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Dear Brains Trust
What are the latest thoughts on wearing dedicated shoes in the operating theatre?
We are currently looking at our Dress Code and because we are a veterinary hospital, we don’t have change rooms like human hospitals, so we tend to put shoe covers on but I think that is a problem due to potential of contamination of the hands.
I have been led to believe that shoe covers and/or dedicated shoes do not contribute to post-operative infections?
Thoughts?
Cheers
CarolCarol Bradley | Surgery Tutor/Clinical Skills Centre Manager
Associate in Veterinary Education (RVC)
Faculty of Veterinary & Agricultural Sciences (FVAS)
Level 1, Building 418, 250 Princes Hwy, Werribee
The University of Melbourne, Victoria 3010 Australia
T: +61 3 9731 2083 E: cbrad@unimelb.edu.auI acknowledge the Traditional Owners of the land on which I work, and pay my respects to the Elders, past and present.
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Hi Carol
Overshoes are not considered to reduce post-operative surgical site infections. From a biological plausibility/epidemiological viewpoint, it is hard to transmit infections routinely from the floor of an OT. But there is a suggestion that the touching of the feet/shoes to apply overshoes contaminates hands (that may not then get appropriately washed!).
The main reason for most staff attending a procedure wearing overshoes over their ‘outside’ shoes is to protect their shoes from splashes. No-body wants their $500 Gucci loafers to be stained with iodine, do they? 🙂
I recently did some consulting in an animal research facility, and the main issue with shoes there was not sterility during procedures, but the tracking of mud and dirt (and other stuff…) from the animal enclosures into the theatres. They had a process of changing from gumboots into disposable boots in an anteroom outside the theatre itself.
I would be comfortable with a no overshoes required policy (we have one here), but you might need to mention mud and dirt from outside (who cleans the shoes? How do you police this?), and have a way to protect those Gucci loafers!
Cheers
MichaelMichael Wishart | Infection Control Coordinator, CICP-E
St Vincent’s Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
W https://www.svphn.org.au[cid:image001.jpg@01D46C86.4CDB6090]
[2019 conference email signature]Dear Brains Trust
What are the latest thoughts on wearing dedicated shoes in the operating theatre?
We are currently looking at our Dress Code and because we are a veterinary hospital, we don’t have change rooms like human hospitals, so we tend to put shoe covers on but I think that is a problem due to potential of contamination of the hands.
I have been led to believe that shoe covers and/or dedicated shoes do not contribute to post-operative infections?
Thoughts?
Cheers
CarolCarol Bradley | Surgery Tutor/Clinical Skills Centre Manager
Associate in Veterinary Education (RVC)
Faculty of Veterinary & Agricultural Sciences (FVAS)
Level 1, Building 418, 250 Princes Hwy, Werribee
The University of Melbourne, Victoria 3010 Australia
T: +61 3 9731 2083 E: cbrad@unimelb.edu.auI acknowledge the Traditional Owners of the land on which I work, and pay my respects to the Elders, past and present.
[cid:image002.jpg@01D31D8F.E823DE70]
This email and any attachments may contain personal information or information that is otherwise confidential or the subject of copyright. Any use, disclosure or copying of any part of it is prohibited. The University does not warrant that this email or any attachments are free from viruses or defects. Please check any attachments for viruses and defects before opening them. If this email is received in error, please delete it and notify us by return email.
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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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Thanks Michael, that confirms my thoughts. From memory Humphreys et al discussed overshoes as being of no value.
I would love to hear anybody else’s thoughts.
Cheers
CarolSent from my Samsung Galaxy smartphone.
——– Original message ——–
Hi Carol
Overshoes are not considered to reduce post-operative surgical site infections. From a biological plausibility/epidemiological viewpoint, it is hard to transmit infections routinely from the floor of an OT. But there is a suggestion that the touching of the feet/shoes to apply overshoes contaminates hands (that may not then get appropriately washed!).
The main reason for most staff attending a procedure wearing overshoes over their outside shoes is to protect their shoes from splashes. No-body wants their $500 Gucci loafers to be stained with iodine, do they? 🙂
I recently did some consulting in an animal research facility, and the main issue with shoes there was not sterility during procedures, but the tracking of mud and dirt (and other stuff) from the animal enclosures into the theatres. They had a process of changing from gumboots into disposable boots in an anteroom outside the theatre itself.
I would be comfortable with a no overshoes required policy (we have one here), but you might need to mention mud and dirt from outside (who cleans the shoes? How do you police this?), and have a way to protect those Gucci loafers!
Cheers
MichaelMichael Wishart | Infection Control Coordinator, CICP-E
St Vincents Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
W https://www.svphn.org.au[cid:image001.jpg@01D46C86.4CDB6090]
[2019 conference email signature]Dear Brains Trust
What are the latest thoughts on wearing dedicated shoes in the operating theatre?
We are currently looking at our Dress Code and because we are a veterinary hospital, we dont have change rooms like human hospitals, so we tend to put shoe covers on but I think that is a problem due to potential of contamination of the hands.
I have been led to believe that shoe covers and/or dedicated shoes do not contribute to post-operative infections?
Thoughts?
Cheers
CarolCarol Bradley | Surgery Tutor/Clinical Skills Centre Manager
Associate in Veterinary Education (RVC)
Faculty of Veterinary & Agricultural Sciences (FVAS)
Level 1, Building 418, 250 Princes Hwy, Werribee
The University of Melbourne, Victoria 3010 Australia
T: +61 3 9731 2083 E: cbrad@unimelb.edu.auI acknowledge the Traditional Owners of the land on which I work, and pay my respects to the Elders, past and present.
[cid:image002.jpg@01D31D8F.E823DE70]
This email and any attachments may contain personal information or information that is otherwise confidential or the subject of copyright. Any use, disclosure or copying of any part of it is prohibited. The University does not warrant that this email or any attachments are free from viruses or defects. Please check any attachments for viruses and defects before opening them. If this email is received in error, please delete it and notify us by return 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 https://clicktime.symantec.com/3WguNAhLAiXJS6EfVbkERV7Vc?uemail%2C%20delete%20the%20Email%2C%20and%20do 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.
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 acipclist@acipc.org.au
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______________________________________________________________________
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.
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 acipclist@acipc.org.au
To send a message to the list administrator send an email to admin@acipc.org.au
You can unsubscribe manually from this list by sending ‘signoff acipclist’ (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 acipclist@acipc.org.au
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