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Hi all
I have been asked if we should have a policy regarding routine use of gloves when preparing and administrating IV antibiotics. My initial reaction is no, we should not be handling IV antibiotic solutions in such a way as to cause skin exposure. But having looked at some of the product information regarding the vesicant nature of some antibiotics (eg vancomycin), and the risk of adverse effects via absorption through the skin (eg gentamicin), I am wondering whether a standard approach to wearing gloves when handling antibiotic solutions should be recommended. And should we also recommend protective eyewear for this?
What do other facilities advise staff in regard to this? And how much of a risk would you consider this may be to staff?
Thanks for any opinions and comments.
Cheers
MichaelMichael Wishart
Infection Control CoordinatorA 627 Rode Road, Chermside QLD 4032
P (07) 3326 3068 | F (07) 3607 2226 | E michael.wishart@svha.org.au | W http://www.hsnph.org.au
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HI Michael
I am pretty sure that students coming out of university training for
placement in Victoria are educated to wear gloves for drawing up Abs, so
maybe a curriculum check would be worth while and based on what evidence
have they made this decisionKind regards
MichelleMichelle Bibby
Infection Prevention Australia
Michelle@infectionprevention.com.au
+429071165Hi all
I have been asked if we should have a policy regarding routine use of gloves
when preparing and administrating IV antibiotics. My initial reaction is no,
we should not be handling IV antibiotic solutions in such a way as to cause
skin exposure. But having looked at some of the product information
regarding the vesicant nature of some antibiotics (eg vancomycin), and the
risk of adverse effects via absorption through the skin (eg gentamicin), I
am wondering whether a standard approach to wearing gloves when handling
antibiotic solutions should be recommended. And should we also recommend
protective eyewear for this?What do other facilities advise staff in regard to this? And how much of a
risk would you consider this may be to staff?Thanks for any opinions and comments.
Cheers
MichaelMichael Wishart
Infection Control CoordinatorA 627 Rode Road, Chermside QLD 4032
P (07) 3326 3068 | F (07) 3607 2226 | E michael.wishart@svha.org.au
| W http://www.hsnph.org.auPPlease consider the environment before printing this email
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Hi Michael,
Leaving aside HCWs with known sensitivities/allergic reactions to know
antibiotics what is the evidence for the use of gloves over aseptic no-touch
technique?Regards
Glenys
Glenys Harrington
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
Of Michael Wishart
preparation/administrationHi all
I have been asked if we should have a policy regarding routine use of gloves
when preparing and administrating IV antibiotics. My initial reaction is no,
we should not be handling IV antibiotic solutions in such a way as to cause
skin exposure. But having looked at some of the product information
regarding the vesicant nature of some antibiotics (eg vancomycin), and the
risk of adverse effects via absorption through the skin (eg gentamicin), I
am wondering whether a standard approach to wearing gloves when handling
antibiotic solutions should be recommended. And should we also recommend
protective eyewear for this?What do other facilities advise staff in regard to this? And how much of a
risk would you consider this may be to staff?Thanks for any opinions and comments.
Cheers
Michael
Michael Wishart
Infection Control Coordinator
A 627 Rode Road, Chermside QLD 4032
P (07) 3326 3068 | F (07) 3607 2226 | E
michael.wishart@svha.org.au | W
http://www.hsnph.org.au
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the quotes) to listserv@aicalist.org.auMESSAGES 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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Hi there
We looked at the occupational hazards of drawing up antibiotics without gloves a number of years ago when The 5 Moments were first introduced. The use of gloves for drawing up ABs is indeed a normal occurrence now and it leads to continuous glove use re. The 5 Moments so non-compliance with Moment 2. With the exception of a few ‘nasty’ ABs there was no evidence we could find for occupational risks associated with drawing up ABs e.g. no increase in sensitization forwards ABs etc. One exception was if you already had a severe sensitivity towards a particular AB. We try and discourage this practice for the above reason.Cheers
Ruth[IPC logo for email signature]
Ruth Barratt RN, BSc, MAdvPrac (Hons)
Clinical NurseSpecialist Infection Prevention and Control
Community Liaison Infection Prevention
*: ruth.barratt@cdhb.health.nz
*: + 64 3 3640 083 or ext.80083
[1098272744j4O36h]: 0275 263175
Level 5, Riverside Building
Christchurch Hospital | Private Bag 4710, Christchurch
Clean Hands Save Lives!Hi all
I have been asked if we should have a policy regarding routine use of gloves when preparing and administrating IV antibiotics. My initial reaction is no, we should not be handling IV antibiotic solutions in such a way as to cause skin exposure. But having looked at some of the product information regarding the vesicant nature of some antibiotics (eg vancomycin), and the risk of adverse effects via absorption through the skin (eg gentamicin), I am wondering whether a standard approach to wearing gloves when handling antibiotic solutions should be recommended. And should we also recommend protective eyewear for this?
