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Hi all
I wonder how everyone manages healthcare workers who are required to wear lymphoedema sleeves, or braces/splints that cover the wrist and hand? My recommendations for these have always in the past been to advise that any device or garment worm below the wrist means no patient contact tasks can be performed.
That usual recommendation is being challenged currently by staff who are required to wear (long term) lymphoedema sleeves that cover the wrist and part of the hand. I am being told I am discriminating against them.
In the spirit of fairness, I have always been tolerate of garments worn below the elbow when there is a genuine reason to do so, as long as the wrists and hands are uncovered. But I draw the line at garments covering the wrist or below, due to the inability for that staff member to satisfactorily perform hand hygiene.
So, what are the thoughts of the communal infection control mind? Would you allow a lymphoedema sleeve to be worn over the wrist and hand during patient care in an acute setting? Would you limit ‘types’ of patient contact (eg no open wounds, no invasive devices)? Any other approaches?
Thanks
MichaelMichael Wishart | Infection Control Coordinator, CICP-E
St Vincent’s Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
M +61 448 954 282 | T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
W https://www.svphn.org.auSt Vincent’s Private Hospital Brisbane | 411 Main Street KANGAROO POINT QLD 4169
M +61 448 954 282 | T +61 7 3240 1208 | F +61 7 3240 1166
E michael.wishart@svha.org.au |
W https://www.svphb.org.au[http://i8.cmail19.com/ei/t/6C/F77/A00/141133/csfinal/StaticEmailFooter-SVPHN-Celebrating20Years-650×150-9900000000079e3c.png]
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Hi Michael
Interesting topic.
I have been a manager of a sub-acute area where a staff member was required
to wear an upper limb lymphoedema sleeve post mastectomy.
I allowed it of course, as she was an excellent clinician, But we did make
some ground rules:
> She wore a glove(s) and changed them as per the 5 moments for all ‘clean’
(ie: low cross infection risk) care tasks (eg: medication administration,
observations and assisting patients with mobility, meals, toileting, simple
wound dressings using ANTT).
> She was the ‘2nd’ person re: washing patient’s in bed (thus minimising
risk of lymphoedema material becoming wet)
> There was an agreement and willingness with the ward clinical management
team (ANUMs) and her nurse colleagues (yes I asked every one of them) to
share work tasks if patients required maximum assistance with toileting
(particularly perineal hygiene) or showering activities. Those staff (x2 /
30) who did object, were not ‘buddied’ with her. Annoying, yes, but doable
due to low numbers resulting in low frequency of occurrence.The problem of course is that there is no requirement to alter the
workplace to accommodate these workers under an OHS Legislative perspective
given their illness did not occur as a result of the workplace. Given good
nurses are hard to find, I believe that these nurses could be adequately
accommodated in most clinical environments and they should be supported to
continue in their role if there are no other extenuating circumstances.
But, I would definitely check with the DON, NUM & ANUM teams first to gauge
their willingness and help identify potential unidentified risks AND of
course other powers (eg: RTW Coordinators, Lawyers) before taking it to the
team for consideration.In the end, it all comes down to risk assessment and whether or not the
hierarchy of controls that can be applied are reasonably practicable to
implement and the residual risk(s) to the individual and their patients is
tolerable.I would be interested to hear how you go.
Kind Regards,
Vanessa Watkins
RN, Quality Manager, IPC Lead
Donwood Community Aged Care Services,
Croydon, Victoria
email (home): vanessa.awd@gmail.com
email (work): vwatkins@donwood.com.auOn Mon, Sep 19, 2022 at 2:56 PM Michael Wishart
wrote:> Hi all
>
>
>
> I wonder how everyone manages healthcare workers who are required to wear
> lymphoedema sleeves, or braces/splints that cover the wrist and hand? My
> recommendations for these have always in the past been to advise that any
> device or garment worm below the wrist means no patient contact tasks can
> be performed.
