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Risk rating tool for infection control re MRO pts – can anyone advise

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  • #68780
    Lindy Ryan
    Participant

    Author:
    Lindy Ryan

    Email:
    Lindy.Ryan@SWAHS.HEALTH.NSW.GOV.AU

    Organisation:

    State:

    Dear Colleagues
    I have been asked by my executive to check if anyone out there has
    developed a formal tool for “rating infectious control patients. For
    example an infectious patient with no drips /drains/ wound rated as a 1
    where as a 3 for a patient with wounds /drips and drains?” that is used
    by their their facility/service
    apparently some one has one developed hence our executive putting this
    forward as strategy to be considered for managing our bed block related
    to infection control risk pts …..I would think they are largely
    referring to MRSA pt’s.
    anyhow any advice or if anyone knows of one or if there is any
    literature or research supporting this approach for categorising pts
    with an MRO using such a tool I would be most appreciative.
    I am aware that pts without drains drips, good skin integrity etc may be
    lower risk of picking/spreading MROs (as we all know) a but i have not
    seen anything formalised or in concrete using a tool without the need
    for clinical/ infection control consideration which is more what I was
    after. I think my management are hoping for a one hat fits all approach
    to managing infection control issues/pts after hours when Infection
    control expertise is not available …hence me asking to see if anyone
    has developed something that is safe and workable.
    many thanks for any help
    have a great day all
    regards

    Lindy
    Lindy Ryan

    Infection Control Clinical Nurse Consultant | Infection Control
    Services, Nepean Hospital
    Nepean Blue Mountains Local Health District PO Box 63 Penrith NSW 2751
    Tel 02 4734 2228 | Fax 02 4734 2517 | lindy.ryan@swahs.health.nsw.gov.au
    http://www.health.nsw.gov.au

    Infection prevention & control is everyone’s business

    ___________________________________

    Unless you are the intended recipient any unauthorised use, dissemination,further distribution or reproduction of this communication in any form whatsoever, is strictly prohibited.

    If this communication has been sent to you in error, please notify the sender by return e-mail and delete and/or destroy your copy of this communication (including attachments).

    Any views expressed in this communication are those of the individual sender, except where the sender states them to be the views of the Nepean Blue Mountains Local Health District/Western Sydney Local Health District.

    Unless otherwise expressed, it is not represented, warranted or guaranteed that the integrity of this communication has been maintained nor that the communication is free of virus, errors or interference.

    10/20/11 – 17:17:39

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    #68781
    Craig Boutlis
    Participant

    Author:
    Craig Boutlis

    Email:
    Craig.Boutlis@SESIAHS.HEALTH.NSW.GOV.AU

    Organisation:

    State:

    Dear Lindy,

    You might be interested in Googling the “Lewisham isolation priority system”

    Craig Boutlis

    No conflicts of interest

    Infectious Diseases
    Wollongong Hospital

    ________________________________

    Dear Colleagues

    I have been asked by my executive to check if anyone out there has developed a formal tool for “rating infectious control patients. For example an infectious patient with no drips /drains/ wound rated as a 1 where as a 3 for a patient with wounds /drips and drains?” that is used by their their facility/service

    apparently some one has one developed hence our executive putting this forward as strategy to be considered for managing our bed block related to infection control risk pts …..I would think they are largely referring to MRSA pt’s.

    anyhow any advice or if anyone knows of one or if there is any literature or research supporting this approach for categorising pts with an MRO using such a tool I would be most appreciative.
    I am aware that pts without drains drips, good skin integrity etc may be lower risk of picking/spreading MROs (as we all know) a but i have not seen anything formalised or in concrete using a tool without the need for clinical/ infection control consideration which is more what I was after. I think my management are hoping for a one hat fits all approach to managing infection control issues/pts after hours when Infection control expertise is not available …hence me asking to see if anyone has developed something that is safe and workable.

    many thanks for any help

    have a great day all

    regards

    Lindy

    Lindy Ryan

    Infection Control Clinical Nurse Consultant | Infection Control Services, Nepean Hospital
    Nepean Blue Mountains Local Health District PO Box 63 Penrith NSW 2751
    Tel 02 4734 2228 | Fax 02 4734 2517 | lindy.ryan@swahs.health.nsw.gov.au
    http://www.health.nsw.gov.au

    Infection prevention & control is everyone’s business

    ___________________________________

    Unless you are the intended recipient any unauthorised use, dissemination,further distribution or reproduction of this communication in any form whatsoever, is strictly prohibited.

    If this communication has been sent to you in error, please notify the sender by return e-mail and delete and/or destroy your copy of this communication (including attachments).

    Any views expressed in this communication are those of the individual sender, except where the sender states them to be the views of the Nepean Blue Mountains Local Health District/Western Sydney Local Health District.

