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Does anyone have information on the use of probe covers in diagnostic ultrasound, specifically for TOE probes and where to obtain these?
The WA Health dept has released an Operational directive for Prevention of Cross Infection in Ultrasound and states that all intracavity ultrasound transducers must be covered before insertion. We have been unable to find a suitable cover for the TOE probes and the one we have used does not allow adequate visualisation during the procedure.
Do other states have this requirement?
Kind regards,Barbara Elliott I Coordinator Infection Prevention & Control I St John of God Subiaco Hospital
Level 3, 12 Salvado Road SUBIACO WA 6008
P: 08 9382 6871 F: 08 9382 6785 M: 0413706384 E: barbara.elliott@sjog.org.auMessages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.
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Hi Barbara
Not sure about all other states without going in to check each one, but Victoria has a ‘should’ on covers for all transducers:
“Transvaginal, transrectal and transoesophageal ultrasound probes…should be covered for the procedure with a disposable impermeable cover.”Ref RICPRAC Infection Prevention & Control Manual, 3rd Ed 2008, p 22 of section 9.1: Cleaning Disinfection and Sterilisation of Reusable Medical
EquipmentIt may be worthwhile contacting a Victorian cardiology practice.
I’m fairly certain that most states have something similar.
Cheers
Diane HobdayAccreditation Manager – DIAS
National Association of Testing Authorities, Australia
1/675 Victoria Street
Abbotsford VIC 306703 9274 8200
http://www.nata.com.auDoes anyone have information on the use of probe covers in diagnostic ultrasound, specifically for TOE probes and where to obtain these?
The WA Health dept has released an Operational directive for Prevention of Cross Infection in Ultrasound and states that all intracavity ultrasound transducers must be covered before insertion. We have been unable to find a suitable cover for the TOE probes and the one we have used does not allow adequate visualisation during the procedure.
Do other states have this requirement?
Kind regards,
Barbara Elliott I Coordinator Infection Prevention & Control I St John of God Subiaco Hospital
Level 3, 12 Salvado Road SUBIACO WA 6008
P: 08 9382 6871 F: 08 9382 6785 M: 0413706384 E: barbara.elliott@sjog.org.au
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The Victorian Government has not issued such a directive but did refer
to high level disinfection (see link) way back in 2008.http://www.health.vic.gov.au/hospitalcirculars/circ08/circ0108.htm
For the use of covers, ASUM (Australian Society for Ultrasound Medicine)
recommend 38 microns. This is echoed in the ASA (Australian Sonographers
Association). The policies are available on-line from both these
organisations. The literature they use mostly refers to
gynaecological/obstetric use of intracavity ultrasound.What is the rationale to cover TOE probes when we do not cover
gastroscopes bronchoscopes or duodenoscopes? Is it used to facilitate
the sound wave? There are risks, given that the cover has to go past
teeth and may break on the way down, thus causing a possible
obstruction. I would think the most important action would be cleaning
and sterilisation/disinfection and storage afterwards.Happy to be further educated.
Good luck with it all.
Maree Sommerville
Infection Control Coordinator
Mercy Hospital for Women
________________________________
Behalf Of Barbara Elliott
Does anyone have information on the use of probe covers in diagnostic
ultrasound, specifically for TOE probes and where to obtain these?The WA Health dept has released an Operational directive for Prevention
of Cross Infection in Ultrasound and states that all intracavity
ultrasound transducers must be covered before insertion. We have been
unable to find a suitable cover for the TOE probes and the one we have
used does not allow adequate visualisation during the procedure.Do other states have this requirement?
Kind regards,
Barbara Elliott I Coordinator Infection Prevention & Control I St John
of God Subiaco HospitalLevel 3, 12 Salvado Road SUBIACO WA 6008
P: 08 9382 6871 F: 08 9382 6785 M: 0413706384 E:
barbara.elliott@sjog.org.auintended recipient. They may contain confidential or privileged
information. This information may not necessarily be the view of St John
of God Health Care Inc (SJGHC). SJGHC does not warrant, represent or
guarantee the accuracy or completeness of the information. SJGHC does
not accept liability for any loss or damage in connection with the
information. If you are not the intended recipient then any use,
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Hi List Members,
I have previously had issues with compliance on using covers for TOE probes. The reasons given by Doctors for not using it were that it 1) reduced vision and 2) the risk of patient obstruction if the cover came off / was damaged.
How have other facilities addressed these concerns?
Kind regards,Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
Fiona.Desousa@sah.org.au
185 Fox Valley Road, Wahroonga, NSW, 2076
________________________________The Victorian Government has not issued such a directive but did refer to high level disinfection (see link) way back in 2008.
http://www.health.vic.gov.au/hospitalcirculars/circ08/circ0108.htm
For the use of covers, ASUM (Australian Society for Ultrasound Medicine) recommend 38 microns. This is echoed in the ASA (Australian Sonographers Association). The policies are available on-line from both these organisations. The literature they use mostly refers to gynaecological/obstetric use of intracavity ultrasound.
What is the rationale to cover TOE probes when we do not cover gastroscopes bronchoscopes or duodenoscopes? Is it used to facilitate the sound wave? There are risks, given that the cover has to go past teeth and may break on the way down, thus causing a possible obstruction. I would think the most important action would be cleaning and sterilisation/disinfection and storage afterwards.
