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Management of MROs in the Operating Suite

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  • #69188
    Anonymous
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    Author:
    Anonymous

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    Hi All,
    We are loking at standardising our approach to the management of patients with known MROs in our operating suite. I am interested to know what other facilites are doing and would you share guidelines/policies etc.

    kind Regards

    Sue Flockhart
    Manager, Infection Prevention & Control Unit
    Staff Immunisation Clinic
    Ballarat Health Services
    Victoria
    0437856349
    sueflock@bhs.org.au

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    #69194
    Rebecca O’Donnell
    Participant

    Author:
    Rebecca O’Donnell

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    Hi Sue,

    Here is an excerpt from our MRSA / VRE policy. Hope it helps?

    Management of MRSA Positive Patients in the Operating Suite

    Ensure the Infection Control Coordinator is notified

    Ensure MRSA positive patients be admitted directly to the ward, and then transferred to directly theatre. This will avoid unnecessary travel throughout day surgery unit and other areas of theatre department

    For ease of management and cleaning purposes, patients who are known to be colonised or infected with MRSA must be placed last on the theatre list

    Ensure patients with MRSA be recovered in the operating room where possible then transferred directly back to the ward

    If this is not possible, then the patient will be cared for by designated nurse in recovery area

    The operating room and/or recovery area must be thoroughly cleaned with hospital approved cleaning solution for MRSA (see General Cleaning Procedure). This includes the anaesthetic machine, trolley. All horizontal surfaces must be cleaned and walls should be spot cleaned

    Ensure non disposable equipment is wiped down with hospital approved cleaning solution for MRSA (see General Cleaning Procedure) before being returned to general use

    Ensure all linen is discarded in alginate bags then placed in white linen bags

    Ensure all clinical waste e.g. dressings, sputum, blood soaked items be discarded in yellow clinical waste bags/bins

    Kind regards,

    Rebecca ODonnell | Infection Control Co-ordinator

    St Vincent’s Hospital Toowoomba | 22-36 Scott Street TOOWOOMBA 4350

    T 07 4690 4042 | F 07 46904400

    E rebecca.odonnell@stvincents.org.au | W http://www.stvincents.org.au

    Please consider the environment before printing this email.

    This e-mail and any attachments to it (the “Communication”) 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. The Communication may contain copyright material of St Vincent’s Health & Aged Care (“SVHAC”), or any of its related entities or of third parties. If you are not the intended recipient of the Communication, please notify the sender immediately by return e-mail, delete the Communication, and do not read, copy, print, retransmit, store or act in reliance on the Communication. Any views expressed in the Communication are those of the individual sender only, unless expressly stated to be those of SVHAC. SVHAC does not guarantee the integrity of the Communication, or that it is free from errors, viruses or interference.

    —–Original Message—–
    From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Sue Flockhart
    Sent: Monday, 16 July 2012 5:41 PM
    To: AICALIST@AICALIST.ORG.AU
    Subject: Management of MROs in the Operating Suite

    Hi All,

    We are loking at standardising our approach to the management of patients with known MROs in our operating suite. I am interested to know what other facilites are doing and would you share guidelines/policies etc.

    kind Regards

    Sue Flockhart

    Manager, Infection Prevention & Control Unit Staff Immunisation Clinic Ballarat Health Services Victoria

    0437856349

    sueflock@bhs.org.au

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

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    #69202
    Ruth Ryburn
    Participant

    Author:
    Ruth Ryburn

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    Hi Rebecca,

    Thank you for the excerpt from your MRSA/VRE policy which was interesting.

    I did note that you specify using alginate bags for contaminated linen but I was under the impression these were no longer in vogue. Can anyone confirm or otherwise please?

    Many thanks,

    Ruth Ryburn
    Infection Control Coordinator
    [cid:image002.jpg@01CD663A.84CFA730]
    58 Quirk St
    Dee Why, NSW 2099
    T: +612 8978 5276
    F: +612 9971 7299
    M: 0414 801 660
    The content of this e-mail is the view of the sender or stated author and does not necessarily reflect the view of Delmar Private Hospital. The content, including attachments, is a confidential communication between of Delmar Private Hospital and the intended recipient. If you are not the intended recipient, any use, interference with, disclosure or copying of this e-mail, including attachments is unauthorised and expressly prohibited. If you have received this e-mail in error please contact the sender immediately and delete the e-mail and any attachments from your system.
    P Please consider the environment before printing this email

    ________________________________
    From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Rebecca O’Donnell
    Sent: Tuesday, 17 July 2012 12:32 PM
    To: AICALIST@AICALIST.ORG.AU
    Subject: Re: Management of MROs in the Operating Suite

    Hi Sue,

    Here is an excerpt from our MRSA / VRE policy. Hope it helps?

    Management of MRSA Positive Patients in the Operating Suite

    Ensure the Infection Control Coordinator is notified

    Ensure MRSA positive patients be admitted directly to the ward, and then transferred to directly theatre. This will avoid unnecessary travel throughout day surgery unit and other areas of theatre department

    For ease of management and cleaning purposes, patients who are known to be colonised or infected with MRSA must be placed last on the theatre list

    Ensure patients with MRSA be recovered in the operating room where possible then transferred directly back to the ward

    If this is not possible, then the patient will be cared for by designated nurse in recovery area

    The operating room and/or recovery area must be thoroughly cleaned with hospital approved cleaning solution for MRSA (see General Cleaning Procedure). This includes the anaesthetic machine, trolley. All horizontal surfaces must be cleaned and walls should be spot cleaned

    Ensure non disposable equipment is wiped down with hospital approved cleaning solution for MRSA (see General Cleaning Procedure) before being returned to general use

    Ensure all linen is discarded in alginate bags then placed in white linen bags

    Ensure all clinical waste e.g. dressings, sputum, blood soaked items be discarded in yellow clinical waste bags/bins

    Kind regards,

    Rebecca ODonnell | Infection Control Co-ordinator

    St Vincent’s Hospital Toowoomba | 22-36 Scott Street TOOWOOMBA 4350

    T 07 4690 4042 | F 07 46904400

    E rebecca.odonnell@stvincents.org.au | W http://www.stvincents.org.au

    Please consider the environment before printing this email.

    This e-mail and any attachments to it (the “Communication”) 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. The Communication may contain copyright material of St Vincent’s Health & Aged Care (“SVHAC”), or any of its related entities or of third parties. If you are not the intended recipient of the Communication, please notify the sender immediately by return e-mail, delete the Communication, and do not read, copy, print, retransmit, store or act in reliance on the Communication. Any views expressed in the Communication are those of the individual sender only, unless expressly stated to be those of SVHAC. SVHAC does not guarantee the integrity of the Communication, or that it is free from errors, viruses or interference.

    —–Original Message—–
    From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Sue Flockhart
    Sent: Monday, 16 July 2012 5:41 PM
    To: AICALIST@AICALIST.ORG.AU
    Subject: Management of MROs in the Operating Suite

    Hi All,

    We are loking at standardising our approach to the management of patients with known MROs in our operating suite. I am interested to know what other facilites are doing and would you share guidelines/policies etc.

    kind Regards

    Sue Flockhart

    Manager, Infection Prevention & Control Unit Staff Immunisation Clinic Ballarat Health Services Victoria

    0437856349

    sueflock@bhs.org.au

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

    Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

    Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

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

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    Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

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