    Unless otherwise expressed, it is not represented, warranted or guaranteed that the integrity of this communication has been maintained nor that the communication is free of virus, errors or interference.

    10/20/11 – 17:17:39 Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of AICA.

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    Illawarra Shoalhaven Local Health District, South East Sydney Local Health District and Sydney Children’s Hospital Network (Randwick Campus) Confidentiality Notice

    This email, and the files transmitted with it, are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you are not the intended recipient, you are not permitted to distribute or use this email or any of its attachments in any way. We also request that you advise the sender of the incorrect addressing.

    This email message has been virus-scanned. Although no computer viruses were detected, Illawarra Shoalhaven Local Health District, South East Sydney Local Health District and Sydney Children’s Hospital Network (Randwick Campus) accept no liability for any consequential damage resulting from email containing any computer viruses.

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    #68782
    Carolyn.Chenoweth@FMC-ASIA.COM Subject: Re: Risk rating tool for infection control re MRO pts – can anyone advise In-Reply-To:
    Participant

    Author:
    Carolyn.Chenoweth@FMC-ASIA.COM Subject: Re: Risk rating tool for infection control re MRO pts – can anyone advise In-Reply-To:

    Email:
    F3C14012255CAB42B1C54D644D2CEA8F0382A8765B@WOLEML21.lan.sesa

    Organisation:

    State:

    Hi Lindy,
    Look up SA Health and then the MRO guidelines for Renal replacement
    therapy. VRE patients are rated high and low risk with stated criteria.

    Sincerely
    Carolyn

    Carolyn Chenoweth
    National Quality Coordinator
    Fresenius Medical Care

    Nephrocare Payneham Dialysis Centre
    2 Portrush Road
    PAYNEHAM SA 5070
    phone (08) 81654313
    mobile 0407 810 800
    email: carolyn.chenoweth@fmc-asia.com

    From:
    Craig Boutlis
    To:
    AICALIST@AICALIST.ORG.AU
    Date:
    20/10/2011 05:12 PM
    Subject:
    Sent by:
    AICA Infexion Connexion

    Dear Lindy,

    You might be interested in Googling the “Lewisham isolation priority
    system”

    Craig Boutlis

    No conflicts of interest

    Infectious Diseases
    Wollongong Hospital

    Of Lindy Ryan
    re MRO pts – can anyone advise

    Dear Colleagues

    I have been asked by my executive to check if anyone out there has
    developed a formal tool for “rating infectious control patients. For
    example an infectious patient with no drips /drains/ wound rated as a 1
    where as a 3 for a patient with wounds /drips and drains?” that is used by
    their their facility/service

    apparently some one has one developed hence our executive putting this
    forward as strategy to be considered for managing our bed block related to
    infection control risk pts …..I would think they are largely referring
    to MRSA pt’s.

    anyhow any advice or if anyone knows of one or if there is any literature
    or research supporting this approach for categorising pts with an MRO
    using such a tool I would be most appreciative.
    I am aware that pts without drains drips, good skin integrity etc may be
    lower risk of picking/spreading MROs (as we all know) a but i have not
    seen anything formalised or in concrete using a tool without the need for
    clinical/ infection control consideration which is more what I was after.
    I think my management are hoping for a one hat fits all approach to
    managing infection control issues/pts after hours when Infection control
    expertise is not available …hence me asking to see if anyone has
    developed something that is safe and workable.

    many thanks for any help

    have a great day all

    regards

    Lindy

    Lindy Ryan

    Infection Control Clinical Nurse Consultant | Infection Control Services,
    Nepean Hospital
    Nepean Blue Mountains Local Health District PO Box 63 Penrith NSW 2751
    Tel 02 4734 2228 | Fax 02 4734 2517 | lindy.ryan@swahs.health.nsw.gov.au
    http://www.health.nsw.gov.au

    Infection prevention & control is everyone’s business

    ___________________________________

    attachments) may be confidential and may also be subject to legal
    professional privilege.

    Unless you are the intended recipient any unauthorised use,
    dissemination,further distribution or reproduction of this communication
    in any form whatsoever, is strictly prohibited.

    If this communication has been sent to you in error, please notify the
    sender by return e-mail and delete and/or destroy your copy of this
    communication (including attachments).

    Any views expressed in this communication are those of the individual
    sender, except where the sender states them to be the views of the Nepean
    Blue Mountains Local Health District/Western Sydney Local Health District.

    Unless otherwise expressed, it is not represented, warranted or guaranteed
    that the integrity of this communication has been maintained nor that the
    communication is free of virus, errors or interference.

    10/20/11 – 17:17:39 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
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    ———————————————————————————————

    Illawarra Shoalhaven Local Health District, South East Sydney Local Health
    District and Sydney Children’s Hospital Network (Randwick Campus)
    Confidentiality Notice

    This email, and the files transmitted with it, are confidential and
    intended solely for the use of the individual or entity to whom they are
    addressed. If you are not the intended recipient, you are not permitted to
    distribute or use this email or any of its attachments in any way. We also
    request that you advise the sender of the incorrect addressing.

