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Hi Helen, The COVID vaccination medical exemptions are applied for by the applicants medical officer on a form from the AIR. Once approved a digital certificate is generated just as the COVID vaccination certificate is and is available on MyGov in a digital format. I have seen one of these and there would be no need to reinvent the wheel. Also this digital certificate is the only official certificate that can be accepted as evidence of exemption for workplaces and entry to functions/ restaurants etc.
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Cathy Mowat
INFECTION PREVENTION AND CONTROL
CLINICAL NURSE CONSULTANT
Central Gippsland Health
T. 03 5143 8518 Internal ext 98518
E. cathy.mowat@cghs.com.au
W. cghs.com.auFrom: ACIPC Infexion Connexion On Behalf Of Emily Stewart
Sent: Thursday, 18 November 2021 9:03 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: [EXTERNAL] Re: [ACIPC_Infexion_Connexion] Exemption form for vaccinationHi Helen, I thought that medical exemption forms from COVID-19 vaccination had to be uploaded onto the Medicare website. This might be an option for Staff to print out t or email their Medicare certificates. Just a thought ZjQcmQRYFpfptBannerStart
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Hi Helen,I thought that medical exemption forms from COVID-19 vaccination had to be uploaded onto the Medicare website.
This might be an option for Staff to print out t or email their Medicare certificates.
Just a thought
Kind Regards,Emily Stewart Infection Control Coordinator RN
[image]
Tel: 07 43311168 Fax: 07 41512180
Email: estewart@fsph.org.au
______________________________________________
The contents of this email are strictly confidential. If you are not the intended recipient, any use, disclosure or copying of this email (including any attachments) is unauthorised and prohibited. If you have received this email in error, please notify the Friendly Society Private Hospital immediately by return email and then delete the message from your system.From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> On Behalf Of Helen Roberts
Sent: Wednesday, 17 November 2021 4:08 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: [ACIPC_Infexion_Connexion] Exemption form for vaccinationAfternoon everyone,
I need to design an exemption form (that can be uploaded digitally) for the Covid 19 vaccination.
I was wondering if anyone has one that they could share so I get some ideas.
Greatly appreciated,
HelenHelen Roberts
Infection Control
P:
07 4646 3106
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F:
07 4633 7602
E:
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W:
Post:
PO Box 263, Toowoomba, QLD 4350
Address:
280 North St, Toowoomba, QLD 4350
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This e-mail and any attachments to it (the “Communication”) is confidential and is for the use only of the intended recipient. The Communication may contain copyright material of St. Andrew’s Toowoomba Hospital ABN 95 820 855 300, or any of its related entities or of third parties. If you are not the intended recipient of the Communication, please notify the sender immediately by return e-mail, delete the Communication, and do not read, copy, print, retransmit, store or act in reliance on the Communication. Any views expressed in the Communication are those of the individual sender only, unless expressly stated to be those of St Andrew’s Toowoomba Hospital. St. Andrew’s Toowoomba Hospital does not guarantee the integrity of the Communication, or that it is free from errors, viruses or interference.
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
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They are at Central Gippsland Health
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Cathy Mowat
INFECTION PREVENTION AND CONTROL
CLINICAL NURSE CONSULTANT
Central Gippsland Health
T. 03 5143 8518 Internal ext 98518
E. cathy.mowat@cghs.com.au
W. cghs.com.auHI everyone Could you advise if Respiratory Protection – Fit Testing programs are managed by the Infection Prevention and Control team in your organisation. Regards Cate Coffey RN BaAScN MPH&TM Grad Cert Infection Control Nursing ZjQcmQRYFpfptBannerStart
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HI everyone
Could you advise if Respiratory Protection – Fit Testing programs are managed by the Infection Prevention and Control team in your organisation.
