Limb warming prior to cannulation

[Wishart, Michael]

In our day oncology unit, to help with cannulation of patients with
difficult to access peripheral veins, they are using a tub of warm water
to soak a patient’s hand or arm in for 15-20 minutes prior to
cannulation to make the vein more accessible. Whilst the limb is dried
and appropriate skin antisepsis is performed prior to cannulation, there
are some other concerns with this practice (more related to staff and
patient safety than infection control) and thus we are looking at
alternatives. Apart from warm towels and hot packs (which do not hold
heat long enough, according to the staff of the unit), does anyone know
of any other methods limbs can be warmed safely prior to cannulation?

Thanks
Michael

Michael Wishart | GPH – Infection Control Coordinator

GPH – Quality & Safety Unit (Infection Control) | Greenslopes Private
Hospital
Newdegate Street, Greenslopes QLD 4120
t: 07 3394 7919 | f: 07 3394 7985
e: WishartM@ramsayhealth.com.au | w: http://www.ramsayhealth.com.au

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[John Ferguson]

Dear Colleagues

Might AICA discuss the following proposal?

We all particularly struggle to get medical staff to learn about correct hand hygiene practices. They either know it all or profess not to have the time etc. Furthermore in order to enforce the standard, one needs to ensure that the person is aware of the expectations etc.

My proposal is that AICA (together with ASID- I have suggested this to them) makes a formal request to the new National Registration and Accreditation scheme (Health Workforce) to require completion of a specified online hand hygiene elearning program and assessment PRIOR to issue of registration renewal for all health professionals.

Furthermore, we should require them to include safe practice of hand hygiene in the relevant codes of conduct for each cadre of health staff.

Best wishes
John

Dr John Ferguson
Director, Infection Prevention and Control Unit Microbiologist and Infectious Diseases Physician HUNTER NEW ENGLAND HEALTH Locked Bag 1, Newcastle, NSW 2310, Australia
tel 61 2 49214422, fax 61 2 49214440
Visit http://www.hicsiganz.org for updates on healthcare infection prevention & control from around Australia and NZ.

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[Chard, Colette]

Hi Michael,

In OT we utilize the warming towels/ blankets from the warming cabinets.
I know some of our patients aren’t at high risk of poor veins as in on
oncology but it maybe food for thought

Thanks

Colette Chard
Infection Control Coordinator
Clinical Nurse Day Surgery
North West Private Hospital
137 Flockton St.,
Everton Park
07 3246 3145 / 3246 3183(Tuesdays)
email:chardc@ramsayhealth.com.au

—–Original Message—–
Behalf Of Wishart, Michael

In our day oncology unit, to help with cannulation of patients with
difficult to access peripheral veins, they are using a tub of warm water
to soak a patient’s hand or arm in for 15-20 minutes prior to
cannulation to make the vein more accessible. Whilst the limb is dried
and appropriate skin antisepsis is performed prior to cannulation, there
are some other concerns with this practice (more related to staff and
patient safety than infection control) and thus we are looking at
alternatives. Apart from warm towels and hot packs (which do not hold
heat long enough, according to the staff of the unit), does anyone know
of any other methods limbs can be warmed safely prior to cannulation?

Thanks
Michael

Michael Wishart | GPH – Infection Control Coordinator

GPH – Quality & Safety Unit (Infection Control) | Greenslopes Private
Hospital
Newdegate Street, Greenslopes QLD 4120
t: 07 3394 7919 | f: 07 3394 7985
e: WishartM@ramsayhealth.com.au | w: http://www.ramsayhealth.com.au

Ramsay Health Care is an environmentally responsible corporation, please
consider the environment before printing this email.

This e-mail message and any accompanying files may contain
information that is confidential and subject to privilege. 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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do not represent the opinion of AICA.
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[Fiona de Sousa]

Hi Michael,

We have two day chemotherapy / infusion units and both use hot packs for
warming veins.

Fiona De Sousa
Infection Prevention & Control Coordinator,
Syndey Adventist Hospital
02 9487 9732

—–Original Message—–
Behalf Of Chard, Colette

Hi Michael,

In OT we utilize the warming towels/ blankets from the warming cabinets.
I know some of our patients aren’t at high risk of poor veins as in on
oncology but it maybe food for thought

Thanks

Colette Chard
Infection Control Coordinator
Clinical Nurse Day Surgery
North West Private Hospital
137 Flockton St.,
Everton Park

07 3246 3145 / 3246 3183(Tuesdays)
email:chardc@ramsayhealth.com.au

—–Original Message—–
Behalf Of Wishart, Michael

In our day oncology unit, to help with cannulation of patients with
difficult to access peripheral veins, they are using a tub of warm water
to soak a patient’s hand or arm in for 15-20 minutes prior to
cannulation to make the vein more accessible. Whilst the limb is dried
and appropriate skin antisepsis is performed prior to cannulation, there
are some other concerns with this practice (more related to staff and
patient safety than infection control) and thus we are looking at
alternatives. Apart from warm towels and hot packs (which do not hold
heat long enough, according to the staff of the unit), does anyone know
of any other methods limbs can be warmed safely prior to cannulation?

Thanks
Michael

Michael Wishart | GPH – Infection Control Coordinator

GPH – Quality & Safety Unit (Infection Control) | Greenslopes Private
Hospital
Newdegate Street, Greenslopes QLD 4120
t: 07 3394 7919 | f: 07 3394 7985
e: WishartM@ramsayhealth.com.au | w: http://www.ramsayhealth.com.au

Ramsay Health Care is an environmentally responsible corporation, please
consider the environment before printing this email.

This e-mail message and any accompanying files may contain
information that is confidential and subject to privilege. 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 authors, and
do not represent the opinion of AICA.
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[Antony Shannon]

Hello Michael, I agree with Coletteas that was the methodology we used when I worked in Oncology in Aberdeen Royal Infirmary. However very few of our patients would use peripheral cannulaes as they would all have a Hickman or other Central Lines which mitigates this issue

Antony Shannon
Clinical Nurse Specialist- Infection Prevention & Control
Infection Prevention & Control/ Te Tai rai me to pupuri urat
Dunedin Hospital
Private Bag 1921
DUNEDIN
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[John Ferguson]

Dear Colleagues

HICSIG is facilitating the development of a guideline for the infection prevention & control of MRSA in Australian residential aged care facilities, as it has been noted that this issue is not specifically addressed under any Australian national guideline and that there is need for a well-considered evidence-based risk-appropriate approach.

A small group with representatives from AICA, ASID and other stakeholders commenced work in late 2009. We would really like to expand the group and would welcome all volunteers, especially from Victoria and the Northern Territory.

The Terms of Reference for the group are at http://www.asid.net.au/hicsigwiki/index.php?titleTerms_of_Reference_-_RCF_MRSA_working_group.

We meet by teleconference once a month week for one hour and some additional work will be required- currently this involves evaluation of existing guidelines using the AGREE instrument.

Please let Michelle Taylor (hicsig1@gmail.com) know if you are interested in joining the group!

Thanks
john

Dr John Ferguson
Director, Infection Prevention and Control Unit
Microbiologist and Infectious Diseases Physician
HUNTER NEW ENGLAND HEALTH
Locked Bag 1, Newcastle, NSW 2310, Australia
tel 61 2 49214422, fax 61 2 49214440
Visit http://www.hicsiganz.org for updates on healthcare infection prevention & control from around Australia and NZ.

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