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Hi All,
We are currently in the process of a new build & I have been notified that there is no inclusion of negative pressure air conditioning within the new Endoscopy unit.I have been informed that Australian Health Facility Guidelines do not require negative pressure within endoscopy units, despite bronchoscopies revealing TB in some cases
Is there any Endoscopy Units that have negative pressure incorporate in either their stand-alone units or those that are attached ( via corridors ) to their theatres
Many thanks
Vicki Denyer
Vicki Denyer
Clinical Nurse Consultant | Infection Prevention and Control
Infection Control Unit Lismore Base Hospital
‘ 02 6620 2385 Fax: 02 66 202287
* vicki.denyer@health.nsw.gov.auInfection Prevention & Control is Everyone’s Business
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Vicki,The guidelines identify negative pressure for bronchoscope Rooms, issue is when both GI and Bronchoscopies are performed in the same room It is possible to have a system which can be switched between the two , but this very difficult to manage organizationally.
Regards
Les Alway
SHR
Lesley@ihc.com.auLesley Alway
Strategic Health Resources
0408324727> On Oct 17, 2018, at 4:14 PM, Vicki Denyer (Northern NSW LHD) wrote:
>
> Hi All,
> We are currently in the process of a new build & I have been notified that there is no inclusion of negative pressure air conditioning within the new Endoscopy unit.
>
> I have been informed that Australian Health Facility Guidelines do not require negative pressure within endoscopy units, despite bronchoscopies revealing TB in some cases
>
> Is there any Endoscopy Units that have negative pressure incorporate in either their stand-alone units or those that are attached ( via corridors ) to their theatres
>
>
> Many thanks
>
> Vicki Denyer
>
> Vicki Denyer
> Clinical Nurse Consultant | Infection Prevention and Control
> Infection Control Unit Lismore Base Hospital
> ‘ 02 6620 2385 Fax: 02 66 202287
> * vicki.denyer@health.nsw.gov.au
>
> Infection Prevention & Control is Everyones Business
>
>
> The information contained in this electronic message is privileged and confidential, and is intended only for the addressee. If you are not the intended recipient, you are notified that any disclosure, reproduction, distribution or other use of this communication is strictly prohibited. Confidentiality and legal privilege attached to this communication are not waived or lost by reason of mistaken delivery to you. If you have received this communication in error, please notify the sender by reply transmission and delete the message without copying or disclosing it.
>
>
>
>
>
>
>
>
> 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.
>
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> You can unsubscribe manually from this list by sending ‘signoff acipclist’ (without the quotes) to listserv@aicalist.org.auMESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
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Hi Vicki,
The AusHFG are easy and free to access.
This link will take you to the room data sheet for an endoscopy procedure room and you will see it clearly states negative pressure required for broncoscopy.
https://aushfg-prod-com-au.s3.amazonaws.com/download/RDS_ENPR_1.pdf
Kind Regards
Terry McAuley
Director
MSc Medical Device DecontaminationPO BOX 2249, Greenvale VIC Australia 3059
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Hi All,
We are currently in the process of a new build & I have been notified that there is no inclusion of negative pressure air conditioning within the new Endoscopy unit.I have been informed that Australian Health Facility Guidelines do not require negative pressure within endoscopy units, despite bronchoscopies revealing TB in some cases
Is there any Endoscopy Units that have negative pressure incorporate in either their stand-alone units or those that are attached ( via corridors ) to their theatres
Many thanks
Vicki Denyer
Vicki Denyer
Clinical Nurse Consultant | Infection Prevention and Control
Infection Control Unit Lismore Base Hospital
‘ 02 6620 2385 ?Fax: 02 66 202287
* vicki.denyer@health.nsw.gov.auInfection Prevention & Control is Everyone’s Business
[Description: Description: Description: http://www.health.nsw.gov.au/images/communications/e-signatures/images/NSW-Health-Northern-NSW-LHD.jpg%5D
The information contained in this electronic message is privileged and confidential, and is intended only for the addressee. If you are not the intended recipient, you are notified that any disclosure, reproduction, distribution or other use of this communication is strictly prohibited. Confidentiality and legal privilege attached to this communication are not waived or lost by reason of mistaken delivery to you. If you have received this communication in error, please notify the sender by reply transmission and delete the message without copying or disclosing it.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.
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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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Hi Vicki
We are going through a redevelopment and last year successfully argued to have a Class N isolation room in our new planned endoscopy unit.
