[McLean, Alan (Health)]

SA Health have a number of guidelines for the management of non-occupational exposure to HIV which include needle stick injuries. The following links may be helpful particularly the last which is to the ED

http://www.dh.sa.gov.au/pehs/publications/0801-nPEP-HIV-management-guide.pdf

http://www.dh.sa.gov.au/pehs/publications/0801-nPEP-HIV-sop1-telephone-triage.pdf

http://www.dh.sa.gov.au/pehs/publications/0801-nPEP-HIV-sop2-emergency-resp.pdf

http://www.dh.sa.gov.au/pehs/publications/0801-nPEP-HIV-sop3-follow-up.pdf

http://www.dh.sa.gov.au/pehs/publications/0801-nPEP-HIV-risk-assessment-protocol.pdf

The commonwealth also have a guideline which can be found at,

http://www.dh.sa.gov.au/pehs/publications/2007-national-NPEP-guidelines.pdf

Regards,

Alan McLean BHlthSc, MHA, FACHSM
Patient Safety & Quality

Clinical Services
SA Ambulance Service
Government of South Australia

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Just wondering how other places manage those from the community who present to the Emergency Department following a blood or body fluid exposure incident? Often our staff packs are used to manage the incident which sends the results back to us in infection control. We are considering that maybe a community exposure management pack should be developed and used for these people- the number of presentation is fairly low.

Cathy Mowat
Infection Control
Central Gippsland Health Service
Sale Victoria 3850
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[McLean, Alan (Health)]

We provide an in house staff immunisation program, my providers do not wear gloves as hand hygiene is preformed between each immunisation. There are a couple of reasons for this;

* we believe that the use of gloves reduces hand hygiene compliance

* gloves are only unnecessary when there is a possible risk of exposure to body fluids

Regards,

Alan McLean BHlthSc, MHA
Manager Patient Safety & Quality

Clinical Services
SA Ambulance Service
Government of South Australia

Hi Jan
The school based and community based immunisation nurses for Child and Adolescent Community Health in Perth don’t wear gloves. They are required to perform hand hygiene between clients using alcohol based hand gel.
I hope this helps you.
Cheers
Lincoln Fowler / Infection Control / CACH
Department of Health
E: Lincoln.Fowler@health.wa.gov.au
L3 WASON, 151 Wellington St, PERTH WA 6000
http://www.health.wa.gov.au
Delivering a Healthy WA
________________________________

Hi all
I have a question about the wearing of gloves and the use of hand hygiene during vaccination clinics, in particular in schools or community based clinics. The Immunisation guidelines state ‘that gloves are not routinely recommended for immunisation service providers’ and that standard precautions should be used.
Would be interested to know what others are doing.

1. Do the immunisation staff wear gloves or not?

2. If wearing gloves do they change them and perform hand hygiene between each client/ individual?

3. If not wearing gloves do they perform hand hygiene between each client?
Thanks
Jan
Jan Roberts RN,ICP
Infection Prevention & Control
Community Based Services, ACT Health
(W) 61745352
(M) 0435966792
(E) janL.roberts@act.gov.au
or communityinfectioncontrol@act.gov.au
Care Excellence Collaboration Integrity
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