[Sony SO]

[Sony SO]

HI,

To minimize the risk of generating aerosols caused by using small volume nebulizer (SVN), we recommend users to use spacer devices as far as possible. And if SVN is used, because it is a single use device (SUD), it is dedicated for this patient. When patient is discharged, we discard it.

Regards,

Sony SO
Nursing Officer, Infection Control Team
Kwong Wah Hospital
HONG KONG SAR, CHINA
Tel:+ 852 3517-2409 Fax: +852 2332-3348 email:sony@ha.org.hk
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We have moved away from nebulisers and use spacers for MDI therapy or direct within an MDI adaptor within ventilator circuits for routine treatment with bronchodilators or steroid based preventatives for several years now. It tends to be more by exception that nebulisers would be used for a small patient group. Spacers are given to patients at discharge or in some clinics can be purchased.

Regards Maureen

Manager Infection Prevention and Control Unit and
Employee Exposure Immunisation Service
Peninsula Health
PO Box 52
Frankston Victoria 3199
97847722
0428119461

Peninsula Health – Metropolitan Health Service of the Year 2007 & 2009
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[Sony SO]

Hi, we have similar post exposure blood tests arrangements. We call back the concerned patients, and some of them will come back. And when they come back, we will collect relevant blood samples.

Regards,

Sony SO
Nursing Officer, Infection Control Team
Kwong Wah Hospital
HONG KONG SAR, CHINA
Tel:+ 852 3517-2409 Fax: +852 2332-3348 email:sony@ha.org.hk
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Morning

Patients leaving the our hospital occurs approximately 40% of the time, being a dental hospital the incidents are often not reported until treatment is completed.

If the patient has left the hospital we contact them at home.
The incident is discussed with the patient and pre-test counselling is undertaken.
The source is given the option to return to the hospital or the nearest pathology service to have bloods taken.
A pathology request slip is either faxed to chosen pathology service or posted to the patient.

We do not have an internal pathology service so where the blood is taken is not an issue as we pay for external service regardless.
Results are generally receive within a few days.

Of course the risk of the injury is determined from the information received from both recipient and source.
If required the incident is discussed with an ID specialist to clarify the risk.

We have only been refused once in the last 4 years and treated the incident as unknown.

Language difficulties can be an issue and use of the telephone interpreter service has been successful.

Wendy

Wendy Bacalja
Project Lead – Public Dental Taskforce
Principal Nursing Officer
Infection Control Consultant

Dental Health Services Victoria
oral health for better health
The Royal Dental Hospital of Melbourne
720 Swanston Street | Carlton | VIC 3053
T: 03 9341 1151 | M: 0401979497 | F: 03 9341 1214

http://www.dhsv.org.au

Hi, I am just wondering how other organisations follow up on sources of needle stick injuries if the source has been discharged home i.e those from ED discharged home, post op or day procedure cases without any bloods taken.

Do you have a process to call them back in or follow them up in the community to relieve the anxiety of the staff or do as we do and follow up the staff member as if they had been exposed to an unknown positive source with appropriate counselling and follow up?

We have recently had a multiple potential source exposure whereby 1 of the patients had been discharged home post op and our current practice would be not to call them but treat the staff member as if an unknown follow up based on our risk assessment of injury and source – in this instance very low risk. We bleed the other patients where the actual risk was the greatest and offered to follow up the patient when they next visited as an outpatient post op. I have been asked to review our practice with some benchmarking from other organisations.

Thanks for your feedback
Regards Maureen Canning

Manager Infection Prevention and Control Unit and
Employee Exposure Immunisation Service
Peninsula Health
PO Box 52
Frankston Victoria 3199
97847722
0428119461

Peninsula Health – Metropolitan Health Service of the Year 2007 & 2009

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[Sony SO]

Hi,

Based on currently available evidence, VRE in Hong Kong manifests as small/ medium sized clusters occurring in a few hospitals. And our strategy is promptly strict isolation once VRE case is found, for details, please visit CHP website http://www.chp.gov.hk/files/pdf/cdw_v8_25.pdf

Furthermore, to minimize infection risk, we will input relevant information for VRE positive in patient’s e-record. If patient with VRE is readmitted or transferred to other hospitals, alert message would be prop-up for reminding staff that this particular case would require strict isolation.

