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  • #68643
    Raelene Vine
    Participant

    Author:
    Raelene Vine

    Position:

    Organisation:

    State:

    Hi,

    We’re looking for some advice on updating our policy and procedure infection control manual. Instead of re-writing the majority of our policies we are looking at hyperlinking the NHMRC guidelines where they directly reflect our own policy. We will only make addendums for policies that differ from the guidelines.
    Is there any reason why we cannot do this? Is anyone else doing something similar or is everyone re-writing?
    Any suggstions gratefully received!

    Cheers
    Raelene Vine
    Clinical Nurse Consultant
    Infection Prevention & Control Unit
    Bendigo Health

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

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    #68644
    Lyndall Finn
    Participant

    Author:
    Lyndall Finn

    Position:

    Organisation:

    State:

    Raelene

    That is what we have done at our hospital and it seems to be working well.

    Cheers

    Wash, Wipe, Cover…
    Don’t Infect Another
    Lyndall Finn RN/RM Grad Dip Infectious Disease / Population Health
    Infection Control Consultant
    The Burnside War Memorial Hospital Inc.
    120 Kensington Road
    Toorak Gardens
    South Australia 5065
    T: +61 8 8202 7222 ext 385/mical 550
    F: +61 8 8364 0038
    E: lfinn@burnsidehospital.asn.au
    W: http://www.burnsidehospital.asn.au
    Work days: Tuesday, Wednesday & Thursday

    —–Original Message—–
    From: AICA Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Raelene Vine
    Sent: Thursday, 16 June 2011 12:25 PM
    To: AICALIST@AICALIST.ORG.AU
    Subject: Infection Control Policy

    Hi,

    We’re looking for some advice on updating our policy and procedure infection control manual. Instead of re-writing the majority of our policies we are looking at hyperlinking the NHMRC guidelines where they directly reflect our own policy. We will only make addendums for policies that differ from the guidelines.
    Is there any reason why we cannot do this? Is anyone else doing something similar or is everyone re-writing?
    Any suggstions gratefully received!

    Cheers
    Raelene Vine
    Clinical Nurse Consultant
    Infection Prevention & Control Unit
    Bendigo Health

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

    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 authors, and do not represent the opinion of AICA.

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    #68645
    Lindy Ryan
    Participant

    Author:
    Lindy Ryan

    Position:

    Organisation:

    State:

    Dear Raylene

    Mmmm ……Have neither the time nor inclination to spend hours re write
    policy’s already reviewed, widely commented on (and often that includes
    myself and my colleagues ) and gone though the various committee
    approvals , legal processes required/established for document
    publication from national /state bodies .

    We have done exactly what you are considering (more than 10 years ago)
    and did as an local health district service write an endorsement
    document into our IC policy for our NSW health IC policy to be our LHD
    IC policy (and its attached /included policy’s referenced within the
    document and have hyperlinked the document & its referenced documents
    to the policy) we currently have an line system for all our various
    policy documents and areas can choose to print them out if they want
    hard copies or just access the line versions) – as it’s a high risk
    rated document we review it annually (which is easy if nothing has
    changed but keeps us on top of things in ensuring we have current
    information ) Also we upgrade our living on line document in line with
    any changes or review of our state policy’s as needed.

    Like you we only added policy’s we felt were not adequately covered or
    included that were relevant to our facilities/services needs (after a
    gap review of our needs vs the policy ).

    We have been through numerous accreditations from various bodies such as
    ACHS, community health ,mental health etc over the years and they have
    never once been concerned that we were not addressing our policy
    appropriately by not rewriting our own local policy on a state policy.

    In my experience the only key part of endorsing established /recognised
    documents as your policy is how your service/facility will actually
    implement them and who will be identified as responsible for the
    implementation process (this is the fun bit).

    I believe It is more important to work on the development of the
    implementation plan of a policy or national guidelines into your service
    (rather than re writing policy’s ) with consideration in your plan for
    development of KPIs or ways of how you intend to measure policy
    compliance and its effectiveness in improving pt outcomes/ reducing
    infection in your facility.

