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Mask shortages and the Operating Suite

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  • #76228
    Anonymous
    Inactive

    Author:
    Anonymous

    Position:

    Organisation:

    State:

    Hi Everyone,

    I am hearing about mask shortages and this is impacting on my Day Surgery clients, as they are being told that their orders may not be able to be filled because demand is outstripping supply.

    Consequently, I am being asked what strategies could be implemented to conserve masks to avoid running out and not being able to perform surgical procedures.

    There are obvious conservation strategies we could implement such as anaesthetic team members not wearing masks unless in close proximity to the sterile field or at risk from aerosols or plume; wearing the same mask for more than one patient for short cases such as ophthalmic surgery etc; however I am concerned that if we enact these interim conservation measures there will be push back to correct usage of surgical masks when we return to business as usual.

    Do the brains trust have any thoughts re this or other conservation strategies that are being implemented in other Operating Suites?

    Kind Regards
    Terry McAuley
    Director
    MSc Medical Device Decontamination

    PO BOX 2249, Greenvale, VIC Australia 3059

    [cid:image001.png@01D5D825.FB0424C0]

    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.

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    #76231
    Lincoln Fowler
    Participant

    Author:
    Lincoln Fowler

    Position:

    Organisation:

    State:

    Hi Terry
    Maybe there are some useful ideas in this article:
    https://www.cdc.gov/niosh/topics/hcwcontrols/recommendedguidanceextuse.html

    Lincoln Fowler
    Infection Control and Staff Health Coordinator CBPH
    Infection Prevention, Control & Staff Health Department

    [cid:image001.jpg@01D5D842.BA05EF90]Calvary
    Public Hospital Bruce
    Cnr Belconnen Way & Haydon Drive Bruce ACT 2617
    PO Box 254 Jamison Centre ACT 2614
    P: 02 6245 3117 F: 02 6201 6702
    E: lincoln.fowler@calvary-act.com.au
    http://www.calvary-act.com.au

    Hi Everyone,

    I am hearing about mask shortages and this is impacting on my Day Surgery clients, as they are being told that their orders may not be able to be filled because demand is outstripping supply.

    Consequently, I am being asked what strategies could be implemented to conserve masks to avoid running out and not being able to perform surgical procedures.

    There are obvious conservation strategies we could implement such as anaesthetic team members not wearing masks unless in close proximity to the sterile field or at risk from aerosols or plume; wearing the same mask for more than one patient for short cases such as ophthalmic surgery etc; however I am concerned that if we enact these interim conservation measures there will be push back to correct usage of surgical masks when we return to business as usual.

    Do the brains trust have any thoughts re this or other conservation strategies that are being implemented in other Operating Suites?

    Kind Regards
    Terry McAuley
    Director
    MSc Medical Device Decontamination

    PO BOX 2249, Greenvale, VIC Australia 3059

    [cid:image001.png@01D5D825.FB0424C0]

    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.

    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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    Hospitality | Healing | Stewardship | Respect

    Continuing the Mission of the Sisters of the Little Company of Mary

    This email is confidential and may be subject to copyright and legal professional privilege. If this email is not intended for you please do not use the information in any way, but delete and notify us immediately. For full copy of our Privacy Policy please visit http://www.calvarycare.org.au.

    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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    #76233
    Jennifer McCarthy
    Participant

    Author:
    Jennifer McCarthy

    Position:
    Infection Control Coordinator

    Organisation:
    Maryvale Private Hospital

    State:

    Hi Terry- am I missing something here? Why are theatre staff using N95 masks in the OR?

    Sent from my iPhone

    Maryvale Private Hospital acknowledges the traditional owners of country, the Gunaikurnai nation, and recognises their continuing connection to land, waters and culture.
    We pay our respects to their Elders past, present and emerging.

    [cid:SignatureMPH_c3098e90-9dc7-415d-877d-27e2a4e7930c.jpg]

    This e-mail transmission is intended only for the addressee and may contain confidential or privileged information. Confidentiality and privilege are not waived if you are not the intended recipient of this e-mail, nor may you use or retain, or disclose, copy or forward to any third party this e-mail, or any information contained in or attached to it. If you received this e-mail in error please delete it (and any copy of it from your computer system) and kindly notify the sender by reply e-mail.

