[Carolyn.Chenoweth@FMC-ASIA.COM Subject: Re: Sharps Management In-Reply-To:]

HI Cath,
We use mobile sharps trolleys in all our dialysis clinics. Compliance has
greatly improved with continual auditing and education about taking the
sharps trolley to the point of use before sharps are used.
I don’t like sharps containers on our cannulation trolleys as that
compromises the clean aseptic field required for cannulation.
Yes it does take room having a cannulation trolley and separate mobile
sharps trolley but the staff understand the safety and infection control
reasons and work with it.
We have one sharps trolley per staff member on shift
The designs for our newly built clinics allows room for all the additional
equipment, cannulation trolleys, sharps trolleys and clinical waste
trolleys.

With best regards
Carolyn Chenoweth
ANZ Quality and Infection Prevention & Control Coordinator
Fresenius Clinics

Fresenius Medical Care Australia Pty Ltd
Payneham Dialysis Clinic, 2 Portrush Road
Payneham
SA 5070
Australia
T: +61 8 8165 4313
M: +61 407 810 800
carolyn.chenoweth@fmc-asia.com
http://www.fmc-ag.com

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Sent by: ACIPC Infexion Connexion

Hi All,
We are currently planning the rebuild of CCLHD. There has been much
discussion about what is the best sharps disposal method in patient wards.
We currently have wall mounted sharps bins in patient rooms and some
clinical areas. Some wards just use sharps trolleys or staff carry the
injection tray back to the clean utility room for disposal in areas of
risk e.g. detox or confused / dementia patients wards. Reusable injection
trays that included a sharps bin & alcohol hand rub that can be taken to a
bedside have been trialled on various occasions but generally staff were
very non-compliant with cleaning & there are problems with overstocking
plus staff found the sharps container too small.
The trend appears be moving towards sharps trolleys as trolleys best
enable point of use disposal but there are issues with trolleys e.g.
clutter corridors, trip hazard, compliance with taking trolley to bedside.
One system does not always suit, but rebuild project people do like work
towards standardisation where possible.
We would greatly appreciate any feedback
Are sharps bins placed in patient rooms?
Do staff use sharps trolleys and take them to the patient?
If mobile trolleys used where do they store them?
How many trolleys would they have on the ward?
Any other issues you have experience with regard to sharps bins
Many Thanks
Cath Wade

Clinical Nurse Consultant | Infection Prevention and Control
Level 1, 67 Holden Street Gosford Hospital
Catherine.Wade@health.nsw.gov.au or CCLHD-IPAC@health.nsw.gov.au

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