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Interim recommendations for the use of personal protective equipment (PPE) during hospital care of people with Coronavirus Disease 2019 (COVID-19)

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  • #76309
    Philip Russo
    Participant

    Author:
    Philip Russo

    Position:
    Associate Professor

    Organisation:
    Monash University

    State:
    VIC

    An information sheet with interim recommendations for the use of personal protective equipment (PPE) during hospital care of people with Coronavirus Disease 2019 (COVID-19).

    Available here

    https://www.health.gov.au/resources/publications/interim-recommendations-for-the-use-of-personal-protective-equipment-ppe-during-hospital-care-of-people-with-coronavirus-disease-2019-covid-19

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

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    #76318
    Anonymous
    Inactive

    Author:
    Anonymous

    Position:

    Organisation:

    State:

    Hi all,

    Is anyone concerned that this (and other statements) ignores the requirement for fit testing of staff who are going to rely on airborne mask protection?

    Btw, CEC NSW have developed nice combined Contact/Droplet signage for those with geographical signage space deficiency (GSSD). Kathy D am sure will share it.

    Regards
    John

    [We are being directed to this commonwealth site btw which does have a nice video on methods etc

    https://www1.health.gov.au/internet/main/publishing.nsf/Content/safe-use-dvd
    [cid:image003.png@01D5E5D3.7A05FA90]

    Dr John Ferguson MBBS DTM&H FRACP FRCPA
    Director, Infection Prevention Service | Hunter New England Local Health District
    John Hunter Hospital, Locked Bag 1, Newcastle Mail Centre, NSW 2310, Australia
    T: 61 2 49214444 | F: 61 2 49214440 | M: +61(0)428 885573 (Speed Dial 67607) | Tw @mdjkf
    Mon

    Tues

    Wed

    Thurs

    Fri

    [cid:image005.png@01D41F3E.1B59CB50]

    [cid:image005.png@01D41F3E.1B59CB50]

    x

    [cid:image005.png@01D41F3E.1B59CB50]

    [cid:image005.png@01D41F3E.1B59CB50]

    [cid:image002.png@01D5E5D2.A3686B80]

    An information sheet with interim recommendations for the use of personal protective equipment (PPE) during hospital care of people with Coronavirus Disease 2019 (COVID-19).

    Available here

    https://www.health.gov.au/resources/publications/interim-recommendations-for-the-use-of-personal-protective-equipment-ppe-during-hospital-care-of-people-with-coronavirus-disease-2019-covid-19

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

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    #76320
    Greg Whiteley
    Participant

    Author:
    Greg Whiteley

    Position:

    Organisation:

    State:

    John
    Where is the information on surface hygiene and the use of TGA compliant cleaning and disinfecting technologies?
    Kindly
    Greg Whiteley PhD

    On Tuesday, 18 February 2020 John Ferguson (Hunter New England LHD) wrote:

    Hi all,

    Is anyone concerned that this (and other statements) ignores the requirement for fit testing of staff who are going to rely on airborne mask protection?

    Btw, CEC NSW have developed nice combined Contact/Droplet signage for those with geographical signage space deficiency (GSSD). Kathy D am sure will share it.

    Regards

    John

    [We are being directed to this commonwealth site btw which does have a nice video on methods etc

    https://www1.health.gov.au/internet/main/publishing.nsf/Content/safe-use-dvd

    Dr John Ferguson MBBS DTM&H FRACP FRCPA

    Director, Infection Prevention Service | Hunter New England Local Health District

    John Hunter Hospital, Locked Bag 1, Newcastle Mail Centre, NSW 2310, Australia
    T: 61 2 49214444 | F: 61 2 49214440 | M: +61(0)428 885573 (Speed Dial 67607) | Tw @mdjkf

    Mon

    Tues

    Wed

    Thurs

    Fri

    x

    An information sheet with interim recommendations for the use of personal protective equipment (PPE) during hospital care of people with Coronavirus Disease 2019 (COVID-19).

    Available here

    https://www.health.gov.au/resources/publications/interim-recommendations-for-the-use-of-personal-protective-equipment-ppe-during-hospital-care-of-people-with-coronavirus-disease-2019-covid-19

    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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    Views expressed in this message are those of the individual sender, and are not necessarily the views of NSW Health or any of its entities.

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    #76319
    Anonymous
    Inactive

    Author:
    Anonymous

    Position:

    Organisation:

    State:

    Hello Everyone.

    On the back of John Ferguson’s comment. How does one go about implementing fit test training that is, is there an accredited course or Trainer one can co-opt to educate staff? Do any of the mask companies provide this training. Would be interested in how other sites meet this compliance requirement as we are as small private hospital licensed 78 beds.

    With Thanks

    Liz Vanderlinde
    Infection Prevention Control Co-ordinator
    North West Private Hospital
    [Description: hca_luye_logo]
    Brickport Road, Burnie TAS 7320, Australia
    T +61 3 6432 6005 F +61 3 6431 5766
    E liz.vanderlinde@healthecare.com.au W
    Healthe Care Hospitals are accredited by ACHS NSQHS Standards or ACHS EQuIP National
    [Description: achs][Description: equip]
    QIC Standards
    [Description: qic]

    Hi all,

    Is anyone concerned that this (and other statements) ignores the requirement for fit testing of staff who are going to rely on airborne mask protection?

    Btw, CEC NSW have developed nice combined Contact/Droplet signage for those with geographical signage space deficiency (GSSD). Kathy D am sure will share it.

    Regards
    John

    [We are being directed to this commonwealth site btw which does have a nice video on methods etc

    https://www1.health.gov.au/internet/main/publishing.nsf/Content/safe-use-dvd
    [cid:image003.png@01D5E5D3.7A05FA90]

    Dr John Ferguson MBBS DTM&H FRACP FRCPA
    Director, Infection Prevention Service | Hunter New England Local Health District
    John Hunter Hospital, Locked Bag 1, Newcastle Mail Centre, NSW 2310, Australia
    T: 61 2 49214444 | F: 61 2 49214440 | M: +61(0)428 885573 (Speed Dial 67607) | Tw @mdjkf
    Mon

    Tues

    Wed

    Thurs

    Fri

    [cid:image005.png@01D41F3E.1B59CB50]

    [cid:image005.png@01D41F3E.1B59CB50]

    x

    [cid:image005.png@01D41F3E.1B59CB50]

    [cid:image005.png@01D41F3E.1B59CB50]

    [cid:image002.png@01D5E5D2.A3686B80]

    An information sheet with interim recommendations for the use of personal protective equipment (PPE) during hospital care of people with Coronavirus Disease 2019 (COVID-19).

    Available here

    https://www.health.gov.au/resources/publications/interim-recommendations-for-the-use-of-personal-protective-equipment-ppe-during-hospital-care-of-people-with-coronavirus-disease-2019-covid-19

    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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    #76321
    robertsh@sath.org.au
    Participant

    Author:
    robertsh@sath.org.au

    Position:

    Organisation:

    State:

    Hi Liz,

    I would like the information in regards to fit testing as well. Currently I do a fit check.

    Thanks
    Helen

    Helen Roberts
    Infection Control
    P: 07 4646 3106 |
    F: 07 4633 7602
    E: robertsh@sath.org.au |
    W: http://www.sath.org.au

    Hello Everyone.