What do other facilities advise staff in regard to this? And how much of a risk would you consider this may be to staff?
Thanks for any opinions and comments.
Cheers
MichaelMichael Wishart
Infection Control CoordinatorA 627 Rode Road, Chermside QLD 4032
P (07) 3326 3068 | F (07) 3607 2226 | E michael.wishart@svha.org.au | W http://www.hsnph.org.au
[cid:image001.png@01D01926.61F1C2B0] [cid:image002.png@01D2F643.0BDC3BB0]
P Please consider the environment before printing this email______________________________________________________________________
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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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Hi Michael, further to Michelle’s email below, here at JCU (QLD) we teach a risk management approach. WE don’t teach to routinely wear gloves for IV antibiotics unless the risk of skin absorption warrants it and also if there is a risk of body fluid exposure whilst administration.
Regards, Vanessa.
HI Michael
I am pretty sure that students coming out of university training for placement in Victoria are educated to wear gloves for drawing up Abs, so maybe a curriculum check would be worth while and based on what evidence have they made this decision
Kind regards
MichelleMichelle Bibby
Infection Prevention Australia
Michelle@infectionprevention.com.au
+429071165
[cid:6DCA90E4-F8F8-4B32-AE1B-E170DE71C83A]Hi all
I have been asked if we should have a policy regarding routine use of gloves when preparing and administrating IV antibiotics. My initial reaction is no, we should not be handling IV antibiotic solutions in such a way as to cause skin exposure. But having looked at some of the product information regarding the vesicant nature of some antibiotics (eg vancomycin), and the risk of adverse effects via absorption through the skin (eg gentamicin), I am wondering whether a standard approach to wearing gloves when handling antibiotic solutions should be recommended. And should we also recommend protective eyewear for this?
What do other facilities advise staff in regard to this? And how much of a risk would you consider this may be to staff?
Thanks for any opinions and comments.
Cheers
MichaelMichael Wishart
Infection Control CoordinatorA 627 Rode Road, Chermside QLD 4032
P (07) 3326 3068 | F (07) 3607 2226 | E michael.wishart@svha.org.au | W http://www.hsnph.org.au
[cid:image001.png@01D01926.61F1C2B0] [cid:image002.png@01D2F643.0BDC3BB0]
PPlease consider the environment before printing this email______________________________________________________________________
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.
