[Cath Murphy]

Irene

I have embedded it on this website for easier access. http://infectioncontrolplus.com.au/?p961
Please let me know if you have any problems accessing.

Also willing to hear comments from others on the issue once they watch the debate. Comments can be left on the site above. There is also a link to The Alliance’s website from http://infectioncontrolplus.com.au/?p961

Thanks
Cath

Cathryn Murphy PhD
Executive Director
Infection Control Plus Pty Ltd
http://www.infectioncontrolplus.com.au
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Thanks Cath,

Can you please provide the info that needs to be entered into the email request for the download?

Cheers,
Irene

Irene Wilkinson
Manager, Infection Control Service
SA Health
Irene.wilkinson@health.sa.gov.au
08 7245 7170

Thanks Cath,

Great session, great support for a watershed motion. And a great suggestion re all of us writing to each member who spoke – if you track down their email addresses would you mind sharing them with us?

Best regards, Terry

Terry Grimmond FASM, BAgrSc, GrDpAdEd
Consultant Microbiologist
Grimmond and Associates
Ph/Fx (NZ): +64 7 856 4042
Mob (NZ): +64 274 365 140
E: tg@gandassoc.com
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Today in the Federation Chamber sensible bipartisian behaviour and good reason from twelve Members supporting Coalition MP Dr Mal Washer’s last private member motion and the first ever to address needlestick and sharps injuries. This motion has the potential to eliminate up to 30,000 of these potentially life-threatening workplace injuries sustained by Australian healthcare workers each year. As a nurse sustaining multiple sharps and Needlestick injuries over a 30-year plus career and as a long-term researcher and advocate for mandating availability of safety engineered sharps devices that eliminate this risk, my faith in Australian politics has been somewhat restored. Too bad Australia lags at least a decade behind the US and several years behind Canada and Europe until legislation mandating safety engineered sharps devices is promulgated.

If any ACIPC members or others are interested in accessing a recording of the very interesting debate you can follow this link to request a copy. http://www.aph.gov.au/News_and_Events/Watch_Parliament/How_do_I_request_a_copy_of_Parliamentary_proceedings Within 6 hours I had received unique access to a downloadable version of the debate. It was interesting live and compelling watching post event.

The 12 MPs who spoke in support of Dr Washer’s motion are listed below. There would be great merit in the College and individual members writing or contacting these politicians to express our thanks and to request their ongoing support and commitment beyond today and September’s election. If we remain silent on this issue we may well lose this one chance which is the first one I’ve experienced in more than 25 years in the field.

* Graham Perrett. Member for Moreton, QLD
* Hon. Judi Moylan, Member for Pearce, WA
* Tony Zappia, Member for Makin, SA
* Craig Thomson, Member for Dobell
* Jill Hall, Member for Shortland
* Jane Prentice, Member for Ryan, QLD
* Michael McCormack, Member Riverina
* Hon. Shayne Neumann, Sec For Health and Ageing
* Dr Dennis Jensen, Member for Tangley
* Nick Champion, Member for Wakefield SA
* Darren Chester Member for Gippsland,
* Nola Marino, Member for Forest

Professor Cathryn Murphy RN MPH PhD
Executive Director
Infection Control Plus Pty Ltd
West Burleigh, Queensland
http://www.infectioncontrolplus.com.au
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[Cath Murphy]

Lots of these types of resources from WHO Hand Hygiene website and even HHA. As a tip from an old dog the first intervention should be to watch the HCw’s technique and especially determine if they are actively rinsing properly when they use water and solution. Most do not actively rinse and as a result get irritation and sometimes contact dermatitis. Rarely are HCWs truly allergic to HH solution or gloves. Some may have reactions to chemical accelerators used in gloves. Increases in OR staff hand issues have recently been noted with transition to synthetic gloves (due to remaining chemical accelerants even though gloves are latex and powder-free). Interesting evolving science.

Good luck.

PS Weather extremes (humidity, heat and cold) can also impact skin.

Cathryn Murphy PhD
Executive Director
Infection Control Plus Pty Ltd
http://www.infectioncontrolplus.com.au

—–Original Message—–

Hi all,

I would like to ask if anyone has a hand care assessment tool for healthcare workers that are potentially having problems with the hand hygiene products supplied by the facility?

Many thanks in advance

Regards

Louisa Sasko
CNC Infection Control
Department Manager
Blacktown Mt Druitt Hospitals
WSLHD
p: 9881 8994
m: 0408 923 789
e: Louisa.Sasko@swahs.health.nsw.gov.au

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[Cath Murphy]

Helen
APIC developed a fantastic Renal Guideline a few years ago. I can try and find a copy for you if youd like. It may have applicability or need minor modifications for Aussie settings. I dont know of other renal-specific resources.
Cheers
Cath

Cathryn Murphy PhD
Executive Director
Infection Control Plus Pty Ltd
Ph: +61 428 154 154
http://www.infectioncontrolplus.com.au
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From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Helen Newman
Sent: Wednesday, 19 June 2013 14:46 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Renal Self Care Unit

Hi all,
We are developing a self care unit for renal haemodialysis patients within our outpatient dialysis unit. It will be for patients who are capable of some form of independence with their dialysis treatment and also may help develop patients who can then move on to home training.