    On the back of John Ferguson’s comment. How does one go about implementing fit test training that is, is there an accredited course or Trainer one can co-opt to educate staff? Do any of the mask companies provide this training. Would be interested in how other sites meet this compliance requirement as we are as small private hospital licensed 78 beds.

    With Thanks

    Liz Vanderlinde
    Infection Prevention Control Co-ordinator
    North West Private Hospital
    [Description: hca_luye_logo]
    Brickport Road, Burnie TAS 7320, Australia
    T +61 3 6432 6005 F +61 3 6431 5766
    E liz.vanderlinde@healthecare.com.au W
    Healthe Care Hospitals are accredited by ACHS NSQHS Standards or ACHS EQuIP National
    [Description: achs][Description: equip]
    QIC Standards
    [Description: qic]

    Hi all,

    Is anyone concerned that this (and other statements) ignores the requirement for fit testing of staff who are going to rely on airborne mask protection?

    Btw, CEC NSW have developed nice combined Contact/Droplet signage for those with geographical signage space deficiency (GSSD). Kathy D am sure will share it.

    Regards
    John

    [We are being directed to this commonwealth site btw which does have a nice video on methods etc

    https://www1.health.gov.au/internet/main/publishing.nsf/Content/safe-use-dvd
    [cid:image003.png@01D5E5D3.7A05FA90]

    Dr John Ferguson MBBS DTM&H FRACP FRCPA
    Director, Infection Prevention Service | Hunter New England Local Health District
    John Hunter Hospital, Locked Bag 1, Newcastle Mail Centre, NSW 2310, Australia
    T: 61 2 49214444 | F: 61 2 49214440 | M: +61(0)428 885573 (Speed Dial 67607) | Tw @mdjkf
    Mon
    Tues
    Wed
    Thurs
    Fri
    [cid:image005.png@01D41F3E.1B59CB50]
    [cid:image005.png@01D41F3E.1B59CB50]
    x
    [cid:image005.png@01D41F3E.1B59CB50]
    [cid:image005.png@01D41F3E.1B59CB50]
    [cid:image002.png@01D5E5D2.A3686B80]

    An information sheet with interim recommendations for the use of personal protective equipment (PPE) during hospital care of people with Coronavirus Disease 2019 (COVID-19).

    Available here

    https://www.health.gov.au/resources/publications/interim-recommendations-for-the-use-of-personal-protective-equipment-ppe-during-hospital-care-of-people-with-coronavirus-disease-2019-covid-19

    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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    This message is intended for the addressee named and may contain confidential information. If you are not the intended recipient, please delete it and notify the sender.

    Views expressed in this message are those of the individual sender, and are not necessarily the views of NSW Health or any of its entities.
    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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    MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

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    #76322
    Anonymous
    Inactive

    Author:
    Anonymous

    Position:

    Organisation:

    State:

    Dear All

    Just commentary and noting that this page John refers to was last updated in 2008

    There has been further discussions since then re the cost implications of fit testing and scientific evidence to support the practice.

    The Australian ICGs also recommend that when removing PPE that protective eyewear is the 2nd item to be removed this was subject to considerable debate during ebola preparedness and some jurisdictions now have different removal sequences to protect eyes.

    Kindest

    Rebecca

    Rebecca McCann | Program Manager | Healthcare Associated Infection Unit (HAIU)
    Communicable Disease Control Directorate
    Department of Health

    T: 08 9222 2043 M: 0439 920 819 E: rebecca.mccann@health.wa.gov.au

    From: ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] On Behalf Of Helen Roberts
    Sent: Tuesday, 18 February 2020 8:54 AM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: Re: [ACIPC_Infexion_Connexion] Interim recommendations for the use of personal protective equipment (PPE) during hospital care of people with Coronavirus Disease 2019 (COVID-19)

    Hi Liz,

    I would like the information in regards to fit testing as well. Currently I do a fit check.

    Thanks
    Helen

    Helen Roberts

    Infection Control

    P:

    07 4646 3106

    |

    F:

    07 4633 7602

    E:

    robertsh@sath.org.au

    |

    W:

    http://www.sath.org.au

    Post:

    PO Box 263, Toowoomba, QLD 4350

    Address:

    280 North St, Toowoomba, QLD 4350

    [cid:image565241.jpg@318AC762.FF6E3BEC]

    From: ACIPC Infexion Connexion On Behalf Of VANDERLINDE, Liz
    Sent: Tuesday, 18 February 2020 9:38 AM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: Re: [ACIPC_Infexion_Connexion] Interim recommendations for the use of personal protective equipment (PPE) during hospital care of people with Coronavirus Disease 2019 (COVID-19)

    Hello Everyone.

    On the back of John Fergusons comment. How does one go about implementing fit test training that is, is there an accredited course or Trainer one can co-opt to educate staff? Do any of the mask companies provide this training. Would be interested in how other sites meet this compliance requirement as we are as small private hospital licensed 78 beds.

    With Thanks

    Liz Vanderlinde
    Infection Prevention Control Co-ordinator
    North West Private Hospital
    [Description: hca_luye_logo]
    Brickport Road, Burnie TAS 7320, Australia
    T +61 3 6432 6005 F +61 3 6431 5766
    E liz.vanderlinde@healthecare.com.au W
    Healthe Care Hospitals are accredited by ACHS NSQHS Standards or ACHS EQuIP National
    [Description: achs][Description: equip]
    QIC Standards
    [Description: qic]
    Disclaimer: This email, which includes information and data located in any attachments, links, portals or associated interface, is private and confidential and is intended only for the use of the addressee(s) named above. This email may contain information that is privileged, commercial in confidence, private or subject to copyright and other intellectual property rights. If you are not the intended recipient of this message you are hereby notified that you must not disseminate, copy or take any action or assist any third party to take any action based on its contents. Any “personal Information” or “sensitive information” contained in this email is subject to the Privacy Act 1988 (Cth) and any prohibited use of such information may result in severe penalties being imposed. If you received this message in error please notify Healthe Care Australia immediately and delete and destroy the email from your computer.
    From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> On Behalf Of John Ferguson (Hunter New England LHD)
    Sent: Monday, 17 February 2020 8:53 PM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: Re: [ACIPC_Infexion_Connexion] Interim recommendations for the use of personal protective equipment (PPE) during hospital care of people with Coronavirus Disease 2019 (COVID-19)

    Info: This email originated from outside Healthe Care.

    Hi all,

    Is anyone concerned that this (and other statements) ignores the requirement for fit testing of staff who are going to rely on airborne mask protection?

    Btw, CEC NSW have developed nice combined Contact/Droplet signage for those with geographical signage space deficiency (GSSD). Kathy D am sure will share it.

