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Good afternoon everyone,
Just enquiring in which waste bin (general or clinical) do staff put their PPE after being in a precautions room (MRSA, VRE, CDiff etc).
Currently, we put all our PPE in to clinical waste.
I cannot see a clear directive in the Guild line for Prevention and control of infection in healthcare.
Do you place it in general waste or clinical waste?
Thanks in advance
HelenHelen Roberts
Infection Control
P: 07 4646 3106 |
F: 07 4633 7602
E: robertsh@sath.org.au |
W: http://www.sath.org.au
Post: PO Box 263, Toowoomba, QLD 4350
Address: 280 North St, Toowoomba, QLD 4350
[cid:image701766.jpg@6EB0C9B7.277CA05E]
This e-mail and any attachments to it (the “Communication”) is confidential and is for the use only of the intended recipient. The Communication may contain copyright material of St. Andrew’s Toowoomba Hospital ABN 95 820 855 300, or any of its related entities or of third parties. If you are not the intended recipient of the Communication, please notify the sender immediately by return e-mail, delete the Communication, and do not read, copy, print, retransmit, store or act in reliance on the Communication. Any views expressed in the Communication are those of the individual sender only, unless expressly stated to be those of St Andrew’s Toowoomba Hospital. St. Andrew’s Toowoomba Hospital does not guarantee the integrity of the Communication, or that it is free from errors, viruses or interference.MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
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Hi Helen,
You will need to comply with your local waste guidelines. In Tasmania waste from rooms as mentioned below are segregated into the normal waste streams, thus very little waste from our TBP rooms goes into clinical waste.
Kind regards
Rachel..
Rachel Thomson
Nurse Unit ManagerInfection Prevention & Control Unit
Royal Hobart Hospital
Tasmanian Health Organisation-South: 03 6166 7882/ 6166 8658
Mobile: 0400 718 574
Email: rachel.thomson@ths.tas.gov.auLevel 4, H Block
48 Liverpool Street
Hobart, 7000From: ACIPC Infexion Connexion On Behalf Of Helen Roberts
Sent: Tuesday, 23 February 2021 2:34 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: [ACIPC_Infexion_Connexion] PPE wasteGood afternoon everyone,
Just enquiring in which waste bin (general or clinical) do staff put their PPE after being in a precautions room (MRSA, VRE, CDiff etc).
Currently, we put all our PPE in to clinical waste.
I cannot see a clear directive in the Guild line for Prevention and control of infection in healthcare.
Do you place it in general waste or clinical waste?
Thanks in advance
Helen
Helen Roberts
Infection Control
P:
07 4646 3106
|
F:
07 4633 7602
E:
robertsh@sath.org.au
|
W:
http://www.sath.org.au
Post:
PO Box 263, Toowoomba, QLD 4350
Address:
280 North St, Toowoomba, QLD 4350
[cid:image701766.jpg@6EB0C9B7.277CA05E]This e-mail and any attachments to it (the “Communication”) is confidential and is for the use only of the intended recipient. The Communication may contain copyright material of St. Andrew’s Toowoomba Hospital ABN 95 820 855 300, or any of its related entities or of third parties. If you are not the intended recipient of the Communication, please notify the sender immediately by return e-mail, delete the Communication, and do not read, copy, print, retransmit, store or act in reliance on the Communication. Any views expressed in the Communication are those of the individual sender only, unless expressly stated to be those of St Andrew’s Toowoomba Hospital. St. Andrew’s Toowoomba Hospital does not guarantee the integrity of the Communication, or that it is free from errors, viruses or interference.
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
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Hi Helen, I have been told its general waste unless visibly contaminated with something.
However depending on who talk eg Accreditation auditors it can be clinical.
Kind regards,
| Anna Whitney | Executive Manager
| t. (02) 4577 2800 | m. 0406 574 042 | f. (02) 4577 2627
| 1 Rum Corp Lane WINDSOR NSW 2756
| w. http://www.fitzgeraldacf.com.au
| Follow us on Facebook
Good afternoon everyone,
Just enquiring in which waste bin (general or clinical) do staff put their PPE after being in a precautions room (MRSA, VRE, CDiff etc).
Currently, we put all our PPE in to clinical waste.
I cannot see a clear directive in the Guild line for Prevention and control of infection in healthcare.
Do you place it in general waste or clinical waste?
Thanks in advance
Helen
Helen Roberts
Infection Control
P:
07 4646 3106
|
F:
07 4633 7602
E:
|
W:
PO Box 263, Toowoomba, QLD 4350
280 North St, Toowoomba, QLD 4350
This e-mail and any attachments to it (the “Communication”) is confidential and is for the use only of the intended recipient. The Communication may contain copyright material of St. Andrew’s Toowoomba Hospital ABN 95 820 855 300, or any of its related entities or of third parties. If you are not the intended recipient of the Communication, please notify the sender immediately by return e-mail, delete the Communication, and do not read, copy, print, retransmit, store or act in reliance on the Communication. Any views expressed in the Communication are those of the individual sender only, unless expressly stated to be those of St Andrew’s Toowoomba Hospital. St. Andrew’s Toowoomba Hospital does not guarantee the integrity of the Communication, or that it is free from errors, viruses or interference.
