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Standard precautions and intubation

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  • #73571
    John Ferguson
    Participant

    Author:
    John Ferguson

    Email:
    John.Ferguson@HNEHEALTH.NSW.GOV.AU

    Organisation:

    State:

    #73573
    Michelle Bibby
    Participant

    Author:
    Michelle Bibby

    Email:
    michelle@INFECTIONPREVENTION.COM.AU

    Organisation:
    Infection Prevention Australia

    State:

    HI John

    This is so important, not only from a PPE perspective, but also a HH
    perspective! Their compliance is appalling on both fronts and then throw in
    aseptic technique compliance and we wonder why we get line infections, I
    think it is high tide that we made a stand.

    I am more than happy to put my hand up and assist!

    Thanks for raising the issue

    Regards
    Michelle

    Michelle Bibby
    Infection Prevention Australia
    +61 429 071 165
    Michelle@infectionprevention.com.au
    http://www.infectionprevention.com.au

    Ferguson

    Dear All
    The College of Anaesthetists avoids specifying in their infection control
    guideline as to whether PPE should be worn by staff who are intubating a
    patient. Most anaesthetists dont wear a mask or eye protection though some
    have been sensitised by undisclosed meningococcal sepsis cases etc.
    My view is that gloves mask and eye protection are indicated as per std
    prec. (Not withstanding, an anaesthetic colleague recently disputed this and
    said that most patients being intubated are apnoeic at the time and
    therefore not producing aerosols!). What have others put in place re
    standard requirements? Has anyone got a stomach to take on the college ?
    Or do people regard this as too low a risk (I dont).
    Best wishes
    John

    Dr John Ferguson MBBS DTM&H FRACP FRCPA
    Microbiologist | Pathology North, NSW Pathology
    Infectious Diseases Physician | Immunology and Infectious Diseases Unit
    Conjoint Assoc. Professor | University of Newcastle
    John Hunter Hospital, Locked Bag 1, Newcastle Mail Centre, NSW 2310,
    Australia
    T: 61 2 49214444 | F: 61 2 49214440 | M: +61(0)428 885573 (Speed Dial
    67607) | Tw @mdjkf
    Follow http://www.idmicnepal.net for microbiology and
    infectious diseases post graduate resources and discussions.
    Follow http://www.biochemcase.wordpress.com
    for moderated case discussions from a renowned clinical biochemistry expert.
    Follow http://www.aimed.net.au , the HNE
    Health/Pathology North site for practical discussions about antibiotic use.

    Unless explicitly attributed, the opinions expressed in this email are those
    of the author only and do not represent the official view of Hunter New
    England Local Health District nor the New South Wales Government.
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    #73574
    Louisa Sasko
    Participant

    Author:
    Louisa Sasko

    Email:
    Louisa.Sasko@HEALTH.NSW.GOV.AU

    Organisation:

    State:

    Hi John,

    Happy to have a discussion off line if you wish.

    Kind Regards
    Louisa Sasko

    Clinical Nurse Consultant | Infection Control & Physical Health Care
    Mental Health Drug & Alcohol NSLHD
    Macquarie Hospital
    Tel (02) 9887 5479 | Fax (02) 9887 5678 | Mob 0422 005 640

    Masters Candidate | Western Sydney University | School of Nursing

    Conjoint Associate Lecturer | Western Sydney University | School of Medicine

    Louisa.sasko@health.nsw.gov.au
    ________________________________

    Dear All

    The College of Anaesthetists avoids specifying in their infection control guideline as to whether PPE should be worn by staff who are intubating a patient. Most anaesthetists dont wear a mask or eye protection though some have been sensitised by undisclosed meningococcal sepsis cases etc.

    My view is that gloves mask and eye protection are indicated as per std prec. (Not withstanding, an anaesthetic colleague recently disputed this and said that most patients being intubated are apnoeic at the time and therefore not producing aerosols!). What have others put in place re standard requirements? Has anyone got a stomach to take on the college ? Or do people regard this as too low a risk (I dont).

    Best wishes

    John

    Dr John Ferguson MBBS DTM&H FRACP FRCPA
    Microbiologist | Pathology North, NSW Pathology
    Infectious Diseases Physician | Immunology and Infectious Diseases Unit
    Conjoint Assoc. Professor | University of Newcastle
    John Hunter Hospital, Locked Bag 1, Newcastle Mail Centre, NSW 2310, Australia
    T: 61 2 49214444 | F: 61 2 49214440 | M: +61(0)428 885573 (Speed Dial 67607) | Tw @mdjkf

    Follow http://www.idmicnepal.net for microbiology and infectious diseases post graduate resources and discussions.
    Follow http://www.biochemcase.wordpress.com for moderated case discussions from a renowned clinical biochemistry expert.
    Follow http://www.aimed.net.au, the HNE Health/Pathology North site for practical discussions about antibiotic use.

    Unless explicitly attributed, the opinions expressed in this email are those of the author only and do not represent the official view of Hunter New England Local Health District nor the New South Wales 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.