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Hi Everyone,
I agree. We should be discouraging the routine use of gloves for processes /
practices where the use of gloves is unnecessary and promoting aseptic
non-touch technique.I have come across the circulating nurses wearing gloves to open sterile
packs in the Operating Suite. Completely unnecessary in my humble opinion.I’m also surprised that there has been discussion promoting the wearing of
gloves in the CSSD packing areas. The premise is that it is protecting the
instruments from contamination with skin flora and parallels are being drawn
to the wearing of gloves in clean rooms operations.I’d be interested to hear the thoughts of my colleagues or to be pointed in
the direction of some studies that support these practices.Kind Regards
Terry McAuley
Sterilisation & Infection Prevention and Control Consultant
STEAM Consulting Pty Ltd ACN 604 439 698
E: terry@steamconsulting.com.au
W: http://www.steamconsulting.com.au
A: PO BOX 779
Endeavour Hills
VIC Australia 3802
CONFIDENTIAL COMMUNICATION: The information contained in this message may
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electronic copies. Nothing in this transmission constitutes an agreement of
any kind unless otherwise expressly indicated.Of Glenys Harrington
preparation/administrationHi All,
I agree with Ruth. If there is no evidence the practice should be
discouraged.In addition many healthcare workers who wear gloves do so to “protect
themselves” and ignore the principles of aseptic no-touch technique when
wearing gloves increasing the risk of potential contamination.Regards
Glenys
Glenys Harrington
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
Of Ruth Barratt
antibiotic preparation/administrationHi there
We looked at the occupational hazards of drawing up antibiotics without
gloves a number of years ago when The 5 Moments were first introduced. The
use of gloves for drawing up ABs is indeed a normal occurrence now and it
leads to continuous glove use re. The 5 Moments so non-compliance with
Moment 2. With the exception of a few ‘nasty’ ABs there was no evidence we
could find for occupational risks associated with drawing up ABs e.g. no
increase in sensitization forwards ABs etc. One exception was if you already
had a severe sensitivity towards a particular AB. We try and discourage this
practice for the above reason.Cheers
Ruth
Ruth Barratt RN, BSc, MAdvPrac (Hons)
Clinical NurseSpecialist Infection Prevention and Control
Community Liaison Infection Prevention
*: ruth.barratt@cdhb.health.nz
*: + 64 3 3640 083 or ext.80083
: 0275 263175
Level 5, Riverside Building
Christchurch Hospital | Private Bag 4710, Christchurch
Clean Hands Save Lives!
Of Michael Wishart
preparation/administrationHi all
I have been asked if we should have a policy regarding routine use of gloves
when preparing and administrating IV antibiotics. My initial reaction is no,
we should not be handling IV antibiotic solutions in such a way as to cause
skin exposure. But having looked at some of the product information
regarding the vesicant nature of some antibiotics (eg vancomycin), and the
risk of adverse effects via absorption through the skin (eg gentamicin), I
am wondering whether a standard approach to wearing gloves when handling
antibiotic solutions should be recommended. And should we also recommend
protective eyewear for this?What do other facilities advise staff in regard to this? And how much of a
risk would you consider this may be to staff?Thanks for any opinions and comments.
Cheers
Michael
Michael Wishart
Infection Control Coordinator
A 627 Rode Road, Chermside QLD 4032
P (07) 3326 3068 | F (07) 3607 2226 | E
michael.wishart@svha.org.au | W
http://www.hsnph.org.auP Please consider the environment before printing this email
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are not the intended recipient of the Email, please notify the sender
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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
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discouraged by ACIPC. If you wish to discuss specific reference to products
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On a tangent – but a related outcome of inappropriate glove use….
I recently finished my PhD in which patients were invited to watch back
video footage of their own clinical care and to discuss their
understandings of infection risks.
Quite a few of them said they only felt safe when staff wore gloves. They
were so used to seeing staff wearing them – that absence of them signalled
unsafe care for them.
During our discussions it became clear that some patients thought the
gloves were sterile. When they realised they were just the gloves in boxes
on the wall they decided clean hands would be better.Still – I will admit that I wear gloves when drawing up IV ab/s (and I’m an
older hospital trained nurse :)). I do remove them and do appropriate hand
hygiene before going to the patient. Some shifts it seems that hours are
spent in a tiny room with 6 other nurses all drawing up a/bs. They often do
spray when you withdraw the drawing up device. I can smell them on my hands
and arms before I wash them. I welcome any evidence that suggests this is
not harmful to me (and I am interested in hearing more from Ruth about her
findings) – but my gut instinct tells me it is. I think that if any changes
are made about glove use at a local level it is really important to have
discussions with the staff that do the work about the kinds of worries they
have before introducing a new rule that gloves are not to be worn or are
discouraged.Thanks for this thread…really interesting
Mary*Mary Wyer*
Research Scientist | Centre for Infectious Diseases and Microbiology, The
Westmead Institute for Medical Research
Research Affiliate | Sydney Health Ethics, The University of Sydney176 Hawkesbury Rd, Westmead | NSW | 2145
*T* +61 2 86273405 | *M* +61 477975144 | *E* mary.wyer@sydney.edu.au*ORCID ID*: orcid.org/0000-0002-1215-8089
*Alumni Foundation Brocher:* http://www.brocher.ch/en
*Twitter: *@mary_wyerOn Mon, Jul 10, 2017 at 8:56 AM, Terry McAuley wrote:
> Hi Everyone,
>
>
>
> I agree. We should be discouraging the routine use of gloves for processes
> / practices where the use of gloves is unnecessary and promoting aseptic
> non-touch technique.
