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Hi Carol
Coloured id tape poses 2 key issues* the tape itself and adhesive compromise cleaning and can provide a surface for colonisation
* the tape, certainly use to, became brittle post repeated sterilization. I have seen firsthand, many years ago, brittle tape flushed from a bladder.While I understand that a highly visible marking system can appear attractive especially to keep sets together, there are much better instrument marking systems available.
Kind regards
Ken Chapman
Infection Prevention and Control Clinical Coordinator
Cabrini Health________________________________
[Posted on behalf of member Moderator]
Dear Brains Trust
I recall years ago that AS/NZS4187:1995 didnt recommend the use of coloured tape to identify instruments.
Does this still hold true? Is there a document I can refer to?
Cheers
Carol
Carol Bradley
Bradley Infection Prevention and Control Services
Infection Preventionist in Veterinary Practice
Melbourne, Australia
This email and any attachments to it (the “Email”) is confidential and is for the use only of the intended recipient, and may not be duplicated or used by any other party without the express consent of the sender. If you are not the intended recipient of the Email, please notify the sender immediately by return email, delete the Email, and do not copy, print, retransmit, store or act in reliance on the Email. St Vincent’s Health Australia (“SVHA”) does not guarantee that the Email is free from errors, viruses or interference. Emails to and from SVHA or its related entities may be scanned and filtered in locations outside Australia MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
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Hi,
We have been using this advice“Advice for others living with you
Others that live with you are not required to be isolated unless they meet one of the isolation criteria outlined above. If you develop symptoms and are confirmed to have coronavirus, they will be classified as close contacts and will need to be isolated”
Taken from the Department of Health, Coronavirus Disease, Isolation Guidance https://www.health.gov.au/resources/publications/coronavirus-covid-19-isolation-guidance
[https://www.health.gov.au/sites/default/files/images/publications/2020/03/coronavirus-covid-19-isolation-guidance.png]
Coronavirus (COVID-19) isolation guidance | Australian Government Department of Health
Downloads Coronavirus (COVID-19) isolation guidance. This information sheet is also available in Simplified Chinese, Korean, Italian and Farsi.. More information about coronavirus (COVID-19) what it is, how it spreads, who is most at risk, and what you can do to help stop it spreading can be found in our fact sheet, What you need to know.
http://www.health.gov.auHowever, I should stress we have had reports of the Corona Virus Advice Line providing contrary advice
Ken Chapman
Infection Prevention and Control Coordinator
Cabrini Health________________________________
Hi Michael,
Maybe the college could contact the DoH COVID team & tell them to make that clear, i.e. BIG print. There is a lot of confusion about household contact for non-sick travellers. Im in home quarantine after coming back from NZ, alive & well. My kids thought they had to move out! I found one small piece of advice on the traveller website (small print) that household contacts of well returned travellers were not quarantined. I have raised it with the DoH.
Cheers
Karen
Karen Booth
RN BHSCN GAICD
President APNA
Australian Primary Health Care Nurses Association
M: 0411 898 884
Australian Primary Health Care Nurses Association (APNA)
Level 17/350 Queen Street, Melbourne VIC 3000
p: 1300 303 184 f: (03) 9322 9599
president@apna.asn.au | http://www.apna.asn.au[cid:image001.png@01D6042A.525B9700]
Hi Emma
We have had lots of staff and patients in this situation, and our advice from our local public health unit is that unless they were exposed to symptomatic person why then has confirmed disease, or unless the person developed symptoms within 24 hours of the contact and then has confirmed disease, it is not considered exposure.
So, my rule is if they have not been contacted by public health about being a known close contact there is no considered risk to them.
Cheers
Michael
Michael Wishart | Infection Control Coordinator, CICP-E
St Vincents 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 |
[cid:image001.jpg@01D46C86.4CDB6090]
[cid:image005.png@01D5C601.F77FEA40]
Dear Brainstrust ,
Firstly I hope youre all surviving out there!!
This has happened twice in my organisation where family members (staff) have picked up their family member from the airport after being overseas ( & the travellers are expected to be in isolation for 14 days)
And the staff member has had close contact with them
Ive asked the staff member not to come to work but there doesnt seem to be much in our govt literature about this?
