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Hi List Members,
I have previously had issues with compliance on using covers for TOE probes. The reasons given by Doctors for not using it were that it 1) reduced vision and 2) the risk of patient obstruction if the cover came off / was damaged.
How have other facilities addressed these concerns?
Kind regards,
Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
Fiona.Desousa@sah.org.au
185 Fox Valley Road, Wahroonga, NSW, 2076
________________________________
The Victorian Government has not issued such a directive but did refer to high level disinfection (see link) way back in 2008.
http://www.health.vic.gov.au/hospitalcirculars/circ08/circ0108.htm
For the use of covers, ASUM (Australian Society for Ultrasound Medicine) recommend 38 microns. This is echoed in the ASA (Australian Sonographers Association). The policies are available on-line from both these organisations. The literature they use mostly refers to gynaecological/obstetric use of intracavity ultrasound.
What is the rationale to cover TOE probes when we do not cover gastroscopes bronchoscopes or duodenoscopes? Is it used to facilitate the sound wave? There are risks, given that the cover has to go past teeth and may break on the way down, thus causing a possible obstruction. I would think the most important action would be cleaning and sterilisation/disinfection and storage afterwards.
Happy to be further educated.
Good luck with it all.
Maree Sommerville
Infection Control Coordinator
Mercy Hospital for Women
________________________________
Does anyone have information on the use of probe covers in diagnostic ultrasound, specifically for TOE probes and where to obtain these?
The WA Health dept has released an Operational directive for Prevention of Cross Infection in Ultrasound and states that all intracavity ultrasound transducers must be covered before insertion. We have been unable to find a suitable cover for the TOE probes and the one we have used does not allow adequate visualisation during the procedure.
Do other states have this requirement?
Kind regards,
Barbara Elliott I Coordinator Infection Prevention & Control I St John of God Subiaco Hospital
Level 3, 12 Salvado Road SUBIACO WA 6008
P: 08 9382 6871 F: 08 9382 6785 M: 0413706384 E: barbara.elliott@sjog.org.au
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