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  • #74212
    Anonymous
    Inactive

    Author:
    Anonymous

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    Hi

    Just seeking clarification as to whether the storage cupboard for a processed TOE probe requires HEPA filtration.

    Regarding storage, the current ACIPC / ASUM guidelines (2017) state :

    “after cleaning, all transducers must be stored in an appropriate environment to protect from environmental contamination (AS/NZS4187:2014, Table 5.1). It is recommended that a specific cabinet is used, but if this is not available the minimum standard recommended is a clean disposable cover applied to the transducer to mitigate risks from environmental contaminants”

    So I gather as HEPA filtration is not mentioned, that it is not a requirement. Is my understanding correct?

    Kind Regards

    Linda McCaskill
    Infection Control Manager
    Ashford Hospital
    55 Anzac Highway, Ashford, SA 5035
    t: 8375 5209 (external) or ext 4209 (internal) e: linda.mccaskill@acha.org.au
    Please note I work Monday – Thursday

    [clean-hands-day-WHO]

    .

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    #74215
    Anonymous
    Inactive

    Author:
    Anonymous

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    State:

    Hi Linda,

    Store to protect from environmental contamination means you should undertake
    a risk assessment and ensure the selected storage solution is adequate to
    protect the device from contamination that may pose a risk to patient
    safety.

    In the case of a non-lumened semi-critical medical device, storing the
    device in a well ventilated [to minimise moisture accumulation], easily
    cleaned, closed cupboard located in a suitably clean area should be
    sufficient to protect the device from adventitious contamination.

    In this case HEPA filtration would not be necessary. The reference to a
    specific cabinet was really to encourage people not to store probes in
    cupboards / cabinets used to store other items.

    Kind Regards

    Terry McAuley

    Sterilisation & Infection Prevention and Control Consultant

    STEAM Consulting Pty Ltd ACN 604 439 698

    E: terry@steamconsulting.com.au

    W: http://www.steamconsulting.com.au

    A: PO BOX 779

    Endeavour Hills

    VIC Australia 3802

    CONFIDENTIAL COMMUNICATION: The information contained in this message may
    contain confidential information intended only for the use of the individual
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    recipient, you are hereby notified that any dissemination, distribution or
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    Of Linda Mccaskill

    Hi

    Just seeking clarification as to whether the storage cupboard for a
    processed TOE probe requires HEPA filtration.

    Regarding storage, the current ACIPC / ASUM guidelines (2017) state :

    “after cleaning, all transducers must be stored in an appropriate
    environment to protect from environmental contamination (AS/NZS4187:2014,
    Table 5.1). It is recommended that a specific cabinet is used, but if this
    is not available the minimum standard recommended is a clean disposable
    cover applied to the transducer to mitigate risks from environmental
    contaminants”

    So I gather as HEPA filtration is not mentioned, that it is not a
    requirement. Is my understanding correct?

    Kind Regards

    Linda McCaskill

    Infection Control Manager

    Ashford Hospital

    55 Anzac Highway, Ashford, SA 5035

    t: 8375 5209 (external) or ext 4209 (internal) e:
    linda.mccaskill@acha.org.au

    Please note I work Monday – Thursday

    .

    _____

    “IMPORTANT – This email contains confidential information intended only for
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    #74216
    Roel Castillo
    Participant

    Author:
    Roel Castillo

    Position:

    Organisation:

    State:

    Hi team

    In addition to the guidance compliance to the AS 4187 is required. It must be emphasized as well that this limitation is subject to compliance with:

    5.6.10 – cleaning of facility (including associated equipment – re storage cabinets) to maintain hygienic conditions at all times
    5.6.14 – Ventilation in storage areas must comply with AS 1668.2
    10.3.1 – cabinets with filters (we have one for our probes storage cabinet) must be checked and changed regularly.

    These parts ensure integrity of processed item prior to patient reuse, expiry use by dates taken into account.

