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Hi Clare,
Yes, I agree with Michael.
We use the pre-filled syringes too.Cheers
LizLiz Reading
Clinical Nurse Consultant | Infection Prevention Service
Lower Mid North Coast Sector, HNELHD
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.auHi Clare
My personal opinion is that this would be an ideal situation for the use of commercial, prefilled saline flush syringes. Would certainly take the uncertainty out of preparing the flush syringes in the home.
Cheers
MichaelMichael 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[cid:image001.jpg@01D46C86.4CDB6090]
[2019 conference email signature]Good morning,
May I address the brains trust to ask – when accessing CVAD’s in the home environment some staff draw up their flushes in the hospital clinic using no touch technique. They then wrap and carry the flushes to the home to flush and then attach IV A/B’s. Sometimes the drawing up is some hours prior to administration.Others take sterile equipment with them ( dressing pack, sterile syringes needles and gloves) and draw up in the home immediately prior to flushing and attaching…
I can’t find any evidence to tell me if having the Normal Saline sit in the syringe during transport in a car for some hours prior to administration is unsafe i.e. how long is too long for the flush to sit prior to administration…?My gut tells me that drawing up as close as possible to administration is ideal – however no evidence available to change clinical practice.
Any help gratefully appreciated
Clare Fowler
Clinical Nurse
Hospital in the Home, Hervey Bay
Wide Bay Hospital and Health Service
p: 07 43256646 | m: 0417013047
a: Hervey Bay Hospital, Cnr Urraween and Nissen Sts, Hervey Bay, QLD 4655
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Thanks Emma,
Do you just wipe over the handles?
Cheers
LizLiz Reading
Clinical Nurse Consultant | Infection Prevention Service
Lower Mid North Coast Sector, HNELHD
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.auHi Liz we sterilize Laryngoscope blades as critical ,
Emma Trippe
Infection Control Consultant
[cid:image001.png@01D4B879.F6221790]
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
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http://www.calvarycare.org.au.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
LizLiz Reading
Clinical Nurse Consultant | Infection Prevention Service
Lower Mid North Coast Sector, HNELHD
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.auUnless 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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Hi Jane,
We have used portable bladeless fans in our ICU for the past two years & we have not since an increase in HAI, since implementation.
It is stored away in a plastic cover & cleaned before and after use. Yes, a single room would be preferred, however this cannot always be accommodated.
I also agree with Michael, we sometime must think of the patient’s comfort and medical condition first. This supported by our Risk Assessment at the time.Cheers
LizLiz Reading
Clinical Nurse Consultant | Infection Prevention Service
Lower Mid North Coast Sector, HNELHD
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.auOh, and we didn’t ‘install’ them. Only portable fans are allowed. Try and regulate use to clinically appropriate only, not just run them all the time.
Cheers
MichaelMichael Wishart, CICP-E
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] [cid:image002.png@01D46AB9.EE8AE100]
P Please consider the environment before printing this emailHi Jane
We changed our policy a couple of years ago to state that only bladeless fans could be used in clinical areas. We had so many problems with dust on blades, so we got rid of the blades!
Staff report the bladeless fans are just as good for cooling patients, and even ICU are happy with them. More expensive to purchase initially, but better than no fans at all, so the clinicians say.
I’m not going to get into the argument about dispersal of bugs via fan air currents in multi-bedded rooms and ICU…. sometimes I think you just need to put the individual patient first for a change. They may be fighting words, I know, but sometimes some air cooling is really what a patient needs in the short term.
My opinion, anyway.
Cheers
MichaelMichael Wishart, CICP-E
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] [cid:image002.png@01D46AB9.AEC754E0]
P Please consider the environment before printing this emailDear Brains Trust,
Fans!!!!!, could I please ask what the general consensus is on the use of Fans in clinical environment, in particularly in the ICU setting.
We didn’t install them in our new build for all the IPC reasons of spreading bugs, dust collectors etc. however I have been asked today if we could install them because the benefits to the patient is ‘huge’?! My immediate response is NO but would like to know what others are doing.
Many thanks
Jayne O’Connor RN ,BSc.,Inf.Cont
IPC Co-Ordinator
Sydney Adventist Hospital | 185 Fox Valley Road, Wahroonga, NSW 2076p: +61 2 9487 9732 | f: +61 2 9473 8052 | m: +61 0406 752685 | e: jayne.oconnor@sah.org.au
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Hi Kerrin,
Thanks for your reply.
I understand where you are coming from, I wouldn’t have thought a feeding bottle would be classified as an RMD, so maybe all CSDs should reject reprocessing non-RMDs, as your service has.
I know our CSD Supervisor will be appreciative of your advice.Cheers
LizLiz Reading
Clinical Nurse Consultant | Infection Prevention Service
Lower Mid North Coast Sector, HNELHD
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.auHi 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 spoonsCheers 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.auHi 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
LizLiz 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.auUnless 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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Hi Cate,
We started using equipment wipes in the last 6 months and I have since been made aware of this tea staining to trolleys in an operating theatre and a renal dialysis unit. The trolleys are not that old either.
I received the same answer from the rep of the wipes company we use.
However, in the big picture there are 200+ grades of stainless steel, so it is difficult to know which grade of SS the trolleys are made of.
Obtaining the manufacturers instruction would be the way to go & they should know the SS grade.
In an information brochure of wipes we use has a list of manufacturers that have approved the wipes to be used on their equipment.
Unfortunately, the trolleys we have are not on that list.Cheers
LizLiz Reading
Clinical Nurse Consultant | Infection Prevention Service
Lower Mid North Coast Sector, HNELHD
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.auFrom: ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] On Behalf Of Cate Coffey
Sent: Tuesday, 9 October 2018 12:47 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: [ACIPC_Infexion_Connexion] Tea Staining and stainless steel trolleyHI everyone
Our facility uses a commercial 2 in1 wipe to clean and disinfect equipment. We have noticed rust like stains in stainless steel IV trolleys, the staining looks like rust but does not appear to have broken the integrity of the surface. I contacted the company who supplies the wipe and was informed that this is known as ‘Tea Staining” and occurs on ‘cheaper quality stainless steel”
Has anyone had similar issues or heard of this? Should the IV trolleys with tea staining be replaced.? Some trolleys are only 12mth old , I am currently chasing manufactures instructions for Trolleys.
Thanks very much
Cate Coffey | Clinical Nurse Consultant
Infection Prevention and Control Unit | Central Australia Health Service
Northern Territory Government
Alice Springs Hopsital, Gap Rd, Alice Springs
GPO Box 2234, Suburb, NT Postcode
p … 08 89517737
e … cate.coffey@nt.gov.au http://www.nt.gov.au/health
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
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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..
________________________________MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
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