    On 31 Jan 2020, at 4:26 pm, Lincoln Fowler <Lincoln.Fowler@calvary-act.com.au> wrote:

    Hi Terry
    Maybe there are some useful ideas in this article:
    https://www.cdc.gov/niosh/topics/hcwcontrols/recommendedguidanceextuse.html

    Lincoln Fowler
    Infection Control and Staff Health Coordinator CBPH
    Infection Prevention, Control & Staff Health Department

    [cid:image001.jpg@01D5D842.BA05EF90]Calvary
    Public Hospital Bruce
    Cnr Belconnen Way & Haydon Drive Bruce ACT 2617
    PO Box 254 Jamison Centre ACT 2614
    P: 02 6245 3117 F: 02 6201 6702
    E: lincoln.fowler@calvary-act.com.au
    http://www.calvary-act.com.au

    Hi Everyone,

    I am hearing about mask shortages and this is impacting on my Day Surgery clients, as they are being told that their orders may not be able to be filled because demand is outstripping supply.

    Consequently, I am being asked what strategies could be implemented to conserve masks to avoid running out and not being able to perform surgical procedures.

    There are obvious conservation strategies we could implement such as anaesthetic team members not wearing masks unless in close proximity to the sterile field or at risk from aerosols or plume; wearing the same mask for more than one patient for short cases such as ophthalmic surgery etc; however I am concerned that if we enact these interim conservation measures there will be push back to correct usage of surgical masks when we return to business as usual.

    Do the brains trust have any thoughts re this or other conservation strategies that are being implemented in other Operating Suites?

    Kind Regards
    Terry McAuley
    Director
    MSc Medical Device Decontamination

    PO BOX 2249, Greenvale, VIC Australia 3059

    [cid:image001.png@01D5D825.FB0424C0]

    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.

    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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    Please consider the environment before printing this e-mail.

    Hospitality | Healing | Stewardship | Respect

    Continuing the Mission of the Sisters of the Little Company of Mary

    This email is confidential and may be subject to copyright and legal professional privilege. If this email is not intended for you please do not use the information in any way, but delete and notify us immediately. For full copy of our Privacy Policy please visit http://www.calvarycare.org.au.
    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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    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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    #76236
    Michael Wishart
    Participant

    Author:
    Michael Wishart

    Position:

    Organisation:

    State:
    NSW

    Hi Terry

    My thought to conserve appropriate use of mask would to look at alternative forms of protection for staff, based on risk. For example scrub team at the table should be given priority. For circulating and anaesthetic staff, face shields or visors may be appropriate with the shortage of masks.

    This would obviously need to be reviewed with the level of air contamination risk of the surgery (eg prosthetic implants) but would still send the message that staff protection in the OT is important.

    Cheers
    Michael

    Michael Wishart | Infection Control Coordinator, CICP-E

    St Vincents Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032

    T +61 7 3326 3068 | F +61 7 3607 2226

    E michael.wishart@svha.org.au |

    W https://www.svphn.org.au

    Get Outlook for Android
    ________________________________

    Hi Everyone,

    We are experiencing difficulty in having orders filled for surgical masks.

    My question was not about access to N95 masks for us in the OR just the usual Type 2 and Type 3 masks that we need to wear when working in the Operating Room during surgical procedures to protect the patient from the scrub teams respiratory tract flora and to protect the scrub team from exposure to blood and body substances.

    Hopefully that provides clarification re my question.

    Kind Regards

    Terry McAuley

    Director

    MSc Medical Device Decontamination

    PO BOX 2249, Greenvale, VIC Australia 3059

    [cid:image001.png@01D5D8E1.7C78F240]

    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.

    Hi Terry- am I missing something here? Why are theatre staff using N95 masks in the OR?

