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Hand Hygiene auditing in the operating room

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  • #70679
    Maree Sommerville
    Participant

    Author:
    Maree Sommerville

    Email:
    MSommerville@MERCY.COM.AU

    Organisation:

    State:

    Dear all,

    I am interested to know if anyone does HH auditing in the operating
    room.

    It is my intention to do some ad hoc audits in the New Year.

    I have already done a preliminary assessment and the biggest challenge
    is defining the areas (patient care zone or health care zone).

    The HH audit tool currently in use easily suits a ward but will it suit
    this type of critical care area.

    Has anyone audited this area?

    If so, how did you define the zones for each group (anaesthetic team /
    surgical team / theatre tech)?

    If any of you have audited this area, did you adapt the current HHA tool
    or did you use another?

    Look forward to your responses.

    Maree

    Maree Sommerville

    Infection Control Coordinator

    Mercy Hospital for Women

    163 Studley Road

    Heidelberg 3084

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    #70680
    Chard, Colette
    Participant

    Author:
    Chard, Colette

    Email:
    ChardC@RAMSAYHEALTH.COM.AU

    Organisation:

    State:

    Hi Maree ,

    We audit up to the anaesthetic bay, PACU, DSU admit & D/C areas

    Kind regards

    Colette Chard

    What gets measured gets managed, what gets managed gets done…..

    Quality & Risk Manager
    North West Private Hospital
    137 Flockton Street
    Everton Park
    QLD 4037

    07 3246 3142
    Chardc @ramsayhealth.com.au

    From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Maree Sommerville
    Sent: Wednesday, 11 December 2013 7:40 AM
    To: AICALIST@AICALIST.ORG.AU
    Subject: [ACIPC_Infexion_Connexion] Hand Hygiene auditing in the operating room

    Dear all,
    I am interested to know if anyone does HH auditing in the operating room.
    It is my intention to do some ad hoc audits in the New Year.

    I have already done a preliminary assessment and the biggest challenge is defining the areas (patient care zone or health care zone).
    The HH audit tool currently in use easily suits a ward but will it suit this type of critical care area.

    Has anyone audited this area?
    If so, how did you define the zones for each group (anaesthetic team / surgical team / theatre tech)?
    If any of you have audited this area, did you adapt the current HHA tool or did you use another?

    Look forward to your responses.
    Maree

    Maree Sommerville
    Infection Control Coordinator
    Mercy Hospital for Women

    163 Studley Road
    Heidelberg 3084
    Phone: 8458 4759
    Mob: 0408 789 798
    Fax: 8458 4751

    DISCLAIMER This email and any files transmitted with it

    may be confidential and intended solely for the use of the

    individual or entity to whom they are addressed. If you have

    received this email in error please notify the sender immediately

    by return email and delete or destroy this message and its

    attachments. While this email and any attachments have

    been cleared by Mercy Health’s virus protection systems, recipients

    should use their own systems to detect computer viruses or other

    materials that may corrupt files or systems. Find out more about

    Mercy Health at http://www.mercyhealth.com.au

    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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    #70682
    Denise MacGregor Fraser
    Participant

    Author:
    Denise MacGregor Fraser

    Email:
    denise.mfraser@hicmr.com.au

    Organisation:
    HICMR Pty Ltd

    State:

    Hi Maree

    HHA have previously said not to audit inside operating theatres.
    Other areas ok PACU etc

    Regards Denise
    MacGregor Fraser
    IPC Consultant – NSW/National
    HICMR Pty Ltd
    (Healthcare Infection Control Management Resources)
    Level 1, 123 Camberwell Road Hawthorn East VIC 3123
    Ph: (03) 9811 9923 Fax: (03) 9882 4534
    Pager: 1300 657 359 http://www.hicmr.com.au
    denise.mfraser@hicmr.com.au
    P Please consider the environment before printing this message

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    From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Maree Sommerville
    Sent: Wednesday, 11 December 2013 8:40 AM
    To: AICALIST@AICALIST.ORG.AU
    Subject: Hand Hygiene auditing in the operating room

    Dear all,
    I am interested to know if anyone does HH auditing in the operating room.
    It is my intention to do some ad hoc audits in the New Year.

