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  • #75246
    Michelle Gorman
    Participant

    Author:
    Michelle Gorman

    Email:
    cmqacf@TPG.COM.AU

    Organisation:

    State:

    Hi Everyone,

    I was just wandering how many swabs do you need to collect for MRSA
    clearance.

    Currently we are doing 2 negative MRSA results.

    Regards,

    Michelle Gorman

    Care Manager
    Queanbeyan Residential Care Facility
    7 Campbell Street
    Queanbeyan NSW
    2620
    PH (02) 6297 1811

    Kop

    Hello,

    Our hospital has recently been looking into the way our toilets are cleaned
    throughout our hospital.

    Do any of you use disposable toilet bowl brushes? If not, what cleaning
    process do you have for the brushes from room to room?

    Any information appreciated.

    Kind Regards,

    Chelsea Kop | Clinical Services Manager, BSN, GDipNurs(Onc), MCN

    Delmar Private Hospital

    58 Quirk Street, Dee Why, NSW 2099

    T +612 8978 5247 | M 0402772578 | F +612 9971 7299

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    #75248
    Walker, Nadene
    Participant

    Author:
    Walker, Nadene

    Email:
    Nadene.Walker@HEALTH.WA.GOV.AU

    Organisation:

    State:

    Hi Michelle,

    Here we do two x nose, two x throat , two x any wounds and two x any invasive devices, all negative then MRSA cleared.

    Regards, Nadene

    Nadene Walker

    Clinical Nurse Specialist
    Infection Prevention and Control

    WA Country Health Service – Great Southern
    Albany Health Campus
    Warden Ave Albany WA 6330
    PO Box 252 Albany WA 6331
    P (08) 98922211 F (08) 98426037
    M: 0428 086 062 (Business hours)

    [cid:image001.png@01D3E2D6.275113E0][cid:image002.png@01D3E2D6.275113E0][cid:image003.png@01D3E2D6.275113E0]
    Healthier country communities through partnership and innovation
    “I respectfully acknowledge the past and present traditional owners of this land, Noongar country, that we are working on.”
    [5may2019_tb]

    Hi Everyone,
    I was just wandering how many swabs do you need to collect for MRSA clearance.
    Currently we are doing 2 negative MRSA results.

    Regards,

    Michelle Gorman
    Care Manager
    Queanbeyan Residential Care Facility
    7 Campbell Street
    Queanbeyan NSW
    2620
    PH (02) 6297 1811

    Hello,

    Our hospital has recently been looking into the way our toilets are cleaned throughout our hospital.

    Do any of you use disposable toilet bowl brushes? If not, what cleaning process do you have for the brushes from room to room?

    Any information appreciated.

    Kind Regards,

    Chelsea Kop | Clinical Services Manager, BSN, GDipNurs(Onc), MCN

    Delmar Private Hospital
    58 Quirk Street, Dee Why, NSW 2099
    T +612 8978 5247 | M 0402772578 | F +612 9971 7299
    [DPH_logo]
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    #75247
    Janine Egart
    Participant

    Author:
    Janine Egart

    Email:
    Janine.Egart@HEALTH.QLD.GOV.AU

    Organisation:

    State:

    Hi Michelle,

    We collect one nose +/- wound swab and then a 2nd nose swab.
    We try and collect the swabs during an admission spaced by 24 hours or up to a month if the patient gets discharged.

    We wait for a period of 12months from the last positive before screening.

    Regards

    Janine Egart
    Clinical Nurse Consultant – DDH
    Infection Prevention & Control
    Clinical Governance

    p: 07 46166206 | m: 0400704118 – SD 1947
    a: Pechey Street, Toowoomba,QLD 4350
    e: Janine.egart@health.qld.gov.au | w: Darling Downs Health
    [Brand icon]
    Caring for our communities: healthier together
    [Our values]
    Darling Downs Health acknowledges the Traditional Custodians of the land, and pays respect to Elders past, present and future.

    Hi Everyone,
    I was just wandering how many swabs do you need to collect for MRSA clearance.
    Currently we are doing 2 negative MRSA results.

    Regards,

    Michelle Gorman
    Care Manager
    Queanbeyan Residential Care Facility
    7 Campbell Street
    Queanbeyan NSW
    2620
    PH (02) 6297 1811

    Hello,

    Our hospital has recently been looking into the way our toilets are cleaned throughout our hospital.