>
>
>
> That usual recommendation is being challenged currently by staff who are
> required to wear (long term) lymphoedema sleeves that cover the wrist and
> part of the hand. I am being told I am discriminating against them.
>
>
>
> In the spirit of fairness, I have always been tolerate of garments worn
> below the elbow when there is a genuine reason to do so, as long as the
> wrists and hands are uncovered. But I draw the line at garments covering
> the wrist or below, due to the inability for that staff member to
> satisfactorily perform hand hygiene.
>
>
>
> So, what are the thoughts of the communal infection control mind? Would
> you allow a lymphoedema sleeve to be worn over the wrist and hand during
> patient care in an acute setting? Would you limit types of patient
> contact (eg no open wounds, no invasive devices)? Any other approaches?
>
>
>
> Thanks
>
> Michael
>
>
>
>
>
> *Michael Wishart *| Infection Control Coordinator, CICP-E
>
>
> St Vincents Private Hospital Northside | 627 Rode Road CHERMSIDE QLD
> 4032
>
> *M *+61 448 954 282 | *T *+61 7 3326 3068 |* F* +61 7 3607 2226
>
> *E* michael.wishart@svha.org.au |
>
> *W *https://www.svphn.org.au
>
>
>
>
>
> St Vincents Private Hospital Brisbane | 411 Main Street KANGAROO POINT
> QLD 4169
> *M* +61 448 954 282 | *T *+61 7 3240 1208 |* F* +61 7 3240 1166
> *E* michael.wishart@svha.org.au |
>
> *W *https://www.svphb.org.au
>
>
>
>
>
>
>
>
> This email and any attachments to it (the “Email”) is confidential and is
> for the use only of the intended recipient, and may not be duplicated or
> used by any other party without the express consent of the sender. If you
> are not the intended recipient of the Email, please notify the sender
> immediately by return email, delete the Email, and do not copy, print,
> retransmit, store or act in reliance on the Email. St Vincent’s Health
> Australia (“SVHA”) does not guarantee that the Email is free from errors,
> viruses or interference. Emails to and from SVHA or its related entities
> may be scanned and filtered in locations outside Australia
> 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
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>MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
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We have always maintained you must be able to perform appropriate hand hygiene so do not allow these items in clinical areas. We do support and very much value our staff by finding alternative work arrangements out of the clinical area. This may include working on quality improvement initiatives as an example.
We have always pushed the message gloves do not negate the need for hand hygiene so reluctant to go down that path. If we acknowledge that wearing gloves is an acceptable alternative practice then we would need to allow others to do the same for the various reasons they wish to return to work wearing other supportive devices, not requiring HCWs to be bare below the elbow etc.
Patient safety must remain our primary focus.Regards
[cid:image001.png@01D8CDB4.4CAAA9D0]
Robyn Birch
Clinical Nurse Consultant – Infection Control
Central West Hospital and Health Service
p 07 4652 8006
a PO Box 510, Longreach Qld 4730
w Central West Health e robyn.birch@health.qld.gov.au
Leaders in far-reaching healthcare
We acknowledge the Traditional Owners of country throughout the Central West and recognise their continuing
connection to land, waters and culture. We pay respect to Elders past, present and emerging.From: ACIPC Infexion Connexion On Behalf Of Vanessa Davis
Sent: Monday, 19 September 2022 9:24 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] Lymphoedema sleeves, splints and hand hygieneThis email originated from outside Queensland Health. DO NOT click on any links or open attachments unless you recognise the sender and know the content is safe.
________________________________
Hi MichaelInteresting topic.
I have been a manager of a sub-acute area where a staff member was required to wear an upper limb lymphoedema sleeve post mastectomy.
I allowed it of course, as she was an excellent clinician, But we did make some ground rules:
> She wore a glove(s) and changed them as per the 5 moments for all ‘clean’ (ie: low cross infection risk) care tasks (eg: medication administration, observations and assisting patients with mobility, meals, toileting, simple wound dressings using ANTT).
