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

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  • #74249
    Ryan, Lindy
    Participant

    Author:
    Ryan, Lindy

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    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)

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    #74252
    Joanna Harris
    Participant

    Author:
    Joanna Harris

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    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

    [http://www.who.int/entity/gpsc/5may/MAIN1.jpg?ua1]

    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

    [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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    #74253
    Hayley Puckeridge
    Participant

    Author:
    Hayley Puckeridge

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    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)
    [Description: cid:image002.png@01D12698.0E596880]

    to inspire people, enliven communities
    and confront injustice

    Practice & Quality
    7 Myall Rd, Cardiff NSW 2289
    P 49080271 M 0408547295 Fax 49422019
    uniting.org
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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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    #74254
    Donna Schmidt
    Participant

    Author:
    Donna Schmidt

    Position:

    Organisation:

    State:

    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)
    [Description: cid:image002.png@01D12698.0E596880]

    to inspire people, enliven communities
    and confront injustice

    Practice & Quality
    7 Myall Rd, Cardiff NSW 2289
    P 49080271 M 0408547295 Fax 49422019
    uniting.org
    [Description: cid:image003.png@01D12698.0E596880] [Description: cid:image004.png@01D12698.0E596880] [Description: cid:image005.png@01D12698.0E596880] [Description: cid:image006.png@01D12698.0E596880]
    I pay respect to the Traditional Custodians of the land past, present and future. Honouring our Elders and nurturing our youth.
    This e-mail message (and attachments) is confidential, and / or privileged and is intended for the use of the addressee only. If you are not the intended recipient of this e-mail you must not copy, distribute, take any action in reliance on it or disclose it to anyone. Any confidentiality or privilege is not waived or lost by reason of mistaken delivery to you. Uniting is not responsible for any information not related to the business of Uniting. If you have received this e-mail in error please destroy the original and notify the sender. Please consider the environment before printing this email.

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    I pay respect to the Traditional Custodians of the land, past, present and future. Honouring our Elders and nurturing our youth.

    This email and attachments are intended for the person its addressed to. If it wasnt meant for you, please let the sender know and delete it straight away. At Uniting, we care about confidentiality and privacy and appreciate your respect and cooperation. Thanks for your help with this. P.S. Please consider the environment before deciding to press print.
    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.

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    #74255
    Anonymous
    Inactive

    Author:
    Anonymous

    Position:

    Organisation:

    State:

    Hi Lindy

    I had not seen it before. Page 13 does outline where it may be appropriate to keep opened dressings for reuse. Hospital inpatient is not one of them. Often in the community setting they have no choice so it does give reasonable guidance for those areas and risk assessment -section 6 including exclusion criteria.
    Personally not a fan of using a cleaned over bed table in the hospital setting to do a dressing on and we completely discourage it.
    I haven’t looked at every page in depth but I did notice there are no recent references (ie last 5 years) but maybe there is a lack of literature.

    Just my thoughts.

    [cid:image006.jpg@01D39A73.77785E10]
    Robyn Birch
    CNC Infection Control
    Redland Hospital
    Department of Health | Queensland Government
    PO Box 585, ClevelandQLD 4163
    t. (07) 3488 3518
    m. 0412 585 099
    Robyn.Birch@health.qld.gov.au | http://www.health.qld.gov.au
    [Facebook] [Twitter] [LinkedIn]
    [image of values]
    Queensland Health acknowledges the Traditional Owners of the land, and pays respect to Elders past, present and future.

    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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    #74256
    Thomson, Rachel EA (THS)
    Participant

    Author:
    Thomson, Rachel EA (THS)

    Position:

    Organisation:

    State:

    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”
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