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
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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 is a really simple little waste segregation poster you may like to use
regards
Michelle Bibby
Infection Prevention Australia
0429071165
michelle@infectionprevention.com.au
http://www.infectionprevention.com.au
Hi Helen, I have been told its general waste unless visibly contaminated with something.
However depending on who talk eg Accreditation auditors it can be clinical.
Kind regards,
| Anna Whitney | Executive Manager
| t. (02) 4577 2800 | m. 0406 574 042 | f. (02) 4577 2627
| 1 Rum Corp Lane WINDSOR NSW 2756
| w. http://www.fitzgeraldacf.com.au
| Follow us on Facebook
Good afternoon everyone,
Just enquiring in which waste bin (general or clinical) do staff put their PPE after being in a precautions room (MRSA, VRE, CDiff etc).
Currently, we put all our PPE in to clinical waste.
I cannot see a clear directive in the Guild line for Prevention and control of infection in healthcare.
Do you place it in general waste or clinical waste?
Thanks in advance
Helen
Helen Roberts
Infection Control
P:
07 4646 3106
|
F:
07 4633 7602
E:
|
W:
PO Box 263, Toowoomba, QLD 4350
280 North St, Toowoomba, QLD 4350
This e-mail and any attachments to it (the “Communication”) is confidential and is for the use only of the intended recipient. The Communication may contain copyright material of St. Andrew’s Toowoomba Hospital ABN 95 820 855 300, or any of its related entities or of third parties. If you are not the intended recipient of the Communication, please notify the sender immediately by return e-mail, delete the Communication, and do not read, copy, print, retransmit, store or act in reliance on the Communication. Any views expressed in the Communication are those of the individual sender only, unless expressly stated to be those of St Andrew’s Toowoomba Hospital. St. Andrew’s Toowoomba Hospital does not guarantee the integrity of the Communication, or that it is free from errors, viruses or interference.
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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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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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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Hi,
Based on multiple visits from various government departments, we have been advised that if there is a suspicion of PPE being contaminated with a communicable disease then it needs to go into clinical waste. One would think that if you are isolating because of a suspicion then that meets the criteria for disposal into clinical waste. However, this would depend on what state you are in, what document you read and who you speak with.
Interested to hear others thoughts.
Regards,
Vanessa Watkins
RN, IPC Lead – nearly (fingers crossed I pass!)
Donwood Community Aged Care
Croydon, Vic
9845 8500
Hi Helen, I have been told its general waste unless visibly contaminated with something.
However depending on who talk eg Accreditation auditors it can be clinical.
Kind regards,
| Anna Whitney | Executive Manager
| t. (02) 4577 2800 | m. 0406 574 042 | f. (02) 4577 2627
| 1 Rum Corp Lane WINDSOR NSW 2756
| w. http://www.fitzgeraldacf.com.au
| Follow us on Facebook
Good afternoon everyone,
Just enquiring in which waste bin (general or clinical) do staff put their PPE after being in a precautions room (MRSA, VRE, CDiff etc).
Currently, we put all our PPE in to clinical waste.
I cannot see a clear directive in the Guild line for Prevention and control of infection in healthcare.
Do you place it in general waste or clinical waste?
Thanks in advance
Helen
Helen Roberts
Infection Control
P:
07 4646 3106
|
F:
07 4633 7602
E:
|
W:
PO Box 263, Toowoomba, QLD 4350
280 North St, Toowoomba, QLD 4350
This e-mail and any attachments to it (the “Communication”) is confidential and is for the use only of the intended recipient. The Communication may contain copyright material of St. Andrew’s Toowoomba Hospital ABN 95 820 855 300, or any of its related entities or of third parties. If you are not the intended recipient of the Communication, please notify the sender immediately by return e-mail, delete the Communication, and do not read, copy, print, retransmit, store or act in reliance on the Communication. Any views expressed in the Communication are those of the individual sender only, unless expressly stated to be those of St Andrew’s Toowoomba Hospital. St. Andrew’s Toowoomba Hospital does not guarantee the integrity of the Communication, or that it is free from errors, viruses or interference.
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.
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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 Helen
All of the responses you have received thus far are correct for the settings in which they are applied. The important parameter is that you need to follow your local and state regulations in regard to waste segregation and disposal.
