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Dear all,
I note previous concerns about the accuracy of no touch infrared thermometers below.
Has there been any recommendations in relation NOT using these thermometers in clinical areas?
Think we are missing COVID-19 cases in aged care settings because of the use of such thermometers in this setting.
Have had 2 recent confirmed COVID-19 residents who were afebrile at the facility but febrile on arrival at the hospital.
Im looking for any specific directive that may have come out?
Many thanks in anticipation.
Glenys
Glenys Harrington
Consultant
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
Hi Sue
We looked at contactless infrared contactless thermometers, but the actual temperature measurements provided were not considered accurate enough by our physicians.
We use mainly infrared ear thermometers in our adult patients, with a probe cover, and wipe with a detergent wipe between uses.
One of the advantages of an ear thermometer is that it does not come into contact with mucous membranes, and therefore the question about high level disinfection between patients is avoided.
But I know there are physicians who will not rely upon infrared ear thermometer readings, although we find they tend to be quite accurate, provided they are taken correctly and the ear used is not inflamed.
Cheers
Michael
Michael Wishart | Infection Control Coordinator, CICP-E
St Vincents Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
Hi all,
Does anyone use contactless infrared thermometers?
In the current environment it may seem prudent to use them.
We use Covidien thermometers and go through 100 probe covers a day on one ward.
It would be good to reduce the level of plastic discarded too.
Regards,
Sue
Sue King
Nurse Unit Manager/Infection Prevention and controlDonvale Rehabilitation Hospital
Tully WardPhone:
03 9841 1272
Fax:
03 9842 7276
Email:
Web:
Address:
1119 Doncaster Road, Donvale Vic 3111
Hi Debra,
We use probe covers or the thermometers dont work anyway. I have always wiped them down with the cleaning wipe supplied to wipe down the rest of the obs machine. Its standard practice to clean between each patient. I would of thought if proper cleaning has been used with wipes rated to kill the microorganism and use of covers sufficient for general use with dedicated equipment wherever possible for people in isolation.
Regards Angela Carvosso
RN Warwick Health Services
Sent from Mail for Windows 10
Hi all,
Has anyone else been asked if oral thermometers should undergo HLD to comply with 4187, as the probe comes in contact with a mucous membrane?
There is heightened awareness around COVID 19 transmission and it was raised that a probe cover is not considered sufficient protection without HLD for other sitesIf you could please let me know what processes do others use for cleaning of oral thermometer probes between each patient?
Kind regards,
Debra Lee
Clinical Nurse Consultant
Infection Management and Prevention Service
West Block Ground floor
Redcliffe Hospital
Redcliffe, Qld 4020debra.lee@health.qld.gov.au
metronorth.health.qld.gov.au(Make Prevention Your Intention)
follow us on social media
Metro North Hospital and Health Service
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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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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 all,
We are currently using the infrared contactless thermometers for several reasons for quite a while we couldnt get the probe covers for the tympanic thermometers as they were in very short supply. We have found them good as long as they are used correctly. They do not work well at the entrance screening points however, as the cold air coming into the building means they have to be constantly recalibrated. They also do not work well on cold skin. The infra net thermometers we are using are TGA approved and have been supplied by DHHS.Cheers,
Kelly
I acknowledge the traditional owners of the land on which we work and live, and respect their ongoing custodianship of the land. I pay respect to Aboriginal people, and Elders past and present.[cid:image001.png@01D3593E.B14EC410]
Kelly Barton
Infection Prevention & Control Officer
RN BHSc (Nursing). Grad Cert (Infection Control)(Advanced Acute Care). Nurse Immuniser. Cert IV T&A
Email: kelly.barton@alpinehealth.org.au
Office: 03 5751 9364
Mobile: 0409 885 002
Fax: 03 5751 9396
Address: 30 ODonnell Ave, Myrtleford VIC 3737
Website: http://www.alpinehealth.org.au
P Reduce, re-use, recycle. Please consider the environment before printing this e-mail.From: ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] On Behalf Of Glenys Harrington
Sent: Saturday, 18 July 2020 10:47 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] no touch infrared thermometersDear all,
I note previous concerns about the accuracy of no touch infrared thermometers below.