    Sent from my iPhone

    Maryvale Private Hospital acknowledges the traditional owners of country, the Gunaikurnai nation, and recognises their continuing connection to land, waters and culture.
    We pay our respects to their Elders past, present and emerging.

    [cid:SignatureMPH_c3098e90-9dc7-415d-877d-27e2a4e7930c.jpg]

    This e-mail transmission is intended only for the addressee and may contain confidential or privileged information. Confidentiality and privilege are not waived if you are not the intended recipient of this e-mail, nor may you use or retain, or disclose, copy or forward to any third party this e-mail, or any information contained in or attached to it. If you received this e-mail in error please delete it (and any copy of it from your computer system) and kindly notify the sender by reply e-mail.

    On 31 Jan 2020, at 4:26 pm, Lincoln Fowler <Lincoln.Fowler@calvary-act.com.au> wrote:

    Hi Terry

    Maybe there are some useful ideas in this article:

    https://www.cdc.gov/niosh/topics/hcwcontrols/recommendedguidanceextuse.html

    Lincoln Fowler
    Infection Control and Staff Health Coordinator CBPH
    Infection Prevention, Control & Staff Health Department

    [cid:image001.jpg@01D5D842.BA05EF90]Calvary
    Public Hospital Bruce
    Cnr Belconnen Way & Haydon Drive Bruce ACT 2617
    PO Box 254 Jamison Centre ACT 2614
    P: 02 6245 3117 F: 02 6201 6702
    E: lincoln.fowler@calvary-act.com.au
    http://www.calvary-act.com.au

    Hi Everyone,

    I am hearing about mask shortages and this is impacting on my Day Surgery clients, as they are being told that their orders may not be able to be filled because demand is outstripping supply.

    Consequently, I am being asked what strategies could be implemented to conserve masks to avoid running out and not being able to perform surgical procedures.

    There are obvious conservation strategies we could implement such as anaesthetic team members not wearing masks unless in close proximity to the sterile field or at risk from aerosols or plume; wearing the same mask for more than one patient for short cases such as ophthalmic surgery etc; however I am concerned that if we enact these interim conservation measures there will be push back to correct usage of surgical masks when we return to business as usual.

    Do the brains trust have any thoughts re this or other conservation strategies that are being implemented in other Operating Suites?

    Kind Regards

    Terry McAuley

    Director

    MSc Medical Device Decontamination

    PO BOX 2249, Greenvale, VIC Australia 3059

    [cid:image001.png@01D5D825.FB0424C0]

    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.

    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

    You can unsubscribe manually from this list by sending ‘signoff acipclist’ (without the quotes) to listserv@aicalist.org.au

    Please consider the environment before printing this e-mail.

    Hospitality | Healing | Stewardship | Respect

    Continuing the Mission of the Sisters of the Little Company of Mary

    This email is confidential and may be subject to copyright and legal professional privilege. If this email is not intended for you please do not use the information in any way, but delete and notify us immediately. For full copy of our Privacy Policy please visit http://www.calvarycare.org.au.

    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

    You can unsubscribe manually from this list by sending ‘signoff acipclist’ (without the quotes) to listserv@aicalist.org.au

    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 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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    ______________________________________________________________________
    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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    #76238
    Anonymous
    Inactive

    Author:
    Anonymous

    Position:

    Organisation:

    State:

    Thanks Michael, exactly what I have proposed.

    Kind Regards
    Terry McAuley
    Director
    MSc Medical Device Decontamination

    PO BOX 2249, Greenvale, VIC Australia 3059

    [cid:image001.png@01D5D8ED.5CAC1D50]

    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.

    Hi Terry

    My thought to conserve appropriate use of mask would to look at alternative forms of protection for staff, based on risk. For example scrub team at the table should be given priority. For circulating and anaesthetic staff, face shields or visors may be appropriate with the shortage of masks.

    This would obviously need to be reviewed with the level of air contamination risk of the surgery (eg prosthetic implants) but would still send the message that staff protection in the OT is important.

