Bare below the elbows etc. and the RACP exams – do you have a policy?

[Craig Boutlis]

Hi,

Hundreds of nervous medical registrars are about to fan out all over Australia for their Royal Australasian College of Physicians exams from July 25 to August 3, as they do every year. In hot pursuit will be about 150 “National Exam Panel” (NEP) members, of whom I am one. If you are wondering, it definitely is “all beer and skittles”.

Some of you can relax…I ditched my tie years ago, my jacket is left hanging on a chair, sleeves are rolled up, my pedometer has a watch, and there is no lanyard to be seen. For many others though, it is all about the grandest suit and tie they can conjure. Of interest, it’s amazing to see how easily those ties flop on to patients when candidates lean forward, but I digress.

I take it as a given that you all practice the 5 moments and cleaning of reusable equipment between patients. Do any of you in public (or some larger private) hospitals have a dress code (eg, BBE) that we NEPs and exam candidates must respect? Further, is it guidance (“should”) or actual policy (“must”)? Feel free to send on to me.

Best wishes,

Craig

Craig Boutlis

Department Head, Infectious Diseases | IMACS
LMB 8808, SCMC, NSW, 2521
Tel. 02 4222 5898 | craig.boutlis@sesiahs.health.nsw.gov.au

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

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[Joe-Anne Bendall]

Craig,
We have a hand hygiene policy/procedure that is waiting for approval it has Bare Below the Elbow included and it mentions MUST a lot!

This article may be interesting about white coats

Infection Control and Hospital Epidemiology

June 2014, Volume 35, Issue 6

740742

Healthcare Worker Perception of Bare Below the Elbows: Readiness for Change?

James Pellerin, MD; Gonzalo Bearman, MD, MPH; Jonathan Sorah, BS; Kakotan Sanogo, MS; Michael Stevens, MD, MPH; Michael B. Edmond, MD, MPH, MPA

Thanks

Joe-Anne Bendall
(Monday/Thursday/Friday)
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

(Tuesday/Wednesday)
HAI Project Officer | Clinical Nurse Consultant Infection Prevention and Control
Clinical Governance Unit
Phone: 93827621
Mobile: 0434323222

From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Craig Boutlis
Sent: Wednesday, 9 July 2014 7:28 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Bare below the elbows etc. and the RACP exams – do you have a policy?

Hi,

Hundreds of nervous medical registrars are about to fan out all over Australia for their Royal Australasian College of Physicians exams from July 25 to August 3, as they do every year. In hot pursuit will be about 150 “National Exam Panel” (NEP) members, of whom I am one. If you are wondering, it definitely is “all beer and skittles”.

Some of you can relax…I ditched my tie years ago, my jacket is left hanging on a chair, sleeves are rolled up, my pedometer has a watch, and there is no lanyard to be seen. For many others though, it is all about the grandest suit and tie they can conjure. Of interest, it’s amazing to see how easily those ties flop on to patients when candidates lean forward, but I digress.

I take it as a given that you all practice the 5 moments and cleaning of reusable equipment between patients. Do any of you in public (or some larger private) hospitals have a dress code (eg, BBE) that we NEPs and exam candidates must respect? Further, is it guidance (“should”) or actual policy (“must”)? Feel free to send on to me.

Best wishes,

Craig

Craig Boutlis

Department Head, Infectious Diseases | IMACS
LMB 8808, SCMC, NSW, 2521
Tel. 02 4222 5898 | craig.boutlis@sesiahs.health.nsw.gov.au

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

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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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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.

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[Thomson, Rachel EA]

Hi Craig,

Thank you for bringing a smile to my face in the morning (especially mid flu season)!! In Tasmania for the Public sector we do have a departmental policy. This is readily available through the following link
http://www.dhhs.tas.gov.au/__data/assets/pdf_file/0006/72393/Hand_Hygiene_Policy_2010.pdf The Tassie approach is aligned very much to the NHS approach.