I am looking for any suggestions, lessons learnt or any procedures from any who have been involved in this type of care may be able to share

Thank you in advance,
Helen

Helen Newman

Infection Prevention and Control CNC CICP| Infection Management and Control Service
Shellharbour and Kiama Hospitals
Tel 02 4295 2416 | Fax 02 4295 2497 | Helen.Newman@sesiahs.health.nsw.gov.au
http://www.health.nsw.gov.au

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[Cath Murphy]

Hi Jo
I’d also be looking at the literature around the effectiveness of both systems and any occupational health issues that have been associated with either. It’s unlikely that you will ever get a head-to-head comparison but read carefully and make sure you don’t confuse lab-based studies performed in controlled settings with real world studies.
Good luck with the decision.
Cathryn Murphy PhD
Executive Director
Infection Control Plus Pty Ltd
http://www.infectioncontrolplus.com.au
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Hi Jo
Kindly consider compatibility of your current inventory. Refer to manufacturer for this and they are always happy to help and this is important before considering process upgrades if you are not changing your inventory, refer to Spaulding’s Classification to satisfy the reprocessing requirements of your scopes and most importantly validation requirements and compliance with current standards are essential components to it. I would consider low temperature sterilisation and automated endoscopic repressors that provide high level disinfection as long as the reprocessing requirements satisfy Spaulding’s for the medical device’s intended use. Get as much information from all equipment manufacturer’s as much as you can. More choices the better.
Happy reprocessing.
Cheers

Roel Castillo
Project Officer – SSD

Please direct any brand name related responses to Jo Dewey at Jo.Dewey@healthscope.com.au.

My apologies for allowing this message with brand names of various endoscope reprocessors from being sent to the list.

Please remember to avoid using brand names on this list as possible, in this instance refer to the process (eg peracetic acid), rather than a brand name if replying to the list.

Thanks
Michael Wishart
ACIPC Infexion Connexion Administrator

Michael Wishart
CNC Infection Control
Holy Spirit Northside Private Hospital
627 Rode Road, Chermside, Qld 4032
t: (07) 3326 3068 | f: (07) 3607 2226
e: Michael.Wishart@hsn.org.au
w:www.holyspiritnorthside.org.au
Please consider the environment before printing this email

Hi

We are looking at upgrading our scope sterilizers at the moment and I would like to know what sterilizers you are all using and how you are finding them. We are using the steris system at the moment but have looked at the solumed and the new steris.

Just have to get some feedback to take back to my DON and GM.

Kind Regards

Jo Dewey
Infection Control Co-ordinator
Peninsula Private Hospital
Jo.Dewey@healthscope.com.au
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[Cath Murphy]

We recently posted on our Facebook Page https://www.facebook.com/infectioncontrolplus a recently taken image from a large public hospital in Australia depicting this exact scenario. The comments raised by respondents make curious reading and they come from practitioners from multiple disciplines across the globe and at various stages of chronologic and professional maturity. They make for interesting viewing. I have been dismayed my entire life to know this is a worldwide malpractice. Perhaps yet another sign of the decay of the well needed sense of asepsis?

Cheers
Cath

Cathryn Murphy PhD
Executive Director
Infection Control Plus Pty Ltd
http://www.infectioncontrolplus.com.au
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Dear Colleagues,

To use a famous quote:

“Absence of evidence is not evidence of absence”.

http://en.wikipedia.org/wiki/Argument_from_ignorance

and another one: “Those who cannot remember the past are condemned to repeat it” (George Santayana).

What I am trying to say is that the question of whether or not to wear theatre clothing, and in which circumstances, is — in my opinion — more complex than to say “there is no evidence for it” or vice versa, “there is evidence for doing it in a particular way”.

Some of it boils down to what we want to accept as evidence — is it only evidence from randomized clinical trials with surgical infection rates as the outcome (for which there are none in theatre clothing — so we would not find any evidence), or is it evidence from microbiology, historical/anecdotal sources, combined with “what makes sense”? If we were to accept only high-quality evidence from RCTs, we would have no basis for many everyday clinical decisions that otherwise make perfect sense (think of the famous parachute article in the 2003 Christmas edition of BMJ). In the absence of good-quality evidence from clinical trials, some answers may come from other sources and include scientific reasoning, common sense and sociological issues (e.g. institutional identity and public perception, as pointed out by Paul Smollen).

It is for some of these reasons that some of the analyses in the HIS document (Woodhead et al. 2002) — while it is overall a reasonable document and a laudable approach to query the issues — lack a little depth to fully address these issues (they also point out social and/or theatre discipline issues).

Things started in the 19th century, around Lister’s time. Senior surgeons often took pride in how dirty, blood- and pus-splattered their gowns were, because this was viewed as a status symbol. (Not sure, is wearing scrubs in cafeterias also a kind of status symbol?). In the late 19th and early 20th century, the principle of aseptic surgery was introduced (including scrubs, gowns, sterile field, etc.) and then refined during the first half of the 20th century. Note that by about the 1970s, the infection rates for clean surgery (classified as clean) were already quite similar to what they are today. Advancements came mostly from the other categories (clean-contaminated and higher).

