and Control Manager
    Staff Health
    Echuca Regional Health
    226 Service Street
    Echuca 3564
    P 54855340
    E lgolden@erh.org.au

    [cid:image001.png@01D59F7B.7A253430]
    [ERH Logo – Abbreviated – CMYK]
    Supporting everyone to be healthy and live well

    Echuca Regional Health does not guarantee that this e-mail is virus or error free. The attached files are provided and may only be used on the basis that the user assumes all responsibility for any loss, damage or consequence resulting directly or indirectly from the use of the attached files, whether caused by the negligence of the sender or not. The content and opinions in this e-mail are not necessarily those of Echuca Regional Health.

    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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    #76021
    Catherine Mowat
    Participant

    Author:
    Catherine Mowat

    Email:
    cathy.mowat@cghs.com.au

    Organisation:

    State:

    I immunise with our local municipal Shire health team doing childhood immunisations as well as at the hospital doing our staff immunisation program and no one swabs.

    [cid:image003.jpg@01D2E9BF.C675F410]

    Cathy Mowat
    Clinical Nurse Consultant
    Infection Prevention and Control
    Central Gippsland Health
    T. 03 5143 8518
    E. cathy.mowat@cghs.com.au

    Central Gippsland Health is located on the traditional land of the Gunai Kurnai people

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    Hi, there has been discussion here in the recommendations of whether there is a need to swab skin prior to injections.
    The universities seem to be teaching that yes you do swab.
    Immunisation guidelines suggest: The skin at the injection site should be visibly clean prior to administering a vaccine. The swabbing of clean skin before giving an injection is not necessary. If the skin is visibly dirty, clean the site with a single use alcohol swab and allow the site to dry completely before administering the injection.
    Insulin administration: I believe it is recommended not to swab but I cannot find guidelines on this.

    That leaves other medications via subcutaneous and intramuscular routes, Australian guidelines are scarce

    The WHO 2010 recommends in their “WHO best practices for injections and related procedures toolkit” available at https://apps.who.int/iris/bitstream/handle/10665/44298/9789241599252_eng.pdf;jsessionidCD16B9C3F48A46E6F10DEA429F8E7CA4?sequence1 accessed 20/11/19
    [cid:image003.jpg@01D59F7C.6CF19370]

    What are other places recommending to their staff?
    Regards Lyn

    Lyn Golden
    Infection Prevention and Control Manager
    Staff Health
    Echuca Regional Health
    226 Service Street
    Echuca 3564
    P 54855340
    E lgolden@erh.org.au

    [cid:image001.png@01D59F7B.7A253430]
    [ERH Logo – Abbreviated – CMYK]
    Supporting everyone to be healthy and live well

    Echuca Regional Health does not guarantee that this e-mail is virus or error free. The attached files are provided and may only be used on the basis that the user assumes all responsibility for any loss, damage or consequence resulting directly or indirectly from the use of the attached files, whether caused by the negligence of the sender or not. The content and opinions in this e-mail are not necessarily those of Echuca Regional Health.

    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

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    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

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