Question: How does your Clinic handle Goldmann Tonometry Tips? Please select from the below options:

  1.  We use standard Goldmann Tonometry Tips in our clinic,  we process them within the clinic following the manufacturer’s instructions.
  2. We use standard Goldmann  Tonometry Tips in our clinic,  we place the used tips into a biohazard type container within individual rooms and another service (nursing or central processing) collects the tips once daily and processes them elsewhere. [multiple used tips remain in the biohazard container until the tips are picked up]
  3. We use standard Goldmann  Tonometry Tips in our clinic,  we are directed to stop care and remove the single tip to another area within the eye clinic; another service (nursing or central processing) collects the tips and processes them elsewhere.
  4. We continue to use standard Goldmann Tonometry Tips – purchasing a new one ($115 each) for each patient we see
  5. We have stopped using all Goldmann Tonometry Tips in our clinic – we now use only disposables (iCare; tonometer etc)
  6. OTHER – EXPLAIN

WHEN YOU RESPOND – include a comment of how many patients are seen in your ENTIRE clinic each day (INCLUDING OPTOMETRY AND OPHTHALMOLOGY]

        1. Less than 30 patients
        2. 30 – 50 patients
        3. 51 – 70 patients
        4. 71 – 90 patients
        5. 91 – 110 patients
        6. More than 110

Answers: 29 Responses – The majority of responses were from option 5 above

Here are the results of the query:

  1. No one is processing tips within their own clinic.
  2. Basically disposable seems to be the general response

Different places are using Tonopens; iCare; Goldmann tonosafe etc.

  • However many places do continue  to use standard Goldmann tips either collecting them within the examination room  until a pick-up by the processing folks – or requiring each to be collected and removed before the next patient.

 

1 2 3 4 5 6
<30 1 1
30-50 1 1
51-70 1 4
71-90 1 1 3
91-110 1 2
>110 4 1 7

Comments:

  • “Rooms often have a ‘sharps’ containers – in these containers we allow ‘contaminated’ needles to remain in the room while examining other patients” – [i.e. We don’t remove the entire sharps box when a single needle goes into it – but we are told that a gonio prism must be taken out of the room to be processed before the next patient is examined]
  • At first they banned the Goldmann tips completely and administration came and threw all of them away stating that we could utilize disposable tips.  We did convince them that some of our more challenging and end stage glaucoma patients would be better served by utilizing Goldmann tips as they are standard of care and the tonosafe tips have their challenges.  So now we have a designated number of Goldmann tips that we are only supposed to use as infrequently as possible and they get placed in biohazard bag and sent to SPS.
  • We also are not supposed to keep any of the tips (or any other tools, i.e. tweezers, spuds, etcetera) in our exam rooms anymore because they are not considered temperature controlled rooms
  • Really missing the days of cleaning with alcohol swabs.  On the up side, I am getting more exercise walking down the hall to go get things…
  • Most of the time Tonosafes (disposables).  Sometimes regular tips processed by SPS after we put them in a sealed plastic bag and place them in the “dirty box” which SPS picks up and processes
  • We use disposable (Tonosafe) prisms only
  • Our SPS likes to clean things to the point of destroying them (that’s why we have disposable gonio lenses also)
  • We use Icare and tonosafe, but we have about a dozen reusable Goldmann tips for the patients with narrow appertures or high IOP
  • We were the last holdout in our VISN.  Everyone else went to the disposable tips almost 10 years ago, but I thought it was an incredible waste of money.  Then SPS National came in 2-3 years ago and told us we had to go over to disposables. We also went over to disposable gonio lenses at the same time.
  • We use a combination of B&E.   Goldmann tips for patients we are following for glaucoma or suspects. Those are placed in a biohazard bin in each room & brought to our “dirty” utility room at the end of the morning & end of the afternoon (we’re off site), they are picked up and brought to SPS for sterilization nightly.   We use disposable tips for Goldmann on all other patients
  • We use standard Goldmann  Tonometry Tips in our clinic,  we place the used tips into a biohazard type container within individual rooms and another service (nursing or central processing) collects the tips once daily and processes them elsewhere. [multiple used tips remain in the biohazard container until the tips are picked up]
  • We reserve the standard tonometer tips for glaucoma patients, since the processing is so hard on the tips.
  • We use disposables on the non glaucoma patients.
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