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    #73575
    khipsley@optusnet.com.au
    Participant

    Author:
    khipsley@optusnet.com.au

    Email:
    khipsley@optusnet.com.au

    Organisation:

    State:

    Dear John,
    I see this issue has having wider health system implications than just
    the protection of Anaesthetists. Like it or not, other healthcare
    workers will emulate what the Anaesthetists do (eg our Paramedics, who
    do a lot of airway management).

    Yes it is a risk, and is worth addressing.

    regards,
    Kate Hipsley
    NSW Ambulance
    0428 238 789

    On 19/01/2017 2:59 PM, John Ferguson wrote:
    >
    > Dear All
    >
    > The College of Anaesthetists avoids specifying in their infection
    > control guideline as to whether PPE should be worn by staff who are
    > intubating a patient. Most anaesthetists don’t wear a mask or eye
    > protection though some have been sensitised by undisclosed
    > meningococcal sepsis cases etc.
    >
    > My view is that gloves mask and eye protection are indicated as per
    > std prec. (Not withstanding, an anaesthetic colleague recently
    > disputed this and said that most patients being intubated are apnoeic
    > at the time and therefore not producing aerosols!). What have others
    > put in place re standard requirements? Has anyone got a stomach to
    > take on the college ? Or do people regard this as too low a risk (I
    > don’t).
    >
    > Best wishes
    >
    > John
    >
    > *Dr John Ferguson **MBBS DTM&H FRACP FRCPA*
    >
    > Microbiologist|*Pathology North, NSW Pathology*
    >
    > Infectious Diseases Physician| *Immunology and Infectious Diseases Unit*
    >
    > Conjoint Assoc. Professor | *University of Newcastle *
    > John Hunter Hospital, Locked Bag 1, Newcastle Mail Centre, NSW 2310,
    > Australia
    > T: 61 2 49214444 | F: 61 2 49214440 | M: +61(0)428 885573 (Speed Dial
    > 67607) | Tw @mdjkf
    >
    > Follow http://www.idmicnepal.net for
    > microbiology and infectious diseases post graduate resources and
    > discussions.
    >
    > Follow http://www.biochemcase.wordpress.com
    > formoderated case discussions
    > from a renowned clinical biochemistry expert.
    >
    > Follow http://www.aimed.net.au , the HNE
    > Health/Pathology North site for practical discussions about antibiotic
    > use.
    >
    > http://www.health.nsw.gov.au/images/communications/e-signatures/images/NSW-Health-Master.jpg
    >
    >
    > Unless explicitly attributed, the opinions expressed in this email are
    > those of the author only and do not represent the official view of
    > Hunter New England Local Health District nor the New South Wales
    > 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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    You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

    ————–090501050807050209090808

    Dear John,
    I see this issue has having wider health system implications than
    just the protection of Anaesthetists. Like it or not, other
    healthcare workers will emulate what the Anaesthetists do (eg our
    Paramedics, who do a lot of airway management).

    Yes it is a risk, and is worth addressing.

    regards,
    Kate Hipsley
    NSW Ambulance
    0428 238 789

     On 19/01/2017 2:59 PM, John Ferguson wrote:

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

    Dear All

     

    The College
    of Anaesthetists avoids specifying in their infection
    control guideline as to whether PPE should be worn by staff
    who are intubating a patient.  Most anaesthetists don’t wear
    a mask or eye protection though some have been sensitised by
    undisclosed meningococcal sepsis cases etc.  

     

    My view is
    that gloves mask and eye protection are indicated as per std
    prec. (Not withstanding, an anaesthetic colleague recently
    disputed this and said that most patients being intubated
    are apnoeic at the time and therefore not producing
    aerosols!).  What have others put in place re standard
    requirements?  Has anyone got a stomach to take on the
    college ?  Or do people regard this as too low a risk (I
    don’t).

     

    Best wishes

    John

     

     

     

    Dr John Ferguson MBBS DTM&H FRACP FRCPA

    Microbiologist | Pathology North, NSW Pathology

    Infectious
    Diseases Physician
    | Immunology and Infectious
    Diseases Unit

    Conjoint Assoc.
    Professor
    | University of Newcastle
    John Hunter Hospital, Locked Bag 1, Newcastle
    Mail Centre, NSW 2310, Australia
    T: 61 2 49214444 |  F: 61 2 49214440 | M: +61(0)428 885573 (Speed Dial
    67607)
    | Tw @mdjkf

     

    Follow http://www.idmicnepal.net for microbiology
    and infectious diseases post graduate resources and
    discussions.

    Follow www.biochemcase.wordpress.com for moderated case discussions from
    a renowned clinical biochemistry expert
    .

    Follow  http://www.aimed.net.au, the HNE
    Health/Pathology North site for practical discussions
    about antibiotic use.

     

    http://www.health.nsw.gov.au/images/communications/e-signatures/images/NSW-Health-Master.jpg  

     

     

    Alberto Varas
    Alberto Varas
    2
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    2016-04-15T03:20:00Z
    2016-04-15T03:20:00Z
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    Unless
    explicitly
    attributed, the opinions expressed in this email are those
    of the
    author only and do not represent the official view of Hunter
    New England Local
    Health District nor the New
    South Wales 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
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    (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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    ————–090501050807050209090808–

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