[Barbara Elliott]

Hi Margaret,
We work on the principle of standard precautions for all patients at all times, regardless on known or perceived infectious status. We look at risk factors for dissemination and base any additional precautions on that assessment. As a general rule we do not do anything different for our day cases and make no changes to the op list order – as per the HDWA OP directive for MRSA in WA Healthcare Facilities.

We also reinforce with staff that for every one patient known to be colonised with MRSA, there may well be others on the lists.

Happy to discuss further off line if you wish.

Kind regards,

Barbara Elliott | Manager Infection Control
St John of God Subiaco Hospital
T: (08) 9382 6871 | M: 0413 706 384 | F: (08) 9382 6785 | E: Barbara.Elliott@sjog.org.au
12 Salvado Road Subiaco WA 6008 | PO Box 14, Subiaco WA 6904
http://sjog.org.au/subiaco | http://twitter.com/sjog_healthcare | LinkedIn | http://facebook.com/StJohnOfGodSubiacoHospital

—–Original Message—–

Dear Colleagues,

I am reviewing the management of our same day surgery patients colonised with MROs.

We do not have a dedicated same day surgery ward, so these patients are admitted to a medical/surgical ward. The majority are admitted for cataract surgery under local anaesthetic, so often admitted and discharged within four hours. We only have one single room with ensuite on the ward. We try to admit MRO patients to this room, but this is not always possible due to other clinical demands. All other rooms on the ward have either two or four beds and no ensuite bathroom. Precautions are based on risk assessment and type of MRO.

I am interested how other facilities manage these type of patients. Do you manage patients differently based on type of MRO colonisation? Do you risk assess patients individually?

Many thanks,

Margaret Davidson
CNC Infection Control
Bentley Health Service
BENTLEY WA 6102

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[Barbara Elliott]

Hi Vicki,
We are an acute private facility with dedicated specialties and we have two wards located on the same floor where all orthopaedic surgery, including joint replacements are accommodated. From time to time, these wards will take “outliers” from other depts., but wherever possible we do not place the joints with known SSI patients.

I guess the main thing to consider is what is the risk to the orthopaedic patients if they are located with other surgical patients? Is HH compliance satisfactory across the hospital, is ANTT practised according to protocol etc.

Kind regards,
Barbara

Hi All,
As a hospital of 250- beds we have incorporated a model of care based on ” Whole of Hospital in Safe Hands”
This required a reconfiguration of wards.

My issue is that we now have our main surgical ward combined with orthopaedics.

I would like to know of any hospital that segregates the elective joint surgery cases post operation

Thank you

Vicki Denyer

Infection Prevention & Control Clinical Nurse Consultant
Lismore Base Hospital

Infection Prevention & Control is Everyone’s Business

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[Barbara Elliott]

Hi Paulina,
We have a dedicated role for staff pre-employment immunisation screening and provision of vaccinations as required. All new employees are required to complete a staff health pre-employment questionnaire and provide evidence of vaccination history (if they can). We have a specific area for the staff vaccination clinic – no ED on site.
The staff health nurse reviews all questionnaires and determines who requires vaccination/serology testing etc. Vaccinations are provided free of charge. Our CEO is a medico with a provider number and authorises administration of vaccines. Written consent (or refusal) is required and these forms are scanned and sent back to our central HR and stored electronically on the employee personnel file. Record of vaccination is entered on the staff data base and staff are given a HCW vaccination record card for their own records – this doesn’t stop them from ringing us up months later asking for copies though!
The staff health role is part-time at 17.5 hours/week and is classified at a Clinical Nurse level here in the west.
Hope this helps.

