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  • #77057
    Elizabeth Carroll
    Participant

    Author:
    Elizabeth Carroll

    Position:

    Organisation:

    State:

    https://youtu.be/2TTg53aAP8Q

    Hello all: I have seen this video on utube which shows how to modify a surgical mask by folding it to achieve a tighter fit.
    Is there any benefit in modifying the masks in this way?

    Is there any problem with doing this – assuming of course that it’s a fresh mas), and also ensuring that that doffing is as per normal infection control procedure?

    I was considering sharing this with my Managers and incorporating into our procedures (in residential and home aged care).

    Any thoughts?

    Elizabeth Carroll | Executive Manager Residential & Chief Clinical Officer
    p 07 3223 4444 d 07 3223 4491 f 07 3223 4411 m 0468 522 131
    Level 3, 19 Lang Parade, Milton Q 4064 | PO Box 771, Toowong BC Q 4066

    [PresCare]

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

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    #77058
    Michael Wishart
    Participant

    Author:
    Michael Wishart

    Position:

    Organisation:

    State:
    NSW

    Hi Elizabeth

    The technique itself looks OK, particularly with that specific brand and type of mask. You would have to test it on other brands and types to see if the same technique could be used.

    BUT… I’m not convinced that using this technique is a good idea or even necessary, for a number of reasons, including:

    1. It assumes that a loose fitting mask is a risk. If you are using a level 2 or 3 surgical mask appropriately to prevent droplet transmission, there is no evidence to suggest the seal at the sides is so important.

    2. You are, in my opinion, fanning the flames for the aerosol route of transmission being important with routine contact, not just droplet spread.

    3. Using a level 2 or 3 surgical mask with a seal is sending a false assurance about spread from aerosols, as these masks are not designed to prevent inhalation of aerosols like a correctly fitted P2/N95 masks.

    I will be quite interested in other members’ view on this.

    Cheers
    Michael

    Michael 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.au

    St 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

    [cid:image002.jpg@01D639A0.5B5D4C80]

    [Stop the Flu before it stops you]

    https://youtu.be/2TTg53aAP8Q

    Hello all: I have seen this video on utube which shows how to modify a surgical mask by folding it to achieve a tighter fit.
    Is there any benefit in modifying the masks in this way?

    Is there any problem with doing this – assuming of course that it’s a fresh mas), and also ensuring that that doffing is as per normal infection control procedure?

    I was considering sharing this with my Managers and incorporating into our procedures (in residential and home aged care).

    Any thoughts?

    Elizabeth Carroll | Executive Manager Residential & Chief Clinical Officer
    p 07 3223 4444 d 07 3223 4491 f 07 3223 4411 m 0468 522 131
    Level 3, 19 Lang Parade, Milton Q 4064 | PO Box 771, Toowong BC Q 4066

    [PresCare]

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

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    #77059
    Anonymous
    Inactive

    Author:
    Anonymous

    Position:

    Organisation:

    State:

    I agree with Michael’s assessment.

    Stay safe everyone 🙂

    Marilyn Harris

    CNC Infection Prevention & Control | Sydney Dental Hospital and Oral Health Services, SLHD
    Sydney Dental Hospital, 2 Chalmers Street, SURRY HILLS 2010
    Tel 02 9293 3276 | Fax 02 9293 3488 | marilyn.harris@health.nsw.gov.au

    [cid:image001.jpg@01D661B7.CFB2A870]

    Hi Elizabeth

    The technique itself looks OK, particularly with that specific brand and type of mask. You would have to test it on other brands and types to see if the same technique could be used.

    BUT… I’m not convinced that using this technique is a good idea or even necessary, for a number of reasons, including:

    1. It assumes that a loose fitting mask is a risk. If you are using a level 2 or 3 surgical mask appropriately to prevent droplet transmission, there is no evidence to suggest the seal at the sides is so important.

