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Hi,
In response to a couple of points raised about this guideline:
One of the consensus document developers is Sue Atkins (see page 21). Sue is a long-standing member of ACIPC and provided education sessions on behalf of ACIPC several years ago about Aseptic Technique.
The document does provide advice about using opened but not used dressings, and of note in section 5.3 Care delivery setting considerations (page 15), it advices that this should not be considered for inpatient hospital settings. It also provides quite extensive advice as to when and how it could be an appropriate option. While in a perfect world you would always advise that dressings should not be cut down and used later, sometimes this is unavoidable, particularly with some of the more expensive dressings (e.g. silver dressing) and when the patient is paying for their own dressings. They may only be able to purchase larger dressings for a smaller wound and to discard the left over dressing would be cost prohibitive. Therefore, providing suitable advice as to how this can be done with the least risk is the sensible option.
Regards,
Donna
Donna Cameron
Infection Control Consultant
T +61 (0) 3 8344 3574 (Monday, Wednesday & Friday); +61 (0) 3 9096 5233 (Tuesday & Thursday)
donna.cameron@unimelb.edu.au
Microbiological Diagnostic Unit Public Health Laboratory
The Peter Doherty Institute for Infection and Immunity
792 Elizabeth Street | Melbourne | Victoria | Australia | 3000
doherty.edu.au
HI Lindy,
Our Wound Care CNC has recently asked us the same question. The guideline seems quite useful but we have concerns about the advice that discusses the practice of cutting dressings down to size and using the ‘opened but not used’ remainder for future dressing changes. Sections 5, 6 and 7 are the relevant ones.
What are others’ thoughts?
Joanna Harris
Nurse Manager, ISLHD Infection Management and Control Service (IMACS)
Telephone – mobile 0475 943494 / Wollongong office 4222 5898 / Warrawong office 4221 6820
Joanna.Harris@health.nsw.gov.au
http://www.health.nsw.gov.au
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http://www.who.int/gpsc/5may/patient-tips.pdf?ua1
Hello
hope you are all having a lovey day
Just wondering if anyone has come across this 2017 document developed by Wounds Australia called the ‘application of aseptic technique in wound dressing procedure’.
It is a consensus document put out by Wound Australiana that I have been approached by staff in regards to them in using & developing local processes and procedures .
I am uncertain with whom they may have consulted with from Infection control perspective in developing their consensus as on face value it looks like a useful resource… what are others thoughts?
kind regards
Lindy
Lindy Ryan
District Infection Prevention & Control CNC | Clinical Governance Unit MNCLHD
Level 1 Coffs Specialist Centre, Pacific Hwy, Coffs Harbour
Mob 0419 990 693 | lindy.ryan@ncahs.health.nsw.gov.au
http://www.health.nsw.gov.au
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“Wise and humane management of the patient is the best safeguard against infection”
(Florence Nightingale Circa 1860)
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