At a local hospital level we have developed a supporting promotional poster, happy to send this if you are interested. On a practical real-level engagement with our medical staff we have found that many clinicians are very wedded to their watches. We have negotiated at an implementation level that watches may be worn in the workplace by medical staff but during patient examination and, of course, any activity requiring aseptic technique the watch must be removed. Some may argue that this will not work, but our experience has been that if we were able to respond to this consideration then other elements of bare-below-the-elbows were more readily implemented with clinicians. Perhaps its a case of note losing all engagement through being bloody minded.

Kind regards
Rachel

..
Rachel Thomson
Nurse Unit Manager

Infection Prevention & Control Unit
Royal Hobart Hospital
Tasmanian Health Organisation-South
: 03 62227882/8658
Mobile: 0400 718 574
Email: rachel.thomson@dhhs.tas.gov.au

Level 4, H Block
48 Liverpool Street
Hobart, 7000

From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Craig Boutlis
Sent: Wednesday, 9 July 2014 7:28 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Bare below the elbows etc. and the RACP exams – do you have a policy?

Hi,

Hundreds of nervous medical registrars are about to fan out all over Australia for their Royal Australasian College of Physicians exams from July 25 to August 3, as they do every year. In hot pursuit will be about 150 “National Exam Panel” (NEP) members, of whom I am one. If you are wondering, it definitely is “all beer and skittles”.

Some of you can relax…I ditched my tie years ago, my jacket is left hanging on a chair, sleeves are rolled up, my pedometer has a watch, and there is no lanyard to be seen. For many others though, it is all about the grandest suit and tie they can conjure. Of interest, it’s amazing to see how easily those ties flop on to patients when candidates lean forward, but I digress.

I take it as a given that you all practice the 5 moments and cleaning of reusable equipment between patients. Do any of you in public (or some larger private) hospitals have a dress code (eg, BBE) that we NEPs and exam candidates must respect? Further, is it guidance (“should”) or actual policy (“must”)? Feel free to send on to me.

Best wishes,

Craig

Craig Boutlis

Department Head, Infectious Diseases | IMACS
LMB 8808, SCMC, NSW, 2521
Tel. 02 4222 5898 | craig.boutlis@sesiahs.health.nsw.gov.au

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

———————————————————————————————

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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[Lindy Ryan]

Dear Craig

Happy to share what we have here in NBMLHD doesnt specifically clarify BBE but refers to sleeves being rolled up, no ties and Clothing worn by healthcare workers must allow for adequate and efficient cleaning of the hands and forearms.

This is document is currently under review but there will be no major changes to my knowledge its just time for it to be reviewed mostly ( Infection control do have input).

Have a great day will be interesting to see what other actually do have in place should they share (given we are updating ours here)

Regards

Lindy

Lindy Ryan

Infection Prevention & Control Clinical Nurse Consultant | Nepean Hospital, NBM LHD
Infection control Service, PO Box 63 Penrith, 2751, NSW
Tel (02) 4734 2228 | Fax (02) 4734 2517 | lindy.ryan@health.nsw.gov.au
http://www.health.nsw.gov.au

Infection Prevention and control is everyones business
Clean hands safest care.take a moment & practice the five moments

[http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Nepean-Blue-Mountains-LHD.jpg]

From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Craig Boutlis
Sent: Wednesday, July 09, 2014 7:28 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Bare below the elbows etc. and the RACP exams – do you have a policy?

Hi,

Hundreds of nervous medical registrars are about to fan out all over Australia for their Royal Australasian College of Physicians exams from July 25 to August 3, as they do every year. In hot pursuit will be about 150 “National Exam Panel” (NEP) members, of whom I am one. If you are wondering, it definitely is “all beer and skittles”.

Some of you can relax…I ditched my tie years ago, my jacket is left hanging on a chair, sleeves are rolled up, my pedometer has a watch, and there is no lanyard to be seen. For many others though, it is all about the grandest suit and tie they can conjure. Of interest, it’s amazing to see how easily those ties flop on to patients when candidates lean forward, but I digress.

