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Montague, Cathi (Health)

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    Hi Tim, yes they do as I understand this was the legal mechanism through which AHPRA could be formed to have that overarching jurisdiction federally.

    However it appears that not each state covers the same in the detail – which is certainly interesting!

    Best regards,
    Cathi

    Cathi Montague, RN,(Midwife), ENB998, MClinNsg, FCENA

    High quality, compassionate healthcare | Infection Prevention and Control is everyones’ business
    Nurse Management Facilitator | Clinical Care Systems Co-ordination
    SA Prison Health Service – Corporate Office
    Central Adelaide Local Health Network
    5 Darley Road (first floor), Paradise SA 5075
    Postal address: PO Box 101, 620 Lower North East Road, Campbelltown SA 5074
    We would like to acknowledge this land that we meet on today is the traditional lands for Kaurna people and that we respect their spiritual relationship with their country. We also acknowledge the Kaurna people as the custodians of the Adelaide region and that their cultural and heritage beliefs are still as important to the living Kaurna people today.

    This email may contain confidential information, which also may be legally privileged. Only the intended recipient(s) may access or use this email. Distribution or Copying must only be with the express consent of the sender. If this email is received in error, please inform the sender by return email and delete the original. If there are doubts about the validity of this message, please contact the sender by telephone. It is the recipient’s responsibility to check the email and any attached files for viruses.

    Seems like all Australian states have a regulation in regards to Healthcare Practitioner legislation..
    Interesting..
    Thanks for highlighting Jo..

    Timothy R. Spencer, RN, APN, DipAppSci, Bach.Health, ICCert, VA-BC.
    Independent Vascular Access Consultant
    President, Australian Vascular Access Society
    Conjoint Lecturer, South West Sydney Clinical School | Faculty of Medicine | University of NSW
    Director-at-Large, Vascular Access Certification Corporation (VACC)
    Representative – WoCoVA Global Strategic Committee
    M: +1 (623) 326 8889 (USA)
    M: +61 (0)409 463 428 (AU)
    E: tim.spencer68@icloud.com
    “Be a yardstick of quality. Some people aren’t used to an environment where excellence is expected.” – Steve Jobs

    Hi
    I did find it in the old NSW Regulations
    http://www5.austlii.edu.au/au/legis/nsw/num_reg/na1991rrtics1995221601.pdf

    I did not remember it being in the NSW legislation from the 90s!

    Thanks

    Joe-Anne Bendall
    Joe-anne Bendall
    Clinical Nurse Consultant Infection Prevention and Control
    Sydney Hospital and Sydney Eye Hospital
    8 Macquarie St
    SYDNEY NSW 2000
    |* ph +61 2 9382 7199 |page 22070 via switch 9382 7111| 7 Fax 93827510 |
    Mobile 0418984255 | * Joe-anne.Bendall@SESIAHS.HEALTH.NSW.GOV.AU

    Not in SA regulations current version on http://www.legislation.sa.gov.au/LZ/C/A/Health%20Practitioner%20Regulation%20National%20Law%20(South%20Australia)%20Act%202010.aspx unless buried in subsequent gazette.

    I thought the intent of these legislations was that they would all be the same across Australia??

    Great amendment tho…

    Would be even stronger if point one went both ways (staff to patient and vice-versa transmission)

    Will be interested to see others point of view / other states responses.
    Best regards,
    Cathi

    Cathi Montague, RN,(Midwife), ENB998, MClinNsg, FCENA

    High quality, compassionate healthcare | Infection Prevention and Control is everyones’ business
    Nurse Management Facilitator | Clinical Care Systems Co-ordination
    SA Prison Health Service – Corporate Office
    Central Adelaide Local Health Network
    5 Darley Road (first floor), Paradise SA 5075
    Postal address: PO Box 101, 620 Lower North East Road, Campbelltown SA 5074
    We would like to acknowledge this land that we meet on today is the traditional lands for Kaurna people and that we respect their spiritual relationship with their country. We also acknowledge the Kaurna people as the custodians of the Adelaide region and that their cultural and heritage beliefs are still as important to the living Kaurna people today.

    This email may contain confidential information, which also may be legally privileged. Only the intended recipient(s) may access or use this email. Distribution or Copying must only be with the express consent of the sender. If this email is received in error, please inform the sender by return email and delete the original. If there are doubts about the validity of this message, please contact the sender by telephone. It is the recipient’s responsibility to check the email and any attached files for viruses.

