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  • in reply to: CTG Belts #71011
    Chard, Colette
    Participant

    Author:
    Chard, Colette

    Email:
    ChardC@RAMSAYHEALTH.COM.AU

    Organisation:

    State:

    Hi Maree we use disposable single use . Used only the once .

    Kind regards

    Colette Chard

    What gets measured gets managed, what gets managed gets done…..

    Quality & Risk Manager
    North West Private Hospital
    137 Flockton Street
    Everton Park
    QLD 4037

    07 3246 3142
    Chardc @ramsayhealth.com.au

    From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Maree Sommerville
    Sent: Friday, 2 May 2014 12:38 PM
    To: AICALIST@AICALIST.ORG.AU
    Subject: [ACIPC_Infexion_Connexion] CTG Belts

    Dear Members,
    I would be interested to know how other obstetric services manage the CTG (cardiotocography) belts from an infection control perspective.
    Issues:
    Reusable vs. single patient use???
    Is there a big cost differential, factoring the laundry issues, damage to integrity of reusable belt
    If reusable:
    How are these processed external laundry or internal laundry
    Does reprocessing affect the integrity of the belt? i.e. what is the life of the belt
    Do they get changed between EVERY patient use?
    Including fetal monitoring units (FMU) where the belt is on for 10-30 minutes and there are no body fluid issues.
    o FMU do not routinely change between patient use (from my understanding) and I would be interested to know other ICP views on this in relation to clean between.

    If single use:
    Is each woman issued with a CTG belt for her pregnancy
    How is it managed:
    o Placed in zip lock bag and sent home with them
    o Placed in zip lock bag in medical records
    Do they remember to bring them to each visit?

    Looking forward to all responses
    Maree

    Maree Sommerville
    Infection Control Coordinator
    Mercy Hospital for Women

    [cid:image001.jpg@01CF6603.4DFFAB90]

    163 Studley Road
    Heidelberg 3084
    Phone: 8458 4759
    Mob: 0408 789 798
    Fax: 8458 4751

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    in reply to: Hand Hygiene auditing in the operating room #70680
    Chard, Colette
    Participant

    Author:
    Chard, Colette

    Email:
    ChardC@RAMSAYHEALTH.COM.AU

    Organisation:

    State:

    Hi Maree ,

    We audit up to the anaesthetic bay, PACU, DSU admit & D/C areas

    Kind regards

    Colette Chard

    What gets measured gets managed, what gets managed gets done…..

    Quality & Risk Manager
    North West Private Hospital
    137 Flockton Street
    Everton Park
    QLD 4037

    07 3246 3142
    Chardc @ramsayhealth.com.au

    From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Maree Sommerville
    Sent: Wednesday, 11 December 2013 7:40 AM
    To: AICALIST@AICALIST.ORG.AU
    Subject: [ACIPC_Infexion_Connexion] Hand Hygiene auditing in the operating room

    Dear all,
    I am interested to know if anyone does HH auditing in the operating room.
    It is my intention to do some ad hoc audits in the New Year.

    I have already done a preliminary assessment and the biggest challenge is defining the areas (patient care zone or health care zone).
    The HH audit tool currently in use easily suits a ward but will it suit this type of critical care area.

    Has anyone audited this area?
    If so, how did you define the zones for each group (anaesthetic team / surgical team / theatre tech)?
    If any of you have audited this area, did you adapt the current HHA tool or did you use another?

    Look forward to your responses.
    Maree

    Maree Sommerville
    Infection Control Coordinator
    Mercy Hospital for Women

    163 Studley Road
    Heidelberg 3084
    Phone: 8458 4759
    Mob: 0408 789 798
    Fax: 8458 4751

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    in reply to: Aseptic Technique – Standard 3 #70000
    Chard, Colette
    Participant

    Author:
    Chard, Colette

    Email:
    ChardC@RAMSAYHEALTH.COM.AU

    Organisation:

    State:

    Hi Mary Rose,

    We have recently passed our Standards 1-3 as we were fully certified last year .

    We are also ISO accredited so in some areas of auditing the national standards we have audited the policy and procedures we have in place eg: in the periop area utilising some of the HICMR tools we audit the processes which in includes the aseptic technique but also perform a value added chain audit which follows a patient form preadmission to discharge so during this audit we also looked at the compliance of aseptic technique competencies as per the our procedure and then watch a surgical case to ensure that aseptic technique is maintained.

    We have then introduced the Aseptic non touch technique tools technique tools . I attempted to utilise these tools in a ward area but found it very time consuming with little outcome. So I decided to audit a high risk area such as Oncology where I would get an efficient audit.

