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Dallas Sewell

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  • in reply to: modification of surgical masks #77071
    Dallas Sewell
    Participant

    Author:
    Dallas Sewell

    Email:
    dallas.sewell@health.wa.gov.au

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    I also agree with Michael’s assessment, and we are discouraging this practice at PCH for those reasons.

    Thanks,

    Dallas

    Dallas Sewell | Clinical Nurse Consultant | Infection Prevention and Control
    Office 2D, Perth Children’s Hospital
    15 Hospital Avenue, Nedlands | Locked Bag 2010, Nedlands WA 6909
    T: (08) 6456 5359 | M: 0436 595 150 | E: dallas.sewell@health.wa.gov.au

    Report Sharp Injuries or Blood and Body Fluid Exposure
    Report IMMEDIATELY to:
    Infection Prevention and Control: T:6456 2002 Mon-Fri 0730-1530
    Hospital Clinical Manager: T:6456 3041 Afterhours/ Weekend/ Public Holiday
    Click here for OSH form
    Click here for Infection Prevention and Control policies

    [cid:image006.jpg@01D65147.FF83E490]

    I agree with Michael’s assessment.

    Stay safe everyone 🙂

    Marilyn Harris

    CNC Infection Prevention & Control | Sydney Dental Hospital and Oral Health Services, SLHD
    Sydney Dental Hospital, 2 Chalmers Street, SURRY HILLS 2010
    Tel 02 9293 3276 | Fax 02 9293 3488 | marilyn.harris@health.nsw.gov.au

    [cid:image001.jpg@01D661B7.CFB2A870]

    Hi Elizabeth

    The technique itself looks OK, particularly with that specific brand and type of mask. You would have to test it on other brands and types to see if the same technique could be used.

    BUT… I’m not convinced that using this technique is a good idea or even necessary, for a number of reasons, including:

    1. It assumes that a loose fitting mask is a risk. If you are using a level 2 or 3 surgical mask appropriately to prevent droplet transmission, there is no evidence to suggest the seal at the sides is so important.

    2. You are, in my opinion, fanning the flames for the aerosol route of transmission being important with routine contact, not just droplet spread.

    3. Using a level 2 or 3 surgical mask with a seal is sending a false assurance about spread from aerosols, as these masks are not designed to prevent inhalation of aerosols like a correctly fitted P2/N95 masks.

    I will be quite interested in other members’ view on this.

    Cheers
    Michael

    Michael Wishart | Infection Control Coordinator, CICP-E

    St Vincent’s Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
    M +61 448 954 282 | T +61 7 3326 3068 | F +61 7 3607 2226
    E michael.wishart@svha.org.au |
    W https://www.svphn.org.au

    St Vincent’s Private Hospital Brisbane | 411 Main Street KANGAROO POINT QLD 4169
    M +61 448 954 282 | T +61 7 3240 1208 | F +61 7 3240 1166
    E michael.wishart@svha.org.au |
    W https://www.svphb.org.au

    [cid:image002.jpg@01D639A0.5B5D4C80]

    [Stop the Flu before it stops you]

    https://youtu.be/2TTg53aAP8Q

    Hello all: I have seen this video on utube which shows how to modify a surgical mask by folding it to achieve a tighter fit.
    Is there any benefit in modifying the masks in this way?

    Is there any problem with doing this – assuming of course that it’s a fresh mas), and also ensuring that that doffing is as per normal infection control procedure?

    I was considering sharing this with my Managers and incorporating into our procedures (in residential and home aged care).

    Any thoughts?

    Elizabeth Carroll | Executive Manager Residential & Chief Clinical Officer
    p 07 3223 4444 d 07 3223 4491 f 07 3223 4411 m 0468 522 131
    Level 3, 19 Lang Parade, Milton Q 4064 | PO Box 771, Toowong BC Q 4066

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    in reply to: Eyelash extensions – False Eyelashes #77070
    Dallas Sewell
    Participant

    Author:
    Dallas Sewell

    Email:
    dallas.sewell@health.wa.gov.au

    Organisation:

    State:

    Hi Michael,

    We recently discussed this at Perth Children’s Hospital with our Theatres Team and approached the situation in a similar manner.

    I always appreciate/ enjoy your thoughts/responses on these controversial IPC topics!