Our wards are very busy, always crowded with patient. However, we insist to implement the strict isolation strategy for VRE case. For implementation, we explain to our staff, if VRE case is not properly isolated, risk of VRE outbreak may be happened in their workplaces. Our staff are well informed that some of our local hospitals with VRE outbreak, the enhanced control measures would be last for months. Hence, staff know, they will have a lot of hard work, if they have VRE outbreak, for details, please refer to our VRE outbreak news http://icidportal.ha.org.hk/sites/en/Lists/Training%20Calendar/Attachments/90/VRE%20%20overview%20NOV2012.pdf

Regards,

Sony SO
Nursing Officer, Infection Control Team
Kwong Wah Hospital
Hong Kong SAR, CHINA
Tel:+ 852 3517-2409 Fax: +852 2332-3348 email:sony@ha.org.hk
http://www3.ha.org.hk/kwh/main/tc/index.asp
http://www.tungwah.org.hk/?content317
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Hi Barbara

As you know out here in the west we have a very stringent program. Despite the limited number of single rooms in my facility we still continue to isolate patients or cohort under contact precautions. These patients are never cleared as there is no evidence that clearance can be achieved. When these patients are placed on antibiotics, they often revert back to VRE being detected despite many negative screens. One of the highest risk factor for an outbreak and spread is diarrhoea so if you are pressed for rooms and a decision, I would insist on someone with diarrhoea being isolated.

Regards
Rosie
Rosie Lee
RN. BSc. CICP
Coordinator – Infection Prevention & Management
SMH Service – Royal Perth Hospital

Ph + 61 8 9224 2805 Fax + 61 8 9224 1989
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Hello,
My managers have asked me to review our current practices of isolating VRE positive patients. This is mainly due to the limited number of single rooms within our facility. I am interested to know how you manage patients who have a positive VRE screen, whether you isolate or not, what risk assessments you undertake to determine as to whether to isolate or not and whether you have introduced a yoghurt regime for these patients and how you then manage these patients.

Thanking you in advance,
Barbara

Barbara May
CNC Infection Control
Hastings Macleay Clinical Network
Ph. 0255242061
Mo. 0402890677

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[Sony SO]

Hi,

We have installed Electronic Sensor Taps in many workplaces, and the installed taps are operated by standalone power ie AA battery. If we found the tap is not functioning, usually the questioned taps will show delay in response to motion, we will call our maintenance staff to change the battery.

Regards,

Sony SO
Nursing Officer, Infection Control Team
Kwong Wah Hospital
Hong Kong SAR, CHINA
Tel:+ 852 3517-2409 Fax: +852 2332-3348 email:sony@ha.org.hk
http://www3.ha.org.hk/kwh/main/tc/index.asp
http://www.tungwah.org.hk/?content=317
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—–Original Message—–
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of TERRI CRIPPS
Sent: Friday, March 01, 2013 11:48 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Electronic Sensor Taps

Hi,

We have included sensor taps in our paediatric ICU. It is attached to emergency power, like at the SAN. When the PICU staff wanted to install them, I did some research and read the attached document. I have had no problem with them since they were installed and the staff love them. When they were installed the spout did not meet the criteria of the Healthcare Facility Guidelines so we had to go with a longer spout so that the water did not directly hit the plug hole.

Thanks,

Terri Cripps | Clinical Nurse Consultant Infection Control | Sydney Childrens Hospital

‘: (02) 9382 1876 | fax: (02) 9382 2084 |( : terri.cripps@sesiahs.health.nsw.gov.au| “:www.sch.edu.au| page: 47140

—–Original Message—–

From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Fiona de Sousa

Sent: Friday, 1 March 2013 2:20 PM

To: AICALIST@AICALIST.ORG.AU

Subject: Re: Electronic Sensor Taps

Hi All,

We have included the sensor taps on our emergency power, therefore if power is lost to the building the taps still work. Also when you install them you need to choose the location and type of sensor carefully as the various types perform differently. Following testing of different types our preferred option is a wall sensor mounted directly above the sink. We have had poor experience with sensors located in the base of the water spout (fail to easily) and to the side of the sink (too sensitive when you walk past).

Kind regards,

Fiona De Sousa

Infection Prevention & Control Coordinator Sydney Adventist Hospital

Mobile: 0408 468 470

Office: (02) 9487 9732

Fax: (02) 9472 8053

Fiona.Desousa@sah.org.au

185 Fox Valley Road, Wahroonga, NSW, 2076

—–Original Message—–

From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Jane Barnett

Sent: Wednesday, 27 February 2013 1:47 PM

To: AICALIST@AICALIST.ORG.AU

Subject: Re: Electronic Sensor Taps

I agree with comment about loss of power as it clearly then makes them unusable as your back up generator may only support ‘essential’ power needs- we lost both power and water in our EQ though so had to resort to alcohol gel anyway! However, in a private new build facility I’m involved in we’ve planned to install only in theatre scrub bays and procedure room scrub bays partly for these reasons and partly cost. They are installed in our neonatal unit here and there were issues with sensitivity of them initially (triggering when someone walks past) but I’m sure they have improved the design considerably since these were installed (7 years ago).