>
>
>
> I have come across the circulating nurses wearing gloves to open sterile
> packs in the Operating Suite. Completely unnecessary in my humble opinion.
>
>
>
> Im also surprised that there has been discussion promoting the wearing
> of gloves in the CSSD packing areas. The premise is that it is protecting
> the instruments from contamination with skin flora and parallels are being
> drawn to the wearing of gloves in clean rooms operations.
>
>
>
> Id be interested to hear the thoughts of my colleagues or to be pointed
> in the direction of some studies that support these practices.
>
>
>
> *Kind Regards*
>
> *Terry McAuley*
>
> *Sterilisation & Infection Prevention and Control Consultant*
>
> *STEAM Consulting Pty Ltd *ACN 604 439 698
>
> *Mob: +61 (0)438 109 692 *
>
> *E: terry@steamconsulting.com.au *
>
> *W: http://www.steamconsulting.com.au *
>
> *A: PO BOX 779*
>
> * Endeavour Hills *
>
> * VIC Australia 3802*
>
>
>
>
> *CONFIDENTIAL COMMUNICATION:* The information contained in this message
> may contain confidential information intended only for the use of the
> individual or entity named above. If the reader of this message is not the
> intended recipient, you are hereby notified that any dissemination,
> distribution or duplication of this transmission is strictly prohibited. If
> you have received this communication in error, please notify us by
> telephone or email immediately and return the original message to us or
> destroy all printed and electronic copies. Nothing in this
> transmission constitutes an agreement of any kind unless otherwise
> expressly indicated.
>
>
>
> *From:* ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] *On
> Behalf Of *Glenys Harrington
> *Sent:* Sunday, July 9, 2017 11:02 AM
> *To:* AICALIST@AICALIST.ORG.AU
> *Subject:* Re: Routine use of gloves in IV antibiotic
> preparation/administration
>
>
>
> Hi All,
>
>
>
> I agree with Ruth. If there is no evidence the practice should be
> discouraged.
>
>
>
> In addition many healthcare workers who wear gloves do so to protect
> themselves and ignore the principles of aseptic no-touch technique when
> wearing gloves increasing the risk of potential contamination.
>
>
>
> Regards
>
>
>
> Glenys
>
>
>
> Glenys Harrington
>
> Infection Control Consultancy (ICC)
>
> P.O. Box 6385
>
> Melbourne
>
> Australia, 3004
>
> M: +61 404816434
>
> E: infexion@ozemail.com.au
>
>
>
> *From:* ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU
> ] *On Behalf Of *Ruth Barratt
> *Sent:* Friday, 7 July 2017 7:12 AM
> *To:* AICALIST@AICALIST.ORG.AU
> *Subject:* Re: [ACIPC_Infexion_Connexion] Routine use of gloves in IV
> antibiotic preparation/administration
>
>
>
> Hi there
>
> We looked at the occupational hazards of drawing up antibiotics without
> gloves a number of years ago when The 5 Moments were first introduced. The
> use of gloves for drawing up ABs is indeed a normal occurrence now and it
> leads to continuous glove use re. The 5 Moments so non-compliance with
> Moment 2. With the exception of a few nasty ABs there was no evidence we
> could find for occupational risks associated with drawing up ABs e.g. no
> increase in sensitization forwards ABs etc. One exception was if you
> already had a severe sensitivity towards a particular AB. We try and
> discourage this practice for the above reason.
