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Anaesthetic staff eating in anaesthetic bays

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  • #70459
    Joe-Anne Bendall
    Participant

    Author:
    Joe-Anne Bendall

    Email:
    Joe-Anne.Bendall@SESIAHS.HEALTH.NSW.GOV.AU

    Organisation:

    State:

    Good morning
    We have been asked by Anaesthetists if they can eat and drink in the Anaesthetic Bays – as this is what they do in ‘private hospitals’ during long cases………..I am not sure how accurate this information is.

    Does any hospital allow this practice to occur and what are the circumstances for this to occur?

    PS It does not occur at this hospital for a number of reasons:

    1. Infection control policy requirement

    2. Community expectations

    3. Workplace Health and Safety

    Thanks

    Joe-Anne Bendall

    Joe-anne Bendall | Clinical Nurse Consultant Infection Prevention and Control
    Sydney Hospital and Sydney Eye Hospital
    8 Macquarie St
    SYDNEY NSW 2000
    |* ph +61 2 9382 7199 |page 22070 via switch 9382 7111| 7 Fax 93827510 |
    Mobile 0418984255 | * Joe-anne.Bendall@SESIAHS.HEALTH.NSW.GOV.AU

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    #70463
    Anonymous
    Inactive

    Author:
    Anonymous

    Organisation:

    State:

    Hi Joe-Anne,

    I have a policy on staff consumption of food and fluids restricting this
    to only designated staff refreshment areas [i.e. the tea room].

    As I have audited many hospitals and day surgeries public and private I
    can tell you that the practice is common but I wont accept it in the
    facilities that I am responsible for.

    Regards

    Terry McAuley

    Sterilisation & Infection Prevention and Control Consultant

    STEAM Consulting

    E: terry@steamconsulting.com.au

    W: http://www.steamconsulting.com.au

    A: PO BOX 779

    Endeavour Hills

    VIC Australia 3802

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    Of Joe-Anne Bendall

    Good morning

    We have been asked by Anaesthetists if they can eat and drink in the
    Anaesthetic Bays as this is what they do in private hospitals during
    long cases..I am not sure how accurate this information is.

    Does any hospital allow this practice to occur and what are the
    circumstances for this to occur?

    PS It does not occur at this hospital for a number of reasons:

    1. Infection control policy requirement

    2. Community expectations

    3. Workplace Health and Safety

    Thanks

    Joe-Anne Bendall

    Joe-anne Bendall | Clinical Nurse Consultant Infection Prevention and
    Control
    Sydney Hospital and Sydney Eye Hospital

    8 Macquarie St

    SYDNEY NSW 2000

    |( ph +61 2 9382 7199 |page 22070 via switch 9382 7111| 7 Fax 93827510 |

    Mobile 0418984255 | * Joe-anne.Bendall@SESIAHS.HEALTH.NSW.GOV.AU

    —————————————————————————-
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    #70464
    Michael Wishart
    Participant

    Author:
    Michael Wishart

    Email:
    Michael.Wishart@hsn.org.au

    Organisation:

    State:

    Hi JoeAnne

    I have always battled to stop this in every hospital I have worked in (mostly private sector). The main argument is from those anaesthetists who are doing long cases in a list – they claim they cannot take a break! My argument to them has always been: “Do you want to explain to the patients (and the surgeon!) how they got a muffin [or insert any other food item here] granuloma in their surgical wound?!?!” It is about ensuring we restrict items from within the operating room that are unnecessary.

    Trying to appeal to their risk from having to take their mask off to eat / drink doesn’t work, as many do not even wear a mask!!!

    In my mind it is all about appropriate management of their work – just like anyone else. If you can get executive buy-in to support you, you can at least require compliance, even if these anaesthetists don’t believe they are putting the patients (or themselves) potentially at risk.

    Good luck.

    Cheers
    Michael

    Michael Wishart
    CNC Infection Control
    Holy Spirit Northside Private Hospital
    627 Rode Road, Chermside, Qld 4032
    t: (07) 3326 3068 | f: (07) 3607 2226
    e: Michael.Wishart@hsn.org.au
    w:www.holyspiritnorthside.org.au
    Please consider the environment before printing this email

    Good morning
    We have been asked by Anaesthetists if they can eat and drink in the Anaesthetic Bays – as this is what they do in ‘private hospitals’ during long cases………..I am not sure how accurate this information is.

