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Re: ULTRASOUND digest 2689From: Terry DuBose (terrydubose@sbcglobal.net)Sat Jun 23 20:03:57 2007
>From jworrall@alaska.net Sat Jun 23 20:03:55 2007 Received: from iris.acsalaska.net (iris.acsalaska.net [209.112.173.229]) by dns.obgyn.net (8.11.6/8.11.6/dsb-1.1) with ESMTP id l5O12bX28039 for <ultrasound@obgyn.net>; Sat, 23 Jun 2007 20:03:48 -0500 Received: from NEW (216-67-49-233-cdsl-rb1.fai.acsalaska.net [216.67.49.233]) by iris.acsalaska.net (8.13.8/8.13.8) with SMTP id l5O12XI9071861 for <ultrasound@obgyn.net>; Sat, 23 Jun 2007 17:02:35 -0800 (AKDT) (envelope-from jworrall@alaska.net) Message-ID: <003301c7b5fb$590f6b70$6601a8c0@NEW> From: jworrall@alaska.net To: <ultrasound@obgyn.net> References: <D1245FBD84EB534FA9B74ED683CF7966449314@MAIL2.ad.uams.edu> Subject: Re: disinfecting vaginal probes Date: Sat, 23 Jun 2007 17:02:33 -0800 MIME-Version: 1.0 Content-Type: multipart/alternative; boundary="----=_NextPart_000_0030_01C7B5B8.4ABA1EF0" X-Priority: 3 X-MSMail-Priority: Normal X-Mailer: Microsoft Outlook Express 6.00.2900.3138 X-MIMEOLE: Produced By Microsoft MimeOLE V6.00.2900.3138 X-ACS-Spam-Status: no X-ACS-Spam-Score: 0.291 () X-ACS-Spam-Tests: HTML_60_70,HTML_MESSAGE, X-ACS-Scanned-By: MD 2.57; SA 3.1.6; spamdefang 1.120 I soak the TV probe in gluteraldehyde for twenty minutes because that is what the ATL/Philips manual says to do. If you do not soak your transvaginal transducer, or if you do soak and do not keep meticulous records so you can prove that the probe was soaked prior to using it in Suzie, you are setting yourself up. Two weeks after you have done a transvaginal scan on Suzie she claims she got gonorrhea or chlamydia from your examination. Her word against yours. How are you going to prove that the infection did not come from the probe? It is well known that condoms and plastic sheaths are not enough, although they do help. Are you going to be able to prove that the condom or sheath did not have a hole in it? You are not misguided in my opinion, and to protect yourself you better get those docs to put in writing just what their policy is regarding disinfection of the transvaginal probe. And if you do not think their policy is correct, you should write a letter to them saying so, and keep a copy for yourself. Yes, you might get fired. I have heard that there was a case just like this in Anchorage. There are clever and predatory patients who are looking for the opportunity to become millionaires. Allen Joseph A Worrall MD RDMS OB/GYN Ultrasound at the Fairbanks Clinic Fairbanks, AK 99701 http://www.obgynsono.com
> ----- Original Message ----- You probably should check your user's manual for the sonographic instrument. The time of the soak also varies with the disinfecting agent used; the label should say something about this. This has been discussed (debated?) here in years past. Some have said that washing with soap and water, then using a condom or other cover is adequate. The example given was by a gynecologist said that he did not soak his hands in Cydex or boiling oil before performing a bimanual pelvic exam; he just washes and wears gloves. You can start with this message: http://forums.obgyn.net/ob-gyn-l/OBGYNL.9707/0497.html Also do searches (bottom of the forum page) on "transducers" and you will find many more messages. Good luck, Terry Terry J. DuBose, M.S., RDMS, FSDMS, FAIUM Associate Professor & Director Diagnostic Medical Sonography Program University of Arkansas for Medical Sciences, CHRP 4301 West Markham St. Mail Slot #563 Little Rock, Arkansas, 72205 USA 501-686-6510 or 501-686-5948 DuBoseTerryJ@UAMS.edu http://www.uams.edu/chrp/sonography/ http://www.obgyn.net/us/panel/panel.htm http://www.io.com/~dubose/ ---------------------------------------------------------------
--------------------------------------------------------------- -------------------------------------------------------------------------= --------------------------------------------------------------- ----- From: Diane Cressy [mailto:dcressy@gmail.com] Sent: Friday, June 22, 2007 5:36 PM To: Ultrasound@OBGYN.net; DuBose, Terry Subject: disinfecting vaginal probes Are there any standards for disinfection of vaginal probes? I have always worked in hospital based facilities and it was always standard to soak the probes in cidex for a minimum of 20 mins. The last facility I worked at was an OP clinic (offsite for hospital in San Francisco) and they were soaking the probes for 45 mins. I am now working in an OB-Gyn office for the first time and am being asked to do mutiple vaginal exams in succesion with virtually no soak time. One of the docs asked me if there were standards for it because the office he came from did not even soak. They simply used an antibacterial wipe between cases (and a condom of course.) I had always thought it was a standard to soak for 20 mins. Am I misguided??? Thanks. Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message.
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