>
>
>
> Cheers
>
> Ruth
>
>
>
> [image: IPC logo for email signature]
>
> *Ruth Barratt RN, BSc, MAdvPrac (Hons)*
>
> *Clinical NurseSpecialist Infection Prevention and Control*
>
> *Community Liaison Infection Prevention*
>
> :: ruth.barratt@cdhb.health.nz
>
> (: + 64 3 3640 083 or ext.80083
>
> [image: 1098272744j4O36h]: 0275 263175
>
> Level 5, Riverside Building
>
> Christchurch Hospital | Private Bag 4710, Christchurch
>
> *Clean Hands Save Lives!*
>
>
>
>
>
> *From:* ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU
> ] *On Behalf Of *Michael Wishart
> *Sent:* Thursday, 6 July 2017 12:43 p.m.
> *To:* AICALIST@AICALIST.ORG.AU
> *Subject:* [ACIPC_Infexion_Connexion] Routine use of gloves in IV
> antibiotic preparation/administration
>
>
>
> Hi all
>
>
>
> I have been asked if we should have a policy regarding routine use of
> gloves when preparing and administrating IV antibiotics. My initial
> reaction is no, we should not be handling IV antibiotic solutions in such a
> way as to cause skin exposure. But having looked at some of the product
> information regarding the vesicant nature of some antibiotics (eg
> vancomycin), and the risk of adverse effects via absorption through the
> skin (eg gentamicin), I am wondering whether a standard approach to wearing
> gloves when handling antibiotic solutions should be recommended. And should
> we also recommend protective eyewear for this?
>
>
>
> What do other facilities advise staff in regard to this? And how much of a
> risk would you consider this may be to staff?
>
>
>
> Thanks for any opinions and comments.
>
>
>
> Cheers
>
> Michael
>
>
>
> *Michael Wishart*
>
> Infection Control Coordinator
>
>
> *A *627 Rode Road, Chermside QLD 4032
> *P *(07) 3326 3068 | *F *(07) 3607 2226 | *E *
> michael.wishart@svha.org.au | *W * http://www.hsnph.org.au
> [image: cid:image001.png@01D01926.61F1C2B0]
>
> P *Please consider the environment before printing this email *
>
>
>
>
> ______________________________________________________________________
> 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
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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
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Dear all
I agree with Terry in this context. It appears a high proportion of HCWs are very out of touch with the use of gloves in accordance with Standard Precautions and I am constantly being challenged that due to OSH requirements, we have to accept a HCW if they wish to use gloves to protect themselves!
I constantly stop patient support services staff , ambulance drivers and to a lesser degree nurses from wearing gloves unnecessary. I was dismayed last week when asked to consult on the filming of a procedure to be used for training, I had to stop the anaesthetist wearing gloves before he had contact with a patient and equipment. He informed me that this is standard practice to wear gloves before having any contact with equipment and any patient as he guarantees his hands have tiny minute cuts at any given time! It took a 20 minute conversation before I could get anywhere and he changed his practice for the filming but I wonder if he will revert to it when I am not present!So I too welcome the collective thoughts of colleagues to better inform HCW’s on board with appropriate glove use.
Regards
Rosie Lee CICP-E | Coordinator
Infection Prevention & Management
Royal Perth Bentley Group
Level 6, A Block, Wellington Street, Perth, WA, 6008
T: (08) 9224 2805 F: +61 08 9224 1989
E: rosie.lee@health.wa.gov.au
W: http://www.rph.health.wa.gov.au
[cid:image006.png@01D285EB.835E4D90]Hi Everyone,
I agree. We should be discouraging the routine use of gloves for processes / practices where the use of gloves is unnecessary and promoting aseptic non-touch technique.
I have come across the circulating nurses wearing gloves to open sterile packs in the Operating Suite. Completely unnecessary in my humble opinion.
I’m also surprised that there has been discussion promoting the wearing of gloves in the CSSD packing areas. The premise is that it is protecting the instruments from contamination with skin flora and parallels are being drawn to the wearing of gloves in clean rooms operations.
I’d be interested to hear the thoughts of my colleagues or to be pointed in the direction of some studies that support these practices.
Kind Regards
Terry McAuley
Sterilisation & Infection Prevention and Control Consultant
STEAM Consulting Pty Ltd ACN 604 439 698
E: terry@steamconsulting.com.au
W: http://www.steamconsulting.com.au
A: PO BOX 779
Endeavour Hills
VIC Australia 3802CONFIDENTIAL COMMUNICATION: The information contained in this message may contain confidential information intended only for the use of the individual or entity named above. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution or duplication of this transmission is strictly prohibited. If you have received this communication in error, please notify us by telephone or email immediately and return the original message to us or destroy all printed and electronic copies. Nothing in this transmission constitutes an agreement of any kind unless otherwise expressly indicated.
