[Pethrick, Cassie]

HI Lindy

Across the board there are many ampoules that are not luer lock applicable (e.g. vaccines, insulin etc), thus setting a mandate is not conducive for a positive outlook and meeting best practice. Perhaps set that “where applicable a luer lock syringe is to be used on ampoules”.

Please note that many drawing up needles are 18G or thereabouts and are clean needles (i.e. not been in a patient) thus there is no risk of a BBV exposure for the student

Happy to answer any questions directly

Thanks Cassie

Cassie Pethrick| OSH Nurse | NMHS Occupational Safety and Health
North Metropolitan Health Service
Sir Charles Gairdner Hospital
3rd Floor, R Block, QEII Medical Centre
T: (08) 9346 2897 | F: 9346 2117
E: cassandra.pethrick@health.wa.gov.au | w: intranet.nmhs.health
Sir Charles Gairdner and Osborne Park Health Care Group: Committed staff, clever researchers – caring for patients

Hello brains trust

Hoping from advice from some of you experts in this area around drawing up of medications.
Appreciate any feedback to given this person form other lecturers managing students too.

I have been sent an email question by one of our Uni lectures from a local Uni who’s students go across the state to do prac asking me below

“My question surrounds whether we should include in our internal procedure the mandate that drawing up needles must be used in luer lock ampoules with luer lock syringes. There is a wide range of practices that occur within our placement footprint and I am seeking your advice as to what you would consider to be best practice”

I any appreciate advice / feedback to with may be useful and will provide our nursing students with good information/guidance when going to the various facilities during training & once registered

Kind regards

Lindy

Lindy Ryan

Infection prevention & Control Clinical Nurse Consultant (CNC) | Coffs Harbour Health Campus
Pacific Hwy Coffs Harbour NSW 2450
Tel (02) 6656 7770 | lindy.ryan@ncahs.health.nsw.gov.au
http://www.health.nsw.gov.au

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“Wise and human management of the patient is the best safeguard against infection”
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[Pethrick, Cassie]

Hi Franciska
The immunization guidleines reflect that swabbing of skin is not
recommended for vaccines unless the injectable area is dirty – see link
http://www.immunise.health.gov.au/internet/immunise/publishing.nsf/Conte
nt/Handbook-home
Section 1.4.4 – Provided the skin is visibly clean, there is no need to
wipe it with an antiseptic (eg. alcohol wipe).3,4 If the immunisation
service provider decides to clean the skin, or if the skin is visibly
not clean, alcohol and other disinfecting agents must be allowed to dry
before vaccine injection (otherwise there may be some increased
injection pain).

Hope that helps
Thanks Cassie
Cassie Pethrick
OSH Consultant
Moore House, Brockway Road
Mt Claremont WA 6010

________________________________

Behalf Of Franciska Ferreira

Hi All,

There is still an ongoing debate whether we should use an alcohol swab
before administering clexane, vaccines and insulin. Any ideas please?

I know the latest practice in regards administering clexane is to “not
swab”.

I just want to advise my team from a infection control point of view
with facts to stand on.

Kind Regards

Franciska Ferreira

INFECTION PREVENTION & CONTROL /WOUND MANAGEMENT CONSULTANT

Burnside War Memorial Hospital

120 Kensington Road, Toorak Gardens, SA 5056

t: 08 8202 7222 f: 08 8407 8573 e: fferreira@burnsidehospital.asn.au

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