    I get that Policy’s are great to have for organisational documentation
    evidence but if they are not working for your service/facility to reduce
    /prevent infection the they are useless documents and time wasters.

    Hope you find this feedback helpful in your decision & sounds like you
    are similar to most of us and have little time to be reinventing the
    wheel.

    Kind regards

    Lindy

    Lindy Ryan
    Nepean Hospital
    Infection control Clinical Nurse Consultant
    Nepean Blue Mountains Local Health Network
    ph: 4734 2228
    email: lindy.ryan@swahs.health.nsw.gov.au

    Infection prevention & control is everyone’s business

    —–Original Message—–
    Behalf Of Raelene Vine

    Hi,

    We’re looking for some advice on updating our policy and procedure
    infection control manual. Instead of re-writing the majority of our
    policies we are looking at hyperlinking the NHMRC guidelines where they
    directly reflect our own policy. We will only make addendums for
    policies that differ from the guidelines.
    Is there any reason why we cannot do this? Is anyone else doing
    something similar or is everyone re-writing?
    Any suggstions gratefully received!

    Cheers
    Raelene Vine
    Clinical Nurse Consultant
    Infection Prevention & Control Unit
    Bendigo Health

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

    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

    ___________________________________

    This electronic message and any attachments may be confidential. If you
    are not the intended recipient of this message would you please delete
    the message and any attachments and advise the sender. Sydney West Area
    Health Service (SWAHS) uses virus scanning software but excludes any
    liability for viruses contained in any email or attachment.
    This email may contain privileged and confidential information intended
    only for the use of the addressees named above. If you are not the
    intended recipient of this email, you are hereby notified that any use,
    dissemination, distribution, or reproduction of this email is
    prohibited. If you have received this email in error, please notify
    SWAHS immediately.
    Any views expressed in this email are those of the individual sender
    except where the sender expressly and with authority states them to be
    the views of SWAHS.

    06/16/11 – 13:19:37

    ___________________________________

    This electronic message and any attachments may be confidential. If you are not the intended recipient of this message would you please delete the message and any attachments and advise the sender. Sydney West Area Health Service (SWAHS) uses virus scanning software but excludes any liability for viruses contained in any email or attachment.
    This email may contain privileged and confidential information intended only for the use of the addressees named above. If you are not the intended recipient of this email, you are hereby notified that any use, dissemination, distribution, or reproduction of this email is prohibited. If you have received this email in error, please notify SWAHS immediately.
    Any views expressed in this email are those of the individual sender except where the sender expressly and with authority states them to be the views of SWAHS.

    06/16/11 – 14:34:48

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

    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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    #68646
    John Ferguson
    Participant

    Author:
    John Ferguson

    Position:

    Organisation:

    State:

    Hi Raylene

    We’ve had Hunter New England Health endorse the National Guidelines as our local standard as you are suggesting plan to cross reference to that as required etc.
    We’ve done a gap analysis etc. We regard them as a better standard than the state ones.
    It is clearly important for us all to support the national guidelines as much as possible by actively using them and complementing them with local policies/procedures as necessary; identifying gaps etc.
    We can also contributing to their continual evolution …

    Kind regards
    John

    John Ferguson
    Infectious Diseases Physician and Microbiologist,
    Hunter New England Health, John Hunter Hospital, Newcastle
    Conjoint Associate Professor, University of Newcastle
    Tel 61 2 49214444, Fax 61 2 49214440, Mobile 0428 885573
    ________________________________________

    Dear Raylene

    Mmmm ……Have neither the time nor inclination to spend hours re write
    policy’s already reviewed, widely commented on (and often that includes
    myself and my colleagues ) and gone though the various committee
    approvals , legal processes required/established for document
    publication from national /state bodies .