    Do any of you use disposable toilet bowl brushes? If not, what cleaning process do you have for the brushes from room to room?

    Any information appreciated.

    Kind Regards,

    Chelsea Kop | Clinical Services Manager, BSN, GDipNurs(Onc), MCN

    Delmar Private Hospital
    58 Quirk Street, Dee Why, NSW 2099
    T +612 8978 5247 | M 0402772578 | F +612 9971 7299
    [DPH_logo]
    [2019 conference email signature]
    The content of this e-mail is the view of the sender or stated author and does not necessarily reflect the view of Delmar Private Hospital. The content, including attachments, is a confidential communication between of Delmar Private Hospital and the intended recipient. If you are not the intended recipient, any use, interference with, disclosure or copying of this e-mail, including attachments is unauthorised and expressly prohibited. If you have received this e-mail in error please contact the sender immediately and delete the e-mail and any attachments from your system.
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    #75251
    Robyn Morey
    Participant

    Author:
    Robyn Morey

    Email:
    robyn.morey@ths.tas.gov.au

    Organisation:
    Launceston General Hospital

    State:
    TAS

    Hi Michelle,

    Our MRSA Clearance Criteria is as follows:

    If it is >3 months since last MR.SA+ screen then rescreen to see if cleared. If 3 months since last positive screen/result/test.
    AND
    2 No exposure to antiseptic body wash within 2 weeks of screening.
    AND
    3 No anti-MRSA antibiotic therapy within 3 months prior to screening.
    AND
    4 No indwelling device present that has been previously implicated in MRSA infection or colonisation.
    AND
    5 Negative screening swabs on 2 or more occasions taken at least one day apart from nose, throat, groin/perineum and any clinically relevant sites including:
    a) Chronic wound or ulcer
    b) Sputum if patient has sputum production and has previously been infected or colonised in the respiratory tract.
    c) Urine if indwelling urinary catheter in-situ
    d) Swab from the entry site of any other indwelling device e.g. PEG tube
    e) Any additional previous MRSA positive site

    regards
    Robyn Morey | Clinical Nurse Consultant |Infection Prevention & Control Unit
    Launceston General Hospital, Level 2, Charles St, Launceston TAS 7250
    office: 6777 6664 | mobile: 0429 582 309 | fax: 6777 5170
    email: robyn.morey@ths.tas.gov.au
    intranet: http://www.dhhs.tas.gov.au/intranet/thon/infection_control
    vision statement: By working together we promote a culture of safety to reduce preventable infections and transmission of multi-resistant organisms.
    ________________________________

    Hi Everyone,
    I was just wandering how many swabs do you need to collect for MRSA clearance.
    Currently we are doing 2 negative MRSA results.

    Regards,

    Michelle Gorman
    Care Manager
    Queanbeyan Residential Care Facility
    7 Campbell Street
    Queanbeyan NSW
    2620
    PH (02) 6297 1811

    Hello,

    Our hospital has recently been looking into the way our toilets are cleaned throughout our hospital.

    Do any of you use disposable toilet bowl brushes? If not, what cleaning process do you have for the brushes from room to room?

    Any information appreciated.

    Kind Regards,

    Chelsea Kop | Clinical Services Manager, BSN, GDipNurs(Onc), MCN

    Delmar Private Hospital
    58 Quirk Street, Dee Why, NSW 2099
    T +612 8978 5247 | M 0402772578 | F +612 9971 7299
    The content of this e-mail is the view of the sender or stated author and does not necessarily reflect the view of Delmar Private Hospital. The content, including attachments, is a confidential communication between of Delmar Private Hospital and the intended recipient. If you are not the intended recipient, any use, interference with, disclosure or copying of this e-mail, including attachments is unauthorised and expressly prohibited. If you have received this e-mail in error please contact the sender immediately and delete the e-mail and any attachments from your system.
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    #75252
    Anonymous
    Inactive

    Author:
    Anonymous

    Organisation:

    State:

    Hi Michelle,
    We have just released a new document in Northern NSW. It is straight from the CEC guidelines and has a wonderful section on MRSA clearance.
    I have attached the document for your perusal.
    Kind regards
    Kristin