The microbiological rationale for wearing dedicated operating theatre clothing, i.e. scrubs, comes from the fact that when freshly-laundered clothing is put on, this clothing acquires the wearer’s (and to a lesser extent the environment’s) microorganisms, and this bacterial burden increases over the time of wearing. This is thought to be in principle very similar for street clothing and scrubs, and what happens is that over time, the microorganisms on the clothing reach a saturated state and then the wearer disperses these microorganisms into the environment around her/him, although this also depends on how tightly woven the garments are (scrubs are more tightly woven, so lesser shedding). This is called the “cloud phenomenon”, and someone who has published on this in recent times is Robert (“Bob”) Sherertz from the USA. The acquisition and dispersal of microorganisms includes pathogens like Staph. aureus (also MRSA) in those who are colonised. That means, what the wearing of fresh scrub suits effectively does is to set the “clock” of microorganism acquisition and dispersal back to zero each time a new suit is put on. The consequence is that if there is an institutional scrub-wearing policy, then the institution has some control over this microorganism acquisition and dispersal, whereas if people can wear street clothes or re-use old scrubs, then there is no institutional control over this biological process. (People may come in with several-days-old street clothing or just put the scrubs in the locker for re-use if the process is not controlled). Much of this research dates back to about the 1950s and 1960s, before the advent of evidence-based medicine, and therefore information in the very recent literature is scarce. (I need to credit my colleague Andreas Widmer from Switzerland for bringing my attention to this microbiological rationale — a quote from Andreas is “what’s the point of having clean HEPA-filtered OT air when the clothing makes the bacteria airborne?”).

A publication by Bob Sherertz is here:

Bischoff WE, Tucker BK, Wallis ML, Reboussin BA, Pfaller MA, Hayden FG, Sherertz RJ. Preventing the airborne spread of Staphylococcus aureus by persons with the common cold: effect of surgical scrubs, gowns, and masks. Infect Control Hosp Epidemiol. 2007 Oct;28(10):1148-54.
http://www.ncbi.nlm.nih.gov/pubmed/17828691

While the above provides a clear rationale (I can’t call it evidence) for wearing dedicated scrubs in OT and for having an institutional OT attire policy, the rationale for changing when leaving OT and for putting on fresh scrubs when reentering, or alternatively for putting on cover gowns, is less clear. The microbial contamination between scrubs dedicated to the OT and scrubs worn outside the OT is generally not very different from each other. However, one study from the 1980s found that the microbial burden on scrubs was less when covergowns were worn outside the OT or when fresh scrubs were put on while reentering, while there was more contamination when no covergowns were worn, or when scrubs were just put in lockers and worn again after a lunch break:

Copp G, Mailhot CB, Zalar M, Slezak L, Copp AJ. Covergowns and the control of operating room contamination. Nurs Res. 1986 Sep-Oct;35(5):263-8.
http://www.ncbi.nlm.nih.gov/pubmed/3529043

Also to consider is the image of professionality and the professional image of healthcare staff on patients and the general public (see Paul Smollen’s comment).

Another issue to consider is the inadvertent contamination of scrubs with blood and body fluids (staff may have individually different perception as to when they regard scrubs as contaminated) and any potential infection risk to food/drink consumption areas, although I am not aware of any good literature on this.

Another interesting article is here:

Wright SN, Gerry JS, Busowski MT, Klochko AY, McNulty SG, Brown SA, Sieger BE, Ken Michaels P, Wallace MR. Gordonia bronchialis sternal wound infection in 3 patients following open heart surgery: intraoperative transmission from a healthcare worker. Infect Control Hosp Epidemiol. 2012 Dec;33(12):1238-41.
http://www.ncbi.nlm.nih.gov/pubmed/23143362

This is a recent case cluster of G. bronchialis sternal wound infections after cardiac surgery in the USA that was traced to contaminated scrub suits by a nurse anaesthetist. This was traced back (most likely) to home laundering of the scrub suits (a practice that is apparently still done at some institutions in the USA) with a badly-maintained, contaminated washing machine. That means, contaminated scrub suits definitely have the potential to cause surgical site infections.

Again, I am not claiming to have conclusive evidence here, but the above may be some food for thought.

Best regards, Matthias.

—
Matthias Maiwald, MD, FRCPA
Consultant in Microbiology
Adj. Assoc. Prof., Natl. Univ. Singapore
Department of Pathology and Laboratory Medicine
KK Women’s and Children’s Hospital
100 Bukit Timah Road
Singapore 229899
Tel. +65 6394 8725 (Office)
Tel. +65 6394 1389 (Laboratory)
Fax +65 6394 1387

An “oldie but a goodie” is the Hospital Infectioin Society working party report on “behaviours and rituals in the operating theatre” this was published in the journal of hospital infection quite a number of years ago now.
http://www.his.org.uk/_db/_documents/Rituals-02.pdf The working party reviewed all of the available evidence at the time and made recommendations based on the level of evidence available. Theatre attire, scrubs, overgowns & overshoes are addressed in this document.

