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Re: CT Contrast Injecting System

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Anonymous
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Hi Fiona,
At the end of each case the single patient tubing is disconnected from the multi-patient contrast reservoir and a sterile cap (which is included in the pack) is screwed into place to keep the remainder of tubing sterile between cases. The multi patient connection is also recessed at the screw in point to thus minimising the risk of touching the connection when applying the sterile caps. The cap is then removed when the next patient tubing is connected. As with any device staff education and compliance with manufacturer and hospital protocols are imperative to ensure patient safety. If you have further questions, our CCT CNM Grant would be happy to provide you with more information, his email is Grant.Simmons@uchealth.com.au

Regards
Kathy

Kathy Taylor CICP
Infection Control Manager
The Wesley Hospital
PO Box 499,
Toowong, Qld 4066
07 3232 7558
katherine.taylor@uchealth.com.au

________________________________

Thanks Kathy,

How do you ensure that the line connector does not become contaminated with the multiple access that is required for the reusable part of the system?

Kind regards,

Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
Fiona.Desousa@sah.org.au
185 Fox Valley Road, Wahroonga, NSW, 2076
________________________________

Hi Fiona,
We have looked a a number of automated contrast delivery systems, and had the same concern about multi-patient consumables. The Acist system was one we evaluated recently, this system has a one way/anti-reflux valve in the single patient consumable tubing, which was not the case when we evaluated a similar pump about two years ago. With the addition of the one way valve and information that similar pumps are in use in other Brisbane hospitals without any increase in infection, our infection control team agreed to trial.
The major reason for changing to the automated system was a number of nursing staff injuries due to RSI from repeated injection of contrast by hand. The other benefit is that the patient receives less contrast using the automated system, which benefits the patient and also has a cost benefit to the organisation. Hope this information is useful to you.

Regards
Kathy

Kathy Taylor CICP
Infection Control Manager
The Wesley Hospital
PO Box 499,
Toowong, Qld 4066
07 3232 7558
katherine.taylor@uchealth.com.au

________________________________
Hi All,

I have been asked to evaluate a new system for injecting CT contrast to determine its suitability for our facility. The transflux system allows for multi use of syringes, common reusable tubing (both changed daily) and a connector tubing that is changed for every patient. It has TGA approval. It has been used for a number of years in Europe.

I am concerned about the potential for line contamination from blood as well as the sterility of the connector ends. I would like to hear from anyone who has previously evaluated this system or has used it.

Kind Regards,

Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
Fiona.Desousa@sah.org.au
185 Fox Valley Road, Wahroonga, NSW, 2076

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