    I have already done a preliminary assessment and the biggest challenge is defining the areas (patient care zone or health care zone).
    The HH audit tool currently in use easily suits a ward but will it suit this type of critical care area.

    Has anyone audited this area?
    If so, how did you define the zones for each group (anaesthetic team / surgical team / theatre tech)?
    If any of you have audited this area, did you adapt the current HHA tool or did you use another?

    Look forward to your responses.
    Maree

    Maree Sommerville
    Infection Control Coordinator
    Mercy Hospital for Women

    163 Studley Road
    Heidelberg 3084
    Phone: 8458 4759
    Mob: 0408 789 798
    Fax: 8458 4751

    DISCLAIMER This email and any files transmitted with it

    may be confidential and intended solely for the use of the

    individual or entity to whom they are addressed. If you have

    received this email in error please notify the sender immediately

    by return email and delete or destroy this message and its

    attachments. While this email and any attachments have

    been cleared by Mercy Health’s virus protection systems, recipients

    should use their own systems to detect computer viruses or other

    materials that may corrupt files or systems. Find out more about

    Mercy Health at http://www.mercyhealth.com.au

    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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    #70683
    SDH Manager
    Participant

    Author:
    SDH Manager

    Email:
    manager@SOUTHPORTDAYHOSPITAL.COM.AU

    Organisation:

    State:

    HI Maree

    We are only a very small day hospital and I have always audited in the operating theatre (our theatre staff & anaesthetists), as well as our PACU. HHA are aware of this and have never said anything to me, so I will continue to do it.

    Personally, I think theatre should be audited. We have Alcoholic rubs placed in theatre for staff to use. The circulating nurse is touching the patient and then touching other items in the theatre, as well the anaesthetist and anaesthetic nurse are also touching the patient and putting in IVs and doing other invasive procedures, so why shouldnt they be audited? We are also planning on doing surgical scrub audits and hand hygiene observational audits on our surgeons, they are statistically the worst offenders!

    Regards

    Tina Owens, RN

    Clinical Manager

    Southport Day Hospital

    Tel: (07) 5555 7800 / Fax: (07) 55557801

    Mb: 0419 026 091

    Email: manager@southportdayhospital.com.au

    From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Maree Sommerville
    Sent: Wednesday, 11 December 2013 7:40 AM
    To: AICALIST@AICALIST.ORG.AU
    Subject: Hand Hygiene auditing in the operating room

    Dear all,

    I am interested to know if anyone does HH auditing in the operating room.

    It is my intention to do some ad hoc audits in the New Year.

    I have already done a preliminary assessment and the biggest challenge is defining the areas (patient care zone or health care zone).

    The HH audit tool currently in use easily suits a ward but will it suit this type of critical care area.

    Has anyone audited this area?

    If so, how did you define the zones for each group (anaesthetic team / surgical team / theatre tech)?

    If any of you have audited this area, did you adapt the current HHA tool or did you use another?

    Look forward to your responses.

    Maree

    Maree Sommerville

    Infection Control Coordinator

    Mercy Hospital for Women

    163 Studley Road

    Heidelberg 3084

    Phone: 8458 4759

    Mob: 0408 789 798

    Fax: 8458 4751

    DISCLAIMER This email and any files transmitted with it
    may be confidential and intended solely for the use of the
    individual or entity to whom they are addressed. If you have
    received this email in error please notify the sender immediately
    by return email and delete or destroy this message and its
    attachments. While this email and any attachments have
    been cleared by Mercy Health’s virus protection systems, recipients
    should use their own systems to detect computer viruses or other
    materials that may corrupt files or systems. Find out more about
    Mercy Health at http://www.mercyhealth.com.au

    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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    #70691
    Denise MacGregor Fraser
    Participant

    Author:
    Denise MacGregor Fraser

    Email:
    denise.mfraser@hicmr.com.au

    Organisation:
    HICMR Pty Ltd

    State:

    Hi Tina

    I agree about surgical scrub audits / competencies for Medical Officers, this is generally only attended for nursing staff.
    We should be including the Doctors – VMOs & CMOs, they are a large cohort of clinical staff.

