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Hi Kerrin,
It is not uncommon for a CSSD to have an air gun in the clean area. With change comes unexpected issues. Air guns were usually in the manual cleaning section of CSSD to enable flushing of cleaned cannulated items and assisted drying of anaesthetic items, even those that came out of washers.
With the move to segregated areas through the use of pass through washers many facilities have put an air gun in the clean area as close as possible to where instruments are removed from dryers or washers as you are right they are often not well dried.
There is a small risk of aerosol spray so in SA we have encouraged facilities to have a cabinet of for use of air guns. The air gun is passed through the back of the cabinet and the cabinet has sufficient room to lift the lid to put the RMD inside and handle the RMD and air gun. The short lid gives some user protection. There are commercial lab type cabinets that can be purchased as well although these often take a lot of room and are expensive.
It is also recommended that a low lint wipe is on the floor of the cabinet to catch any contents flushed out. I haven’t seen staff wearing PPE in the clean area but this could be considered.
I don’t know if there is an extra risk with Covid-19 but this cabinet protects staff from flushing body fluids in to the environment, although it is hoped that the RMD is cleaned well enough not to have any body fluid remnants, just water.
If you can use your dryer and it works that is fine but it is not always easy to get droplets of water out of cannulated items.
I shall try and find out if the Infectious Disease people have an opinion on Covid-19 and use fo air guns.
Best wishes
Sylvia
________________________________
Good morning,
I dont understand how they are using the air gun post washer/disinfector. I have never seen an air gun in the packing area. Our washers do not totally dry some cannulated instruments however they are placed in the dryer in an upright position for 15 mins then retested to see if they are dry.
We have decided that for any cases with confirmed Covid-19 the instrument trays will go through the washer/disinfector for thermal disinfection, prior to any other cleaning. The cycle will be manually aborted at the drying stage to enable them to be taken back out in the receive area. Then any brushing, flushing, ultrasonic etc as per manufacturers instructions will be carried out prior to them being put back through an entire cycle.Regards Kerrin
Kerrin Maher RN BN
Nurse Unit Manager | Central Sterilising Department
QEll Jubilee Hospital | Metro South Health
Kessels Road QLD 4108
t. 07 31826151
e. kerrin.maher@health.qld.gov.auHI there
I was asked by CSSD this morning regarding the use of our air dryer gun on cannulated instruments. Staff are still using this to dry cannulated instruments as the new washers drying cycle does not completely dry these instruments.
Im just wondering whether there is any advice on the use of this with covid19. They stated they had read one paper that did mention this but now find it.
Any advice would be appreciated.
Cate Coffey
Clinical Nurse ManagerCentral Australia Health Service
Department of Health
Northern Territory GovernmentInfection Prevention and Control Unit
Alice Springs Hospital
PO Box 2234, Alice Springs, NT 0871t. 08 8951 7737
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The requirements in AS/NZS4187:2014 do not state in black and white that stainless steel wire shelving is mandatory for theatre sterile stores however
* AS/NZS4187:2014 9.5 recommends that sterile RMDs need to be stored in a manner that prevents and minimises the risk of contamination.
* AS/NZS4187:2014 5.6.3 recommends that shelving shall be constructed from robust non shedding materials, easy to clean and maintain.
Therfore whilst for many years we used solid shelving compactus it was costly and timely having to maintain a frequent cleaning schedule to remove soil and dust. Also great care is required with cleaning these surfaces as they have to be dry before RMDs are returned to the shelving.
Therefore where possible there has been a move to mesh good quality stainless steel shelving which minimises dust collection and is much easier to maintain. There are some smaller and regional facilities that still use well maintained wooden cuboards or moble transport plastic units but it would be recommeded that as facilities move to compliance with AS/NZS4187:2014 that the stainless steel mesh compacts or shelving be used and it would be considered appropriate for new builds.
Best wishes
Sylvia
Sylvia Morris
Sterilising and Reusable Medical Device Reprocessing State Coordinator
Infection Control Service
Health Regulation and Protection
Department for Health and Wellbeing/Government of South Australia
Level 3 Citi Centre 11 Hindmarsh Square Adelaide SA 5000HCW infection prevention: http://www.sahealth.sa.gov.au/infectionprevention
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Dear Brains Trust
For those of you who utilise compactus storage systems in your Theatre Suites for housing procedure trays etc. Does your compactus system comprise solid shelving or wire shelving to allow potential dust to fall to floor?