Overgowns are not necessary outside the operating theatre. Scrubs must be changed as soon as there is any blood/body fluid contamination regardless of whether staff are remaining in the OT suite or leaving to go to the cafe.

I recommend a quick literature search of Pubmed for the latest literature/evidence on this subject.

Fiona Randall
CNC Infection Prevention & Control
Wesley Mission Brisbane.

On Fri, Mar 1, 2013 at 2:40 PM, Paul Smollen <Paul.Smollen@cec.health.nsw.gov.au> wrote:
Toni,

I do enjoy this chestnut. While it is a public perception, facilities and us at the Ministry receive multiple complaints from visitors about this issues. One of the complaints we get is that the public see them in the gowns in the cafe and are worried they are going off to operate on their family member. This alone could convince your OT staff against the practice.

The problems lies with no valid evidence. This comment may open a can of worms….. but I find this should be a two way street and if OT staff want to walk around a hospital and outside and do all normal activities in their scrubs, then they should allow people to walk into an OT in street clothes. I really see no difference. While we are concerned with levels of evidence about scrubs outside an OT what level of evidence is there about wearing scrubs inside an OT? The scrubs are usually kept on open shelves in open change rooms with toilets and showers nearby.

I do know of facilities that have a lunch ordering system with their cafe and the food is delivered there. This may be an option you could explore.

Good luck with it all.

Paul Smollen
Project Manager, Healthcare Associated Infections (HAI)
Clinical Excellence Commission | Level 14/227 Elizabeth Street, Sydney NSW 2000
T: (02) 9269 5586 |F: (02) 9269 5599 | E: Paul.Smollen@cec.health.nsw.gov.au
http://www.cec.health.nsw.gov.au

Dear All,
The issue of where you can and cannot wear operating theatre attire (blues) has arisen at our facilities – again.
I would be interested to know if your facilities/organisations allow theatre staff to eat and drink in the on-site cafeteria if they have clean blues that are covered.
Food is not supplied to the OT; staff are permitted to collect food from the on-site cafeteria if in clean blues that are covered; there is a tea room but it is said that it can be over crowded at peak times.
The public perseption (and complaints received) says that they should not be allowed to eat and drink there.
What valid evidence is there and what do others do or say to back up that they should not eat and drink in on-site cafeterias (if at all).
Look forward t your comments.
Regards, Toni.

Toni Schouten CICP
Clinica Quality Manager
Sydney Local Health District
toni.schouten@sswahs.nsw.gov.au

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[Cath Murphy]

Great points James. Thank you for the thoughtful discussion and considerations. V interesting. Also reminds me of the importance of unwell kitchen staff absenting themselves from work for 48hrs post symptoms in the event of V&D type illness.

You gotta love the diversity and debate around infection prevention and control.

Cheers
Cath

Cathryn Murphy PhD
Executive Director
Infection Control Plus Pty Ltd
http://www.infectioncontrolplus.com.au
[Description: twitter logo] [Description: FB logo] [Description: icp icon]

Hi All,

I work for a company with significant overlap in both the food and medical industries. The regulations/recommendations/overall leanings are certainly clear with regards to each industry individually. The Food Industry subscribes to soap and warm water washing (see AUSNZ Food Standard 3.2.2 Division 4-1 and 4-2, as well as 3.2.3 Division 4-1) and the Medical to alcohol based sanitiser (WHO, CDC, HHA, NHMRC etc). What is less clear however is when they overlap. To my knowledge I do not know of any intersecting guidelines (happy to be pointed in the right direction!).

As far as the Science goes, the inconsistencies between the two are a reflection perhaps of the differing routes of infection, and the prominence of different outbreaks in each industry. As Cath noted the FDA has a good summary of the reasoning for this but basically it comes down to the fact that pathogens in the food industry (in terms of human transmission) are more likely to be transmitted via the faecal-oral route as opposed to the person-to-person route seen in the medical industry. For this reason alone notable viruses such as Clostridium Difficile and Norovirus are prevalent in the food industry and as such, soap and water hand washing are the better alternative due to the documented inadequacy of alcohol sanitisers in dealing with the two.

Further to this, the increased risk of hands being physically soiled in the food service industry due to foodstuffs etc compels the mechanical removal of physical contaminants, ie soap and water.

For me it would come down to a balance of applicability. Whether you think the kitchens food activities outweigh their exposure to the hospital setting or vice-versa.

I hope I’ve given a fair and balanced response, very happy to provide references. I look forward to your feedback 🙂

Kind regards,
James Casey
Business Development
Manager
[tealwash-no-plumbing-RBG-small3 (2)]
Tealwash Pty Ltd
a member of the Transplumb group.

Mobile +61 438 175 504
Phone +61 3 8336 1899 – ext 3
Email jcasey@tealwash.com.au
72b Barrie Road, Tullamarine 3043,
VIC, Australia.

