Home › Forums › Infexion Connexion › Voting request: Do you currently screen ICU patients for MROs weekly as well as on admission / discharge – yes or no
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GREENOUGH, John.
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AuthorPosts
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28/04/2021 at 3:33 pm #77950
Hello
Just hoping for quick survey for those site who have an ICU and the advice from the ACSQHC Table 2 – high risk units re MRO screening on admission , weekly and on discharge (especially VRE)
as I am getting mixed messages from one of our ICUs that other units no longer undertake weekly MRO screening despite the national guide so I am trying to get an understanding of what others unit may be doingQuestion – Do you currently screen ICU patients for MROs on weekly as well as on discharge and admission
Many thanks for your useful feedback
Kind regards
Lindy
Lindy Ryan
District Infection Prevention & Control CNC | Clinical Governance & Information Services MNCLHD
Level 1 Coffs Specialist Centre, Pacific Hwy, Coffs Harbour
Office 66911984 or Mob 0419 990 693 | lindy.ryan@health.nsw.gov.au
http://www.health.nsw.gov.au[http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Mid-North-Coast-LHD.jpg]
“Wise and humane management of the patient is the best safeguard against infection”
(Florence Nightingale Circa 1860)[cid:image005.png@01D6CF16.A659C720]
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29/04/2021 at 7:01 am #77952Hi Lindy
CCLHD Screen MROs in our ICUs (on admission, weekly and on discharge).
Mind you compliance is a bit underwhelming.
🙂
Cheers
KirstyKirsty Graham
Nurse Manager | CCLHD Infection Prevention and Control Unit
Clinical Safety, Quality and Governance Directorate
F4 Administration Office, Gosford Hospital
Tel (02) 4320 3382 (Internal 93382)|Mobile 0407 749 034|Fax (02) 4320 2874 |Pager 18028 |
kirsty.graham@health.nsw.gov.au or CCLHD-IPAC@health.nsw.gov.au
[cid:image001.jpg@01D5583D.2E441200] [cid:image003.png@01D5583D.2E441200] Click on the hand for direct access to CCLHD IPAC Intranet Site
[cid:image001.png@01D6804D.564751C0]Hello
Just hoping for quick survey for those site who have an ICU and the advice from the ACSQHC Table 2 – high risk units re MRO screening on admission , weekly and on discharge (especially VRE)
as I am getting mixed messages from one of our ICUs that other units no longer undertake weekly MRO screening despite the national guide so I am trying to get an understanding of what others unit may be doingQuestion – Do you currently screen ICU patients for MROs on weekly as well as on discharge and admission
Many thanks for your useful feedback
Kind regards
Lindy
Lindy Ryan
District Infection Prevention & Control CNC | Clinical Governance & Information Services MNCLHD
Level 1 Coffs Specialist Centre, Pacific Hwy, Coffs Harbour
Office 66911984 or Mob 0419 990 693 | lindy.ryan@health.nsw.gov.au
http://www.health.nsw.gov.au[http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Mid-North-Coast-LHD.jpg]
“Wise and humane management of the patient is the best safeguard against infection”
(Florence Nightingale Circa 1860)[cid:image005.png@01D6CF16.A659C720]
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29/04/2021 at 8:00 am #77953Sue Gonelli
ParticipantAuthor:
Sue GonelliPosition:
Manager- Infection Prevention and Control UnitOrganisation:
Peninsula HealthState:
Hi Lindy
Peninsula Health screen MRSA and VRE ( on admission, weekly and discharge)
Kind Regards
Sue Gonelli – Manager Infection Prevention and Control Unit
(Pronoun: She/Her/Hers)
Infection Prevention and Control Unit – PO Box 52, Frankston Vic 3199
Direct 9788 1751 Mobile 0434 945 118 Fax 9784 2347 Switchboard 03 9784 7777
sgonelli@phcn.vic.gov.au[cid:image001.jpg@01D60126.9EA692B0]
[cid:image003.png@01D6BCF9.3CE09C80]Hi Lindy
CCLHD Screen MROs in our ICUs (on admission, weekly and on discharge).