I take it as a given that you all practice the 5 moments and cleaning of reusable equipment between patients. Do any of you in public (or some larger private) hospitals have a dress code (eg, BBE) that we NEPs and exam candidates must respect? Further, is it guidance (“should”) or actual policy (“must”)? Feel free to send on to me.

Best wishes,

Craig

Craig Boutlis

Department Head, Infectious Diseases | IMACS
LMB 8808, SCMC, NSW, 2521
Tel. 02 4222 5898 | craig.boutlis@sesiahs.health.nsw.gov.au

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

———————————————————————————————

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

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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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[Michael Wishart]

Moderator note: Some subscribers have noted the link to the ICHE article cited below is for subscription login only.

Here is a link to the free preview of the article (not the entire article):
http://www.jstor.org/stable/10.1086/676422
Cheers
Michael Wishart
ACIPC Infexion Connexion Administrator

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

[http://www.interactivejam.com.au/images/ACIPC-conference.jpg]

From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Joe-Anne Bendall
Sent: Thursday, 10 July 2014 8:10 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Bare below the elbows etc. and the RACP exams – do you have a policy?

Craig,
We have a hand hygiene policy/procedure that is waiting for approval it has Bare Below the Elbow included and it mentions MUST a lot!

This article may be interesting about white coats

Infection Control and Hospital Epidemiology

June 2014, Volume 35, Issue 6

740742

Healthcare Worker Perception of Bare Below the Elbows: Readiness for Change?

James Pellerin, MD; Gonzalo Bearman, MD, MPH; Jonathan Sorah, BS; Kakotan Sanogo, MS; Michael Stevens, MD, MPH; Michael B. Edmond, MD, MPH, MPA

Thanks

Joe-Anne Bendall
(Monday/Thursday/Friday)
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

(Tuesday/Wednesday)
HAI Project Officer | Clinical Nurse Consultant Infection Prevention and Control
Clinical Governance Unit
Phone: 93827621
Mobile: 0434323222

From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Craig Boutlis
Sent: Wednesday, 9 July 2014 7:28 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Bare below the elbows etc. and the RACP exams – do you have a policy?

Hi,

Hundreds of nervous medical registrars are about to fan out all over Australia for their Royal Australasian College of Physicians exams from July 25 to August 3, as they do every year. In hot pursuit will be about 150 “National Exam Panel” (NEP) members, of whom I am one. If you are wondering, it definitely is “all beer and skittles”.

Some of you can relax…I ditched my tie years ago, my jacket is left hanging on a chair, sleeves are rolled up, my pedometer has a watch, and there is no lanyard to be seen. For many others though, it is all about the grandest suit and tie they can conjure. Of interest, it’s amazing to see how easily those ties flop on to patients when candidates lean forward, but I digress.

I take it as a given that you all practice the 5 moments and cleaning of reusable equipment between patients. Do any of you in public (or some larger private) hospitals have a dress code (eg, BBE) that we NEPs and exam candidates must respect? Further, is it guidance (“should”) or actual policy (“must”)? Feel free to send on to me.

Best wishes,

Craig

Craig Boutlis

Department Head, Infectious Diseases | IMACS
LMB 8808, SCMC, NSW, 2521
Tel. 02 4222 5898 | craig.boutlis@sesiahs.health.nsw.gov.au

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

———————————————————————————————

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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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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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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[Toni Schouten]

Dear Craig,

Our District Uniform and Standards of Dress Policy states: Staff are to comply with any Facility/Service requirements to be bare below the elbows. It also states:

Skivvies/long sleeved t-shirts are not to be worn underneath uniforms/scrubs.

Most facilities do not use the terminology Bare Below the Elbows but do have inclusions in their HH policy around not wearing jewellery when providing direct patient care. Although facilities may not refer to this in their policies it is seen as best practice and wards have readily adopted the short sleeves (or rolled up) and no lanyards. Many medical staff have opted not to wear ties particularly those more involved in direct patient care.
We are fortunate to have a Senior AMO who champions short sleeves, no ties, no lanyards and hand hygiene.