With Thanks in advance
Liz Vanderlinde
Infection Prevention Control Co-ordinator
North West Private Hospital
[Description: hca_luye_logo]
Brickport Road, Burnie TAS 7320, Australia
T +61 3 6432 6005 F +61 3 6431 5766
E liz.vanderlinde@healthecare.com.au W
Healthe Care Hospitals are accredited by ACHS NSQHS Standards or ACHS EQuIP National
[Description: achs][Description: equip]
QIC Standards
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This may be what some people in the industry are hoping for or proposing to the Commission but there has been no formal documentation or agreement of this. I have checked with the incoming president of FSRACA who is also on the AS/NZS4187 review committee and also attended the Commissions meeting in September.
The Commission released an update last week from the meeting in September stating
The Commission is currently working with stakeholders to develop the final advisory. Further advice will be released publicly in November 2019.
Best wishes
Sylvia
Sylvia Morris
Sterilising and Reusable Medical Device Reprocessing State Coordinator
Infection Control Service
Health Regulation and Protection
Department for Health and Wellbeing/Government of South Australia
Level 3 Citi Centre 11 Hindmarsh Square Adelaide SA 5000HCW infection prevention: http://www.sahealth.sa.gov.au/infectionprevention
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Thanks so much Michael, I did read that earlier but I’ve recently heard the date has been pushed back to 2025 re CSSD compliance re AS4187 ?? Is there any notation describing this??
Thanks again , EmmaEmma Trippe
Infection Control Consultant
[cid:image001.png@01D585B4.445C12F0]
Calvary Riverina Hospital
Hardy Avenue Wagga Wagga NSW 2650
P: 02 6932 1628
E: Emma.Trippe@calvarycare.org.au
http://www.calvary-wagga.com.auHospitality | Healing | Stewardship | Respect
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http://www.calvarycare.org.au.Hi Emma
This was posted on the list in August:
As you are aware, concerns have been raised with the Commission about the application of Standard Australia standard AS/NZS4187:2014 – Reprocessing of reusable medical devices in health service organisations.
The Commission agreed at the June meetings of the IJC and the Private Hospital Sector Committee to conduct a workshop to consider these issues and redraft the current Advisory AS18/07 in the interim.
Please be advised that an amended Advisory AS18/07 – Reprocessing of reusable medical devices in health service organisations was released today. It can be found on our website at the following link – https://www.safetyandquality.gov.au/publications-and-resources/resource-library/as1807-reprocessing-reusable-medical-devices-health-service-organisations
Please contact Margaret Banks on 02 9126 3684 if you have any queries in relation to this matter.
Thank you.
Kind regards,
KatherineKatherine Norden
Manager, Secretariat and Corporate Governance
Australian Commission on Safety and Quality in Health Care
GPO Box 5480 Sydney NSW 2001 | Level 5, 255 Elizabeth Street, Sydney NSW 2000
T (02) 9126 3532 | http://www.safetyandquality.gov.au
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MichaelMichael Wishart | Infection Control Coordinator, CICP-E
St Vincent’s Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
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[2019 conference email signature]Hi Brainstrust,
have the dates re compliance to AS4187 recently changed??
Thanks,
EmmaEmma Trippe
Infection Control Consultant
[cid:image001.png@01D585A0.1CDB66E0]
Calvary Riverina Hospital
Hardy Avenue Wagga Wagga NSW 2650
P: 02 6932 1628
E: Emma.Trippe@calvarycare.org.au
http://www.calvary-wagga.com.auHospitality | Healing | Stewardship | Respect
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This email and any attachments to it (the “Email”) is confidential and is for the use only of the intended recipient, and may not be duplicated or used by any other party without the express consent of the sender. If you are not the intended recipient of the Email, please notify the sender immediately by return https://clicktime.symantec.com/39cf4caUMDTUgSNimRRF23k7Vc?uemail%2C%20delete%20the%20Email%2C%20and%20do not copy, print, retransmit, store or act in reliance on the Email. St Vincent’s Health Australia (“SVHA”) does not guarantee that the Email is free from errors, viruses or interference. Emails to and from SVHA or its related entities may be scanned and filtered in locations outside Australia.