    Cheers
    Michael

    Michael Wishart | Infection Control Coordinator, CICP-E

    St Vincent’s Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032

    T +61 7 3326 3068 | F +61 7 3607 2226

    E michael.wishart@svha.org.au |

    W https://www.svphn.org.au

    Get Outlook for Android
    ________________________________

    Hi Everyone,

    We are experiencing difficulty in having orders filled for surgical masks.

    My question was not about access to N95 masks for us in the OR – just the usual Type 2 and Type 3 masks that we need to wear when working in the Operating Room during surgical procedures to protect the patient from the scrub team’s respiratory tract flora and to protect the scrub team from exposure to blood and body substances.

    Hopefully that provides clarification re my question.

    Kind Regards

    Terry McAuley

    Director

    MSc Medical Device Decontamination

    PO BOX 2249, Greenvale, VIC Australia 3059

    [cid:image001.png@01D5D8E1.7C78F240]

    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.

    Hi Terry- am I missing something here? Why are theatre staff using N95 masks in the OR?

    Sent from my iPhone

    Maryvale Private Hospital acknowledges the traditional owners of country, the Gunaikurnai nation, and recognises their continuing connection to land, waters and culture.
    We pay our respects to their Elders past, present and emerging.

    [cid:SignatureMPH_c3098e90-9dc7-415d-877d-27e2a4e7930c.jpg]

    This e-mail transmission is intended only for the addressee and may contain confidential or privileged information. Confidentiality and privilege are not waived if you are not the intended recipient of this e-mail, nor may you use or retain, or disclose, copy or forward to any third party this e-mail, or any information contained in or attached to it. If you received this e-mail in error please delete it (and any copy of it from your computer system) and kindly notify the sender by reply e-mail.

    On 31 Jan 2020, at 4:26 pm, Lincoln Fowler <Lincoln.Fowler@calvary-act.com.au> wrote:

    Hi Terry

    Maybe there are some useful ideas in this article:

    https://www.cdc.gov/niosh/topics/hcwcontrols/recommendedguidanceextuse.html

    Lincoln Fowler
    Infection Control and Staff Health Coordinator CBPH
    Infection Prevention, Control & Staff Health Department

    [cid:image001.jpg@01D5D842.BA05EF90]Calvary
    Public Hospital Bruce
    Cnr Belconnen Way & Haydon Drive Bruce ACT 2617
    PO Box 254 Jamison Centre ACT 2614
    P: 02 6245 3117 F: 02 6201 6702
    E: lincoln.fowler@calvary-act.com.au
    http://www.calvary-act.com.au

    Hi Everyone,

    I am hearing about mask shortages and this is impacting on my Day Surgery clients, as they are being told that their orders may not be able to be filled because demand is outstripping supply.

    Consequently, I am being asked what strategies could be implemented to conserve masks to avoid running out and not being able to perform surgical procedures.

    There are obvious conservation strategies we could implement such as anaesthetic team members not wearing masks unless in close proximity to the sterile field or at risk from aerosols or plume; wearing the same mask for more than one patient for short cases such as ophthalmic surgery etc; however I am concerned that if we enact these interim conservation measures there will be push back to correct usage of surgical masks when we return to business as usual.

    Do the brains trust have any thoughts re this or other conservation strategies that are being implemented in other Operating Suites?

    Kind Regards

    Terry McAuley

    Director

    MSc Medical Device Decontamination

    PO BOX 2249, Greenvale, VIC Australia 3059

    [cid:image001.png@01D5D825.FB0424C0]

    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.

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    #76240
    Nicky Whitehouse
    Participant

    Author:
    Nicky Whitehouse

    Position:

    Organisation:

    State:

    Dear All,

    As a scrub RN in a Day surgery this is very topical for me. I have been off this week so find the ideas given so far sound most appropriate, wonderful to have access to such a wealth of knowledge. However I also think it’s important mention the risks for the aseptic team that comes from surgical plume. And just for interest I understand P2 (similar to N95?) masks are worn in ORs refer to ACORN Standards 15th edition 2018. I also understand that when using diathermy, for example, warts of a HVP positive patient ,these type of masks should be worn and fitted correctly and this surgery is still done in some Day Hospitals. If I have this wrong please let me know. Interesting what can be transferred by surgical plume and not all ORs have surgical plume evacuators on hand.

