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Dear Che,
We reuse kidney dishes (or a form of them, it’s more a container in segments) and clean between patients with neutral detergent wipes. If heavily contaminated or an infection risk they can be sent down to CSSD for a sterile clean.
With kind regards,
Rachael Haig | RN
Infection Control Co-ordinator for Cardiac Cath LabCardiac Cath Lab | Westmead Private Hospital
Cnr Mons & Darcy Roads, Westmead NSW 2145
t: 02 8837 9526 | f: 02 9687 9095
e: HaigR@ramsayhealth.com.au | w: http://www.ramsayhealth.com.au—–Original Message—–
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Che Jarvis
Sent: Thursday, 19 March 2015 3:42 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Non-Sterile Kidney DishesHi,
Just a quick query regarding the use of non-sterile kidney dishes. Does anyone use them as single use, or continue to use them multiple times if cleaned with neutral detergent?
Mainly used for carrying sharps, pre & post injections, administration, etc.Regards
Che Jarvis
Acting CNC Infection Control
Nepean Hospital, NBMLHD
Ph Number: 47 342228
che.jarvis@health.nsw.gov.auMESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
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We have been performing this procedure in our cardiac cath lab for some time which is in a HEPA filtered environment. We use the same sterile procedure similar to all other implanted devices such as a pacemaker.
I do not have any studies for this, however it is doctor requested.Kind regards,
Rachael Haig | RN
Cardiac Cath Lab | Westmead Private Hospital
Cnr Mons & Darcy Roads, Westmead NSW 2145
t: 02 8837 9526 | f: 02 9687 9095
e: HaigR@ramsayhealth.com.au | w: http://www.ramsayhealth.com.au[http://www.ramsayhealth.com.au/images/email/RHC-email-2013.jpg]
Hi all
Having a debate here about this. Our cardiologists are staring to use implantable cardiac monitors (‘loop recorders’), a small device inserted just under the skin to measure cardiac electrical activity, and read with a portable scanner (see http://en.wikipedia.org/wiki/Implantable_loop_recorder). No connecting wires, and can stay in place for a couple of years if required (based on battery life).
Some cardiologists want to do this procedure in a simple procedure room with normal ward ventilation; some say it must be done in a HEPA filtered theatre environment.
Does anyone have any definitive references that would assist in making a determination on this? Where do other facility perform this procedure: theatre or procedure room?
Thanks
MichaelMichael Wishart
Infection Control CoordinatorA 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______________________________________________________________________
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Greetings Michael,
At our cath lab at Westmead Private Hospital we currently use separate GTN vials for each case. Wastage is monstrous, however our concern is that we could inadvertently cross contaminate as there is no way to “close” the vial between cases, and every case we do not use GTN. This would mean the vial would sit there open awaiting usage.
Also there would be no point in “pre-dosing” bags for cases in the morning, all at once (like we do with heparin bags, we make them up in the morning for the days cases) as some days we don’t even use one GTN vial!
Would be interested in what other departments do too. I really wish there was a smaller concentrate of GTN, as we usually give 200mcg doses when bolusing etc – it’s miniscule amounts and such a waste.
With kind regards,
Rachael Haig | RN
Infection Control Co-ordinatorCardiac Cath Lab | Westmead Private Hospital
Cnr Mons & Darcy Roads, Westmead NSW 2145
t: 02 8837 9526 | f: 02 9687 9095
e: HaigR@ramsayhealth.com.au | w: http://www.ramsayhealth.com.au[http://www.ramsayhealth.com.au/images/email/RHC-email-2013.jpg]
Can I ask a possibly thorny question here, please? How many facilities with cardiac cath labs use a single GTN concentrate vial (they only come in 50mg/10mls vials) for each patient that requires a few micrograms of diluted GTN during a procedure? We are having a debate here about whether dispensing GTN concentrate into saline bags for use on multiple patients is ‘mulit-dosing’. In my view, the dispensing of each dose to the patient is from a saline bag, not the vial, so we should use a separate saline bag for each patient, not a separate vial for each patient.
I am aware of what is the section B4.1.2 of the 2010 NHMRC infection control guidelines.
Thoughts? What happens in other cath labs currently?
Looking forward to some interesting discussion on this old chestnut!
Thanks
MichaelMichael Wishart
Infection Control Coordinator
Holy Spirit Northside Private Hospital
627 Rode Road, Chermside, Qld 4032
t: (07) 3326 3068 | f: (07) 3607 2226
e: Michael.Wishart@svha.org.au
w:www.holyspiritnorthside.org.au
Please consider the environment before printing this email[http://www.interactivejam.com.au/images/ACIPC-conference.jpg]
______________________________________________________________________
For the purposes of protecting the integrity and security of the SVHA network and the information held on it, all emails to and from any email address on the “svha.org.au” domain (or any other domain of St Vincent’s Health Australia Limited or any of its related bodies corporate) (an “SVHA Email Address”) will pass through and be scanned by the Symantec.cloud anti virus and anti spam filter service. These services may be provided by Symantec from locations outside of Australia and, if so, this will involve any email you send to or receive from an SVHA Email Address being sent to and scanned in those locations.
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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