> She was the ‘2nd’ person re: washing patient’s in bed (thus minimising risk of lymphoedema material becoming wet)
> There was an agreement and willingness with the ward clinical management team (ANUMs) and her nurse colleagues (yes I asked every one of them) to share work tasks if patients required maximum assistance with toileting (particularly perineal hygiene) or showering activities. Those staff (x2 / 30) who did object, were not ‘buddied’ with her. Annoying, yes, but doable due to low numbers resulting in low frequency of occurrence.The problem of course is that there is no requirement to alter the workplace to accommodate these workers under an OHS Legislative perspective given their illness did not occur as a result of the workplace. Given good nurses are hard to find, I believe that these nurses could be adequately accommodated in most clinical environments and they should be supported to continue in their role if there are no other extenuating circumstances. But, I would definitely check with the DON, NUM & ANUM teams first to gauge their willingness and help identify potential unidentified risks AND of course other powers (eg: RTW Coordinators, Lawyers) before taking it to the team for consideration.
In the end, it all comes down to risk assessment and whether or not the hierarchy of controls that can be applied are reasonably practicable to implement and the residual risk(s) to the individual and their patients is tolerable.
I would be interested to hear how you go.
Kind Regards,
Vanessa Watkins
RN, Quality Manager, IPC Lead
Donwood Community Aged Care Services,
Croydon, Victoria
email (home): vanessa.awd@gmail.com
email (work): vwatkins@donwood.com.auOn Mon, Sep 19, 2022 at 2:56 PM Michael Wishart <Michael.Wishart@svha.org.au> wrote:
Hi allI wonder how everyone manages healthcare workers who are required to wear lymphoedema sleeves, or braces/splints that cover the wrist and hand? My recommendations for these have always in the past been to advise that any device or garment worm below the wrist means no patient contact tasks can be performed.
That usual recommendation is being challenged currently by staff who are required to wear (long term) lymphoedema sleeves that cover the wrist and part of the hand. I am being told I am discriminating against them.
In the spirit of fairness, I have always been tolerate of garments worn below the elbow when there is a genuine reason to do so, as long as the wrists and hands are uncovered. But I draw the line at garments covering the wrist or below, due to the inability for that staff member to satisfactorily perform hand hygiene.
So, what are the thoughts of the communal infection control mind? Would you allow a lymphoedema sleeve to be worn over the wrist and hand during patient care in an acute setting? Would you limit types of patient contact (eg no open wounds, no invasive devices)? Any other approaches?
Thanks
MichaelMichael Wishart | Infection Control Coordinator, CICP-E
St Vincents Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
M +61 448 954 282 | T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
W https://www.svphn.org.auSt Vincents Private Hospital Brisbane | 411 Main Street KANGAROO POINT QLD 4169
M +61 448 954 282 | T +61 7 3240 1208 | F +61 7 3240 1166
E michael.wishart@svha.org.au |
W https://www.svphb.org.au[http://i8.cmail19.com/ei/t/6C/F77/A00/141133/csfinal/StaticEmailFooter-SVPHN-Celebrating20Years-650×150-9900000000079e3c.png]
This email and any attachments to it (the “Email”) is confidential and is for the use only of the intended recipient, and may not be duplicated or used by any other party without the express consent of the sender. If you are not the intended recipient of the Email, please notify the sender immediately by return email, delete the Email, and do not copy, print, retransmit, store or act in reliance on the Email. St Vincent’s Health Australia (“SVHA”) does not guarantee that the Email is free from errors, viruses or interference. Emails to and from SVHA or its related entities may be scanned and filtered in locations outside Australia
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.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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Hi Michael
I agree with you and this is the advise I have given to staff in the past.
Kind regards
Sally[Queensland Government]
Sally Broadhurst
CN Infection Control
WBHHS | Queensland Health
Working hours Monday to Wednesday
P
4325 6868 (Mon, Weds); 4122 8945 (Tues)
E
sally.broadhurst@health.qld.gov.au
W
health.qld.gov.au
A
P.O. Box 592, Hervey Bay. QLD, 4655
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________________________________
Hi allI wonder how everyone manages healthcare workers who are required to wear lymphoedema sleeves, or braces/splints that cover the wrist and hand? My recommendations for these have always in the past been to advise that any device or garment worm below the wrist means no patient contact tasks can be performed.
