Reducing PIVC/CVAD related SABs

[Anonymous]

Hello everyone

I am curious to know how involved other ICPs are in relation to any actions taken after surveillance, specifically in relation to blood stream surveillance and reducing line (PIVC/CVAD) related Staphylococcus aureus bacteraemia.

I would appreciate any feedback around the following:

1. Who undertakes the blood stream surveillance? Is it a dedicated role and if so do they have other jobs?

2. What actions have you undertaken to reduce the SAB/Bacteraemia rate in your facility?

3. Who is responsible for actioning? Is it infection control?

4. Do you have a vascular access team (or similar)

5. If you have any “wins” you would like to share it would be appreciated.

Thanks

Mandy Davidson
RN DipPHTM MPHTM JCU
CNC Infection Prevention & Control
Townsville Hospital & Health Service
Pathology Building
IMB 38
P: 4433 3567
Mandy.Davidson@health.qld.gov.au
[cid:image001.jpg@01D21EE0.3D43B240]

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[khipsley@optusnet.com.au]

Dear Mandy,
this is not a detailed response to the specific questions you pose, but
a comment that sometimes this surveillance and in particular, the
detailed investigation of each case, can lead to issues/outcomes related
to other health services eg an Ambulance Service. I was part of a
presentation to ACIPC in Tasmania where we described a joint project /
program from 2011-12 onwards to reduce SABSIs related to PIVCs inserted
by NSW Ambulance. I would call this a win, as the number of SABSIs
reported from NSW Ambulance inserted PIVCs remain extremely low even now.

regards,
Kate Hipsley
Manager, Infection Control
NSW Ambulance

On 5/10/2016 9:12 AM, Mandy DAVIDSON wrote:
>
> Hello everyone
>
> I am curious to know how involved other ICPs are in relation to any
> actions taken after surveillance, specifically in relation to blood
> stream surveillance and reducing line (PIVC/CVAD) related
> Staphylococcus aureus bacteraemia.
>
> I would appreciate any feedback around the following:
>
> 1.Who undertakes the blood stream surveillance? Is it a dedicated role
> and if so do they have other jobs?
>
> 2.What actions have you undertaken to reduce the SAB/Bacteraemia rate
> in your facility?
>
> 3.Who is responsible for actioning? Is it infection control?
>
> 4.Do you have a vascular access team (or similar)
>
> 5.If you have any “wins” you would like to share it would be appreciated.
>
> Thanks
>
> *Mandy Davidson*
>
> RN DipPHTM MPHTM /JCU/
>
> CNC Infection Prevention & Control
>
> Townsville Hospital & Health Service
>
> Pathology Building
>
> IMB 38
>
> P: 4433 3567
>
> Mob: *5535
>
> Mandy.Davidson@health.qld.gov.au
>
> Logo 2015
>
> ********************************************************************************
>
> This email, including any attachments sent with it, is confidential
> and for the sole use of the intended recipient(s). This
> confidentiality is not waived or lost, if you receive it and you are
> not the intended recipient(s), or if it is transmitted/received in error.
>
> Any unauthorised use, alteration, disclosure, distribution or review
> of this email is strictly prohibited. The information contained in
> this email, including any attachment sent with it, may be subject to a
> statutory duty of confidentiality if it relates to health service matters.
>
> If you are not the intended recipient(s), or if you have received this
> email in error, you are asked to immediately notify the sender by
> telephone collect on Australia +61 1800 198 175 or by return email.
> You should also delete this email, and any copies, from your computer
> system network and destroy any hard copies produced.
>
> If not an intended recipient of this email, you must not copy,
> distribute or take any action(s) that relies on it; any form of
> disclosure, modification, distribution and/or publication of this
> email is also prohibited.
>
> Although Queensland Health takes all reasonable steps to ensure this
> email does not contain malicious software, Queensland Health does not
> accept responsibility for the consequences if any person’s computer
> inadvertently suffers any disruption to services, loss of information,
> harm or is infected with a virus, other malicious computer programme
> or code that may occur as a consequence of receiving this email.
>
> Unless stated otherwise, this email represents only the views of the
> sender and not the views of the Queensland Government.
>
> **********************************************************************************
>
> 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 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 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 aicalist@aicalist.org.au

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————–040802070609060808090503

Dear Mandy,
this is not a detailed response to the specific questions you pose,
but a comment that sometimes this surveillance and in particular,
the detailed investigation of each case, can lead to issues/outcomes
related to other health services eg an Ambulance Service. I was part
of a presentation to ACIPC in Tasmania where we described a joint
project / program from 2011-12 onwards to reduce SABSIs related to
PIVCs inserted by NSW Ambulance. I would call this a win, as the
number of SABSIs reported from NSW Ambulance inserted PIVCs remain
extremely low even now.

regards,
Kate Hipsley
Manager, Infection Control
NSW Ambulance
Ph: 0428 238 789

  On 5/10/2016 9:12 AM, Mandy DAVIDSON wrote:

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o:* {behavior:url(#default#VML);}
w:* {behavior:url(#default#VML);}
.shape {behavior:url(#default#VML);}

Hello everyone

 

I am curious to know how involved other
ICPs are in relation to any actions taken after surveillance,
specifically in relation to blood stream surveillance and
reducing line (PIVC/CVAD) related Staphylococcus aureus
bacteraemia.