    I hope this helps

    Roel Beltran Castillo

    Sterilising Services Unit Manager

    Macquarie University Hospital

    3 Technology Place
    Macquarie University, NSW 2109, Australia
    Locked Bag 2231, North Ryde BC, NSW 1670

    T: +61 2 9812 3213 I M: +61 0 434 496 829
    http://www.muh.org.au

    [cid:image001.jpg@01D03EEF.C9D3C830]

    Macquarie University Hospital is Australia’s first and only private hospital on a University campus. We are committed to delivering superior clinical outcomes and a positive patient experience through the best available care and technology.

    Hi

    Just seeking clarification as to whether the storage cupboard for a processed TOE probe requires HEPA filtration.

    Regarding storage, the current ACIPC / ASUM guidelines (2017) state :

    “after cleaning, all transducers must be stored in an appropriate environment to protect from environmental contamination (AS/NZS4187:2014, Table 5.1). It is recommended that a specific cabinet is used, but if this is not available the minimum standard recommended is a clean disposable cover applied to the transducer to mitigate risks from environmental contaminants”

    So I gather as HEPA filtration is not mentioned, that it is not a requirement. Is my understanding correct?

    Kind Regards

    Linda McCaskill
    Infection Control Manager
    Ashford Hospital
    55 Anzac Highway, Ashford, SA 5035
    t: 8375 5209 (external) or ext 4209 (internal) e: linda.mccaskill@acha.org.au
    Please note I work Monday – Thursday

    [clean-hands-day-WHO]

    .

    ________________________________
    “IMPORTANT – This email contains confidential information intended only for the person named above and may be subject to legal privilege. If you are not the intended recipient, any disclosure, copying or use of this information is prohibited. Healthscope provides no guarantee that this communication is free of virus or that it has not been intercepted or interfered with.

    If you have received this email in error, please notify the sender by return email, delete this email and destroy any copy. You must destroy the original transmission and its contents. Any views expressed within this communication are those of the individual sender, except where the sender specifically states them to be the views of Healthscope. If this document is not required for record keeping purposes please consider the environment before storing or printing. This communication should not be copied or disseminated without permission”.
    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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    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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    #74217
    Anonymous
    Inactive

    Author:
    Anonymous

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    Organisation:

    State:

    Perfect, thanks Terry

    Kind Regards

    Linda McCaskill
    Infection Control Manager
    Ashford Hospital
    55 Anzac Highway, Ashford, SA 5035
    t: 8375 5209 (external) or ext 4209 (internal) e: linda.mccaskill@acha.org.au
    Please note I work Monday – Thursday

    [clean-hands-day-WHO]

    Hi Linda,

    Store to protect from environmental contamination means you should undertake a risk assessment and ensure the selected storage solution is adequate to protect the device from contamination that may pose a risk to patient safety.

    In the case of a non-lumened semi-critical medical device, storing the device in a well ventilated [to minimise moisture accumulation], easily cleaned, closed cupboard located in a suitably clean area should be sufficient to protect the device from adventitious contamination.

    In this case HEPA filtration would not be necessary. The reference to a specific cabinet was really to encourage people not to store probes in cupboards / cabinets used to store other items.
    Kind Regards
    Terry McAuley
    Sterilisation & Infection Prevention and Control Consultant
    STEAM Consulting Pty Ltd ACN 604 439 698
    E: terry@steamconsulting.com.au
    W: http://www.steamconsulting.com.au
    A: PO BOX 779
    Endeavour Hills
    VIC Australia 3802

    CONFIDENTIAL COMMUNICATION: The information contained in this message may contain confidential information intended only for the use of the individual or entity named above. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution or duplication of this transmission is strictly prohibited. If you have received this communication in error, please notify us by telephone or email immediately and return the original message to us or destroy all printed and electronic copies. Nothing in this transmission constitutes an agreement of any kind unless otherwise expressly indicated.

    Hi

    Just seeking clarification as to whether the storage cupboard for a processed TOE probe requires HEPA filtration.

    Regarding storage, the current ACIPC / ASUM guidelines (2017) state :

    “after cleaning, all transducers must be stored in an appropriate environment to protect from environmental contamination (AS/NZS4187:2014, Table 5.1). It is recommended that a specific cabinet is used, but if this is not available the minimum standard recommended is a clean disposable cover applied to the transducer to mitigate risks from environmental contaminants”

    So I gather as HEPA filtration is not mentioned, that it is not a requirement. Is my understanding correct?