Hi Cath

I am not sure I can place my hand on my heart and say that our Australian / New Zealand Food Safety Standards (http://www.foodstandards.gov.au/) are actually fully based on evidence and supported by evidence, but they are certainly well accepted within the food industry and by the food industry regulators.

Here is an example from NSW about food safe chemicals, which includes ‘hand sanitisers’… http://www.foodauthority.nsw.gov.au/industry/food-business-issues/chemicals-suitability/

Cheers
Michael

Michael Wishart
CNC Infection Control
Holy Spirit Northside Private Hospital
627 Rode Road, Chermside, Qld 4032
t: (07) 3326 3068 | f: (07) 3607 2226
e: Michael.Wishart@hsn.org.au
w:www.holyspiritnorthside.org.au
Please consider the environment before printing this email

Hi Michael
Could you please provide a link of title of those “food safety recommendations” Michael. I’m keen to see what science they are based on.
Cheers
Cath

Cathryn Murphy PhD
Executive Director
Infection Control Plus Pty Ltd
http://www.infectioncontrolplus.com.au
[Description: twitter logo][Description: FB logo] [Description: icp icon]

Hi Cath

Food safety recommendations preclude use of non-food safe chemicals in the food processing environment, which precludes use of most alcohol based hand hygiene products and some antiseptic products. I do believe there are some waterless hand hygiene products (not sure if some of these should be considered ‘alcohol’ based, though) that are approved as ‘food safe’, but most of those alcohol based hand hygiene products routinely in use in healthcare have not been approved as ‘food safe’. Thus, the use of alcohol based hand hygiene products within certain parts of food services with healthcare facilities is problematic, which is why I think this is a good question, and I believe the responses have indicated this.

In regard to mentioning of brand names, yes, we generally try to recommend avoiding use of brand names in discussions where possible, but this creates some work for both myself as the moderator and the list subscribers who are replying. Rather than bog the list down in administrative emails and such, I have preferred to weigh up the issue of posting of actual product names with the benefits of open discussion. For example, in this instance, my belief was it was useful to see which actual products are being used in what aspects of food service delivery (eg ward delivery vs food production), as this was conducive to the conversation. This approach had been supported by previous ACIPC / AICA executives, although like all things, this is open to review with further comments from the membership.

It is always useful to examine what we are discussing, how we are discussing it, and what benefit and risk these discussions may have, so I thank you for your comments. More discussion is always welcomed!

Cheers
Michael Wishart
Infexion Connexion Administrator

Michael Wishart
CNC Infection Control
Holy Spirit Northside Private Hospital
627 Rode Road, Chermside, Qld 4032
t: (07) 3326 3068 | f: (07) 3607 2226
e: Michael.Wishart@hsn.org.au
w:www.holyspiritnorthside.org.au
Please consider the environment before printing this email

Hi Marlize

I’m curious about the question and the responses. As I understand it there have been no scientific reports or official Australian public policy directives that suggest differentiating between what is available in public areas, in the wards where staff perform hand hygiene before feeding patients and/or in kitchens or food prep areas. I checked the WHO Guidelines from 2009 and they also appear to be silent on the issue.

Given that one of the basic tenets to improve hand hygiene compliance is standardisation I would think it wise if you introduced or continued to use a neutral liquid soap identical to that used in the settings mentioned above. The key points are making sure kitchen staff understand the importance of HH as part of food hygiene, that they perform it when needed (including when on the ward if potentially exposed) and that their technique and wearing of gloves is performed in such a way that the skin on their hands is maintained. It would be an education rather than a product issue I think.

As always I am surprised to see brand names mentioned here in the forum given its policies and conditions around promotion etc it would be more ethical to stick to using generic terms but perhaps the moderator can advise. Also my experience would indicate that if you raised the issue of HH for kitchen staff your current supplier of HH product would no doubt be able to provide you with data and information regarding suitability of their product in that setting.

Good luck and thanks for making me curious 😉
Cath

Cathryn Murphy PhD
Executive Director
Infection Control Plus Pty Ltd
http://www.infectioncontrolplus.com.au
[Description: twitter logo][Description: FB logo] [Description: icp icon]

Dear All,

We are currently looking for a alcohol based hand sanitiser to use in our Food Service Department. I was wondering what the practices are out there, and what product you are using in your Food Service Departments and on your food delivering trolleys?

Thank you and regards

Marlize Senekal
Infection Prevention and Control Coordinator
St. Andrew’s War Memorial Hospital
457 Wickham Terrace, Spring Hill
Brisbane
Ph. 07-3834 4444
Ext. 4328, Pg. 0328

_________________________________________________________________

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[Cath Murphy]

Hi Michael
Could you please provide a link of title of those “food safety recommendations” Michael. I’m keen to see what science they are based on.
Cheers
Cath

Cathryn Murphy PhD
Executive Director
Infection Control Plus Pty Ltd
http://www.infectioncontrolplus.com.au
[Description: twitter logo] [Description: FB logo] [Description: icp icon]

Hi Cath

Food safety recommendations preclude use of non-food safe chemicals in the food processing environment, which precludes use of most alcohol based hand hygiene products and some antiseptic products. I do believe there are some waterless hand hygiene products (not sure if some of these should be considered ‘alcohol’ based, though) that are approved as ‘food safe’, but most of those alcohol based hand hygiene products routinely in use in healthcare have not been approved as ‘food safe’. Thus, the use of alcohol based hand hygiene products within certain parts of food services with healthcare facilities is problematic, which is why I think this is a good question, and I believe the responses have indicated this.