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Dear Emma
At this stage facilities should still be working towards overall compliance by 2021. The most critical aspect is having a gap analysis and knowing here a facility sits and having a detailed Action Plans that show planned progress.
However as Michael Wishart has pointed out the Australian Commission on Health Care Standards recently held a meeting in September 2019 as there is considerable angst in some facilities with the cost and requirement for RO water and testing and infrastructure cost to facilitate pass through equipment especially in remote facilities that risk having to close if non-compliant. An advisory was sent out that in the short term accreditation would be based on the 2003 version (identified by Michael Wishart). The 2003 version recommended having good quality water for rinsing RMDs and testing but did not specify RO water as an option or require endotoxin testing. The situation is even more complicated by the fact that AS/NZS4187 is being reviewed to incorporate AS/NZS4815 and this will be challenging for office based and dental facilities, so we are not quite sure of what is coming. .
There will be an updated Advisory hopefully before the end of the year.
My take on the proceedings of the meeting however it could change so not endorsed yet is:
Most facilities are required to have completed a gap analysis and documented an action plan. (Most facilities have done this)
It is possible there may be some ability for facilities to hold off big dollar tasks such as installation of RO water and infrastructure change over until they have to upgrade equipment. If a washer is working well a risk assessment would be required in relation to ensuring instruments are not being damaged or patients are not at risk. It is unlikely a washer could be purchased now without requiring good quality water and this would trigger the need for RO installation and pass through structure.
However all the governance issues such as having adequate policy and procedures, quality management processes, clearly defined reprocessing procedures and knowledge of the equipment and chemicals in use, validating processes would still need to be complied with by 2021.
Best wishes
Sylvia
Sylvia Morris
Sterilising and Reusable Medical Device Reprocessing State Coordinator
Infection Control Service
Health Regulation and Protection
Department for Health and Wellbeing/Government of South Australia
Level 3 Citi Centre 11 Hindmarsh Square Adelaide SA 5000HCW infection prevention: http://www.sahealth.sa.gov.au/infectionprevention
General public: http://www.sahealth.sa.gov.au/hospitalinfectionsThis email may contain confidential information, which also may be legally privileged. Only the intended recipient(s) may access, use, distribute or copy this email. If this email is received in error, please inform the sender by return email and delete the original. If there are doubts about the validity of this message, please contact the sender by telephone. It is the recipient’s responsibility to check the email and any attached files for viruses.
Hi Brainstrust,
have the dates re compliance to AS4187 recently changed??
Thanks,
EmmaEmma Trippe
Infection Control Consultant
[cid:image001.png@01D585A0.1CDB66E0]
Calvary Riverina Hospital
Hardy Avenue Wagga Wagga NSW 2650
P: 02 6932 1628
E: Emma.Trippe@calvarycare.org.au
http://www.calvary-wagga.com.auHospitality | Healing | Stewardship | Respect
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It depends on what you are looking at:
Are you looking at the system itself?
You would probably do this before trial or purchase really but if not you could set up a template with the following
* Time to use, Accessibility to staff, ease of use, ability to add new products, accuracy
* Downtime of system, Life of handpieces etc
* Not all facilities have an electronic system so other criteria about written record keeping and compliance with documentation comes in.
OR
* Are you testing the effectiveness of your traceability system? I believe this is what is required.
* Test its effectiveness
* Doing a prospective recall based on a pretend load failure in CSSD and also a second reverse recall by pretending a patient or a number of patients have a similar infection and going back through records to the sterilisation process. If doing this you should already have a recall policy and checklist that could be used.
We recently had an accreditor in one of our facilities ask about a reverse recall audit. I hadn’t used the term before but I assume it means a retrospective recall rather than one requested through a CSSD or a consumable manufacturer.
