[kerrin Maher]

Good morning,
I don’t understand how they are using the air gun post washer/disinfector. I have never seen an air gun in the packing area. Our washers do not totally dry some cannulated instruments however they are placed in the dryer in an upright position for 15 mins then retested to see if they are dry.
We have decided that for any cases with confirmed Covid-19 the instrument trays will go through the washer/disinfector for thermal disinfection, prior to any other cleaning. The cycle will be manually aborted at the drying stage to enable them to be taken back out in the receive area. Then any brushing, flushing, ultrasonic etc as per manufacturers instructions will be carried out prior to them being put back through an entire cycle.

Regards Kerrin

Kerrin Maher RN BN
Nurse Unit Manager | Central Sterilising Department
QEll Jubilee Hospital | Metro South Health
Kessels Road QLD 4108
t. 07 31826151
e. kerrin.maher@health.qld.gov.au

HI there

I was asked by CSSD this morning regarding the use of our air dryer gun on cannulated instruments. Staff are still using this to dry cannulated instruments as the new washers drying cycle does not completely dry these instruments.

I’m just wondering whether there is any advice on the use of this with covid19. They stated they had read one paper that did mention this but now find it.

Any advice would be appreciated.

Cate Coffey
Clinical Nurse Manager

Central Australia Health Service
Department of Health
Northern Territory Government

Infection Prevention and Control Unit
Alice Springs Hospital
PO Box 2234, Alice Springs, NT 0871

t. 08 8951 7737
http://www.health.nt.gov.au

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[kerrin Maher]

Hi,
If the manufacturers instructions deems them to be reusable and the instructions are given for the cleaning and reprocessing they can be reprocessed. However, CSD cannot reprocess single use items. Spacers are considered single patient use therefore cannot be reprocessed.
Regards

Kerrin Maher RN BN
Nurse Unit Manager | Central Sterilising Department
QEll Jubilee Hospital | Metro South Health
Kessels Road QLD 4108
t. 07 31826151
e. kerrin.maher@health.qld.gov.au

From: ACIPC Infexion Connexion On Behalf Of Lesley Alway
Sent: Saturday, 28 March 2020 1:07 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] Reusable patient equipment

Emily send to CSSD for high level disinfection in instrument washers.
Cheers
Les Alway
Strategic Health Resources
Lesley Alway
Strategic Health Resources
0408324727

On 28 Mar 2020, at 11:22 am, Emily Stewart <estewart@fsph.org.au> wrote:
Hi
I am a very fresh Infection Control Coordinator. Only 18 months into the role from a Surgical Nursing Background.
I have had such a huge learning experience in this last two months!!
I was not sure how to word this question, and am a little shy to post on the ACIPCLIST.
Our ED NUM has asked if there are any products to disinfect spacers , so they can become shared equipment within our facility.
As there is such a shortage and people still have asthma attacks.

I have discussed with our pharmacist, regarding the cleaning process, but alas he only gave me information on how to clean them for continued one person use.
Your guidance or help in the matter would be greatly appreciated.

Thank you
Kind Regards

Emily Stewart Infection Control Coordinator RN
[image]
Tel: 07 43311168 Fax: 07 41512180
Email: estewart@fsph.org.au
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[kerrin Maher]

Hi,
I am also following this with great interest. This issue has been raised and muted as being a risk however it appears to have lost momentum. This forum has reminded me to raise it again.

Kind regards
Kerrin

Kerrin Maher RN BN
Nurse Unit Manager | Central Sterilising Department
QEll Jubilee Hospital | Metro South Health
Kessels Road QLD 4108
t. 07 31826151
e. kerrin.maher@health.qld.gov.au

Hi John,

I read your post with great interest and glad someone is raising this issue!

In my facility, I tried very hard to mandate individually packaged screws and I gave the companies 18 months to comply.
I continued to harass the company reps on a weekly basis and constantly requested to know where they were up to with my bid to do away with screw banks.

There was major resistance to change initially, probably more so from the surgeons than the nursing staff, but with time everyone learns to adjust.
I am pleased with the progress we have been able to make in a short period of time. Although we are not entirely where we would like to be, we have certainly come along way given the high amount of screw banks we previously had. 3 years on, we still have further progress to make and I won’t stop until we get to where we need to be.

One issue I probably didn’t address (or think about initially) was the need to have extra storage space when converting from screw banks to individually packaged screws however I have found the major companies are able to provide great storage solutions for these products (mobile towers on wheels).

I fully understand the concerns you have raised in regards to the reprocessing of screws, traceability issues and matters pertaining to the integrity of the screws and the increased risk of breakages among other risks. These are the exact reasons why I started on my venture to making a change.

I am aware that other countries have mandated the use of individually packaged screws and struggle to comprehend that Australia has not yet been able to achieve this. As an industry, we need to take a strong stance on this issue, stand up to these companies and demand a better service. I think a national approach on this issue would definitely assist in getting change to happen as we are way behind the rest of the world.

