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Teaching of infection control to undergraduate health science students including medical students

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  • #71100
    John Ferguson
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    Author:
    John Ferguson

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    Dear All

    We are in the process of curriculum change and would be very interested in learning about other’s approach to this essential topic. [Needless to say, our College needs to develop a position on this I think! ]

    Whilst I guess the basic topics are straightforward – Std and Tx based precautions, specific emphasis on 5 moments with practical training, aseptic technique learning and practical techniques, sterilisation and disinfection and environmental hygiene etc, I’m particularly interested in how people sequence the content and what activities are used. Are you for instance , training your students as peer HH or AT auditors? How does it couple in with training about microbiology and infection?

    A related topic is AMS – that would also be of interest for people to share what they are doing please.

    Best wishes
    John

    Dr John Ferguson
    Director, Infection Prevention Service, Hunter New England Health
    Locked Bag 1, Newcastle Mail Centre, NSW 2310
    Tel 61 2 4921 4444 | Fax 61 2 4921 4440 | Mob +61 428 885 573 | john.ferguson@hnehealth.nsw.gov.au | http://www.hicsiganz.org
    [cid:image001.jpg@01CF8A2F.3CF61550]

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    #71102
    brett.mitchell@avondale.edu.au
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    brett.mitchell@avondale.edu.au

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    Hi John,

    A group of us have just submitted a paper to a journal from a study we did exploring graduating nurses knowledge, intentions and beliefs around infection control. This study was conducted at 6 Australian universities late last year. There were a few things of interest, but the standout was the lack of knowledge of and correct application of transmission based precautions – given some clinical scenarios. This was very substandard.

    That tells me that something is amiss when it comes to how we are delivering these messages to undergraduate nurses at least. It is possible that the same themes would apply to medical students.

    Re the curriculum when I work, infection control measures are taught more formally very early on, including micro, but then subsequently integrated throughout individual units, including various clinical assessments. There is a particular focus on aseptic technique and hand hygiene. First year nurses are required to complete the HHA OLP. In the very last semester before they graduate (Year 3), we have introduced a new unit on emerging health issues. In this unit, antibiotic resistance is covered, alongside emerging infectious diseases and the various IPC measures. In covering antibiotic resistance, stewardship will be covered. One assessment item is a patient information leaflet – where students have to develop a patient information leaflet on C.difficile, influenza or antibiotic resistance. That is then peer marked and this forms the basis for their grade, for that one assessment item. Students are also required to undertake the HHA OLP again – we encourage the certificate is kept for their various new employers.

    Thanks
    Brett

    Dear All

    We are in the process of curriculum change and would be very interested in learning about other’s approach to this essential topic. [Needless to say, our College needs to develop a position on this I think! ]

    Whilst I guess the basic topics are straightforward – Std and Tx based precautions, specific emphasis on 5 moments with practical training, aseptic technique learning and practical techniques, sterilisation and disinfection and environmental hygiene etc, I’m particularly interested in how people sequence the content and what activities are used. Are you for instance , training your students as peer HH or AT auditors? How does it couple in with training about microbiology and infection?

    A related topic is AMS – that would also be of interest for people to share what they are doing please.

    Best wishes
    John

    Dr John Ferguson
    Director, Infection Prevention Service, Hunter New England Health
    Locked Bag 1, Newcastle Mail Centre, NSW 2310
    Tel 61 2 4921 4444 | Fax 61 2 4921 4440 | Mob +61 428 885 573 | john.ferguson@hnehealth.nsw.gov.au | http://www.hicsiganz.org
    [http://www.health.nsw.gov.au/images/communications/e-signatures/images/NSW-Health-Hunter-New-England-LHD.jpg]

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    #71107
    Wilkinson, Irene (Health)
    Participant

    Author:
    Wilkinson, Irene (Health)

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    Hi all,

    Having been involved in the creation of a Graduate IC program at the University of Adelaide, my strong belief is that you need to teach basic microbiology, because you cannot understand TBP unless you understand something about the various infectious agents and the way they behave, their reservoirs in the hospital environment, and ability to survive on surfaces, etc.
    The other concept that is really important to get across is infectious risk assessment, and scenario work is a good tool for that.

    Regards,

    Irene Wilkinson
    Manager, Infection Control Service
    Communicable Disease Control Branch
    SA Department of Health
    11 Hindmarsh Square
    Adelaide SA 5000

    http://www.sahealth.sa.gov.au/infectionprevention
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    I agree Brett,

    Transmission based precautions and correct application seems to be the biggest issue we have at present. Some Staff just do not seem to be able to grasp the basic principles. I find I am continually re-iterating and teaching in every instance. I have modified signs to provide more information to attending staff, developed a transmission based precautions folder with guidance and resources yet still this area remains problematic.

    Liz Vanderlinde
    Infection Control Officer
    North West Private Hospital
    Brickport Road, Burnie TAS 7320, Australia
    T +61 2 6432 6000 F +61 2 6431 5766
    E Liz.Vanderlinde@healthecare.com.au W | facebook | twitter

    Hi John,

    A group of us have just submitted a paper to a journal from a study we did exploring graduating nurses knowledge, intentions and beliefs around infection control. This study was conducted at 6 Australian universities late last year. There were a few things of interest, but the standout was the lack of knowledge of and correct application of transmission based precautions – given some clinical scenarios. This was very substandard.

    That tells me that something is amiss when it comes to how we are delivering these messages to undergraduate nurses at least. It is possible that the same themes would apply to medical students.

    Re the curriculum when I work, infection control measures are taught more formally very early on, including micro, but then subsequently integrated throughout individual units, including various clinical assessments. There is a particular focus on aseptic technique and hand hygiene. First year nurses are required to complete the HHA OLP. In the very last semester before they graduate (Year 3), we have introduced a new unit on emerging health issues. In this unit, antibiotic resistance is covered, alongside emerging infectious diseases and the various IPC measures. In covering antibiotic resistance, stewardship will be covered. One assessment item is a patient information leaflet – where students have to develop a patient information leaflet on C.difficile, influenza or antibiotic resistance. That is then peer marked and this forms the basis for their grade, for that one assessment item. Students are also required to undertake the HHA OLP again – we encourage the certificate is kept for their various new employers.

    Thanks
    Brett

    Dear All

    We are in the process of curriculum change and would be very interested in learning about other’s approach to this essential topic. [Needless to say, our College needs to develop a position on this I think! ]

    Whilst I guess the basic topics are straightforward – Std and Tx based precautions, specific emphasis on 5 moments with practical training, aseptic technique learning and practical techniques, sterilisation and disinfection and environmental hygiene etc, I’m particularly interested in how people sequence the content and what activities are used. Are you for instance , training your students as peer HH or AT auditors? How does it couple in with training about microbiology and infection?

    A related topic is AMS – that would also be of interest for people to share what they are doing please.

    Best wishes
    John

    Dr John Ferguson
    Director, Infection Prevention Service, Hunter New England Health
    Locked Bag 1, Newcastle Mail Centre, NSW 2310
    Tel 61 2 4921 4444 | Fax 61 2 4921 4440 | Mob +61 428 885 573 | john.ferguson@hnehealth.nsw.gov.au | http://www.hicsiganz.org

    Click here to report this email as spam.
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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 or services by brand or commercial names, please do this outside the list.

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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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