Happy to be further educated.
Good luck with it all.
Maree Sommerville
Infection Control Coordinator
Mercy Hospital for Women
________________________________Does anyone have information on the use of probe covers in diagnostic ultrasound, specifically for TOE probes and where to obtain these?
The WA Health dept has released an Operational directive for Prevention of Cross Infection in Ultrasound and states that all intracavity ultrasound transducers must be covered before insertion. We have been unable to find a suitable cover for the TOE probes and the one we have used does not allow adequate visualisation during the procedure.
Do other states have this requirement?
Kind regards,
Barbara Elliott I Coordinator Infection Prevention & Control I St John of God Subiaco Hospital
Level 3, 12 Salvado Road SUBIACO WA 6008
P: 08 9382 6871 F: 08 9382 6785 M: 0413706384 E: barbara.elliott@sjog.org.au
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Messages 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.
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Mercy Health at http://www.mercyhealth.com.auMessages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.
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Hi
As noted yesterday RICPRAC has a should on covers, not a must. RICPRAC also mentions the 38 micron covers. High-level disinfection is required for endocavity transducers in all states and goes back to TGO54 definitions and requirements. It is my understanding that the reason covers are suggested for ultrasound probes is that they do not detract from image quality, and as the probes cannot usually be thermally disinfected, the additional protection is encouraged.
If there is another reason, Im keen to hear about it!
Cheers
Diane HobdayAccreditation Manager – DIAS
National Association of Testing Authorities, Australia
1/675 Victoria Street
Abbotsford VIC 306703 9274 8200
http://www.nata.com.auFrom: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Maree Sommerville
Sent: Monday, 4 February 2013 6:04 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: TOE Probe coversThe Victorian Government has not issued such a directive but did refer to high level disinfection (see link) way back in 2008.
http://www.health.vic.gov.au/hospitalcirculars/circ08/circ0108.htm
For the use of covers, ASUM (Australian Society for Ultrasound Medicine) recommend 38 microns. This is echoed in the ASA (Australian Sonographers Association). The policies are available on-line from both these organisations. The literature they use mostly refers to gynaecological/obstetric use of intracavity ultrasound.
What is the rationale to cover TOE probes when we do not cover gastroscopes bronchoscopes or duodenoscopes? Is it used to facilitate the sound wave? There are risks, given that the cover has to go past teeth and may break on the way down, thus causing a possible obstruction. I would think the most important action would be cleaning and sterilisation/disinfection and storage afterwards.
Happy to be further educated.
Good luck with it all.
Maree Sommerville
Infection Control Coordinator
Mercy Hospital for Women
________________________________
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Barbara Elliott
Sent: Monday, 4 February 2013 1:40 PM
To: AICALIST@AICALIST.ORG.AU
Subject: TOE Probe coversDoes anyone have information on the use of probe covers in diagnostic ultrasound, specifically for TOE probes and where to obtain these?
The WA Health dept has released an Operational directive for Prevention of Cross Infection in Ultrasound and states that all intracavity ultrasound transducers must be covered before insertion. We have been unable to find a suitable cover for the TOE probes and the one we have used does not allow adequate visualisation during the procedure.
Do other states have this requirement?
Kind regards,
Barbara Elliott I Coordinator Infection Prevention & Control I St John of God Subiaco Hospital
Level 3, 12 Salvado Road SUBIACO WA 6008
P: 08 9382 6871 F: 08 9382 6785 M: 0413706384 E: barbara.elliott@sjog.org.au
[cid:BOQYKCOCVCTH.IMAGE_8.jpg]
IMPORTANT: This email and any attachments are for the sole use of the intended recipient. They may contain confidential or privileged information. This information may not necessarily be the view of St John of God Health Care Inc (SJGHC). SJGHC does not warrant, represent or guarantee the accuracy or completeness of the information. SJGHC does not accept liability for any loss or damage in connection with the information. If you are not the intended recipient then any use, reliance, interference with, disclosure, distribution or copying of this information by you is unauthorised and prohibited. If you have received this email in error then please notify the sender by return email and delete all copies. SJGHC does not waive any privilege.______________________________________________________________________
NATA IT Dept e-mail system: Scanned for virus and spam (using MessageLabs Security System).
______________________________________________________________________
Messages 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
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DISCLAIMER This email and any files transmitted with it
may be confidential and intended solely for the use of the
individual or entity to whom they are addressed. If you have
received this email in error please notify the sender immediately
by return email and delete or destroy this message and its
attachments. While this email and any attachments have
been cleared by Mercy Health’s virus protection systems, recipients
should use their own systems to detect computer viruses or other
materials that may corrupt files or systems. Find out more about
Mercy Health at http://www.mercyhealth.com.au
Messages 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.
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This e-mail (and any files transmitted with it) is confidential and intended only for the person or entity to which it is addressed. If you have received this email and you are not the intended recipient, you must not use, disclose, distribute, copy, print or otherwise disseminate this information. Please inform the sender immediately by email and then delete this message from your system.
Any views or opinions presented in this email are solely those of the author and do not necessarily represent those of NATA.Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.
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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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