Has there been any recommendations in relation NOT using these thermometers in clinical areas?
Think we are missing COVID-19 cases in aged care settings because of the use of such thermometers in this setting.
Have had 2 recent confirmed COVID-19 residents who were afebrile at the facility but febrile on arrival at the hospital.
Im looking for any specific directive that may have come out?
Many thanks in anticipation.
Glenys
Glenys Harrington
Consultant
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
E: infexion@ozemail.com.au
[Description: ICC Diagram ICCversion]From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> On Behalf Of Michael Wishart
Sent: Wednesday, 4 March 2020 10:44 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] Oral thermometer questionHi Sue
We looked at contactless infrared contactless thermometers, but the actual temperature measurements provided were not considered accurate enough by our physicians.
We use mainly infrared ear thermometers in our adult patients, with a probe cover, and wipe with a detergent wipe between uses.
One of the advantages of an ear thermometer is that it does not come into contact with mucous membranes, and therefore the question about high level disinfection between patients is avoided.
But I know there are physicians who will not rely upon infrared ear thermometer readings, although we find they tend to be quite accurate, provided they are taken correctly and the ear used is not inflamed.
Cheers
MichaelMichael Wishart | Infection Control Coordinator, CICP-E
St Vincents Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
W https://www.svphn.org.au[cid:image001.jpg@01D5F208.438816B0]
[cid:image002.png@01D5F208.438816B0]
From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> On Behalf Of King, Sue
Sent: Wednesday, 4 March 2020 9:15 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] Oral thermometer questionHi all,
Does anyone use contactless infrared thermometers?
In the current environment it may seem prudent to use them.
We use Covidien thermometers and go through 100 probe covers a day on one ward.
It would be good to reduce the level of plastic discarded too.Regards,
SueSue King
Nurse Unit Manager/Infection Prevention and control[http://www.ramsayhealth.com/~/media/Images/email/email-RHC-logo]
Donvale Rehabilitation Hospital
Tully Ward
Phone:03 9841 1272
Fax:
03 9842 7276
Email:
Web:
Address:
1119 Doncaster Road, Donvale Vic 3111
[http://www.ramsayhealth.com/~/media/Images/email/email-social-mediaPCP.jpg]
From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> On Behalf Of Angela Carvosso
Sent: Tuesday, 3 March 2020 2:59 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] Oral thermometer questionHi Debra,
We use probe covers or the thermometers dont work anyway. I have always wiped them down with the cleaning wipe supplied to wipe down the rest of the obs machine. Its standard practice to clean between each patient. I would of thought if proper cleaning has been used with wipes rated to kill the microorganism and use of covers sufficient for general use with dedicated equipment wherever possible for people in isolation.
Regards Angela Carvosso
RN Warwick Health ServicesSent from Mail for Windows 10
From: Debra Lee
Sent: Monday, 2 March 2020 9:50 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: [ACIPC_Infexion_Connexion] Oral thermometer questionHi all,
Has anyone else been asked if oral thermometers should undergo HLD to comply with 4187, as the probe comes in contact with a mucous membrane?
There is heightened awareness around COVID 19 transmission and it was raised that a probe cover is not considered sufficient protection without HLD for other sitesIf you could please let me know what processes do others use for cleaning of oral thermometer probes between each patient?
Kind regards,
Debra Lee
Clinical Nurse Consultant
Infection Management and Prevention Service
West Block Ground floor
Redcliffe Hospital
Redcliffe, Qld 4020
Ph: (07) 3883 7300
debra.lee@health.qld.gov.au
metronorth.health.qld.gov.au
(Make Prevention Your Intention)
[Values in Action]
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[LinkedIn]
follow us on social media
Metro North Hospital and Health Service
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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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This e-mail message and any accompanying files may contain information that is confidential. If you are not the intended recipient, and have received the e-mail in error, you are notified that any use, dissemination, distribution, forwarding, printing or copying of the message 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.