Jane Barnett

Infection Prevention & Control Nurse Specialist Christchurch Women’s Hospital

3644510 or int 85510

Pager 5200

—–Original Message—–

From: ACIPC Infexion Connexion on behalf of Mason, Matt

Sent: Wed 2/27/2013 3:20 PM

To: AICALIST@AICALIST.ORG.AU

Subject: Re: [ACIPC_Infexion_Connexion] Electronic Sensor Taps

Hi Sue,

You need to think about how will they work without power. If they are not on the uninterrupted supply then staff will be unable to use them if the power is out. One facility I worked at also had an issue with water temperature with these taps as you could not run them to allow the temperature to increase. This is more of an installation issue rather than a tap issue though. Maintenance and repair costs are also more than hand operated taps and need to be considered over the life of the product.

Cheers Matt

Matt Mason

RN, BNSci, Grad Dip (Remote Health), M Rural Health, M Adv Prac (Inf Cont), CICP

Lecturer/Campus Co-ordinator

School of Nursing, Midwifery & Nutrition James Cook University Thursday Island Qld, 4875 Australia

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[Sony SO]

Hi Ruth,

I noted AORN has addressed your concerns caused by diathermy, the hazards should related to surgical smoke and bio-aerosols, visit ARON website for details https://www.aorn.org/Secondary.aspx?id22018&termssmoke

Regards,

Sony SO
Nursing Officer, Infection Control Team
Kwong Wah Hospital
HONG KONG SAR, CHINA
Tel:+ 852 3517-2409 Fax: +852 2332-3348 email:sony@ha.org.hk
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Dear All,
I was wondering if anyone could tell me any extra precautions necessary, when operating on a patient with vaginal and anal warts. There was apparently a claim that when the warts are diathermied off, it would cause the virus to become airborne? I was asked to check up on it. Is there any truth in this statement?
Regards

Ruth Dalrymple
Quality Risk/Infection Control Co-Ordinator
Hurstville Private Hospital
37 Gloucester Road, Hurstville NSW 2220, Australia
T 9579 7773 F 9586 2311
E Ruth.Dalrymple@healthecare.com.au W
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[Sony SO]

Dear Glenys & Michael,

Thank for your information.

Because we are preparing for hospital renovation, hence we would like to keep abreast of updated international infection control requirements, with a view to further reducing infection control hazards caused by transportation of waste & contaminated linen. My further questions are as follows:

If linen chute &/or waste chute are used, what are the recommended infection control measures; & whether we would transport clinical waste or infected linen via respective chutes.

At present, we noted another transportation system for used linen, for details, please visit MIH system website http://www.mhisystems.com. The aforesaid system seems not only reduce infectious risk, but risk of manual handling operation is also addressed.

Regards,

Sony SO
Nursing Officer, Infection Control Team
Kwong Wah Hospital
HONG KONG SAR,CHINA
Tel:+ 852 3517-2409 Fax: +852 2332-3348 email:sony@ha.org.hk
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Hi Sony and Michael,

The only Australian reference to linen and waste chutes is the “2003 Handbook – Hospital acquired infections – Engineering down the risks” which states the following:

* 3.2(a) Disposal rooms para 2 – “Chutes require particular design features and will raise ongoing maintenance and cleaning issues. In addition, chutes can propel airborne contaminants throughout the facility. Therefore, chutes should not be incorporated in design features for the management of transport of waste or linen in healthcare facilities”

These standards may be somewhat out of date (i.e. 2003) as new generation waste and linen chute systems have been introduced into Europe, Asia and the US for use in residential, industrial, commercial and hospital and nursing home settings.

