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Basics of flexible bronchoscopy and equipment
Published in Don Hayes, Kara D. Meister, Pediatric Bronchoscopy for Clinicians, 2023
Antoinette Wannes Daou, Carolyn Wallace, Joshua Shannon, Cherie A. Torres-Silva
Flexible bronchoscopy is a non-sterile aerosol-generating procedure that could become a vector for spreading infectious agents. Infection control measures should be undertaken to prevent nosocomial infections being transmitted to and from the patient, the personnel, the environment, and the equipment. The bronchoscopist and all assistants should each wear a gown, gloves, mask, and goggles. In addition, all used equipment should be handled as potentially infected, being labeled appropriately (clean-dirty) and transported to the cleaning room immediately post-procedure.3,7,25
Gloves as Protection against Microbial Contamination
Published in Robert N. Phalen, Howard I. Maibach, Protective Gloves for Occupational Use, 2023
In many healthcare-associated procedures, gloves are used not only to prevent cross-contamination of microorganisms but also to give protection against frequently handled chemicals: disinfecting and cleaning agents (Chapter 24), laboratory chemicals (Chapter 24), antineoplastic agents (Chapter 24), other pharmaceuticals, and thermosetting plastics in orthopedic surgery and dentistry (Chapter 23). The highest demands are put on gloves for long-term use, not only for comfort and fit but also when mechanical abrasion or chemical exposure may reduce their barrier properties. Testing of glove materials is mostly performed on unused gloves, as required by European Committee for Standardization (CEN), International Organization for Standardization (ISO), and ASTM International standards. The effect of wear and tear, aging, and exposure to disinfectants is not usually tested. Studies on used surgical gloves show that, even though polymer defects occur in unused gloves at a rate up to 3%, mechanical damage to gloves during operations is four times as common.34
Radiation Protection of Staff and the Public
Published in W. P. M. Mayles, A. E. Nahum, J.-C. Rosenwald, Handbook of Radiotherapy Physics, 2021
Mike Rosenbloom, W. P. M. Mayles
All staff entering the patient's room should wear plastic overshoes, aprons and gloves. These are discarded in designated plastic bags on exit from the room and treated as radioactive waste. If staff who enter the patient's room handle potentially contaminated items, they should monitor themselves for contamination immediately afterwards. No item should be removed from the patient's room unless first checked for contamination by trained staff. If items are found to be contaminated, they should ideally be stored until decayed to reasonable levels and disposed of or cleaned.
Optometry Australia’s infection control guidelines 2020
Published in Clinical and Experimental Optometry, 2021
Kerryn M Hart, Fiona Stapleton, Nicole Carnt, Luke Arundel, Ka-Yee Lian
In optometry, examples of sharps used include a foreign body removal needle, a golf club spud for lid margin debridement-scaling and a lacrimal lavage cannula. To avoid injuries, sharp devices should be handled in a way that prevents injury to the user and to others who may encounter the device during or after a procedure.7 Safe sharp handling processes include7: before using any sharp device, always plan for their safe handling and immediate disposal at the point-of-usekeep handling to a minimumnot recapping, bending or breaking needles after usenot removing a needle from the syringe carrier.
Evaluating glaucoma during the times of Covid-19: simple measures may save lives!
Published in Expert Review of Ophthalmology, 2020
Raul E. Ruiz-Lozano, Andrea Rodriguez-Garcia, Lucas A. Garza-Garza, Alejandro Rodriguez-Garcia
All surfaces exposed to the patient, including the slit-lamp face stand, chin rest, support handles, tonometer tips, diagnostic lenses, must be thoroughly cleaned with an alcohol rub. A previous report by the AAO suggests sodium hypochlorite (dilute bleach) offers effective tonometer tip disinfection against adenovirus and herpes virus, which are the most encountered in outbreaks on eye care facilities [10].No controlled studies regarding SARS-CoV-2 disinfection in ophthalmic equipment is available. However, the WHO suggests 70% ES or sodium hypochlorite [8].Both the patient and the ophthalmologist must wash their hands, as mentioned above.If a medical prescription is required, suggest the patient seek approval from the insurance company to receive a 3-month supply to avoid unnecessary exposure during the outbreak [11].
COVID-19: ensuring our medical equipment can meet the challenge
Published in Expert Review of Medical Devices, 2020
Francesco Garzotto, Erica Ceresola, Sofia Panagiotakopoulou, Giovanni Spina, Francesca Menotto, Marco Benozzi, Maurizio Casarotto, Corrado Lanera, Maria Giuseppina Bonavina, Dario Gregori, Gaudenzio Meneghesso, Giuseppe Opocher
The availability of essential medical equipments to support patients affected by Covid-19 is globally limited. Our data on the ICUs load confirms the enormous pressure they will be under. Our review on the measures taken by countries to address this criticality, highlights the limited availability of dedicated actions. Furthermore, there is no link between them, discouraging a wide action. A globally harmonized regulation for the most useful medical devices for coronavirus patients can standardize their production and thus ensure compliance with all national legislation. Furthermore, a guideline on how to handle medical equipments under the Covid-19 emergency, as done by WHO for the management of patients, is of upmost necessary, leaving room for dangerous actions. In this exceptional situation scientist and technology experts in collaboration with medical specialists should work together to re-assess the risks analysis [24] on medical equipment management and their use (and re-use) in a biohazard context with the aim to improve the global health care Every effort must be made to provide the necessary devices at least with the minimum acceptable performances for Covid-19 patients while maintaining a high standard of safety for users. Predicting when and where exactly to allocate these resources with the current knowledge of the disease is a challenge. Demand mitigation can currently only occur when early and appropriate virus containment measures are provided, followed by a rapid and effective response in handling positive cases.