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We use hazard tape (or chalk on carpet) to prescribe doffing area
immediately outside room. It only needs to be the door width and maybe
600mm deep. It needs to adjacent bins and hand sanitiser within reach of
the zone. It’s best to avoid flip top bins because they generate air
wafting over the top of the waste. Once gloves and gown are doffed staff
member can step out of zone. This system allows signage to be visible,
indicates to staff before they enter a room that it is a red zone room, and
it is less likely that bins will be left overflowing. It also improves
compliance because the doffing process is visible and staff are more likely
to go through each step including handwashing between each step if they can
be seen. Generic signs are ok but after being deployed now to multiple
sites across Qld, sign making to suit the setting greatly improves
compliance. Eg you might improve compliance by signing in the Ist language
of segments of your staff eg Nepalise
Hope this helps
Brian Moore RN BHScN
TL. Qld Covid Response Standing Force.On Mon, 28 Feb 2022, 1:49 pm Montague, Cathryn (Health), wrote:
> Hi everyone,
>
>
>
> Im looking for examples of health facility official Precautions signage
> for outside a patient room (particularly COVID-19 precautions)
>
>
>
> The ACQHSC signage
>
> for doors (combined airborne/contact precautions) has gloves and gown
> coming off inside the client room, then exiting to complete doffing.
>
>
>
> SA Health have excellent donning/doffing posters, but point to ACQHSC for
> room door alert signage.
>
>
> For various reasons relating to high risk care setting, I am not keen on
> using the ACQHSC signage and creating an accumulation of PPE inside the
> client room but also dont want to go down the path of just making up
> signage or changing the official ACQHSC poster to suit our setting.
>
>
>
> Any pointers?
>
>
>
> Kind regards,
>
> *Cathi*
>
>
>
> *Cathi Montague*
>
> *Nurse Consultant Infection Prevention and Control **(Week 1 Wed-Fri |
> Week 2 Mon-Thurs)*
>
> *Drug and Alcohol Services South Australia*
> Email: Cathryn.Montague@sa,gov.au
>
>
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Is this not a question of droplet vs aerosol. Pump action spray bottles
aimed at a surface would pose a very limited risk. They are droplet. I
think risk of overpour poses a greater risk. Sorry but I think thee be
overly concerned.
Brian Moore
RN BHScNOn Thu, 24 Feb 2022, 7:34 pm Margie Evans, wrote:
> Hi Michael
> I have had the same practice of ensuring pour caps were use and not spray.
> Apart from the reasons youve given, the mist needed to be contained
> especially for those with the increasing chemical allergies in both staff
> and patients.
> However I too will be interested if thinking has changed.
> Kind regards
> Margie Evans
>
> Sent from my iPhone
>
> On 24 Feb 2022, at 4:55 pm, Cate Coffey wrote:
>
>
>
> They are still not the best as spray bottles are rarely cleaned increasing
> risk of contamination of pathogens. We use pour bottles that are disposable.
>
> Regards
>
>
>
> Cate Coffey
>
> RN BaAScN MPH&TM Grad Cert Infection Control Nursing
>
> Clinical Nurse Manager
>
>
>
> Central Australia Health Service
>
> Department of Health
>
> Northern Territory Government
>
>
>
> Infection Prevention and Control Unit
>
> Alice Springs Hospital
> PO Box 2234, Alice Springs, NT 0871
>
> cate.coffey@nt.gov.au
>
>
>
> *t.* 08 8951 7737
>
> *www.health.nt.gov.au*
>
>
>
> *From:* ACIPC Infexion Connexion *On Behalf Of *Michael
> Wishart
> *Sent:* Thursday, 24 February 2022 3:08 PM
> *To:* ACIPCLIST@ACIPC.ORG.AU
> *Subject:* [ACIPC_Infexion_Connexion] Cleaning solutions and spray bottles
>
>
>
> Just a general, random, not directly related to COVID-19 question.
>
>
>
> Do you allow spray bottles to be used for dispensing routine environmental
> or equipment cleaning chemicals within your facility (any healthcare
> facility hospital, aged care, office practice)?