RegardsCate Coffey
RN BaAScN MPH&TM Grad Cert Infection Control Nursing
Clinical Nurse ManagerCentral Australia Health Service
Department of Health
Northern Territory GovernmentInfection Prevention and Control Unit
Alice Springs Hospital
PO Box 2234, Alice Springs, NT 0871
cate.coffey@nt.gov.aut. 08 8951 7737
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Glenys I have also noticed that some of the masks are impossible to fit check- all I can suggest to staff is to try to get the best seal possible. I hope part of the reason is that they are made of such a rigid material that its not possible to get them to suck in and out with breathing but I am not convinced of that being the only reason
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Cathy Mowat
Clinical Nurse Consultant
Infection Prevention and Control
Central Gippsland Health
T. 03 5143 8518
E. cathy.mowat@cghs.com.auCentral Gippsland Health is located on the traditional land of the Gunai Kurnai people
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From: ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] On Behalf Of Glenys Harrington
Sent: Tuesday, 1 September 2020 11:05 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: [EXTERNAL] Re: [ACIPC_Infexion_Connexion] FW: Poorly fitting N95 masks – My assessment of six masksHi Everyone,
Just to clarify further my assessment on a selection of N95 masks:
What I was doing when assessing these masks was a user seal check (fit check) not a fit test.
Staff should perform a user seal check (fit check) every time they put on an N95 to check the N95 mask-to-face seal.
My understanding is that if you cant get a good user seal check (fit check) on yourself after following all the instructions from the manufacturer then that particular mask does not fit. Hence if it fails a user seal check (fit check) it will also fails a fit test.
While a user seal check (fit check) is person specific I noticed that most of the masks I was assessing were all very large and would be too big for me. Hence they would also be too big for someone who was smaller than me, particularly someone with a small narrow face.
Hence, if an N95 mask fails a user seal check (fit check) there is no point in doing a fit test until you find a different mask (model or size) for the user that can pass a user seal check (fit check).
Regards
Glenys
Glenys Harrington
Consultant
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
E: infexion@ozemail.com.au
[Description: ICC Diagram ICCversion]From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> On Behalf Of Crystal Polson
Sent: Tuesday, 1 September 2020 9:23 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] FW: Poorly fitting N95 masks – My assessment of six masksGreat assessment, Glenys. Your findings underline the necessity of proper fit testing – and not just fit checking – when using respirators.
Here’s a great article on fit testing: https://www.mja.com.au/journal/2020/fit-testing-n95p2-masks-protect-health-care-workers#:~:text=The%20Australian%20Standard%20AS%2FNZS,fit%2Dtesting%20(9).
Cheers
Crystal Polson
Infection Control Coordinator
University of Melbourne
crystal.polson@unimelb.edu.auOn Mon, Aug 31, 2020 at 10:43 PM Glenys Harrington <infexion@ozemail.com.au> wrote:
Hi All,With the change in guidelines in relation to the use of N95s in VIC I have been assisting a HCF to identify a suitable N95 masks.
As a start I have reviewed a number of N95 masks on the market to see if they pass a seal check (fit check) on myself.
Note: Im assuming that if worn correctly and with correct/recommend adjustments a mask that fails a seal check (fit check) on myself will also fail fit check.
A user seal check should be done every time a N95 mask is to be worn to ensure an adequate seal is achieved.
In the last 2 weeks I have obtained and reviewed six N95 masks. Four have been supplied to healthcare facilities from stockpiles (i.e. hospitals and/or aged care facilities), one masks was supplied by a manufacture and one mask was provided by a distributor.
Of the 6 masks only 1 passed a seal check (fit check) on myself.
Happy to share my assessment to date which includes details and images of failure issues I noted see attached.
In addition I have attached two recent articles (MAGAZINE OF THE AUSTRALIAN SOCIETY OF ANAESTHETISTS, SEPTEMBER 2020 and JAMA Intern Med. Published online August 11, 2020. doi:10.1001/jamainternmed.2020.4221) in relation to this issue which may also be of interest/assistance if you are reviewing such masks.
