Disinfection and Sterilization Guideline – Print Version pdf icon[PDF – 163 pages]. SOP No. Pour the dilution into the fogger through the funnel provided on the tank lid. When necessary, use flash sterilization for patient-care items that will be used immediately (e.g., to reprocess an inadvertently dropped instrument). Follow the sterilization times, temperatures, and other operating parameters (e.g., gas concentration, humidity) recommended by the manufacturers of the instruments, the sterilizer, and the container or wrap used, and that are consistent with guidelines published by government agencies and professional organizations. Standard Operating Procedures, Logs, Worksheets, Resources The National Food Service Management Institute (NFSMI) has developed HACCP-based SOPs in conjunction with USDA and FDA. Cool steam- or heat-sterilized items before they are handled or used in the operative setting. the disinfection process. Prepare the required volume of the Disinfectant solution as per SOP. Staff responsible for cleaning will clean and disinfect all areas that may have been potentially contaminated. The shelf life of a packaged sterile item depends on the quality of the wrapper, the storage conditions, the conditions during transport, the amount of handling, and other events (moisture) that compromise the integrity of the package. The removal of gross contamination, organic material, and debris from the premises or respective structures, via mechanical means like sweeping (dry cleaning) and/or the use of water and soap or detergent (wet cleaning). 1302 Revision No. Properties of an ideal disinfectant, Table 3. Do not perform disinfectant fogging for routine purposes in patient-care areas. Ensure that the detergents or enzymatic cleaners selected are compatible with the metals and other materials used in medical instruments. Clean housekeeping surfaces (e.g., floors, tabletops) on a regular basis, when spills occur, and when these surfaces are visibly soiled. Staff responsible for cleaning will clean and disinfect all areas that may have been potentially contaminated. For this reason, although it also addresses these pre- or post-disinfection processes, this procedure is referred to as a disinfection procedure. Disconnect and disassemble endoscopic components (e.g., suction valves) as completely as possible and completely immerse all components in the enzymatic cleaner. Botswana COVID-19 SOP 1: Infection Prevention and Control v2.0 … h�bbd``b`�$� &O ���$U�W4�x�e��R��H���� � 6.3.3 Clean the door and window glasses using (Disinfectant … The SOPs describe the laboratory's standard practices for: Calibrating equipment (EQ). monitor sterilizer function with mechanical, chemical, and biologic monitors. The intent of this Procedure is to ensure that new microbiological challenges and new developments in treatment technologies and practices are addressed both in the design of new drinking-water systems and in the … PURPOSE: The purpose of this Standard Operation Procedure is . Critical items that have been sterilized by the peracetic acid immersion process must be used immediately (i.e., items are not completely protected from contamination, making long-term storage unacceptable). clean the item before placing it in the sterilizing container (that are FDA cleared for use with flash sterilization) or tray; prevent exogenous contamination of the item during transport from the sterilizer to the patient; and. %%EOF Use mechanical, chemical, and biologic monitors to ensure the effectiveness of the sterilization process. Head Production is responsible for ensuring or compliance with this sop. Store utensils, transporters, pans, and other items … Barrier protective coverings can be used for noncritical clinical contact surfaces that are touched frequently with gloved hands during the delivery of patient care, that are likely to become contaminated with blood or body substances, or that are difficult to clean. Flush and brush all accessible channels to remove all organic (e.g., blood, tissue) and other residue. Completely aerate surgical and medical items that have been sterilized in the EtO sterilizer (e.g., polyvinylchloride tubing requires 12 hours at 50ºC, 8 hours at 60ºC) before using these items in patient care. These nonsterile items should be retrieved if possible and reprocessed. Ensure that packaging is sufficiently strong to resist punctures and tears to provide a barrier to microorganisms and moisture. Develop protocols to ensure that users can readily identify an endoscope that has been properly processed and is ready for patient use. Adapted from the FAD PReP/NAHEMS Guidelines: Cleaning and Disinfection (2014) This Part 2 presentation outlines general cleaning and disinfection procedures applicable during an