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Hi Ken, I recommend you look at revised ‘Guidelines for reprocessing ultrasound transducers’ released in March, 2017. This was a joint guideline published by the ‘Australian College for Infection Prevention and Control’ (ACIPC) and the ‘Australian Society for Ultrasound in Medicine’ (ASUM). This guideline is intended to provide best practice guidelines on the reprocessing of ultrasound transducers. The requirements in this guideline have been based on the standards AS/NZS4187/2014 and AS/NZS4185:2006. The document provides recommendations for the cleaning and disinfection of all medical ultrasound and any additional equipment that may be utilised during procedure, such as keyboard and ultrasound gel. The guideline is recommended for all individuals directly or indirectly involved in medical ultrasound.
Note I couldn’t find these guidelines on the ACIPC siteThe physicians proposed management would not meet this they would require high level disinfection.
Kind Regards,
[http://www.bhs.org.au/sites/email-logo.png]Allison Hodge | CNC Infection Control
Infection Control | Ballarat Health Services
Level 2, BRICC
Drummond Street North, Ballarat, Victoria 3350
Workdays Mon-Wed 8.30-5pm
P 03 5320 4799 | M 0478 317 122 | F 03 5320 4487 | E Allison.Hodge@bhs.org.au
Influenza Vaccination Annually *Protect yourself *Protect your patients/residents *Protect your family/community
[cid:image002.png@01D53CAA.A31ECFB0]Dear all,
After my best attempts to sidestep RMD decontamination issues, I find myself back in the midst of a Sterile Service controversy. I would like to ask the brains trust for your input, by way of an informal bench marking exercise.
The Topic: reprocessing of Transperineal Biopsy Probes
Current process:
Manual cleaning, wrapped and Sterilized by hydrogen peroxide gas plasma:
(Including full traceability, individual serial number based check list, the works)
Clinicians proposed change (purely to increase throughput):
Manual, 3 step (wipe) cleaning/disinfection with activated chlorine dioxide disinfection, and “sterile” water wipe. Manual Traceability is available however our experience has showed an unacceptable compliance rate with this system.
The clinicians have sighted practice at “other sites” as “evidence” that our procedure is overly complex.
My response is that a change in practice would not comply with the relevant Australian Standard.
I have reviewed AS/NZS 4187 2014 [if anyone is interested see 5.1.3 e), 5.1.2 (ii) statement (A)]
My response to turn around time concerns is to buy more RMDs [AS/NZS 4187 2.3.4]
So my question is simple. Could you please find out how these probes are processed at your sites and let me know?
Kind regards
Ken Chapman
Infection Prevention and Control Clinical Coordinator
Cabrini Health
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The American Journal of Infection Control has a couple of good articles.
* “Rate of contamination of hospital privacy curtains in a burns/plastic ward”- this shows environmental contamination of curtains but does not look at correlating to rates of infection/colonisation. We know there is very little evidence of this correlation but good practice with determination of risks should negate the need for direct evidence. Hand hygiene poor compliance rates are also an indication of how much you might need antimicrobial curtains.
* “Comparison of Antimicrobial and standard privacy curtains: Efficacy and cost Analysis”
If you want to go down that road, you could ask reps for their evidence/articles; they are usually very good. Rather than mention company names please email me if you would like their names. One company was mention in an American Journal of infection Control article 2016: Disposable antimicrobial and sporicidal privacy curtains: Cost benefit of hanging longer.Kind Regards,
[http://www.bhs.org.au/sites/email-logo.png]Allison Hodge | CNC Infection Control
Infection Control | Ballarat Health Services
Level 2, BRICC
Drummond Street North, Ballarat, Victoria 3350
Workdays Mon-Wed 8.30-5pm
P 03 5320 4799 | M 0478 317 122 | F 03 5320 4487 | E Allison.Hodge@bhs.org.au
Influenza Vaccination Annually *Protect yourself *Protect your patients/residents *Protect your family/community
[cid:image002.png@01D53B1A.27C925E0]I have been asked to investigate whether the hype re disposable curtaining and their antimicrobial properties, and whether old fashioned cloth ones are just as good. Does anyone have any articles/ research they could share with me, for either side of the argument.
Regards
Katherine Fisher
Infection Prevention Specialist |Eurobodalla
7 Pacific St Batemans Bay NSW 2536
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