Enjoy the all beer and skittles. Regards, Toni.

Toni Schouten CICP

Clinical Quality Manager | Clinical Governance Unit
PO Box M30, Missenden Road LPO, Camperdown NSW 2050
Tel (02) 9515 9339 | Fax (02) 9515 9610 | Mob 0438 171 493 |
toni.schouten@sswahs.nsw.gov.au | http://www.slhd.nsw.gov.au

[Description: http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Sydney-LHD.jpg%5D
Quality Awards now open:
http://intranet.sswahs.nsw.gov.au/SLHDintranet/default.html
Close 11th July 2014

From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Craig Boutlis
Sent: Wednesday, 9 July 2014 7:28 PM
To: AICALIST@AICALIST.ORG.AU
Subject: [ACIPC_Infexion_Connexion] Bare below the elbows etc. and the RACP exams – do you have a policy?

Hi,

Hundreds of nervous medical registrars are about to fan out all over Australia for their Royal Australasian College of Physicians exams from July 25 to August 3, as they do every year. In hot pursuit will be about 150 “National Exam Panel” (NEP) members, of whom I am one. If you are wondering, it definitely is “all beer and skittles”.

Some of you can relax…I ditched my tie years ago, my jacket is left hanging on a chair, sleeves are rolled up, my pedometer has a watch, and there is no lanyard to be seen. For many others though, it is all about the grandest suit and tie they can conjure. Of interest, it’s amazing to see how easily those ties flop on to patients when candidates lean forward, but I digress.

I take it as a given that you all practice the 5 moments and cleaning of reusable equipment between patients. Do any of you in public (or some larger private) hospitals have a dress code (eg, BBE) that we NEPs and exam candidates must respect? Further, is it guidance (“should”) or actual policy (“must”)? Feel free to send on to me.

Best wishes,

Craig

Craig Boutlis

Department Head, Infectious Diseases | IMACS
LMB 8808, SCMC, NSW, 2521
Tel. 02 4222 5898 | craig.boutlis@sesiahs.health.nsw.gov.au

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

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[Sharon Maher]

Hi Craig

We have kept our policy pretty simple and clear just focusing on bare below the elbows, this policy has been in place since 2008.

The District has attempted to write a Uniform Policy will little success at this stage, I think they like their ties and bling

Regards

Sharon Maher

MLHD Infection Control Consultant | Clinical Governance
Postal address: 63-65 Johnston Street, Wagga Wagga, NSW 2650
Tel. (02) 6298 8552 | Mob. 0447 240 566 | Email. Sharon.Maher@gsahs.health.nsw.gov.au[cid:image001.gif@01CF9CF0.4BE29BA0]

From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Craig Boutlis
Sent: Wednesday, 9 July 2014 7:28 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Bare below the elbows etc. and the RACP exams – do you have a policy?

Hi,

Hundreds of nervous medical registrars are about to fan out all over Australia for their Royal Australasian College of Physicians exams from July 25 to August 3, as they do every year. In hot pursuit will be about 150 “National Exam Panel” (NEP) members, of whom I am one. If you are wondering, it definitely is “all beer and skittles”.

Some of you can relax…I ditched my tie years ago, my jacket is left hanging on a chair, sleeves are rolled up, my pedometer has a watch, and there is no lanyard to be seen. For many others though, it is all about the grandest suit and tie they can conjure. Of interest, it’s amazing to see how easily those ties flop on to patients when candidates lean forward, but I digress.

I take it as a given that you all practice the 5 moments and cleaning of reusable equipment between patients. Do any of you in public (or some larger private) hospitals have a dress code (eg, BBE) that we NEPs and exam candidates must respect? Further, is it guidance (“should”) or actual policy (“must”)? Feel free to send on to me.

Best wishes,

Craig

Craig Boutlis

Department Head, Infectious Diseases | IMACS
LMB 8808, SCMC, NSW, 2521
Tel. 02 4222 5898 | craig.boutlis@sesiahs.health.nsw.gov.au

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

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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.

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

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