That usual recommendation is being challenged currently by staff who are required to wear (long term) lymphoedema sleeves that cover the wrist and part of the hand. I am being told I am discriminating against them.
In the spirit of fairness, I have always been tolerate of garments worn below the elbow when there is a genuine reason to do so, as long as the wrists and hands are uncovered. But I draw the line at garments covering the wrist or below, due to the inability for that staff member to satisfactorily perform hand hygiene.
So, what are the thoughts of the communal infection control mind? Would you allow a lymphoedema sleeve to be worn over the wrist and hand during patient care in an acute setting? Would you limit ‘types’ of patient contact (eg no open wounds, no invasive devices)? Any other approaches?
Thanks
MichaelMichael Wishart | Infection Control Coordinator, CICP-E
St Vincent’s Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
M +61 448 954 282 | T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
W https://www.svphn.org.auSt Vincent’s Private Hospital Brisbane | 411 Main Street KANGAROO POINT QLD 4169
M +61 448 954 282 | T +61 7 3240 1208 | F +61 7 3240 1166
E michael.wishart@svha.org.au |
W https://www.svphb.org.au[http://i8.cmail19.com/ei/t/6C/F77/A00/141133/csfinal/StaticEmailFooter-SVPHN-Celebrating20Years-650×150-9900000000079e3c.png]
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This email and any attachments to it (the “Email”) is confidential and is for the use only of the intended recipient, and may not be duplicated or used by any other party without the express consent of the sender. If you are not the intended recipient of the Email, please notify the sender immediately by return email, delete the Email, and do not copy, print, retransmit, store or act in reliance on the Email. St Vincent’s Health Australia (“SVHA”) does not guarantee that the Email is free from errors, viruses or interference. Emails to and from SVHA or its related entities may be scanned and filtered in locations outside Australia
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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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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Morning Michael,
We have the same policy here, but am continually challenged by the units and sometimes we just find staff working on the wards with sleeves!
My argument is that if you cannot perform hand hygiene properly , you should not be delivering care to any patients. Not being able to perform hand hygiene properly is a breach of patient safety and it is difficult for them to argue this.
regards
Janine Carrucan
RN BApp Sci MPHTM GCertEd MAdv Prac (Infection Prevention & Control) CICP-E
COVID-19 Lead
Nursing Director
Infection Prevention and Control[cid:image001.png@01D8D311.A0494210]
T
07 4433 3606 | 0428 779 111 *5838
E
janine.carrucan@health.qld.gov.au
W
http://www.health.qld.gov.au/townsvilleTownsville Hospital and Health Service
100 Angus Smith Drive, Douglas, QLD 4814
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________________________________
Hi MichaelI agree with you and this is the advise I have given to staff in the past.
Kind regards
Sally[Queensland Government]
Sally Broadhurst
CN Infection Control
WBHHS | Queensland Health
Working hours Monday to Wednesday
P
4325 6868 (Mon, Weds); 4122 8945 (Tues)
E
sally.broadhurst@health.qld.gov.au
W
health.qld.gov.au
A
P.O. Box 592, Hervey Bay. QLD, 4655
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Share
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________________________________
Hi allI wonder how everyone manages healthcare workers who are required to wear lymphoedema sleeves, or braces/splints that cover the wrist and hand? My recommendations for these have always in the past been to advise that any device or garment worm below the wrist means no patient contact tasks can be performed.
That usual recommendation is being challenged currently by staff who are required to wear (long term) lymphoedema sleeves that cover the wrist and part of the hand. I am being told I am discriminating against them.