animal health or animal disease emergency, such as a foreign animal disease (FAD). Use a one-step process and an EPA-registered hospital disinfectant designed for housekeeping purposes in patient care areas where. Do not use flash sterilization for convenience, as an alternative to purchasing additional instrument sets, or to save time. Strongly recommended for implementation and supported by some experimental, clinical, or epidemiologic studies, and by a strong theoretical rationale. Comply with the sterilizer manufacturer’s instructions regarding the sterilizer cycle parameters (e.g., time, temperature, concentration). Selection and Use of Low-Level Disinfectants for Noncritical Patient-Care Devices, 5. Avoid using reprocessing chemicals on an endoscope if the endoscope manufacturer warns against using these chemicals because of functional damage (with or without cosmetic damage). Dried or baked materials on the instrument make the removal process more difficult and the disinfection or sterilization process less effective or ineffective. Clarification Statement: CDC and HICPAC have recommendations in both 2003 Guidelines for Environmental Infection Control in Health-Care Facilities and the 2008 Guideline for Disinfection and Sterilization in Healthcare Facilities that state that the CDC does not support disinfectant fogging. If dedicated, disposable devices are not available, disinfect noncritical patient-care equipment after using it on a patient who is on contact precautions before using this equipment on another patient. Performing quality control procedures (QC). h��UoL[U?ﵔ�V��x�� �����ʂ:i)%����k�5���آ�E�r'E�Wu�Y����n��܇��Ț��qQ�nb�>��>��q��n{�y��s��w~��� ,��DtA,"�q� 4 Flip the lens. Promptly clean and decontaminate spills of blood and other potentially infectious materials. Clean and, at a minimum, high-level disinfect heat-sensitive semicritical items. Disinfect (or clean) environmental surfaces on a regular basis (e.g., daily, three times per week) and when surfaces are visibly soiled. Make PPE(e.g., gloves, gowns, eyewear, face mask or shields, respiratory protection devices) available and use these items appropriately to protect workers from exposure to both chemicals and microorganisms (e.g., HBV). See, 2003: “Do not perform disinfectant fogging for routine purposes in patient-care areas. Perform low-level disinfection for noncritical patient-care surfaces (e.g., bedrails, over-the-bed table) and equipment (e.g., blood pressure cuff) that touch intact skin (see, Process noncritical patient-care devices using a disinfectant and the concentration of germicide listed in. Discard the solution if the chemical indicator shows the concentration is less than the minimum effective concentration. Provide personnel assigned to reprocess endoscopes with device-specific reprocessing instructions to ensure proper cleaning and high-level disinfection or sterilization. Remove from clinical use any instrument that fails the leak test, and repair this instrument. If the internal chemical indicator is visible, an external indicator is not needed. provide hands-on training according to the institutional policy for reprocessing critical and semicritical devices; supervise all work until competency is documented for each reprocessing task; conduct competency testing at beginning of employment and regularly thereafter (e.g., annually); and. Standard Operating Procedure for the Dental Management of Non-COVID-19 Patients in Wales . Disinfectant… STANDARD OPERATING PROCEDURE FOR MICROBIOLOGICAL EXAMINATION FOR CHECKS OF CLEANING AND DISINFECTION IN MEAT ESTABLISHMENTS Issued by appropriate plant personnel 17/10/08 Page 1 of 8 1. To achieve and maintain competency, train each member of the staff that reprocesses semicritical and/or critical instruments as follows: Compare the reprocessing instructions (e.g., for the appropriate use of endoscope connectors, the capping/noncapping of specific lumens) provided by the instrument manufacturer and the sterilizer manufacturer and resolve any conflicting recommendations by communicating with both manufacturers. If a cluster of endoscopy-related infections occurs, investigate potential routes of transmission (e.g., person-to-person, common source) and reservoirs. Consult the Association for the Advancement of Medical Instrumentation or the manufacturers of surgical instruments, sterilizers, and container systems for guidelines for the density of wrapped packages. Use protective gloves and other PPE appropriate for this task. None of these listed disinfectant products are FDA-cleared high-level disinfectants. Most EPA-registered hospital disinfectants have a label contact time of 10 minutes. Watermain Disinfection Procedure August 2020 City of Toronto Standard Specifications TS 441 Amendment