In the US the “2010 edition of the FGI “Guidelines for Design and Construction of Health Care Facilities”, refuse and linen chutes are permitted and the guideline and states the following:

Refuse chutes
2.1.4 Patient Support Services
2.1-5 General Support Services and Facilities
2.1 – 5.4 Waste Management Facilities
2.1 0 5.4.1.4 Refuse chutes, If provided, these shall meet or exceed the following standards:
(1) Chutes shall meet the provisions described in NFPA 82
(2) Service openings to chutes shall comply with NFPA 101
(3) Chute discharge into collection rooms shall comply with NFPA 101
(4) The minimum cross-sectional dimension of gravity chutes shall be 2 feet (60.96 centimetres)

Linen chutes
2.2-5.2.6 – if provided shall meet or exceed the following standards:
2.5 -5.2.6.1 Standards
(1) Service openings to chutes shall comply with NFPA 101
(2) Chutes shall meet the provision described in NFPA 82
(3) Chute discharge into collection rooms shall comply with NFPA 101
2.2-5.2.6.2 Dimensions. The minimum cross-sectional dimensions of gravity chutes shall be 2 feet
(60.96 centimetres)

The NFPA is the US “National Fire Protection Association”

In addition the USA DRAFT – 2014 edition of the FGI “Guidelines for Design and Construction of Health Care Facilities” includes guidelines for such chutes.

The draft 2014 manuscript is available for public comment can be accessed at the following link: http://www.fgiguidelines.net/comments/draft.php

Regards

Glenys

Glenys Harrington
Consultant
Infection Control Consultancy (ICC)

PO Box 5202
Middle Park
Victoria, 3206
Australia
H: +61 3 96902216
M: +61 404 816 434
infexion@ozemail.com.au
ABN 47533508426

Hi Sony

My understanding is that in Australia, most new hospital buildings, and indeed those being refurbished, have removed linen and waste chutes due to fire regulations prohibiting them. So I would not think there are many hospitals with these kinds of chutes left in this country.

Cheers
Michael Wishart

Michael Wishart
CNC Infection Control
Holy Spirit Northside Private Hospital
627 Rode Road, Chermside, Qld 4032
t: (07) 3326 3068 | f: (07) 3326 3523
e: Michael.Wishart@hsn.org.au
w:www.holyspiritnorthside.org.au
Please consider the environment before printing this email
________________________________
Dear All,

We are preparing our hospital renovation project, hence we would like to know whether you would use linen chute &/or waste chute.

Your sharing would be a tremendous help.

Regards,

Sony SO
Nursing Officer, Infection Control Team
Kwong Wah Hospital
HONG KONG SAR, CHINA
Tel:+ 852 3517-2409 Fax: +852 2332-3348 email:sony@ha.org.hk
Please consider the environment before printing this e-mail

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[Sony SO]

Dear All,

The clean room for our Pharmacy will be completed soon, and I would like to know whether it is necessary to cover the clean room with our Integrated Pest Management Program (IPMM), if so, whether the IPMM should be carried out only for the commissioning preparation, or IPPM should be carried out regularly.

Yours sincerely,

Sony SO

Nusing Officer, Infection Control Team

Kwong Wah Hospital

Hong Kong SAR, CHINA.

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[Sony SO]

[Sony SO]

Dear All,

In HONG KONG, we are also preparing for hospital accreditation program by following the AUS standards.

As regards the disinfection of dressing trolleys practices, the auditors do not allow us using alcohol solution to disinfect it. However, it seems relevant requirement is not available in the accreditation manual. Hence, we would like to know the prevailing practices for disinfection of dressing trolley in Aus.

Regards,

Sony SO
Nursing Officer, Infection Control Team
Kwong Wah Hospital
HONG KONG SAR, CHINA
Tel:+ 852 3517-2409 Fax: +852 2332-3348 email:sony@ha.org.hk
Please consider the environment before printing this e-mail

Hi Matt
We use a procedure trolley for dressings in our residential aged care facilities. The trolleys are stored in the treatment room, cleaned and set up for a procedure as needed. The registered nurse usually does the procedures in the Drs room.
We completed our accreditation earlier this year with no issues highlighted regarding this practice.
Kind regards

Liza Smith
Infection Control Consultant
Kingston Centre
Monash Medical Centre
Clayton
liza.smith@southernhealth.org.au

Hi Matt,
I find this quite odd. We use procedure trolleys with sharps containers and ABHR attached in our residential aged care facilities. These procedure trolleys are stored in utility rooms when not in use. They are not stored in the resident’s rooms. This has never been raised at accreditation as being an issue. Indeed I would have concerns if the facility did not use procedure trolleys.

Kind regards.