 

I would appreciate any feedback around the
following:

1.       Who
undertakes the blood stream surveillance? Is it a dedicated
role and if so do they have other jobs?

2.       What
actions have you undertaken to reduce the SAB/Bacteraemia rate
in your facility?

3.       Who is
responsible for actioning? Is it infection control?

4.       Do you
have a vascular access team (or similar)

5.       If you
have any “wins” you would like to share it would be
appreciated.

 

 

Thanks

 

Mandy Davidson

RN DipPHTM 
MPHTM  JCU

CNC Infection Prevention
& Control

Townsville Hospital &
Health Service

Pathology Building

IMB 38

P: 4433 3567

Mob: *5535

Mandy.Davidson@health.qld.gov.au

 

********************************************************************************

This email, including any attachments sent with it, is
confidential and for the sole use of the intended
recipient(s). This confidentiality is not waived or lost, if
you receive it and you are not the intended recipient(s), or
if it is transmitted/received in error.

Any unauthorised use, alteration, disclosure, distribution or
review of this email is strictly prohibited. The information
contained in this email, including any attachment sent with
it, may be subject to a statutory duty of confidentiality if
it relates to health service matters.

If you are not the intended recipient(s), or if you have
received this email in error, you are asked to immediately
notify the sender by telephone collect on Australia +61 1800
198 175 or by return email. You should also delete this email,
and any copies, from your computer system network and destroy
any hard copies produced.

If not an intended recipient of this email, you must not
copy, distribute or take any action(s) that relies on it; any
form of disclosure, modification, distribution and/or
publication of this email is also prohibited.

Although Queensland Health takes all reasonable steps to
ensure this email does not contain malicious software,
Queensland Health does not accept responsibility for the
consequences if any person’s computer inadvertently suffers
any disruption to services, loss of information, harm or is
infected with a virus, other malicious computer programme or
code that may occur as a consequence of receiving this email.

Unless stated otherwise, this email represents only the views
of the sender and not the views of the Queensland Government.

**********************************************************************************

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 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 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 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

————–040802070609060808090503–

[Natasha Hempenstall]

Hi Mandy

Some brief responses from SCHHS

1. In our Infection Management Service team we have an allocated team member to monitor the blood stream infections (surveillance) Multiprac alerts us to all blood cultures performed and the BSI portfolio holder main roles is to monitor and report as required. All of our team have specific portfolios however they do other jobs as well i.e. Daily MRO rounds, education as needed.
2. the BSI portfolio holder sends feedback forms requesting a response on specific BSI’s i.e SABs IVAD related BSIs, procedure related BSIs, additionally we provide regular education to areas especially if a pattern is identified i.e. regular education to renal dialysis and oncology as well as wards that have an increase in IVC related BSIs. Posters and promotional material around the facility.
3. IMS present the results each month at the Infection Prevention and Control Committee – our Infectious Disease consultant meets up with the BSI portfolio holder each week to run over positive BSIs. IMS is responsible for actioning it in our HHS.
4. SCHHS does have a VASE team. VASE consists of one FTE. Their role is to insert PICCs and perform regular audits of IVCs and give education. IMS sends the feedback forms to VASE with the results. The VASE team attend the IPCC meeting as well.
5. Just recently QAS has come on board within the SCHSS to stick red QAS inserted stickers onto IVCs inserted by QAS which hopefully will reduce the IVC staying in greater than 24 hours inturn reducing BSIs. The difficulty was the wards not knowing who inserted the IVC and was it inserted in an ideal situation.
Hope this is of benefit.

I am happy for you to contact our IMS team directly.

Cheers Tash
Natasha Hempenstall
Acting Clinical Nurse Consultant
Infection Management Service
——————————————————————————
Sunshine Coast Hospital and Health Service Queensland Health
P: (07) 5470 6831
E: Natasha.Hempenstall@health.qld.gov.au

________________________________

Hello everyone

I am curious to know how involved other ICPs are in relation to any actions taken after surveillance, specifically in relation to blood stream surveillance and reducing line (PIVC/CVAD) related Staphylococcus aureus bacteraemia.

I would appreciate any feedback around the following:

1. Who undertakes the blood stream surveillance? Is it a dedicated role and if so do they have other jobs?

2. What actions have you undertaken to reduce the SAB/Bacteraemia rate in your facility?

3. Who is responsible for actioning? Is it infection control?

4. Do you have a vascular access team (or similar)

5. If you have any “wins” you would like to share it would be appreciated.

Thanks

Mandy Davidson
RN DipPHTM MPHTM JCU
CNC Infection Prevention & Control
Townsville Hospital & Health Service
Pathology Building
IMB 38
P: 4433 3567
Mandy.Davidson@health.qld.gov.au
[cid:image001.jpg@01D21EE0.3D43B240]

********************************************************************************

This email, including any attachments sent with it, is confidential and for the sole use of the intended recipient(s). This confidentiality is not waived or lost, if you receive it and you are not the intended recipient(s), or if it is transmitted/received in error.

Any unauthorised use, alteration, disclosure, distribution or review of this email is strictly prohibited. The information contained in this email, including any attachment sent with it, may be subject to a statutory duty of confidentiality if it relates to health service matters.

If you are not the intended recipient(s), or if you have received this email in error, you are asked to immediately notify the sender by telephone collect on Australia +61 1800 198 175 or by return email. You should also delete this email, and any copies, from your computer system network and destroy any hard copies produced.

If not an intended recipient of this email, you must not copy, distribute or take any action(s) that relies on it; any form of disclosure, modification, distribution and/or publication of this email is also prohibited.

Although Queensland Health takes all reasonable steps to ensure this email does not contain malicious software, Queensland Health does not accept responsibility for the consequences if any person’s computer inadvertently suffers any disruption to services, loss of information, harm or is infected with a virus, other malicious computer programme or code that may occur as a consequence of receiving this email.

Unless stated otherwise, this email represents only the views of the sender and not the views of the Queensland Government.

**********************************************************************************

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 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 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 aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

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