    We have done exactly what you are considering (more than 10 years ago)
    and did as an local health district service write an endorsement
    document into our IC policy for our NSW health IC policy to be our LHD
    IC policy (and its attached /included policy’s referenced within the
    document and have hyperlinked the document & its referenced documents
    to the policy) we currently have an line system for all our various
    policy documents and areas can choose to print them out if they want
    hard copies or just access the line versions) – as it’s a high risk
    rated document we review it annually (which is easy if nothing has
    changed but keeps us on top of things in ensuring we have current
    information ) Also we upgrade our living on line document in line with
    any changes or review of our state policy’s as needed.

    Like you we only added policy’s we felt were not adequately covered or
    included that were relevant to our facilities/services needs (after a
    gap review of our needs vs the policy ).

    We have been through numerous accreditations from various bodies such as
    ACHS, community health ,mental health etc over the years and they have
    never once been concerned that we were not addressing our policy
    appropriately by not rewriting our own local policy on a state policy.

    In my experience the only key part of endorsing established /recognised
    documents as your policy is how your service/facility will actually
    implement them and who will be identified as responsible for the
    implementation process (this is the fun bit).

    I believe It is more important to work on the development of the
    implementation plan of a policy or national guidelines into your service
    (rather than re writing policy’s ) with consideration in your plan for
    development of KPIs or ways of how you intend to measure policy
    compliance and its effectiveness in improving pt outcomes/ reducing
    infection in your facility.

    I get that Policy’s are great to have for organisational documentation
    evidence but if they are not working for your service/facility to reduce
    /prevent infection the they are useless documents and time wasters.

    Hope you find this feedback helpful in your decision & sounds like you
    are similar to most of us and have little time to be reinventing the
    wheel.

    Kind regards

    Lindy

    Lindy Ryan

    Nepean Hospital
    Infection control Clinical Nurse Consultant

    Nepean Blue Mountains Local Health Network

    ph: 4734 2228
    email: lindy.ryan@swahs.health.nsw.gov.au

    Infection prevention & control is everyone’s business

    —–Original Message—–
    Behalf Of Raelene Vine

    Hi,

    We’re looking for some advice on updating our policy and procedure
    infection control manual. Instead of re-writing the majority of our
    policies we are looking at hyperlinking the NHMRC guidelines where they
    directly reflect our own policy. We will only make addendums for
    policies that differ from the guidelines.
    Is there any reason why we cannot do this? Is anyone else doing
    something similar or is everyone re-writing?
    Any suggstions gratefully received!

    Cheers
    Raelene Vine
    Clinical Nurse Consultant
    Infection Prevention & Control Unit
    Bendigo Health

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

    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

    ___________________________________

    This electronic message and any attachments may be confidential. If you
    are not the intended recipient of this message would you please delete
    the message and any attachments and advise the sender. Sydney West Area
    Health Service (SWAHS) uses virus scanning software but excludes any
    liability for viruses contained in any email or attachment.

    This email may contain privileged and confidential information intended
    only for the use of the addressees named above. If you are not the
    intended recipient of this email, you are hereby notified that any use,
    dissemination, distribution, or reproduction of this email is
    prohibited. If you have received this email in error, please notify
    SWAHS immediately.

    Any views expressed in this email are those of the individual sender
    except where the sender expressly and with authority states them to be
    the views of SWAHS.

    06/16/11 – 13:19:37

    ___________________________________

    This electronic message and any attachments may be confidential. If you are not the intended recipient of this message would you please delete the message and any attachments and advise the sender. Sydney West Area Health Service (SWAHS) uses virus scanning software but excludes any liability for viruses contained in any email or attachment.

    This email may contain privileged and confidential information intended only for the use of the addressees named above. If you are not the intended recipient of this email, you are hereby notified that any use, dissemination, distribution, or reproduction of this email is prohibited. If you have received this email in error, please notify SWAHS immediately.

    Any views expressed in this email are those of the individual sender except where the sender expressly and with authority states them to be the views of SWAHS.

    06/16/11 – 14:34:48

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

    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 authors, and do not represent the opinion of AICA.

    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

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