    Does any hospital allow this practice to occur and what are the circumstances for this to occur?

    PS It does not occur at this hospital for a number of reasons:

    1. Infection control policy requirement

    2. Community expectations

    3. Workplace Health and Safety

    Thanks

    Joe-Anne Bendall

    Joe-anne Bendall | Clinical Nurse Consultant Infection Prevention and Control
    Sydney Hospital and Sydney Eye Hospital
    8 Macquarie St
    SYDNEY NSW 2000
    |* ph +61 2 9382 7199 |page 22070 via switch 9382 7111| 7 Fax 93827510 |
    Mobile 0418984255 | * Joe-anne.Bendall@SESIAHS.HEALTH.NSW.GOV.AU

    ———————————————————————————————

    Illawarra Shoalhaven Local Health District, South East Sydney Local Health District and Sydney Children’s Hospital Network (Randwick Campus) Confidentiality Notice

    This email, and the files transmitted with it, are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you are not the intended recipient, you are not permitted to distribute or use this email or any of its attachments in any way. We also request that you advise the sender of the incorrect addressing.

    This email message has been virus-scanned. Although no computer viruses were detected, Illawarra Shoalhaven Local Health District, South East Sydney Local Health District and Sydney Children’s Hospital Network (Randwick Campus) accept no liability for any consequential damage resulting from email containing any computer viruses.

    We care for our environment. Please only print this e-mail if necessary.

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    #70474
    Michele Claire Cullen
    Participant

    Author:
    Michele Claire Cullen

    Email:
    mccullen@UNIMELB.EDU.AU

    Organisation:

    State:

    Hi Joe-Anne

    Food in any clinical area is not acceptable for all the reasons you cited.
    The fact that some hospitals “allow it” does not make it good practice.

    I agree with the comments by Terry and Michael – Surgeons do not eat as they work and neither should anaesthetists.

    I have contacted the Executive Officer for ACORN (Stephen Born) for a comment as I believe there is a standard about this but do not have the latest copy of the ACORN standards and guidelines in this office.
    I will let you know.

    Michele Cullen

    Good morning
    We have been asked by Anaesthetists if they can eat and drink in the Anaesthetic Bays – as this is what they do in ‘private hospitals’ during long cases………..I am not sure how accurate this information is.

    Does any hospital allow this practice to occur and what are the circumstances for this to occur?

    PS It does not occur at this hospital for a number of reasons:

    1. Infection control policy requirement

    2. Community expectations

    3. Workplace Health and Safety

    Thanks

    Joe-Anne Bendall

    Joe-anne Bendall | Clinical Nurse Consultant Infection Prevention and Control
    Sydney Hospital and Sydney Eye Hospital
    8 Macquarie St
    SYDNEY NSW 2000
    |* ph +61 2 9382 7199 |page 22070 via switch 9382 7111| 7 Fax 93827510 |
    Mobile 0418984255 | * Joe-anne.Bendall@SESIAHS.HEALTH.NSW.GOV.AU

    ———————————————————————————————

    Illawarra Shoalhaven Local Health District, South East Sydney Local Health District and Sydney Children’s Hospital Network (Randwick Campus) Confidentiality Notice

    This email, and the files transmitted with it, are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you are not the intended recipient, you are not permitted to distribute or use this email or any of its attachments in any way. We also request that you advise the sender of the incorrect addressing.

    This email message has been virus-scanned. Although no computer viruses were detected, Illawarra Shoalhaven Local Health District, South East Sydney Local Health District and Sydney Children’s Hospital Network (Randwick Campus) accept no liability for any consequential damage resulting from email containing any computer viruses.

    We care for our environment. Please only print this e-mail if necessary.

    MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

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    #70467
    Helen Scott
    Participant

    Author:
    Helen Scott

    Email:
    Helen.Scott@HEALTHSCOPE.COM.AU

    Organisation:

    State:

    We are a private hospital and we do not allow this. It’s in our policy
    and has to be adhered to.
    Cheers,
    Helen.