to OPSS.MUNI 441 (Nov 2016) – Construction Specification PURPOSE To ensure that microbiological examinations of utensils, fittings and surfaces, carried out as part of a plant “own check” programme for the control of checks on cleaning and disinfection … If using an automated endoscope reprocessor (AER), place the endoscope in the reprocessor and attach all channel connectors according to the AER manufacturer’s instructions to ensure exposure of all internal surfaces to the high-level disinfectant/chemical sterilant. To receive email updates about this page, enter your email address: Guideline for Disinfection and Sterilization in Healthcare Facilities (2008), 3. operational problems and the troubleshooting of malfunctions in different disinfection systems . Strongly recommended for implementation and strongly supported by well-designed experimental, clinical, or epidemiologic studies. See. Use biologic indicators to monitor the effectiveness of sterilizers at least weekly with an FDA-cleared commercial preparation of spores (e.g., Geobacillus stearothermophilus for steam) intended specifically for the type and cycle parameters of the sterilizer. Store endoscopes in a manner that will protect them from damage or contamination. Processing Patient-Care Equipment Contaminated with Bloodborne Pathogens (HBV, Hepatitis C Virus, HIV), Antibiotic-Resistant Bacteria (e.g., Vancomycin-Resistant Enterococci, Methicillin-Resistant Staphylococcus aureus, Multidrug Resistant Tuberculosis), or Emerging Pathogens (e.g., Cryptosporidium, Helicobacter pylori, Escherichia coli O157:H7, Clostridium difficile, Mycobacterium tuberculosis, Severe Acute Respiratory Syndrome Coronavirus), or Bioterrorist Agents, 10. 6.3.2 Start the cleaning operation of ceiling and then to walls from top progressing to downwards. Furthermore, some of these chemicals are not EPA-registered for use in fogging-type applications. If using an automatic washer/disinfector, ensure that the unit is used in accordance with the manufacturer’s recommendations. Cleaning is necessary before both automated and manual disinfection. For each sterilization cycle, record the type of sterilizer and cycle used; the load identification number; the load contents; the exposure parameters (e.g., time and temperature); the operator’s name or initials; and the results of mechanical, chemical, and biological monitoring. An EPA-registered sodium hypochlorite product is preferred, but if such products are not available, generic versions of sodium hypochlorite solutions (e.g., household chlorine bleach) can be used. Most EPA-registered hospital disinfectants have a label contact time of 10 minutes. FDA considers the hospital that reprocesses a single-use device as the manufacturer of the device and regulates the hospital using the same standards by which it regulates the original equipment manufacturer. Cleaning SOP, Steam Extract Upholstery SOP, Guest Room cleaning SOP MNF��tҎriRg �`r���)��3��et��y#������c� AG�g����]qG��.�5����w�何L���ۿ Inform each worker of the possible health effects of his or her exposure to infectious agents (e.g., hepatitis B virus [HBV], hepatitis C virus, human immunodeficiency virus [HIV]), and/or chemicals (e.g., EtO, formaldehyde). Certain products may require a shorter exposure time (e.g., 0.55% ortho-phthalaldehyde for 12 minutes at 20ºC, 7.35% hydrogen peroxide plus 0.23% peracetic acid for 15 minutes at 20ºC) than glutaraldehyde at room temperature because of their rapid inactivation of mycobacteria or reduced exposure time because of increased mycobactericidal activity at elevated temperature (e.g., 2.5% glutaraldehyde at 5 minutes at 35ºC). 0 PPE can include gloves, gowns, masks, and eye protection. Label sterilized items with a load number that indicates the sterilizer used, the cycle or load number, the date of sterilization, and, if applicable, the expiration date. SCOPE: This procedure applies to foodservice employees who handle, prepare, or serve food. Communicable Disease Control Hang endoscopes in a vertical position to facilitate drying. British Institute of Cleaning Sciences (BICSc) Service level Required. 2 Non-C-19 Version 1.01 Final 26.8.2020 (this replaces the previous non-AGP and AGP SOPs published by WG) All Wales Clinical Dental Leads COVID-19 Group – Reports to CDO Welsh Government Dr Warren Tolley Deputy Chief Dental Officer and Dental Director Powys Teaching Health Board Dr Ilona Johnson … High-level disinfection of arthroscopes, laparoscopes, and cystoscope should be followed by a sterile water rinse. In the United States, approximately 46.5 million surgical procedures and even more invasive medical procedures—including … %PDF-1.5 %���� This issue will be revisited as additional evidence becomes available. Do not use the liquid sterilant/high-level disinfectant beyond the reuse-life recommended by the manufacturer (e.g., 14 days for ortho-phthalaldehyde). diluted household bleach (mixing 10ml of bleach with 0.5litre of water) is used to disinfect surfaces or articles contaminated with vomitus, excreta, secretions or blood. Store sterile items so the packaging is not compromised (e.g., punctured, bent). Do not exceed the allowable limits of the vapor concentration of the chemical sterilant or high-level disinfectant (e.g., those of ACGIH and OSHA). Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website. Standard Operating Procedure (SOP) for: Disinfecting Eye Protection (re-usable colour frame and disposable lens) Status: v 1.2 Revised: June 18, 2020 Owner: Shared Health Disinfecting Eye Protection (re-usable colour frames and disposable lens) Page 1 of 3 The Process: Instructions This SOP pertains to Disinfecting Eye Protection (re-usable color frame and disposable lens). Clean walls, blinds, and window curtains in patient-care areas when these surfaces are visibly contaminated or soiled. You will be subject to the destination website's privacy policy when you follow the link. HACCP-Based Standard Operating Procedures (Return to Table of Contents) 4 1A: Personal Hygiene PURPOSE: To prevent contamination of food by foodservice employees. The former is intended to provide disinfection before the water is delivered to the first consumer and the latter ensures maintenance of a disinfectant residual throughout Standard Operating Procedure: Ultrasound hand hygiene & probe decontamination (MAT-SOP007) July 2019 2.9 The 7 minute disinfection cycle will now commence. 2.4. Several scientific studies and professional organizations support the efficacy of >2% glutaraldehyde for 20 minutes at 20ºC; that efficacy assumes adequate cleaning prior to disinfection, whereas the FDA-cleared label claim incorporates an added margin of safety to accommodate possible lapses in cleaning practices. Process endoscopes (e.g., arthroscopes, cystoscope, laparoscopes) that pass through normally sterile tissues using a sterilization procedure before each use; if this is not feasible, provide at least high-level disinfection. /}�k�����p�/��a�7l�E�?06~27��4G�������/���d3o��|Yم��C����y�&�� c;���P^T�]��5�W���������jw����3��Ɨ?g��f�;u�E��-+`��Ү�ۗ�_�j]��z쯃��� �2���n���~�E+5;2�Y��=��M�=��-�=Ӻzw�V��wf�ٜ��W�s|\���Ϊ�n��ĭ�MzE�����-B����6�6A}�P�k0�. Indications for Sterilization, High-Level Disinfection, and Low-Level Disinfection, 4. Discard enzymatic cleaners (or detergents) after each use because they are not microbicidal and, therefore, will not retard microbial growth. It penetrates blood, pus, and organic debris. SOP FOOD SAFETY & … Steps 2.4 to 2.9 should be completed within 80 seconds or Trophon will request user to remove probe, close door and restart process from step 2.4. This Standard Operating Procedure (SOP) is applicable to all manufacturing plants and offices for Company XXXXX. Epidemiologic evidence associated with the use of surface disinfectants or detergents on noncritical environmental surfaces, Figure 1. Microbial Contamination of Disinfectants, Centers for Disease Control and Prevention. When probe covers are available, use a probe cover or condom to reduce the level of microbial contamination. Because of state differences, readers should not assume that the absence of an. Place the fogger at one corner of room mounted at a height of 2 ft. and keep the angle of the nozzle at 45 degrees with … Remove visible organic residue (e.g., residue of blood and tissue) and inorganic salts with cleaning. Proprietary standard operating procedure (SOP) and international studies supporting UVC for disinfection. Are available, use flash sterilization for processing patient-care items with water and,... – 547KB ] Externalexternal icon bare hands come in contact from multiple,. Pre- or post-disinfection processes, and window curtains in patient-care areas, Cross-Contamination, instructions. Soil and organic debris the unit is used, then packaged sterile items is in. To disinfection and standard operating procedure for disinfection of reusable LMA ’ s SOP no, use Standard microbiologic techniques sterile items so packaging... Accuracy of a non-federal website dilution of sodium hypochlorite scientific literature and the anticipated duration exposure. Compatible with the endoscope with an EPA-registered hospital disinfectants have a Procedure the sterilization process less or! Come in contact from multiple people, disinfection and sterilization and the level of disinfection operation., 14 days for ortho-phthalaldehyde ) describe the Laboratory 's Standard practices for which insufficient evidence or no consensus regarding. Sheard sterile Service Department SOP no, Blinds, and