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Hi Cath
We are a small stand alone private facilty (47 acute beds) and have just
gone through the accreditation process (all 10 Standards and just having
changed over to ISO – great fun!!)
and I agree with Micheal – I have found the AMS component very hard to
demonstrate. While the guide for smaller facilities was very helpful I
felt there was no where to go when there was non compliance with the
antibiotic guidelines (just have to continue to report it at the
relevant commitees).
Having said that the one area we did not get compliance in was 3.19!
regards
Jenny
Jenny McCarthy
OR Manager/Infection Prevention and Control Coordinator
Maryvale Private Hospital
________________________________
Behalf Of Michael Wishart
Hi Cath
We were accredited via the new Standards by ACHS late last year, and I
think the process of having to demonstrate minimum requirements is good.
Most of Standard 3 involves things we have been doing for a while (or
should have been doing) in infection control, and most of meeting
Standard 3 is just closing the loop with documentation and evaluation
of what we do. So mostly good – to have all facilities measured against
these Standards can only lead to improved patient outcomes, in my
opinion.
My biggest gripe is AMS – AMS is an important infection prevention
issue, don’t get me wrong, but ICP’s don’t prescribe antibiotics. In a
facility with a standalone ICP (ie not part of a team with ID Physicians
and clinical microbiologists) getting medical staff (who, in the private
sector, are not even part of the workforce, really) to prescribe
according to guidelines is a target way out of reach. Sure, we can audit
and put up posters and stuff, but the responsibility for this part of
Standard 3 should NOT be upon the facility, in my view, but put back on
the medical staff, at least in the private sector. That’s my main gripe
within Standard 3.
Just some thoughts.
Cheers
Michael
Michael Wishart
Infection Control Coordinator
Holy Spirit Northside Private Hospital
627 Rode Road, Chermside, Qld 4032
t: (07) 3326 3068 | f: (07) 3607 2226
w:www.holyspiritnorthside.org.au
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Behalf Of Cath Murphy
Greetings all
One year since their implementation I am wondering how most IPs are
coping with the Commission’s national safety and quality standards and
in particular Standard 3. As some of you may know I was personally
involved in some of their development through membership on two of the
Commission’s committees. Yesterday I enquired of the Commission about
any publically available information on how the Standards implementation
is progressing but they are unable to report anything. To my knowledge
there are no papers in peer-reviewed journals either. The Commission’s
timeframe for review as stated on their website is 2015.
I am especially keen to hear in IP-speak 1) the challenges, rewards and
obstacles that IPs may have faced as a result of Standard 3. 2)How
“usual” ways of work may have changed and 3) any assistance that would
make the task of implementing them easier.
In their Annual Report and at ACIPC 2012 Conference in Sydney the
Commission referred to HH compliance, C Diff rates and SAB rates as the
markers they will use to assess Stdnard 3’s impact. I’m more interested
in the impact on programs or the IP role. Please feel free to share your
experiences good, bad or indifferent through discussion here or email me
personally.
And many thanks for those of you who discussed publically or as a
sidebar, the issue of single-use pt care equipment – your insights were
very illuminating.
Thanks and warm 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
http://www.infectioncontrolplus.com.au
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