Best wishes
Sylvia
Sylvia Morris
Sterilising and Reusable Medical Device Reprocessing State Coordinator
Infection Control Service
Health Regulation and Protection
Department for Health and Wellbeing/Government of South Australia
Level 3 Citi Centre 11 Hindmarsh Square Adelaide SA 5000HCW infection prevention: http://www.sahealth.sa.gov.au/infectionprevention
General public: http://www.sahealth.sa.gov.au/hospitalinfectionsThis email may contain confidential information, which also may be legally privileged. Only the intended recipient(s) may access, use, distribute or copy this email. If this email is received in error, please inform the sender by return email and delete the original. If there are doubts about the validity of this message, please contact the sender by telephone. It is the recipient’s responsibility to check the email and any attached files for viruses.
[Posted on behalf of a member – Moderator]
I am seeking information on any existing audit documents/templates on Instrument Tracking systems.
As you know auditing of Traceability Systems of RMDs is part of AS/NZS 4817:2014 2.4.3, 2.5 and 2.5.1 Audits and I am seeking a templet tool to use/modify on our Tracking System.
We currently don’t have a written document to complete audits I am keen to see what other LHDs or health services across Australasia are using if any of them may have any examples they would be willing to share it would be greatly appreciated.
Kind Regards,
RobbieRobbie Bentley,
Network Manager – Sterilising Services,
Coffs Harbour Health Campus, Mid North Coast Local Health District
345 Pacific Highway | Coffs Harbour NSW 2450
P: 02 6656 7556 | E: Robbie.Bentley@health.nsw.gov.au
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I acknowledge the traditional Gumbaynggirr people, custodians of the land on which I live and work and pay my respects to Elders both past & present [Description: Description: Description: Description: Description: cid:image001.png@01CE3467.941AC020]______________________________________________________________________
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Hi Joe
I think you will find few people are installing flash sterilisers in theatres as most people have had the task of removing them from theatre. Elimination of flash sterilisation has been recommended in AS/NZS4187 since at least 2003.
AS/NZS4187 indicates that insufficient instruments is not an excuse for flash sterilisation so the most important thing would be to try and have a good supply of sterile critical items which I know is not easy but best practice.
So if outsourcing processing you may need to order back up sets as well as the one to be used. Maybe try and have a supply of critical single use RMDs if available.
The problems in the past with flash sterilisers were:
* Inappropriate use for cannulated items (most flash sterilisers that I have seen in the past were downward displacement and not vacuum assisted to save time.)
* Burn risk to staff
* Inadequately maintained
* Costly as validation required even for occasional use
* Facility air conditioning and area not correct where they were situated
* Potential for contamination during removal of items from steriliser
* Potential for contamination during transport
* Potential for contamination when cooling down very hot items with sterile water in theatre
To comply with work flow the flash would have to have access on a “dirty” site where the instrument would be cleaned, and then removed on a clean side. Again you are right the dirty and clean side would have set requirements.
To date there have been few outsourcing options but as there are some on the horizon and facilities choose to go this way this may become a bigger problem in the future and lead to more discussion for the standards writers.
Best wishes
Sylvia
Sylvia Morris
Sterilising and Reusable Medical Device Reprocessing State Coordinator
Infection Control Service
Health Regulation and Protection
Department for Health and Wellbeing/Government of South Australia
Level 3 Citi Centre 11 Hindmarsh Square Adelaide SA 5000HCW infection prevention: http://www.sahealth.sa.gov.au/infectionprevention
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Good morning
Just wondering if anyone has set up an area in the operating theatre for a benchtop ‘flash’ steriliser? This would be used if reprocessing was performed offsite (outsourced). It would only be used for a dropped or suspected compromised sterility RMD that is of limited supply. Not routinely used.
I have heard some conflicting opinions on what is required.
I believe from reading AS/NZS 4187:2014 that a designated area must include an area for cleaning, drying and the sterility would not be compromised when it is removed from the benchtop ‘flash’ steriliser. This would not be an endoscopy reprocessing room as has been suggested (but I will accept another opinion)!
I am uncertain on what the air handling system should be eg HEPA filtration and the same as recommended for sterilisation areas.
