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Hi all,
I very strongly feel that it’s completely inappropriate to be routinely
testing patients for BBVs prior to surgery. As noted in the initial
question, it’s generally done without consent (although I’m not very fussed
about full and documented informed consent for BBV testing, which I think
reinforces stigma about BBVs and is a hangover from earlier times).
In any event, the results of the tests shouldn’t change clinical
management, because your surgeons / proceduralists should be using standard
precautions for all patients regardless of the results and should all be
vaccinated against HBV, and in the event they have a percutaneous injury,
they need to a) report it to IPC; b) let the patient know, at which point
testing can be done anyway. Results for BBV testing only take a few hours
to get back in most labs, so they don’t affect the decision about starting
PEP, and if the exposure is high-enough risk, then won’t actually change
the decision about starting PEP at all.
It’s an egregious waste of money on testing with absolutely zero impact on
patient care or staff safety and should be firmly discouraged. (which I
grant is very difficult to do in private hospitals).
(personal opinions)
Trent Yarwood
Cairns Sexual Health / Cairns Hospital
No conflicts.
—
Trent Yarwood
trentyarwood@gmail.com
PGP Key: 246AF263
On Mon, 5 Sept 2022 at 15:08, Michael Wishart
wrote:
> Hi Jenny
>
>
>
> We still have both on our surgical consent form currently, but we had
> previously received legal advice that suggested the consent for BBV testing
> was not valid unless it was appropriately explained (which we know its not
> as the surgeon will only focus on the procedural consent). So we do not
> utilise that consent in the case of a needlestick, which means we need to
> await the patient awakening post surgery and giving consent (or in the case
> of post op ventilated ICU patients, get the intensive care team to obtain
> or authorise consent).
>
>
>
> Thats within the private sector in Queensland.
>
>
>
> Cheers
>
> 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
> *M* +61 448 954 282 | *T *+61 7 3240 1208 |* F* +61 7 3240 1166
> *E* michael.wishart@svha.org.au |
>
> *W *https://www.svphb.org.au
>
>
>
>
>
>
>
>
>
> *From:* ACIPC Infexion Connexion *On Behalf Of *Jennifer
> Breen
> *Sent:* Monday, 5 September 2022 12:18 PM
> *To:* ACIPCLIST@ACIPC.ORG.AU
> *Subject:* [ACIPC_Infexion_Connexion] Consent for BBV Testing
>
>
>
> Good Morning,
>
> We would be interested to know how many healthcare organisations have both
> consent for blood transfusion and consent for blood borne virus testing
> included in their consent for surgery documentation and any obstacles they
> faced when doing this.
>
> I understand this is more common practice in the private health sector but
> currently am more concerned about the public sector.
>
> Many thanks
>
>
>
> *Jenny Breen *
>
> *Senior Infection Prevention Clinical Nurse Consultant *
>
> *Infection Prevention & Control Unit *
>
> PO Box 52, Frankston Vic 3199
>
> T Direct * 03 9784 8239 * * *Fax *9784 2347** *Switchboard *03* *9784
> 7777*
>
> *E **jbreen@phcn.vic.gov.au *
>
>
>
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MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
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