    Helen Scott
    Infection Control Co-ordinator |
    Staff Educator |
    Nepean Private Hospital
    Kingswood, NSW.
    Tel 02 4725 8758 | helen.scott@healthscope.com.au

    >>> On 9/09/2013 at 10:36 am, in message
    ,
    Joe-Anne Bendall wrote:

    Good morning
    We have been asked by Anaesthetists if they can eat and drink in the
    Anaesthetic Bays as this is what they do in private hospitals during
    long cases..I am not sure how accurate this information is.
    Does any hospital allow this practice to occur and what are the
    circumstances for this to occur?
    PS It does not occur at this hospital for a number of reasons:
    1. Infection control policy requirement
    2. Community expectations
    3. Workplace Health and Safety
    Thanks
    Joe-Anne Bendall

    Joe-anne Bendall|Clinical Nurse Consultant Infection Prevention and
    Control
    Sydney Hospital and Sydney Eye Hospital
    8 Macquarie St
    SYDNEY NSW 2000
    |(ph +61 2 9382 7199|page 22070 via switch 9382 7111| 7Fax 93827510|
    Mobile 0418984255| *Joe-anne.Bendall@SESIAHS.HEALTH.NSW.GOV.AU

    ———————————————————————————————
    Illawarra Shoalhaven Local Health District, South East Sydney Local
    Health District and Sydney Children’s Hospital Network (Randwick Campus)
    Confidentiality Notice This email, and the files transmitted with it,
    are confidential and intended solely for the use of the individual or
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    of its attachments in any way. We also request that you advise the
    sender of the incorrect addressing. This email message has been
    virus-scanned. Although no computer viruses were detected, Illawarra
    Shoalhaven Local Health District, South East Sydney Local Health
    District and Sydney Children’s Hospital Network (Randwick Campus) accept
    no liability for any consequential damage resulting from email
    containing any computer viruses. We care for our environment. Please
    only print this e-mail if necessary.
    MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND
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    #70470
    Glenys Harrington
    Participant

    Author:
    Glenys Harrington

    Email:
    infexion@ozemail.com.au

    Organisation:
    Infection Control Consultancy (ICC)

    State:

    Dear All,

    The risk seen obvious eating may result in hand contamination with mouth
    organisms. Combined with suboptimal hand hygiene and/or poor/inadequate
    aseptic technique this may lead to a device related infection or a pseudo
    infection.

    Im sure most patients would prefer not to end up with a Streptococcus mitis
    bloodstream infection or bacterial endocarditis as a result of staff eating
    in the OR.

    Regards

    Glenys

    Glenys Harrington

    Consultant

    Infection Control Consultancy (ICC)

    PO Box 5202

    Middle Park

    Victoria, 3206

    Australia

    H: +61 3 96902216

    M: +61 404 816 434

    infexion@ozemail.com.au

    ABN 47533508426

    Of Michael Wishart
    anaesthetic bays

    Hi JoeAnne

    I have always battled to stop this in every hospital I have worked in
    (mostly private sector). The main argument is from those anaesthetists who
    are doing long cases in a list they claim they cannot take a break! My
    argument to them has always been: Do you want to explain to the patients
    (and the surgeon!) how they got a muffin [or insert any other food item
    here] granuloma in their surgical wound?!?! It is about ensuring we
    restrict items from within the operating room that are unnecessary.

    Trying to appeal to their risk from having to take their mask off to eat /
    drink doesnt work, as many do not even wear a mask!!!

    In my mind it is all about appropriate management of their work just like
    anyone else. If you can get executive buy-in to support you, you can at
    least require compliance, even if these anaesthetists dont believe they are
    putting the patients (or themselves) potentially at risk.

    Good luck.

    Cheers

    Michael

    Michael Wishart

    CNC Infection Control

    Holy Spirit Northside Private Hospital

    627 Rode Road, Chermside, Qld 4032

    t: (07) 3326 3068 | f: (07) 3607 2226

    e: Michael.Wishart@hsn.org.au

    w:
    http://www.holyspiritnorthside.org.au

    Please consider the environment before printing this email

    Of Joe-Anne Bendall

    Good morning

    We have been asked by Anaesthetists if they can eat and drink in the
    Anaesthetic Bays as this is what they do in private hospitals during
    long cases..I am not sure how accurate this information is.

    Does any hospital allow this practice to occur and what are the
    circumstances for this to occur?