Hi All,
I agree with Ruth. If there is no evidence the practice should be discouraged.
In addition many healthcare workers who wear gloves do so to “protect themselves” and ignore the principles of aseptic no-touch technique when wearing gloves increasing the risk of potential contamination.
Regards
Glenys
Glenys Harrington
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
E: infexion@ozemail.com.auHi there
We looked at the occupational hazards of drawing up antibiotics without gloves a number of years ago when The 5 Moments were first introduced. The use of gloves for drawing up ABs is indeed a normal occurrence now and it leads to continuous glove use re. The 5 Moments so non-compliance with Moment 2. With the exception of a few ‘nasty’ ABs there was no evidence we could find for occupational risks associated with drawing up ABs e.g. no increase in sensitization forwards ABs etc. One exception was if you already had a severe sensitivity towards a particular AB. We try and discourage this practice for the above reason.Cheers
Ruth[IPC logo for email signature]
Ruth Barratt RN, BSc, MAdvPrac (Hons)
Clinical NurseSpecialist Infection Prevention and Control
Community Liaison Infection Prevention
*: ruth.barratt@cdhb.health.nz
*: + 64 3 3640 083 or ext.80083
[1098272744j4O36h]: 0275 263175
Level 5, Riverside Building
Christchurch Hospital | Private Bag 4710, Christchurch
Clean Hands Save Lives!Hi all
I have been asked if we should have a policy regarding routine use of gloves when preparing and administrating IV antibiotics. My initial reaction is no, we should not be handling IV antibiotic solutions in such a way as to cause skin exposure. But having looked at some of the product information regarding the vesicant nature of some antibiotics (eg vancomycin), and the risk of adverse effects via absorption through the skin (eg gentamicin), I am wondering whether a standard approach to wearing gloves when handling antibiotic solutions should be recommended. And should we also recommend protective eyewear for this?
What do other facilities advise staff in regard to this? And how much of a risk would you consider this may be to staff?
Thanks for any opinions and comments.
Cheers
MichaelMichael Wishart
Infection Control CoordinatorA 627 Rode Road, Chermside QLD 4032
P (07) 3326 3068 | F (07) 3607 2226 | E michael.wishart@svha.org.au | W http://www.hsnph.org.au
[cid:image001.png@01D01926.61F1C2B0] [cid:image002.png@01D2F643.0BDC3BB0]
P Please consider the environment before printing this email______________________________________________________________________
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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Hi Everyone
This is a very interesting topic we have recently been reviewing our policies and would be very interested in the outcome.
The ANTT example in the Australian Guidelines for the Prevention and Control of Infection in Healthcare (2010), suggests that non-sterile gloves should be worn as in addition to HCW protection, they are typically cleaner than skin and may offer protection if a key part is unknowingly touched? I am not sure about the evidence used to support this though?
Kind regards
MaryMary Willimann CICP-E | Manager Infection Prevention & Control
St John of God Subiaco Hospital
T: (08) 9382 6871 | M: 0439993772 | F: (08) 9382 6785 | E: Mary.Willimann@sjog.org.au
12 Salvado Road Subiaco WA 6008 | PO Box 14, Subiaco WA 6904
http://sjog.org.au/subiaco | http://twitter.com/sjog_healthcare | LinkedIn | http://facebook.com/StJohnOfGodSubiacoHospital[cid:image003.png@01D2F967.758BF560]
We acknowledge the Traditional Owners of Country throughout Australia and recognise their continuing connection to land, waters and community.
We pay our respect to them and their cultures and to Elders past and present.Hi Everyone,
I agree. We should be discouraging the routine use of gloves for processes / practices where the use of gloves is unnecessary and promoting aseptic non-touch technique.
I have come across the circulating nurses wearing gloves to open sterile packs in the Operating Suite. Completely unnecessary in my humble opinion.
