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Hi,
I am in this staff members situation regarding compression sleeves. I also understand the limitations that ensue in the clinical setting. A change of role to non-clinical would be my advice. A tricky scary and emotional time, I empathise with both sides.
Regards,
Lana Trnovsky
Infection Prevention and Control Consultant
Grad Dip Nursing Science – Perioperative
Mount Gambier and Districts Health Service
Ph (08) 8721 1400
M 0434 940 879
From: ACIPC Infexion Connexion On Behalf Of Melissa Ostrouhoff
Sent: Wednesday, 28 September 2022 7:42 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] Lymphoedema sleeves, splints and hand hygiene
Good morning all,
I would concur that any staff member who cannot adequately perform ICP measures cannot meet the basic tenets of their role (specific to their role).
I would advise HR communications as needed.
Kind regards,
Melissa Ostrouhoff
Clinical Governance Manager
Palm Lake Care
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melissao@palmlake.com.au
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0477706665
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Central Support Office, 3 Goodooga Drive, Bethania, QLD
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From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> On Behalf Of Sally Broadhurst
Sent: Tuesday, 27 September 2022 2:47 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] Lymphoedema sleeves, splints and hand hygiene
Hi Michael
I agree with you and this is the advise I have given to staff in the past.
Kind regards
Sally
[Queensland Government]
Sally Broadhurst
CN Infection Control
WBHHS | Queensland Health
Working hours Monday to Wednesday
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4325 6868 (Mon, Weds); 4122 8945 (Tues)
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sally.broadhurst@health.qld.gov.au
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health.qld.gov.au
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P.O. Box 592, Hervey Bay. QLD, 4655
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From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> On Behalf Of Michael Wishart
Sent: Monday, 19 September 2022 2:43 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: [ACIPC_Infexion_Connexion] Lymphoedema sleeves, splints and hand hygiene
This email originated from outside Queensland Health. DO NOT click on any links or open attachments unless you recognise the sender and know the content is safe.
________________________________
Hi all
I wonder how everyone manages healthcare workers who are required to wear lymphoedema sleeves, or braces/splints that cover the wrist and hand? My recommendations for these have always in the past been to advise that any device or garment worm below the wrist means no patient contact tasks can be performed.
That usual recommendation is being challenged currently by staff who are required to wear (long term) lymphoedema sleeves that cover the wrist and part of the hand. I am being told I am discriminating against them.
In the spirit of fairness, I have always been tolerate of garments worn below the elbow when there is a genuine reason to do so, as long as the wrists and hands are uncovered. But I draw the line at garments covering the wrist or below, due to the inability for that staff member to satisfactorily perform hand hygiene.
So, what are the thoughts of the communal infection control mind? Would you allow a lymphoedema sleeve to be worn over the wrist and hand during patient care in an acute setting? Would you limit types of patient contact (eg no open wounds, no invasive devices)? Any other approaches?
Thanks
Michael
Michael Wishart | Infection Control Coordinator, CICP-E
St Vincents Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
M +61 448 954 282 | T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
W https://www.svphn.org.au
St Vincents Private Hospital Brisbane | 411 Main Street KANGAROO POINT QLD 4169
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