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Hi Fiona
I recall the work of Tal Ellis from the Uni of SA which proposed this concept for the management of long term, chronic wounds. My understanding was that is was not really suited to acute trauma or surgical wounds. I don’t have any sources to cite for this, sorry, just what I recall of previous discussions.
I must admit I am surprised to hear universities teaching this concept for all wound care. Would be interested to hear if this is a widespread component of university training programs now.
Cheers
MichaelMichael Wishart | GPH – Infection Control Coordinator
GPH – Quality & Safety Unit (Infection Control) | Greenslopes Private Hospital
Newdegate Street, Greenslopes QLD 4120
t: 07 3394 7919 | f: 07 3394 7985
e: WishartM@ramsayhealth.com.au | w: http://www.ramsayhealth.com.auRamsay Health Care is an environmentally responsible corporation, please consider the environment before printing this email.
________________________________________Hi All,
I was recently introduced to the wound field concept by a new graduate nurse who had failed her aseptic non touch technique competency as she was using the wound field concept that she was taught at her university.
Although I can find theoretical information on this concept I have not found any research to show that this is a clinically better practice than using an ANTT. It does not appear to be included in the latest Australian Infection Control Guidelines or the new national standards either.
Does anyone have any references to support the wound field concept especially in relation to reduction in HAI rates?
Does anyone use this concept in their facility?Kind Regards,
Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
Fiona.Desousa@sah.org.au
185 Fox Valley Road, Wahroonga, NSW, 2076If you are not the intended recipient you are hereby notified that any dissemination, distribution or reproduction of this message
is prohibited. If you have received this message in error please notify the sender immediately, then destroy the original message.
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by Sydney Adventist Hospital to state that they are the views of Sydney Adventist Hospital.
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Hi Fiona
I am Course Leader for MSc Infection Prevention and Control and a Short
Course in Infection Prevention and Control at Oxford Brookes University, and
just to let you know that we only teach ANTT , and indicate that it is
applicable to the insertion and ongoing care of invasive devices, and wound
care, whether in acute care, or in the community.
Some organisations here (in the UK) are implementing this initiative across
the board, with its audit tool, and signing off competence in all staff,
including medical staff, in relation to the insertion of peripheral venous
cannulae, IV medicines management, central line management, and insertion of
Urinary catheters.Cheers
Jackie
Ms Jackie Miley
Course Leader MSc Infection Prevention and Control
Course Leader Short Course Infection Prevention & ControlSenior Lecturer Infection Prevention and Control & Continuing Professional
DevelopmentBrookes University
School of Health and Social Care
Jack Straw’s Lane
Marston
Oxford OX3 0FL01865 485251
jmiley@brookes.ac.ukDip RN, Cert Infection Control, PGCert Management, PGCert Public Health,
PGCert Higher Professional EducationOn 27 June 2011 05:59, Wishart, Michael wrote:
> Hi Fiona
>
> I recall the work of Tal Ellis from the Uni of SA which proposed this
> concept for the management of long term, chronic wounds. My understanding
> was that is was not really suited to acute trauma or surgical wounds. I
> don’t have any sources to cite for this, sorry, just what I recall of
> previous discussions.
>
> I must admit I am surprised to hear universities teaching this concept for
> all wound care. Would be interested to hear if this is a widespread
> component of university training programs now.
>
> Cheers
> Michael
>
> Michael Wishart | GPH – Infection Control Coordinator
>
> GPH – Quality & Safety Unit (Infection Control) | Greenslopes Private
> Hospital
> Newdegate Street, Greenslopes QLD 4120
> t: 07 3394 7919 | f: 07 3394 7985
> e: WishartM@ramsayhealth.com.au | w: http://www.ramsayhealth.com.au
>
>
> Ramsay Health Care is an environmentally responsible corporation, please
> consider the environment before printing this email.
> ________________________________________
> From: AICA Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf
> Of Fiona de Sousa
> Sent: Monday, 27 June 2011 1:24 PM
> To: AICALIST@AICALIST.ORG.AU
> Subject: [AICA_Infexion_Connexion] Wound Field Concept
>
> Hi All,
>
> I was recently introduced to the wound field concept by a new graduate
> nurse who had failed her aseptic non touch technique competency as she was
> using the wound field concept that she was taught at her university.
>
> Although I can find theoretical information on this concept I have not
> found any research to show that this is a clinically better practice than
> using an ANTT. It does not appear to be included in the latest Australian
> Infection Control Guidelines or the new national standards either.
>
> Does anyone have any references to support the wound field concept
> especially in relation to reduction in HAI rates?
> Does anyone use this concept in their facility?
>
> Kind Regards,
>
> Fiona De Sousa
> Infection Prevention & Control Coordinator
> Sydney Adventist Hospital
> Mobile: 0408 468 470
> Office: (02) 9487 9732
> Fax: (02) 9472 8053
> Fiona.Desousa@sah.org.au
> 185 Fox Valley Road, Wahroonga, NSW, 2076
>
>
> CAUTION: This message may contain both confidential and privileged
> information intended for the addressee named above.