    Thank you once again for the information.

    Nicky Whitehouse
    Scrub/scout RN
    Ipswich Day Hospital.

    > On 1 Feb 2020, at 9:31 am, Michael Wishart wrote:
    >
    > Hi Terry
    > My thought to conserve appropriate use of mask would to look at alternative forms of protection for staff, based on risk. For example scrub team at the table should be given priority. For circulating and anaesthetic staff, face shields or visors may be appropriate with the shortage of masks.
    >
    > This would obviously need to be reviewed with the level of air contamination risk of the surgery (eg prosthetic implants) but would still send the message that staff protection in the OT is important.
    >
    > Cheers
    > Michael
    >
    >
    > Michael Wishart | Infection Control Coordinator, CICP-E
    >
    >
    > St Vincents Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
    >
    > T +61 7 3326 3068 | F +61 7 3607 2226
    >
    > E michael.wishart@svha.org.au |
    >
    > W https://www.svphn.org.au
    >
    > Get Outlook for Android
    > From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU > on behalf of Terry <terry@STEAMCONSULTING.COM.AU >
    > Sent: Saturday, February 1, 2020 8:25:04 AM
    > To: ACIPCLIST@ACIPC.ORG.AU <ACIPCLIST@ACIPC.ORG.AU >
    > Subject: Re: [ACIPC_Infexion_Connexion] Mask shortages and the Operating Suite
    >
    > Hi Everyone,
    >
    > We are experiencing difficulty in having orders filled for surgical masks.
    >
    > My question was not about access to N95 masks for us in the OR just the usual Type 2 and Type 3 masks that we need to wear when working in the Operating Room during surgical procedures to protect the patient from the scrub teams respiratory tract flora and to protect the scrub team from exposure to blood and body substances.
    >
    > Hopefully that provides clarification re my question.
    > 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
    >
    >
    >
    >
    > 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 <ACIPCLIST@ACIPC.ORG.AU > On Behalf Of Jenny McCarthy
    > Sent: Friday, January 31, 2020 6:31 PM
    > To: ACIPCLIST@ACIPC.ORG.AU
    > Subject: Re: [ACIPC_Infexion_Connexion] Mask shortages and the Operating Suite
    >
    > Hi Terry- am I missing something here? Why are theatre staff using N95 masks in the OR?
    >
    > Sent from my iPhone
    >
    > Maryvale Private Hospital acknowledges the traditional owners of country, the Gunaikurnai nation, and recognises their continuing connection to land, waters and culture.
    > We pay our respects to their Elders past, present and emerging.
    >
    >
    >
    > This e-mail transmission is intended only for the addressee and may contain confidential or privileged information. Confidentiality and privilege are not waived if you are not the intended recipient of this e-mail, nor may you use or retain, or disclose, copy or forward to any third party this e-mail, or any information contained in or attached to it. If you received this e-mail in error please delete it (and any copy of it from your computer system) and kindly notify the sender by reply e-mail.
    >
    > On 31 Jan 2020, at 4:26 pm, Lincoln Fowler <Lincoln.Fowler@calvary-act.com.au > wrote:
    >
    > Hi Terry
    > Maybe there are some useful ideas in this article:
    > https://www.cdc.gov/niosh/topics/hcwcontrols/recommendedguidanceextuse.html
    >
    > Lincoln Fowler
    > Infection Control and Staff Health Coordinator CBPH
    > Infection Prevention, Control & Staff Health Department
    >
    > Calvary
    > Public Hospital Bruce
    > Cnr Belconnen Way & Haydon Drive Bruce ACT 2617
    > PO Box 254 Jamison Centre ACT 2614
    > P: 02 6245 3117 F: 02 6201 6702
    > E: lincoln.fowler@calvary-act.com.au
    > http://www.calvary-act.com.au
    >
    > From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU > On Behalf Of Terry
    > Sent: Friday, 31 January 2020 11:03 AM
    > To: ACIPCLIST@ACIPC.ORG.AU
    > Subject: [ACIPC_Infexion_Connexion] Mask shortages and the Operating Suite
    >
    > Hi Everyone,
    >
    > I am hearing about mask shortages and this is impacting on my Day Surgery clients, as they are being told that their orders may not be able to be filled because demand is outstripping supply.
    >
    > Consequently, I am being asked what strategies could be implemented to conserve masks to avoid running out and not being able to perform surgical procedures.
    >
    > There are obvious conservation strategies we could implement such as anaesthetic team members not wearing masks unless in close proximity to the sterile field or at risk from aerosols or plume; wearing the same mask for more than one patient for short cases such as ophthalmic surgery etc; however I am concerned that if we enact these interim conservation measures there will be push back to correct usage of surgical masks when we return to business as usual.
    >
    > Do the brains trust have any thoughts re this or other conservation strategies that are being implemented in other Operating Suites?
    >
    > 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
    >
    >
    >
    >
    > 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.
    >
    > 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 toacipclist@acipc.org.au
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    >
    >
    > Please consider the environment before printing this e-mail.
    >
    > Hospitality | Healing | Stewardship | Respect
    >
    > Continuing the Mission of the Sisters of the Little Company of Mary
    >
    > This email is confidential and may be subject to copyright and legal professional privilege. If this email is not intended for you please do not use the information in any way, but delete and notify us immediately. For full copy of our Privacy Policy please visit http://www.calvarycare.org.au .
    > 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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    > Replies to this message will be directed back to the list. To create a new message send an email toacipclist@acipc.org.au
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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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    > 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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    > ______________________________________________________________________
    > 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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    #76241
    Michael Wishart
    Participant