John Greenough | Infection Control Consultant
St Vincent’s | 41 Victoria Parade Fitzroy VIC 3065
t: +61 3 9288 4704 | f: +61 3 9288 4068 | http://www.svhm.org.au

[cid:image001.jpg@01CDB81C.D72E6730]

Hi All,
It has been suggested to me that dressing trolleys should not be used in aged care facilities as this reduces the homely nature of the facility and can put the facility at risk in relation to their accreditation. Instead the facility wants to use the bedside table or bed to lay out the sterile field. I have a number of concerns about this, both from an OH&S and infection prevention point of view. Has anyone else come across this argument before?
Cheers Matt

Matt Mason
RN, BNSci, Grad Dip (Remote Health), M Rural Health, M Adv Prac (Inf Cont), CICP

Lecturer/Campus Co-ordinator
School of Nursing, Midwifery & Nutrition
James Cook University
Thursday Island
Qld, 4875
Australia

P: (07) 4069 2670
I: +61 7 4069 2670
F: (07) 4069 2627
E: matt.mason@jcu.edu.au
W: http://www.jcu.edu.au/nursing/

JCU CRICOS Provider Code: 00117J

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[Sony SO]

Hi Lesley,

I am interested on the CDC Reference Guidelines- Design and Construction Standards, however I would not locate it in CDC website, hence would you please specify relevant hyperlink.

Regards,

Sony SO
Nursing Officer, Infection Control Team
Kwong Wah Hospital
HONG KONG SAR, CHINA
Tel:+ 852 3517-2409 Fax: +852 2332-3348 email:sony@ha.org.hk
Please consider the environment before printing this e-mail

Hi Maureen , You will find references in the following ,

1.CDC Reference Guidelines- Design and Construction Standards.
2. Australian Health Facility Guidelines- Part E.
3. HB 260-2003 Hospital Acquired Infections Engineering down the Risk – Standards Australia

Kind Regards and good luck.

Lesley Alway
Director
Strategic Health Resources.
107 Mountain View Rd
Briar Hill.
Victoria.3088
Lesley@ihc.com.au
0394340344
0408324727

Secretary
[cid:image001.png@01CDC17E.33BDCFD0]

Hi All
We are preparing to commission our new hospital; does anyone have links to good guidelines for microbiological commissioning please? If anyone has recently moved into a new hospital/addition in the last few years do you have any hot tips of what to watch out for, what to do or NOT do?
Regards
Maureen Cremin
Regional Infection Control Co-ordinator
Great Southern Region
Southern Country Health Service
PO Box 252, Albany WA 6330
Phone 9892 2211 Fax 9892 2581 Page 171

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[Sony SO]

Hi Joe,

We have not seen such practice.

Sony SO
Nursing Officer, Infection Control Team
Kwong Wah Hospital
HONG KONG SAR, CHINA
Tel:+ 852 3517-2409 Fax: +852 2332-3348 email:sony@ha.org.hk
Please consider the environment before printing this e-mail

No!

Suzy Rogers
Infection Prevention and Control Clinical Nurse Specialist
Midwest Region
Northern and Remote Country Health Service
51-58 Shenton Street | Geraldton WA 6530
PO Box 22 WA
P (08) 9956 2302| F (08) 9956 2342
________________________________

Hi
Has anyone else noticed staff wearing gloves and then cleaning the gloves with alcohol hand rub – rather than removing the gloves and performing hand hygiene?

Thanks

Joe

Joe-anne Bendall
Infection Prevention and Control CNC
Sydney Hospital and Sydney Eye Hospital
8 Macquarie St
Sydney 2000

joeanne.bendall@sesiahs.health.nsw.gov.au

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[Sony SO]

Hi Ruth,

We do not have steam cleaners, hence we would change the curtains, when it is visible contaminated, when patient is discharged, and /or every 2 weeks.

Regards,

Sony SO
Nursing Officer, Infection Control Team
Kwong Wah Hospital
HONG KONG SAR, CHINA
Tel:+ 852 3517-2409 Fax: +852 2332-3348 email:sony@ha.org.hk
Please consider the environment before printing this e-mail

Do your facilities use steam cleaners to decontaminate curtains in situ at the bed space after patient discharge or transfer from a bed that is deemed infectious?
One example would be when a patient has developed diarrhoea and vomiting and is then moved to a side room. The bed space undergoes a disinfection clean including the bed screens or privacy curtains. These are either removed for laundering or in some cases they are steam cleaned in situ. If the bed is in a multi room we are investigating if it is possible to transfer the pathogens via the steam / spray through the curtain to contaminate the adjacent bed area?

Any thoughts on this would be appreciated.