In Queensland, this is governed by the Department of Environment and Science (state), as well as any specific regulations that have been published for local council waste disposal (if you use a local council waste disposal site). The state guidance document is: https://environment.des.qld.gov.au/__data/assets/pdf_file/0029/89147/pr-gl-clinical-and-related-waste.pdf
In this document it states this:
Human body fluids such as saliva, mucus, pleural fluid, cerebrospinal fluid, pericardial fluid and any other fluid that is visibly contaminated with blood, and all body fluids generated from circumstances where there is potential for the presence of infectious agents, are included in this category. Urine, faeces and vomitus are not generally included as clinical waste, unless they originate from a person with a known infectious disease or are visibly contaminated with blood.In my facility, our Infection Control Committee has determined that ALL waste coming from a transmission-based precautions room will be treated as clinical waste. This decision was made in conjunction with our waste management contractor. It makes it very easy for all staff, at all levels, to identify what should be considered clinical waste when a patient is on precautions. Whist there is a known additional cost for the management of this waste (in comparison to general waste), it was considered reasonable to apply this to reduce the risk of incorrect disposal of potentially infectious material at the local council waste disposal site, which, if detected, has ramifications for both the health facility licencing and the licensing of the waste management contractor.
So I would suggest your facility have a discussion with your waste contractor, and seek clarifications of any requirements for the site your general waste is being disposed at, and then have a facility level discussion about an agreed process of managing waste for transmission-based precautions rooms.
Hope this helps.
Cheers
MichaelMichael Wishart | Infection Control Coordinator, CICP-E
St Vincents 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.auSt Vincents 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]
From: ACIPC Infexion Connexion On Behalf Of Helen Roberts
Sent: Tuesday, 23 February 2021 1:34 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: [ACIPC_Infexion_Connexion] PPE wasteGood afternoon everyone,
Just enquiring in which waste bin (general or clinical) do staff put their PPE after being in a precautions room (MRSA, VRE, CDiff etc).
Currently, we put all our PPE in to clinical waste.
I cannot see a clear directive in the Guild line for Prevention and control of infection in healthcare.
Do you place it in general waste or clinical waste?
Thanks in advance
Helen
Helen Roberts
Infection Control
P:
07 4646 3106
|
F:
07 4633 7602
E:
robertsh@sath.org.au
|
W:
http://www.sath.org.au
Post:
PO Box 263, Toowoomba, QLD 4350
Address:
280 North St, Toowoomba, QLD 4350
[cid:image701766.jpg@6EB0C9B7.277CA05E]This e-mail and any attachments to it (the “Communication”) is confidential and is for the use only of the intended recipient. The Communication may contain copyright material of St. Andrew’s Toowoomba Hospital ABN 95 820 855 300, or any of its related entities or of third parties. If you are not the intended recipient of the Communication, please notify the sender immediately by return e-mail, delete the Communication, and do not read, copy, print, retransmit, store or act in reliance on the Communication. Any views expressed in the Communication are those of the individual sender only, unless expressly stated to be those of St Andrew’s Toowoomba Hospital. St. Andrew’s Toowoomba Hospital does not guarantee the integrity of the Communication, or that it is free from errors, viruses or interference.
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 Helen,
We are the same as Michael etc.
Any waste from a Transmission-based precautions room is treated as clinical waste.
KT
Katie Dwan | Infection Prevention & Control Co-ordinator
St Vincents Private Hospital Toowoomba | 22-36 Scott Street TOOWOOMBA QLD 4350
T +61 7 4690 4042
E katie.dwan@svha.org.au[STANDARD 3_ PREVENTING AND CONTROLLING HEALTHCARE-ASSOCIATED INFECTIONS]
From: ACIPC Infexion Connexion On Behalf Of Michael Wishart
Sent: Wednesday, 24 February 2021 7:48 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] PPE wasteHi Helen
All of the responses you have received thus far are correct for the settings in which they are applied. The important parameter is that you need to follow your local and state regulations in regard to waste segregation and disposal.
In Queensland, this is governed by the Department of Environment and Science (state), as well as any specific regulations that have been published for local council waste disposal (if you use a local council waste disposal site). The state guidance document is: https://environment.des.qld.gov.au/__data/assets/pdf_file/0029/89147/pr-gl-clinical-and-related-waste.pdf
In this document it states this:
Human body fluids such as saliva, mucus, pleural fluid, cerebrospinal fluid, pericardial fluid and any other fluid that is visibly contaminated with blood, and all body fluids generated from circumstances where there is potential for the presence of infectious agents, are included in this category. Urine, faeces and vomitus are not generally included as clinical waste, unless they originate from a person with a known infectious disease or are visibly contaminated with blood.In my facility, our Infection Control Committee has determined that ALL waste coming from a transmission-based precautions room will be treated as clinical waste. This decision was made in conjunction with our waste management contractor. It makes it very easy for all staff, at all levels, to identify what should be considered clinical waste when a patient is on precautions. Whist there is a known additional cost for the management of this waste (in comparison to general waste), it was considered reasonable to apply this to reduce the risk of incorrect disposal of potentially infectious material at the local council waste disposal site, which, if detected, has ramifications for both the health facility licencing and the licensing of the waste management contractor.