Has anyone been in the same circumstance ,
Much appreciated Emma
Emma Trippe
Infection Control Consultant[cid:image001.png@01D60419.DA834DA0]
Calvary Riverina Hospital
Hardy Avenue Wagga Wagga NSW 2650
P: 02 6932 1628
E: Emma.Trippe@calvarycare.org.au
http://www.calvary-wagga.com.auHospitality | Healing | Stewardship | Respect
Continuing the Mission of the Sisters of the Little Company of Mary
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This email and any attachments to it (the “Email”) is confidential and is for the use only of the intended recipient, and may not be duplicated or used by any other party without the express consent of the sender. If you are not the intended recipient of the Email, please notify the sender immediately by return email, delete the Email, and do not copy, print, retransmit, store or act in reliance on the Email. St Vincent’s Health Australia (“SVHA”) does not guarantee that the Email is free from errors, viruses or interference. Emails to and from SVHA or its related entities may be scanned and filtered in locations outside Australia.MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
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This email and any attachments to it (the “Email”) is confidential and is for the use only of the intended recipient, and may not be duplicated or used by any other party without the express consent of the sender. If you are not the intended recipient of the Email, please notify the sender immediately by return email, delete the Email, and do not copy, print, retransmit, store or act in reliance on the Email. St Vincent’s Health Australia (“SVHA”) does not guarantee that the Email is free from errors, viruses or interference. Emails to and from SVHA or its related entities may be scanned and filtered in locations outside Australia.MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
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Hi Robyn,
We were in a similar predicament some time ago. The work around looks very similar to the procedures that we adopted, although because of the potential for the thermal disinfection rinse (at the time not supplied with RO water) to increase the endo toxin level, we did not use an Automated Washer Disinfector.
We did designate one ultrasonic as “Eyes only”, this was drained and filled degassed with each cycle. It was also dosed with an non enzymatic neutral detergent rather than the enzymatic, used in the other machines. In the literature some authors have suggested a link between enzyme residue and TASS.
The other important process change was to designate the top shelf of the drying cupboard as “eyes only” and ramp up the cleaning of the drying cupboard. The reasoning behind this was that the drying cupboard was primarily used for “hand washed instruments” and on several occasions I observed orthopaedic/cardiac drills and saws above dripping onto eye sets
We also introduced a “priority process” for eye sets to avoid wet sets sitting for long periods and in the packing area avoid potential contamination prior to packing. Any sets that were not wrapped with in four hours of washing were sent back for reprocessing.
For the most part the written procedure referenced the manufacturers IFU (many having manual cleaning options at the time) and we produced a step by step, pictorial laminated “how to”guide. One common problem we had was operators not fully understanding the role of the sterile rinse water. On several occasions I found them decanting sterile water into un-sterile bowls as well as reusing irrigation syringes (Phaco equipment). This was after an education program and competency check.Kind regards
Ken
Ken Chapman
BNurs/BAppSc(HealthProm), PG cert Ed, MAqua
Infection Prevention and Control Clinical Coordinator
Cabrini Health________________________________
Dear ACIPC members
I would greatly appreciate feedback from anyone more familiar than me with requirements for eye surgery instrument processing.
We are to commence basic surgery soon and do not have RO water at present albeit on the list as a must have sooner rather than later.
Our central sterilising unit have proposed a workaround as below as a risk mitigation strategy acknowledging it is not gold standard practice.
Would you accept this process as an alternative??
The suggested cleaning processes at Redland Hospital for eye instruments requiring HSO approval are as follows;
The Washer Disinfectors have an established validated eye cycle in place effective from February 2020
* Neutral Enzymatic chemical for the cleaning process
* Thermal disinfection
* Additional rinse phases during the validated cycle
* Removal of rinsing chemicals to avoid any residual on instruments
* Manually rinse individual instruments immediately following the validated cleaning cycle with 1 litre bottled sterile water to replicate the RO water final rinsing of the instruments
* Protein detection test of instruments
* Place instrument trays into the validated dryersInfection Control will also initiate infection surveillance as it is a new procedure at our facility as well.
Appreciate any thoughts
Best wishes
Robyn
Robyn Birch
MAdv Prac IP&C, CICP
CNC Infection Control
Redland Hospital
Department of Health | Queensland Government
PO Box 585, ClevelandQLD 4163
t. (07) 3488 3518m. 0412 585 099
Robyn.Birch@health.qld.gov.au | http://www.health.qld.gov.au
[cid:image002.png@01D5F792.D01F3650]
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Hi Kate,
I always found the UK guidance very straight forward and easily “adaptable” to local policy/procedures. Not a lot of conflict with AS/NZS 4187: 2014 given the normative references are almost identical.
We do have a lot of policies and procedures focused on segregation and process flow, this is mainly due to past deficiencies in reprocessing environment. I will give our CSSD manager your details, if that’s OK, it may be worth a chat.[https://assets.publishing.service.gov.uk/static/opengraph-image-a1f7d89ffd0782738b1aeb0da37842d8bd0addbd724b8e58c3edbc7287cc11de.png]
Decontamination of surgical instruments (HTM 01-01) – GOV.UK
Health Technical Memorandum (HTM) 01-01 on the management and decontamination of surgical instruments (medical devices) used in acute care.
http://www.gov.uk
Kind regards
Ken Chapman
Infection Prevention and Control Clinical Coordinator
Cabrini Health________________________________
Hi Colleagues,
I am hoping that someone might have a policy/procedure that they might be able to share, either via this email thread or to email me directly, for some of the following concepts:
Segregation of clean vs dirty equipment/stock
Unidirectional flow/minimising staff movement in clean/sterile areas
Sterile storage room
Clean store room
Impress
Stores receiving, decanting, transport etc.