    2. You are, in my opinion, fanning the flames for the aerosol route of transmission being important with routine contact, not just droplet spread.

    3. Using a level 2 or 3 surgical mask with a seal is sending a false assurance about spread from aerosols, as these masks are not designed to prevent inhalation of aerosols like a correctly fitted P2/N95 masks.

    I will be quite interested in other members’ view on this.

    Cheers
    Michael

    Michael 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.au

    St 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

    [cid:image002.jpg@01D639A0.5B5D4C80]

    [Stop the Flu before it stops you]

    https://youtu.be/2TTg53aAP8Q

    Hello all: I have seen this video on utube which shows how to modify a surgical mask by folding it to achieve a tighter fit.
    Is there any benefit in modifying the masks in this way?

    Is there any problem with doing this – assuming of course that it’s a fresh mas), and also ensuring that that doffing is as per normal infection control procedure?

    I was considering sharing this with my Managers and incorporating into our procedures (in residential and home aged care).

    Any thoughts?

    Elizabeth Carroll | Executive Manager Residential & Chief Clinical Officer
    p 07 3223 4444 d 07 3223 4491 f 07 3223 4411 m 0468 522 131
    Level 3, 19 Lang Parade, Milton Q 4064 | PO Box 771, Toowong BC Q 4066

    [PresCare]

    ______________________________________________________________________
    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.

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

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

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

    The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

    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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    #77066
    Glenys Harrington
    Participant

    Author:
    Glenys Harrington

    Position:
    Consultant

    Organisation:
    Infection Control Consultancy (ICC)

    State:

    Hi All,

    I don’t mind the idea and I’m sure the dentist is well intentioned.

    Incidentally, I have found that with the masks I’m purchasing from
    pharmacies etc (Mandatory in Melbourne while out of your home at present)
    are insufficient in length and width (is too small) to keep the inverted
    ends of the mask in place. Hence, will not be applicable to all surgical
    mask.

    You will see on the video I have requested the following information from
    Dr. Rabeeh Bahrampourian:

    *Hi Dr. Rabeeh Bahrampourian can you provide me with the reference to
    your comment in the video that the “effectiveness of the surgical mask drops
    to 56% because of the gap at the side of a surgical mask” and the evidence
    that folding in the mask at the corners improves the effectiveness of the
    mask. Many thanks in anticipation. Glenys Harrington Consultant, Infection
    Control Consultancy (ICC), P.O. Box 6385, Melbourne, Australia, 3004, M: +61
    404816434, E: infexion@ozemail.com.au

    Glenys Harrington

    Consultant

    Infection Control Consultancy (ICC)

    P.O. Box 6385

    Melbourne

    Australia, 3004

    M: +61 404816434

    E: infexion@ozemail.com.au

    Wishart

    Hi Elizabeth

    The technique itself looks OK, particularly with that specific brand and
    type of mask. You would have to test it on other brands and types to see if
    the same technique could be used.

    BUT. I’m not convinced that using this technique is a good idea or even
    necessary, for a number of reasons, including:

    1.It assumes that a loose fitting mask is a risk. If you are using a
    level 2 or 3 surgical mask appropriately to prevent droplet transmission,
    there is no evidence to suggest the seal at the sides is so important.
    2.You are, in my opinion, fanning the flames for the aerosol route of
    transmission being important with routine contact, not just droplet spread.
    3.Using a level 2 or 3 surgical mask with a seal is sending a false
    assurance about spread from aerosols, as these masks are not designed to
    prevent inhalation of aerosols like a correctly fitted P2/N95 masks.

    I will be quite interested in other members’ view on this.

    Cheers

    Michael

    Michael 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.au

    St 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

    > On Behalf Of Elizabeth Carroll

    https://youtu.be/2TTg53aAP8Q

    Hello all: I have seen this video on utube which shows how to modify a
    surgical mask by folding it to achieve a tighter fit.

    Is there any benefit in modifying the masks in this way?

