Antiseptic Hand Wash

[Michelle Kennedy]

Morning All, I recently found our PICC team no longer use antiseptic hand wash pre PICC insertion and use neutral soap. Can anyone tell me where to find evidence of using antiseptic hand wash prior to invasive procedures?

Thank you
Michelle Kennedy

CNC | Infection Prevention Service
John Hunter Hospital Campus
Lookout rd, New Lambton
Tel 02 4921 3129 | michelle.kennedy@hnehealth.nsw.gov.au
http://www.health.nsw.gov.au

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[Helen Newman]

Hi Michelle,
NSW Health PD 2010_58 Hand Hygiene outlines the necessity to use AHR or antiseptic hand wash prior to insertion of invasive devices. See appendix 1

Regards
Helen
Helen Newman

Infection Prevention and Control CNC CICP| Infection Management and Control Service
Shellharbour and Kiama Hospitals
Tel 02 4295 2416 | Mobile 0475823959 | Fax 02 4295 2497 | Helen.Newman@sesiahs.health.nsw.gov.au
http://www.health.nsw.gov.au

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Morning All, I recently found our PICC team no longer use antiseptic hand wash pre PICC insertion and use neutral soap. Can anyone tell me where to find evidence of using antiseptic hand wash prior to invasive procedures?

Thank you
Michelle Kennedy

CNC | Infection Prevention Service
John Hunter Hospital Campus
Lookout rd, New Lambton
Tel 02 4921 3129 | michelle.kennedy@hnehealth.nsw.gov.au
http://www.health.nsw.gov.au

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[Catherine Macknight]

Hi
Also have a look in Central Venous Access Device insertion etc etc PD 2011-060 Appendix 1 point 12
thanks
Cathy

Catherine Macknight
Infection Control Consultant
[Chris O`Brien Lifehouse]
119-143 Missenden Road
Camperdown NSW 2050
PO BOX M33 Missenden Road NSW 2050

Phone: +61 2 85140897
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From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Helen Newman
Sent: Friday, 14 August 2015 9:53 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Antiseptic Hand Wash

Hi Michelle,
NSW Health PD 2010_58 Hand Hygiene outlines the necessity to use AHR or antiseptic hand wash prior to insertion of invasive devices. See appendix 1

Regards
Helen
Helen Newman

Infection Prevention and Control CNC CICP| Infection Management and Control Service
Shellharbour and Kiama Hospitals
Tel 02 4295 2416 | Mobile 0475823959 | Fax 02 4295 2497 | Helen.Newman@sesiahs.health.nsw.gov.au
http://www.health.nsw.gov.au

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From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Michelle E. Kennedy
Sent: Friday, 14 August 2015 9:04 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Antiseptic Hand Wash

Morning All, I recently found our PICC team no longer use antiseptic hand wash pre PICC insertion and use neutral soap. Can anyone tell me where to find evidence of using antiseptic hand wash prior to invasive procedures?

Thank you
Michelle Kennedy

CNC | Infection Prevention Service
John Hunter Hospital Campus
Lookout rd, New Lambton
Tel 02 4921 3129 | michelle.kennedy@hnehealth.nsw.gov.au
http://www.health.nsw.gov.au

[http://www.health.nsw.gov.au/images/communications/e-signatures/images/NSW-Health-Master.jpg]

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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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[Tim Spencer]

Hi Michelle,

Have you asked them for what reasons they have changed their current
practice?

Maybe they can supply you with the evidence they used to stop using
antiseptic hand wash.

This is currently NOT the recommendations of both a number of Australian and
international guidelines and recommendations.

Currently CDC, SHEA, APIC, EPIC, ACI, INS , CNSA and NSW MoH CVAD guidelines
support the use of antiseptic handwashing in all aspects of vascular access.

Tim..

Timothy R. Spencer, RN, APN, DipAppSci, Bach.Health, ICCert, VA-BC.

Independent Vascular Access Consultant
Conjoint Lecturer, South West Sydney Clinical School | Faculty of Medicine |
University of NSW

Director-at-Large, Vascular Access Certification Corporation (VACC)

M: +1 (623) 326 8889 (USA)

M: +61 (0)409 463 428 (AU)
E: tim.spencer68@icloud.com

“Be a yardstick of quality. Some people aren’t used to an environment where
excellence is expected.” – Steve Jobs

Of Michelle E. Kennedy

Morning All, I recently found our PICC team no longer use antiseptic hand
wash pre PICC insertion and use neutral soap. Can anyone tell me where to
find evidence of using antiseptic hand wash prior to invasive procedures?

Thank you

Michelle Kennedy

CNC | Infection Prevention Service

John Hunter Hospital Campus
Lookout rd, New Lambton
Tel 02 4921 3129 | michelle.kennedy@hnehealth.nsw.gov.au

http://www.health.nsw.gov.au

P Please consider the environment before printing this email

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

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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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[Michael Wishart]

Hi Tim

Interestingly, the US HICPAC BSI guidelines has this:

Hand Hygiene and Aseptic Technique

1. Perform hand hygiene procedures, either by washing hands with conventional soap and water or with alcohol-based hand rubs (ABHR). Hand hygiene should be performed before and after palpating catheter insertion sites as well as before and after inserting, replacing, accessing, repairing, or dressing an intravascular catheter. Palpation of the insertion site should not be performed after the application of antiseptic, unless aseptic technique is maintained [12, 77-79]. Category IB

This recommendation seems to be generic for all intravascular devices from what I can see. No specific recommendation for hand cleaning with an antiseptic solution prior to CVC insertion.

Cheers
Michael

Michael Wishart
Infection Control Coordinator

A 627 Rode Road, Chermside QLD 4032
P (07) 3326 3068 | F (07) 3607 2226 | E michael.wishart@svha.org.au | W http://www.hsnph.org.au
[cid:image001.png@01D01926.61F1C2B0]
P Please consider the environment before printing this email

Hi Michelle,
Have you asked them for what reasons they have changed their current practice?
Maybe they can supply you with the evidence they used to stop using antiseptic hand wash.
This is currently NOT the recommendations of both a number of Australian and international guidelines and recommendations.
Currently CDC, SHEA, APIC, EPIC, ACI, INS , CNSA and NSW MoH CVAD guidelines support the use of antiseptic handwashing in all aspects of vascular access.
Tim..

Timothy R. Spencer, RN, APN, DipAppSci, Bach.Health, ICCert, VA-BC.
Independent Vascular Access Consultant
Conjoint Lecturer, South West Sydney Clinical School | Faculty of Medicine | University of NSW
Director-at-Large, Vascular Access Certification Corporation (VACC)
M: +1 (623) 326 8889 (USA)
M: +61 (0)409 463 428 (AU)
E: tim.spencer68@icloud.com
“Be a yardstick of quality. Some people aren’t used to an environment where excellence is expected.” – Steve Jobs

Morning All, I recently found our PICC team no longer use antiseptic hand wash pre PICC insertion and use neutral soap. Can anyone tell me where to find evidence of using antiseptic hand wash prior to invasive procedures?

Thank you
Michelle Kennedy

CNC | Infection Prevention Service
John Hunter Hospital Campus
Lookout rd, New Lambton
Tel 02 4921 3129 | michelle.kennedy@hnehealth.nsw.gov.au
http://www.health.nsw.gov.au

[http://www.health.nsw.gov.au/images/communications/e-signatures/images/NSW-Health-Master.jpg]

[cid:image002.png@01D0D66F.A75761A0]
P Please consider the environment before printing this email

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.

Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

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