Mind you compliance is a bit underwhelming.
🙂
Cheers
KirstyKirsty Graham
Nurse Manager | CCLHD Infection Prevention and Control Unit
Clinical Safety, Quality and Governance Directorate
F4 Administration Office, Gosford Hospital
Tel (02) 4320 3382 (Internal 93382)|Mobile 0407 749 034|Fax (02) 4320 2874 |Pager 18028 |
kirsty.graham@health.nsw.gov.au or CCLHD-IPAC@health.nsw.gov.au
[cid:image001.jpg@01D5583D.2E441200] [cid:image003.png@01D5583D.2E441200] Click on the hand for direct access to CCLHD IPAC Intranet Site
[cid:image001.png@01D6804D.564751C0]Hello
Just hoping for quick survey for those site who have an ICU and the advice from the ACSQHC Table 2 – high risk units re MRO screening on admission , weekly and on discharge (especially VRE)
as I am getting mixed messages from one of our ICUs that other units no longer undertake weekly MRO screening despite the national guide so I am trying to get an understanding of what others unit may be doingQuestion – Do you currently screen ICU patients for MROs on weekly as well as on discharge and admission
Many thanks for your useful feedback
Kind regards
Lindy
Lindy Ryan
District Infection Prevention & Control CNC | Clinical Governance & Information Services MNCLHD
Level 1 Coffs Specialist Centre, Pacific Hwy, Coffs Harbour
Office 66911984 or Mob 0419 990 693 | lindy.ryan@health.nsw.gov.au
http://www.health.nsw.gov.au[http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Mid-North-Coast-LHD.jpg]
“Wise and humane management of the patient is the best safeguard against infection”
(Florence Nightingale Circa 1860)[cid:image005.png@01D6CF16.A659C720]
This message is intended for the addressee named and may contain confidential information. If you are not the intended recipient, please delete it and notify the sender.
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.
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29/04/2021 at 8:39 am #77954Hi Lindy,
Here in Tasmania we have a statewide screening protocol which outlines the requirements for MRO screening. The process does reflect some of the regional epidemiological differences or specific risk groups/areas, I will outline the framework within my region of Hospitals South (Tasmania) which relate specifically to screening into and out of ICU.
As we do not have any local issues with CPE or C. auris, there are no specific ICU screening requirements relating to these pathogens
I hope that this assists?
Kind regards
Rachel
……………………………………………………………………………..
Rachel Thomson
Nurse Unit ManagerInfection Prevention & Control Unit
Royal Hobart Hospital
Tasmanian Health Organisation-South*: 03 6166 7882/ 6166 8658
Level 4, H Block
48 Liverpool Street
Hobart, 7000
[cid:image001.jpg@01D73CD2.16A77170]Hello
Just hoping for quick survey for those site who have an ICU and the advice from the ACSQHC Table 2 – high risk units re MRO screening on admission , weekly and on discharge (especially VRE)
as I am getting mixed messages from one of our ICUs that other units no longer undertake weekly MRO screening despite the national guide so I am trying to get an understanding of what others unit may be doingQuestion – Do you currently screen ICU patients for MROs on weekly as well as on discharge and admission
Many thanks for your useful feedback
Kind regards
Lindy
Lindy Ryan
District Infection Prevention & Control CNC | Clinical Governance & Information Services MNCLHD
Level 1 Coffs Specialist Centre, Pacific Hwy, Coffs Harbour
Office 66911984 or Mob 0419 990 693 | lindy.ryan@health.nsw.gov.au
http://www.health.nsw.gov.au[http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Mid-North-Coast-LHD.jpg]
“Wise and humane management of the patient is the best safeguard against infection”
(Florence Nightingale Circa 1860)[cid:image002.png@01D73C43.DD4A2BE0]
This message is intended for the addressee named and may contain confidential information. If you are not the intended recipient, please delete it and notify the sender.
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.
