Consumption of food stuff in ward areas

[Breen, Jennifer (MH)]

Hi All,
We are having some issues with staff consuming food in their ward area, particularly at the staff base and in the corridors. We have located articles about transmission of Hepatitis A but are hoping to source articles to provide further evidence . Our current hospital guidelines are fairly general in this area and pertain more to an outbreak of gastro .

Kind Regards

Jenny Breen
Clinical Nurse Consultant
Infection Control
Maroondah Hospital
Tel: 98713175 Pager 0111

________________________________
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[Helen Scott]

Has anyone got anymore information on this please? I’d like to provide evidence and documentation to follow up my concerns about the same thing.
Thanks,
Helen.
( mailto:Helen.Scott@healthscope.com.au )
Helen Scott
Clinical Nurse Specialist |
Infection Control |
Anaesthetics & Recovery
Nepean Private Hospital
Kingswood, NSW.
Tel 02 4732 7333 | helen.scott@healthscope.com.au

Please consider the environment before printing this message

>>> On 10/07/2012 at 12:57 pm, in message , “Breen, Jennifer (MH)” wrote:

Hi All,
We are having some issues with staff consuming food in their ward area, particularly at the staff base and in the corridors. We have located articles about transmission of Hepatitis A but are hoping to source articles to provide further evidence . Our current hospital guidelines are fairly general in this area and pertain more to an outbreak of gastro .
Kind Regards

Jenny Breen
Clinical Nurse Consultant
Infection Control
Maroondah Hospital
Tel: 98713175 Pager 0111

THIS E-MAIL IS CONFIDENTIAL. If you have received this e-mail in error, please notify us by return e-mail and delete the document. If you are not the intended recipient you are hereby notified that any disclosure, copying, distribution or taking any action in reliance on the contents of this information is strictly prohibited and may be unlawful. Eastern Health is not liable for the proper and complete transmission of the information contained in this communication or of any delay in its receipt.

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[Sue.Greig@HEALTH.GOV.AU Subject: Re: Consumption of food stuff in ward areas [SEC=UNCLASSIFIED] In-Reply-To:]

Hi Helen,
It is such a shame that you can only argue a point of common sense with
evidence.
I agree the ‘evidence’ is poor in this area but OHS (Workplace Health and
Safety) provides the opportunity for employers and employees to review
real and possible risks of eating in the work area. The Australian
Infection Control Guidelines do not address this issue specifically but do
provide you with a risk management framework to use for developing your
position on this for your organisation.
Some of the risks to be considered include – vermin, food/drink
contamination, odour, spills that can create slip and trip hazards,
professionalism, hand hygiene, cleaning (increased requirements),
disease/infection transmission.
Options to consider – provision of a designated place to consume
food/drinks, staffing allocation sufficient to cover breaks, governance of
decisions made, consultation with those affected.

Good luck,
Sue

Sue Greig
Senior Project Officer
Australian Commission on Safety and Quality in Health Care
GPO Box 5480 Sydney NSW 2001 | Level 7, 1 Oxford Street, Darlinghurst NSW
2010
( direct (02) 9126 3565 | ( switchboard (02) 9126 3600 | 6 (02) 9126 3613
|
Email sue.greig@safetyandquality.gov.au | http://www.safetyandquality.gov.au

Helen Scott
Sent by: ACIPC Infexion Connexion
31/07/2012 08:56 AM
Please respond to
ACIPC Infexion Connexion

To
AICALIST@AICALIST.ORG.AU
cc

Subject

Has anyone got anymore information on this please? I’d like to provide
evidence and documentation to follow up my concerns about the same thing.

Thanks,
Helen.

Helen Scott
Clinical Nurse Specialist |
Infection Control |
Anaesthetics & Recovery
Nepean Private Hospital
Kingswood, NSW.
Tel 02 4732 7333 | helen.scott@healthscope.com.au

Please consider the environment before printing this message

>>> On 10/07/2012 at 12:57 pm, in message
, “Breen,
Jennifer (MH)” wrote:
Hi All,
We are having some issues with staff consuming food in their ward area,
particularly at the staff base and in the corridors. We have located
articles about transmission of Hepatitis A but are hoping to source
articles to provide further evidence . Our current hospital guidelines are
fairly general in this area and pertain more to an outbreak of gastro .

