HIV,HEPB & HEPC consent

[Jayne OConnor]

Dear Brains trust,

Something to think about over morning tea!

Some of our surgeons have decided to start testing patients for HIV, HepB & HepC , our concern is around consent and who gains it, rumour has that the Drs are not??, how do we stand as a healthcare facility legally? Doc’s we have read talk about the practitioner obtaining consent but not the healthcare facilities responsibility.

Does anyone have any evidence or can point me in the right direction to obtain the evidence?

Muchly appreciated

Kind regards
Jayne

Jayne OConnor RN, BSc.Inf.Cont.
IPC Co ordinator
Sydney Adventist Hospital
185 Fox valley Rd,
Wahroonga 2076

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[Michael Wishart]

Hi Jayne

Here in the QLD private sector it’s all about the relationship of the doctor as a consultant to the patient. All of the tests they order, including pre-op serology for HIV, Hep B and Hep C where they order it, are all tests undertaken in the doctor’s relationship with the patient, not the facility’s relationship. So the onus on consent for these tests is on the doctor; the nurse or phlebotomist just has to gain consent for the procedure of obtaining the blood if the test is conducted within the facility.

The only time the facility becomes involved with consent for this type of serology testing is when we actually initiate the tests (eg if the patient is a source of an exposure). Then we are required to gain informed consent prior to initiating the tests.

If you have concerns about patients being tested without informed consent by your doctors, you should raise it with your Medical Director to discuss within your medical community.

And… try not to get sucked in to the vortex of doing your medical consultant’s work for them. Informed consent is THEIR responsibility to gain if they are ordering these tests.

That’s my view, anyway.

Cheers
Michael

Michael Wishart
Infection Control Coordinator

A627 Rode Road, Chermside QLD 4032
P(07) 3326 3068| F(07) 3607 2226| Emichael.wishart@svha.org.au| W http://www.hsnph.org.au

Please consider the environment before printing this email

—–Original Message—–
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Jayne OConnor
Sent: Tuesday, 3 November 2015 9:48 AM
To: AICALIST@AICALIST.ORG.AU
Subject: HIV,HEPB & HEPC consent

Dear Brains trust,

Something to think about over morning tea!

Some of our surgeons have decided to start testing patients for HIV, HepB & HepC , our concern is around consent and who gains it, rumour has that the Drs are not??, how do we stand as a healthcare facility legally? Doc’s we have read talk about the practitioner obtaining consent but not the healthcare facilities responsibility.

Does anyone have any evidence or can point me in the right direction to obtain the evidence?

Muchly appreciated

Kind regards
Jayne

Jayne OConnor RN, BSc.Inf.Cont.
IPC Co ordinator
Sydney Adventist Hospital
185 Fox valley Rd,
Wahroonga 2076
Tel: DD (02)0 9487 9732
Mobile: 0406752685

CAUTION: This message may contain both confidential and privileged information intended for the addressee named above.
If you are not the intended recipient you are hereby notified that any dissemination, distribution or reproduction of this message is prohibited. If you have received this message in error please notify the sender immediately, then destroy the original message.
Any views expressed in this message are solely those of the individual sender, except where the sender is specifically authorised by Adventist HealthCare Limited to state that they are the views of Adventist HealthCare Limited.
_____________________________________________________________________
This e-mail has been scanned for viruses by Symantec Hosted Services Scanning Services – powered by MessageLabs. For further information visit http://www.messagelabs.com

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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______________________________________________________________________
For the purposes of protecting the integrity and security of the SVHA network and the information held on it, all emails to and from any email address on the svha.org.au domain (or any other domain of St Vincents Health Australia Limited or any of its related bodies corporate) (an SVHA Email Address) will pass through and be scanned by the Symantec.cloud anti virus and anti spam filter service. These services may be provided by Symantec from locations outside of Australia and, if so, this will involve any email you send to or receive from an SVHA Email Address being sent to and scanned in those locations.

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

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

[Jayne OConnor]

Thanks Michael,
We consent our patients that have been involved in an exposure too, the issue now is that the Drs accepting responsibility and I think they are trying to push it onto nursing. So thank you for the advice, I will feed it back to my colleague, who is working for the Medical director!!!