______________________________________________________________________
This email and any attachments to it (the “Email”) is confidential and is for the use only of the intended recipient, and may not be duplicated or used by any other party without the express consent of the sender. If you are not the intended recipient of the Email, please notify the sender immediately by return email, delete the Email, and do not copy, print, retransmit, store or act in reliance on the Email. St Vincent’s Health Australia (“SVHA”) does not guarantee that the Email is free from errors, viruses or interference. Emails to and from SVHA or its related entities may be scanned and filtered in locations outside Australia.
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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This email and any attachments to it (the “Email”) is confidential and is for the use only of the intended recipient, and may not be duplicated or used by any other party without the express consent of the sender. If you are not the intended recipient of the Email, please notify the sender immediately by return email, delete the Email, and do not copy, print, retransmit, store or act in reliance on the Email. St Vincent’s Health Australia (“SVHA”) does not guarantee that the Email is free from errors, viruses or interference. Emails to and from SVHA or its related entities may be scanned and filtered in locations outside Australia.
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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Hello Glenys,
I have heard there were issues regarding the infrared temperatures.
They have swung on to the market and are everywhere.
Ripe for a validation study!Two things are possible:
Infrared thermometers are inconsistent and do not report accurately
Older people may not always present with a temperature when they have an infection (and in the examples you give, they may not have had one in the NH)
Safer Care Victoria has produced a tool asking staff to report daily typical and non-typical symptoms. This then triggers a response.
For your interest the link is below.
https://www.bettersafercare.vic.gov.au/resources/tools/covid-19-screening-tool-for-residential-aged-care-services#goto-usingthe-covid-19-screening-tool
Aged care services in Victoria have begun reporting this to SCV via a VICNISS portal this week.I am sure there are better articles on aged care and infection but the below link is a simple and quick 2 minute read.
https://khn.org/news/seniors-with-covid-19-show-unusual-symptoms-doctors-say/Maree
Maree Sommerville
Infection Control Consultant
VICNISS Coordinating Centre
Doherty Institute | Level 2
792 Elizabeth St Melbourne VIC 3000
T: +61 3 9342 9362 | F: +61 3 9342 9355 | http://www.vicniss.org.au
Email: maree.sommerville@mh.org.auThe Peter Doherty Institute for Infection and Immunity
792 Elizabeth Street | Melbourne | Victoria | Australia | 3000
doherty.edu.au
[VICNISS_RGB – Copy]From: ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] On Behalf Of Glenys Harrington
Sent: Tuesday, 21 July 2020 6:10 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] no touch infrared thermometersHi Kelly,
Thank for responding.
Are you using the no contact thermometers on you patients or just screening at the entrance to your facility?
Regards
Glenys
Glenys Harrington
Consultant
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
E: infexion@ozemail.com.au
[Description: ICC Diagram ICCversion]From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> On Behalf Of Kelly Barton
Sent: Monday, 20 July 2020 8:59 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] no touch infrared thermometersHi all,
We are currently using the infrared contactless thermometers for several reasons for quite a while we couldnt get the probe covers for the tympanic thermometers as they were in very short supply. We have found them good as long as they are used correctly. They do not work well at the entrance screening points however, as the cold air coming into the building means they have to be constantly recalibrated. They also do not work well on cold skin. The infra net thermometers we are using are TGA approved and have been supplied by DHHS.Cheers,
Kelly
I acknowledge the traditional owners of the land on which we work and live, and respect their ongoing custodianship of the land. I pay respect to Aboriginal people, and Elders past and present.[cid:image001.png@01D65E74.01B82170]
Kelly Barton
Infection Prevention & Control Officer
RN BHSc (Nursing). Grad Cert (Infection Control)(Advanced Acute Care). Nurse Immuniser. Cert IV T&A
Email: kelly.barton@alpinehealth.org.au
Office: 03 5751 9364
Mobile: 0409 885 002
Fax: 03 5751 9396
Address: 30 ODonnell Ave, Myrtleford VIC 3737
Website: http://www.alpinehealth.org.au
P Reduce, re-use, recycle. Please consider the environment before printing this e-mail.From: ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] On Behalf Of Glenys Harrington
Sent: Saturday, 18 July 2020 10:47 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] no touch infrared thermometersDear all,
I note previous concerns about the accuracy of no touch infrared thermometers below.