    PS It does not occur at this hospital for a number of reasons:

    1. Infection control policy requirement

    2. Community expectations

    3. Workplace Health and Safety

    Thanks

    Joe-Anne Bendall

    Joe-anne Bendall | Clinical Nurse Consultant Infection Prevention and
    Control
    Sydney Hospital and Sydney Eye Hospital

    8 Macquarie St

    SYDNEY NSW 2000

    |( ph +61 2 9382 7199 |page 22070 via switch 9382 7111| 7 Fax 93827510 |

    Mobile 0418984255 | * Joe-anne.Bendall@SESIAHS.HEALTH.NSW.GOV.AU

    —————————————————————————-
    —————–
    Illawarra Shoalhaven Local Health District, South East Sydney Local Health
    District and Sydney Children’s Hospital Network (Randwick Campus)
    Confidentiality Notice
    This email, and the files transmitted with it, are confidential and intended
    solely for the use of the individual or entity to whom they are addressed.
    If you are not the intended recipient, you are not permitted to distribute
    or use this email or any of its attachments in any way. We also request that
    you advise the sender of the incorrect addressing.
    This email message has been virus-scanned. Although no computer viruses were
    detected, Illawarra Shoalhaven Local Health District, South East Sydney
    Local Health District and Sydney Children’s Hospital Network (Randwick
    Campus) accept no liability for any consequential damage resulting from
    email containing any computer viruses.
    We care for our environment. Please only print this e-mail if necessary.

    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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    Replies to this message will be directed back to the list. To create a new
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    #70475
    Robyn Birch
    Participant

    Author:
    Robyn Birch

    Email:
    robyn_birch@HEALTH.QLD.GOV.AU

    Organisation:

    State:

    It begs the question as to what they do usually if they need a ‘nature
    call’ during a long case? Or doesn’t this ever happen?

    Robyn

    Robyn Birch CNC
    Infection Control
    Mast. Adv. Prac., CICP
    (07) 3488 3518
    0412 585 099

    >>> Michael Wishart 9/9/2013 11:24 am >>>

    Hi JoeAnne

    I have always battled to stop this in every hospital I have worked in
    (mostly private sector). The main argument is from those anaesthetists
    who are doing long cases in a list * they claim they cannot take a
    break! My argument to them has always been: *Do you want to explain to
    the patients (and the surgeon!) how they got a muffin [or insert any
    other food item here] granuloma in their surgical wound?!?!* It is about
    ensuring we restrict items from within the operating room that are
    unnecessary.

    Trying to appeal to their risk from having to take their mask off to
    eat / drink doesn*t work, as many do not even wear a mask!!!

    In my mind it is all about appropriate management of their work * just
    like anyone else. If you can get executive buy-in to support you, you
    can at least require compliance, even if these anaesthetists don*t
    believe they are putting the patients (or themselves) potentially at
    risk.

    Good luck.

    Cheers
    Michael

    Michael Wishart
    CNC Infection Control
    Holy Spirit Northside Private Hospital
    627 Rode Road, Chermside, Qld 4032
    t:(07) 3326 3068 | f: (07) 3607 2226
    e: Michael.Wishart@hsn.org.au
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    outbind://2-00000000322A6E77654E5647B9AFCD5D3EEDE14707004D7547DA408E2F48AB749935CC6154B000000153224E00004D7547DA408E2F48AB749935CC6154B00000015325130000/www.holyspiritnorthside.org.au
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    From:ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On
    Behalf Of Joe-Anne Bendall

    Good morning
    We have been asked by Anaesthetists if they can eat and drink in the
    Anaesthetic Bays * as this is what they do in *private hospitals* during
    long cases***..I am not sure how accurate this information is.

    Does any hospital allow this practice to occur and what are the
    circumstances for this to occur?

    PS It does not occur at this hospital for a number of reasons:
    1. Infection control policy requirement
    2. Community expectations
    3. Workplace Health and Safety

    Thanks

    Joe-Anne Bendall

    Joe-anne Bendall|Clinical Nurse Consultant Infection Prevention and
    Control
    Sydney Hospital and Sydney Eye Hospital
    8 Macquarie St
    SYDNEY NSW 2000
    |(ph +61 2 9382 7199 |page 22070 via switch 9382 7111| 7 Fax
    93827510|
    Mobile 0418984255| *Joe-anne.Bendall@SESIAHS.HEALTH.NSW.GOV.AU

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