In regard to mentioning of brand names, yes, we generally try to recommend avoiding use of brand names in discussions where possible, but this creates some work for both myself as the moderator and the list subscribers who are replying. Rather than bog the list down in administrative emails and such, I have preferred to weigh up the issue of posting of actual product names with the benefits of open discussion. For example, in this instance, my belief was it was useful to see which actual products are being used in what aspects of food service delivery (eg ward delivery vs food production), as this was conducive to the conversation. This approach had been supported by previous ACIPC / AICA executives, although like all things, this is open to review with further comments from the membership.

It is always useful to examine what we are discussing, how we are discussing it, and what benefit and risk these discussions may have, so I thank you for your comments. More discussion is always welcomed!

Cheers
Michael Wishart
Infexion Connexion Administrator

Michael Wishart
CNC Infection Control
Holy Spirit Northside Private Hospital
627 Rode Road, Chermside, Qld 4032
t: (07) 3326 3068 | f: (07) 3607 2226
e: Michael.Wishart@hsn.org.au
w:www.holyspiritnorthside.org.au
Please consider the environment before printing this email

Hi Marlize

I’m curious about the question and the responses. As I understand it there have been no scientific reports or official Australian public policy directives that suggest differentiating between what is available in public areas, in the wards where staff perform hand hygiene before feeding patients and/or in kitchens or food prep areas. I checked the WHO Guidelines from 2009 and they also appear to be silent on the issue.

Given that one of the basic tenets to improve hand hygiene compliance is standardisation I would think it wise if you introduced or continued to use a neutral liquid soap identical to that used in the settings mentioned above. The key points are making sure kitchen staff understand the importance of HH as part of food hygiene, that they perform it when needed (including when on the ward if potentially exposed) and that their technique and wearing of gloves is performed in such a way that the skin on their hands is maintained. It would be an education rather than a product issue I think.

As always I am surprised to see brand names mentioned here in the forum given its policies and conditions around promotion etc it would be more ethical to stick to using generic terms but perhaps the moderator can advise. Also my experience would indicate that if you raised the issue of HH for kitchen staff your current supplier of HH product would no doubt be able to provide you with data and information regarding suitability of their product in that setting.

Good luck and thanks for making me curious 😉
Cath

Cathryn Murphy PhD
Executive Director
Infection Control Plus Pty Ltd
http://www.infectioncontrolplus.com.au
[Description: twitter logo][Description: FB logo] [Description: icp icon]

Dear All,

We are currently looking for a alcohol based hand sanitiser to use in our Food Service Department. I was wondering what the practices are out there, and what product you are using in your Food Service Departments and on your food delivering trolleys?

Thank you and regards

Marlize Senekal
Infection Prevention and Control Coordinator
St. Andrew’s War Memorial Hospital
457 Wickham Terrace, Spring Hill
Brisbane
Ph. 07-3834 4444
Ext. 4328, Pg. 0328

_________________________________________________________________

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[Cath Murphy]

Hi Marlize

I’m curious about the question and the responses. As I understand it there have been no scientific reports or official Australian public policy directives that suggest differentiating between what is available in public areas, in the wards where staff perform hand hygiene before feeding patients and/or in kitchens or food prep areas. I checked the WHO Guidelines from 2009 and they also appear to be silent on the issue.

Given that one of the basic tenets to improve hand hygiene compliance is standardisation I would think it wise if you introduced or continued to use a neutral liquid soap identical to that used in the settings mentioned above. The key points are making sure kitchen staff understand the importance of HH as part of food hygiene, that they perform it when needed (including when on the ward if potentially exposed) and that their technique and wearing of gloves is performed in such a way that the skin on their hands is maintained. It would be an education rather than a product issue I think.

As always I am surprised to see brand names mentioned here in the forum given its policies and conditions around promotion etc it would be more ethical to stick to using generic terms but perhaps the moderator can advise. Also my experience would indicate that if you raised the issue of HH for kitchen staff your current supplier of HH product would no doubt be able to provide you with data and information regarding suitability of their product in that setting.

Good luck and thanks for making me curious 😉
Cath

Cathryn Murphy PhD
Executive Director
Infection Control Plus Pty Ltd
http://www.infectioncontrolplus.com.au
[Description: twitter logo] [Description: FB logo] [Description: icp icon]

Dear All,

We are currently looking for a alcohol based hand sanitiser to use in our Food Service Department. I was wondering what the practices are out there, and what product you are using in your Food Service Departments and on your food delivering trolleys?