    Is there any problem with doing this – assuming of course that it’s a fresh
    mas), and also ensuring that that doffing is as per normal infection
    control procedure?

    I was considering sharing this with my Managers and incorporating into our
    procedures (in residential and home aged care).

    Any thoughts?

    Elizabeth Carroll | Executive Manager Residential & Chief Clinical Officer

    p 07 3223 4444 d 07 3223 4491 f 07 3223 4411 m 0468 522 131

    Level 3, 19 Lang Parade, Milton Q 4064 | PO Box 771, Toowong BC Q 4066

    http://www.prescare.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,
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    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
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    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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    #77071
    Dallas Sewell
    Participant

    Author:
    Dallas Sewell

    Position:

    Organisation:

    State:

    I also agree with Michael’s assessment, and we are discouraging this practice at PCH for those reasons.

    Thanks,

    Dallas

    Dallas Sewell | Clinical Nurse Consultant | Infection Prevention and Control
    Office 2D, Perth Children’s Hospital
    15 Hospital Avenue, Nedlands | Locked Bag 2010, Nedlands WA 6909
    T: (08) 6456 5359 | M: 0436 595 150 | E: dallas.sewell@health.wa.gov.au

    Report Sharp Injuries or Blood and Body Fluid Exposure
    Report IMMEDIATELY to:
    Infection Prevention and Control: T:6456 2002 Mon-Fri 0730-1530
    Hospital Clinical Manager: T:6456 3041 Afterhours/ Weekend/ Public Holiday
    Click here for OSH form
    Click here for Infection Prevention and Control policies

    [cid:image006.jpg@01D65147.FF83E490]

    I agree with Michael’s assessment.

    Stay safe everyone 🙂

    Marilyn Harris

    CNC Infection Prevention & Control | Sydney Dental Hospital and Oral Health Services, SLHD
    Sydney Dental Hospital, 2 Chalmers Street, SURRY HILLS 2010
    Tel 02 9293 3276 | Fax 02 9293 3488 | marilyn.harris@health.nsw.gov.au

    [cid:image001.jpg@01D661B7.CFB2A870]

    Hi Elizabeth

    The technique itself looks OK, particularly with that specific brand and type of mask. You would have to test it on other brands and types to see if the same technique could be used.

    BUT… I’m not convinced that using this technique is a good idea or even necessary, for a number of reasons, including:

    1. It assumes that a loose fitting mask is a risk. If you are using a level 2 or 3 surgical mask appropriately to prevent droplet transmission, there is no evidence to suggest the seal at the sides is so important.

    2. You are, in my opinion, fanning the flames for the aerosol route of transmission being important with routine contact, not just droplet spread.

    3. Using a level 2 or 3 surgical mask with a seal is sending a false assurance about spread from aerosols, as these masks are not designed to prevent inhalation of aerosols like a correctly fitted P2/N95 masks.

    I will be quite interested in other members’ view on this.

    Cheers
    Michael

    Michael 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.au

    St 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

    [cid:image002.jpg@01D639A0.5B5D4C80]

    [Stop the Flu before it stops you]

    https://youtu.be/2TTg53aAP8Q

    Hello all: I have seen this video on utube which shows how to modify a surgical mask by folding it to achieve a tighter fit.
    Is there any benefit in modifying the masks in this way?

    Is there any problem with doing this – assuming of course that it’s a fresh mas), and also ensuring that that doffing is as per normal infection control procedure?

    I was considering sharing this with my Managers and incorporating into our procedures (in residential and home aged care).

    Any thoughts?

    Elizabeth Carroll | Executive Manager Residential & Chief Clinical Officer
    p 07 3223 4444 d 07 3223 4491 f 07 3223 4411 m 0468 522 131
    Level 3, 19 Lang Parade, Milton Q 4064 | PO Box 771, Toowong BC Q 4066

    [PresCare]

    ______________________________________________________________________
    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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    ______________________________________________________________________
    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.

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

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

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