    I did set up an invasive device register with input from the clinical managers & clinical nurses. I risk rated the devices against frequency and incidence of hospital acquired infection

    I then added columns for require education & current existing competency or if we needed to develop one

    Hope this helps

    Kind regards

    Colette Chard

    Quality & Risk Manager

    North West Private Hospital

    137 Flockton Street

    Everton Park

    Brisbane

    QLD 4053

    07 3246 3142

    chardc@ramsayhealth.com.au

    ________________________________

    Dear All,
    I am currently looking at planning and implementing this standard and would appreciate some feedback from anyone who is working through this or has completed it.

    I am interested to know what your highest risk, highest volume aseptic technique is and which service this is linked to? E.g. ICU Central lines OR aged Care – wound care

    Which standardised audit tools did you use? (In the interim as my understanding is there is a national set of audit tools is being developed)

    Which education tools did you use?
    What with the key strategies that worked or challenges?

    Any feedback would be appreciated.

    Kind regards
    Mary-Rose Godsell
    RGON, AFAAQHC, GDipHSM, CICP, MAdvPrac(Hons) Infection Prevention & Control
    South West Infection Control Nurse Consultant
    Southern Country Health Service – South West

    ‘Hand hygiene reduces the
    spread of infection’

    ph:08) 9781 2314
    mobile 04 3996 1015
    e-mail: Mary-Rose.Godsell@health.wa.gov.au

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    in reply to: Hand Hygiene auditing in the Operating Theatre #69200
    Chard, Colette
    Participant

    Author:
    Chard, Colette

    Email:
    ChardC@RAMSAYHEALTH.COM.AU

    Organisation:

    State:

    Hi Joe,
    We also audit our PACU areas(Stage 1,2,3) and Day surgery (admission & Discharge areas) . This also includes the Holding bays on arrival to OT

    Kind regards

    Colette Chard
    Quality & Risk Manager
    North West Private Hospital
    137 Flockton Street
    Everton Park
    QLD 4037

    07 3246 3142
    Chardc @ramsayhealth.com.au

    From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Joeanne Bendall
    Sent: Tuesday, 17 July 2012 4:05 PM
    To: AICALIST@AICALIST.ORG.AU
    Subject: [ACIPC_Infexion_Connexion] Hand Hygiene auditing in the Operating Theatre

    Hi

    Is anyone doing the National Hand Hygiene 5 Moments audit in an operating theatre? If you are, I would be interested in finding out about your education program, process of auditing, barriers, engagement with medical staff and the improvements you have made.

    Our operating theatre is very keen to be involved in participating in the audit

    Thanks

    Joe

    Joe-anne Bendall
    Infection Prevention and Control CNC
    Sydney Hospital and Sydney Eye Hospital
    8 Macquarie St
    Sydney 2000

    Phone: 93827199
    Mobile: 0418984255
    Fax: 93827510
    Page: 21552

    joeanne.bendall@sesiahs.health.nsw.gov.au

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    in reply to: Single-use Disposable Tourniquets #69142
    Chard, Colette
    Participant

    Author:
    Chard, Colette

    Email:
    ChardC@RAMSAYHEALTH.COM.AU

    Organisation:

    State:

    Hi Maureen I’d be keen to hear of any other success stories on this issue

    Kind regards

    Colette Chard
    Quality & Risk Manager
    North West Private Hospital
    137 Flockton Street
    Everton Park
    QLD 4037

    07 3246 3142
    Chardc @ramsayhealth.com.au

    Hi all

    We are currently looking into replacing reusable tourniquets with single-use disposable tourniquets throughout the hospital.

    Just wondering if anyone has implemented a similar strategy in their facility and what were the pro’s and con’s you encountered?

    Regards
    Maureen

    Maureen McKenzie

    Clinical Nurse Consultant | Infection Control
    Concord Repatriation General Hospital
    C/- Microbiology Dept.
    Hospital Road Concord NSW 2139
    Tel 02 9767 6898 | Fax 02 9767 7868 | maureen.mckenzie@sswahs.nsw.gov.au
    http://www.health.nsw.gov.au

    [http://www.health.nsw.gov.au/images/communications/e-signatures/images/NSW-Health-Master.jpg]

    http://www.acipcconference.com.au
    [ACIPC_2012_web_banner_300x100]

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    in reply to: FW: Disposable curtains #68733
    Chard, Colette
    Participant

    Author:
    Chard, Colette

    Email:
    ChardC@RAMSAYHEALTH.COM.AU

    Organisation:

    State:

    Hi Anthony,

    Where do you source the supply from was it an Australian or New Zealand
    company as the ones we were looking at the only rep available was in NZ

    Kind regards

    Colette Chard

    Infection Control Coordinator

    North West Private Hospital

    PO BOX 443

    Everton Park

    QLD 4053

    07 3246 3145 / 3246 3183(Tuesdays)

    email:chardc@ramsayhealth.com.au

    ________________________________

    Behalf Of Antony Shannon

    Hi there, we had these curtains up in our ICU for 12 months with no
    issues. We replaced them once due to a contact precautions patient being
    in a side room. As for the antimicrobial factor I am still not sure it
    works. However they are very good at being able to be sponged clean if a
    small spillage occurs on them.