    This email message has been virus-scanned. Although no computer viruses
    were detected, Illawarra Shoalhaven Local Health District, South East
    Sydney Local Health District and Sydney Children’s Hospital Network
    (Randwick Campus) accept no liability for any consequential damage
    resulting from email containing any computer viruses.
    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
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    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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    #68783
    Julie Hunt
    Participant

    Author:
    Julie Hunt

    Email:
    juhunt@NSCCAHS.HEALTH.NSW.GOV.AU

    Organisation:

    State:

    Hi Lindy,

    We don’t have anything here

    Regards

    Julie

    Julie Hunt
    Clinical Nurse Consultant | Infection Prevention and Control
    Royal North Shore Hospital, Reserve Rd, St Leonards 2065
    Tel 02 9926 7914 | Fax 02 9926 6161 | juhunt@nsccahs.health.nsw.gov.au

    >>> Lindy Ryan 20/10/2011 5:17 pm >>>

    Dear Colleagues
    I have been asked by my executive to check if anyone out there has
    developed a formal tool for “rating infectious control patients. For
    example an infectious patient with no drips /drains/ wound rated as a 1
    where as a 3 for a patient with wounds /drips and drains?” that is used
    by their their facility/service
    apparently some one has one developed hence our executive putting this
    forward as strategy to be considered for managing our bed block related
    to infection control risk pts …..I would think they are largely
    referring to MRSA pt’s.
    anyhow any advice or if anyone knows of one or if there is any
    literature or research supporting this approach for categorising pts
    with an MRO using such a tool I would be most appreciative.
    I am aware that pts without drains drips, good skin integrity etc may be
    lower risk of picking/spreading MROs (as we all know) a but i have not
    seen anything formalised or in concrete using a tool without the need
    for clinical/ infection control consideration which is more what I was
    after. I think my management are hoping for a one hat fits all approach
    to managing infection control issues/pts after hours when Infection
    control expertise is not available …hence me asking to see if anyone
    has developed something that is safe and workable.
    many thanks for any help
    have a great day all
    regards

    Lindy
    Lindy Ryan

    Infection Control Clinical Nurse Consultant | Infection Control
    Services, Nepean Hospital
    Nepean Blue Mountains Local Health District PO Box 63 Penrith NSW 2751
    Tel 02 4734 2228 | Fax 02 4734 2517 | lindy.ryan@swahs.health.nsw.gov.au
    http://www.health.nsw.gov.au

    Infection prevention & control is everyone’s business

    ___________________________________

    Unless you are the intended recipient any unauthorised use, dissemination,further distribution or reproduction of this communication in any form whatsoever, is strictly prohibited.

    If this communication has been sent to you in error, please notify the sender by return e-mail and delete and/or destroy your copy of this communication (including attachments).

    Any views expressed in this communication are those of the individual sender, except where the sender states them to be the views of the Nepean Blue Mountains Local Health District/Western Sydney Local Health District.

    Unless otherwise expressed, it is not represented, warranted or guaranteed that the integrity of this communication has been maintained nor that the communication is free of virus, errors or interference.

    10/20/11 – 17:17:39

    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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    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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    #68784
    Fiona de Sousa
    Participant

    Author:
    Fiona de Sousa

    Email:
    Fiona.DeSousa@SAH.ORG.AU

    Organisation:

    State:

    Hi Lindy,

    We have a risk assessment tool that was developed in house to guide
    placement of ‘unknown’ high risk MRO patients until swab results are
    known.

    Happy to share it with you but it may not be very helpful.

    Kind Regards,

    Fiona De Sousa
    Infection Prevention & Control Coordinator
    Sydney Adventist Hospital
    Fiona.Desousa@sah.org.au
    185 Fox Valley Road, Wahroonga, NSW, 2076

    —–Original Message—–
    Behalf Of Julie Hunt
    control re MRO pts – can anyone advise

    Hi Lindy,

    We don’t have anything here

    Regards

    Julie

    Julie Hunt
    Clinical Nurse Consultant | Infection Prevention and Control
    Royal North Shore Hospital, Reserve Rd, St Leonards 2065
    Tel 02 9926 7914 | Fax 02 9926 6161 | juhunt@nsccahs.health.nsw.gov.au