    Regards Denise
    MacGregor Fraser
    IPC Consultant – NSW/National
    HICMR Pty Ltd
    (Healthcare Infection Control Management Resources)
    Level 1, 123 Camberwell Road Hawthorn East VIC 3123
    Ph: (03) 9811 9923 Fax: (03) 9882 4534
    Pager: 1300 657 359 http://www.hicmr.com.au
    denise.mfraser@hicmr.com.au
    P Please consider the environment before printing this message

    [cid:image001.jpg@01CEF66F.E6C117A0]
    This email and any files transmitted with it are privileged and confidential and are intended only for the use of the intended recipient. If you are not the intended recipient or responsible for delivering this email to the intended recipient, any use, dissemination, forwarding, printing, or copying of this email and any attachments is strictly prohibited. If you have received this email in error, please delete it immediately from your system and notify us by email at support@hicmr.com.au
    Any views expressed in this email any any files transmitted with it are those of the individual sender, except where the sender specifically states them to be the views of HICMR Pty Ltd. HICMR Pty Ltd does not represent or warrant that the attached files are free from computer viruses or other defects. The user assumes all responsibility for any loss or damage resulting directly or indirectly from the use of the attached files.

    From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of SDH Manager
    Sent: Wednesday, 11 December 2013 11:33 AM
    To: AICALIST@AICALIST.ORG.AU
    Subject: Re: Hand Hygiene auditing in the operating room

    HI Maree

    We are only a very small day hospital and I have always audited in the operating theatre (our theatre staff & anaesthetists), as well as our PACU. HHA are aware of this and have never said anything to me, so I will continue to do it.

    Personally, I think theatre should be audited. We have Alcoholic rubs placed in theatre for staff to use. The circulating nurse is touching the patient and then touching other items in the theatre, as well the anaesthetist and anaesthetic nurse are also touching the patient and putting in IVs and doing other invasive procedures, so why shouldnt they be audited? We are also planning on doing surgical scrub audits and hand hygiene observational audits on our surgeons, they are statistically the worst offenders!

    Regards

    Tina Owens, RN
    Clinical Manager
    Southport Day Hospital
    Tel: (07) 5555 7800 / Fax: (07) 55557801
    Mb: 0419 026 091
    Email: manager@southportdayhospital.com.au

    From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Maree Sommerville
    Sent: Wednesday, 11 December 2013 7:40 AM
    To: AICALIST@AICALIST.ORG.AU
    Subject: Hand Hygiene auditing in the operating room

    Dear all,
    I am interested to know if anyone does HH auditing in the operating room.
    It is my intention to do some ad hoc audits in the New Year.

    I have already done a preliminary assessment and the biggest challenge is defining the areas (patient care zone or health care zone).
    The HH audit tool currently in use easily suits a ward but will it suit this type of critical care area.

    Has anyone audited this area?
    If so, how did you define the zones for each group (anaesthetic team / surgical team / theatre tech)?
    If any of you have audited this area, did you adapt the current HHA tool or did you use another?

