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Karen Vickery

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  • in reply to: Cleaning clinical work stations #76892
    Karen Vickery
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    Karen Vickery

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    Hi Group,
    As keyboards and phones get a lot of dirt/oils from our hands they should be cleaned first and then disinfected. I suggest using a detergent wipe followed by a disinfectant wipe. If the dirt or oil is left on them, then the disinfectant efficacy is reduced and for some disinfectants like bleach, inactivation by dirt is a major worry.

    If you are cleaning keyboards frequently throughout the day a combined wipe would be ok.

    Regards
    Karen Vickery BVSc, MVSc, PhD
    Macquarie University

    Hi Group,
    A question for the group
    What are you using to clean keyboards, phones etc at Nurses desks.
    My workplace have supplied diluted bleach in spray bottles.
    This is an OH&S issue due to the aerosol effect of inhaled bleach. Would be grateful to know what you are using.
    Many Thanks,
    Yvonne Mannix
    Boort District Health
    Yvonne. mannix@ bigpond.com

    Sent from my iPhone
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    in reply to: Lab accreditation for water testing? #76154
    Karen Vickery
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    Karen Vickery

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    HI Michael,
    Re repeated sterilisation of orthopaedic screws. Could you please forward on that soil accumulation and biofilm formation is also a risk. Please see the sem in attached paper. Figure 4

    Regards
    Karen Vickery BVSc, MVSc, PhD
    Macquarie University
    Karen.vickery@mq.edu.au

    Hi all

    Have a question. Like many of us, we have been microbiologically testing rinse waters from endoscopes and automated endoscope reprocesors (AERs) as per the GENCA/GESA guidelines for many years, via our human pathology testing lab. The lab has always maintained that it does these tests for us as a ‘favour’ (although we do pay… 🙂 ), as they are not NATA accredited to perform environmental testing, and that is what these tests actually are.

    Now that the final advisory for AS/NZS4187:2014 has been released from the ASCQHC, and there is a definite requirement to perform water testing for these AERs by December 2021, we also have to consider endotoxin testing (which our human pathology lab does not do), and possibly some chemical purity tests (dependent upon AER manufacturer advice). Now we should probably consider whether all of the final rinse water testing should be done by a lab accredited by NATA for this purpose (eg an environmental testing lab), despite some of the components of testing are already being done by our human pathology lab.

    AS/NZS4187: 2014 amendment 2:2019 has the following tests required for final rinse water in AERs:

    Total viable count 10 cfu/100 mL
    Pseudomonas aeruginosa Not detected/100 mL
    (Atypical) Mycobacterium sp Not detected/ 100 mL
    Chemical purity (as per manufacturer)
    Endotoxin 30 EU/mL

    Of those, we already routinely perform the first three with our human pathology testing accredited lab. Not sure what methods they currently use (the standard is very specific), so would need to check that as well.

    So, the question becomes: should we send ALL of our final rinse water specimens to an environmental testing accredited lab? Does anyone know if the NSQHS Standards accreditors will care which lab does what test, or they will look at the specific of the accreditation of the lab doing the testing, to measure compliance to this requirement of AS/NZS4187:2014?

    This is not an issue in CSSD as our human pathology lab has always declined to process those water samples, so we already have an environmental lab processing those specimens.

    Any thoughts or discussion would be valued. Am I being too pedantic about this, and no-one will care provided we get water tested?

    Thanks
    Michael

    Michael Wishart | Infection Control Coordinator, CICP-E

    St Vincent’s Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
    T +61 7 3326 3068 | F +61 7 3607 2226
    E michael.wishart@svha.org.au |
    W https://www.svphn.org.au

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