2017 Application of aseptic technique in wound dressing procedure – Wounds Australia publication

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?

http://www.woundsaustralia.com.au/2017/Application-of-aseptic-technique-in-wound-dressing-procedure.pdf

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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Hi, I cannot endorse this document as a credible reference source or guideline. I think its a shame because a lot of work went into. It had the potential to be a really valuable document for wound management but in my opinion isnt.

PROS:

It does provide an extensive list of information sources

It does have some good ideas
CONS:

I do not agree with all of the content in this document from an infection control perspective

It didnt go through a formal endorsement process, so I cannot be assured of the quality of the information or even if journal articles were peer reviewed.

The document was not sent for wider consultation to appropriate governing bodies or to ICPs, so I cannot be sure (without in depth checking) that it meets the required standards or is consistent with other guidelines/policies currently in use.

Kind Regards,
Donna Schmidt
Clinical Nurse Consultant Infection Control – Primary & Community Health
Rosemeadow Community Health Centre
5 Thomas Rose Drive, Rosemeadow, NSW, 2560
Tel (02) 4633 4113 | Fax (02) 4633 4111 | Mob 0438 925 816
donnamarie.schmidt@swsahs.nsw.gov.au

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From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Hayley Puckeridge
Sent: Tuesday, 30 January 2018 4:22 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: 2017 Application of aseptic technique in wound dressing procedure – Wounds Australia publication

Hi

Page 20 of this consensus highlights the references utilised with many references to infection control and guidelines.

Kind Regards,

Hayley Puckeridge
Clinical Nurse Consultant Wound Management (NSW&ACT)
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From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Lindy Ryan
Sent: Tuesday, 30 January 2018 3:37 PM
To: AICALIST@AICALIST.ORG.AU
Subject: 2017 Application of aseptic technique in wound dressing procedure – Wounds Australia publication

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?

http://www.woundsaustralia.com.au/2017/Application-of-aseptic-technique-in-wound-dressing-procedure.pdf

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

[http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Mid-North-Coast-LHD.jpg]

Wise and humane management of the patient is the best safeguard against infection
(Florence Nightingale Circa 1860)

________________________________

This message is intended for the addressee(s) named and may contain confidential information. If you are not the intended recipient, please delete the message and any attachments and notify the sender. Views expressed in this message are those of the individual sender, and are not necessarily the views of NSW Health or any of its entities.
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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Hi Lindy et al,

We became aware of this document following its release during Wound Awareness Week last year (October 2017). Our Community CNC raised concerns here in Tasmania with the Wound Care Practitioners. In particular the following areas

* Recommendation in support of re-use for single-use scissors to cut primary dressings

* Use of open but unused dressings is also inconsistent with the contemporary aseptic technique frameworks

* Open but unused dressings being recommended for retention for up to 4 weeks

https://www.ncbi.nlm.nih.gov/pubmed/11901416?doptabstract

Our concerns specifically centred around the messages that seemed to be at odds with contemporary aseptic technique framework as promoted by the NHMRC and ACIPC. As ANTT in particular was developed to remove varying practices by having a process from ‘Community to Hospital’, we were quite concerned.

Our CNC did make contact with Wounds Australia. I am unaware of a formal response. We held a local meeting with our Wound Care Practitioner and local Management. We developed a local area health communication in relation to our response to the document. Our response was that whilst we acknowledge this document that we were endorsing a single approach in our region consistent with ANTT.

ACIPC and/or Sue Atkins may like to comment further as I note that Sue was listed as a contributor.

Kind regards
Rachel

……………………………………………………………………………..
Rachel Thomson
Nurse Unit Manager

Infection Prevention & Control Unit
Royal Hobart Hospital
Tasmanian Health Organisation-South

*: 03 6166 7882/ 6166 8658

Level 4, H Block
48 Liverpool Street
Hobart, 7000

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?

http://www.woundsaustralia.com.au/2017/Application-of-aseptic-technique-in-wound-dressing-procedure.pdf

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

[http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Mid-North-Coast-LHD.jpg]

“Wise and humane management of the patient is the best safeguard against infection”
(Florence Nightingale Circa 1860)

________________________________

This message is intended for the addressee(s) named and may contain confidential information. If you are not the intended recipient, please delete the message and any attachments and notify the sender. Views expressed in this message are those of the individual sender, and are not necessarily the views of NSW Health or any of its entities.
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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