AS/NZS 4187:2014 continues to put challenges in our path……………….it is all down to interpretation of the whole document and not just little sections!
I would value some advice from a colleague who has installed a benchtop ‘flash’ steriliser in the operating theatre.
Thank you
JoeINFECTION CONTROL REVIEW PTY LTD
Joe-Anne Bendall Consulting
ABN 98630512284Joe.bendall@bigpond.com
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Have you looked at the Australasian health facility guidelines, they may help. Not sure if they get to that exact detail but we use them when looking at dimensions of rooms when licensing day surgeries.
Best wishes
Sylvia
Sylvia Morris
Sterilising and Reusable Medical Device Reprocessing State Coordinator
Infection Control Service
Health Regulation and Protection
Department for Health and Wellbeing/Government of South Australia
Level 3 Citi Centre 11 Hindmarsh Square Adelaide SA 5000HCW infection prevention: http://www.sahealth.sa.gov.au/infectionprevention
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Dear colleagues,
We are currently in the design phase of developing our new hospital. Health Infrastructure are pushing a design of a two bed toe to toe room with only 1388mm space between. This measurement does not take into account the curtains around both beds.
I have been searching through the literature for some evidence to support an IP&C argument reflecting the need for increasing the space between the two patient zones.
Health Infrastructure require concrete and not anecdotal evidence.Does anyone know of any IP&C literature that states design schematics for room designs?
Kind regards
KristinKristin Ryan-Agnew
Kristin Ryan-Agnew (MPH/Grad Cert IP&C)
Infection Prevention & Control Clinical Nurse Consultant
The Tweed Hospital[cid:image001.png@01D36E89.D6B88C30] National Standard 3 : Preventing and Controlling Healthcare Associated Infections
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I have been waiting for Terry’s comments as it is probably a surprise to some that our CSSD world is always changing.
In the past I would have had a blanket ban on ABHR in CSSD, often being horrified seeing several bottle of ABHR sitting on the sink in the “dirty” decontamination area. I still believe that ABHR should not be available in the decontamination area as there is a likelihood of dirty hands after removal of gloves, however I now agree that they can have a role in the clean areas such as the packaging area and sterile store.
I would have the following provisos:
That staff applying ABHR allow the solution to dry completely before handling instruments or packaging.
That staff receive sufficient education to understand that ABHRs work on clean hands and if their hands are dirty from a particular task they have performed before handling instruments or packs that they find a nearby sink and wash their hands before applying an ABHR.
In my role I am involved in the review of the structure of CSSD’s and in the past would have always recommended a hand washing sink in the packaging area or sterile store but in recent times this is no longer considered essential and sometimes it is considered a risk if close to the packaging area due to splashing and increased plumbing risk. Often there is a hand hygiene sink outside the clean area that staff should use before they enter a clean area and the ABHR is a supplement.
The challenge is the Infection Control Team selecting an ABHR which has the right concentration of alcohol and also provides staff with some protection from regular use.
The main risk to sterile packaging is a dirty and poorly ventilated environment, rough handling, dirty or wet hands.
Best wishes
Sylvia
Sylvia Morris
Sterilising and Reusable Medical Device Reprocessing State Coordinator
Infection Control Service
Health Regulation and Protection
Department for Health and Wellbeing/Government of South Australia
Level 3 Citi Centre 11 Hindmarsh Square Adelaide SA 5000HCW infection prevention: http://www.sahealth.sa.gov.au/infectionprevention
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Hi Everyone,
My response to being told that you can’t use ABHR in CSSD is ‘where’s the evidence?’
If you read the ingredients of liquid soap you will also find it contains emollients.
I remember vividly watching a demonstration at a polypropylene sterilisation wrap factory of the impact of liquid soap in the permeability of the product when applied directly to the surface. However – who would ever think to apply liquid soap to a sterilisation wrap?
Long story short, they wouldn’t and the hand hygiene process would ensure that clean, dry hands are no risk to the sterile barrier.
Therefore I am of the opinion that YES, CSSD staff can use an ABHR when appropriate in the CSSD workspaces, as long as they use the product correctly and ensure their hands are dry before touching sterile barrier systems and RMDs.