Kind Regards

Jenny Breen
Clinical Nurse Consultant
Infection Control
Maroondah Hospital
Tel: 98713175 Pager 0111

THIS E-MAIL IS CONFIDENTIAL. If you have received this e-mail in error,
please notify us by return e-mail and delete the document. If you are not
the intended recipient you are hereby notified that any disclosure,
copying, distribution or taking any action in reliance on the contents of
this information is strictly prohibited and may be unlawful. Eastern
Health is not liable for the proper and complete transmission of the
information contained in this communication or of any delay in its
receipt.
Messages posted to this list are solely the opinion of the authors, and do
not represent the opinion of ACIPC.
Archive of all messages are available at http://aicalist.org.au/archives –
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[Matthias Maiwald (KKH)]

Sue,

Out of interest, do you happen to know the reference for the OHS regulations, and what they specifically say about food consumption in ward areas?

I agree it is a sad state that one should need evidence or even a “risk management framework” (what a mouthful) for what should normally come with common sense.

Has anyone tried “evidence reversal” — actually in my opinion the right and scientifically correct way to place the onus for evidence in such situations — to say, here are the OHS regulations and here is what common sense and microbiological principles tell you, and now YOU show me the evidence that breaking the rules is NOT associated with an increased risk?

Best regards, Matthias.

—
Matthias Maiwald, MD, FRCPA
Consultant in Microbiology
Adj. Assoc. Prof., Natl. Univ. Singapore
Department of Pathology and Laboratory Medicine
KK Women’s and Children’s Hospital
100 Bukit Timah Road
Singapore 229899
Tel. +65 6394 8725 (Office)
Tel. +65 6394 1389 (Laboratory)
Fax +65 6394 1387

Hi Helen,
It is such a shame that you can only argue a point of common sense with evidence.
I agree the ‘evidence’ is poor in this area but OHS (Workplace Health and Safety) provides the opportunity for employers and employees to review real and possible risks of eating in the work area. The Australian Infection Control Guidelines do not address this issue specifically but do provide you with a risk management framework to use for developing your position on this for your organisation.
Some of the risks to be considered include – vermin, food/drink contamination, odour, spills that can create slip and trip hazards, professionalism, hand hygiene, cleaning (increased requirements), disease/infection transmission.
Options to consider – provision of a designated place to consume food/drinks, staffing allocation sufficient to cover breaks, governance of decisions made, consultation with those affected.

Good luck,
Sue

Sue Greig
Senior Project Officer
Australian Commission on Safety and Quality in Health Care
GPO Box 5480 Sydney NSW 2001 | Level 7, 1 Oxford Street, Darlinghurst NSW 2010
( direct (02) 9126 3565 | ( switchboard (02) 9126 3600 | 6 (02) 9126 3613 |
Email sue.greig@safetyandquality.gov.au | http://www.safetyandquality.gov.au

Helen Scott <Helen.Scott@HEALTHSCOPE.COM.AU>
Sent by: ACIPC Infexion Connexion <AICALIST@AICALIST.ORG.AU>

31/07/2012 08:56 AM
Please respond to
ACIPC Infexion Connexion <AICALIST@AICALIST.ORG.AU>

To

AICALIST@AICALIST.ORG.AU

cc

Subject

Has anyone got anymore information on this please? I’d like to provide evidence and documentation to follow up my concerns about the same thing.

Thanks,
Helen.

Helen Scott
Clinical Nurse Specialist |
Infection Control |
Anaesthetics & Recovery
Nepean Private Hospital
Kingswood, NSW.
Tel 02 4732 7333 | helen.scott@healthscope.com.au

Please consider the environment before printing this message

>>> On 10/07/2012 at 12:57 pm, in message <BF9F17B8E99F2345A43563B49B8F2AA3186031928A@EHEXVS01.eh.local>, “Breen, Jennifer (MH)” <Jennifer.Breen@EASTERNHEALTH.ORG.AU> wrote:
Hi All,

We are having some issues with staff consuming food in their ward area, particularly at the staff base and in the corridors. We have located articles about transmission of Hepatitis A but are hoping to source articles to provide further evidence . Our current hospital guidelines are fairly general in this area and pertain more to an outbreak of gastro .

Kind Regards

Jenny Breen

Clinical Nurse Consultant

Infection Control

Maroondah Hospital

Tel: 98713175 Pager 0111

________________________________
THIS E-MAIL IS CONFIDENTIAL. If you have received this e-mail in error, please notify us by return e-mail and delete the document. If you are not the intended recipient you are hereby notified that any disclosure, copying, distribution or taking any action in reliance on the contents of this information is strictly prohibited and may be unlawful. Eastern Health is not liable for the proper and complete transmission of the information contained in this communication or of any delay in its receipt.
Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

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“Important: This transmission is intended only for the use of the addressee and may contain confidential or legally privileged information. If you are not the intended recipient, you are notified that any use or dissemination of this communication is strictly prohibited. If you receive this transmission in error please notify the author immediately and delete all copies of this transmission.”
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[cid:kkh55e5.gif]kkh

________________________________
The information contained in this e-mail and the attachments (if any) may be privileged and confidential and is intended solely for the named addressee. If you are not the intended recipient, please do not print, retain copy, disseminate, distribute, or use this e-mail or any part thereof. Please notify the sender immediately by replying to this e-mail and delete all copies of this e-mail and the attachments.