    Does anyone know when this went into the legislation?
    Is it in other states and territories legislation?
    Part 2 – General standards applying to relevant health practitioners
    2 General precautions and aseptic techniques
    (1) Precautions must be taken to avoid direct exposure to a patient’s blood or body substance.
    (2) The requirement in subclause (1) applies regardless of whether there is any perceived risk of infection.
    (3) Aseptic techniques must be used in the course of complying with the requirements of this Schedule.

    http://www5.austlii.edu.au/au/legis/nsw/consol_reg/hprswr2010580/sch1.html

    Thanks

    Joe-Anne Bendall
    Joe-anne Bendall
    Clinical Nurse Consultant Infection Prevention and Control
    Sydney Hospital and Sydney Eye Hospital
    8 Macquarie St
    SYDNEY NSW 2000
    |* ph +61 2 9382 7199 |page 22070 via switch 9382 7111| 7 Fax 93827510 |
    Mobile 0418984255 | * Joe-anne.Bendall@SESIAHS.HEALTH.NSW.GOV.AU

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    Montague, Cathi (Health)
    Participant

    Author:
    Montague, Cathi (Health)

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    Not in SA regulations current version on http://www.legislation.sa.gov.au/LZ/C/A/Health%20Practitioner%20Regulation%20National%20Law%20(South%20Australia)%20Act%202010.aspx unless buried in subsequent gazette.

    I thought the intent of these legislations was that they would all be the same across Australia??

    Great amendment tho…

    Would be even stronger if point one went both ways (staff to patient and vice-versa transmission)

    Will be interested to see others point of view / other states responses.
    Best regards,
    Cathi

    Cathi Montague, RN,(Midwife), ENB998, MClinNsg, FCENA

    High quality, compassionate healthcare | Infection Prevention and Control is everyones’ business
    Nurse Management Facilitator | Clinical Care Systems Co-ordination
    SA Prison Health Service – Corporate Office
    Central Adelaide Local Health Network
    5 Darley Road (first floor), Paradise SA 5075
    Postal address: PO Box 101, 620 Lower North East Road, Campbelltown SA 5074
    We would like to acknowledge this land that we meet on today is the traditional lands for Kaurna people and that we respect their spiritual relationship with their country. We also acknowledge the Kaurna people as the custodians of the Adelaide region and that their cultural and heritage beliefs are still as important to the living Kaurna people today.

    This email may contain confidential information, which also may be legally privileged. Only the intended recipient(s) may access or use this email. Distribution or Copying must only be with the express consent of the sender. If this email is received in error, please inform the sender by return email and delete the original. If there are doubts about the validity of this message, please contact the sender by telephone. It is the recipient’s responsibility to check the email and any attached files for viruses.

    Does anyone know when this went into the legislation?
    Is it in other states and territories legislation?
    Part 2 – General standards applying to relevant health practitioners
    2 General precautions and aseptic techniques
    (1) Precautions must be taken to avoid direct exposure to a patient’s blood or body substance.
    (2) The requirement in subclause (1) applies regardless of whether there is any perceived risk of infection.
    (3) Aseptic techniques must be used in the course of complying with the requirements of this Schedule.

    http://www5.austlii.edu.au/au/legis/nsw/consol_reg/hprswr2010580/sch1.html

    Thanks

    Joe-Anne Bendall
    Joe-anne Bendall
    Clinical Nurse Consultant Infection Prevention and Control
    Sydney Hospital and Sydney Eye Hospital
    8 Macquarie St
    SYDNEY NSW 2000
    |* ph +61 2 9382 7199 |page 22070 via switch 9382 7111| 7 Fax 93827510 |
    Mobile 0418984255 | * Joe-anne.Bendall@SESIAHS.HEALTH.NSW.GOV.AU

    ———————————————————————————————

    Illawarra Shoalhaven Local Health District, South East Sydney Local Health District and Sydney Children’s Hospital Network (Randwick Campus) Confidentiality Notice

    This email, and the files transmitted with it, are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you are not the intended recipient, you are not permitted to distribute or use this email or any of its attachments in any way. We also request that you advise the sender of the incorrect addressing.

    This email message has been virus-scanned. Although no computer viruses were detected, Illawarra Shoalhaven Local Health District, South East Sydney Local Health District and Sydney Children’s Hospital Network (Randwick Campus) accept no liability for any consequential damage resulting from email containing any computer viruses.

    We care for our environment. Please only print this e-mail if necessary.

    MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

    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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    in reply to: updating existing employee immunisation status #71317
    Montague, Cathi (Health)
    Participant

    Author:
    Montague, Cathi (Health)

    Position:

    Organisation:

    State:

    Thanks Jane, we were just discussing this yesterday here and likewise would be interested in any replies.