    Antony

    “It Just Takes One……….To Make A Difference”

    ________________________________

    Antony M Shannon | CNS | Infection Prevention & Control – Dunedin | Te
    Tari Arai me te Pupuri Uruta – Otopoti | Southern DHB
    Private Bag 1921, Dunedin 9054, New Zealand | Ext. 9654 | Office: 03
    470 9654 | Mob: 027 600 4869 | Fax: 03 470 3876 |
    antony.shannon@southerndhb.govt.nz

    Behalf Of SAWMH.ICC

    Good morning Everyone,

    I have a few questions today on disposable curtains and their use in
    general and Transmission based precaution rooms. The company claims that
    the curtains in anti-microbial and can hang for up to 12 months, unless
    contaminated. Does anyone currently uses these curtains in your
    facilities, and if so:

    1. How often do you change them?

    2. Do you throw them out when a patient gets discharged from a
    Transmission based precautions room?

    3. If it gets thrown out, do you do it for all organisms, or just for
    Droplet and Contact spread organisms?

    Thank you

    Marlize

    Infection Prevention and Control is Everybody’s Business

    Marlize Senekal

    Infection Prevention and Control Coordinator

    St. Andrew’s War Memorial Hospital

    Wickham Terrace

    Spring Hill, Brisbane

    Ph. (07) 3834 4328

    Ext. 4328, Pager 0328

    _________________________________________________________________

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    in reply to: Re: HHS Partnering to Heal: New, free video #68620
    Chard, Colette
    Participant

    Author:
    Chard, Colette

    Email:
    ChardC@RAMSAYHEALTH.COM.AU

    Organisation:

    State:

    Hi Cath,

    I have just watched the first video at the start what a powerful and
    moving video, I feel sure it will be watched by many nurses in Australia
    I for one will ensure my colleagues know about this is. Thank you

    Kind regards

    Colette Chard

    Infection Control Coordinator

    North West Private Hospital

    PO BOX 443

    Everton Park

    QLD 4053

    07 3246 3145 / 3246 3183(Tuesdays)

    email:chardc@ramsayhealth.com.au

    ________________________________

    Behalf Of Cath Murphy
    video

    Through my position on the APIC Board I learnt today of a new,
    innovative interactive online training initiative launched by the US
    Dept of Health and Human Services and developed collaboratively with
    experts from CDC and APIC. Whilst its content will no doubt be designed
    to target a North American audience I suspect it will have substantial
    application here in Australia where our problems and efforts at
    prevention are often similar. Lynda Greene, an APIC member and seasoned
    ICP was a key contributor to this process and will have ensured that its
    content remains valid to our field. The training materials and other
    useful resources are available at
    http://www.hhs.gov/ash/initiatives/hai/training/

    Please feel free to use and promote this resource to any of your
    colleagues who may benefit from or be inspired by it.

    Regards

    Cath Murphy

    CNC Gold Coast Health Service District

    Cathryn_Murphy@health.qld.gov.au

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    in reply to: Limb warming prior to cannulation #68254
    Chard, Colette
    Participant

    Author:
    Chard, Colette

    Email:
    ChardC@RAMSAYHEALTH.COM.AU

    Organisation:

    State:

    Hi Michael,

    In OT we utilize the warming towels/ blankets from the warming cabinets.
    I know some of our patients aren’t at high risk of poor veins as in on
    oncology but it maybe food for thought

    Thanks

    Colette Chard
    Infection Control Coordinator
    Clinical Nurse Day Surgery
    North West Private Hospital
    137 Flockton St.,
    Everton Park
    07 3246 3145 / 3246 3183(Tuesdays)
    email:chardc@ramsayhealth.com.au

    —–Original Message—–
    Behalf Of Wishart, Michael

    In our day oncology unit, to help with cannulation of patients with
    difficult to access peripheral veins, they are using a tub of warm water
    to soak a patient’s hand or arm in for 15-20 minutes prior to
    cannulation to make the vein more accessible. Whilst the limb is dried
    and appropriate skin antisepsis is performed prior to cannulation, there
    are some other concerns with this practice (more related to staff and
    patient safety than infection control) and thus we are looking at
    alternatives. Apart from warm towels and hot packs (which do not hold
    heat long enough, according to the staff of the unit), does anyone know
    of any other methods limbs can be warmed safely prior to cannulation?