Regards
Glenys
Glenys Harrington
Consultant
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
E: infexion@ozemail.com.auMESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
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Asymptomatic staff can work without restriction following being swabbed as the Victorian screening process was designed to get a snap shot of what is going on in the community and was not for anyone who displayed symptoms and was considered at particular risk for COVID19.
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Cathy Mowat
Clinical Nurse Consultant
Infection Prevention and Control
Central Gippsland Health
T. 03 5143 8518
E. cathy.mowat@cghs.com.auCentral Gippsland Health is located on the traditional land of the Gunai Kurnai people
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Hi all
I have a staff member who is feeling quite well but decided to be tested for COVID-19 at one of the shopping centre testing areas they have set up. She assumed she would have a result within 2 days but has been told it may be up to a week. One of my colleagues has told her she cannot return to work until she has her result – does this sound right to everyone?
Thanks in advance for your expertise and comments
JennyMaryvale Private Hospital acknowledges the traditional owners of country, the Gunaikurnai nation, and recognises their continuing connection to land, waters and culture.
We pay our respects to their Elders past, present and emerging.
This e-mail transmission is intended only for the addressee and may contain confidential or privileged information. Confidentiality and privilege are not waived if you are not the intended recipient of this e-mail, nor may you use or retain, or disclose, copy or forward to any third party this e-mail, or any information contained in or attached to it. If you received this e-mail in error please delete it (and any copy of it from your computer system) and kindly notify the sender by reply e-mail.MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
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We have successfully decontaminated single protective use eye wear in the ward washer disinfector. With carefully placement they are coming out just fine.
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Cathy Mowat
Clinical Nurse Consultant
Infection Prevention and Control
Central Gippsland Health
T. 03 5143 8518
E. cathy.mowat@cghs.com.auCentral Gippsland Health is located on the traditional land of the Gunai Kurnai people
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Hi all,
In regards to the cleaning and disinfection of the industrial safety goggles that you refer to in your e-mail Cate, we are looking at cleaning these after use with a chemical that has a detergent and sanitising action.
We are looking at using a receptacle with a lid to transport the goggles to a pan room to conduct the cleaning.
Would it be better to soak the goggles in the receptacle, so that we could achieve cleaning and disinfection of both the goggles and the receptacle or would the application of the chemical using handtowels/a disposable cloth be better?
Either way, we would rinse both the goggles and the receptacle thoroughly with cold water afterwards and leave to air dry.
I am not sure about how much contact time would be needed and if after several ‘cleans’ would the goggles become cloudy?
Any advice anyone?Kind Regards,
Helen Feld
Support & Development Manager,
Regents Garden Group.
(0400 510 325)
helenfeld@regentsgarden.com.au
[RG HEAD OFFICE LOGO]
HI all
Our ICU are trying to source safety goggles similar to industrial goggles worn by tradesman. Despite our best efforts they are convinced these are the best. Could you let me know If your ICU does something similar and where we can get the from. We have small ICU and promise we won’t steal your supply, ha haStay well everyone
Cate Coffey
Clinical Nurse ManagerCentral Australia Health Service
Department of Health
Northern Territory GovernmentInfection Prevention and Control Unit
Alice Springs Hospital
PO Box 2234, Alice Springs, NT 0871t. 08 8951 7737
http://www.health.nt.gov.auThe Central Australia Health Service would like to acknowledge Aboriginal and Torres Strait Islander peoples as Australia’s First People and Traditional Custodians. We pay our respects to Elders past, present and emerging.
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I immunise with our local municipal Shire health team doing childhood immunisations as well as at the hospital doing our staff immunisation program and no one swabs.
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Cathy Mowat
Clinical Nurse Consultant
Infection Prevention and Control
Central Gippsland Health
T. 03 5143 8518
E. cathy.mowat@cghs.com.auCentral Gippsland Health is located on the traditional land of the Gunai Kurnai people
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Hi, there has been discussion here in the recommendations of whether there is a need to swab skin prior to injections.
