[Sloane, Tracy (AHS)]

Hi All,
Surgical hand rub (SHR) is the subject of the Masters thesis that I am currently undertaking. No they do not have TGA approval for use in Australia. 3M have had a product before TGA for a few years now (so I’m told) but have yet to gain license. SHR is appropriate for the first scrub of the day. The expectation is that hands are washed prior to entry into the OR. Of course if hands are visibly soiled then one needs to wash them.
Cath, check out the WHO guidelines there is a section on SHR, also the US AORN guidelines.
Cheers,
Tracy.

Tracy Sloane
Infection Control Manager
Angliss Hospital & Yarra Ranges
Ph: 9764 6289 Mob: 0407 502 096
email Tracy.Sloane@easternhealth.org.au
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—–Original Message—–
From: AICA Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Wishart, Michael
Sent: Tuesday, 10 August 2010 7:41 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: [AICA_Infexion_Connexion] Waterless Surgical Scrubs

I just re-read Cath’s original question, and find I need to emphasize
that my understanding is that waterless scrubbing should only be used on
CLEAN hands. Thus, the first scrub of the day should be with ‘soap and
water’ (whether the first scrub requires an antimicrobial seems to be
debatable if waterless scrubbing is used prior to the first case). The
obvious rationale for this is to remove any debris from the hands prior
to the use of the waterless scrub.

I have seen some EU guidelines for use of waterless scrubbing in OT but
can’t seem to find them currently. Can anyone direct Cath to some
guidelines for waterless scrubbing?

Thanks
Michael

Michael Wishart | GPH – Infection Control Coordinator

GPH – Quality & Safety Unit (Infection Control) | Greenslopes Private
Hospital
Newdegate St, Greenslopes QLD 4120
t: 07 3394 7919 | pager 047 | f: 07 3394 7985
e: WishartM@ramsayhealth.com.au | w: http://www.ramsayhealth.com.au

Ramsay Health Care is an environmentally responsible corporation, please
consider the environment before printing this email.

—–Original Message—–
From: AICA Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On
Behalf Of Cath Murphy
Sent: Monday, 9 August 2010 8:02 PM
To: AICALIST@AICALIST.ORG.AU
Subject: [AICA_Infexion_Connexion] Waterless Surgical Scrubs

Dear AICA, ACSQHC and ACORN Colleagues

I have been asked about the suitability of using “waterless surgical
scrubs” as an alternative to the first ‘soap and water’ wash of the day
in the operating theatre or surgical procedural unit. Does anybody know
if this is common? Acceptable? Widespread and based on credible evidence
or policy?

Any commentary welcomed. Thanks.

Cath

Assoc. Prof Cathryn Murphy RN PhD CIC
CNC Infection Control
Gold Coast Health Service District
Robina Hospital
Gold Coast

http://www.icp.au.com

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