Thanks

Ruth

[cid:image001.png@01CDA24E.BAF3C8A0]

Ruth Barratt RN, BSc, MAdvPrac (Hons)
Clinical NurseSpecialist Infection Prevention and Control
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[cid:image002.jpg@01CDA24E.BAF3C8A0]: 0275 263175
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[Sony SO]

HI Gerald,

Please specify the location requiring HEPA, in the ventilation unit or in the endoscopes storage cabinet?

Regards,

Sony SO
Nursing Officer, Infection Control Team
Kwong Wah Hospital
Hong Kong SAR, CHINA
http://www.ha.org.hk/kwh/default.htm
Tel:+ 852 3517-2409 Fax: +852 2332-3348 email:sony@ha.org.hk
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Dear all,

Are there any IC guidelines referring to the need for HEPA filtration in Endoscopy procedure rooms?

Kind regards,
Gerald

Gerald Chan
Coordinator Infection Control

St John of God Murdoch Hospital
100 Murdoch Drive
MURDOCH. WA 6150

P: 9366 1552
M: 0405 495 906 (7804)
F: 9311 4685

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[Sony SO]

Hi Joe,

Thank for your sharing.

I would like to have additional information for the fluroceine leak testing.

Regards,

Sony SO
Nursing Officer, Infection Control Team
Kwong Wah Hospital
HONG KONG SAR CHINA
Tel:+ 852 3517-2409 Fax: +852 2332-3348 email:sony@ha.org.hk
Please consider the environment before printing this e-mail

From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Joeanne Bendall
Sent: Wednesday, July 25, 2012 7:04 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Cleaning of Tonometers

Hi Heidi

We do the following, based on the manufacturers instructions:

1. Single use for any suspected or known eye infection

2. Tonometers is rinsed and cleaned with 70% Isopropyl Alcohol wipe/swab between patients (for the am or pm clinic session)

3. At the end of each session, the Tonometers are cleaned (neutral detergent), rinsed and soaked for 10mins in Milton solution

4. The tonometers are rinsed under running water and dried with a lint free cloth

5. Each month, 8-10 tenometers are chosen at random for fluroceine leak testing and a visual inspection with a slit lamp this is part of the quality program

Thanks

Joe

Joe-anne Bendall
Infection Prevention and Control CNC
Sydney Hospital and Sydney Eye Hospital
8 Macquarie St
Sydney 2000

Phone: 93827199
Mobile: 0418984255
Fax: 93827510
Page: 21552

joeanne.bendall@sesiahs.health.nsw.gov.au

From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Paul Simpson
Sent: Tuesday, 24 July 2012 3:42 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Cleaning of Tonometers

Hi Heidi,

The issue of how to appropriately clean Tonometer prisms has been a long running one at the Eye & Ear, which I have recently inherited.

The current procedure here is to clean the Tonometer prism with a 70% Isopropyl Alcohol wipe/swab between patients. If a patient has a suspected infectious eye then the Tonometer is rinsed under running water for 30-60 seconds, then soaked in a disinfectant solution, we currently use 3% Hydrogen Peroxide solution, for 10mins (alternatively a 500 ppm Sodium Hypochlorite solution could be used). Finally, the tonometer is rinsed under running water again for 60 seconds & dried with a one-way clean & soft tissue. This complies with the tonometer manufactures guidelines. I am guessing there is a very small risk of transmitting Hep B from the eye but you may want to apply this higher level of disinfection for this patient.

Having said all this I believe our current process needs reviewed with the use of disposable Tonometer prisms given full consideration. However, there has been a long running cost versus benefit debate here in the light of little or no evidence of infections being transmitted by tonometers. Please feel free to contact me directly if you need any further information.

Regards,

Paul Simpson, RN, MSc
Infection Control Consultant

[cid:image001.png@01CD69AD.642EF4B0]

32 Gisborne Street, East Melbourne, 3002, VIC
Tel: +613 9929 8523 | Pager: 366 | Fax: +613 9663 7203
[cid:image002.png@01CD69AD.642EF4B0]

—–Original Message—–
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of SUBSCRIBE AICALIST Heidi Gettons
Sent: Tuesday, 24 July 2012 2:28 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Cleaning of Tonometers

I have been approached by an opthalmologist for advice on how to clean a tonometer (an instrument used to measure intraocular pressure) following use on a patient who is positive for Hepatitis B. I am unsure on how they clean it at the moment. Any information would be greatly appreciated.

Thanks

Heidi

Heidi Gettons

Infection Control Coordinator

The Bays Hospital

Mornington VIC

Ph: 59765249

hgettons@hotmail.com

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