The universities seem to be teaching that yes you do swab.
Immunisation guidelines suggest: The skin at the injection site should be visibly clean prior to administering a vaccine. The swabbing of clean skin before giving an injection is not necessary. If the skin is visibly dirty, clean the site with a single use alcohol swab and allow the site to dry completely before administering the injection.
Insulin administration: I believe it is recommended not to swab but I cannot find guidelines on this.That leaves other medications via subcutaneous and intramuscular routes, Australian guidelines are scarce
The WHO 2010 recommends in their “WHO best practices for injections and related procedures toolkit” available at https://apps.who.int/iris/bitstream/handle/10665/44298/9789241599252_eng.pdf;jsessionidCD16B9C3F48A46E6F10DEA429F8E7CA4?sequence1 accessed 20/11/19
[cid:image003.jpg@01D59F7C.6CF19370]What are other places recommending to their staff?
Regards LynLyn Golden
Infection Prevention and Control Manager
Staff Health
Echuca Regional Health
226 Service Street
Echuca 3564
P 54855340
E lgolden@erh.org.au[cid:image001.png@01D59F7B.7A253430]
[ERH Logo – Abbreviated – CMYK]
Supporting everyone to be healthy and live wellEchuca Regional Health does not guarantee that this e-mail is virus or error free. The attached files are provided and may only be used on the basis that the user assumes all responsibility for any loss, damage or consequence resulting directly or indirectly from the use of the attached files, whether caused by the negligence of the sender or not. The content and opinions in this e-mail are not necessarily those of Echuca Regional Health.
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We are currently having problems with shoe covers in theatre too. The cleaners are sweeping up pieces of white plastic type material which are coming from the shoe covers. The type we are using are obviously not designed for all day wear and bits are wearing off over the course of the day. We are looking at other products that may be a bit stronger and can last a full day of wear intact
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Cathy Mowat
Clinical Nurse Consultant
Infection Prevention and Control
Central Gippsland Health
T. 03 5143 8518
E. cathy.mowat@cghs.com.auCentral Gippsland Health is located on the traditional land of the Gunai Kurnai people
The information contained in this email and any attached files, including replies and forwarded copies is confidential and intended solely for the addressee(s) and may be legally privileged or prohibited from disclosure and unauthorised use. If you are not the intended recipient, please delete this email and notify us promptly. You may not use, disclose or distribute this email without the author’s permission.
Are the shoe covers leaving behind a film? – as we had a similar issue & subsequently changed our shoe covers ect
Emma Trippe
Infection Control Consultant
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Calvary Riverina Hospital
Hardy Avenue Wagga Wagga NSW 2650
P: 02 6932 1628
E: Emma.Trippe@calvarycare.org.au
http://www.calvary-wagga.com.auHospitality | Healing | Stewardship | Respect
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Hi everyone
We seem to have an issue within our operating theatre regarding the product we use on the floors VMOs complaining they slip easily and the manager wants to try something else instead
Any help would be appreciated
Regards, Jenny
Jenny Garland
Acting Quality Risk and Safety Manager
Infection control officer
Mater Health Service North Queensland
E mail:Jenny.garland@matertsv.org.au
Phone 47274173______________________________________________________________________
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The course no longer exists in Victoria Matt.
Cathy Mowat
Infection Prevention and control
CGHS Sale 3850From: ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] On Behalf Of Matthew Mason
Sent: Monday, 20 May 2019 11:57 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: [ACIPC_Infexion_Connexion] Health Service Cleaning surveyors.Hi All,
Going back a few years Victoria introduced cleaning standards and trained people (IPC and Hotel Services Staff) to audit their own and other facilities. Just wondering if this is still a thing, and if so who overseas the standards and the training?? Thanks in advance.
