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Dear All
An interesting and useful dialogue. From my recent experience in the UK,
financial penalties certainly focus the executive mind on outcomes.
The Gurses et al paper has some interesting and informative perspectives to
offer our “industry”!
Shifting approaches without financial penalties appears to be problematic,
though targets can lead to ‘train wrecks’ (Morton et al 2010) and there are
lots of these.
Reuse of single use items must surely be one of our more difficult battles
Cheers
Jackie Miley
Project Coordinator Infection Prevention
Infection Prevention and Epidemiology
*The Alfred*
55 Commercial Road
Melbourne VIC 3004
PO Box 315 Prahran
VIC 3181 Australia
Melbourne 3000 Australia
*Jackie *
*Jackie Miley* MSc, PG Cert Public Health, Cert Infection Control,
Dip Rn. Practice Educator
*Senior Lecturer* Infection Prevention and Control
*Subject Coordinator *MSc Infection Prevention and Control
Oxford Brookes University
Faculty of Health and Life Sciences
Room S1/12
Department of Biological and Medical Sciences
Gipsy Lane Campus
Headington
Oxford OX3 0BP
jmiley@brookes.ac.uk
*Coordinator – Audit and Surveillance Forum. Infection Prevention Society
UK*
*Have you seen?*
Publication of the IPS audit and surveillance competences
Jane McNeish, Catharine Pym, Sandra Beaumont, Jackie Miley
Journal of Infection Prevention July 2013 14: 122-124, first published on May
14, 2013 doi:10.1177/1757177413486736
On 9 January 2014 11:26, Joe-Anne Bendall wrote:
> Hi Cath
> Great debate to start the New Year
> I think each hospital has different risks. For example, here we can
> allocate MRO pts their own BP machine, tourniquet etc. The equipment is
> cleaned when the patient is discharged as part of the terminal cleaning
> process. With the focus on the health $, I am not sure we could sustain the
> costs associated with the costs for purchase, storage and disposal of
> single use items.
>
> We are currently developing a local health district policy for the
> cleaning of shared patient care equipment. This should help with reducing
> the risks of sharing equipment.
>
>
> Thanks
>
> Joe-Anne Bendall
>
> (Monday/Thursday/Friday)
> Joe-anne Bendall | Clinical Nurse Consultant Infection Prevention and
> Control
> Sydney Hospital and Sydney Eye Hospital
> 8 Macquarie St
> SYDNEY NSW 2000
> || ph +61 2 9382 7199 |page 22070 via switch 9382 7111| ( Fax 93827510
> |(
> Mobile 0418984255 | | Joe-anne.Bendall@SESIAHS.HEALTH.NSW.GOV.AU
>
>
>
> —–Original Message—–
> From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On
> Behalf Of Cath Murphy
> Sent: Thursday, 9 January 2014 11:05 AM
> To: AICALIST@AICALIST.ORG.AU
> Subject: Re: Single Use vs Reusable Pt Equipment
>
> Thanks Irene and Terrie
> Whilst I appreciate Terrie’s position coming from his role with a provider
> of reusable waste equipment my question was more specifically about
> equipment used on patients for clinical care so things like BP cuffs, ECG
> leads and tourniquets. The various responses are interesting and please
> keep them coming as debate and expression are good for us as is an
> appreciation for the past (and yes I qualify and feel “oldie” as well 🙂
> Cheers Cath
>
> Regards
> Cath
>
> Dr Cathryn Murphy RN MPH PhD CIC
> Executive Director
> Infection Control Plus Pty Ltd
>
> Adjunct Professor
> Griffith University, School of Nursing and Midwifery
> Ph: +61 428 154 154
> http://www.infectioncontrolplus.com.au
>
>
>
>
> —–Original Message—–
> From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On
> Behalf Of Wilkinson, Irene (Health)
> Sent: Thursday, 9 January 2014 9:24 AM
> To: AICALIST@AICALIST.ORG.AU
> Subject: Re: Single Use vs Reusable Pt Equipment
>
> Hi all,
> as a fellow “oldie” I agree with Terry’s assessment of the trends over the
> years. I also support the final point about the issues involved in the
> decision making process. What has always puzzled me is how to accurately
> measure the environmental impact of either disposable or re-usable items?