I would be interested to know how others in the industry feel about making a change.

Kind regards,

Darren Martin | CSD Manager | Acute Health
PO Box 126 Bendigo Victoria 3552
03 5454 7184
0409 900 682
darren.martin@bendigohealth.org.au
http://www.bendigohealth.org.au
http://www.bendigohealthfoundation.org.au
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Bendigo Health would like to acknowledge the Traditional Custodians of the land and pay our respects to Elders past, present and emerging.
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Can I learn from others about how you have managed these please? Has anyone got data on screw breakages?

[ We have a large number of screw banks in use. These get replenished with new screws to replace those used. And so most of these screws go through an undocumented series of sterilisation cycles.

Clear concerns include:

1. The new screws have instructions for use that preclude resterilisation
2. The AS4187 says we should track all reprocessed material like this and not reprocess ad infinitum
3. That structural integrity of the screw is compromised (might be associated with breakages in patient ) There may be other deleterious changes to the material as well.

The alternative to banks is dispensing individual screws as required by each case. Other countries have mandated such. More expensive – we are getting resistance to change!

Thanks
John
Dr John Ferguson MBBS DTM&H FRACP FRCPA
Director, Infection Prevention Service | Hunter New England Local Health District
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[kerrin Maher]

Hi,
CSD use Clinell easy clean: The keyboard is a wee bit stiffer than normal, however still easy to use. They did a free trial with the hospital and they are now used on theatre, endo CSD etc.

Regards Kerrin

Kerrin Maher RN BN
Nurse Unit Manager | Central Sterilising Department
QEll Jubilee Hospital | Metro South Health
Kessels Road QLD 4108
t. 07 31826151
e. kerrin.maher@health.qld.gov.au

Hi ACIPC Colleagues,

Our facility has launched electronic documentation and with that the use of computers on wheels. From an infection control point of view I’m recommending either covered or washable keyboards and mice.

We’ve tried the ‘SteriClick’ keyboard and the feedback from users has been that the keys are so stiff and hard to push that staff are refusing to use them. For those of you using computers on wheels – what washable key boards and mice are you successfully using? or are you using covers and if so do they work? When I raised the possibility of using covers here feedback was that these would be flipped off and not used.

Anyone have suggestions?

Kind regards,
Donna

Donna McFadyen-Taylor RN BN Grad Dip HSM
Regional Infection Prevention & Control CNS
WA Country Health Service (WACHS) – Pilbara
2-34 Colebatch Way, South Hedland 6722
PMB 12, South Hedland WA 6722
T: (08) 9174 1619 | M: 0408 906 954
E: Donna.McFadyen-Taylor@health.wa.gov.au
Infection Control Email: WACHSPB_InfectionControl@health.wa.gov.au

Delivering a Healthy WA

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[kerrin Maher]

Hi,
As a matter of interest I looked up Queensland retention records as it has been updated. Sterilising services has been omitted and now comes under patient records. Interestingly it states 15years from the last occasion of service!!!!! How do you determine the last occasion of service. Luckily most of our are now recorded electronically so not really an issue.
Cheers Kerrin

Kerrin Maher RN BN
Nurse Unit Manager | Central Sterilising Department
QEll Jubilee Hospital | Metro South Health
Kessels Road QLD 4108
t. 07 31826151
e. kerrin.maher@health.qld.gov.au

Afternoon Joe,

When I first came on to manage a CSSD in SA government hospital around 2010, I made similar enquiries to our State Records department. This was in part due to a towering pile of physical records in the sub-sub-basement of the building, going back many years and of dubious completion. The requirement in AS4187:2003 at the time was that sterilisation records should be “controlled and retrievable” and I had come upon a situation which was neither.

The General Disposal Schedule for government health records made no reference to sterilisation and reprocessing, so I worked with a couple of officers in State Records to add something into the next version. AS4187 had already specified the list of documents which shall be kept in the running of a reprocessing facility, so we decided that the entry should read “…as required by Standards” or similar. That way, regulatory changes to the required documentation would just carry over.

As for the retention period, the advice of State Records was that of a 15 year period.

Section 3.8.2 of the GDS28 was the final product.

We then had a wonderful time cataloguing, re-boxing and sending all of the records off for storage. Luckily the hospital where I am involved now has a fully electronic tracking system, so the volume of physical records is not only greatly reduced but we can make more of them electronic themselves.

Regards,

Andrew Ellis
Sterilising and Reusable Medical Device Reprocessing State Coordinator (Part Time: Monday/Friday)
Infection Control Service | Communicable Disease Control Branch
Health Regulation & Protection
Department for Health and Wellbeing | Government of South Australia
Level 3 | Citi Centre | 11 Hindmarsh Square | Adelaide SA 5000
HCW infection prevention: http://www.sahealth.sa.gov.au/infectionprevention
General public: http://www.sahealth.sa.gov.au/hospitalinfections

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Good morning everyone

I have discussed the retention of records in sterilising departments with several people and I get different answers!

