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Good morning,
May I have some thoughts based on the legal or regulatory reason that a dedicated sling is needed for residents with MRO/ Cytotoxic in aged care facility?
Or is it sufficient enough to educate the staff to wipe the sling with disinfectant wipes before and after use?
Does the evidence shows that other nursing home have dedicated sling used for MRO and residents on cytotoxic drug?
What will be the best practice to implement for the use of sling?
A protocol was established to assign dedicated slings to residents with multi-resistant organism (MRO) infections and are on cytotoxic meds, where the use of a lifter is required. Is this a right approach??
Looking forwards to hear your thoughts.
Thank youHi Monika
In response to the cytotoxic management. Hoping some colleagues will have a go at answering the MRO for you.
The risk of cytotoxic exposure is only presented through the body substances of a person on cytotoxic medications – or the medication its-self (and meds would not be given during transfer). It is not a transmissible risk, but an exposure risk. If the person’s body substances – blood, urine, faeces, vomit are contained, (e.g. person is continent, wears incontinence aids, not vomiting, oozing wounds managed) then there is minimal risk to the sling lifter being cytotoxic contaminated and presenting risk. Any special / additional precautions outside routine reprocessing of shared equipment, would not be required.
It’s similar to cytotoxic laundry management – i.e. where there are no body substances – there is minimal risk – the laundering would be undertaken as general laundry.
In the instance that body substances did contaminate the sling it would need to be managed as cytotoxic laundering (contained in soluble laundry bag and on appropriate wash cycle) and washed ASAP. Cytotoxic exposure risks should be void post this laundering process, enabling shared reuse.
The decision to have dedicated slings for residents is ultimatley the organisations – a measure with the aim to minimise risk.
Hope that helps
Regards Carrie