In the spirit of fairness, I have always been tolerate of garments worn below the elbow when there is a genuine reason to do so, as long as the wrists and hands are uncovered. But I draw the line at garments covering the wrist or below, due to the inability for that staff member to satisfactorily perform hand hygiene.
So, what are the thoughts of the communal infection control mind? Would you allow a lymphoedema sleeve to be worn over the wrist and hand during patient care in an acute setting? Would you limit ‘types’ of patient contact (eg no open wounds, no invasive devices)? Any other approaches?
Thanks
MichaelMichael Wishart | Infection Control Coordinator, CICP-E
St Vincent’s Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
M +61 448 954 282 | T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
W https://www.svphn.org.auSt Vincent’s Private Hospital Brisbane | 411 Main Street KANGAROO POINT QLD 4169
M +61 448 954 282 | T +61 7 3240 1208 | F +61 7 3240 1166
E michael.wishart@svha.org.au |
W https://www.svphb.org.au[http://i8.cmail19.com/ei/t/6C/F77/A00/141133/csfinal/StaticEmailFooter-SVPHN-Celebrating20Years-650×150-9900000000079e3c.png]
[cid:image001.png@01D8CC36.0110AD00]
This email and any attachments to it (the “Email”) is confidential and is for the use only of the intended recipient, and may not be duplicated or used by any other party without the express consent of the sender. If you are not the intended recipient of the Email, please notify the sender immediately by return email, delete the Email, and do not copy, print, retransmit, store or act in reliance on the Email. St Vincent’s Health Australia (“SVHA”) does not guarantee that the Email is free from errors, viruses or interference. Emails to and from SVHA or its related entities may be scanned and filtered in locations outside Australia
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to acipclist@acipc.org.au
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You can unsubscribe manually from this list by sending ‘signoff acipclist’ (without the quotes) to listserv@aicalist.org.au
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Queensland Health carries out monitoring, scanning and blocking of emails and attachments sent from or to addresses within Queensland Health for the purposes of operating, protecting, maintaining and ensuring appropriate use of its computer network.
**********************************************************************************
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to acipclist@acipc.org.au
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MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
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Good morning all,
I would concur that any staff member who cannot adequately perform ICP measures cannot meet the basic tenets of their role (specific to their role).
I would advise HR communications as needed.
Kind regards,
Melissa Ostrouhoff
Clinical Governance ManagerPalm Lake Care
melissao@palmlake.com.au
0477706665
Central Support Office, 3 Goodooga Drive, Bethania, QLD
https://palmlakecare.com.au/Important Notice:
This message and its attachments are confidential and may contain information which is protected by copyright.
It is intended solely for the named addressee. If you are not the authorised recipient (or responsible for delivery of the message to the authorised recipient), you must not use, disclose, print, copy or deliver this message or its attachments to anyone.
If you receive this email in error, please contact the sender immediately and permanently delete this message and its attachments from your system.
Any content of this message and its attachments that does not relate to the official business of Palm Lake Group must be taken not to have been sent or endorsed by it.
No representation is made that this email or its attachments are without defect or that the contents express views other than those of the sender.Hi Michael
I agree with you and this is the advise I have given to staff in the past.
Kind regards
Sally[Queensland Government]
Sally Broadhurst
CN Infection Control
WBHHS | Queensland Health
Working hours Monday to Wednesday
P
4325 6868 (Mon, Weds); 4122 8945 (Tues)
E
sally.broadhurst@health.qld.gov.au
W
health.qld.gov.au
A
P.O. Box 592, Hervey Bay. QLD, 4655
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Queensland Health acknowledges the Traditional Custodians of the land across Queensland, and pays respect to First Nations Elders past, present and future.This email originated from outside Queensland Health. DO NOT click on any links or open attachments unless you recognise the sender and know the content is safe.
________________________________
Hi allI wonder how everyone manages healthcare workers who are required to wear lymphoedema sleeves, or braces/splints that cover the wrist and hand? My recommendations for these have always in the past been to advise that any device or garment worm below the wrist means no patient contact tasks can be performed.