Im also surprised that there has been discussion promoting the wearing of gloves in the CSSD packing areas. The premise is that it is protecting the instruments from contamination with skin flora and parallels are being drawn to the wearing of gloves in clean rooms operations.
Id be interested to hear the thoughts of my colleagues or to be pointed in the direction of some studies that support these practices.
Kind Regards
Terry McAuley
Sterilisation & Infection Prevention and Control Consultant
STEAM Consulting Pty Ltd ACN 604 439 698
E: terry@steamconsulting.com.au
W: http://www.steamconsulting.com.au
A: PO BOX 779
Endeavour Hills
VIC Australia 3802CONFIDENTIAL COMMUNICATION: The information contained in this message may contain confidential information intended only for the use of the individual or entity named above. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution or duplication of this transmission is strictly prohibited. If you have received this communication in error, please notify us by telephone or email immediately and return the original message to us or destroy all printed and electronic copies. Nothing in this transmission constitutes an agreement of any kind unless otherwise expressly indicated.
Hi All,
I agree with Ruth. If there is no evidence the practice should be discouraged.
In addition many healthcare workers who wear gloves do so to protect themselves and ignore the principles of aseptic no-touch technique when wearing gloves increasing the risk of potential contamination.
Regards
Glenys
Glenys Harrington
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
E: infexion@ozemail.com.auHi there
We looked at the occupational hazards of drawing up antibiotics without gloves a number of years ago when The 5 Moments were first introduced. The use of gloves for drawing up ABs is indeed a normal occurrence now and it leads to continuous glove use re. The 5 Moments so non-compliance with Moment 2. With the exception of a few nasty ABs there was no evidence we could find for occupational risks associated with drawing up ABs e.g. no increase in sensitization forwards ABs etc. One exception was if you already had a severe sensitivity towards a particular AB. We try and discourage this practice for the above reason.Cheers
Ruth[IPC logo for email signature]
Ruth Barratt RN, BSc, MAdvPrac (Hons)
Clinical NurseSpecialist Infection Prevention and Control
Community Liaison Infection Prevention
: ruth.barratt@cdhb.health.nz
: + 64 3 3640 083 or ext.80083
[1098272744j4O36h]: 0275 263175
Level 5, Riverside Building
Christchurch Hospital | Private Bag 4710, Christchurch
Clean Hands Save Lives!Hi all
I have been asked if we should have a policy regarding routine use of gloves when preparing and administrating IV antibiotics. My initial reaction is no, we should not be handling IV antibiotic solutions in such a way as to cause skin exposure. But having looked at some of the product information regarding the vesicant nature of some antibiotics (eg vancomycin), and the risk of adverse effects via absorption through the skin (eg gentamicin), I am wondering whether a standard approach to wearing gloves when handling antibiotic solutions should be recommended. And should we also recommend protective eyewear for this?
What do other facilities advise staff in regard to this? And how much of a risk would you consider this may be to staff?
Thanks for any opinions and comments.
Cheers
MichaelMichael Wishart
Infection Control CoordinatorA 627 Rode Road, Chermside QLD 4032
P (07) 3326 3068 | F (07) 3607 2226 | E michael.wishart@svha.org.au | W http://www.hsnph.org.au
[cid:image001.png@01D01926.61F1C2B0] [cid:image002.png@01D2F643.0BDC3BB0]
P Please consider the environment before printing this email______________________________________________________________________
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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HI All
Thanks for the thread very interesting.
My issue is though when staff use the rationale to protect themselves when
it comes to all things glove use, I always question then about eye/facial
protection, more likely absorption through cornea than intact skin.what
ever it is they think they are protecting themselves fromRegards
MMichelle Bibby
Infection Prevention Australia
Michelle@infectionprevention.com.au
+429071165preparation/administration
Hi Everyone
This is a very interesting topic we have recently been reviewing our
policies and would be very interested in the outcome.
The ANTT example in the Australian Guidelines for the Prevention and Control
of Infection in Healthcare (2010), suggests that non-sterile gloves should
be worn as in addition to HCW protection, they are typically cleaner than
skin and may offer protection if a key part is unknowingly touched? I am not
sure about the evidence used to support this though?