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[Glenys Harrington]

Jenny,

Eating or putting anything in your mouth while working in a clinical area
can result in hand contamination with mouth organisms.

Given that HH compliance is not always optimal this would be a rationale
reason why eating in clinical areas is not appropriate on a routine basis
and even more important during times of gastrointestinal (usually viral)
outbreaks.

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 Matthias Maiwald (KKH)
areas [SEC=UNCLASSIFIED]

Sue,

Out of interest, do you happen to know the reference for the OHS
regulations, and what they specifically say about food consumption in ward
areas?

I agree it is a sad state that one should need evidence or even a “risk
management framework” (what a mouthful) for what should normally come with
common sense.

Has anyone tried “evidence reversal” — actually in my opinion the right and
scientifically correct way to place the onus for evidence in such situations
— to say, here are the OHS regulations and here is what common sense and
microbiological principles tell you, and now YOU show me the evidence that
breaking the rules is NOT associated with an increased risk?

Best regards, Matthias.

—

Matthias Maiwald, MD, FRCPA

Consultant in Microbiology

Adj. Assoc. Prof., Natl. Univ. Singapore

Department of Pathology and Laboratory Medicine

KK Women’s and Children’s Hospital

100 Bukit Timah Road

Singapore 229899

Tel. +65 6394 8725 (Office)

Tel. +65 6394 1389 (Laboratory)

Fax +65 6394 1387

Of Sue.Greig@HEALTH.GOV.AU

Hi Helen,
It is such a shame that you can only argue a point of common sense with
evidence.
I agree the ‘evidence’ is poor in this area but OHS (Workplace Health and
Safety) provides the opportunity for employers and employees to review real
and possible risks of eating in the work area. The Australian Infection
Control Guidelines do not address this issue specifically but do provide you
with a risk management framework to use for developing your position on this
for your organisation.
Some of the risks to be considered include – vermin, food/drink
contamination, odour, spills that can create slip and trip hazards,
professionalism, hand hygiene, cleaning (increased requirements),
disease/infection transmission.
Options to consider – provision of a designated place to consume
food/drinks, staffing allocation sufficient to cover breaks, governance of
decisions made, consultation with those affected.

Good luck,
Sue

Sue Greig
Senior Project Officer
Australian Commission on Safety and Quality in Health Care
GPO Box 5480 Sydney NSW 2001 | Level 7, 1 Oxford Street, Darlinghurst NSW
2010
( direct (02) 9126 3565 | ( switchboard (02) 9126 3600 | 6 (02) 9126 3613 |
Email
sue.greig@safetyandquality.gov.au |
http://www.safetyandquality.gov.au

Helen Scott
Sent by: ACIPC Infexion Connexion

31/07/2012 08:56 AM

Please respond to
ACIPC Infexion Connexion

To

AICALIST@AICALIST.ORG.AU

cc

Subject

Has anyone got anymore information on this please? I’d like to provide
evidence and documentation to follow up my concerns about the same thing.

Thanks,
Helen.

Helen Scott
Clinical Nurse Specialist |
Infection Control |
Anaesthetics & Recovery
Nepean Private Hospital
Kingswood, NSW.
Tel 02 4732 7333 |
helen.scott@healthscope.com.au

Please consider the environment before printing this message

>>> On 10/07/2012 at 12:57 pm, in message
, “Breen,
Jennifer (MH)” wrote:
Hi All,

We are having some issues with staff consuming food in their ward area,
particularly at the staff base and in the corridors. We have located
articles about transmission of Hepatitis A but are hoping to source articles
to provide further evidence . Our current hospital guidelines are fairly
general in this area and pertain more to an outbreak of gastro .

Kind Regards

Jenny Breen

Clinical Nurse Consultant

Infection Control

Maroondah Hospital

Tel: 98713175 Pager 0111

_____

THIS E-MAIL IS CONFIDENTIAL. If you have received this e-mail in error,
please notify us by return e-mail and delete the document. If you are not
the intended recipient you are hereby notified that any disclosure, copying,
distribution or taking any action in reliance on the contents of this
information is strictly prohibited and may be unlawful. Eastern Health is
not liable for the proper and complete transmission of the information
contained in this communication or of any delay in its receipt.
Messages posted to this list are solely the opinion of the authors, and do
not represent the opinion of ACIPC.