    Regards
    John

    [We are being directed to this commonwealth site btw which does have a nice video on methods etc

    https://www1.health.gov.au/internet/main/publishing.nsf/Content/safe-use-dvd
    [cid:image003.png@01D5E5D3.7A05FA90]

    Dr John Ferguson MBBS DTM&H FRACP FRCPA
    Director, Infection Prevention Service | Hunter New England Local Health District
    John Hunter Hospital, Locked Bag 1, Newcastle Mail Centre, NSW 2310, Australia
    T: 61 2 49214444 | F: 61 2 49214440 | M: +61(0)428 885573 (Speed Dial 67607) | Tw @mdjkf
    Mon

    Tues

    Wed

    Thurs

    Fri

    [cid:image005.png@01D41F3E.1B59CB50]

    [cid:image005.png@01D41F3E.1B59CB50]

    x

    [cid:image005.png@01D41F3E.1B59CB50]

    [cid:image005.png@01D41F3E.1B59CB50]

    [cid:image002.png@01D5E5D2.A3686B80]

    From: ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] On Behalf Of Philip Russo
    Sent: Friday, 14 February 2020 8:04 PM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: [ACIPC_Infexion_Connexion] Interim recommendations for the use of personal protective equipment (PPE) during hospital care of people with Coronavirus Disease 2019 (COVID-19)

    An information sheet with interim recommendations for the use of personal protective equipment (PPE) during hospital care of people with Coronavirus Disease 2019 (COVID-19).

    Available here

    https://www.health.gov.au/resources/publications/interim-recommendations-for-the-use-of-personal-protective-equipment-ppe-during-hospital-care-of-people-with-coronavirus-disease-2019-covid-19

    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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    #76323
    Anonymous
    Inactive

    Author:
    Anonymous

    Position:

    Organisation:

    State:

    Hi John

    The 2019 Australian Guidelines p. 116 recommends fit testing as follows:

    * on commencement of employment for HCWs in clinical areas where there is a significant risk of exposure via airborne route

    * when there is significant change to the wearer’s facial characteristics (eg. weight loss or gain, etc)

    * annually thereafter (AS/NZS 1715:2009)

    * link here https://www.nhmrc.gov.au/about-us/publications/australian-guidelines-prevention-and-control-infection-healthcare-2019#block-views-block-file-attachments-content-block-1

    There are two types of fit testing:

    * Qualitative – inexpensive equipment (approximately $400 per kit) requires hood and sprays, company rep can provide training to staff to perform fit testing, human resources required to perform fit testing on staff

    * Quantitative – expensive equipment, generally performed by mask company reps where a good seal cannot be obtained via a qualitative approach

    It is my understanding that all HCFs are recommended to undertake fit testing for staff, however my observation is that very few do. I am aware of two HCFs that participate in fit testing (1 x major public hospital and 1 private hospital).

    It would be interesting to know how many other HCFs participate in fit testing.

    Kind regards

    Meredith Southon
    Meredith Southon RN MIPC QualNursImm
    Clinical Nurse Consultant | Infection Prevention & Control | Staff Health | Murwillumbah District Hospital
    PO Box 821, Murwillumbah NSW 2484
    Tel 02 6672 0232 | Fax 02 6672 0226 | Meredith.Southon@health.nsw.gov.au
    http://www.health.nsw.gov.au

    [Description: http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Northern-NSW-LHD.jpg%5D

    [cid:image002.jpg@01D5E670.4731A860]

    Hi all,

    Is anyone concerned that this (and other statements) ignores the requirement for fit testing of staff who are going to rely on airborne mask protection?

    Btw, CEC NSW have developed nice combined Contact/Droplet signage for those with geographical signage space deficiency (GSSD). Kathy D am sure will share it.

    Regards
    John

    [We are being directed to this commonwealth site btw which does have a nice video on methods etc

    https://www1.health.gov.au/internet/main/publishing.nsf/Content/safe-use-dvd
    [cid:image003.png@01D5E5D3.7A05FA90]

    Dr John Ferguson MBBS DTM&H FRACP FRCPA
    Director, Infection Prevention Service | Hunter New England Local Health District
    John Hunter Hospital, Locked Bag 1, Newcastle Mail Centre, NSW 2310, Australia
    T: 61 2 49214444 | F: 61 2 49214440 | M: +61(0)428 885573 (Speed Dial 67607) | Tw @mdjkf
    Mon

    Tues

    Wed

    Thurs

    Fri

    [cid:image005.png@01D41F3E.1B59CB50]

    [cid:image005.png@01D41F3E.1B59CB50]

    x

    [cid:image005.png@01D41F3E.1B59CB50]

    [cid:image005.png@01D41F3E.1B59CB50]

    [cid:image002.png@01D5E5D2.A3686B80]

    An information sheet with interim recommendations for the use of personal protective equipment (PPE) during hospital care of people with Coronavirus Disease 2019 (COVID-19).

    Available here

    https://www.health.gov.au/resources/publications/interim-recommendations-for-the-use-of-personal-protective-equipment-ppe-during-hospital-care-of-people-with-coronavirus-disease-2019-covid-19

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    #76326
    Chris Pollard
    Participant

    Author:
    Chris Pollard

    Position:
    Sales Engineer

    Organisation:
    Kenelec Scientific

    State:
    VIC

    Hi All,

    Please refer to this SA Health report:

    Evaluation of a large-scale quantitative respirator-fit testing program for healthcare workers: survey results.
    https://www.ncbi.nlm.nih.gov/pubmed/20658919

    Kind regards

    [cid:image007.png@01D3A1A9.77E508C0]

    Chris Pollard
    Sales Engineer
    Kenelec Scientific Pty Ltd, 23 Redland Drive, Mitcham VIC 3132
    d 03 9872 9929 | m 0437 007 810 | e chris.pollard@kenelec.com.au
    Visit our website | View our Terms and Conditions

    [cid:image007.png@01D3BD09.751EBB60]

    Hi John

    The 2019 Australian Guidelines p. 116 recommends fit testing as follows:

    * on commencement of employment for HCWs in clinical areas where there is a significant risk of exposure via airborne route
    * when there is significant change to the wearer’s facial characteristics (eg. weight loss or gain, etc)
    * annually thereafter (AS/NZS 1715:2009)
    * link here https://www.nhmrc.gov.au/about-us/publications/australian-guidelines-prevention-and-control-infection-healthcare-2019#block-views-block-file-attachments-content-block-1

    There are two types of fit testing:

    * Qualitative – inexpensive equipment (approximately $400 per kit) requires hood and sprays, company rep can provide training to staff to perform fit testing, human resources required to perform fit testing on staff
    * Quantitative – expensive equipment, generally performed by mask company reps where a good seal cannot be obtained via a qualitative approach

    It is my understanding that all HCFs are recommended to undertake fit testing for staff, however my observation is that very few do. I am aware of two HCFs that participate in fit testing (1 x major public hospital and 1 private hospital).

    It would be interesting to know how many other HCFs participate in fit testing.

    Kind regards

    Meredith Southon
    Meredith Southon RN MIPC QualNursImm
    Clinical Nurse Consultant | Infection Prevention & Control | Staff Health | Murwillumbah District Hospital
    PO Box 821, Murwillumbah NSW 2484
    Tel 02 6672 0232 | Fax 02 6672 0226 | Meredith.Southon@health.nsw.gov.au
    http://www.health.nsw.gov.au

    [Description: http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Northern-NSW-LHD.jpg%5D

    [cid:image002.jpg@01D5E670.4731A860]

    Hi all,

    Is anyone concerned that this (and other statements) ignores the requirement for fit testing of staff who are going to rely on airborne mask protection?

