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screening of inter-hospital patients under 16 years [SEC=UNCLASSIFIED]

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  • #73587
    Menzies, Andrea
    Participant

    Author:
    Menzies, Andrea

    Position:

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    State:

    Dear All

    May I enquire as to the practices of other hospitals regarding the screening of patients under 16 years of age, transferred from other healthcare facilities including long-term residential care facilities.

    At present we screen for MRSA only, no perianal screening.

    Any thoughts and comments gratefully accepted.

    Kind Regards
    Andrea Menzies
    RN | Infection Prevention and Control | Health Directorate
    Building 10, Level 4 | The Canberra Hospital | Garran ACT 2605

    The very first requirement in a hospital is that it should do the sick no harm.
    Florence Nightingale
    I acknowledge the traditional custodians of the land the Ngunnawal people and pay my respects to the elders both past and present . I acknowledge and respect their continuing culture and the contribution they make to the life of this city and this region.
    [http://www.education.monash.edu.au/indigenous-ed/images/aboriginal-flag.gif][http://www.education.monash.edu.au/indigenous-ed/images/torres-strait-islander-flag.gif]

    Care | Excellence | Collaboration | Integrity
    [CH_Logo_ACT_Health_Lockup_CMYK_HR]

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    #73588
    Terri Cripps (SCHN)
    Participant

    Author:
    Terri Cripps (SCHN)

    Position:

    Organisation:

    State:

    Hi Andrea,

    Currently I screen any child who comes into our facility under these circumstances:

    – Transfer from any overseas hospital

    – Location where there is a known MRO outbreak

    – Recent (in the past 12 months) overnight admission to an overseas hospital or residence in a long term care facility

    – Admission (expected to be greater than 4 hours) to ICU and discharge from ICU

    – Transfer from other facilities in NSW with a known MRO outbreak

    – Transfer from a NICU with known prevalence or MRO outbreak

    – Prior to solid organ donation

    Specimens required:
    MRSA nose and perianal and wound, any transcutaneous exit sites, throat
    C diff faeces
    VRE rectal swab (can do perianal or faecal specimen), urine
    MRAB rectal (can do perianal or faecal specimen), urine, sputum
    CPE (CRE) – rectal swab (can do perianal or faecal specimen), urine

    This is very similar to the proposed NSW Health Infection Prevention and Control Practice Guidelines that are just about to be released.
    It can be difficult to capture those children who meet these criteria as I dont always know if a child has been an inpatient in an overseas hospital or residential facility in the last 12 months.
    You might not always know where there is a prevalence of MROs in other facilities and NICUs.
    But I do it with the information I have at hand or can find out.

    Hope that helps.
    Terri Cripps | Clinical Nurse Consultant – Infection Prevention and Control | SCHN Medical Diagnostics and HIV/Immunology
    t: (02) 9382 1876 | f: (02) 9382 2084 | e: TERRI.Cripps@health.nsw.gov.au | w: http://www.schn.health.nsw.gov.au
    p: 47140
    [http://res.schn.health.nsw.gov.au/signatures/sch.gif]
    High Street, Randwick 2031, NSW Australia
    Please consider the environment before printing this email.

    From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Menzies, Andrea (Health)
    Sent: Tuesday, 31 January 2017 9:53 AM
    To: AICALIST@AICALIST.ORG.AU
    Subject: screening of inter-hospital patients under 16 years [SEC=UNCLASSIFIED]

    Dear All

    May I enquire as to the practices of other hospitals regarding the screening of patients under 16 years of age, transferred from other healthcare facilities including long-term residential care facilities.

    At present we screen for MRSA only, no perianal screening.

    Any thoughts and comments gratefully accepted.

    Kind Regards
    Andrea Menzies
    RN | Infection Prevention and Control | Health Directorate
    Building 10, Level 4 | The Canberra Hospital | Garran ACT 2605
    Phone: (02) 6244 2512 | Fax: (02) 6244 4646 | Email Andrea.Menzies@act.gov.au

    The very first requirement in a hospital is that it should do the sick no harm.
    Florence Nightingale
    I acknowledge the traditional custodians of the land the Ngunnawal people and pay my respects to the elders both past and present . I acknowledge and respect their continuing culture and the contribution they make to the life of this city and this region.
    [http://www.education.monash.edu.au/indigenous-ed/images/aboriginal-flag.gif][http://www.education.monash.edu.au/indigenous-ed/images/torres-strait-islander-flag.gif]

    Care | Excellence | Collaboration | Integrity
    [CH_Logo_ACT_Health_Lockup_CMYK_HR]

    ———————————————————————–
    This email, and any attachments, may be confidential and also privileged. If you are not the intended recipient, please notify the sender and delete all copies of this transmission along with any attachments immediately. You should not copy or use it for any purpose, nor disclose its contents to any other person.
    ———————————————————————–
    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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    Views expressed in this message are those of the individual sender, and are not necessarily the views of NSW Health or any of its entities.

    MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

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