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Fluid Ingress during cleaning #55234 11/03/11 10:08 AM
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SaraS Offline OP
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Most equipment manufactures advise you to use a damp cloth when cleaning their equipment.
This was no problem up until the end of last year as we used soft cloths, detergent, and hot water to clean our equipment.
We have now been moved over to a commercial pre-made wet wipe, which is meant to be suitable for use with equipment.
My concern is that these wipes are very wet and soapy and even wringing them out does little to make them less wet. When used they leave the equipment visible and touchable wet and soapy The equipment also takes time to dry especially the underneath if sat on a trolley/shelf. We never had this problem with the old method unless staff were carless.
The company recommend that the cleaned item is allowed to air dry.
Because the wipes are so wet and the kit isn't dried, I am concerned that the equipment may suffer from fluid ingress and corrosion over time.
Is this a possibility or am I worrying unnecessarily?
Has anyone used a commercial wet wipes for a long period and noticed any ingress or lack of?
Many thanks

Re: Fluid Ingress during cleaning [Re: SaraS] #55246 12/03/11 4:45 PM
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Geoff Hannis Online Content
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Why not simply return to the status quo ante?

I often make good use of gauze swabs dabbed into methylated spirits, myself. And yes, the time-honoured method of cleaning cases (especially after stripping kit down) using hot soapy water often brings them up looking like new! Can't get much cheaper than that. smile

Re: Fluid Ingress during cleaning [Re: Geoff Hannis] #55257 14/03/11 11:00 AM
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SaraS Offline OP
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Would love to return to the old ways but all sorts of issues plus commercial wipes are very convenient. The only way we are likely to is if my concerns regarding fluid ingress are valid and we are unable to find a drier wipe

Re: Fluid Ingress during cleaning [Re: SaraS] #55261 14/03/11 2:32 PM
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Moira Offline
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Most equipment is pretty well sealed, to stop blood and fluids leaking in, in normal use. But I agree it's not desirable to have equipment sitting around wet and soapy. Easy to drop when picked up for one thing! Perhaps the procedure could be altered to allow drying the thing with a paper towel after cleaning. Or following the soap wipe with an alcohol wipe - these don't remove blood etc so well but are fine for a final decontamination, and dry off quickly.

Moira

Re: Fluid Ingress during cleaning [Re: SaraS] #55268 15/03/11 7:55 AM
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RoJo Offline
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Be casreful about using alcohol wipes, it can degrade and cause certain plastics - especially clear ones - to craze over time.
Ring the wet wipe out a little before use? or as Moira says dry it with a paper towel.
RoJo


My spelling is not bad. I am typing this on a Medigenic keyboard and I blame that for all my typos.
Re: Fluid Ingress during cleaning [Re: RoJo] #55270 15/03/11 9:07 AM
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Geoff Hannis Online Content
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Nursing and medical staff should be "encouraged" to wipe off any mess* as and when it arises ... other than that, (in my opinion) cleaning into the nooks and crannies of equipment is best left to folk who know what they are doing (ie, the technicians). By that I mean having a clue which cleansing agent to use in each case, etc. Not to mention having regard for how much all that stuff actually costs!

It often takes a bit of time (and tools) to do a thorough job. And I have never yet come across staff in any so-called Equipment Library who did not appear ... er, harried.

Also, it is easy enough for staff to scribble out a "Decontamination Certificate" (especially when the kit is already clean, more or less). But does anyone take those as "gospel"? I certainly never have.

"Wet Wipes" are not the answer. As has already been mentioned, they are too wet! For a "quick wipe over" to render equipment "socially clean", the time-honoured Damp Cloth (soft, lint-free if you want to get fussy) is the way to go. For anything more than that, try a little hot soapy water. But for anything more stubborn ... it's off to the workshop it goes! Rocket Science it ain't! smile

* Eg, blood is easily wiped (mopped?) up before it dries.

Re: Fluid Ingress during cleaning [Re: Geoff Hannis] #55279 15/03/11 2:19 PM
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Moira Offline
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Rojo is quite right, I admit I was thinking of heavy instrument casing, not screens and clear cases.

And I'm sure you're right, Geoff, but possibly the shelves in Southampton General's Service section are already loaded with equipment awaiting service and repair, and they may not want to add cleaning to their workload. I bet SaraS is doing the best job she can, with the means provided.

Re: Fluid Ingress during cleaning [Re: Moira] #55283 15/03/11 3:44 PM
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Geoff Hannis Online Content
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Better let me spend a week down there, then. I expect that's all it would take to put matters right. Sometimes you just have to crack the whip a few times! whistle

Here are a couple of pointers:-

1) Don't accept equipment back into the Library if it appears dirty.

2) There are lots of nurses, but very few "Librarians".

3) Get the biomeds to bill the Wards (etc.) for any time spent on cleaning equipment.

Re: Fluid Ingress during cleaning [Re: SaraS] #55423 21/03/11 1:08 PM
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KM Offline
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Sara,
Have you tried getting your control of infection bods involved.
We use a wipe that is approved across the whole site.
Its not to wet / but wet enough.
It is difinfectant / alcohol free but is a Central supplies item recommended for medical equipment.
After involving control of infection we have very few (if any) problems here.

Re: Fluid Ingress during cleaning [Re: Geoff Hannis] #55442 22/03/11 8:00 AM
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SaraS Offline OP
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Geoff, I'm confused.
Pointer 1
In your earlier post you seem to be saying that only the technicans can clean equipment properly but in this post that the User should be cleaning it properly before returning it to the Library?

Pointer 2
The Library staff are more likely to make a better job as I would say the clinical areas are more 'harried' than us. Its the Libraries staff job to manage and look after the equipment, whereas its only one part of the nurses role. The Library has cleaning areas with cleaning stations at the right height that enable you to rest the kit on so you can see it to clean it properly all over, undisturbed by patients.
Very different form a ward setting where the only place to clean it is next to the bed or in the corridor, with the item on a drip pole, patients (low)table or resting on the edge of the sink or even your hip and if you want to check and clean the base you have to either go down on your knees or hold it and turn it upside down. Not ideal for making a good job or from a manual handling point of view.
Our clinical areas use the same wipes as the Library and the Library recleans anything it puts into use.

Pointer 3
If the biomeds are the only ones that can clean the equipment properly its hardly fair to bill the clinical areas for time spent on cleaning

I know clinical staff are not always great at cleaning equipment but I also think EBME staff can be very quick to criticise and dont always appriciate that what may seem a simple job isn't so simple to carry out in a clinical environment.

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