So I would suggest your facility have a discussion with your waste contractor, and seek clarifications of any requirements for the site your general waste is being disposed at, and then have a facility level discussion about an agreed process of managing waste for transmission-based precautions rooms.
Hope this helps.
Cheers
MichaelMichael Wishart | Infection Control Coordinator, CICP-E
St Vincents 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.auSt Vincents 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]
From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> On Behalf Of Helen Roberts
Sent: Tuesday, 23 February 2021 1:34 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: [ACIPC_Infexion_Connexion] PPE wasteGood afternoon everyone,
Just enquiring in which waste bin (general or clinical) do staff put their PPE after being in a precautions room (MRSA, VRE, CDiff etc).
Currently, we put all our PPE in to clinical waste.
I cannot see a clear directive in the Guild line for Prevention and control of infection in healthcare.
Do you place it in general waste or clinical waste?
Thanks in advance
Helen
Helen Roberts
Infection Control
P:
07 4646 3106
|
F:
07 4633 7602
E:
robertsh@sath.org.au
|
W:
http://www.sath.org.au
Post:
PO Box 263, Toowoomba, QLD 4350
Address:
280 North St, Toowoomba, QLD 4350
[cid:image701766.jpg@6EB0C9B7.277CA05E]This e-mail and any attachments to it (the “Communication”) is confidential and is for the use only of the intended recipient. The Communication may contain copyright material of St. Andrew’s Toowoomba Hospital ABN 95 820 855 300, or any of its related entities or of third parties. If you are not the intended recipient of the Communication, please notify the sender immediately by return e-mail, delete the Communication, and do not read, copy, print, retransmit, store or act in reliance on the Communication. Any views expressed in the Communication are those of the individual sender only, unless expressly stated to be those of St Andrew’s Toowoomba Hospital. St. Andrew’s Toowoomba Hospital does not guarantee the integrity of the Communication, or that it is free from errors, viruses or interference.
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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Hi Helen,
We put PPE from rooms with transmission based precautions into general waste unless they are visibly soiled and / or fit the definition of clinical waste.
Most of our PPE from these patients goes into general waste.Clinical waste means any waste resulting from medical, nursing, dental, pharmaceutical, skin penetration or other related clinical activity, being waste that has the potential to cause injury, infection or offence, and includes waste containing any of the following:
human tissue (other than hair, teeth and nails)
bulk body fluids or blood
visibly blood-stained body fluids, materials or equipment
laboratory specimens or cultures
animal tissue, carcasses or other waste from animals used for medical research. https://www.health.nsw.gov.au/environment/clinicalwaste/Pages/default.aspxKind regards,
Susan
Susan Farrugia
Infection Control Coordinator
Arcadia Pittwater Private Hospital
4 Daydream Street
Warriewood NSW
Infectioncontrol@arcadiapittwater.com.au[cid:image001.jpg@01D70B54.79A89A10]
From: ACIPC Infexion Connexion On Behalf Of Helen Roberts
Sent: Tuesday, 23 February 2021 2:34 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: [ACIPC_Infexion_Connexion] PPE wasteGood afternoon everyone,
Just enquiring in which waste bin (general or clinical) do staff put their PPE after being in a precautions room (MRSA, VRE, CDiff etc).
Currently, we put all our PPE in to clinical waste.
I cannot see a clear directive in the Guild line for Prevention and control of infection in healthcare.
Do you place it in general waste or clinical waste?
Thanks in advance
Helen
Helen Roberts
Infection Control
P:
07 4646 3106
|
F:
07 4633 7602
E:
robertsh@sath.org.au
|
W:
http://www.sath.org.au
Post:
PO Box 263, Toowoomba, QLD 4350
Address:
280 North St, Toowoomba, QLD 4350
[cid:image701766.jpg@6EB0C9B7.277CA05E]This e-mail and any attachments to it (the “Communication”) is confidential and is for the use only of the intended recipient. The Communication may contain copyright material of St. Andrew’s Toowoomba Hospital ABN 95 820 855 300, or any of its related entities or of third parties. If you are not the intended recipient of the Communication, please notify the sender immediately by return e-mail, delete the Communication, and do not read, copy, print, retransmit, store or act in reliance on the Communication. Any views expressed in the Communication are those of the individual sender only, unless expressly stated to be those of St Andrew’s Toowoomba Hospital. St. Andrew’s Toowoomba Hospital does not guarantee the integrity of the Communication, or that it is free from errors, viruses or interference.
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
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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.
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