    Kristin Ryan-Agnew
    Kristin Ryan-Agnew (MPH/Grad Cert IP&C)
    Infection Prevention & Control Clinical Nurse Consultant
    The Tweed Hospital

    [cid:image001.png@01D36E89.D6B88C30] National Standard 3 : Preventing and Controlling Healthcare Associated Infections

    [Description: Description: Description: Description: cid:image001.png@01CC899A.70FE88C0]
    I acknowledge the Bundjalung people as traditional owners of the land on which I work and live.
    ‘Bulla Yana Yabur’ Standing Together As One

    Hi Everyone,
    I was just wandering how many swabs do you need to collect for MRSA clearance.
    Currently we are doing 2 negative MRSA results.

    Regards,

    Michelle Gorman
    Care Manager
    Queanbeyan Residential Care Facility
    7 Campbell Street
    Queanbeyan NSW
    2620
    PH (02) 6297 1811

    Hello,

    Our hospital has recently been looking into the way our toilets are cleaned throughout our hospital.

    Do any of you use disposable toilet bowl brushes? If not, what cleaning process do you have for the brushes from room to room?

    Any information appreciated.

    Kind Regards,

    Chelsea Kop | Clinical Services Manager, BSN, GDipNurs(Onc), MCN

    Delmar Private Hospital
    58 Quirk Street, Dee Why, NSW 2099
    T +612 8978 5247 | M 0402772578 | F +612 9971 7299
    [DPH_logo]
    [2019 conference email signature]
    The content of this e-mail is the view of the sender or stated author and does not necessarily reflect the view of Delmar Private Hospital. The content, including attachments, is a confidential communication between of Delmar Private Hospital and the intended recipient. If you are not the intended recipient, any use, interference with, disclosure or copying of this e-mail, including attachments is unauthorised and expressly prohibited. If you have received this e-mail in error please contact the sender immediately and delete the e-mail and any attachments from your system.
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    #75257
    Anonymous
    Inactive

    Author:
    Anonymous

    Organisation:

    State:

    Michelle

    There is a section on MRSA clearance screening in,
    Clinical Excellence Commission, 2017, Infection prevention and control practice handbook. Principles for NSW public health organisations. Clinical Excellence Commission, Sydney, Australia.

    7.3.8 MRSA clearance screening

    Clearance screening for MRSA may be considered if all of the following criteria have been met:

    The patient has not used any antibiotics or antiseptics specific to the MRO in last three months;

    It has been at least six months since the patient has returned a positive MRO specimen; and

    Patient is no longer receiving care in an extreme risk clinical area (See Table 9, Specific MRO transmission risks and also Section 3.2.1, Hospital environments).

    For patients in general wards, outpatients and community settings, clearance of a MRO is when a patient returns at least two negative swabs sets, collected from the same body sites, on the same day at different times or on separate days (i.e. the two swabs sets are separated by time). Only the ICP or ICP designated HCW is to update any infection control alerts in eMR (see Section 7.5).

    Additional practice points to consider:

    For MRSA, clearance can be determined if > 6 months after the last positive MRO culture.

    Subsequent relapse of MRSA carriage after initial clearance may occur at a later time, either due to re-acquisition or resurgence of carriage to a detectable level.

    Clearance screening may be performed after re-admission or as an outpatient provided that the patient has not recently used either an antiseptic body wash or antibiotic that is active against MRSA.

    The presence of any indwelling device or non-intact skin is no longer a contraindication for clearance screening. However, clearance screening should include specimens from these sites if required.

    For CPE, VRE and ESBL colonised patients, there is insufficient published scientific evidence to develop a state-wide clearance protocol. A local management plan is suggested to be developed with IPC and ID teams.

    Helen
    Helen Bear
    Infection Control/Staff Health Coordinator/RN/Endorsed Immuniser

    [http://www.ramsayhealth.com/~/media/Images/email/email-RHC-logo.jpg]

    Warners Bay Private Hospital
    Nursing Admin
    Phone:

    02 4958 4288

    Email:

    BearH@ramsayhealth.com.au

    Web:

    http://www.ramsayhealth.com

    Address:

    Fairfax Road, Warners Bay NSW 2282

    [http://www.ramsayhealth.com/~/media/Images/email/email-social-media2.jpg]

    From: ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] On Behalf Of Michelle Gorman
    Sent: Wednesday, 20 March 2019 9:32 AM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: Re: [ACIPC_Infexion_Connexion] MRSA

    Hi Everyone,
    I was just wandering how many swabs do you need to collect for MRSA clearance.
    Currently we are doing 2 negative MRSA results.

