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Post by h2otech on Apr 10, 2023 11:47:01 GMT
If you have a machine out of service, how long can it be down before having to send culture/LAL? I'm saying a week, since machines are required to be disinfected weekly. I'm just trying to get an idea of what everyone else is doing.
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Post by Chuck Weddle on Apr 10, 2023 14:06:05 GMT
We don't have a policy for this but IMHO, a week seems short. Especially since COVID, we very frequently have machines down for an extended period of time waiting for backordered parts.
Our policy is that machines must be disinfected every 72 hours. If one goes longer either because of being missed or because of repair, before it is returned to service we do an "end-to-end" disinfection where we inject disinfectant into the supply hose, dwell it, rinse it out, then a normal machine disinfection.
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cane
New Member
Posts: 27
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Post by cane on Apr 10, 2023 14:15:37 GMT
My first question would be where are you getting guidance that you can go a week in between machines disinfections? I'll assume you're referring to a Fresenius machine, and chapter 5 of the operator's manual state the following.
"If the machine is not in use for more than 48 hours, it should be disinfected before the next use or put in storage..."
To try and answer your original question I do not know of any guidance that specifies how long a machine can be idle before labs are required. I would tend to believe that would be a company policy, but I am also guessing many companies do not have a policy that covers that specifically.
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Post by dave74 on Apr 11, 2023 18:59:07 GMT
This is from the Acute Dialysis Readiness Handbook. It is included with the AAMI 2022 Dialysis Collection.
Q: Is it expected or required that dialysis machines that are not in service (e.g., in storage or being
repaired) would be routinely disinfected?
A: This expectation is not addressed in regulations or accreditation recommendations.
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Post by bimitiri on May 2, 2023 22:04:07 GMT
Based on iso 23500 which now aligned with AAMI, its 72 hours for RO.
Dialysis machine is quite a grey area . As water sampling is only requires once a year for endotoxin filter equipped machine.
But also mentioned 72 hours.
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Post by dave74 on May 3, 2023 0:15:42 GMT
Based on iso 23500 which now aligned with AAMI, its 72 hours for RO. Dialysis machine is quite a grey area . As water sampling is only requires once a year for endotoxin filter equipped machine. But also mentioned 72 hours. When you reference ISO, you should cite which section you are referencing. People use this forum for guidance. Where in ISO 23500 does it state this? I am not challenging you, but we have to be careful when people state what is required or not required, etc. Thanks. |
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Post by bcjammerx on May 4, 2023 0:01:09 GMT
once a year? even with the dia(whateverbrand) I've never heard that.
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Post by bimitiri on May 4, 2023 1:52:45 GMT
Hi Dave,
Agreed with you. I will try to dig out the iso 23500-3: 2019 detail.
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Post by dave74 on May 4, 2023 3:52:24 GMT
Hi Dave, Agreed with you. I will try to dig out the iso 23500-3: 2019 detail. Thank you. |
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Post by Chuck Weddle on May 4, 2023 10:32:36 GMT
once a year? even with the dia(whateverbrand) I've never heard that. That's all CMS has ever required for as long as I can remember, regardless of there being a dialysate filter or not. |
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Post by Edward on Jun 19, 2023 21:13:46 GMT
Does anyone have a cleaning and disinfecting for the water input hose for the dialysis machines?
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Post by Chuck Weddle on Jun 19, 2023 21:28:51 GMT
Does anyone have a cleaning and disinfecting for the water input hose for the dialysis machines? It's typically done when the distribution loop is disinfected. |
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Post by dave74 on Jun 20, 2023 15:49:23 GMT
Just be sure whatever disinfectant you use to disinfect your loop is approved for use in your dialysis machine.
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