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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 1811Kop
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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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 ControlWA 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 1811Hello,
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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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 Governancep: 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 1811Hello,
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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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 siteregards
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 1811Hello,
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.
P Please consider the environment before printing this email______________________________________________________________________
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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
KristinKristin 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 OneHi 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 1811Hello,
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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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:
Web:
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] MRSAHi 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.auFrom: ACIPC Infexion Connexion On Behalf Of Chelsea Kop
Sent: Tuesday, 19 March 2019 3:52 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Toilet bowl brushesHello,
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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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:
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 1811Hello,
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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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:
Web:
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:
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 1811Hello,
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.
Any views expressed within this communication are those of
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