HCFG part D there is reference to procedural areas (bronchoscopy rooms and sputum induction rooms)
Happy to discuss details
RegardsRobert Robinson
Clinical Nurse Consultant, Nepean Blue Mountains LHD | Infection Prevention and Control
Nepean Hospital, PO Box 63, Penrith 2751
Tel (02) 4734 2228 | Fax (02) 4734 2517 | Mob 0439 881 749 | robert.robinson@health.nsw.gov.au[http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Master.jpg]
Hi All,
We are currently in the process of a new build & I have been notified that there is no inclusion of negative pressure air conditioning within the new Endoscopy unit.I have been informed that Australian Health Facility Guidelines do not require negative pressure within endoscopy units, despite bronchoscopies revealing TB in some cases
Is there any Endoscopy Units that have negative pressure incorporate in either their stand-alone units or those that are attached ( via corridors ) to their theatres
Many thanks
Vicki Denyer
Vicki Denyer
Clinical Nurse Consultant | Infection Prevention and Control
Infection Control Unit Lismore Base Hospital
‘ 02 6620 2385 ?Fax: 02 66 202287
* vicki.denyer@health.nsw.gov.auInfection Prevention & Control is Everyone’s Business
[Description: Description: Description: http://www.health.nsw.gov.au/images/communications/e-signatures/images/NSW-Health-Northern-NSW-LHD.jpg%5D
The information contained in this electronic message is privileged and confidential, and is intended only for the addressee. If you are not the intended recipient, you are notified that any disclosure, reproduction, distribution or other use of this communication is strictly prohibited. Confidentiality and legal privilege attached to this communication are not waived or lost by reason of mistaken delivery to you. If you have received this communication in error, please notify the sender by reply transmission and delete the message without copying or disclosing it.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.
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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.
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Thanks Terry
I think the issue here is rooms used for multiple purposes. For example, we do bronchoscopies here in a procedure room that is also used for ERCP’s. So, the question then becomes: should we consider a dual mode air handling unit (switchable for both positive and negative pressure – which is not really recommended these days), or should we choose one or the other and potentially limit use of the procedure room?
In my view, it’s about balancing risks. If you are doing diagnostic bronchoscopies on patients that might have TB, how likely is this to actually be TB? Is it more likely to be atypical mycobacterial disease?
What we try and do here, is avoid doing bronchoscopies on KNOWN TB patients in our unit. Because we do not have negative pressure rooms. And the majority of our ?TB patients tend not to be confirmed as TB. On the odd occasion they do, our processes for these patients normally would have minimised transmission risks to others (eg all staff wear N95 masks, patient recovered in procedure room not general recovery bay). Our biggest issue normally is if they are an outpatient, how long did they share a waiting room with other patients?
Yes, the guidelines are clear for procedure rooms used for patients likely to have or known to have pulmonary TB, but it gets greyer after that, in my view. Knowing the demographic profile of your patients is very important in this discussion, I believe.
Cheers
MichaelMichael Wishart, CICP-E
Infection Control CoordinatorA 627 Rode Road, Chermside QLD 4032
P (07) 3326 3068 | F (07) 3607 2226 | E michael.wishart@svha.org.au | W http://www.hsnph.org.au
[cid:image001.png@01D01926.61F1C2B0] [cid:image002.png@01D466B9.9BAA9E20]
P Please consider the environment before printing this emailHi Vicki,
The AusHFG are easy and free to access.
This link will take you to the room data sheet for an endoscopy procedure room and you will see it clearly states negative pressure required for broncoscopy.
https://aushfg-prod-com-au.s3.amazonaws.com/download/RDS_ENPR_1.pdf
Kind Regards
Terry McAuley
Director
MSc Medical Device DecontaminationPO BOX 2249, Greenvale VIC Australia 3059
[cid:image001.png@01D3B9DC.14E0B210]
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 All,
We are currently in the process of a new build & I have been notified that there is no inclusion of negative pressure air conditioning within the new Endoscopy unit.I have been informed that Australian Health Facility Guidelines do not require negative pressure within endoscopy units, despite bronchoscopies revealing TB in some cases
Is there any Endoscopy Units that have negative pressure incorporate in either their stand-alone units or those that are attached ( via corridors ) to their theatres
Many thanks
Vicki Denyer
Vicki Denyer
Clinical Nurse Consultant | Infection Prevention and Control
Infection Control Unit Lismore Base Hospital
‘ 02 6620 2385 Fax: 02 66 202287
* vicki.denyer@health.nsw.gov.auInfection Prevention & Control is Everyone’s Business
[Description: Description: Description: http://www.health.nsw.gov.au/images/communications/e-signatures/images/NSW-Health-Northern-NSW-LHD.jpg%5D
The information contained in this electronic message is privileged and confidential, and is intended only for the addressee. If you are not the intended recipient, you are notified that any disclosure, reproduction, distribution or other use of this communication is strictly prohibited. Confidentiality and legal privilege attached to this communication are not waived or lost by reason of mistaken delivery to you. If you have received this communication in error, please notify the sender by reply transmission and delete the message without copying or disclosing it.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.
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