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Roel CastilloParticipant
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Roel CastilloEmail:
Roel.Castillo@LIFEHOUSERPA.ORG.AUOrganisation:
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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.
CheersRoel Castillo
Project Officer – SSDPlease 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 AdministratorMichael 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
Please consider the environment before printing this emailHi
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
Please consider the environment before printing this message
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02/05/2013 at 8:55 am in reply to: hydrogen peroxide chemical disinfector for vaginal ultrasound – advice please #69988Roel CastilloParticipantAuthor:
Roel CastilloEmail:
Roel.Castillo@LIFEHOUSERPA.ORG.AUOrganisation:
State:
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 – SSDDear 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
$B<g;](B: hydrogen peroxide chemical disinfector for vaginal ultrasound – advice please
Good afternoonWe are currently reviewing our processing of our vaginal ultrasounds & using a hydrogen peroxide device (trophon) to achieve high level disinfection (in line with ASUM guidelines) in our very busy women$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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26/04/2013 at 3:05 pm in reply to: Benchtop steriliser water and steam quality specifications. #69962Roel CastilloParticipantAuthor:
Roel CastilloEmail:
Roel.Castillo@LIFEHOUSERPA.ORG.AUOrganisation:
State:
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 – SSDUNCLASSIFIED
Hi BethI 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 AllHoping 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[http://www.health.nsw.gov.au/images/communications/e-signatures/images/NSW-Health-Illawarra-Shoalhaven-LHD.jpg]
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