Home › Forums › Infexion Connexion › Cleaning and disinfection of Dialysis machine › Re: Cleaning and disinfection of Dialysis machine
Author:
Michelle Bibby
Email:
michelle@INFECTIONPREVENTION.COM.AU
Organisation:
Infection Prevention Australia
State:
I concur thank you Kate
My approach is the same for companies with regard to their SLAs and
requirement for IQ, OQ and PQ of reprocessing equipment.
Many product “specialists” are new in the field and not across the
requirements of 4187, requiring up front payment and then not delivering
So ask the question, don’t just assume they know what they are doing
otherwise you will receive validation reports that are not compliant
Regards
Michelle
Michelle Bibby
Infection Prevention Australia
0429071165
michelle@infectionprevention.com.au
http://www.infectionprevention.com.au
Andrew (Health)
Dialysis machine
Well said Kate.
I won’t rehash the sentiment at length here but I have also taken this
approach with RMDs at a local network and wider level, including requiring
vendors to provide supplementary IFUs, where the original IFU was either
arbitrary/unrealistic, or was limited to international cycles which don’t
prevail in Australia and would require additional validation to perform here
(see: steriliser cycle parameters).
One of the most common problems I have run into when resolving IFU conflicts
is obtaining a reliable statement of compliance from the vendor e.g. “we can
confirm that the process you have proposed will deliver a product compliant
versus national standards” etc, and not a statement like “while this may
decrease the life of the device, we confirm that it will not affect warranty
replacement” – which is a very different offering and often conflated in the
procurement process.
A conflict between the supplier’s IFU and the organisation’s reprocessing
resources is a risk which has to be held or eliminated by one of the
parties. If the supplier cannot or will not resolve it at the product
realisation stage then that is a consideration for the organisation going
ahead.
Regards,
Andrew Ellis
Sterilising and Reusable Medical Device Reprocessing State Coordinator
Infection Control Service | Communicable Disease Control Branch
Health Regulation & Protection
Department for Health and Wellbeing | Government of South Australia
Level 13 | 25 Grenfell Street | Adelaide SA 5000
HCW infection prevention: http://www.sahealth.sa.gov.au/infectionprevention
General public: http://www.sahealth.sa.gov.au/hospitalinfections
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> On Behalf Of RYAN, Kate
Dialysis machine
Hi Cate,
I am not going to be helpful in suggesting a solution for you! What I would
like to do is use your example to encourage everyone needing to meet the
needs of AS/NZ 4187 to push back on medical devices manufacturers and
suppliers to ensure there are cleaning/disinfection/sterilisation options
provided that are available in Australia and are TGA approved.
Since I started in my role a year ago, I have been contacting many companies
to request that they provide a suitable Australian reprocessing option when
none is given in the IFU. For the most part they have been particularly
helpful, and have gone on to provide me with letters of approval to use the
products we have in our hospital, or they have gone as far as doing proper
compatibility testing and updating their IFUs as a result.
For those few that are unwilling to engage in the conversation, we have
informed them that we will not be using their product in future once the
existing requires replacement, or if a new product, that we will not be able
to purchase from them at all. At the same time I am in the process of
tightening up our purchasing policy to ensure that RMDs, and reprocessing
equipment can’t be purchased unless they meet strict criteria, namely that
they can be reprocessed using the products/equipment we have available.
If we all start pushing back on industry to do their part to enable safe and
effective reprocessing, we might start to make change. So I would suggest
that you go back to the dialysis supplier and suggest that it is their role
to provide an option as per section 3 of AS/NZ 4187, and that alcohol is not
a TGA approved product for RMDs.
Kind regards
Kate Ryan
RMD Program Officer
0434 609 208 | 03 9496 6706
Infectious Diseases Department
Level 7, Harold Stokes Building
145 Studley Road, Heidelberg
PO Box 5555, Victoria, 3084
_____
> on behalf of Cate Coffey
<Cate.Coffey@NT.GOV.AU >
<ACIPCLIST@ACIPC.ORG.AU >
machine
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HI everyone
Our healthcare service recently installed new dialysis machines across a
wide area. Unfortunately there was no consultation with infection prevention
and control for advice on managing the infection risk of the machines, in
particular cleaning and disinfection.
The manufactures instruction for use (IFU) recommend Ethanol (60% to 70%)
Isopropanol 60% . There is a further large warning in the IFU stating
clearly that only these 2 disinfectants are to be used to clean the touch
screen. The rest of the machine maybe cleaned and disinfected with 2 in 1
wipe used in most hospitals .
The IFU do not provide sufficient information or guidance on cleaning the
Touch Screen to prevent damage and voiding warranty. The Touch Screen is the
most frequently touched area of equipment and likely to become highly
contaminated with pathogens from healthcare worker hands. Therefore cleaning
and disinfection between patients to prevent healthcare associated
infections in this vulnerable high risk group is vital. The IFU describes
the disinfection process but not the cleaning process.
The Australian Guidelines for the Prevention and Control of Infection in
Healthcare NHMRC 2019 – Page 59 which states:
Physical (mechanical or manual) cleaning is the most important step in
cleaning. Sole reliance
on a disinfectant without physical cleaning is therefore not recommended
Given that these machines are currently installed and in use and the
company representatives maintain that only alcohol is to be used to clean
the touch screen, I was wondering if anyone else had a similar experience
and would share with me how you managed the situation.
After all we all know cleaning and disinfection is vital in preventing the
transmission of pathogens ,no more so during this COVID-19 Pandemic.
Thanks very much
Cate Coffey
RN BaAScN MPH&TM Grad Cert Infection Control Nursing
Clinical Nurse Manager
Central Australia Health Service
Department of Health
Northern Territory Government
Infection Prevention and Control Unit
Alice Springs Hospital
PO Box 2234, Alice Springs, NT 0871
t. 08 8951 7737
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