> If you are not the intended recipient you are hereby notified that any
> dissemination, distribution or reproduction of this message
> is prohibited. If you have received this message in error please notify the
> sender immediately, then destroy the original message.
> Any views expressed in this message are solely those of the individual
> sender, except where the sender is specifically authorised
> by Sydney Adventist Hospital to state that they are the views of Sydney
> Adventist Hospital.
> _____________________________________________________________________
> This e-mail has been scanned for viruses by Symantec Hosted Services
> Scanning Services – powered by MessageLabs. For further information
> visit http://www.messagelabs.com
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> NOTICE: CONFIDENTIAL COMMUNICATION
> 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,
> 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.
> ————————————————————————
>
> Messages posted to this list are solely the opinion of the authors, and do
> not represent the opinion of AICA.
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>Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of AICA.
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Hi Fiona,
Apologise for taking awhile to respond to this but I needed to get some clarification. I asked my colleagues at University SA what they actually teach students in their course and Terry-Renette Friebe, one of the Uni SA Course lecturers has commented back with this:
“I have recently been upgrading the literature on the wound program and must be honest didn’t see much about the wound field concept. My understanding of the wound field concept is that the wound and the dressing field are one entity, meaning that the microorganisms on the wound are the same as the dressing tray unless contamination from another source occurs. In regards to Infection control the concept of aseptic technique should still be the same regardless of the wound concept practiced. That is,
1. good hand washing
2. if not wearing sterile gloves practicing a non touch technique, and ensuring the part of the forceps and scissors touched by the hands should not be touching the sterile component of the wound field
3. if wearing sterile gloves than able to touch all components of the wound field but not able to touch non wound field environment
4. non sterile gloves are treated the same as bare hands.To be honest, I would be suggesting the students haven’t understood the concepts and the difference – the wound field concept doesn’t negate the necessity for aseptic technique. I have attached links to a number of sources I found when researching this topic.”
http://search.informit.com.au/fullText;dn983658278629274;resIELHEA
http://download.journals.elsevierhealth.com/pdfs/journals/1322-7696/PIIS1322769608604655.pdf
http://www.sawma.org.au/documents/2007_sawma_wound_cleansing_and_dressing_procedure_nov_07.pdf
Kind Regards
Marija
Mrs Marija Juraja
Clinical Service Coordinator, CICPInfection Prevention and Control Unit
8th Floor
T: +61 8 8222 7588
F: +61 8 8222 6461
P: 47757
E: marija juraja@health.sa.gov.au—–Original Message—–
Hi Fiona
I recall the work of Tal Ellis from the Uni of SA which proposed this concept for the management of long term, chronic wounds. My understanding was that is was not really suited to acute trauma or surgical wounds. I don’t have any sources to cite for this, sorry, just what I recall of previous discussions.
I must admit I am surprised to hear universities teaching this concept for all wound care. Would be interested to hear if this is a widespread component of university training programs now.
Cheers
MichaelMichael Wishart | GPH – Infection Control Coordinator
GPH – Quality & Safety Unit (Infection Control) | Greenslopes Private Hospital
Newdegate Street, Greenslopes QLD 4120
t: 07 3394 7919 | f: 07 3394 7985
e: WishartM@ramsayhealth.com.au | w: http://www.ramsayhealth.com.auRamsay Health Care is an environmentally responsible corporation, please consider the environment before printing this email.
________________________________________Hi All,
I was recently introduced to the wound field concept by a new graduate nurse who had failed her aseptic non touch technique competency as she was using the wound field concept that she was taught at her university.
Although I can find theoretical information on this concept I have not found any research to show that this is a clinically better practice than using an ANTT. It does not appear to be included in the latest Australian Infection Control Guidelines or the new national standards either.
Does anyone have any references to support the wound field concept especially in relation to reduction in HAI rates?
Does anyone use this concept in their facility?Kind Regards,
Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
Fiona.Desousa@sah.org.au
185 Fox Valley Road, Wahroonga, NSW, 2076If you are not the intended recipient you are hereby notified that any dissemination, distribution or reproduction of this message
is prohibited. If you have received this message in error please notify the sender immediately, then destroy the original message.
Any views expressed in this message are solely those of the individual sender, except where the sender is specifically authorised
by Sydney Adventist Hospital to state that they are the views of Sydney Adventist Hospital.
_____________________________________________________________________
This e-mail has been scanned for viruses by Symantec Hosted Services
Scanning Services – powered by MessageLabs. For further information
visit http://www.messagelabs.comThis 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,
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.
————————————————————————Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of AICA.
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 aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of AICA.
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 aicalist@aicalist.org.au
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