Kind regards
MaryMary Willimann CICP-E | Manager Infection Prevention & Control
St John of God Subiaco Hospital
T: (08) 9382 6871 | M: 0439993772 | F: (08) 9382 6785 | E:
Mary.Willimann@sjog.org.au
12 Salvado Road Subiaco WA 6008 | PO Box 14, Subiaco WA 6904
http://sjog.org.au/subiaco |
http://twitter.com/sjog_healthcare |
LinkedIn |
http://facebook.com/StJohnOfGodSubiacoHospitalWe acknowledge the Traditional Owners of Country throughout Australia and
recognise their continuing connection to land, waters and community.
We pay our respect to them and their cultures and to Elders past and
present.Of Terry McAuley
preparation/administration
Hi Everyone,
I agree. We should be discouraging the routine use of gloves for processes /
practices where the use of gloves is unnecessary and promoting aseptic
non-touch technique.
I have come across the circulating nurses wearing gloves to open sterile
packs in the Operating Suite. Completely unnecessary in my humble opinion.
Im also surprised that there has been discussion promoting the wearing of
gloves in the CSSD packing areas. The premise is that it is protecting the
instruments from contamination with skin flora and parallels are being drawn
to the wearing of gloves in clean rooms operations.
Id be interested to hear the thoughts of my colleagues or to be pointed in
the direction of some studies that support these practices.Kind Regards
Terry McAuley
Sterilisation & Infection Prevention and Control Consultant
STEAM Consulting Pty Ltd ACN 604 439 698
E: terry@steamconsulting.com.au
W: http://www.steamconsulting.com.au
A: PO BOX 779
Endeavour Hills
VIC Australia 3802CONFIDENTIAL COMMUNICATION: The information contained in this message may
contain confidential information intended only for the use of the individual
or entity named above. If the reader of this message is not the intended
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any kind unless otherwise expressly indicated.Of Glenys Harrington
preparation/administration
Hi All,
I agree with Ruth. If there is no evidence the practice should be
discouraged.
In addition many healthcare workers who wear gloves do so to protect
themselves and ignore the principles of aseptic no-touch technique when
wearing gloves increasing the risk of potential contamination.
Regards
Glenys
Glenys Harrington
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
E: infexion@ozemail.com.auOf Ruth Barratt
antibiotic preparation/administration
Hi there
We looked at the occupational hazards of drawing up antibiotics without
gloves a number of years ago when The 5 Moments were first introduced. The
use of gloves for drawing up ABs is indeed a normal occurrence now and it
leads to continuous glove use re. The 5 Moments so non-compliance with
Moment 2. With the exception of a few nasty ABs there was no evidence we
could find for occupational risks associated with drawing up ABs e.g. no
increase in sensitization forwards ABs etc. One exception was if you already
had a severe sensitivity towards a particular AB. We try and discourage this
practice for the above reason.
Cheers
Ruth
Ruth Barratt RN, BSc, MAdvPrac (Hons)Clinical NurseSpecialist Infection
Prevention and ControlCommunity Liaison Infection
Prevention::ruth.barratt@cdhb.health.nz(: + 64 3 3640 083 or ext.80083: 0275
263175Level 5, Riverside BuildingChristchurch Hospital | Private Bag 4710,
Christchurch Clean Hands Save Lives!Of Michael Wishart
preparation/administration
Hi all
I have been asked if we should have a policy regarding routine use of gloves
when preparing and administrating IV antibiotics. My initial reaction is no,
we should not be handling IV antibiotic solutions in such a way as to cause
skin exposure. But having looked at some of the product information
regarding the vesicant nature of some antibiotics (eg vancomycin), and the
risk of adverse effects via absorption through the skin (eg gentamicin), I
am wondering whether a standard approach to wearing gloves when handling
antibiotic solutions should be recommended. And should we also recommend
protective eyewear for this?
What do other facilities advise staff in regard to this? And how much of a
risk would you consider this may be to staff?
Thanks for any opinions and comments.
Cheers
Michael
Michael Wishart
Infection Control CoordinatorA 627 Rode Road, Chermside QLD 4032
P (07) 3326 3068 | F (07) 3607 2226 | E michael.wishart@svha.org.au
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