    Btw, CEC NSW have developed nice combined Contact/Droplet signage for those with geographical signage space deficiency (GSSD). Kathy D am sure will share it.

    Regards
    John

    [We are being directed to this commonwealth site btw which does have a nice video on methods etc

    https://www1.health.gov.au/internet/main/publishing.nsf/Content/safe-use-dvd
    [cid:image003.png@01D5E5D3.7A05FA90]

    Dr John Ferguson MBBS DTM&H FRACP FRCPA
    Director, Infection Prevention Service | Hunter New England Local Health District
    John Hunter Hospital, Locked Bag 1, Newcastle Mail Centre, NSW 2310, Australia
    T: 61 2 49214444 | F: 61 2 49214440 | M: +61(0)428 885573 (Speed Dial 67607) | Tw @mdjkf
    Mon

    Tues

    Wed

    Thurs

    Fri

    [cid:image005.png@01D41F3E.1B59CB50]

    [cid:image005.png@01D41F3E.1B59CB50]

    x

    [cid:image005.png@01D41F3E.1B59CB50]

    [cid:image005.png@01D41F3E.1B59CB50]

    [cid:image002.png@01D5E5D2.A3686B80]

    An information sheet with interim recommendations for the use of personal protective equipment (PPE) during hospital care of people with Coronavirus Disease 2019 (COVID-19).

    Available here

    https://www.health.gov.au/resources/publications/interim-recommendations-for-the-use-of-personal-protective-equipment-ppe-during-hospital-care-of-people-with-coronavirus-disease-2019-covid-19

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    #76327
    Holly Seale
    Participant

    Author:
    Holly Seale

    Position:

    Organisation:

    State:

    Hi,

    If organisations are contemplating qualitative fit testing of staff members, it should be noted that there are also differences in results between using the sweet and bitter solutions in the 3M qualitative kit. My understanding is that you get better results with the bitter solution but not all people can taste it.

    However, the key thing here is to ensure that you have different sizes of respirators available and also different shapes- a duckbill shaped/flat fold product does not suit all face shapes. Instead, people without a prominent bridge to their nose should be using a cupped version.

    Cheers

    Holly

    Dr Holly Seale
    Senior Lecturer

    Program Director: Bachelor of International Public Health (BIPH) and Course Convenor (Infectious Disease Challenges and Internship Program)

    Women in Research Network: Co-Chair

    School of Public Health & Community Medicine @sphcmunsw
    Samuels Building, Kensington Campus
    UNSW SYDNEY NSW 2052 AUSTRALIA
    T: +61 (2) 9385 3129
    E: h.seale@unsw.edu.au
    Profile: https://research.unsw.edu.au/people/dr-holly-seale

    [cid:image001.jpg@01D5E679.F00F6630]

    CRICOS Provider Code 00098G

    Hi All,

    Please refer to this SA Health report:

    Evaluation of a large-scale quantitative respirator-fit testing program for healthcare workers: survey results.
    https://www.ncbi.nlm.nih.gov/pubmed/20658919

    Kind regards

    [cid:image007.png@01D3A1A9.77E508C0]

    Chris Pollard
    Sales Engineer
    Kenelec Scientific Pty Ltd, 23 Redland Drive, Mitcham VIC 3132
    d 03 9872 9929 | m 0437 007 810 | e chris.pollard@kenelec.com.au
    Visit our website | View our Terms and Conditions
    [cid:image007.png@01D3BD09.751EBB60]

    Hi John

    The 2019 Australian Guidelines p. 116 recommends fit testing as follows:

    * on commencement of employment for HCWs in clinical areas where there is a significant risk of exposure via airborne route
    * when there is significant change to the wearer’s facial characteristics (eg. weight loss or gain, etc)
    * annually thereafter (AS/NZS 1715:2009)
    * link here https://www.nhmrc.gov.au/about-us/publications/australian-guidelines-prevention-and-control-infection-healthcare-2019#block-views-block-file-attachments-content-block-1

    There are two types of fit testing:

    * Qualitative – inexpensive equipment (approximately $400 per kit) requires hood and sprays, company rep can provide training to staff to perform fit testing, human resources required to perform fit testing on staff
    * Quantitative – expensive equipment, generally performed by mask company reps where a good seal cannot be obtained via a qualitative approach

    It is my understanding that all HCFs are recommended to undertake fit testing for staff, however my observation is that very few do. I am aware of two HCFs that participate in fit testing (1 x major public hospital and 1 private hospital).

    It would be interesting to know how many other HCFs participate in fit testing.

    Kind regards

    Meredith Southon
    Meredith Southon RN MIPC QualNursImm
    Clinical Nurse Consultant | Infection Prevention & Control | Staff Health | Murwillumbah District Hospital
    PO Box 821, Murwillumbah NSW 2484
    Tel 02 6672 0232 | Fax 02 6672 0226 | Meredith.Southon@health.nsw.gov.au
    http://www.health.nsw.gov.au

    [Description: http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Northern-NSW-LHD.jpg%5D

    [cid:image002.jpg@01D5E670.4731A860]

    Hi all,

    Is anyone concerned that this (and other statements) ignores the requirement for fit testing of staff who are going to rely on airborne mask protection?

    Btw, CEC NSW have developed nice combined Contact/Droplet signage for those with geographical signage space deficiency (GSSD). Kathy D am sure will share it.

    Regards
    John

    [We are being directed to this commonwealth site btw which does have a nice video on methods etc

    https://www1.health.gov.au/internet/main/publishing.nsf/Content/safe-use-dvd
    [cid:image003.png@01D5E5D3.7A05FA90]

    Dr John Ferguson MBBS DTM&H FRACP FRCPA
    Director, Infection Prevention Service | Hunter New England Local Health District
    John Hunter Hospital, Locked Bag 1, Newcastle Mail Centre, NSW 2310, Australia
    T: 61 2 49214444 | F: 61 2 49214440 | M: +61(0)428 885573 (Speed Dial 67607) | Tw @mdjkf
    Mon
    Tues
    Wed
    Thurs
    Fri
    [cid:image005.png@01D41F3E.1B59CB50]
    [cid:image005.png@01D41F3E.1B59CB50]
    x
    [cid:image005.png@01D41F3E.1B59CB50]
    [cid:image005.png@01D41F3E.1B59CB50]
    [cid:image002.png@01D5E5D2.A3686B80]

    An information sheet with interim recommendations for the use of personal protective equipment (PPE) during hospital care of people with Coronavirus Disease 2019 (COVID-19).

    Available here

    https://www.health.gov.au/resources/publications/interim-recommendations-for-the-use-of-personal-protective-equipment-ppe-during-hospital-care-of-people-with-coronavirus-disease-2019-covid-19

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    #76329
    Anonymous
    Inactive

    Author:
    Anonymous

    Position:

    Organisation:

    State:

    Hi Everyone,

    I think that we should be aware that the CDC actually has two options for PPE removal and our NHMRC only supplies a poster on Option 1.

    With my past history as a scrub nurse, Option 2 makes way more sense to me than Option 1.