    Regards,

    Michelle Gorman
    Care Manager
    Queanbeyan Residential Care Facility
    7 Campbell Street
    Queanbeyan NSW
    2620
    PH (02) 6297 1811
    Email: cmqacf@tpg.com.au

    From: ACIPC Infexion Connexion On Behalf Of Chelsea Kop
    Sent: Tuesday, 19 March 2019 3:52 PM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: Toilet bowl brushes

    Hello,

    Our hospital has recently been looking into the way our toilets are cleaned throughout our hospital.

    Do any of you use disposable toilet bowl brushes? If not, what cleaning process do you have for the brushes from room to room?

    Any information appreciated.

    Kind Regards,

    Chelsea Kop | Clinical Services Manager, BSN, GDipNurs(Onc), MCN

    Delmar Private Hospital
    58 Quirk Street, Dee Why, NSW 2099
    T +612 8978 5247 | M 0402772578 | F +612 9971 7299
    [DPH_logo]
    [2019 conference email signature]
    The content of this e-mail is the view of the sender or stated author and does not necessarily reflect the view of Delmar Private Hospital. The content, including attachments, is a confidential communication between of Delmar Private Hospital and the intended recipient. If you are not the intended recipient, any use, interference with, disclosure or copying of this e-mail, including attachments is unauthorised and expressly prohibited. If you have received this e-mail in error please contact the sender immediately and delete the e-mail and any attachments from your system.
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    #75263
    Deen, Sharon
    Participant

    Author:
    Deen, Sharon

    Email:
    DeenSharon@RAMSAYHEALTH.COM.AU

    Organisation:

    State:

    Hi Michelle,

    As per the WA guidelines, we collect 2 sets of MRSA screening swabs, nose, throat and any wounds.

    This is at least 3 months after the last positive results.

    Sharon Deen
    Infection Control Nurse

    [http://www.ramsayhealth.com/~/media/Images/email/email-RHC-logo]

    Peel Health Campus
    Infection Control
    Phone:

    08 9531 8570

    Fax:

    08 9531 8409

    Email:

    DeenSharon@ramsayhealth.com.au

    Web:

    http://www.ramsayhealth.com

    Address:

    110 Lakes Road, Mandurah WA 6210

    [http://www.ramsayhealth.com/~/media/Images/email/email-social-mediaPCP.jpg]

    Hi Everyone,
    I was just wandering how many swabs do you need to collect for MRSA clearance.
    Currently we are doing 2 negative MRSA results.

    Regards,

    Michelle Gorman
    Care Manager
    Queanbeyan Residential Care Facility
    7 Campbell Street
    Queanbeyan NSW
    2620
    PH (02) 6297 1811

    Hello,

    Our hospital has recently been looking into the way our toilets are cleaned throughout our hospital.

    Do any of you use disposable toilet bowl brushes? If not, what cleaning process do you have for the brushes from room to room?

    Any information appreciated.

    Kind Regards,

    Chelsea Kop | Clinical Services Manager, BSN, GDipNurs(Onc), MCN

    Delmar Private Hospital
    58 Quirk Street, Dee Why, NSW 2099
    T +612 8978 5247 | M 0402772578 | F +612 9971 7299
    [DPH_logo]
    [2019 conference email signature]
    The content of this e-mail is the view of the sender or stated author and does not necessarily reflect the view of Delmar Private Hospital. The content, including attachments, is a confidential communication between of Delmar Private Hospital and the intended recipient. If you are not the intended recipient, any use, interference with, disclosure or copying of this e-mail, including attachments is unauthorised and expressly prohibited. If you have received this e-mail in error please contact the sender immediately and delete the e-mail and any attachments from your system.
    P Please consider the environment before printing this email