    Best Regards,
    Cathi

    Cathi Montague RN, MClinNsg, FCENA
    Nurse Management Facilitator – Clinical Care Systems Co-ordination

    ‘High quality, compassionate health care’

    SA Prison Health Service
    Central Adelaide Local Health Network
    SA Health

    SAPHS Corporate Office Details:
    Street Address: 1st Floor, 5 Darley Rd, Paradise S.A.
    Postal Address: PO Box 101, Campbelltown. SA 5074
    SAPHS Reception Phone: +61 (08) 7002 3100

    We acknowledge that this land is the traditional lands for the Kaurna people and that we respect their spiritual relationship with their country. We also acknowledge the Kaurna people as the traditional custodians of the greater Adelaide region and that their their culture and heritage beliefs are still as important to the living Kaurna people today.

    This email may contain confidential information, which also may be legally privileged. Onlythe intended recipient(s) may access this email. If you have received this email in error, please notify the sender as soon as possible and delete the email from your system. If there are doubts about the validity of this message, please contact the sender by telephone. Whilst the sender will take every care, it is the recipients responsibility to check the email and any attached files for viruses.

    Hi all,

    I am trying to get an understanding how other organisations are capturing data to be compliant with National Standard 3.6.1:

    – demonstrating maintenance of vaccination status of existing workforce employees
    – identifying subsequent additional vaccination requirements for relevant members of the workforce

    It is not a problem to get this data on new employees but I’m finding it difficult to find a good way to get the same level of info on existing staff. Any ideas would be very very welcome 🙂

    Regards,

    Jane Bryant, RN
    Acting Infection Control Consultant
    Royal Victorian Eye & Ear Hospital
    32 Gisborne Street, East Melbourne, 3002, VIC
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    in reply to: Single Use vs Reusable Pt Equipment #70702
    Montague, Cathi (Health)
    Participant

    Author:
    Montague, Cathi (Health)

    Position:

    Organisation:

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    Hi Cath you raise a very interesting series of questions and I shall watch the answers of others with keen interest!

    Single use only is definitely becoming a burgeoning industry that dramatically increases resource use and waste.

    This also poses many risks to health staff when a non-invasive item is marked as single use (rather than single patient) and could technically be re-used for that same patient given appropriate cleaning.

    A common dilemma is for patients returning home and needing to be educated in home-care of clinical equipment – the balance between sound IP&C practice and resource / fiscal sensibility can be a challenge.

    Clinical staff are potentially left open to liability if using or recommending use of clinical equipment / supplies that lies anywhere outside of the manufacturers recommendations.

    We have however sought single use specifically for some items e.g. minor surgical instrument packs, tourniquets, breast milk expression kits, given the high prevalence of BBV within our population group and the isolation of some of our services which precludes expertise /competency / resources to ensure efficacy of cleaning the item involved.

    Best Regards,
    Cathi

    Cathi Montague RN, MClinNsg, FCENA
    Nurse Management Facilitator – Clinical Care Systems Co-ordination

    ‘High quality, compassionate health care’

    SA Prison Health Service
    Central Adelaide Local Health Network
    SA Health

    SAPHS Corporate Office Details:
    Street Address: 1st Floor, 5 Darley Rd, Paradise S.A.
    Postal Address: PO Box 101, Campbelltown. SA 5074
    SAPHS Reception Phone: +61 (08) 7002 3100

    We acknowledge that this land is the traditional lands for the Kaurna people and that we respect their spiritual relationship with their country. We also acknowledge the Kaurna people as the traditional custodians of the greater Adelaide region and that their their culture and heritage beliefs are still as important to the living Kaurna people today.

    This email may contain confidential information, which also may be legally privileged. Onlythe intended recipient(s) may access this email. If you have received this email in error, please notify the sender as soon as possible and delete the email from your system. If there are doubts about the validity of this message, please contact the sender by telephone. Whilst the sender will take every care, it is the recipients responsibility to check the email and any attached files for viruses.

    Happy new year all

    As you may know there’s a subtle movement in Australia towards more widespread adoption of single-use items such as venepuncture tourniquets, lower limb surgical tourniquets, BP cuffs and ECG leads. Tom Gottlieb recently did some elegant research on venepuncture tourniquets and AT ACIPC 2013 Karen Vickery presented new perspectives on biofilm on reusable equipment. Single-use items have been adopted widely in the US for some years and recommendations to that effect are included in many Standards published by relevant professional associations eg AORN.

    Whilst appreciating that demonstrating causality between reusable equipment and transmission of colonising organisms or infection is difficult either is biologically plausible. There are also issues of non-cleaning, lack of clarity about who’s role it actually is to clean reusable equipment, how frequently they need to be cleaned or reprocessed etc. These issues have plagued us for at least 3 decades that I know of and likely longer. I’m wondering what others in Australia and beyond think about single-use pt care items

    So my questions are:

    1. Has any ACIPC colleague successfully built a business case to convert their facility to single-use pt equipment? If so who was involved in that process?;

    2. Which pieces of pt equipment do folks think are most in need of single-use alternative options?;

    3. Other than price, storage, supply and environmental/waste issues and lack of detailed science what other factors would need to be addressed to help convince you or your organisation’s decision makers to invest in specific single-use equipment?.