    If you havent seen Option 2 here is the link https://www.cdc.gov/hai/pdfs/ppe/ppe-sequence.pdf

    Kind Regards
    Terry McAuley
    Director
    MSc Medical Device Decontamination

    PO BOX 2249, Greenvale VIC Australia 3059
    Mobile: +61 (0)438 109 692
    Email: terry@steamconsulting.com.au
    Website: http://www.steamconsulting.com.au

    [cid:image001.png@01D3B9DC.14E0B210]

    I endeavour to achieve a sensible work-life balance: There is no need to reply to this email from you outside of your normal working hours. Please expect the same from me.

    CONFIDENTIAL COMMUNICATION: The information contained in this message may contain confidential information intended only for the use of the individual or entity named above. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution or duplication of this transmission is strictly prohibited. If you have received this communication in error, please notify us by telephone or email immediately and return the original message to us or destroy all printed and electronic copies. Nothing in this transmission constitutes an agreement of any kind unless otherwise expressly indicated.

    From: ACIPC Infexion Connexion On Behalf Of McCann, Rebecca
    Sent: Tuesday, February 18, 2020 2:14 PM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: Re: [ACIPC_Infexion_Connexion] Interim recommendations for the use of personal protective equipment (PPE) during hospital care of people with Coronavirus Disease 2019 (COVID-19)

    Dear All

    Just commentary and noting that this page John refers to was last updated in 2008

    There has been further discussions since then re the cost implications of fit testing and scientific evidence to support the practice.

    The Australian ICGs also recommend that when removing PPE that protective eyewear is the 2nd item to be removed this was subject to considerable debate during ebola preparedness and some jurisdictions now have different removal sequences to protect eyes.

    Kindest

    Rebecca

    Rebecca McCann | Program Manager | Healthcare Associated Infection Unit (HAIU)
    Communicable Disease Control Directorate
    Department of Health

    T: 08 9222 2043 M: 0439 920 819 E: rebecca.mccann@health.wa.gov.au

    From: ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] On Behalf Of Helen Roberts
    Sent: Tuesday, 18 February 2020 8:54 AM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: Re: [ACIPC_Infexion_Connexion] Interim recommendations for the use of personal protective equipment (PPE) during hospital care of people with Coronavirus Disease 2019 (COVID-19)

    Hi Liz,

    I would like the information in regards to fit testing as well. Currently I do a fit check.

    Thanks
    Helen

    Helen Roberts
    Infection Control
    P:
    07 4646 3106
    |
    F:
    07 4633 7602
    E:
    robertsh@sath.org.au
    |
    W:
    http://www.sath.org.au
    Post:
    PO Box 263, Toowoomba, QLD 4350
    Address:
    280 North St, Toowoomba, QLD 4350
    [cid:image565241.jpg@318AC762.FF6E3BEC]
    From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> On Behalf Of VANDERLINDE, Liz
    Sent: Tuesday, 18 February 2020 9:38 AM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: Re: [ACIPC_Infexion_Connexion] Interim recommendations for the use of personal protective equipment (PPE) during hospital care of people with Coronavirus Disease 2019 (COVID-19)

    Hello Everyone.

    On the back of John Fergusons comment. How does one go about implementing fit test training that is, is there an accredited course or Trainer one can co-opt to educate staff? Do any of the mask companies provide this training. Would be interested in how other sites meet this compliance requirement as we are as small private hospital licensed 78 beds.

    With Thanks

    Liz Vanderlinde
    Infection Prevention Control Co-ordinator
    North West Private Hospital
    [Description: hca_luye_logo]
    Brickport Road, Burnie TAS 7320, Australia
    T +61 3 6432 6005 F +61 3 6431 5766
    E liz.vanderlinde@healthecare.com.au W
    Healthe Care Hospitals are accredited by ACHS NSQHS Standards or ACHS EQuIP National
    [Description: achs][Description: equip]
    QIC Standards
    [Description: qic]
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    From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> On Behalf Of John Ferguson (Hunter New England LHD)
    Sent: Monday, 17 February 2020 8:53 PM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: Re: [ACIPC_Infexion_Connexion] Interim recommendations for the use of personal protective equipment (PPE) during hospital care of people with Coronavirus Disease 2019 (COVID-19)

    Info: This email originated from outside Healthe Care.
    Hi all,

    Is anyone concerned that this (and other statements) ignores the requirement for fit testing of staff who are going to rely on airborne mask protection?

    Btw, CEC NSW have developed nice combined Contact/Droplet signage for those with geographical signage space deficiency (GSSD). Kathy D am sure will share it.

    Regards
    John

    [We are being directed to this commonwealth site btw which does have a nice video on methods etc

    https://www1.health.gov.au/internet/main/publishing.nsf/Content/safe-use-dvd
    [cid:image003.png@01D5E5D3.7A05FA90]

    Dr John Ferguson MBBS DTM&H FRACP FRCPA
    Director, Infection Prevention Service | Hunter New England Local Health District
    John Hunter Hospital, Locked Bag 1, Newcastle Mail Centre, NSW 2310, Australia
    T: 61 2 49214444 | F: 61 2 49214440 | M: +61(0)428 885573 (Speed Dial 67607) | Tw @mdjkf
    Mon
    Tues
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    Fri
    [cid:image005.png@01D41F3E.1B59CB50]
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    [cid:image005.png@01D41F3E.1B59CB50]
    [cid:image002.png@01D5E5D2.A3686B80]

    From: ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] On Behalf Of Philip Russo
    Sent: Friday, 14 February 2020 8:04 PM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: [ACIPC_Infexion_Connexion] Interim recommendations for the use of personal protective equipment (PPE) during hospital care of people with Coronavirus Disease 2019 (COVID-19)

    An information sheet with interim recommendations for the use of personal protective equipment (PPE) during hospital care of people with Coronavirus Disease 2019 (COVID-19).

    Available here

    https://www.health.gov.au/resources/publications/interim-recommendations-for-the-use-of-personal-protective-equipment-ppe-during-hospital-care-of-people-with-coronavirus-disease-2019-covid-19

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

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    #76332
    Deen, Sharon
    Participant

    Author:
    Deen, Sharon

    Position:

    Organisation:

    State:

    Hi Meredith

    We do not use any special equipment. We do undertake fit testing with new staff and it is a yearly competency for our ED staff. We talk them through the whole process of putting it on, blowing in and out, checking the seal for air leakage and removing safely. We advise on the correct size and discuss issues with beards etc.

    Hope this helps.

    Sharon Deen
    Infection Control Nurse
    Phone:08 9531 8570

    Hi John

    The 2019 Australian Guidelines p. 116 recommends fit testing as follows:

    * on commencement of employment for HCWs in clinical areas where there is a significant risk of exposure via airborne route

    * when there is significant change to the wearer’s facial characteristics (eg. weight loss or gain, etc)

    * annually thereafter (AS/NZS 1715:2009)

    * link here https://www.nhmrc.gov.au/about-us/publications/australian-guidelines-prevention-and-control-infection-healthcare-2019#block-views-block-file-attachments-content-block-1

    There are two types of fit testing:

    * Qualitative – inexpensive equipment (approximately $400 per kit) requires hood and sprays, company rep can provide training to staff to perform fit testing, human resources required to perform fit testing on staff

    * Quantitative – expensive equipment, generally performed by mask company reps where a good seal cannot be obtained via a qualitative approach

    It is my understanding that all HCFs are recommended to undertake fit testing for staff, however my observation is that very few do. I am aware of two HCFs that participate in fit testing (1 x major public hospital and 1 private hospital).

