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Chard, ColetteParticipant
Author:
Chard, ColetteEmail:
ChardC@RAMSAYHEALTH.COM.AUOrganisation:
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 403707 3246 3142
Chardc @ramsayhealth.com.auFrom: 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 BeltsDear 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
MareeMaree 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
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Chard, ColetteParticipantAuthor:
Chard, ColetteEmail:
ChardC@RAMSAYHEALTH.COM.AUOrganisation:
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 403707 3246 3142
Chardc @ramsayhealth.com.auFrom: 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 roomDear 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.
MareeMaree Sommerville
Infection Control Coordinator
Mercy Hospital for Women163 Studley Road
Heidelberg 3084
Phone: 8458 4759
Mob: 0408 789 798
Fax: 8458 4751DISCLAIMER This email and any files transmitted with it
may be confidential and intended solely for the use of the
individual or entity to whom they are addressed. If you have
received this email in error please notify the sender immediately
by return email and delete or destroy this message and its
attachments. While this email and any attachments have
been cleared by Mercy Health’s virus protection systems, recipients
should use their own systems to detect computer viruses or other
materials that may corrupt files or systems. Find out more about
Mercy Health at http://www.mercyhealth.com.au
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Chard, ColetteParticipantAuthor:
Chard, ColetteEmail:
ChardC@RAMSAYHEALTH.COM.AUOrganisation:
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
________________________________
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.auMessages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.
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Chard, ColetteParticipantAuthor:
Chard, ColetteEmail:
ChardC@RAMSAYHEALTH.COM.AUOrganisation:
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 OTKind regards
Colette Chard
Quality & Risk Manager
North West Private Hospital
137 Flockton Street
Everton Park
QLD 403707 3246 3142
Chardc @ramsayhealth.com.auFrom: 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 TheatreHi
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 2000Phone: 93827199
Mobile: 0418984255
Fax: 93827510
Page: 21552joeanne.bendall@sesiahs.health.nsw.gov.au
———————————————————————————————
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Chard, ColetteParticipantAuthor:
Chard, ColetteEmail:
ChardC@RAMSAYHEALTH.COM.AUOrganisation:
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 403707 3246 3142
Chardc @ramsayhealth.com.auHi 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
MaureenMaureen 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
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Chard, ColetteParticipantAuthor:
Chard, ColetteEmail:
ChardC@RAMSAYHEALTH.COM.AUOrganisation:
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 NZKind 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.nzBehalf 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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Chard, ColetteParticipantAuthor:
Chard, ColetteEmail:
ChardC@RAMSAYHEALTH.COM.AUOrganisation:
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 youKind 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
videoThrough 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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Chard, ColetteParticipantAuthor:
Chard, ColetteEmail:
ChardC@RAMSAYHEALTH.COM.AUOrganisation:
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 thoughtThanks
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, MichaelIn 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
MichaelMichael 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.auRamsay Health Care is an environmentally responsible corporation, please
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You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.auChard, ColetteParticipantAuthor:
Chard, ColetteEmail:
ChardC@RAMSAYHEALTH.COM.AUOrganisation:
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 helpKind 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
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You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.auChard, ColetteParticipantAuthor:
Chard, ColetteEmail:
ChardC@RAMSAYHEALTH.COM.AUOrganisation:
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, PhilipShort of running a guillotine across the knuckles, I’d suggest they
would need to be removed from the clinical area until a/nails removedRegards
Phil RussoOn 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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