    Look forward to your responses.
    Maree

    Maree Sommerville
    Infection Control Coordinator
    Mercy Hospital for Women

    163 Studley Road
    Heidelberg 3084
    Phone: 8458 4759
    Mob: 0408 789 798
    Fax: 8458 4751

    DISCLAIMER This email and any files transmitted with it

    may be confidential and intended solely for the use of the

    individual or entity to whom they are addressed. If you have

    received this email in error please notify the sender immediately

    by return email and delete or destroy this message and its

    attachments. While this email and any attachments have

    been cleared by Mercy Health’s virus protection systems, recipients

    should use their own systems to detect computer viruses or other

    materials that may corrupt files or systems. Find out more about

    Mercy Health at http://www.mercyhealth.com.au

    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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    #70692
    Joe-Anne Bendall
    Participant

    Author:
    Joe-Anne Bendall

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

    Organisation:

    State:

    Hi
    I started auditing the operating theatre suite (OR, anaesthetics, RR) this year. Last year, I did some practice audits to determine how I was going to audit in the operating room. I found the auditing of anaesthetics a challenge and it took a while to have some different rules eg after giving IV anaesthetic drugs and then intubating they cannot perform HH as it is a patient safety risk

    The staff have welcomed the auditing process and we have identified some gaps eg certain groups and the location of alcohol hand gels

    In November, the OR used their data to run a month long hand hygiene awareness campaign.

    Thanks

    Joe

    Joe-anne Bendall
    HAI Project Officer
    Clinical Governance Unit
    (Tuesday and Wednesday only)

    Phone: 93827621
    Mobile: 0434323222
    Joe-anne.Bendall@sesiahs.health.nsw.gov.au

    From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of SDH Manager
    Sent: Wednesday, 11 December 2013 11:33 AM
    To: AICALIST@AICALIST.ORG.AU
    Subject: Re: Hand Hygiene auditing in the operating room

    HI Maree

    We are only a very small day hospital and I have always audited in the operating theatre (our theatre staff & anaesthetists), as well as our PACU. HHA are aware of this and have never said anything to me, so I will continue to do it.

    Personally, I think theatre should be audited. We have Alcoholic rubs placed in theatre for staff to use. The circulating nurse is touching the patient and then touching other items in the theatre, as well the anaesthetist and anaesthetic nurse are also touching the patient and putting in IVs and doing other invasive procedures, so why shouldnt they be audited? We are also planning on doing surgical scrub audits and hand hygiene observational audits on our surgeons, they are statistically the worst offenders!

    Regards

    Tina Owens, RN
    Clinical Manager
    Southport Day Hospital
    Tel: (07) 5555 7800 / Fax: (07) 55557801
    Mb: 0419 026 091
    Email: manager@southportdayhospital.com.au

    From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Maree Sommerville
    Sent: Wednesday, 11 December 2013 7:40 AM
    To: AICALIST@AICALIST.ORG.AU
    Subject: Hand Hygiene auditing in the operating room

    Dear all,
    I am interested to know if anyone does HH auditing in the operating room.
    It is my intention to do some ad hoc audits in the New Year.

    I have already done a preliminary assessment and the biggest challenge is defining the areas (patient care zone or health care zone).
    The HH audit tool currently in use easily suits a ward but will it suit this type of critical care area.

    Has anyone audited this area?
    If so, how did you define the zones for each group (anaesthetic team / surgical team / theatre tech)?
    If any of you have audited this area, did you adapt the current HHA tool or did you use another?

    Look forward to your responses.
    Maree

    Maree Sommerville
    Infection Control Coordinator
    Mercy Hospital for Women

    163 Studley Road
    Heidelberg 3084
    Phone: 8458 4759
    Mob: 0408 789 798
    Fax: 8458 4751

    DISCLAIMER This email and any files transmitted with it

    may be confidential and intended solely for the use of the

    individual or entity to whom they are addressed. If you have

    received this email in error please notify the sender immediately

    by return email and delete or destroy this message and its

    attachments. While this email and any attachments have

    been cleared by Mercy Health’s virus protection systems, recipients

    should use their own systems to detect computer viruses or other

    materials that may corrupt files or systems. Find out more about

    Mercy Health at http://www.mercyhealth.com.au

    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.

    Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

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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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