    It would be interesting to know how many other HCFs participate in fit testing.

    Kind regards

    Meredith Southon
    Meredith Southon RN MIPC QualNursImm
    Clinical Nurse Consultant | Infection Prevention & Control | Staff Health | Murwillumbah District Hospital
    PO Box 821, Murwillumbah NSW 2484
    Tel 02 6672 0232 | Fax 02 6672 0226 | Meredith.Southon@health.nsw.gov.au
    http://www.health.nsw.gov.au

    [Description: http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Northern-NSW-LHD.jpg%5D

    [cid:image002.jpg@01D5E670.4731A860]

    Hi all,

    Is anyone concerned that this (and other statements) ignores the requirement for fit testing of staff who are going to rely on airborne mask protection?

    Btw, CEC NSW have developed nice combined Contact/Droplet signage for those with geographical signage space deficiency (GSSD). Kathy D am sure will share it.

    Regards
    John

    [We are being directed to this commonwealth site btw which does have a nice video on methods etc

    https://www1.health.gov.au/internet/main/publishing.nsf/Content/safe-use-dvd
    [cid:image003.png@01D5E5D3.7A05FA90]

    Dr John Ferguson MBBS DTM&H FRACP FRCPA
    Director, Infection Prevention Service | Hunter New England Local Health District
    John Hunter Hospital, Locked Bag 1, Newcastle Mail Centre, NSW 2310, Australia
    T: 61 2 49214444 | F: 61 2 49214440 | M: +61(0)428 885573 (Speed Dial 67607) | Tw @mdjkf
    Mon
    Tues
    Wed
    Thurs
    Fri
    [cid:image005.png@01D41F3E.1B59CB50]
    [cid:image005.png@01D41F3E.1B59CB50]
    x
    [cid:image005.png@01D41F3E.1B59CB50]
    [cid:image005.png@01D41F3E.1B59CB50]
    [cid:image002.png@01D5E5D2.A3686B80]

    An information sheet with interim recommendations for the use of personal protective equipment (PPE) during hospital care of people with Coronavirus Disease 2019 (COVID-19).

    Available here

    https://www.health.gov.au/resources/publications/interim-recommendations-for-the-use-of-personal-protective-equipment-ppe-during-hospital-care-of-people-with-coronavirus-disease-2019-covid-19

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    #76334
    Matthew Mason
    Participant

    Author:
    Matthew Mason

    Position:
    Lecturer

    Organisation:
    University of the Sunshine Coast

    State:
    QLD

    Hi Sharon,
    That sounds like fit checking not fit testing. Fit testing requires the use of the equipment previously mentioned and is a requirement of the respiratory protective equipment standards.
    Cheers Matt

    Lecturer,
    School of Nursing, Midwifery & Paramedicine.
    University of the Sunshine Coast

    ——– Original message ——–

    Hi Meredith

    We do not use any special equipment. We do undertake fit testing with new staff and it is a yearly competency for our ED staff. We talk them through the whole process of putting it on, blowing in and out, checking the seal for air leakage and removing safely. We advise on the correct size and discuss issues with beards etc.

    Hope this helps.

    Sharon Deen
    Infection Control Nurse
    Phone:08 9531 8570

    Hi John

    The 2019 Australian Guidelines p. 116 recommends fit testing as follows:

    on commencement of employment for HCWs in clinical areas where there is a significant risk of exposure via airborne route

    when there is significant change to the wearers facial characteristics (eg. weight loss or gain, etc)

    annually thereafter (AS/NZS 1715:2009)

    link here https://www.nhmrc.gov.au/about-us/publications/australian-guidelines-prevention-and-control-infection-healthcare-2019#block-views-block-file-attachments-content-block-1

    There are two types of fit testing:

    Qualitative – inexpensive equipment (approximately $400 per kit) requires hood and sprays, company rep can provide training to staff to perform fit testing, human resources required to perform fit testing on staff

    Quantitative – expensive equipment, generally performed by mask company reps where a good seal cannot be obtained via a qualitative approach

    It is my understanding that all HCFs are recommended to undertake fit testing for staff, however my observation is that very few do. I am aware of two HCFs that participate in fit testing (1 x major public hospital and 1 private hospital).

    It would be interesting to know how many other HCFs participate in fit testing.

    Kind regards

    Meredith Southon
    Meredith Southon RN MIPC QualNursImm
    Clinical Nurse Consultant | Infection Prevention & Control | Staff Health | Murwillumbah District Hospital
    PO Box 821, Murwillumbah NSW 2484
    Tel 02 6672 0232 | Fax 02 6672 0226 | Meredith.Southon@health.nsw.gov.au
    http://www.health.nsw.gov.au

    [Description: http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Northern-NSW-LHD.jpg%5D

    [cid:image002.jpg@01D5E670.4731A860]

    Hi all,

    Is anyone concerned that this (and other statements) ignores the requirement for fit testing of staff who are going to rely on airborne mask protection?

    Btw, CEC NSW have developed nice combined Contact/Droplet signage for those with geographical signage space deficiency (GSSD). Kathy D am sure will share it.

    Regards
    John

    [We are being directed to this commonwealth site btw which does have a nice video on methods etc

    https://www1.health.gov.au/internet/main/publishing.nsf/Content/safe-use-dvd
    [cid:image003.png@01D5E5D3.7A05FA90]

    Dr John Ferguson MBBS DTM&H FRACP FRCPA
    Director, Infection Prevention Service | Hunter New England Local Health District
    John Hunter Hospital, Locked Bag 1, Newcastle Mail Centre, NSW 2310, Australia
    T: 61 2 49214444 | F: 61 2 49214440 | M: +61(0)428 885573 (Speed Dial 67607) | Tw @mdjkf
    Mon
    Tues
    Wed
    Thurs
    Fri
    [cid:image005.png@01D41F3E.1B59CB50]
    [cid:image005.png@01D41F3E.1B59CB50]
    x
    [cid:image005.png@01D41F3E.1B59CB50]
    [cid:image005.png@01D41F3E.1B59CB50]
    [cid:image002.png@01D5E5D2.A3686B80]

    An information sheet with interim recommendations for the use of personal protective equipment (PPE) during hospital care of people with Coronavirus Disease 2019 (COVID-19).

    Available here

    https://www.health.gov.au/resources/publications/interim-recommendations-for-the-use-of-personal-protective-equipment-ppe-during-hospital-care-of-people-with-coronavirus-disease-2019-covid-19

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    #76335
    Anonymous
    Inactive

    Author:
    Anonymous

    Position:

    Organisation:

    State:

    Hi Sharon

    The competency you described sounds more like fit checking than fit testing. Are you able to confirm if you fit test or just fit check?