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    You must destroy the original transmission and its contents.
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    the individual sender, except where the sender specifically
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    This communication should not be copied or disseminated
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    #75271
    Mayer, Jo
    Participant

    Author:
    Mayer, Jo

    Email:
    MayerJ@RAMSAYHEALTH.COM.AU

    Organisation:

    State:

    Hi

    We do the same at Hollywood – as per WA guidelines

    Kind regards
    Jo
    Jo Mayer
    Infection Control MANAGER (CNS/CNM)

    [http://www.ramsayhealth.com/~/media/Images/email/email-RHC-logo.jpg]

    Hollywood Private Hospital
    Infection Control
    Phone:

    08 9346 6479

    Email:

    MayerJ@ramsayhealth.com.au

    Web:

    http://www.ramsayhealth.com

    Address:

    Monash Ave, Nedlands WA 6009

    [http://www.ramsayhealth.com/~/media/Images/email/email-social-media2.jpg]

    Hi Michelle,

    As per the WA guidelines, we collect 2 sets of MRSA screening swabs, nose, throat and any wounds.

    This is at least 3 months after the last positive results.

    Sharon Deen
    Infection Control Nurse

    [http://www.ramsayhealth.com/~/media/Images/email/email-RHC-logo]

    Peel Health Campus
    Infection Control
    Phone:

    08 9531 8570

    Fax:

    08 9531 8409

    Email:

    DeenSharon@ramsayhealth.com.au

    Web:

    http://www.ramsayhealth.com

    Address:

    110 Lakes Road, Mandurah WA 6210

    [http://www.ramsayhealth.com/~/media/Images/email/email-social-mediaPCP.jpg]

    Hi Everyone,
    I was just wandering how many swabs do you need to collect for MRSA clearance.
    Currently we are doing 2 negative MRSA results.

    Regards,

    Michelle Gorman
    Care Manager
    Queanbeyan Residential Care Facility
    7 Campbell Street
    Queanbeyan NSW
    2620
    PH (02) 6297 1811

    Hello,

    Our hospital has recently been looking into the way our toilets are cleaned throughout our hospital.

    Do any of you use disposable toilet bowl brushes? If not, what cleaning process do you have for the brushes from room to room?

    Any information appreciated.

    Kind Regards,

    Chelsea Kop | Clinical Services Manager, BSN, GDipNurs(Onc), MCN

    Delmar Private Hospital
    58 Quirk Street, Dee Why, NSW 2099
    T +612 8978 5247 | M 0402772578 | F +612 9971 7299
    [DPH_logo]
    [2019 conference email signature]
    The content of this e-mail is the view of the sender or stated author and does not necessarily reflect the view of Delmar Private Hospital. The content, including attachments, is a confidential communication between of Delmar Private Hospital and the intended recipient. If you are not the intended recipient, any use, interference with, disclosure or copying of this e-mail, including attachments is unauthorised and expressly prohibited. If you have received this e-mail in error please contact the sender immediately and delete the e-mail and any attachments from your system.
    P Please consider the environment before printing this email

    ______________________________________________________________________
    This email has been scanned by the Symantec Email Security.cloud service.
    For more information please visit http://www.symanteccloud.com
    ______________________________________________________________________
    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.

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    This e-mail message and any accompanying files may contain
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    are not the intended recipient, and have received the e-mail
    in error, you are notified that any use, dissemination,
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    and any attached files is strictly prohibited. If you have
    received this e-mail message in error please immediately
    advise the sender by return e-mail, or telephone 1800 243 903.
    You must destroy the original transmission and its contents.
    Any views expressed within this communication are those of
    the individual sender, except where the sender specifically
    states them to be the views of Ramsay Health Care.
    This communication should not be copied or disseminated
    without permission.
    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 e-mail message and any accompanying files may contain
    information that is confidential and subject to privilege. If you
    are not the intended recipient, and have received the e-mail
    in error, you are notified that any use, dissemination,
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    and any attached files is strictly prohibited. If you have
    received this e-mail message in error please immediately
    advise the sender by return e-mail, or telephone 1800 243 903.
    You must destroy the original transmission and its contents.
    Any views expressed within this communication are those of
    the individual sender, except where the sender specifically
    states them to be the views of Ramsay Health Care.
    This communication should not be copied or disseminated
    without permission.

    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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