[dicko1966@GMAIL.COM Subject: Re: Eye surgery instrument question without RO water In-Reply-To:]

Hi Robyn,

Might I suggest you contact either the Sydney Eye or Royal Victorian Eye and
Ear hospital sterilising department managers to ascertain their processes to
validate yours.

Enzymatic chemical use is not recommended for eye instruments due to the
associated TASS (Toxic anterior segment syndrome).

Kind regards

Sam Dickson

IPAC CNC

Birch
RO water

Dear ACIPC members

I would greatly appreciate feedback from anyone more familiar than me with
requirements for eye surgery instrument processing.

We are to commence basic surgery soon and do not have RO water at present
albeit on the list as a must have sooner rather than later.

Our central sterilising unit have proposed a ‘workaround’ as below as a risk
mitigation strategy acknowledging it is not gold standard practice.

Would you accept this process as an alternative??

The suggested cleaning processes at Redland Hospital for eye instruments
requiring HSO approval are as follows;

The Washer Disinfectors have an established validated eye cycle in place
effective from February 2020

*Neutral Enzymatic chemical for the cleaning process
*Thermal disinfection
*Additional rinse phases during the validated cycle
*Removal of rinsing chemicals to avoid any residual on instruments
*Manually rinse individual instruments immediately following the
validated cleaning cycle with 1 litre bottled sterile water to replicate the
RO water final rinsing of the instruments
*Protein detection test of instruments
*Place instrument trays into the validated dryers

Infection Control will also initiate infection surveillance as it is a new
procedure at our facility as well.

Appreciate any thoughts

Best wishes

Robyn

Robyn Birch

MAdv Prac IP&C, CICP

CNC Infection Control

Redland Hospital

Department of Health | Queensland Government
PO Box 585, ClevelandQLD 4163
t. (07) 3488 3518

m. 0412 585 099

Robyn.Birch@health.qld.gov.au |
http://www.health.qld.gov.au

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