Course Access
Hi Michael
Kindly forward this email to members for advise and comment, much appreciated.
Kind Regards
Verily Thomas
Clinical Nurse Consultant | Infection Prevention and Control
SWSLHD-Bankstown/Lidcombe Hospital
Eldridge Road, Bansktown.NSW 2200
Tel 02 97228000 pager 28230
Tel 02 9722 8633 | Fax 02 9722 7822 | verily.thomas@sswahs.nsw.gov.au
http://www.health.nsw.gov.au
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LET’S KEEP OUR HOSPITAL ENVIRONMENT CLEAN
HAND HYGIENE SAVES LIVES
Hi Verily,
The chlorhexidine swabs sticks that were trialled for neuraxial blocks in perioperative services were 2% chlorhexidine in 70% Alcohol, the ANZCA guidelines on infection control in Anaesthesia PS28 state that 0.5% chlorhexidine in 70% Alcohol is to be used for neuraxial blocks, due to the neurotoxicity of chlorhexidine. We need to assess if the risk of using 2% chlorhexidine swab sticks mitigates the risk of using 0.5% Chlorhexidine liquid and gauze swabs for skin prep for neuraxial blocks. The swab sticks prevent any risk of chlorhexidine being injected into the epidural or subarachnoid space and splashing into other solutions on the sterile field. We also need to assess if the use of 2% has any benefit over 0.5% in terms of infection control and prevention.
Kind Regards,
Bridie
Bridie Treloar
Clinical Nurse Consultant Perioperative Services
Bankstown-Lidcombe Hospital
Monday Week 1 and 3, Tuesdays, Wednesdays
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