    Author:
    Michael Wishart

    Position:

    Organisation:

    State:
    NSW

    Hi Nicky

    That’s a great point and should be part of the risk assessment when considering options other than masks. Surgical ‘plume’ is a known threat for aerosol transmission of viruses and if no local exhaust is available when performing diathery or other smoke/aerosol procedures higher filtration, well fitting masks/respirators should be used.

    Cannot stress how important specific risk assessment is when changing standard protective measures.

    Cheers
    Michael

    Michael Wishart | Infection Control Coordinator, CICP-E

    St Vincents Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032

    T +61 7 3326 3068 | F +61 7 3607 2226

    E michael.wishart@svha.org.au |

    W https://www.svphn.org.au

    Get Outlook for Android

    ________________________________

    Dear All,

    As a scrub RN in a Day surgery this is very topical for me. I have been off this week so find the ideas given so far sound most appropriate, wonderful to have access to such a wealth of knowledge. However I also think it’s important mention the risks for the aseptic team that comes from surgical plume. And just for interest I understand P2 (similar to N95?) masks are worn in ORs refer to ACORN Standards 15th edition 2018. I also understand that when using diathermy, for example, warts of a HVP positive patient ,these type of masks should be worn and fitted correctly and this surgery is still done in some Day Hospitals. If I have this wrong please let me know. Interesting what can be transferred by surgical plume and not all ORs have surgical plume evacuators on hand.

    Thank you once again for the information.

    Nicky Whitehouse
    Scrub/scout RN
    Ipswich Day Hospital.

    On 1 Feb 2020, at 9:31 am, Michael Wishart <Michael.Wishart@SVHA.ORG.AU> wrote:

    Hi Terry
    My thought to conserve appropriate use of mask would to look at alternative forms of protection for staff, based on risk. For example scrub team at the table should be given priority. For circulating and anaesthetic staff, face shields or visors may be appropriate with the shortage of masks.

    This would obviously need to be reviewed with the level of air contamination risk of the surgery (eg prosthetic implants) but would still send the message that staff protection in the OT is important.