Kind regards
Jayne

Jayne OConnor RN, BSc.Inf.Cont.
IPC Co ordinator
Sydney Adventist Hospital
185 Fox valley Rd,
Wahroonga 2076
Tel: DD (02)0 9487 9732
Mobile: 0406752685

—–Original Message—–
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Michael Wishart
Sent: Tuesday, 3 November 2015 11:14 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: HIV,HEPB & HEPC consent

Hi Jayne

Here in the QLD private sector it’s all about the relationship of the doctor as a consultant to the patient. All of the tests they order, including pre-op serology for HIV, Hep B and Hep C where they order it, are all tests undertaken in the doctor’s relationship with the patient, not the facility’s relationship. So the onus on consent for these tests is on the doctor; the nurse or phlebotomist just has to gain consent for the procedure of obtaining the blood if the test is conducted within the facility.

The only time the facility becomes involved with consent for this type of serology testing is when we actually initiate the tests (eg if the patient is a source of an exposure). Then we are required to gain informed consent prior to initiating the tests.

If you have concerns about patients being tested without informed consent by your doctors, you should raise it with your Medical Director to discuss within your medical community.

And… try not to get sucked in to the vortex of doing your medical consultant’s work for them. Informed consent is THEIR responsibility to gain if they are ordering these tests.

That’s my view, anyway.

Cheers
Michael

Michael Wishart
Infection Control Coordinator

A627 Rode Road, Chermside QLD 4032
P(07) 3326 3068| F(07) 3607 2226| Emichael.wishart@svha.org.au| W http://www.hsnph.org.au

Please consider the environment before printing this email

—–Original Message—–
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Jayne OConnor
Sent: Tuesday, 3 November 2015 9:48 AM
To: AICALIST@AICALIST.ORG.AU
Subject: HIV,HEPB & HEPC consent

Dear Brains trust,

Something to think about over morning tea!

Some of our surgeons have decided to start testing patients for HIV, HepB & HepC , our concern is around consent and who gains it, rumour has that the Drs are not??, how do we stand as a healthcare facility legally? Doc’s we have read talk about the practitioner obtaining consent but not the healthcare facilities responsibility.

Does anyone have any evidence or can point me in the right direction to obtain the evidence?

Muchly appreciated

Kind regards
Jayne

Jayne OConnor RN, BSc.Inf.Cont.
IPC Co ordinator
Sydney Adventist Hospital
185 Fox valley Rd,
Wahroonga 2076
Tel: DD (02)0 9487 9732
Mobile: 0406752685

CAUTION: This message may contain both confidential and privileged information intended for the addressee named above.
If you are not the intended recipient you are hereby notified that any dissemination, distribution or reproduction of this message is prohibited. If you have received this message in error please notify the sender immediately, then destroy the original message.
Any views expressed in this message are solely those of the individual sender, except where the sender is specifically authorised by Adventist HealthCare Limited to state that they are the views of Adventist HealthCare Limited.
_____________________________________________________________________
This e-mail has been scanned for viruses by Symantec Hosted Services Scanning Services – powered by MessageLabs. For further information visit http://www.messagelabs.com

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

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

______________________________________________________________________
For the purposes of protecting the integrity and security of the SVHA network and the information held on it, all emails to and from any email address on the svha.org.au domain (or any other domain of St Vincents Health Australia Limited or any of its related bodies corporate) (an SVHA Email Address) will pass through and be scanned by the Symantec.cloud anti virus and anti spam filter service. These services may be provided by Symantec from locations outside of Australia and, if so, this will involve any email you send to or receive from an SVHA Email Address being sent to and scanned in those locations.

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

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

CAUTION: This message may contain both confidential and privileged information intended for the addressee named above.
If you are not the intended recipient you are hereby notified that any dissemination, distribution or reproduction of this message
is prohibited. If you have received this message in error please notify the sender immediately, then destroy the original message.
Any views expressed in this message are solely those of the individual sender, except where the sender is specifically authorised
by Adventist HealthCare Limited to state that they are the views of Adventist HealthCare Limited.
_____________________________________________________________________
This e-mail has been scanned for viruses by Symantec Hosted Services
Scanning Services – powered by MessageLabs. For further information
visit http://www.messagelabs.com

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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[Michelle Bibby]

HI Jayne

The other thing to consider is why are they testing.