    Kind regards

    Meredith Southon
    Meredith Southon RN MIPC QualNursImm
    Clinical Nurse Consultant | Infection Prevention & Control | Staff Health | Murwillumbah District Hospital
    PO Box 821, Murwillumbah NSW 2484
    Tel 02 6672 0232 | Fax 02 6672 0226 | Meredith.Southon@health.nsw.gov.au
    http://www.health.nsw.gov.au

    [Description: http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Northern-NSW-LHD.jpg%5D

    [cid:image003.jpg@01D5E732.BD15A0F0]

    From: ACIPC Infexion Connexion On Behalf Of Deen, Sharon
    Sent: Wednesday, 19 February 2020 2:11 PM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: Re: [ACIPC_Infexion_Connexion] Interim recommendations for the use of personal protective equipment (PPE) during hospital care of people with Coronavirus Disease 2019 (COVID-19)

    Hi Meredith

    We do not use any special equipment. We do undertake fit testing with new staff and it is a yearly competency for our ED staff. We talk them through the whole process of putting it on, blowing in and out, checking the seal for air leakage and removing safely. We advise on the correct size and discuss issues with beards etc.

    Hope this helps.

    Sharon Deen
    Infection Control Nurse
    Phone:08 9531 8570

    From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> On Behalf Of Meredith Southon (Northern NSW LHD)
    Sent: Tuesday, 18 February 2020 12:30 PM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: Re: [ACIPC_Infexion_Connexion] Interim recommendations for the use of personal protective equipment (PPE) during hospital care of people with Coronavirus Disease 2019 (COVID-19)

    Hi John

    The 2019 Australian Guidelines p. 116 recommends fit testing as follows:

    on commencement of employment for HCWs in clinical areas where there is a significant risk of exposure via airborne route

    when there is significant change to the wearers facial characteristics (eg. weight loss or gain, etc)

    annually thereafter (AS/NZS 1715:2009)

    link here https://www.nhmrc.gov.au/about-us/publications/australian-guidelines-prevention-and-control-infection-healthcare-2019#block-views-block-file-attachments-content-block-1

    There are two types of fit testing:

    Qualitative – inexpensive equipment (approximately $400 per kit) requires hood and sprays, company rep can provide training to staff to perform fit testing, human resources required to perform fit testing on staff

    Quantitative – expensive equipment, generally performed by mask company reps where a good seal cannot be obtained via a qualitative approach

    It is my understanding that all HCFs are recommended to undertake fit testing for staff, however my observation is that very few do. I am aware of two HCFs that participate in fit testing (1 x major public hospital and 1 private hospital).

    It would be interesting to know how many other HCFs participate in fit testing.

    Kind regards

    Meredith Southon
    Meredith Southon RN MIPC QualNursImm
    Clinical Nurse Consultant | Infection Prevention & Control | Staff Health | Murwillumbah District Hospital
    PO Box 821, Murwillumbah NSW 2484
    Tel 02 6672 0232 | Fax 02 6672 0226 | Meredith.Southon@health.nsw.gov.au
    http://www.health.nsw.gov.au

    [Description: http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Northern-NSW-LHD.jpg%5D

    [cid:image002.jpg@01D5E670.4731A860]

    From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> On Behalf Of John Ferguson (Hunter New England LHD)
    Sent: Monday, 17 February 2020 8:53 PM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: Re: [ACIPC_Infexion_Connexion] Interim recommendations for the use of personal protective equipment (PPE) during hospital care of people with Coronavirus Disease 2019 (COVID-19)

    Hi all,

    Is anyone concerned that this (and other statements) ignores the requirement for fit testing of staff who are going to rely on airborne mask protection?

    Btw, CEC NSW have developed nice combined Contact/Droplet signage for those with geographical signage space deficiency (GSSD). Kathy D am sure will share it.

    Regards
    John

    [We are being directed to this commonwealth site btw which does have a nice video on methods etc

    https://www1.health.gov.au/internet/main/publishing.nsf/Content/safe-use-dvd
    [cid:image003.png@01D5E5D3.7A05FA90]

    Dr John Ferguson MBBS DTM&H FRACP FRCPA
    Director, Infection Prevention Service | Hunter New England Local Health District
    John Hunter Hospital, Locked Bag 1, Newcastle Mail Centre, NSW 2310, Australia
    T: 61 2 49214444 | F: 61 2 49214440 | M: +61(0)428 885573 (Speed Dial 67607) | Tw @mdjkf
    Mon

    Tues

    Wed

    Thurs

    Fri

    [cid:image005.png@01D41F3E.1B59CB50]

    [cid:image005.png@01D41F3E.1B59CB50]

    x

    [cid:image005.png@01D41F3E.1B59CB50]

    [cid:image005.png@01D41F3E.1B59CB50]

    [cid:image002.png@01D5E5D2.A3686B80]

    From: ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] On Behalf Of Philip Russo
    Sent: Friday, 14 February 2020 8:04 PM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: [ACIPC_Infexion_Connexion] Interim recommendations for the use of personal protective equipment (PPE) during hospital care of people with Coronavirus Disease 2019 (COVID-19)

    An information sheet with interim recommendations for the use of personal protective equipment (PPE) during hospital care of people with Coronavirus Disease 2019 (COVID-19).

    Available here

    https://www.health.gov.au/resources/publications/interim-recommendations-for-the-use-of-personal-protective-equipment-ppe-during-hospital-care-of-people-with-coronavirus-disease-2019-covid-19

    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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    Views expressed in this message are those of the individual sender, and are not necessarily the views of NSW Health or any of its entities.
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    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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    Views expressed in this message are those of the individual sender, and are not necessarily the views of NSW Health or any of its entities.
    MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

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    NOTICE: CONFIDENTIAL COMMUNICATION

    This e-mail message and any accompanying files may contain information that is confidential. If you are not the intended recipient, and have received the e-mail in error, you are notified that any use, dissemination, distribution, forwarding, printing or copying of the message and any attached files is strictly prohibited. If you have received this e-mail message in error please immediately advise the sender by return e-mail, or telephone 1800 243 903. You must destroy the original transmission and its contents. Any views expressed within this communication are those of the individual sender, except where the sender specifically states them to be the views of Ramsay Health Care. This communication should not be copied or disseminated without permission.
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    #76336
    Chris Pollard
    Participant

    Author:
    Chris Pollard

    Position:
    Sales Engineer

    Organisation:
    Kenelec Scientific

    State:
    VIC

    Hi Sharon,

    Dont confuse the terms Fit Check with Fit Test they are different processes and the Quantitative Fit Test method is the only way of getting non subjective results.

    Kind regards

    Chris Pollard
    Kenelec Scientific
    0437 007 810

    From: ACIPC Infexion Connexion On Behalf Of Deen, Sharon
    Sent: Wednesday, 19 February 2020 2:11 PM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: Re: [ACIPC_Infexion_Connexion] Interim recommendations for the use of personal protective equipment (PPE) during hospital care of people with Coronavirus Disease 2019 (COVID-19)

    Hi Meredith

    We do not use any special equipment. We do undertake fit testing with new staff and it is a yearly competency for our ED staff. We talk them through the whole process of putting it on, blowing in and out, checking the seal for air leakage and removing safely. We advise on the correct size and discuss issues with beards etc.

    Hope this helps.