Cheers MattMatt Mason RN, CICP-E, FCRANAplus, BN, M Rural Health, M Advanced Practice (IC)
Lecturer
School of Nursing, Midwifery & Paramedicine
USC
Ph +61 7 5456 5191
mmason1@usc.edu.au[ORCID-Symbol]
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University of the Sunshine Coast
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CRICOS Provider No: 01595D
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Katherine, we have had a lot of support from the executive team to achieve our current rate of 79%. We have broken down all staff into ward /departments lists and the managers were receiving weekly updates of progress within their department. As the number of vaccinated staff increased we then narrowed it down to those who have not been vaccinated. All unit managers were expected to assist us in ensuring that every staff member has either been vaccinated or has signed the declaration form formally declining the vaccine. We have around 950 staff on 2 sites for purposes of the influenza campaign. We have a major prize draw at the end of the season for staff who have been vaccinated. This has been in place for several years and alone didn’t assist that much in reaching our target. Last year we failed to reach 75% so the strategies this year really worked. It has, of course, come with the expense of great time and effort on the behalf of the infection control staff who are both nurse immunisers.
Cathy Mowat
Infection Control
Central Gippsland Health Service
Sale VictoriaDear AICALIST members,
From July last year any new starters at our hospital sign that they agree to have the vaccines that are recommended in the Australian Immunisation Handbook for their designation, and now our executive are toying with the idea of making influenza vaccination compulsory for all of our staff next year.With a lot of effort this year -lots of flu jab clinics, lollypops & bright stickers for ID swing tags on vaccination, “grab a snag & get a jab” BBQ lunch, free pizza lunch for wards/areas with compliance above 80% – we have a compliance rate of 72% of staff either vaccinated or who have signed an opt-out form declaring that they have been offered the influenza vaccine, but decline for whatever reason. I think this compliance rate is pretty good – certainly better than the compliance in previous years.
I would like to know what everyone else is doing out there. What has worked and what has not?
Is influenza vaccination compulsory at your facility? Is it something your exec team is considering?
What do you consider to be an acceptable vaccination rate in your healthcare facility?
Is there any penalty for staff who are not vaccinated, e.g. unimmunised staff wearing mask at work during winter?
Regards
KathyKathy Taylor- Infection Control Manager
The Wesley Hospital | 451 Coronation Drive, Auchenflower QLD 4066
t: 07 3232 7558 |m: 0427 607 812 | f: 07 3232 6043 |e: katherine.taylor@uchealth.com.au_________________________________________________________________
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We are a smaller rural facility but even for us it is impossible to catch staff in actual real aseptic technique situations. We have developed a calendar of available times for staff to make appointments to be assessed in our skills lab in the Learning Services Department. Participation rates could be better but as it is a part of their professional responsibility to ensure mandatory competencies are completed, managers, will in time, ensure staff fulfil their requirements of employment. In some departments such as Oncology and Dialysis it is possible to perform assessments in the workplace as times and regularity of tasks is dependable.
We assess a variety of aseptic technique procedures in a simulated environment eg accessing a closed IV system, IDC insertion, simple dressing, inserting an IV catheter and accessing a CVAD. We passed accreditation last year with this plan in place.Cathy Mowat
Infection Control
Central Gippsland Health Service
Sale 3850Hi Everyone
I was hoping that someone might be able to provide some advice or experience in regard to auditing aseptic technique. We currently have a process in place whereby we (IP&C) have been doing most of the auditing with a bit of help from learning and development. We have in excess of 600 beds in the hospital so as you can imagine this method of auditing is not sustainable.
I was wondering if anyone has tried using a simulated approach to auditing aseptic technique and if so is this acceptable for accreditation purposes?
All advice would be greatly appreciated!