>
>
>
> I had always been of the opinion that dispensing cleaning chemicals by
> spraying onto surfaces in a healthcare environment was not preferred, due
> to overspray, vapours and mists, but now I have been approached to endorse
> a cleaning product that ONLY comes in a spray bottle option (or a misting
> machine which we are definitely not considering for routine cleaning!)
>
>
>
> Do I need to upgrade my thinking, or are spray bottles still not the best
> option (even with disposable bottles and spray attachments)?
>
>
>
> Happy for any comments on this.
>
>
>
> Cheers
>
> Michael
>
>
>
> *Michael Wishart *| Infection Control Coordinator, CICP-E
>
>
> St Vincents Private Hospital Northside | 627 Rode Road CHERMSIDE QLD
> 4032
>
> *M *+61 448 954 282 | *T *+61 7 3326 3068 |* F* +61 7 3607 2226
>
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>
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>
>
>
>
>
> St Vincents 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
>
>
>
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Signage colour coded breaks down misunderstandings when multi cultures
exist in the one setting, makes things clear. We have used beetles on
doors, flowers, single large print words red and blue colour to clarify
zones pictures of gowns each. Keep it simple, keep it bright put it
everywhere, compliance is the aim. PPE is defence, communication and
vigilance is strength.
Brian Moore RN
Qld Standing Covid Surge Team Team Lead.On Fri, 11 Feb 2022, 10:41 am Vanessa Davis, wrote:
> Dear Clever People
> I work in a residential aged care and am trying to convince my boss that
> having clear signage outside a potentially infectious or confirmed
> infectious residents room (ie on the door) is best practice.
>
> All I can find is SHOULD on page 120 of the Aust Guidelines for Prevention
> & Control of Infection in Healthcare.
>
> I appreciate any assistance re using any other information to support my
> argument.
>
> Many thanks in advance
>
> Vanessa Watkins
> RN, QM & IPC Lead
> Donwood Community Aged Care
> Croydon Vic
> (03) 9845 8500
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I would think that if an individual wishes to self protect, and can afford
the cost of several N95 masks each day, go for it. Any worker who is
required by their employment to have face to face contact with clients be
they health workers or bank customer service should be supported to use N95
masks offer greater protection than say a surgical mask
Brain MooreOn Tue, 11 Jan. 2022, 10:17 am Terri Goldstein,
wrote:> Hi all
>
>
>
> I have a query regarding the use of N95 masks in a non-medical setting
> i.e. professional services such as banking staff and retails shops etc?
>
>
>
> Is there currently any Government directive around use of N95 masks in
> non-health settings? I am trying to ascertain this info as I understand
> these are difficult to source? I understand the need for hospitals, aged
> care etc.
>
>
>
> Thanks
>
> Terri
>
>
>
> *Terri Goldstein*
>
> *Medical & Health Specialist*
>
> *Registered Nurse*
>
>
>
>
>
> *Winc Australia Pty Limited*
>
> *E.* terri.goldstein@winc.com.au
>
> *M.* 0400 808 879
>
>
>
> 163 ORiordan Street Mascot NSW 2020
>
> LockedBag
>
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>
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>
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I would consider that properly handled soiled linen poses less risk than
the staff member pushing it passing through that zone. Humans interact
where soiled linen sits quietly if not disturbed. For this reason alone I
would promote transporting linen via the external route.
Go well
Brian MooreOn Sat, 9 Oct. 2021, 10:26 am Sandra Chick, wrote:
> We recently experienced an outbreak of Parainfluenza 1,2,3 and Human
> Pneuovirus. It spread to 10 of our residents. It wasn’t till near the end
> of our lockdown that I learned that the dirty/soiled linen was being
> transported from the initially infected wing to the laundry straight
> through another wing instead of being detoured to the outside of the
> building from the contaminated wing. I feel this resulted in a further 2
> residents became infected due to this process. I am correct in thinking
> that this should not happen. If there is a means of getting dirty linen to
> the laundry without transporting it through another wing shouldn’t that be
> how it should be transported during an outbreak? I have been unable to
> find any definitive information in this regard so any expert help would be
> much appreciated.
>
>
>
> Sandra Chick
> EEN/IPC Lead
> Ridgehaven Retirement Complex
> 32 Stuart Street
> Monto Qld 4630
>
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