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Thanks for that Stephen, I am also interested where the sampling should occur for washers disinfectors or re-processors providing a final rinse cycle without a dedicated cycle for specimen collection.
Is there a general consensus and would the manufacturers of these devices be the ones to provide this information?Kindest Regards
Jo Mayer
Infection Control Manager
Phone:08 9346 6479This message has originated outside of the organisation and you should therefore take precaution when opening links or attachments that may be contained within.
________________________________
Good afternoon all,The below information relates to AS/NZS 4187 Amendment 2, Table 7.3.
AS/NZS 4187 amendment 2, Table 7.3. The title of table 7.3 is “Final Rinse Water – Washer Disinfectors in accordance with ISO 15883-4 for Thermolabile Endoscopes” See first item on the attached PDF.
This table is stating that all final rinse water analysis for Table 7.3 should be in accordance with ISO 15883-4 methods. Typically the Total Viable Counts (TVCs), Pseudomonas Aeruginosa and Endotoxin methods for analysis are standard methods and comply. The issue nationally in Australia is around Atypical Mycobacterium. See second item on the attached PDF for the method 15883-4 refers to for Atypical Mycobacterium.
This method is a change from the Rapid Growing Atypical Mycobacterium method used as per the GENCA guidelines. The ISO 15883-4 method requires Atypical Mycobacterium samples to be incubated for 28-days. Neither a PCR method or the Rapid Growing Atypical Mycobacterium method used as per the GENCA guidelines are acceptable methods to use. It has to be a 28-day culture grow method.
If the laboratory you have used or are planning to use for your Endoscopy Washer Disinfector Gap Analysis final rinse water samples, are not NATA accredited for all of the Table 7.3 test and are not using methods as per ISO 15883-4, you will not compliant with AS/NZS 4187 amendment 2.
To comply with Table 7.3, the final rinse water sample analysis methods, are required to be NATA accredited under a healthcare scope of work and in accordance with ISO 15883-4.
Simply ask the laboratory you are using, what method they use for each of the Table 7.3 suite of tests? A lot of pathology labs are not NATA accredited for the full suite of tests under the healthcare scope of work. Two laboratories I am aware of are currently waiting for NATA to accredit their 28-day culture grow method.
See item three on the attached PDF, AS/NZS 4187 Amendment 2, here it states that laboratories carrying out the analysis should be ISO 17025. ISO 17025 is NATA accredited. It is between the laboratories and NATA to discuss the scope of work this analysis is carried out under. Technically, as these samples are taken from a medical device, the scope of work should be under healthcare.
I hope you find this information helpful. If you have any questions or would like further clarity, please feel free to ask.
Kind regards,
Stephen Adnams
T 1300 680 898
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Hi
I am also in the process of doing a risk assessment for which I have found the Ultrasound Infection Prevention toolkit from http://www.ultrasoundinfectionprevention.org.au/ a useful tool. I also look forward to see what others are doing.
Good luck with it all
JoJo Mayer
Infection Control Manager
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Dear All,
How does the ultrasound probes/ transducers reprocessed at your hospitals. Does the ultrasound probe comes to CSSD for reprocessing.
As per ASUM guideline recommendation (attached), if the probes/transducers comes in direct contact with non -intact skin, blood, mucous membranes should be cleaned with High level disinfection irrespective of the use of as transducer cover.
Could you please let me know the process in place at your hospital. We have a National accreditation next year. I just want to bench mark/ best practice approach with some hospitals.
[cid:image003.jpg@01D665A6.4FCF23C0]
Regards, Kavitha
Kavitha Kugathas | Director
Food and Sterilising Services
Canberra Health Services | ACT Government[Canberra Health Services_RGB]
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Good Morning All,
I am still hoping for thoughts and feedback around the hydrogen peroxide vapour sprays, are any of you using these systems and if so what are your thoughts following the release of the latest NHMRC guidelines, e.g will you continue to use, and in which instances do you use it?