Archive of all messages are available at http://aicalist.org.au/archives –
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kkh

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[Lynne Sinclair]

We have a trend here of staff having coffee etc so would be very
interested in this issue

Lynne Sinclair

Quality Improvement Manager Boort District Health
‘ 03 5451 5200 | 7 03 5455 2502 | * lsinclair@bdh.vic.gov.au

Please consider the planet before printing this email

senior manager of Boort District Health, this communication is to be
treated as confidential and the information in it may not be used or
disclosed except for the purpose for which it has been sent. If you have
reason to believe that you are not the intended recipient of this
communication, please contact the sender immediately.

Behalf Of Helen Scott

Has anyone got anymore information on this please? I’d like to provide
evidence and documentation to follow up my concerns about the same
thing.

Thanks,

Helen.

Helen Scott

Clinical Nurse Specialist |

Infection Control |

Anaesthetics & Recovery

Nepean Private Hospital

Kingswood, NSW.
Tel 02 4732 7333 | helen.scott@healthscope.com.au

Please consider the environment before printing this message

>>> On 10/07/2012 at 12:57 pm, in message
, “Breen,
Jennifer (MH)” wrote:

Hi All,

We are having some issues with staff consuming food in their ward area,
particularly at the staff base and in the corridors. We have located
articles about transmission of Hepatitis A but are hoping to source
articles to provide further evidence . Our current hospital guidelines
are fairly general in this area and pertain more to an outbreak of
gastro .

Kind Regards

Jenny Breen

Clinical Nurse Consultant

Infection Control

Maroondah Hospital

Tel: 98713175 Pager 0111

________________________________

THIS E-MAIL IS CONFIDENTIAL. If you have received this e-mail in error,
please notify us by return e-mail and delete the document. If you are
not the intended recipient you are hereby notified that any disclosure,
copying, distribution or taking any action in reliance on the contents
of this information is strictly prohibited and may be unlawful. Eastern
Health is not liable for the proper and complete transmission of the
information contained in this communication or of any delay in its
receipt.

Messages posted to this list are solely the opinion of the authors, and
do not represent the opinion of ACIPC.

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[Carolyn.Chenoweth@FMC-ASIA.COM Subject: Re: Consumption of food stuff in ward areas In-Reply-To:]

We allow drinks in nurse stations but no food. With drinks the actual
fluid is not touched so low risk of contamination. To enforce the no food
policy we show the hand hygiene results to demonstrate that until they are
100% there is risk of contamination from hands and the potential spread of
VRE to staff.

Sincerely
Carolyn

Carolyn Chenoweth
National Quality Coordinator
Fresenius Medical Care – NephroCare

Nephrocare Payneham Dialysis Centre
2 Portrush Road
PAYNEHAM SA 5070
phone (08) 81654313
mobile 0407 810 800
email: carolyn.chenoweth@fmc-asia.com

Sent by: ACIPC Infexion Connexion

We have a trend here of staff having coffee etc so would be very
interested in this issue
Lynne Sinclair
Quality Improvement Manager Boort District Health
‘ 03 5451 5200 | 7 03 5455 2502 | * lsinclair@bdh.vic.gov.au
Please consider the planet before printing this email

manager of Boort District Health, this communication is to be treated as
confidential and the information in it may not be used or disclosed except
for the purpose for which it has been sent. If you have reason to believe
that you are not the intended recipient of this communication, please
contact the sender immediately.

Of Helen Scott

Has anyone got anymore information on this please? I’d like to provide
evidence and documentation to follow up my concerns about the same thing.

Thanks,
Helen.

Helen Scott
Clinical Nurse Specialist |
Infection Control |
Anaesthetics & Recovery
Nepean Private Hospital
Kingswood, NSW.
Tel 02 4732 7333 | helen.scott@healthscope.com.au

Please consider the environment before printing this message

>>> On 10/07/2012 at 12:57 pm, in message , “Breen,
Jennifer (MH)” wrote:
Hi All,
We are having some issues with staff consuming food in their ward area,
particularly at the staff base and in the corridors. We have located
articles about transmission of Hepatitis A but are hoping to source
articles to provide further evidence . Our current hospital guidelines are
fairly general in this area and pertain more to an outbreak of gastro .

Kind Regards

Jenny Breen
Clinical Nurse Consultant
Infection Control
Maroondah Hospital
Tel: 98713175 Pager 0111

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