Thanks in anticipation of being inundated with policies 🙂
Kind regards
Kate Ryan
RMD Program Officer
[logo_austin]
0434 609 208 | 03 9496 6706
Infectious Diseases Department
Level 7, Harold Stokes Building
145 Studley Road, Heidelberg
PO Box 5555, Victoria, 3084
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Hi Ann,
I worked for several years at NHS Greater Glasgow and Clyde, which had a large off site processing facility servicing several hospitals. The same vehicles were used for pick up and delivery. When I saw your question I was hoping I would be able to find an old vehicle cleaning policy that I could forward you. Unfortunately, I have found nothing specific. There was certainly no “deep” clean or “bombing” of the vehicle between runs.
My recollection is that more attention was paid to the cleaning and disinfection of the sealed transport containers loaded into the truck. These where processed in a parallel to the instrument sets i.e. the instruments were unloaded in Decontamination. The empty transport trolleys passed through Trolley AWD, once dry they were loaded with sterile trays. Basically, the same process as happens with list carts on site at many hospitals. The focus on ensuring the demarcation between clean and contaminated transport containers was also the focus of work I did in the primary health sector rather than vehicle cleaning. This concept also seems to be reflected in the small amount of reading I’ve done concerning this topic in Australia and your own research.The below link suggests that even in the US there is no strict government or professional body guidance.
https://www.aami.org/productspublications/articledetail.aspx?ItemNumber3127
Transporting Sterile Instruments Kindles Uncertainty – Association for the Advancement of Medical Instrumentation – aami.org
As large healthcare facilities consolidate their sterile processing departments, transporting sterile instruments long distances between various buildings, campuses, and cities has become more common, raising questions about how to keep them in top condition and free from contaminants.
http://www.aami.org
Sorry I couldn’t provide specific information you required.Kind regards
Ken
Ken Chapman
Infection Prevention and Control Coordinator
Cabrini Health
________________________________Good Afternoon,
I am writing a procedure for the cleaning of a transport van, used in our sector to transport clean and dirty Operating theatre stock between rural sites in our sector. During this process I have found great information regarding the storage of stock within the vehicle, but wondered if anyone could please point me in the direction of where to find specific information regarding cleaning of the vehicle.
Kind Regards
Ann Relf
Registered Nurse / Midwife | Singleton District Health Service
Dangar Road, Singleton NSW 2330
Tel (02) 6571 9222 | ann.relf@health.nsw.gov.au[http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Hunter-New-England-LHD.jpg]
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Hi all,
I usually read discussions and find I have nothing further to add. However this one triggered an alarm at the back of my head.
Please note this Medical Device Alert has now been archived. I provide it only to inform discussion.http://www.briteprosolo.com/images/downloads/MHRA%20Alert%20Laryngoscopes%20Sept%202011.pdf
Kind regards
Ken Chapman
Infection Prevention and Control Clinical Coordinator
Cabrini Health________________________________
Thanks Emma,
Do you just wipe over the handles?
Cheers
Liz
Liz ReadingClinical Nurse Consultant | Infection Prevention Service
Lower Mid North Coast Sector, HNELHDC/o Manning Base Hospital, 26 York Street, TAREE, NSW, 2430 Tel 02 6592 9351 | Mob 0427 777 612 | liz.reading@hnehealth.nsw.gov.auwww.health.nsw.gov.au
Hi Liz we sterilize Laryngoscope blades as critical ,
Emma Trippe Infection Control Consultant
[cid:image001.png@01D4B879.F6221790]
Calvary Riverina HospitalHardy AvenueWagga WaggaNSW2650P: 02 6932 1628E:Emma.Trippe@calvarycare.org.auwww.calvary-wagga.com.auHospitality | Healing | Stewardship | Respect
Continuing the Mission of the Sisters of the Little Company of Mary
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Hi all,
I am enquiring as to how your reusable laryngoscope blades and handles are reprocessed.
Are they classified, as per the Spaulding Classification, as semi-critical?
Looking forward to you responses & I thank you in advance.
Cheers
Liz
Liz ReadingClinical Nurse Consultant | Infection Prevention Service
Lower Mid North Coast Sector, HNELHDC/o Manning Base Hospital, 26 York Street, TAREE, NSW, 2430 Tel 02 6592 9351 | Mob 0427 777 612 | liz.reading@hnehealth.nsw.gov.auwww.health.nsw.gov.au
Unless explicitly attributed, the opinions expressed in this email are those of the author only and do not represent the official view of Hunter New England Local Health District nor the New South Wales Government..
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