    Sharon Deen
    Infection Control Nurse
    Phone:08 9531 8570

    From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> On Behalf Of Meredith Southon (Northern NSW LHD)
    Sent: Tuesday, 18 February 2020 12:30 PM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: Re: [ACIPC_Infexion_Connexion] Interim recommendations for the use of personal protective equipment (PPE) during hospital care of people with Coronavirus Disease 2019 (COVID-19)

    Hi John

    The 2019 Australian Guidelines p. 116 recommends fit testing as follows:

    * on commencement of employment for HCWs in clinical areas where there is a significant risk of exposure via airborne route
    * when there is significant change to the wearers facial characteristics (eg. weight loss or gain, etc)
    * annually thereafter (AS/NZS 1715:2009)
    * link here https://www.nhmrc.gov.au/about-us/publications/australian-guidelines-prevention-and-control-infection-healthcare-2019#block-views-block-file-attachments-content-block-1

    There are two types of fit testing:

    * Qualitative – inexpensive equipment (approximately $400 per kit) requires hood and sprays, company rep can provide training to staff to perform fit testing, human resources required to perform fit testing on staff
    * Quantitative – expensive equipment, generally performed by mask company reps where a good seal cannot be obtained via a qualitative approach

    It is my understanding that all HCFs are recommended to undertake fit testing for staff, however my observation is that very few do. I am aware of two HCFs that participate in fit testing (1 x major public hospital and 1 private hospital).

    It would be interesting to know how many other HCFs participate in fit testing.

    Kind regards

    Meredith Southon
    Meredith Southon RN MIPC QualNursImm
    Clinical Nurse Consultant | Infection Prevention & Control | Staff Health | Murwillumbah District Hospital
    PO Box 821, Murwillumbah NSW 2484
    Tel 02 6672 0232 | Fax 02 6672 0226 | Meredith.Southon@health.nsw.gov.au
    http://www.health.nsw.gov.au

    [Description: http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Northern-NSW-LHD.jpg%5D

    [cid:image002.jpg@01D5E670.4731A860]

    From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> On Behalf Of John Ferguson (Hunter New England LHD)
    Sent: Monday, 17 February 2020 8:53 PM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: Re: [ACIPC_Infexion_Connexion] Interim recommendations for the use of personal protective equipment (PPE) during hospital care of people with Coronavirus Disease 2019 (COVID-19)

    Hi all,

    Is anyone concerned that this (and other statements) ignores the requirement for fit testing of staff who are going to rely on airborne mask protection?

    Btw, CEC NSW have developed nice combined Contact/Droplet signage for those with geographical signage space deficiency (GSSD). Kathy D am sure will share it.

    Regards
    John

    [We are being directed to this commonwealth site btw which does have a nice video on methods etc

    https://www1.health.gov.au/internet/main/publishing.nsf/Content/safe-use-dvd
    [cid:image003.png@01D5E5D3.7A05FA90]

    Dr John Ferguson MBBS DTM&H FRACP FRCPA
    Director, Infection Prevention Service | Hunter New England Local Health District
    John Hunter Hospital, Locked Bag 1, Newcastle Mail Centre, NSW 2310, Australia
    T: 61 2 49214444 | F: 61 2 49214440 | M: +61(0)428 885573 (Speed Dial 67607) | Tw @mdjkf
    Mon

    Tues

    Wed

    Thurs

    Fri

    [cid:image005.png@01D41F3E.1B59CB50]

    [cid:image005.png@01D41F3E.1B59CB50]

    x

    [cid:image005.png@01D41F3E.1B59CB50]

    [cid:image005.png@01D41F3E.1B59CB50]

    [cid:image002.png@01D5E5D2.A3686B80]

    From: ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] On Behalf Of Philip Russo
    Sent: Friday, 14 February 2020 8:04 PM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: [ACIPC_Infexion_Connexion] Interim recommendations for the use of personal protective equipment (PPE) during hospital care of people with Coronavirus Disease 2019 (COVID-19)

    An information sheet with interim recommendations for the use of personal protective equipment (PPE) during hospital care of people with Coronavirus Disease 2019 (COVID-19).

    Available here

    https://www.health.gov.au/resources/publications/interim-recommendations-for-the-use-of-personal-protective-equipment-ppe-during-hospital-care-of-people-with-coronavirus-disease-2019-covid-19

    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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    Views expressed in this message are those of the individual sender, and are not necessarily the views of NSW Health or any of its entities.
    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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    NOTICE: CONFIDENTIAL COMMUNICATION

    This e-mail message and any accompanying files may contain information that is confidential. If you are not the intended recipient, and have received the e-mail in error, you are notified that any use, dissemination, distribution, forwarding, printing or copying of the message and any attached files is strictly prohibited. If you have received this e-mail message in error please immediately advise the sender by return e-mail, or telephone 1800 243 903. You must destroy the original transmission and its contents. Any views expressed within this communication are those of the individual sender, except where the sender specifically states them to be the views of Ramsay Health Care. This communication should not be copied or disseminated without permission.
    MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

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    #76396
    Glenys Harrington
    Participant

    Author:
    Glenys Harrington

    Position:
    Consultant

    Organisation:
    Infection Control Consultancy (ICC)

    State:

    Hi Phil,

    I’m seeking some clarification in relation to the information sheet with
    interim recommendations for the use of personal protective equipment (PPE)
    during hospital care of people with Coronavirus Disease 2019 (COVID-19) you
    posted below.

    Specifically the number of times staff are required to wash their hand when
    removing PPE as per instruction below:

    *Perform hand hygiene before donning gown, gloves, eye protection
    (goggles or face shield) and a P2/N95 respirator, which should be
    fit-checked.
    *After the consultation, remove gown and gloves, perform hand
    hygiene, remove eye protection perform hand hygiene, remove P2/N95
    respirator and perform hand hygiene. Do not touch the front of any item of
    PPE during removal, perform hand hygiene at any point contamination may have
    occurred.
    *The room surfaces should be wiped clean with detergent/disinfectant
    by a person wearing gloves, gown and surgical mask.
    *The room should be left vacant with the door closed for at least 30
    minutes after specimen collection (cleaning can be performed during this
    time by a person wearing PPE).

    My understanding is that this requirement is specific to Ebola and is not
    necessary for Coronavirus?

    I note it is not a requirement in the CDC guidelines – Interim Infection
    Prevention and Control Recommendations for Patients with Confirmed
    Coronavirus Disease 2019 (COVID-19) or Persons Under Investigation for
    COVID-19 in Healthcare Settings. Updated February 21, 2020

    https://www.cdc.gov/coronavirus/2019-ncov/infection-control/control-recommen
    dations.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019-nc
    ov%2Fhcp%2Finfection-control.html

    Are you or anyone else on the advisory group able to clarify furtther?

    Many thanks in anticipation.

    Glenys

    Glenys Harrington

    Consultant

    Infection Control Consultancy (ICC)

    P.O. Box 6385

    Melbourne

    Australia, 3004

    M: +61 404816434

    E: infexion@ozemail.com.au

    Russo
    personal protective equipment (PPE) during hospital care of people with
    Coronavirus Disease 2019 (COVID-19)

    An information sheet with interim recommendations for the use of personal
    protective equipment (PPE) during hospital care of people with Coronavirus
    Disease 2019 (COVID-19).

    Available here

    https://www.health.gov.au/resources/publications/interim-recommendations-for
    -the-use-of-personal-protective-equipment-ppe-during-hospital-care-of-people
    -with-coronavirus-disease-2019-covid-19

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

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    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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    registration and login required.

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