EAR CARE PROCEDURE FOR COMMUNITY NURSING SERVICES

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PROPULSE ELECTRONIC EAR SYRINGE CLEANING PROCEDURE It is important that this equipment is decontaminated at the end of a session or at the end of each day and before use to prevent cross infection between patients or cross infection from inadequately disinfected equipment. Jet tips are single use only items. HEALTH AND SAFETY INFORMATION Before using any cleaning/disinfection product staff must satisfy themselves that they are aware of safe handling, storage and dilution strengths of the product used. COSHH data must be read and available to all staff. CLEANING AGENTS/DISINFECTANTS REQUIRED General Purpose Detergent NADCC disinfectant tablets (Antichlor 0.5g) Dilution strength: 1,000 parts per million Dissolve 2 x 0.5g tablets in ½ litre of cold water DISINFECTANT INFORMATION NADCC is a broad spectrum anti-microbial agent which is effective against bacteria, fungi and viruses (including HIV, Hepatitis, MRSA, E.coli and pseudomonas). It is more stable and therefore more effective than liquid forms of sodium hypochlorite. Tablets have a longer shelf life and are more convenient to use and correctly prepared give an accurate strength. NADCC is an approved disinfectant in the Trust Disinfection Policy DECONTAMINATING THE MACHINE BEFORE USE (This need only be once a day) 1. Fill the tank ¾ full with the freshly prepared NADCC solution. 2. Run the machine for a few seconds into a sink to ensure all the internal pipe work is filled with the solution. 3. Stop the machine, leave to stand for 10 minutes to disinfect. 4. After 10 minutes empty the tank and refill with fresh tap water. 5. Run this through the machine to thoroughly rinse the system. 6. Discard any remaining NADCC solution, rinse and dry jug. The machine is now ready for use Note: It is not advisable to attempt decontamination within a patient’s home. EAR CARE PROCEDURE 12/13
DECONTAMINATING THE MACHINE AT THE END OF THE DAY/CLINIC SESSION 1. Prepare a detergent solution in the Propulse tank, run the machine into a sink for a few minutes to flush pipe work and pump. 2. Discard remaining solution, rinse tank with fresh tap water. 3. Fill tank ¾ full with a freshly prepared solution of 1,000ppm NADCC disinfectant. 4. Run solution through the machine into the sink to fill internal pipe work and pump. 5. Leave for 10 minutes to disinfect. 6. Empty tank and refill with fresh tap water. 7. Run machine for a few minutes into a sink to rinse internal pipe work. 8. Empty tank, rinse and dry with disposable paper towel. 9. Damp clean the exterior of the machine within a disposable cloth soaked in a detergent solution. 10. Discard any remaining NADCC solution, rinse and dry jug. 11. Store the machine and tips in a dust free environment. INFECTION CONTROL ADVICE: This guidance has been based on informed infection control principles until more detailed information is available from the manufacturer. References The Primary Ear Care Centre, Rotherham (2006) EAR CARE PROCEDURE 13/13
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EAR CARE PROCEDURE FOR COMMUNITY NURSING SERVICES

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