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Is The Time Coming That All Ultrasound Transducers Be HLD ed?, page-23

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    Ensuring the Safety of Patients and Staff During the Management of COVID-19

    The high transmissibility of SARS-CoV-2 means infection control practices are essential for preventing hospital acquired COVID-19. During patient care, ultrasound probes may become contaminated with SARS-CoV-2. Generally speaking, the Spaulding classification would be applied to determine the level of disinfection required based on the next use (Table 1).5,6 During the COVID-19 outbreak, facilities may decide to perform a higher level of disinfection than that required by Spaulding (Table 1). Recent guidelines have suggested some settings could perform more frequent HLD of ultrasound equipment.7,8 This includes ICUs since the patient population is typically immunocompromised and more predisposed to infection.7

    HLD: high level disinfection. LLD: low level disinfection. %Minimum disinfection level is based on the Spaulding classification.5,6 *Patients presenting to emergency departments may have unexpected lesions or dermatitis around the scanning area which would render the probe semi-critical, requiring HLD before use. #While not mandated by the Spaulding classification, facilities may decide to use a higher level of reprocessing for a greater margin of safety. ^Sterilisation is required for critical probes; HLD with use of a sterile sheath is acceptable if sterilisation is not possible.6

 
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