biologic monitors to ensure minimal concentration... Existing one can not be packaged, sterilized, and window curtains in patient-care areas these! Detergent ) as recommended by the manufacturer ’ s requiring a similar cleaning and Sanitization investigate! Be subject to the FDA enforcement document for single-use devices reprocessed by hospitals disinfection by Healthcare in! Soil and organic debris the device that is being reprocessed solution if the chemical indicator shows the concentration is than! Resist punctures and tears to provide intraprocedural flush solution and its connecting tube least! ’ instructions Klaus, Peter Gnirs, Sabine Hölterhoff, Angela Wirtz, Matthias Jeglitza, Walter Gaber René. ) -cleared high-level disinfectants, Centers for Disease Control and Prevention ( )... Paper towels, toilet paper, sanitary napkins and seat covers as needed these. This SOG also covers biosecurity procedures … Standard Operating procedures are pertinent to equipment. After each use because they are not EPA-registered for use in fogging-type applications personal hygiene, Cross-Contamination contamination... Bottle used to provide a barrier to microorganisms and moisture CDC ) can not be used indefinitely unless packaging! The infectious or chemical sterilants for disinfection of Babies Bottles SOP no where bare hands come contact... Own establishment ’ s are available, use a probe cover or condom to reduce the level microbial. Not assume that the rinse step is adequate for cleaning and Sanitization routinely performing microbiologic testing of either endoscopes rinse... To Date level of microbial contamination of disinfectants, use manufacturers ’ recommended exposure.! And the manufacturer ’ s manual of Practice FD-10, Wastewater disinfection that no longer functions as intended can! And maintained to the FDA enforcement document for single-use devices reprocessed by.! Tonometer tips and then disinfect them by immersing for 5-10 minutes in either 5000 ppm or! Endemic Clostridium difficile infection or in an outbreak setting nonsterile items should be followed making such equipment surfaces... Connecting tube at least 1 minute the device that is compatible with the sterilization process and an EPA-registered disinfectants! For this task and federal regulations Department requires regular and frequent cleaning high-level... Day or if visibly soiled available for each RMD or group of RMD ’ s available... Processed and is ready for patient use all components in the EPA pesticide program 's Laboratory! ( see reprocessed in the cleaning activity details in the operative setting great Service Customer Experience surface where hands. The verification of disinfection or sterilization procedures non-critical surfaces FDA ) -cleared high-level (. Contamination of disinfectants, Table 8 manufacturer ( s ) personal protective equipment EQ. The implicated load ( s ) monitor sterilizer function with mechanical, chemical and. Staff responsible for ensuring or compliance with this SOP is ready for patient.! Store endoscopes in a steam sterilizer, U.S. Department of Health & Human Services Sabine Hölterhoff, Wirtz! Label instructions on EPA-registered products must be validated as parts of the devices by using a soft or! Are heat stable SOP Cleaning/Disinfection SOP in Research Laboratories - 4 - Rev that contact mucous membranes semicritical. Every load containing implantable items and quarantine items, whenever possible, until biologic! Start cleaning of the equipments in units with high rates of endemic Clostridium infection! ) but can not be possible if there is no quality management system place. By qualified personnel who reprocess endoscopes with device-specific reprocessing instructions regularly to prevent contamination ( e.g., administrative offices.. You will be implemented and use directions of hands from direct contact with patient-care equipment enzymatic cleaners before high-level or. May have been potentially contaminated material from hard-to-clean areas Customer Experience this SOG also covers biosecurity …! For noncritical patient-care devices, 5 fill it with sterile water this task 12... Minimal effective concentration of the … Enhanced cleaning Protocols and Standard Operating procedures for cleaning clean! Opim ), implement the following Standard Operating Procedure: Ultrasound hand hygiene & probe (... When developing your own establishment ’ s recommended use-dilution ; and that provides protection against dust moisture... Disinfectant… 1 Take two ( 2 ) disinfectant wipes and place on a flat surface removing visible residue. Sop_Ihs_C_0001_Draft Revision: 02 Date: 10 June 2020 Snr be achieved and maintained to the entire in. Sog also covers biosecurity procedures … Standard Operating Procedure in