That usual recommendation is being challenged currently by staff who are required to wear (long term) lymphoedema sleeves that cover the wrist and part of the hand. I am being told I am discriminating against them.
In the spirit of fairness, I have always been tolerate of garments worn below the elbow when there is a genuine reason to do so, as long as the wrists and hands are uncovered. But I draw the line at garments covering the wrist or below, due to the inability for that staff member to satisfactorily perform hand hygiene.
So, what are the thoughts of the communal infection control mind? Would you allow a lymphoedema sleeve to be worn over the wrist and hand during patient care in an acute setting? Would you limit ‘types’ of patient contact (eg no open wounds, no invasive devices)? Any other approaches?
Thanks
MichaelMichael Wishart | Infection Control Coordinator, CICP-E
St Vincent’s Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
M +61 448 954 282 | T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
W https://www.svphn.org.auSt Vincent’s Private Hospital Brisbane | 411 Main Street KANGAROO POINT QLD 4169
M +61 448 954 282 | T +61 7 3240 1208 | F +61 7 3240 1166
E michael.wishart@svha.org.au |
W https://www.svphb.org.au[http://i8.cmail19.com/ei/t/6C/F77/A00/141133/csfinal/StaticEmailFooter-SVPHN-Celebrating20Years-650×150-9900000000079e3c.png]
[cid:image001.png@01D8CC36.0110AD00]
This email and any attachments to it (the “Email”) is confidential and is for the use only of the intended recipient, and may not be duplicated or used by any other party without the express consent of the sender. If you are not the intended recipient of the Email, please notify the sender immediately by return email, delete the Email, and do not copy, print, retransmit, store or act in reliance on the Email. St Vincent’s Health Australia (“SVHA”) does not guarantee that the Email is free from errors, viruses or interference. Emails to and from SVHA or its related entities may be scanned and filtered in locations outside Australia
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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Queensland Health carries out monitoring, scanning and blocking of emails and attachments sent from or to addresses within Queensland Health for the purposes of operating, protecting, maintaining and ensuring appropriate use of its computer network.
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MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
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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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Hi,
I am in this staff members situation regarding compression sleeves. I also understand the limitations that ensue in the clinical setting. A change of role to non-clinical would be my advice. A tricky scary and emotional time, I empathise with both sides.
Regards,
Lana TrnovskyInfection Prevention and Control Consultant
Grad Dip Nursing Science – Perioperative
Mount Gambier and Districts Health Service
Ph (08) 8721 1400
M 0434 940 879From: ACIPC Infexion Connexion On Behalf Of Melissa Ostrouhoff
Sent: Wednesday, 28 September 2022 7:42 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] Lymphoedema sleeves, splints and hand hygieneGood morning all,
I would concur that any staff member who cannot adequately perform ICP measures cannot meet the basic tenets of their role (specific to their role).
I would advise HR communications as needed.
Kind regards,
Melissa Ostrouhoff
Clinical Governance ManagerPalm Lake Care
[cid:image259507.png@8224EE4B.3540245E]
melissao@palmlake.com.au
[cid:image165627.png@BDDBF1FF.4BDEFD76]
0477706665
[cid:image245970.png@C417468D.F1059F20]
Central Support Office, 3 Goodooga Drive, Bethania, QLD
[cid:image582378.png@52F31371.B2E027A5]
https://palmlakecare.com.au/[cid:image022333.jpg@056ED336.3C2B831E]
Important Notice:
This message and its attachments are confidential and may contain information which is protected by copyright.
It is intended solely for the named addressee. If you are not the authorised recipient (or responsible for delivery of the message to the authorised recipient), you must not use, disclose, print, copy or deliver this message or its attachments to anyone.
If you receive this email in error, please contact the sender immediately and permanently delete this message and its attachments from your system.
Any content of this message and its attachments that does not relate to the official business of Palm Lake Group must be taken not to have been sent or endorsed by it.
No representation is made that this email or its attachments are without defect or that the contents express views other than those of the sender.