>
>
> Irene Wilkinson
> Manager, Infection Control Service,
> Communicable Disease Control Branch
> SA Health
> 11 Hindmarsh Square,
> Adelaide SA 5000
> Ph: 08 7425 7170
> ________________________________________
> From: ACIPC Infexion Connexion [AICALIST@AICALIST.ORG.AU] On Behalf Of
> Terry Grimmond [tg@GANDASSOC.COM]
> Sent: 08 January 2014 13:03
> To: AICALIST@AICALIST.ORG.AU
> Subject: Re: Single Use vs Reusable Pt Equipment
>
> Hi Cath,
> I had not heard of a movement back to single use items so I will be
> interested to hear members’ responses on this topic. For oldies like me it
> has been interesting to see the disposable/reusable “cycle” over the
> decades.
>
> * in the 60’s we reused needles, glass syringes, gowns, etc, to
> reduce procurement costs;
>
> * in the 70’s the cost of labour to process reusables (and modern
> technology enabling economic production of disposables) moved us to
> disposables;
>
> * In the 80’s and 90’s waste disposal costs together with
> environmental impact of disposables, caused many to move to reusables again;
>
> * Now with staff shortages, in-house processing of reusables is
> being re-examined (NB. processing by external contractors can still be
> economical, e.g. reprocessing single-use medical devices saves USA
> hospitals $300m annually.
> As you point out, there have been relatively few evidence-based articles
> implicating disease transmission with either protocol.
> The decision to use disposables or reusables must be evidence-based
> encompassing patient and staff safety, labour costs, procurement costs, and
> environmental impact. I look forward to members’ comments
>
> Best regards, Terry
>
> Terry Grimmond FASM, BAgrSc, GrDpAdEd
> Consultant Microbiologist
> Grimmond and Associates
> Ph/Fx (NZ): +64 7 856 4042
> Mob (NZ): +64 274 365 140
> E: tg@gandassoc.com
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> From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On
> Behalf Of Cath Murphy
> Sent: Wednesday, January 08, 2014 12:53 PM
> To: AICALIST@AICALIST.ORG.AU
> Subject: Single Use vs Reusable Pt Equipment
>
> Happy new year all
>
> As you may know there’s a subtle movement in Australia towards more
> widespread adoption of single-use items such as venepuncture tourniquets,
> lower limb surgical tourniquets, BP cuffs and ECG leads. Tom Gottlieb
> recently did some elegant research on venepuncture tourniquets and AT ACIPC
> 2013 Karen Vickery presented new perspectives on biofilm on reusable
> equipment. Single-use items have been adopted widely in the US for some
> years and recommendations to that effect are included in many Standards
> published by relevant professional associations eg AORN.
>
> Whilst appreciating that demonstrating causality between reusable
> equipment and transmission of colonising organisms or infection is
> difficult either is biologically plausible. There are also issues of
> non-cleaning, lack of clarity about who’s role it actually is to clean
> reusable equipment, how frequently they need to be cleaned or reprocessed
> etc. These issues have plagued us for at least 3 decades that I know of and
> likely longer. I’m wondering what others in Australia and beyond think
> about single-use pt care items
>
> So my questions are:
>
> 1. Has any ACIPC colleague successfully built a business case to
> convert their facility to single-use pt equipment? If so who was involved
> in that process?;
>
> 2. Which pieces of pt equipment do folks think are most in need of
> single-use alternative options?;
>
> 3. Other than price, storage, supply and environmental/waste issues
> and lack of detailed science what other factors would need to be addressed
> to help convince you or your organisation’s decision makers to invest in
> specific single-use equipment?.
>
> I’d be grateful for any discussion here or as PMs on the email address
> below. If anyone is interested in my further work around this issue please
> email me.
>
> Regards
> Cath
>
> Dr Cathryn Murphy RN MPH PhD CIC
> Executive Director
> Infection Control Plus Pty Ltd
> Cath@infectioncontrolplus.com.au
>
> Adjunct Professor
> Griffith University, School of Nursing and Midwifery
> Ph: +61 428 154 154
> http://www.infectioncontrolplus.com.au
> https://www.facebook.com/infectioncontrolplus> http://www.infectioncontrolplus.com.au/>
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