You can refer to the National HIV testing policy which clearly articulates
reasonable testing, but it is just not to cover their poor practice in the
event of a needle stick injury
You can download it off the web

Regards
Michelle

Michelle Bibby
Infection Prevention Australia
+61 429 071 165
Michelle@infectionprevention.com.au

On 3/11/2015, 10:48 AM, “ACIPC Infexion Connexion on behalf of Jayne
OConnor”
wrote:

>Dear Brains trust,
>
>Something to think about over morning tea!
>
>Some of our surgeons have decided to start testing patients for HIV,
>HepB & HepC , our concern is around consent and who gains it, rumour has
>that the Drs are not??, how do we stand as a healthcare facility legally?
>Doc’s we have read talk about the practitioner obtaining consent but not
>the healthcare facilities responsibility.
>
>Does anyone have any evidence or can point me in the right direction to
>obtain the evidence?
>
>Muchly appreciated
>
>Kind regards
>Jayne
>
>Jayne OConnor RN, BSc.Inf.Cont.
>IPC Co ordinator
>Sydney Adventist Hospital
>185 Fox valley Rd,
>Wahroonga 2076
>Tel: DD (02)0 9487 9732
>Mobile: 0406752685
>
>
>CAUTION: This message may contain both confidential and privileged
>information intended for the addressee named above.
>If you are not the intended recipient you are hereby notified that any
>dissemination, distribution or reproduction of this message
>is prohibited. If you have received this message in error please notify
>the sender immediately, then destroy the original message.
>Any views expressed in this message are solely those of the individual
>sender, except where the sender is specifically authorised
>by Adventist HealthCare Limited to state that they are the views of
>Adventist HealthCare Limited.
>_____________________________________________________________________
>This e-mail has been scanned for viruses by Symantec Hosted Services
>Scanning Services – powered by MessageLabs. For further information
>visit http://www.messagelabs.com
>
>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
>
>To send a message to the list administrator send an email to
>aicalist-request@aicalist.org.au.
>
>You can unsubscribe from this list be sending ‘signoff aicalist’ (without
>the quotes) to listserv@aicalist.org.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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[Jayne OConnor]

Thanks Michelle

Kind regards
Jayne

Jayne OConnor RN, BSc.Inf.Cont.
IPC Co ordinator
Sydney Adventist Hospital
185 Fox valley Rd,
Wahroonga 2076

—–Original Message—–

HI Jayne

The other thing to consider is why are they testing.

You can refer to the National HIV testing policy which clearly articulates reasonable testing, but it is just not to cover their poor practice in the event of a needle stick injury You can download it off the web

Regards
Michelle

Michelle Bibby
Infection Prevention Australia
+61 429 071 165
Michelle@infectionprevention.com.au

On 3/11/2015, 10:48 AM, “ACIPC Infexion Connexion on behalf of Jayne OConnor”
wrote:

>Dear Brains trust,
>
>Something to think about over morning tea!
>
>Some of our surgeons have decided to start testing patients for HIV,
>HepB & HepC , our concern is around consent and who gains it, rumour
>has that the Drs are not??, how do we stand as a healthcare facility legally?
>Doc’s we have read talk about the practitioner obtaining consent but
>not the healthcare facilities responsibility.
>
>Does anyone have any evidence or can point me in the right direction to
>obtain the evidence?
>
>Muchly appreciated
>
>Kind regards
>Jayne
>
>Jayne OConnor RN, BSc.Inf.Cont.
>IPC Co ordinator
>Sydney Adventist Hospital
>185 Fox valley Rd,
>Wahroonga 2076
>Tel: DD (02)0 9487 9732
>Mobile: 0406752685
>
>
>CAUTION: This message may contain both confidential and privileged
>information intended for the addressee named above.
>If you are not the intended recipient you are hereby notified that any
>dissemination, distribution or reproduction of this message is
>prohibited. If you have received this message in error please notify
>the sender immediately, then destroy the original message.
>Any views expressed in this message are solely those of the individual
>sender, except where the sender is specifically authorised by Adventist
>HealthCare Limited to state that they are the views of Adventist
>HealthCare Limited.
>_____________________________________________________________________
>This e-mail has been scanned for viruses by Symantec Hosted Services
>Scanning Services – powered by MessageLabs. For further information
>visit http://www.messagelabs.com
>
>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
>
>To send a message to the list administrator send an email to
>aicalist-request@aicalist.org.au.
>
>You can unsubscribe from this list be sending ‘signoff aicalist’
>(without the quotes) to listserv@aicalist.org.au

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

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If you are not the intended recipient you are hereby notified that any dissemination, distribution or reproduction of this message
is prohibited. If you have received this message in error please notify the sender immediately, then destroy the original message.
Any views expressed in this message are solely those of the individual sender, except where the sender is specifically authorised
by Adventist HealthCare Limited to state that they are the views of Adventist HealthCare Limited.
_____________________________________________________________________
This e-mail has been scanned for viruses by Symantec Hosted Services
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visit http://www.messagelabs.com

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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