If CSSD staff can’t use an ABHR because there’s an emollient in it, then it follows that anybody touching a CSSD produced sterile package should not be allowed to use ABHR.
IF someone has evidence to the contrary – please share.
Kind Regards
Terry McAuley
Director
MSc Medical Device DecontaminationPO BOX 2249, Greenvale VIC Australia 3059
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This correct most ABHR have an emollient of some description which may compromise sterile wrap. CSSD staff should have available a handwashing sink.
Liz Vanderlinde
Infection Prevention Control Co-ordinator
North West Private Hospital
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[Description: qic]Hello – just after some advice on using the 70% alcohol hand rub in CSSD. I was under the impression it would be acceptable to use but my CSSD staff have said they were told as it has a moisturiser component it can’t be used. I am aware that straight moisturiser can’t be used during the shift – any thoughts?
Thanks
JennyKind regards,
Jenny McCarthy
Operating Room Manager/Infection Prevention and Control Coordinator
Maryvale Private Hospital
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Hi Glenys
I believe it is supposed to be coming out and available later this week but will believe it when I see it.
Best wishes
Sylvia
Sylvia Morris
Sterilising and Reusable Medical Device Reprocessing State Coordinator
Infection Control Service
Communicable Disease Control Branch
Public Health and Clinical Systems
SA Health
Government of South AustraliaHCW infection prevention: http://www.sahealth.sa.gov.au/infectionprevention
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Dear All,
Does anyone know what is happening with AS/NZS 4187 Draft Amendment 2017 – Water Quality
* They closed for comment December 2017 and I have not seen the final document released?
RegardsGlenys
Glenys Harrington
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
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Hi Jenny,
This question sounds easy but the answer isn’t. The requirement varies between states and also differs between public health and private facilities and also if the facility is an endoscopic, general practice or hospital.
You probably need an answer from QLD health as to rules in QLD but I am happy to show how I have interpreted the standards. Until recently I was the course coordinator at CALHN RTO in SA for both Certificate 111 and 1V in Sterilisation. When I came to QLD several years ago to one of your conferences it was fairly common in the QLD government Health system for the qualifications to be promoted and staff supported to complete it whereas this was less of a requirement in private facilities.
I am now at SA Heath and it gets even more complicated as we have a day surgery licensing process and a number of small facilities don’t always have staff with formal qualifications.
There is also the issue that depending on the RTO the 2 sterilisation qualifications offered don’t always have the Disinfect Reusable Medical Devices unit that covers endoscopes. You would need to check with TAFE in QLD or any private RTO’s.
I would expect staff reprocessing endoscopes should complete Genca training and assessment.If you look at AS/NZS4187:2014 it states:
The person directly responsible for reprocessing of RMDs should have relevant qualification and experience in sterilisation technology. The relevant word is “direct”. I have had many theatre managers want to do my qualification in the past and there is not a problem with that as long as they are willing and able to undertake hands on assessment for all sterilisation tasks, but if a theatre manager is busy in theatre and not available and not experienced in all CSSD tasks the sterilisation technician should be supported or expected to have it.
Again just having the qualification does not necessarily prove that someone is always going to be up to date so any one with significant responsibility should be expected to attend conferences and keep up to date with practice changes. What the qualification does is ensure that those people have who have completed the qualification have been exposed to correct practice and been assessed fairly rigorously on their knowledge.
Best wishes
Sylvia
Sylvia Morris
Sterilising and Reusable Medical Device Reprocessing State Coordinator
Infection Control Service
Communicable Disease Control Branch
Public Health and Clinical Systems
SA Health
Government of South AustraliaHCW infection prevention: http://www.sahealth.sa.gov.au/infectionprevention
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I would appreciate information on the qualifications required for a sterilizing technician in a small sterilizing unit.
This staff member needs to be able to process surgical instruments and flexible endoscopes.Thanks for your help.
Jenny Bourne
Education & Environment Coordinator
169 Seventeen Mile Rocks Road Oxley QLD 4075
Phone 0449 199 223
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These are the Australasian Health Facility Guidelines which clearly defines what is required as part of the structure. (attached)
The most critical components are a stand-alone HEPA sterile store and segregation of “dirty” tasks from “clean” tasks.