Thank you and regards

Marlize Senekal
Infection Prevention and Control Coordinator
St. Andrew’s War Memorial Hospital
457 Wickham Terrace, Spring Hill
Brisbane
Ph. 07-3834 4444
Ext. 4328, Pg. 0328

_________________________________________________________________

Uniting Care Health Email Disclaimer: http://www.uchealth.com.au/disclaimer
Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

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[Cath Murphy]

Webinar Registration is now open at http://webinars.apic.org/.

* The code AICAIIPW11 permits access to all IIPW webinars. (These accredited webinars will also be archived on APIC ANYWHERE(tm) for their future (free) participation.)
**To accommodate our International Partners, we will release all IIPW webinars in advance of their stated release on Monday October 17th (minus for the live Monday October 17th webinar )

o Five free, accredited webinars created especially for IIPW in collaboration with Key Partners:

o The Society for Healthcare Epidemiology of America (SHEA), “The Future of Infection Prevention / Healthcare Epidemiology – A Partnership Paradigm” scheduled for Monday, October 17th, 1 p.m. EDT (LIVE)

o National Patient Safety Foundation (NPSF), offering “Patient Safety Imperative for Flu Prevention: Lessons from The Front Line” scheduled for Tuesday, October 18th 1 p.m. EDT**

o Association of periOperative Nurses (AORN), “Assuring Safe Processing of Reusable Devices Across Clinical Settings”, scheduled for Wednesday, October 19th 1 p.m. EDT**

o Infusion Nurses Society (INS), Developing a Central Line Maintenance Bundle: What is the Best Approach?” scheduled for Thursday, October 20th 1 p.m. EDT**

o Association for the Healthcare Environment (AHE), “How Clean Are Our Patient Care Areas? Are We Sure?” scheduled for Friday, October 21st 1 p.m. EDT**
For the latest information, please check back http://www.apic.org/iipw for on speakers, events, and much more.

Check out the National Journal Policy Summit Live Webcast

o Please encourage your members to watch the LIVE National Journal Policy Summit live webcast October 19th 8:00 EDT. This webcast will be archived for future viewing and can be accessed here: http://www.nationaljournal.com/events/event/65/.

o The policy summit will feature a panel discussion with federal and state government officials, infection prevention experts, healthcare administrators and consumer advocates. Discussion at the summit will focus on the resources necessary to eliminate preventable infections, how healthcare reform efforts can improve outcomes for patients, and the important role of infection prevention experts.
Finally
APIC recognizes all your work and effort, and thanks you for elevating the profession of infection prevention worldwide through your participation in IIPW.

Cath Murphy
CNC Infection Control – Gold Coast District Health Service

Please note that APIC typically archives their Webinars so it is likely that even though some audience members will be on difficult timezones, they may be able to access the archive at a more agreeable time. I will confirm this (and any other alternatives) with APIC staff and re-post to the AICA List well before the scheduled Webinar series.

Cath Murphy
Immediate Past President APIC

Actually 1pm EDT in the US will be 4am in NSW and Vic due to daylight savings after 1st October 2011, but yes, will be 3am in QLD. 🙂

Cheers
Michael Wishart
AICA Infexion Connexion Administrator

On 28/09/2011 5:04 PM, Helen Scott wrote:
Does this mean 3am AEST?
Thanks,

Helen Scott
Infection Control Co-ordinator &
Acute Pain Service Co-ordinator
Nepean Private Hospital
Penrith, NSW.
0247 327333
Helen.Scott@healthscope.com.au

Please consider the environment before printing this message

>>> On 27/09/2011 at 12:47 pm, in message , “Wishart, Michael” wrote:
[Posted on behalf of AICA Executive – Moderator]

Dear AICA Member,

See below latest information from APIC regarding IIPW and access to their free webinars

The access code for the 2011 IIPW Webinar Series was just released! Please be sure to pass along this code to your association members for free access to the 2011 IIPW webinar series: AICAIIPW11.

Registration is now open at http://webinars.apic.org/.

The code AICAIIPW11 permits access to all IIPW webinars. (These accredited webinars will also be archived on APIC ANYWHERE(tm) for their future (free) participation.)

Five free, accredited webinars created especially for IIPW in collaboration with Key Partners:

The Society for Healthcare Epidemiology of America (SHEA), scheduled for Monday, October 17th, 1 p.m. EDT (LIVE)

National Patient Safety Foundation (NPSF), Tuesday, October 18th 1 p.m. EDT

Association of PeriOperative Nurses (AORN), Wednesday, October 19th 1 p.m. EDT

Infusion Nurses Society (INS), Thursday, October 20th 1 p.m. EDT

Association for the Healthcare Environment (AHE), Friday, October 21st 1 p.m. EDT

For the latest information, please check back http://www.apic.org/iipw for on speakers, events, and much more.

Nicola Isles, CICP
Infection Control Coordinator
Hobart Private Hospital
GPO Box 772 Hobart
Tasmania 7001

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[Cath Murphy]

Please note that APIC typically archives their Webinars so it is likely that even though some audience members will be on difficult timezones, they may be able to access the archive at a more agreeable time. I will confirm this (and any other alternatives) with APIC staff and re-post to the AICA List well before the scheduled Webinar series.