I have checked NSW Records and their retention rules but they are not specific for sterilisation departments. They make blanket statements eg Quality Assurance (7 years), Accreditation (10years), Significant Investigations (State Archive).

Does anyone have any more definitive information? Will it be different in each State/Territory?

Thank you
Joe

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[kerrin Maher]

Good Afternoon,
My understanding is that for traceability records for sterilising must be kept for 10 yrs.

Cheers

Kerrin Maher RN BN
Nurse Unit Manager | Central Sterilising Department
QEll Jubilee Hospital | Metro South Health
Kessels Road QLD 4108
t. 07 31826151
e. kerrin.maher@health.qld.gov.au

Good morning everyone

I have discussed the retention of records in sterilising departments with several people and I get different answers!

I have checked NSW Records and their retention rules but they are not specific for sterilisation departments. They make blanket statements eg Quality Assurance (7 years), Accreditation (10years), Significant Investigations (State Archive).

Does anyone have any more definitive information? Will it be different in each State/Territory?

Thank you
Joe

INFECTION CONTROL REVIEW PTY LTD
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ABN 98630512284

Joe.bendall@bigpond.com
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[kerrin Maher]

Hi Liz,
Sterilising Standards states you must have manufacturer’s instructions for any reusable medical device (RMD). I doubt you would find a bottle that specifically mentions CSD reprocessing. We no longer reprocess any item that is not classed as a RMD. Ie spoons

Cheers Kerrin

Kerrin Maher RN BN
Nurse Unit Manager | Central Sterilising Department
QEll Jubilee Hospital | Metro South Health
Kessels Road QLD 4108
t. 07 31826151
e. kerrin.maher@health.qld.gov.au

Hi everyone,

Does anyone know where I could find governance on this?
I could find anything from NSW Health nor the national guidelines.
Is reprocessing of these bottles still acceptable?
I am aware of the single use bottles, which is what is used in the Maternity Unit, however paediatric would prefer to reprocess theirs.
I can only assume this would have to be via a low temperature sterilisation process in CSSD.
Does anyone have any guidance around this?
Your advice would be greatly appreciated.

Cheers
Liz

Liz Reading

Clinical Nurse Consultant | Infection Prevention Service
Lower Mid North Coast Sector
Hunter England Local Health District
C/o Manning Base Hospital, 26 York Street, TAREE, NSW, 2430
Tel 02 6592 9351 | Mob 0427 777 612 | liz.reading@hnehealth.nsw.gov.au
http://www.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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Any unauthorised use, alteration, disclosure, distribution or review of this email is strictly prohibited. The information contained in this email, including any attachment sent with it, may be subject to a statutory duty of confidentiality if it relates to health service matters.
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[kerrin Maher]

Good morning,
In Sterilising department lint free cloths must be used for all surfaces.

Cheers Kerrin

Kerrin Maher RN BN
Nurse Unit Manager | Central Sterilising Department
QEll Jubilee Hospital | Metro South Health
Kessels Road QLD 4108
t. 07 31826151
e. kerrin.maher@health.qld.gov.au

Dear All

I am currently working on a project looking at variations/ uniformity in the type of cloths used to wipe surfaces in healthcare settings. Specifically I am looking for any guidelines (local/ state/ national) that make any recommendations for specific types of cloths by specific tasks or surface type. For example are there different requirements for cloths used in bathrooms vs pt environment vs high-touch objects vs non-clinical areas within a hospital.

I have access to the REACH study publications (thanks Brett) and other research from the Monash group (thanks Elisabeth Gillespie and team) but wonder if there are other requirements/ practices.

Thank you for any feedback.

Regards
Cath

Cathryn Murphy RN B. Photog MPH FSHEA FAPIC CIPC-E PhD CIC
Chief Executive Officer & Creative Director
Infection Control Plus Pty Ltd
Adjunct Honorary Assoc. Professor – Faculty of Health Services & Medicine
Bond University
QLD, Australia

E: Cath@infectioncontrolplus.com.au
M: +61 428 154154
W:http://www.infectioncontrolplus.com.au

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This email, including any attachments sent with it, is confidential and for the sole use of the intended recipient(s). This confidentiality is not waived or lost, if you receive it and you are not the intended recipient(s), or if it is transmitted/received in error.
Any unauthorised use, alteration, disclosure, distribution or review of this email is strictly prohibited. The information contained in this email, including any attachment sent with it, may be subject to a statutory duty of confidentiality if it relates to health service matters.
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If not an intended recipient of this email, you must not copy, distribute or take any action(s) that relies on it; any form of disclosure, modification, distribution and/or publication of this email is also prohibited.
Although Queensland Health takes all reasonable steps to ensure this email does not contain malicious software, Queensland Health does not accept responsibility for the consequences if any person’s computer inadvertently suffers any disruption to services, loss of information, harm or is infected with a virus, other malicious computer programme or code that may occur as a consequence of receiving this email.
Unless stated otherwise, this email represents only the views of the sender and not the views of the Queensland Government.
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