    Thanks
    Michael

    Michael Wishart | GPH – Infection Control Coordinator

    GPH – Quality & Safety Unit (Infection Control) | Greenslopes Private
    Hospital
    Newdegate Street, Greenslopes QLD 4120
    t: 07 3394 7919 | f: 07 3394 7985
    e: WishartM@ramsayhealth.com.au | w: http://www.ramsayhealth.com.au

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    in reply to: Blood and Body Fluid Exposure #68232
    Chard, Colette
    Participant

    Author:
    Chard, Colette

    Email:
    ChardC@RAMSAYHEALTH.COM.AU

    Organisation:

    State:

    Hi Kerry,

    I asked for a response from our infection control consultant company we
    use in our organisation for a response to your question please see below
    their reply FYI. Hope this is of some help

    Kind regards

    Colette Chard

    Infection Control Coordinator

    Clinical Nurse Day Surgery

    North West Private Hospital

    137 Flockton St.,

    Everton Park

    07 3246 3145 / 3246 3183(Tuesdays)

    email:chardc@ramsayhealth.com.au

    In Victoria there is legislation to cover such a situation, i.e not in
    full mental capacity to give consent, covers unconscious patients,
    demented patients and mental health) whereby the Medical Director (or
    so nominated) contacts the Chief Health Officer to gain consent testing,
    there is a specific protocol to follow.

    Every state will vary regarding the appropriate action, suggest this
    staff member contact her S.A Health Department to discuss relevant
    procedure and legislation

    ________________________________

    Behalf Of Eden, Keryn (DFC)

    Good afternoon all,

    I would like to hear advice on Blood and Body Fluid exposure –
    particularly needlestick Injury.

    For some years now we have had a process of testing source clients
    (where known) following staff needlestick injury for Hep B/C and HIV
    status where this was not already known, thereby alleviate staff
    concerns rather than having them go on for months awaiting follow-up
    testing.

    I am now informed that this is not acceptable as the clinical
    intervention of venepuncture in this instance is not a therapeutic
    procedure for the client and is hence an assault – as per the advice of
    the guardianship board? Many of our clients are not able to consent to
    testing in such instances due to intellectual disability or brain
    injury.

    Staff are, of course, referred to A&E immediately following such an
    event for immunoglobulins and counselling etc.

    What processes do other facilities use for the benefit of the staff’s
    mental health under these circumstances?

    In anticipation of your input.

    Keryn Eden

    Occupational Health/Infection Control Nurse

    Disability SA – Highgate Park

    103 Fisher Street

    FULLARTON SA 5063

    Keryn.Eden@dfc.sa.gov.au

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    in reply to: Artificial fingernails #68228
    Chard, Colette
    Participant

    Author:
    Chard, Colette

    Email:
    ChardC@RAMSAYHEALTH.COM.AU

    Organisation:

    State:

    Hi Fiona,

    We have had excellent support by our executive for all clinical staff to
    remove jewellery and artificial finger nails in particular our CEO.
    Staff were given a deadline to remove artificial nails and this was
    December. The other component that supported this was that clinical
    staff were supplied with the colorful silicone fob watches. So there is
    no excuse for staff now to be non compliant. If staff don’t comply it
    will become a performance management issue and managed in this manner so
    far we haven’t had to go down this path.

    The main issue for us is the visiting staff such as agency so that is my
    next task to contact the agencies and inform them of our Policy but this
    has been mainly for jewellery.

    Good luck hope this helps a little

    Kind regards

    Colette Chard
    Infection Control Coordinator
    Clinical Nurse Day Surgery
    North West Private Hospital
    137 Flockton St.,
    Everton Park
    07 3246 3145 / 3246 3183(Tuesdays)
    email:chardc@ramsayhealth.com.au

    —–Original Message—–
    Behalf Of RUSSO, Philip

    Short of running a guillotine across the knuckles, I’d suggest they
    would need to be removed from the clinical area until a/nails removed

    Regards
    Phil Russo

    On 22/03/2010, at 3:35, “Wilson, Fiona L (Infection Control)”
    wrote:

    > As per Hand Hygiene Australia and WHO consensus recommendations, we
    > do not recommend that HCW have artificial fingernails while working
    > in the clinical area. I am wondering how you ‘police’ this (for want
    > of a better term) and does anyone have a HR process for HCW’s who
    > refuse to remove artificial fingernails.
    > Regards
    >
    > Fiona Wilson
    > Manager, Infection Control
    > Western Health
    > Phone: 8345 6666 pager 506
    > Fax: 83456973
    > email: fiona.wilson@wh.org.au
    >
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