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Roel Castillo

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  • in reply to: Solumed/Steris #70009
    Roel Castillo
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    Roel Castillo

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    Hi Jo
    Kindly consider compatibility of your current inventory. Refer to manufacturer for this and they are always happy to help and this is important before considering process upgrades if you are not changing your inventory, refer to Spaulding’s Classification to satisfy the reprocessing requirements of your scopes and most importantly validation requirements and compliance with current standards are essential components to it. I would consider low temperature sterilisation and automated endoscopic repressors that provide high level disinfection as long as the reprocessing requirements satisfy Spaulding’s for the medical device’s intended use. Get as much information from all equipment manufacturer’s as much as you can. More choices the better.
    Happy reprocessing.
    Cheers

    Roel Castillo
    Project Officer – SSD

    Please direct any brand name related responses to Jo Dewey at Jo.Dewey@healthscope.com.au.

    My apologies for allowing this message with brand names of various endoscope reprocessors from being sent to the list.

    Please remember to avoid using brand names on this list as possible, in this instance refer to the process (eg peracetic acid), rather than a brand name if replying to the list.

    Thanks
    Michael Wishart
    ACIPC Infexion Connexion Administrator

    Michael Wishart
    CNC Infection Control
    Holy Spirit Northside Private Hospital
    627 Rode Road, Chermside, Qld 4032
    t: (07) 3326 3068 | f: (07) 3607 2226
    e: Michael.Wishart@hsn.org.au
    w:www.holyspiritnorthside.org.au
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    Hi

    We are looking at upgrading our scope sterilizers at the moment and I would like to know what sterilizers you are all using and how you are finding them. We are using the steris system at the moment but have looked at the solumed and the new steris.

    Just have to get some feedback to take back to my DON and GM.

    Kind Regards

    Jo Dewey
    Infection Control Co-ordinator
    Peninsula Private Hospital
    Jo.Dewey@healthscope.com.au
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    Roel Castillo
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    Roel Castillo

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    Hi Lindy

    Standard 4187, Standard 3 and NSW Health Infection Control Policy refers to manufacturer$B!G(Bs instructions for use as well. Whatever reprocessing method chosen to satisfy the Spaulding classification must be validated and monitored. If there is a sterilising service department(SSD) in your facility I would recommend sending it through to them. Thermal disinfection is always preferred if its available. Most SSD washers have provisions for thermal disinfection and you can always opt to sterilise them as best practice entails, remember that disinfection is the minimum requirement and for best patient care results it is pretty straight forward.
    If there is no SSD or opt to stay on, please make sure you have the following:

    * documentations in place, including your indicator strips,

    * do some random blood/carbohydrate/protein residue tests on your processed items and document them,

    * do microbiological swabs every year by your local microbiologist,

    * revalidate your equipment every year to make sure it is working as it is designed to do so and delivers consistent quality of products, the manufacturer should help you with that.
    Any queries please do not hesitate to phone me.

    Cheers

    Roel Castillo
    Project Officer – SSD

    Dear Lindy,

    We are using Trophon as high level disinfection for used transvaginal USG probes, and we use the chemical indicators that are provided by the manufacturer as process indicator for validation for each cycle.

    I think we should caution for the storage of chemical indicators, and do not place it near the Trophon. To store the indicators in zip lock bag should be safer.

    Regards,

    Sony SO
    Nursing Officer, Infection Control Team
    Kwong Wah Hospital
    HK SAR, CHINA

    ________________________________
    $B4s7o<T(B: ACIPC Infexion Connexion [AICALIST@AICALIST.ORG.AU] $BBeI(B Lindy Ryan [Lindy.Ryan@SWAHS.HEALTH.NSW.GOV.AU]
    $B4s7oF|4|(B: Wednesday, 1 May, 2013 15:51
    $BZ@7o<T(B: AICALIST@AICALIST.ORG.AU
    $B<g;](B: hydrogen peroxide chemical disinfector for vaginal ultrasound – advice please
    Good afternoon

    We are currently reviewing our processing of our vaginal ultrasounds & using a hydrogen peroxide device (trophon) to achieve high level disinfection (in line with ASUM guidelines) in our very busy women$B!G(Bs and children$B!G(Bs outpts dept here.

    I am wondering if there is anybody out there who would be willing to contact me/ email me off line and share with me their process for quality control and validation of the process on each scope being processed and used on our ladies each time to ensure we are in line with AS4187 and standard 3.

    Our clinicians here are thinking I am being a little over the top in wanting this process in place and believe no one else out there is going to this trouble and that its very time consuming and so wondering what other sites with this equipment has in place and how they make it workable (looking for ideas here that may be more agreeable for our clinicians!!) . So would appreciate any assistance/ advice or others progress/ barriers out there re these machines.

    Also just wondering of anyone using the same Hydrogen peroxide chemical disinfecting device is having any issues / difficulties with that chemical indicators that are purchased and required to be used each cycle and if so what have you managed to sort? Our staff find them a bit subjective to read at times for a pass or fail

    Thanking you in advance for any useful advice

    Kind regards

    Lindy Ryan

    Infection control CNC
    Nepean Hospital, NBMLHD.
    Lindy.ryan@swahs.health.nsw.gov.au
    02 4734 2228

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    05/01/13 – 17:51:25
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    Roel Castillo
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    Roel Castillo

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    Hi Beth

    Please refer to AS 4815 for office based reprocessing and AS 4187 for healthcare facilities reprocessing of reusable medical devices. Bowie Dick test and Helix test are process challenges to ascertain your sterilisers function as required, depending on the steriliser, BD is used to measure air removal and steam penetration, helix challenges the efficacy of the method in attaining the set parameters for sterilisation.
    Steam quality as required should have 97% dryness fraction and water quality in today’s standards would recommend RO quality, but in the current standards it does not require it yet. A good perusal of the aforementioned standards is worthwhile.

    Cheers

    Roel Castillo
    Project Officer – SSD

    UNCLASSIFIED
    Hi Beth

    I am not an expert in this area but I know that the staff use distilled water in the Lisa sterilisers that are used in dental .

    The steam quality specifications – isn’t this your Bowie Dick and Helix test.

    The water reservoir in the Lisa is cleaned following the manufacturer instructions ( I believe this is an alcohol solution)

    If you need any further help with this, I can put you in touch with the dental manager

    Regards

    Melissa McEwan RN, BN, Grad Cert Infect Control
    Quality Manager
    Contractor to Defence
    Wagga Wagga
    02 69338338
    Private mobile 0428 753783
    melissa.mcewan@defence.gov.au

    ________________________________
    Hi All

    Hoping someone can offer some advice.

    We have not be able to find definitive specifications for water and steam quality required for benchtop sterilisers (Dental Autoclaves).

    We have two questions:

    1. Some manufacturers suggest the use of distilled or de-ionised water. If a water distiller is used how is the water quality controlled when refilling the reservoir?

    2. What are the steam quality specifications for benchtop sterilisers, and where is the reference for these?

    Thank you for any assistance you can provide.

    Beth

    Beth Bint

    Clinical Nurse Consultant | Infection Management and Control Service
    Level 1 Lawson House, Wollongong Hospital 2500, NSW
    Tel. 02 4222 5869 | Fax. 02 4222 5367 | beth.bint@sesiahs.health.nsw.gov.au

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