    Cheers
    Michael

    Michael Wishart | Infection Control Coordinator, CICP-E

    St Vincents Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032

    T +61 7 3326 3068 | F +61 7 3607 2226

    E michael.wishart@svha.org.au |

    W https://www.svphn.org.au

    Get Outlook for Android
    ________________________________

    Hi Everyone,

    We are experiencing difficulty in having orders filled for surgical masks.

    My question was not about access to N95 masks for us in the OR just the usual Type 2 and Type 3 masks that we need to wear when working in the Operating Room during surgical procedures to protect the patient from the scrub teams respiratory tract flora and to protect the scrub team from exposure to blood and body substances.

    Hopefully that provides clarification re my question.

    Kind Regards

    Terry McAuley

    Director

    MSc Medical Device Decontamination

    PO BOX 2249, Greenvale, VIC Australia 3059

    [cid:image001.png@01D5D8E1.7C78F240]

    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.

    Hi Terry- am I missing something here? Why are theatre staff using N95 masks in the OR?

    Sent from my iPhone

    Maryvale Private Hospital acknowledges the traditional owners of country, the Gunaikurnai nation, and recognises their continuing connection to land, waters and culture.
    We pay our respects to their Elders past, present and emerging.

    [cid:SignatureMPH_c3098e90-9dc7-415d-877d-27e2a4e7930c.jpg]

    This e-mail transmission is intended only for the addressee and may contain confidential or privileged information. Confidentiality and privilege are not waived if you are not the intended recipient of this e-mail, nor may you use or retain, or disclose, copy or forward to any third party this e-mail, or any information contained in or attached to it. If you received this e-mail in error please delete it (and any copy of it from your computer system) and kindly notify the sender by reply e-mail.

    On 31 Jan 2020, at 4:26 pm, Lincoln Fowler <Lincoln.Fowler@calvary-act.com.au> wrote:

    Hi Terry
    Maybe there are some useful ideas in this article:
    https://www.cdc.gov/niosh/topics/hcwcontrols/recommendedguidanceextuse.html

    Lincoln Fowler
    Infection Control and Staff Health Coordinator CBPH
    Infection Prevention, Control & Staff Health Department

    [cid:image001.jpg@01D5D842.BA05EF90]Calvary
    Public Hospital Bruce
    Cnr Belconnen Way & Haydon Drive Bruce ACT 2617
    PO Box 254 Jamison Centre ACT 2614
    P: 02 6245 3117 F: 02 6201 6702
    E: lincoln.fowler@calvary-act.com.au
    http://www.calvary-act.com.au

    Hi Everyone,

    I am hearing about mask shortages and this is impacting on my Day Surgery clients, as they are being told that their orders may not be able to be filled because demand is outstripping supply.

    Consequently, I am being asked what strategies could be implemented to conserve masks to avoid running out and not being able to perform surgical procedures.

    There are obvious conservation strategies we could implement such as anaesthetic team members not wearing masks unless in close proximity to the sterile field or at risk from aerosols or plume; wearing the same mask for more than one patient for short cases such as ophthalmic surgery etc; however I am concerned that if we enact these interim conservation measures there will be push back to correct usage of surgical masks when we return to business as usual.

    Do the brains trust have any thoughts re this or other conservation strategies that are being implemented in other Operating Suites?

    Kind Regards

    Terry McAuley

    Director

    MSc Medical Device Decontamination

    PO BOX 2249, Greenvale, VIC Australia 3059

    [cid:image001.png@01D5D825.FB0424C0]

    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.

    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 toacipclist@acipc.org.au

    To send a message to the list administrator send an email to admin@acipc.org.au

    You can unsubscribe manually from this list by sending ‘signoff acipclist’ (without the quotes) tolistserv@aicalist.org.au

    Please consider the environment before printing this e-mail.

    Hospitality | Healing | Stewardship | Respect

    Continuing the Mission of the Sisters of the Little Company of Mary

    This email is confidential and may be subject to copyright and legal professional privilege. If this email is not intended for you please do not use the information in any way, but delete and notify us immediately. For full copy of our Privacy Policy please visit http://www.calvarycare.org.au.
    MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

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