Has there been any recommendations in relation NOT using these thermometers in clinical areas?
Think we are missing COVID-19 cases in aged care settings because of the use of such thermometers in this setting.
Have had 2 recent confirmed COVID-19 residents who were afebrile at the facility but febrile on arrival at the hospital.
Im looking for any specific directive that may have come out?
Many thanks in anticipation.
Glenys
Glenys Harrington
Consultant
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
E: infexion@ozemail.com.au
[Description: ICC Diagram ICCversion]From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> On Behalf Of Michael Wishart
Sent: Wednesday, 4 March 2020 10:44 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] Oral thermometer questionHi Sue
We looked at contactless infrared contactless thermometers, but the actual temperature measurements provided were not considered accurate enough by our physicians.
We use mainly infrared ear thermometers in our adult patients, with a probe cover, and wipe with a detergent wipe between uses.
One of the advantages of an ear thermometer is that it does not come into contact with mucous membranes, and therefore the question about high level disinfection between patients is avoided.
But I know there are physicians who will not rely upon infrared ear thermometer readings, although we find they tend to be quite accurate, provided they are taken correctly and the ear used is not inflamed.
Cheers
MichaelMichael Wishart | Infection Control Coordinator, CICP-E
St Vincents Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
W https://www.svphn.org.au[cid:image001.jpg@01D5F208.438816B0]
[cid:image002.png@01D5F208.438816B0]
From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> On Behalf Of King, Sue
Sent: Wednesday, 4 March 2020 9:15 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] Oral thermometer questionHi all,
Does anyone use contactless infrared thermometers?
In the current environment it may seem prudent to use them.
We use Covidien thermometers and go through 100 probe covers a day on one ward.
It would be good to reduce the level of plastic discarded too.Regards,
SueSue King
Nurse Unit Manager/Infection Prevention and control[http://www.ramsayhealth.com/~/media/Images/email/email-RHC-logo]
Donvale Rehabilitation Hospital
Tully Ward
Phone:03 9841 1272
Fax:
03 9842 7276
Email:
Web:
Address:
1119 Doncaster Road, Donvale Vic 3111
[http://www.ramsayhealth.com/~/media/Images/email/email-social-mediaPCP.jpg]
From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> On Behalf Of Angela Carvosso
Sent: Tuesday, 3 March 2020 2:59 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] Oral thermometer questionHi Debra,
We use probe covers or the thermometers dont work anyway. I have always wiped them down with the cleaning wipe supplied to wipe down the rest of the obs machine. Its standard practice to clean between each patient. I would of thought if proper cleaning has been used with wipes rated to kill the microorganism and use of covers sufficient for general use with dedicated equipment wherever possible for people in isolation.
Regards Angela Carvosso
RN Warwick Health ServicesSent from Mail for Windows 10
From: Debra Lee
Sent: Monday, 2 March 2020 9:50 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: [ACIPC_Infexion_Connexion] Oral thermometer questionHi all,
Has anyone else been asked if oral thermometers should undergo HLD to comply with 4187, as the probe comes in contact with a mucous membrane?
There is heightened awareness around COVID 19 transmission and it was raised that a probe cover is not considered sufficient protection without HLD for other sitesIf you could please let me know what processes do others use for cleaning of oral thermometer probes between each patient?
Kind regards,
Debra Lee
Clinical Nurse Consultant
Infection Management and Prevention Service
West Block Ground floor
Redcliffe Hospital
Redcliffe, Qld 4020
Ph: (07) 3883 7300
debra.lee@health.qld.gov.au
metronorth.health.qld.gov.au
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