Barbara Elliott I Manager Infection Prevention & Control I St John of God Subiaco Hospital
Level 3, 12 Salvado Road SUBIACO WA 6008
P: 08 9382 6871 F: 08 9382 6785 M: 0413706384 E: barbara.elliott@sjog.org.au

>>> Paulina May 11/07/2013 7:43 AM >>>

Good Morning All
A question for people working in the private hospital sector, about the management of staff immunisation in line with the version 10 immunisation guidelines and the Standard 3 Infection Control requirements concerning staff immunisation status, the process of checking staffs immunisation status, serology testing and vaccination administration, consent forms and how to manage vaccine refusers.
I am proposing to utilise our Emergency Services (ES) dept open from 0800 to 2200 who currently manage with IC staff blood and body fluid exposures and undertake the yearly flu vaccination campaign.
My plan involves: A dedicated clinic time frame to occur in ES. RGNS to gather consent to be signed to undertake screening and assessment, complete the screening and assessment tool and compile documented evidence. Referral as needed to MOs for serology and checking of results, management of vaccine refusers, gaining consent and ordering administration of vaccines – to be given by RGNs. Payment of fee paying vaccines ??? by staff member or hospital ????. Documentation of staff member immunisation status to be entered into staff health database by IC and hard copies kept in personal file.
If any one is happy to share their ideas/thoughts I would be grateful
Regards
Paulina May
Infection Control Coordinator (Acting)
St Andrews Hospital (4th Floor main hospital building)
GPO Box 1299
Adelaide SA 5000
http://www.stand.org.au
( http://standrews.nessus.com.au/ )
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[Barbara Elliott]

Hi Jane,
We have posters and signs in all our public areas, entrances to lifts and wards etc and in maternity/neonatal units advising visitors not to visit if unwell. The signs have a list of symptoms (in plain speak) and a picture of someone sneezing.
We also have a separate poster specifically for the nursery and maternity areas with the heading “Attention Parents” and again an explanation of reasons not to visit. I am happy to share what we have if you would like a copy.
Kind regards,

Barbara Elliott I Coordinator Infection Prevention & Control I St John of God Subiaco Hospital
Level 3, 12 Salvado Road SUBIACO WA 6008
P: 08 9382 6871 F: 08 9382 6785 M: 0413706384 E: barbara.elliott@sjog.org.au

>>> Jane Barnett 4/12/2012 5:24 AM >>>

Hi
I was wondering if maternity/paediatric areas have policies in place requesting confirmation of pertussis immunity of all visitors and if so, how this is managed. We are experiencing a significantly high rate of community pertussis and have had issues with visitors to neonatal/paed areas. Any advice/experience of colleagues in Australia would be welcome.
Jane
Jane Barnett
Clinical Nurse Specialist
Infection Prevention & Control
Christchurch Women’s Hospital
Private Bag 4711, Christchurch
Infection Prevention and Control is Everyone’s Business
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[Barbara Elliott]

We have a “Bare Below the Elbows” policy which includes no wearing of nail polish, artificial nails and jewellery (plain wedding bands permitted). Compliance for the most part is good, although we do on occasions need to remind people.
Happy to share if required
Barbara

Barbara Elliott I Coordinator Infection Prevention & Control I St John of God Subiaco Hospital
Level 3, 12 Salvado Road SUBIACO WA 6008
P: 08 9382 6871 F: 08 9382 6785 M: 0413706384 E: barbara.elliott@sjog.org.au

>>> “Bartolo, Richard” 22/05/2012 1:32 PM >>>
Dear All,
We’re about to embark on a campaign designed to improve compliance with our dress code and hand hygiene procedures, namely, in relation to nail polish, artificial nails and jewellery.

o Keeping fingernails clean and short, (e.g. the length of the finger pad)
o Artificial fingernails of any sort and nail polish must not be worn by staff who are involved in direct patient care;
o Keeping hand and wrist free from jewellery except for one plain ring. Bracelets, wrist watches and rings with stones or ridges must not be worn when providing clinical care.

We are very interested to hear from any one who has achieved improved compliance in campaigns such as bare below the elbows?