    Kind Regards

    Linda McCaskill
    Infection Control Manager
    Ashford Hospital
    55 Anzac Highway, Ashford, SA 5035
    t: 8375 5209 (external) or ext 4209 (internal) e: linda.mccaskill@acha.org.au
    Please note I work Monday – Thursday

    [clean-hands-day-WHO]

    .

    ________________________________
    “IMPORTANT – This email contains confidential information intended only for the person named above and may be subject to legal privilege. If you are not the intended recipient, any disclosure, copying or use of this information is prohibited. Healthscope provides no guarantee that this communication is free of virus or that it has not been intercepted or interfered with.

    If you have received this email in error, please notify the sender by return email, delete this email and destroy any copy. You must destroy the original transmission and its contents. Any views expressed within this communication are those of the individual sender, except where the sender specifically states them to be the views of Healthscope. If this document is not required for record keeping purposes please consider the environment before storing or printing. This communication should not be copied or disseminated without permission”.
    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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    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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    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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    #74218
    Michael Wishart
    Participant

    Author:
    Michael Wishart

    Position:

    Organisation:

    State:
    NSW

    Hi Linda

    The storage requirements for TOE probe and other non-lumened probes for invasive procedures is still a bit unclear at this stage. As Terry mentioned, they are not a lumened device, so do not have the same requirements as lumened devices for storage.

    The rationale for HEPA air filtration of lumens of lumened devices is to prolong storage and remove the need for reprocessing again before use.

    How long non-lumened devices can be stored for before they need reprocessing before use of a patient is really dependent on the storage method, not the air flow (unlike lumened scopes and probes). If they are stored back in their cases, it is good practice to reprocess them again before use. If they are stored dry in a closed hanging cabinet, there is no need for reprocessing after ‘prolonged’ storage (eg 7 days or more). This is not well documented yet in either CSSD guidelines or ultrasound guidelines (like ASUM guidelines). We use a reference in a UK document from 2011 to support our assertion that TOE probes do not need reprocessing if stored in a closed cabinet.

    Hope this helps.

    Cheers
    Michael

    Michael Wishart
    Infection Control Coordinator

    A 627 Rode Road, Chermside QLD 4032
    P (07) 3326 3068 | F (07) 3607 2226 | E michael.wishart@svha.org.au | W http://www.hsnph.org.au
    [cid:image001.png@01D01926.61F1C2B0]
    P Please consider the environment before printing this email

    Hi

    Just seeking clarification as to whether the storage cupboard for a processed TOE probe requires HEPA filtration.

    Regarding storage, the current ACIPC / ASUM guidelines (2017) state :

    “after cleaning, all transducers must be stored in an appropriate environment to protect from environmental contamination (AS/NZS4187:2014, Table 5.1). It is recommended that a specific cabinet is used, but if this is not available the minimum standard recommended is a clean disposable cover applied to the transducer to mitigate risks from environmental contaminants”

    So I gather as HEPA filtration is not mentioned, that it is not a requirement. Is my understanding correct?

    Kind Regards

    Linda McCaskill
    Infection Control Manager
    Ashford Hospital
    55 Anzac Highway, Ashford, SA 5035
    t: 8375 5209 (external) or ext 4209 (internal) e: linda.mccaskill@acha.org.au
    Please note I work Monday – Thursday

    [clean-hands-day-WHO]

    .

    ________________________________
    “IMPORTANT – This email contains confidential information intended only for the person named above and may be subject to legal privilege. If you are not the intended recipient, any disclosure, copying or use of this information is prohibited. Healthscope provides no guarantee that this communication is free of virus or that it has not been intercepted or interfered with.

    If you have received this email in error, please notify the sender by return email, delete this email and destroy any copy. You must destroy the original transmission and its contents. Any views expressed within this communication are those of the individual sender, except where the sender specifically states them to be the views of Healthscope. If this document is not required for record keeping purposes please consider the environment before storing or printing. This communication should not be copied or disseminated without permission”.

    ______________________________________________________________________
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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.

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