Even in small day surgery facilities there is now an expectation that pass though equipment cleaning equipment will be in use.
One of the facilities we have licensed in SA has a pass through endoscope washer on one side of a room and a pass through washer disinfector for other surgical instruments on the other side of the room. So essentially you need at least 2 rooms for reprocessing. Although it is ideal to have pass through sterilisers emptying in to a sterile store to minimise transport many facilities still have their steriliser in their packaging area.
It also depends on the type of surgery you perform in addition to the need for bulky loan sets. If you do use loan sets there needs to be a reception are to bring them in to the cleaning area for reprocessing and that is another issue.
If you share your main type of surgery it could be determined if you need a separate 2 room reprocessing cleaning area for instruments and a separate 2 room reprocessing area for endoscopes as another facility has accomplished but built from new so it is easier.
Best wishes
Sylvia
Sylvia Morris
Sterilising and Reusable Medical Device Reprocessing State Coordinator
Infection Control Service
Communicable Disease Control Branch
Public Health and Clinical Systems
SA Health
Government of South AustraliaHCW infection prevention: http://www.sahealth.sa.gov.au/infectionprevention
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Good morning
Does anyone have a plan of a small AS/NZS 4187 compliant CSD they would be willing to share? We are looking at redevelopment options for our rural facilities where we have only 1 or 2 operating rooms attached to the CSD.
In these sites there needs to be facilities for both endoscopy and reprocessing of surgical and oral health reusable medical devices.
Currently in these sites, the operating rooms, open directly onto the decontamination side of the CSD. Then there is the pack & sterilise room / partition. I have attached a footprint of one of our sites (see attached PDF) ….as you can see there is not a great deal of space to play with!
I am not sure if this is good practice. Should they be sperate units, or can they be combined? I am interested to know what your thoughts are.
And if possible a rough floor plan (it doesn’t need to be to scale) showing use of the space and segregation.Kind regards,
Mandy Davidson
RN; GCert Inf Pre & Cont; MPHTM; Cert III Sterilisation; Cert IV TAE; Immunisation cred; CICP-AClinical Nurse Consultant – 4187 Implementation project
Infection Prevention & Control
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My speciality is sterilisation but I am also involved with licensing of private facilities and doing facility inspections prior to approval. I have seen a number of things that sound good in principle but aren’t practical.
I would think that walls and all surfaces in clinical areas should be easily cleaned without damage to the surface. Don’t think wall paper can withstand this. A humid environment wouldn’t help!
You may find information of use in the Australasian Health facilities guidelines which detail the types of surfaces for different clinical areas. I’m sure you will get more info from the rest of the brains trust.
https://healthfacilityguidelines.com.au/standard-components
Best wishes
Sylvia
Sylvia Morris
Sterilising and Reusable Medical Device Reprocessing State Coordinator
Infection Control Service
Communicable Disease Control Branch
Public Health and Clinical Systems
SA Health
Government of South AustraliaHCW infection prevention: http://www.sahealth.sa.gov.au/infectionprevention
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Hello brains trust
It seems our local health services and state health infrastructure are intending to put wall paper in clinical areas in part of our new builds …such as birthing unit.
My infection control sense is really twitching with concerns as they don’t see any infection control issues at this time without more rationale re risks that would sway them to reconsider doing this (as they believe it will give them the homey feeling they are after in their new model of care) …
So …..in the spirit of trying to be informed and with the times in understanding & working proactively to support these new model of care needs ……can anyone else provide any advice of their experience with this being installed and any pros and cons …I am screaming ‘no don’t ‘ inside for a number of reasons (we have a warm humid climate here on the coast in summer) … so I am hoping for any wise words or publications , commentary from this group around the use of wallpaper in clinical areas if anyone has any to help us with
Many thanks as always
Kind regards
Lindy
Lindy Ryan
District Infection Prevention & Control CNC | Clinical Governance & Information Services MNCLHD
Level 1 Coffs Specialist Centre, Pacific Hwy, Coffs Harbour
Office 66911984 or Mob 0419 990 693 | lindy.ryan@ncahs.health.nsw.gov.au
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