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30/04/2021 at 12:46 pm #77955Hi Lindy
We only screen weekly in ICU for MRSA / VRE / CPE / ESBL. We stopped screening on admission and discharge because it wasn’t being done (too many things happening on admission and discharge for anyone to remember!). We currently screen every Sunday night at midnight and it works very well. We tend to have a lot of short stay patients in ICU post cardiac surgery, and that cohort are screened for MROs prior to surgery anyway.
We have an overall very low rate of positive MROs (both CAI and HAI), and this just helps us confirm that ICU is not adding to our burden.
Cheers
MichaelMichael Wishart | Infection Control Coordinator, CICP-E
St Vincent’s Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
M +61 448 954 282 | T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
W https://www.svphn.org.auSt Vincent’s Private Hospital Brisbane | 411 Main Street KANGAROO POINT QLD 4169
M +61 448 954 282 | T +61 7 3240 1208 | F +61 7 3240 1166
E michael.wishart@svha.org.au |
W https://www.svphb.org.au[cid:image002.jpg@01D639A0.5B5D4C80]
Hello
Just hoping for quick survey for those site who have an ICU and the advice from the ACSQHC Table 2 – high risk units re MRO screening on admission , weekly and on discharge (especially VRE)
as I am getting mixed messages from one of our ICUs that other units no longer undertake weekly MRO screening despite the national guide so I am trying to get an understanding of what others unit may be doingQuestion – Do you currently screen ICU patients for MROs on weekly as well as on discharge and admission
Many thanks for your useful feedback
Kind regards
Lindy
Lindy Ryan
District Infection Prevention & Control CNC | Clinical Governance & Information Services MNCLHD
Level 1 Coffs Specialist Centre, Pacific Hwy, Coffs Harbour
Office 66911984 or Mob 0419 990 693 | lindy.ryan@health.nsw.gov.au
http://www.health.nsw.gov.au[http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Mid-North-Coast-LHD.jpg]
“Wise and humane management of the patient is the best safeguard against infection”
(Florence Nightingale Circa 1860)[cid:image005.png@01D6CF16.A659C720]
This message is intended for the addressee named and may contain confidential information. If you are not the intended recipient, please delete it and notify the sender.
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.
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30/04/2021 at 1:08 pm #77956Hi Lindy,
At Austin Health we screen:1. ICU upon admission and twice per week for MRSA, VRE and MRGNO.
2. High Risk Units upon admission and weekly for VRE/MRGNO.
3. Point Prevalence Survey for all inpatients (whole of organisation) every 6 months, for VRE/MRGNOWe risk assess patients upon admission for an overseas admission in the past 12 months or admission to a known CPE transmission area. These patients are screened for VRE/MRGNO.
We also screen patients for C.auris if they have had an overseas admission in the past 12 months.Kind regards,
John Greenough
Manager – Infection Control Department
[logo_austin]
03 9496 6625
Level 7, Harold Stokes Building
145 Studley Road, Heidelberg
PO Box 5555, Victoria, 3084
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Hello
Just hoping for quick survey for those site who have an ICU and the advice from the ACSQHC Table 2 high risk units re MRO screening on admission , weekly and on discharge (especially VRE)
as I am getting mixed messages from one of our ICUs that other units no longer undertake weekly MRO screening despite the national guide so I am trying to get an understanding of what others unit may be doing
Question – Do you currently screen ICU patients for MROs on weekly as well as on discharge and admission
Many thanks for your useful feedback
Kind regards
Lindy
Lindy Ryan
District Infection Prevention & Control CNC | Clinical Governance & Information Services MNCLHD
Level 1 Coffs Specialist Centre, Pacific Hwy, Coffs Harbour
Office 66911984 or Mob 0419 990 693 | lindy.ryan@health.nsw.gov.au
http://www.health.nsw.gov.au[http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Mid-North-Coast-LHD.jpg]
Wise and humane management of the patient is the best safeguard against infection
(Florence Nightingale Circa 1860)
[cid:image005.png@01D6CF16.A659C720]
This message is intended for the addressee named and may contain confidential information. If you are not the intended recipient, please delete it and notify the sender.
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.
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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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