[Jane Barnett]

Hi
We had the same issues raised when the organisation switched away from luer slip to luer lock for safety reasons – as a result we introduced blunt drawing up needles for this purpose.

Jane Barnett
Infection Prevention & Control Nurse Specialist
Christchurch Women’s Hospital
3644510 or int 85510
Pager 5200

—–Original Message—–
Hi Alison

What type of syringe are you using, a luer-slip or a luer-lock?

In principle one could argue that with careful technique it could be assured that the key part of a luer-slip syringe would only have contact with the key part of the plastic ampoule.

However, my personal opinion is that the same assurance can’t be extended to the use of a luer-lock syringe as the luer-lock part of the syringe (a key part) has direct contact with the external “non-sterile” part of the plastic ampoule.

I am not sure how this may add to any of the information you already have, but it has certainly been a discussion point on our site as well. I will be very interested to hear from other members regarding this matter.

Cheers
Beth

Beth Bint

Clinical Nurse Consultant | Infection Management and Control Service
Level 1 Lawson House, Wollongong Hospital 2500, NSW
Tel. 02 4222 5869 | Fax. 02 4222 5367 | beth.bint@sesiahs.health.nsw.gov.au

—–Original Message—–

Allison Hodge, CNC Infection Control, Ballarat Health Services
I have seen different practices in my workplace in relation to drawing up saline from plastic ampoules deemed to be needle-less. There are differing views on the best aseptic way to do this. Some believe it acceptable to connect the syringe hub to the opened ampoule top (key part to sterile opening); others believe for hub protection a needle should be used to draw up the saline, adding a step to the procedure. My extensive research has shown both methods used but failed to give me clear rationale for either. I would appreciate any thoughts on this. Do you know of any evidence for rationale? What do you recommend in your workplace and why?
Thank you

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[Jane Barnett]

I agree with comment about loss of power as it clearly then makes them unusable as your back up generator may only support ‘essential’ power needs- we lost both power and water in our EQ though so had to resort to alcohol gel anyway! However, in a private new build facility I’m involved in we’ve planned to install only in theatre scrub bays and procedure room scrub bays partly for these reasons and partly cost. They are installed in our neonatal unit here and there were issues with sensitivity of them initially (triggering when someone walks past) but I’m sure they have improved the design considerably since these were installed (7 years ago).

Jane Barnett
Infection Prevention & Control Nurse Specialist
Christchurch Women’s Hospital
3644510 or int 85510
Pager 5200

—–Original Message—–
Hi Sue,
You need to think about how will they work without power. If they are not on the uninterrupted supply then staff will be unable to use them if the power is out. One facility I worked at also had an issue with water temperature with these taps as you could not run them to allow the temperature to increase. This is more of an installation issue rather than a tap issue though. Maintenance and repair costs are also more than hand operated taps and need to be considered over the life of the product.
Cheers Matt

Matt Mason
RN, BNSci, Grad Dip (Remote Health), M Rural Health, M Adv Prac (Inf Cont), CICP

Lecturer/Campus Co-ordinator
School of Nursing, Midwifery & Nutrition
James Cook University
Thursday Island
Qld, 4875
Australia

P: (07) 4069 2670
I: +61 7 4069 2670
F: (07) 4069 2627
E: matt.mason@jcu.edu.au
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JCU CRICOS Provider Code: 00117J

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[Jane Barnett]

Hi

We reviewed our policy for birthing pool decontamination a little while
ago and it includes a general purpose clean followed by weak chlorine
then rinse. We use disposable plugs for each woman and also a net to
remove any ‘organic matter’ before draining! We have had issues of
corrosion of the plug outlet though so these have been replaced but
plastic alternatives are not readily available.

Happy to share protocol if you email me directly.

Jane

Jane Barnett

Clinical Nurse Specialist

Infection Prevention & Control

Christchurch Women’s Hospital

Private Bag 4711, Christchurch

Infection Prevention and Control is Everyone’s Business

Behalf Of Fiona de Sousa

Hi List members,

We are currently reviewing our cleaning policy for baths in the labour
and delivery suite of maternity. At present bleach is used (in a three
step process) in case of blood contamination. This has been questioned
with a suggestion that our standard bathroom product is sufficient. I
would appreciate hearing from other facilities about the type of
products they use to clean / disinfect their baths.

Kind regards

Fiona De Sousa

Infection Prevention & Control Coordinator

Sydney Adventist Hospital

Fiona.Desousa@sah.org.au

185 Fox Valley Road, Wahroonga, NSW, 2076

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[Jane Barnett]

Hi

We introduced this into our radiology dept for the US probes over a year
ago now and it seems to work well. The previous processes were really
inadequate for these items and the chlorine dioxide does achieve high
level disinfection options without exposure to staff of liquid
chemicals. The company provided good training to the staff who carry
this out plus we ensured that there were laminated instruction charts
with all mobile equipment e.g. used in our gynae emergency area.

Happy to share the protocol if you contact me.

Jane Barnett

Clinical Nurse Specialist

Infection Prevention & Control

Christchurch Women’s Hospital

Private Bag 4711, Christchurch

Infection Prevention and Control is Everyone’s Business

Behalf Of Fiona de Sousa
disinfection

Hi All,

I have been asked to review a new cleaning and disinfection system for
reprocessing transvaginal ultrasound probes especially those used in IVF
related pregnancies where chemical residues are a high concern.

The system consists of three separate pre-packaged wipes (a cleaner, a
disinfectant and a rinse wipe) which I believe is currently used in he
UK. The active ingredient in the disinfectant wipe is chlorine dioxide
in aqueous solution.

Has anyone got any experience with this type of system that they would
be willing to share with me?

Kind Regards,

Fiona De Sousa

Infection Prevention & Control Coordinator

Sydney Adventist Hospital

Fiona.Desousa@sah.org.au

185 Fox Valley Road, Wahroonga, NSW, 2076

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