From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> On Behalf Of Sally Broadhurst
Sent: Tuesday, 27 September 2022 2:47 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] Lymphoedema sleeves, splints and hand hygieneHi Michael
I agree with you and this is the advise I have given to staff in the past.
Kind regards
Sally[Queensland Government]
Sally Broadhurst
CN Infection Control
WBHHS | Queensland Health
Working hours Monday to Wednesday
P
4325 6868 (Mon, Weds); 4122 8945 (Tues)
E
sally.broadhurst@health.qld.gov.au
W
health.qld.gov.au
A
P.O. Box 592, Hervey Bay. QLD, 4655
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Queensland Health acknowledges the Traditional Custodians of the land across Queensland, and pays respect to First Nations Elders past, present and future.From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> On Behalf Of Michael Wishart
Sent: Monday, 19 September 2022 2:43 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: [ACIPC_Infexion_Connexion] Lymphoedema sleeves, splints and hand hygieneThis email originated from outside Queensland Health. DO NOT click on any links or open attachments unless you recognise the sender and know the content is safe.
________________________________
Hi allI wonder how everyone manages healthcare workers who are required to wear lymphoedema sleeves, or braces/splints that cover the wrist and hand? My recommendations for these have always in the past been to advise that any device or garment worm below the wrist means no patient contact tasks can be performed.
That usual recommendation is being challenged currently by staff who are required to wear (long term) lymphoedema sleeves that cover the wrist and part of the hand. I am being told I am discriminating against them.
In the spirit of fairness, I have always been tolerate of garments worn below the elbow when there is a genuine reason to do so, as long as the wrists and hands are uncovered. But I draw the line at garments covering the wrist or below, due to the inability for that staff member to satisfactorily perform hand hygiene.
So, what are the thoughts of the communal infection control mind? Would you allow a lymphoedema sleeve to be worn over the wrist and hand during patient care in an acute setting? Would you limit types of patient contact (eg no open wounds, no invasive devices)? Any other approaches?
Thanks
MichaelMichael Wishart | Infection Control Coordinator, CICP-E
St Vincents Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
M +61 448 954 282 | T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
W https://www.svphn.org.auSt Vincents Private Hospital Brisbane | 411 Main Street KANGAROO POINT QLD 4169
M +61 448 954 282 | T +61 7 3240 1208 | F +61 7 3240 1166
E michael.wishart@svha.org.au |
W https://www.svphb.org.au[http://i8.cmail19.com/ei/t/6C/F77/A00/141133/csfinal/StaticEmailFooter-SVPHN-Celebrating20Years-650×150-9900000000079e3c.png]
[cid:image001.png@01D8CC36.0110AD00]
This email and any attachments to it (the “Email”) is confidential and is for the use only of the intended recipient, and may not be duplicated or used by any other party without the express consent of the sender. If you are not the intended recipient of the Email, please notify the sender immediately by return email, delete the Email, and do not copy, print, retransmit, store or act in reliance on the Email. St Vincent’s Health Australia (“SVHA”) does not guarantee that the Email is free from errors, viruses or interference. Emails to and from SVHA or its related entities may be scanned and filtered in locations outside Australia
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to acipclist@acipc.org.au
To send a message to the list administrator send an email to admin@acipc.org.au
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Disclaimer: This email and any attachments may contain legally privileged or confidential information and may be protected by copyright. You must not use or disclose them other than for the purposes for which they were supplied. The privilege or confidentiality attached to this message and attachments is not waived by reason of mistaken delivery to you. If you are not the intended recipient, you must not use, disclose, retain, forward or reproduce this message or any attachments. If you receive this message in error, please notify the sender by return email or telephone and destroy and delete all copies. Unless stated otherwise, this email represents only the views of the sender and not the views of the Queensland Government.
Queensland Health carries out monitoring, scanning and blocking of emails and attachments sent from or to addresses within Queensland Health for the purposes of operating, protecting, maintaining and ensuring appropriate use of its computer network.
**********************************************************************************
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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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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