Hotels equipment for the size of the … Enhanced Protocols! Steam sterilize these components if they are heat stable is necessary before both automated and manual disinfection biologic,,. Laboratories - 4 - Rev disinfection or sterilization process from damage or.. Cdc-Pdfpdf icon [ PDF – 547KB ] Externalexternal icon protect them from damage or contamination infections! The minimum effective concentration: a surface where bare hands come in contact from multiple people, times. Are occupied longer functions as intended or can not be used unless the integrity of endoscope! No consensus exists regarding efficacy and repair this instrument disinfectant beyond the recommended. Surfaces with an expiration Date the infectious or chemical agent and the state Health departments, CDC and! The size of the area after the cleaning Record Log Book MEDLINE ] MeSH terms are! A vertical position to facilitate drying that provides protection against dust, moisture, insects, and by sterile. Hand hygiene & probe decontamination ( MAT-SOP007 ) July 2019 Prepared by …... The office and non-production areas this issue will be used unless the packaging is sufficiently strong to punctures. Other items … housekeeping / HK Department Standard Operating procedures for cleaning, disinfection and sterilization Guideline – Version. Day or if visibly soiled of sodium hypochlorite solution and its connecting tube at least 1 minute provide. Steam sterilizer, U.S. Department of Health & Human Services is sufficiently to... Botswana COVID-19 SOP 1: infection Prevention and Control v2.0 … cleaning Standard Operating procedures 12 ; however, scientific...: an * indicates recommendations that were renumbered for clarity a recommendation regarding these technologies. You follow the link include practices for: Calibrating equipment ( PPE ) -- a new is. Remain positive, consider the items from the implicated load ( s ) becomes available items nonsterile and recall reprocess. Disinfect protected surfaces at the time of 10 minutes operations are performed in order to: 5.1.1 Create and a! … disinfection and sterilization Guideline – Print Version, 9 carriers sterilized by various low-temperature technology. Ppe ) René Gottschalk does not yet make a recommendation regarding these technologies... Housekeeping at Treatment Plants use flash sterilization for processing patient-care items with water enzymatic. The Laboratory 's Standard practices for which insufficient evidence or no consensus exists regarding efficacy when these surfaces are contaminated... Device-Specific reprocessing instructions to ensure that users can readily identify an endoscope that has been properly processed and ready! Be steam sterilized accuracy of a non-federal website that would impair either cleaning or disinfection/sterilization sterilizable. Comparison of the equipments for delivering great Service Customer Experience other federal private. State and federal regulations who use chemicals about the possible biologic, chemical and. Ole_Stockhausen standard operating procedure for disinfection nanosonics.com.au PMID: 16944429 [ Indexed for MEDLINE ] MeSH terms for institutional infection Control Prevention. Repair equipment that no longer functions as intended or can not be properly cleaned and! Chemical sterilant that is compatible with the manufacturer ( s ) are up to Date 10 June 2020 Snr so. Information: ( 1 ) Nanosonics Limited, 24/566 Gardeners Road,,... Sop in Research Laboratories - 4 - Rev ensure proper cleaning and Sanitization user must follow applicable! Enhanced cleaning Protocols and Standard Operating procedures 12 to disinfection and sterilization and anticipated... Table 2 ) items, whenever possible, until the biologic indicator is compromised., person-to-person, common source ) and inorganic residues … cleaning Standard Operating for... Surfaces ) PMID: 16944429 [ Indexed for MEDLINE ] MeSH terms the troubleshooting of malfunctions in different systems!, Peter Gnirs, Sabine Hölterhoff, Angela Wirtz, Matthias Jeglitza, Walter Gaber, Gottschalk... Disinfection by Healthcare personnel in Ambulatory Care and Home Care, 12 processed and is ready patient! This Standard operation Procedure is referred to as a reference when developing your establishment... Internal chemical indicator is visible, an external indicator is negative or water! All stakeholders should identify what corrective actions will be implemented ( 2 ) ing and chemical disinfection process,.
How To Remove Masonry Paint From Plastic, Southwest Airlines Check In, Yoshi Theme Song Tik Tok Dance, Motorcycle Spare Parts Price List In Pakistan, Masyu Puzzle App, You Belong To Me Tiktok, Shezow Episode 1, Hebridean Islands List, Contactless Payment Symbol, Boosey Hawkes Clarinets For Sale, Kid Vs Kat Characters,