Cath Murphy
Immediate Past President APIC

Actually 1pm EDT in the US will be 4am in NSW and Vic due to daylight savings after 1st October 2011, but yes, will be 3am in QLD. 🙂

Cheers
Michael Wishart
AICA Infexion Connexion Administrator

On 28/09/2011 5:04 PM, Helen Scott wrote:
Does this mean 3am AEST?
Thanks,

Helen Scott
Infection Control Co-ordinator &
Acute Pain Service Co-ordinator
Nepean Private Hospital
Penrith, NSW.
0247 327333
Helen.Scott@healthscope.com.au

Please consider the environment before printing this message

>>> On 27/09/2011 at 12:47 pm, in message , “Wishart, Michael” wrote:
[Posted on behalf of AICA Executive – Moderator]

Dear AICA Member,

See below latest information from APIC regarding IIPW and access to their free webinars

The access code for the 2011 IIPW Webinar Series was just released! Please be sure to pass along this code to your association members for free access to the 2011 IIPW webinar series: AICAIIPW11.

Registration is now open at http://webinars.apic.org/.

The code AICAIIPW11 permits access to all IIPW webinars. (These accredited webinars will also be archived on APIC ANYWHERE(tm) for their future (free) participation.)

Five free, accredited webinars created especially for IIPW in collaboration with Key Partners:

The Society for Healthcare Epidemiology of America (SHEA), scheduled for Monday, October 17th, 1 p.m. EDT (LIVE)

National Patient Safety Foundation (NPSF), Tuesday, October 18th 1 p.m. EDT

Association of PeriOperative Nurses (AORN), Wednesday, October 19th 1 p.m. EDT

Infusion Nurses Society (INS), Thursday, October 20th 1 p.m. EDT

Association for the Healthcare Environment (AHE), Friday, October 21st 1 p.m. EDT

For the latest information, please check back http://www.apic.org/iipw for on speakers, events, and much more.

Nicola Isles, CICP
Infection Control Coordinator
Hobart Private Hospital
GPO Box 772 Hobart
Tasmania 7001

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[Cath Murphy]

Hi Pauline

I’m keen to respond to your survey and hopefully others will be as well. The results will be interesting. Before I look at teh survey however could you please confirm for me exactly how you intend using the data, who will have access to it and please reassure me that it is not a veiled attempt to get data for publication without full disclosure. Of course I would also happily respond if it was a “research” project but I would want to know that was what it was for and have that fully disclosed up front. I hope you and Allan will understand my scepticism but I, like many other ICPs am tired off handing over endless data and watching other publish it without attribution.

Good luck with this exercise and once you respond I will rapidly complete the survey.

Thanks for the initiative
Assoc Prof Cath Murphy PhD
CNC Infection Control
Gold Coast Hospital

—–Original Message—–
From: AICA Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Pauline Bass
Sent: Tuesday, 21 June 2011 15:57
To: AICALIST@AICALIST.ORG.AU
Subject: [AICA_Infexion_Connexion] Assessment of CLABSI’s

Dear all

We have had some contentious cases of bloodstream infections recently, and were interested in finding out how others would have assessed whether they were CLABSIs. We’ve put together a short questionnaire (10 questions, should take <10 minutes to complete) – would be interested in your opinion

http://www.surveymonkey.com/s/NHZ8SS3

Pauline Bass on behalf of Allen Cheng

Pauline Bass
Infection Prevention Nurse Consultant
Infection Prevention and Healthcare Epidemiology
Alfred Health
Phone: 61 03 90763139
Fax: 61 03 90766093
p.bass@alfred.org.au

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[Cath Murphy]

During my Presidency APIC invested largely in prevention of HAIs in the Ambulatory Care Setting. Check out APIC’s website http://www.apic.org for useful links.

If Australian AC practices are similar to those that promopted US regulators and clinicians to re-focus on the AC setting then I reckon we have lots of work to be done locally.

Hope this helps.

Regards
Assoc Prof Cath Murphy PhD
CNC Infection Control
Gold Coast Health Service District

Good afternoon everyone

Just wondering if anyone out there has any infection control guidelines or references to any information regarding outpatients or ambulatory procedure centres they would be willing to share?

There is a lot out there on long term care and aged care as lower risk areas for infection control priority’s that I have been levering off but nothing really that I can locate for Infection control management in an outpatients department or in an ambulatory procedure centre that is based on any comparative evidence or documentation .

Even if you don’t have any actual documents or references you are able to share I would still appreciate your thoughts for some consensus / dialog on just what infection control requirements / processes should be in place in either or both these areas .

thanking you in advance & looking forward to what the thoughts are out there from others in this area

regards

Lindy

Lindy Ryan

Nepean Hospital
Infection control Clinical Nurse Consultant

Nepean Blue Mountains Local Health Network

ph: 4734 2228
email: lindy.ryan@swahs.health.nsw.gov.au

Infection prevention & control is everyone’s business

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05/31/11 – 14:37:29
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