Kind regards
MaryMary Willimann | CNC Infection Control
St John of God Subiaco Hospital
T: (08) 9382 6220 | M: | F: (08) 9382 6785 | E: Mary.willimann@sjog.org.au
12 Salvado Road Subiaco WA 6008 | PO Box 14, Subiaco WA 6904
http://www.sjog.org.au/subiaco | http://www.twitter.com/sjog_healthcare | facebook.com/StJohnOfGodSubiacoHospital[cid:image003.png@01CFB88E.41517D00]
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We have them in our critical care unit. Been in since October so not sure how the cost will work out over a full 12 months.
Cathy Mowat
Central Gippsland Health ServiceHi All,
Have a small issue – Disposable curtains/screens!
Would appreciate feedback from areas that are using the disposable curtain/screens in their facilities
The issue is around cost of linen vs disposable curtains/screens.
We have trialed & like what we have but those who watch the pennies are questioning their use.
Originally we brought them into our ED because the poor terminal cleaning staff were frantic with attending the cleaning ( which involves the replacement of curtains).
The NUM of ED was indicating at this particular incident -that there were three ambulances waiting to off load patients onto ED beds which were being held up by the terminal cleaning required.Amongst other actions taken regarding this issue in ED-was the implementation of the disposable curtains.
Now the question being asked is who else in other health areas has disposable curtains/screens & where are they ( ie high risk areas).
Much appreciate any assistance with this.
Thank you
Vicki Denyer
Clinical Nurse Consultant | Infection Prevention & Control Unit
Lismore Base Hospital
Tel 02 6620 2385 | vicki.denyer@ncahs.health.nsw.gov.au[Description: cid:image001.png@01CE7F1B.E103A4C0]
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Nicola, my understanding is that under the 2008 Health and Wellbeing Act to take blood for altruistic blood tests ( to test for blood borne virsues) from a patient who is unable to give consent, an order from a senior authorized medical officer must be issued under section 134. The form can be found in the Guidelines for post-incident testing orders and Authorisations Part 8 , Division 5 of the Health and Wellbeing Act 2008. Legally this would be a more appropriate option in the situation you have outlined.
Cathy Mowat
Infection Control
Central Gippsland Health Service
0351438518
cathy.mowat@cghs.com.au
SaleHi All,
I would like some advice from the group on gaining informed consent from the source of a blood and body fluid exposure and timeliness of bloods being sent for testing, in particular if the patient is aneasthetised.
Our current situation:
On our generic consent form for procedures it has a ‘sentence’ regarding bloods being taken from them whilst anaesthetised for the purpose of testing re if there is a needlestick injury during their procedure. I have never been comfortable with this as there is no risk assessment, discussion regarding what tests or how we keep that information confidential. Although there has been a signed consent, I do not see it as an informed consent. Also if Drs use their own consent forms this ‘sentence’ is not included.
If we wait 24 hours post anaesthetic then potentially you could miss the window for administration of post exposure prophylaxis .
If the patient is not anaesthetised then the management is completed using a signed consent and discussion regarding results of tests with treating Dr or infection control.
Thank you for your assistance in advance
Kind Regards
Nicola Swindells
Infection Control /Quality and Risk Manager
Mater Hospitals Central Queensland
Rockhampton Yeppoon Gladstone
nswindells@mercycq.com
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Paulina, we have tried a method something like you are describing. We are a rural public hospital. We had nurses in ED who were qualified nurse immunisers and a set afternoon a month when staff could present for immunisations etc. It was difficult on busy days of which there were many and staff had to remember the set day a month. We changed to providing the service out of the infection control office and training the infection control staff as nurse immunisers. People can pop in or make an appointment. At flu immunisation time we advertise set clinics. ED immunising staff found it hard to find time to enter vaccinations given, serology etc into the data base.
This system works better for us and I think there has been an improvement in staff participation in the immunisation program from when it was run through the ED.
Cathy Mowat
Infection Control
Central Gippsland Health Service
Sale Victoria 3850Good 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[cid:image001.png@01CE668B.DED8F1D0]
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