    >>> Lindy Ryan 20/10/2011 5:17 pm
    >>>

    Dear Colleagues
    I have been asked by my executive to check if anyone out there has
    developed a formal tool for “rating infectious control patients. For
    example an infectious patient with no drips /drains/ wound rated as a 1
    where as a 3 for a patient with wounds /drips and drains?” that is used
    by their their facility/service
    apparently some one has one developed hence our executive putting this
    forward as strategy to be considered for managing our bed block related
    to infection control risk pts …..I would think they are largely
    referring to MRSA pt’s.
    anyhow any advice or if anyone knows of one or if there is any
    literature or research supporting this approach for categorising pts
    with an MRO using such a tool I would be most appreciative.
    I am aware that pts without drains drips, good skin integrity etc may be
    lower risk of picking/spreading MROs (as we all know) a but i have not
    seen anything formalised or in concrete using a tool without the need
    for clinical/ infection control consideration which is more what I was
    after. I think my management are hoping for a one hat fits all approach
    to managing infection control issues/pts after hours when Infection
    control expertise is not available …hence me asking to see if anyone
    has developed something that is safe and workable.
    many thanks for any help
    have a great day all
    regards

    Lindy
    Lindy Ryan

    Infection Control Clinical Nurse Consultant | Infection Control
    Services, Nepean Hospital
    Nepean Blue Mountains Local Health District PO Box 63 Penrith NSW 2751
    Tel 02 4734 2228 | Fax 02 4734 2517 | lindy.ryan@swahs.health.nsw.gov.au

    http://www.health.nsw.gov.au

    Infection prevention & control is everyone’s business

    ___________________________________

    attachments) may be confidential and may also be subject to legal
    professional privilege.

    Unless you are the intended recipient any unauthorised use,
    dissemination,further distribution or reproduction of this communication
    in any form whatsoever, is strictly prohibited.

    If this communication has been sent to you in error, please notify the
    sender by return e-mail and delete and/or destroy your copy of this
    communication (including attachments).

    Any views expressed in this communication are those of the individual
    sender, except where the sender states them to be the views of the
    Nepean Blue Mountains Local Health District/Western Sydney Local Health
    District.

    Unless otherwise expressed, it is not represented, warranted or
    guaranteed that the integrity of this communication has been maintained
    nor that the communication is free of virus, errors or interference.

    10/20/11 – 17:17:39

    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
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    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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    #68785
    Helen Scott
    Participant

    Author:
    Helen Scott

    Email:
    Helen.Scott@HEALTHSCOPE.COM.AU

    Organisation:

    State:

    Hi Lindy,
    A possible place to ask would be Charles Gairdner hosp in Perth. They are into acuity scores and ratings so they might have one for infectious ratings.
    Helen.
    Helen Scott
    Infection Control Co-ordinator &
    Acute Pain Service Co-ordinator
    Nepean Private Hospital
    Penrith, NSW.
    0247 327333
    Helen.Scott@healthscope.com.au

    Please consider the environment before printing this message

    >>> On 20/10/2011 at 4:17 pm, in message , Lindy Ryan wrote:

    Dear Colleagues
    I have been asked by my executive to check if anyone out there has developed a formal tool for “rating infectious control patients. For example an infectious patient with no drips /drains/ wound rated as a 1 where as a 3 for a patient with wounds /drips and drains?” that is used by their their facility/service
    apparently some one has one developed hence our executive putting this forward as strategy to be considered for managing our bed block related to infection control risk pts …..I would think they are largely referring to MRSA pt’s.
    anyhow any advice or if anyone knows of one or if there is any literature or research supporting this approach for categorising pts with an MRO using such a tool I would be most appreciative.
    I am aware that pts without drains drips, good skin integrity etc may be lower risk of picking/spreading MROs (as we all know) a but i have not seen anything formalised or in concrete using a tool without the need for clinical/ infection control consideration which is more what I was after. I think my management are hoping for a one hat fits all approach to managing infection control issues/pts after hours when Infection control expertise is not available …hence me asking to see if anyone has developed something that is safe and workable.
    many thanks for any help
    have a great day all
    regards

    Lindy
    Lindy Ryan

    Infection Control Clinical Nurse Consultant | Infection Control Services, Nepean Hospital
    Nepean Blue Mountains Local Health District PO Box 63 Penrith NSW 2751
    Tel 02 4734 2228 | Fax 02 4734 2517 | lindy.ryan@swahs.health.nsw.gov.au
    http://www.health.nsw.gov.au

    Infection prevention & control is everyone’s business

    ___________________________________

    Unless you are the intended recipient any unauthorised use, dissemination,further distribution or reproduction of this communication in any form whatsoever, is strictly prohibited.

    If this communication has been sent to you in error, please notify the sender by return e-mail and delete and/or destroy your copy of this communication (including attachments).

    Any views expressed in this communication are those of the individual sender, except where the sender states them to be the views of the Nepean Blue Mountains Local Health District/Western Sydney Local Health District.

    Unless otherwise expressed, it is not represented, warranted or guaranteed that the integrity of this communication has been maintained nor that the communication is free of virus, errors or interference.

    10/20/11 – 17:17:39
    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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