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  • #72307
    Robert Robinson
    Participant

    Author:
    Robert Robinson

    Position:

    Organisation:

    State:

    Hi all
    I have two questions specifically for facilities with a NICU but all feedback will be appreciated.

    1. Has any NICU undertaken an evaluation and implemented a waterless surgical scrub in their unit?

    2. Looking at other NICU policies / protocols for skin antisepsis prior to IM injections, taking into consideration mothers with known BBV?

    Kind Regards

    Robert 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 | robert.robinson@health.nsw.gov.au

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    #72308
    Richard Bartolo
    Participant

    Author:
    Richard Bartolo

    Position:
    Principal Infection Prevention CNC

    Organisation:
    Western Health

    State:
    VIC

    Hi Robert,
    We use Skinman 90 in all our Operating Suites, Medical Imaging and Cardiac Labs and Dialysis Units. I see no reason why you shouldnt use it in you NICU.

    Richard Bartolo
    Manager Infection Prevention

    If you havent been Flu protected yet! Theres still time!
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    Western Health
    Gordon Street, Footscray VIC 3011
    Ph. 03 8345 6113
    Mob. 0438 560 441
    Email. richard.bartolo@wh.org.au
    Web. http://www.westernhealth.org.au

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    From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Robert Robinson
    Sent: Friday, 24 July 2015 10:01 AM
    To: AICALIST@AICALIST.ORG.AU
    Subject: [ACIPC_Infexion_Connexion] Neonatal Intensive Care

    Hi all
    I have two questions specifically for facilities with a NICU but all feedback will be appreciated.

    1. Has any NICU undertaken an evaluation and implemented a waterless surgical scrub in their unit?

    2. Looking at other NICU policies / protocols for skin antisepsis prior to IM injections, taking into consideration mothers with known BBV?

    Kind Regards

    Robert 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 | robert.robinson@health.nsw.gov.au

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    #72309
    Matthias Maiwald (SHHQ)
    Participant

    Author:
    Matthias Maiwald (SHHQ)

    Position:

    Organisation:

    State:

    Hi Robert, hi Richard,

    Waterless surgical scrub (better term: alcohol-based surgical hand antiseptic) would be indicated for operations. There are now a number of alcohol-based hand rubs that fulfill a dual purpose of being both a surgical hand antiseptic and a ward-based alcohol-based hand rub for use between patients. The difference is that for surgical hand antisepsis, alcohol-based hand antiseptics need to fulfill more stringent requirements (e.g. in Europe standard EN 12791), while ward-based hand antiseptics need to fulfill slightly less stringent requirements (e.g. EN1500). A number of products fulfill both and can be used interchangeably (but the application mode, technique and duration are different).

    In terms of skin antisepsis (different from hand antisepsis), almost anything is compatible with use on mature neonates, but premature neonates are a problem. This poses a continuing dilemma. Europe has octenidine for that purpose, which has quite reasonable microbial killing capacity, and is very compatible with premmie skin.

    Regards, Matthias.


    Matthias Maiwald, MD, FRCPA
    Consultant in Microbiology
    Adj. Assoc. Prof., Natl. Univ. Singapore
    Department of Pathology and Laboratory Medicine
    KK Women’s and Children’s Hospital
    100 Bukit Timah Road
    Singapore 229899
    Tel. +65 6394 8725 (Office)
    Tel. +65 6394 1389 (Laboratory)
    Fax +65 6394 1387

    From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Bartolo, Richard
    Sent: Friday, 24 July, 2015 8:20 AM
    To: AICALIST@AICALIST.ORG.AU
    Subject: Re: Neonatal Intensive Care

    Hi Robert,
    We use Skinman 90 in all our Operating Suites, Medical Imaging and Cardiac Labs and Dialysis Units. I see no reason why you shouldnt use it in you NICU.

    Richard Bartolo
    Manager Infection Prevention
    If you havent been Flu protected yet! Theres still time!
    Click here to see what you can do.

    Western Health
    Gordon Street, Footscray VIC 3011
    Ph. 03 8345 6113
    Mob. 0438 560 441
    Email. richard.bartolo@wh.org.au
    Web. http://www.westernhealth.org.au

    [2010wh_logo]
    C ompassion, A ccountability, R espect, E xcellence, S afety

    Notice:
    This email (and any attachment) is for the exclusive use of the addressee and may contain information that is privileged, confidential or protected by copyrights. If you are not the addressee or the person responsible for delivering this email to the addressee, you must not disclose, distribute, print or copy this email and the contents must be kept strictly confidential. If this email has been sent to you in error, kindly notify us immediately on 03 8345 56113 and destroy the original. Electronic mail is not secure and there is also a risk that it may be corrupted in transmission. It is therefore your responsibility to check this email (and any attachment) carefully and if there are any errors to contact us immediately. We do not accept liability for any loss or damage caused by such lack of security or transmission errors.

    From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Robert Robinson
    Sent: Friday, 24 July 2015 10:01 AM
    To: AICALIST@AICALIST.ORG.AU
    Subject: [ACIPC_Infexion_Connexion] Neonatal Intensive Care

    Hi all
    I have two questions specifically for facilities with a NICU but all feedback will be appreciated.

    1. Has any NICU undertaken an evaluation and implemented a waterless surgical scrub in their unit?

    2. Looking at other NICU policies / protocols for skin antisepsis prior to IM injections, taking into consideration mothers with known BBV?

    Kind Regards

    Robert 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 | robert.robinson@health.nsw.gov.au

    [http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Master.jpg]

    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.
    ________________________________
    WARNING: This message originated from outside the Northern/Melbourne/Western Health e-mail network. The sender cannot be validated. Caution is advised. Contact IT Services (+61 3 ) 9342 8888 for more information.
    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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    WARNING: This message originated from outside the Northern/Melbourne/Western Health e-mail network. The sender cannot be validated. Caution is advised. Contact IT Services (+61 3 ) 9342 8888 for more information.
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