Course Access
Certainly Glenys
Here they are
Gurses AP, Siedi K, Vaidya V, Bochicchio G, Harris A, Hebden J, and Xiao Y
(2008) Systems ambiguity and guidance compliance: a qualitative study of
how intensive care units follow evidence based guidelines to reduce
healthcare-associated infections. *Quality and Safety in Healthcare *2008. *
17*:351-359.
Morton A, Cook D, Mengersen K, and Waterhouse M (2010) Limiting risk of
hospital adverse events: avoiding train wrecks is more important than
counting and reporting them. *Journal of Hospital Infection.* Volume
*76,*Issue 4 283-286
Kind regards
*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 12 January 2014 23:04, Glenys Harrington wrote:
> Hi Jackie,
>
>
>
> Is it possible for you to y include the full references details with your
> comments?
>
>
>
> Regards
>
>
>
> Glenys
>
>
>
> *Glenys Harrington*
>
> *Consultant*
>
> *Infection Control Consultancy (ICC)*
>
>
>
> *PO Box 5202*
>
> *Middle Park*
>
> *Victoria, 3206*
>
> *Australia*
>
> *H: +61 3 96902216 *
>
> *M: +61 404 816 434 *
>
> *infexion@ozemail.com.au *
>
> *ABN 47533508426*
>
>
>
> *[image: Description: ICC Diagram ICCversion]*
>
>
>
>
>
>
>
> *From:* ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] *On
> Behalf Of *Jackie Miley
> *Sent:* Thursday, 9 January 2014 2:46 PM
> *To:* AICALIST@AICALIST.ORG.AU
> *Subject:* Re: [ACIPC_Infexion_Connexion] Single Use vs Reusable Pt
> Equipment
>
>
>
> 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 Joe-Anne.Bendall@sesiahs.health.nsw.gov.au> 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<tel:%2B61%20428%20154%20154 >
> http://www.infectioncontrolplus.com.au
> https://www.facebook.com/infectioncontrolplus> http://www.infectioncontrolplus.com.au/>
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