Looking forward in anticipation of any comments and thoughts about this.
Kind Regards
Jo
Jo Mayer
Infection Control Manager
Phone:08 9346 6479Dear All,
I am wondering what sites that utilize disinfection systems such as hydrogen peroxide vapour as part of a two-step clean are doing since the release of the updated NHMRC Guidelines.
I would grateful for any commentary around this.Kind Regards
Jo Mayer
Jo Mayer
Infection Control Manager
[http://www.ramsayhealth.com/~/media/Images/email/email-RHC-logo]
Hollywood Private Hospital
Infection Control
Phone:
08 9346 6479
Fax:
08 9330 2368
Email:
MayerJ@ramsayhealth.com.au
Web:
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Address:
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Hi Jenny,
We administer flu vacs to any of our volunteers wanting one.
Kind regards Jo
Jo Mayer
Infection Control MANAGER (CNS/CNM)
[http://www.ramsayhealth.com/~/media/Images/email/email-RHC-logo.jpg]
Hollywood Private Hospital
Infection Control
Phone:
08 9346 6479
Email:
MayerJ@ramsayhealth.com.au
Web:
http://www.ramsayhealth.com
Address:
Monash Ave, Nedlands WA 6009
[http://www.ramsayhealth.com/~/media/Images/email/email-social-media2.jpg]Hi Jenny we supply volunteers with flu vaccn
Emma Trippe
Infection Control Consultant
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Calvary Riverina Hospital
Hardy Avenue Wagga Wagga NSW 2650
P: 02 6932 1628
E: Emma.Trippe@calvarycare.org.au
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http://www.calvarycare.org.au.Good morning all
Can any one assist please
I have been asked to benchmark what other facilities do regarding vaccinations and volunteers
We are a private not for profit organisation and currently ask our volunteers to attend their Gp surgery for any vaccinations they requireLooking forward to your reply and interested to see what other organisations do
Regards Jenny
Jenny Garland RN CIPC-P
Acting Quality Risk & Safety Manager
Quality, Risk & Infection Control Officer
Mater Health Services North QueenslandEmail secured by Check Point
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Hi
We do the same at Hollywood – as per WA guidelines
Kind regards
Jo
Jo Mayer
Infection Control MANAGER (CNS/CNM)[http://www.ramsayhealth.com/~/media/Images/email/email-RHC-logo.jpg]
Hollywood Private Hospital
Infection Control
Phone:08 9346 6479
Email:
Web:
Address:
Monash Ave, Nedlands WA 6009
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Hi Michelle,
As per the WA guidelines, we collect 2 sets of MRSA screening swabs, nose, throat and any wounds.
This is at least 3 months after the last positive results.
Sharon Deen
Infection Control Nurse[http://www.ramsayhealth.com/~/media/Images/email/email-RHC-logo]
Peel Health Campus
Infection Control
Phone:08 9531 8570
Fax:
08 9531 8409
Email:
DeenSharon@ramsayhealth.com.au
Web:
Address:
110 Lakes Road, Mandurah WA 6210
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Hi Everyone,
I was just wandering how many swabs do you need to collect for MRSA clearance.
Currently we are doing 2 negative MRSA results.Regards,
Michelle Gorman
Care Manager
Queanbeyan Residential Care Facility
7 Campbell Street
Queanbeyan NSW
2620
PH (02) 6297 1811Hello,
Our hospital has recently been looking into the way our toilets are cleaned throughout our hospital.
Do any of you use disposable toilet bowl brushes? If not, what cleaning process do you have for the brushes from room to room?
Any information appreciated.
Kind Regards,
Chelsea Kop | Clinical Services Manager, BSN, GDipNurs(Onc), MCN
Delmar Private Hospital
58 Quirk Street, Dee Why, NSW 2099
T +612 8978 5247 | M 0402772578 | F +612 9971 7299
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