    I’d be grateful for any discussion here or as PMs on the email address below. If anyone is interested in my further work around this issue please email me.

    Regards
    Cath

    Dr Cathryn Murphy RN MPH PhD CIC
    Executive Director
    Infection Control Plus Pty Ltd
    Cath@infectioncontrolplus.com.au

    Adjunct Professor
    Griffith University, School of Nursing and Midwifery
    http://www.infectioncontrolplus.com.au
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    Montague, Cathi (Health)
    Participant

    Author:
    Montague, Cathi (Health)

    Position:

    Organisation:

    State:

    Hi John, someone on this list posted a link to a portable isolation / negative pressure / antechamber system that looked quite interesting, where you could set up such a system over a single bed without having to have a specific room purpose built.

    I can’t remember the product / company however, and am not sure on the clinical efficacy/evidence around this type of equipment / system but may be worth a look (if someone else can recall the post with the link to the company – I deleted it as not much call in my area for this!!!)

    Good luck!

    Best Regards,
    Cathi

    Cathi Montague RN, MClinNsg, FCENA
    Nurse Management Facilitator – Clinical Care Systems Co-ordination

    ‘High quality, compassionate health care’

    SA Prison Health Service
    Central Adelaide Local Health Network
    SA Health

    SAPHS Corporate Office Details:
    Street Address: 1st Floor, 5 Darley Rd, Paradise S.A.
    Postal Address: PO Box 101, Campbelltown. SA 5074
    SAPHS Reception Phone: +61 (08) 7002 3100

    We acknowledge that this land is the traditional lands for the Kaurna people and that we respect their spiritual relationship with their country. We also acknowledge the Kaurna people as the traditional custodians of the greater Adelaide region and that their their culture and heritage beliefs are still as important to the living Kaurna people today.

    This email may contain confidential information, which also may be legally privileged. Onlythe intended recipient(s) may access this email. If you have received this email in error, please notify the sender as soon as possible and delete the email from your system. If there are doubts about the validity of this message, please contact the sender by telephone. Whilst the sender will take every care, it is the recipients responsibility to check the email and any attached files for viruses.

    Dear Brainstrust

    Some time ago, I came across a novel configuration of a single room that provides for both protective (positive pressure barrier) and isolation (negative pressure) requirements. Extensive testing was described at the Hospital Infection Society Conference, Amsterdam 2006. It was specified under Building Note 4 by HEFMA but the link no longer works and I’ve been unsuccessful with chasing down the design. Concept involves an isolation room with a positive pressure anteroom and exhaust from the ensuite room which is entered from the main room. The design is relatively fail-safe and does not need to be manually configured.

    I wondered whether anyone has come across this? Has anyone built functioning dual purpose isolation/barrier rooms? We are building a new paed ICU and we need both types of room !

    thanks

    John

    http://hicsigwiki.asid.net.au/index.php?titleBuilt_Environment

    Dr John Ferguson
    Director, Infection Prevention & Control, Hunter New England Health
    Infectious Diseases Physician, Division of Medicine, John Hunter Hospital
    Clinical Microbiologist, Hunter Area Pathology, Pathology North
    Conjoint Associate Professor, University of Newcastle, Adjunct Professor, University of New England
    Locked Bag 1, Newcastle Mail Centre, NSW 2310
    Tel 61 2 4921 4444 | Fax 61 2 4921 4440 | Mob +61 428 885 573 | john.ferguson@hnehealth.nsw.gov.au | http://www.hicsiganz.org
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    Montague, Cathi (Health)
    Participant

    Author:
    Montague, Cathi (Health)

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    Hi, could list members please keep me in mind if you come across any IP&C work / audits / standards / KPI’s/ procedures etc of relevance to the non-acute setting (eg GP type clinics etc) and especially within the corrections/ prison environment.

    We have a diverse focus (outpatient and inpatient type settings) within an environment that the health service does not control. Standard practices are not an easy translation, including the need to work across 2 government agencies that have different focuses.

    Happy to hear any / all experiences, thoughts, contacts or work in this area,

    With thanks,

    Best Regards,
    Cathi

    Cathi Montague RN, MClinNsg, FCENA
    Nurse Management Facilitator – Clinical Care Systems Co-ordination

    SA Prison Health Service
    Central Adelaide Local Health Network
    Statewide Services – SA Health

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