Regards

Richard Bartolo
Manager Infection Prevention

Western Health
Gordon Street, Footscray VIC 3011
Tel. 03 8345 6113
Pager. 03 8345 6666 No. 506
Mob. 0438 560 441
Email. richard.bartolo@wh.org.au
Web. http://www.westernhealth.org.au

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[Barbara Elliott]

Hi Nicola,
Will send you our policy for St John of God Subiaco Hospital (Perth)
Barbara

Barbara Elliott I Coordinator Infection Prevention & Control I St John of God Subiaco Hospital
Level 3, 12 Salvado Road SUBIACO WA 6008
P: 08 9382 6871 F: 08 9382 6785 M: 0413706384 E: barbara.elliott@sjog.org.au

>>> “Powell, Jodie” 20/03/2012 6:24 AM >>>
Hi Nicola
I will send you a copy of our policy that we use at Mater
Thanks Jodie

Jodie Powell
Manager, Infection Control
Mater Health Services
Level 6, Corporate Services Building (OMMH) || Raymond Tce ||
South Brisbane || Qld 4101
t: (07) 3163 5338 e: jodie.powell@mater.org.au m: 0401 226 608
f: (07) 3163 2176 w: http://www.mater.org.au ( blocked::http://www.mater.org.au/ )
Mater’s 2009 Annual Review: 2009.mater.org.au ( blocked::http://2007.mater.org.au/ )
P Please think of the environment before printing this email

Hi All,
Does anyone have guidelines or a policy they would like to share with me regarding assist/guide dogs in an acute hospital? Also is anyone aware of any discrimination legislation attached to the visits of these dogs in hospitals. Many thanks in advance for any assistance you may be able to offer me.
Kind Regards
Nicky Swindells CNC
Infection Control Coordinator/Wound Management
Mater Hospitals Central Queensland
Rockhampton Yeppoon Gladstone
nswindells@mercycq.com
07 49313420

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[Barbara Elliott]

We use a product supplied by Ecolab called Contain 5000, chlorine based – one sachet dissolved in one litre of water and a two step clean.
I have a data sheet if anyone would like a copy.

Barbara Elliott
Infection Control Coordinator
St John of God Hospital Subiaco
tel: 0893826871
fax: 0893817180
email: barbara.elliott@sjog.org.au

>>> Michelle Callard 15/07/2010 7:54 AM >>>

Is anyone using or know of a chlorine containing product with TGA approval for use in C.difficile environmental disinfection.
A study out of Canada has found that 5000mg/L available chlorine had the most consistent sporicidal effect compared with solutions of 1000mg/L and 3000mg/L. I am aware that the AICA position paper recommends a solution of 1000ppm of available chlorine.
Many thanks
Michelle Callard
Area Infection Control Consultant
Clinical Governance Unit
Greater Southern Area Health Service
7 Pacific Street
Batemans Bay NSW 2536
P : (02) 4475 1694
M : 0419018890

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[Barbara Elliott]

St John of God Hospital Subiaco has placed posters along with hand gel in all public areas – main entrances, outside each ward entrance, day of surgery admission areas & entry to the operating suite. We even have it outside the hospital chapel!
We have brackets next to the posters for the gel and so far no issues other than having to remind staff from time to time to renew the bottles when empty.If anyone would like to see our poster am happy to send.

Barbara Elliott
Infection Control Coordinator
St John of God Hospital Subiaco
tel: 0893826871
fax: 0893817180
email: barbara.elliott@sjog.org.au

>>> “Wilson, Fiona L (Infection Control)” 23/02/2010 10:21 AM >>>
I would like to know if any members have placed their alcohol based hand rubs in public areas such as near lifts, entrances etc in their hospitals.
If so where have you put it and what form has this taken (bracket on wall, hand hygiene station etc) and have you had any issues with this.

Regards

Fiona Wilson
Manager, Infection Control
Western Health
email: fiona.wilson@wh.org.au

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