    Thank you,

    Dallas

    Dallas Sewell | Clinical Nurse Consultant | Infection Prevention and Control
    Office 2D, Perth Children’s Hospital
    15 Hospital Avenue, Nedlands | Locked Bag 2010, Nedlands WA 6909
    T: (08) 6456 5359 | M: 0436 595 150 | E: dallas.sewell@health.wa.gov.au

    Report Sharp Injuries or Blood and Body Fluid Exposure
    Report IMMEDIATELY to:
    Infection Prevention and Control: T:6456 2002 Mon-Fri 0730-1530
    Hospital Clinical Manager: T:6456 3041 Afterhours/ Weekend/ Public Holiday
    Click here for OSH form
    Click here for Infection Prevention and Control policies

    [cid:image006.jpg@01D65147.FF83E490]

    Hi Deb

    I think this is one of those areas with lack of evidence, and we need to rely on first principles rather than assume it’s a problem

    How are false eyelashes going to cause a problem during a procedure? Even if there has been some lab study showing false eyelashes can be colonised with higher levels of bacteria, what is your transmission route? Unless the false eyelashes are a danger of falling into a surgical field, I cannot see a transmission route appropriate hand hygiene would not negate. Support and endorse appropriate hand hygiene, not banning fashion because it is not perceived as OK for HCWs.

    I think this issue should be sent back to the policy table as not being supported by infection control as a risk, and they can come up with what they want to do.

    Too often policy makers look to ‘blame’ infection control for their actions (eg lanyards, shoe and sock colours, tattoos). We need to be clear where the risks are and enforce those, not support cultural or fashion dislikes.

    Cheers
    Michael (who, as you can see, is sick of getting blamed for every policy change!)

    Michael Wishart | Infection Control Coordinator, CICP-E

    St Vincent’s Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
    M +61 448 954285 | T +61 7 3326 3068 | F +61 7 3607 2226
    E michael.wishart@svha.org.au |
    W https://www.svphn.org.au

    St Vincent’s Private Hospital Brisbane | 411 Main Street KANGAROO POINT QLD 4169
    M +61 448 954 285 | T +61 7 3240 1208 | F +61 7 3240 1166
    E michael.wishart@svha.org.au |
    W https://www.svphb.org.au

    [cid:image002.jpg@01D639A0.5B5D4C80]

    [Stop the Flu before it stops you]

    Dear Brains Trust

    I have become aware of some nurses are wearing eyelash extensions,
    Can anyone point me in the right direction for managing this concern- especially in the theatre environment,

    I suspect it will become a policy issue however I would like to have some form of evidence or advice as to what other hospitals are doing

    Thanks in advance

    Deb

    Deborah Vos
    Infection Control Coordinator
    [cid:image001.png@01D66188.D2E248E0]
    Calvary Central Districts Hospital
    25-37 Jarvis Road Elizabeth Vale SA 5112
    P: 08 8282 5393
    E: Deborah.Vos@calvarycare.org.au
    http://www.calvarycentraldistricts.org.au

    Calvary acknowledges the Traditional Custodians and Owners of the lands on which all our services operate, commits to Closing the Gap and to the ongoing journey of Reconciliation.

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    in reply to: Re: HH auditors – non clinicians #75720
    Dallas Sewell
    Participant

    Author:
    Dallas Sewell

    Email:
    dallas.sewell@health.wa.gov.au

    Organisation:

    State:

    Hi Janine,

    We also have non-clinical HH auditors at PCH and they are great!

    Regards,

    Dallas

    Dallas Sewell | Clinical Nurse Consultant | Infection Prevention and Control
    Office 2D, Perth Childrens Hospital
    15 Hospital Avenue, Nedlands | Locked Bag 2010, Nedlands WA 6909
    T: (08) 6456 5359 | M: 0436 595 150 | E: dallas.sewell@health.wa.gov.au

    Report Sharp Injuries or Blood and Body Fluid Exposure
    Report IMMEDIATELY to:
    Infection Prevention and Control: T:6456 2002 Mon-Fri 0730-1530
    Hospital Clinical Manager: T:6456 3041 Afterhours/ Weekend/ Public Holiday
    Click here for OSH form
    Click here for Infection Prevention and Control policies

    [PCH_RGB_VERT_INTERNAL]

    Compassion | Collaboration | Equity | Respect | Excellence | Accountability

    From: ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] On Behalf Of Michelle Bibby
    Sent: Thursday, 15 August 2019 7:37 AM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: Re: [ACIPC_Infexion_Connexion] HH auditors – non clinicians

    HI Janine

    My best auditors are non-clinical staff!

    They have even completed the gold standards auditor course, which they challenged the trainer about because some of the lingo was unfamiliar but they still passed the course which is a credit to them I think

    Thanks
    Michelle

    Michelle Bibby
    Infection Prevention Australia
    +61 429 071 165
    Michelle@infectionprevention.com.au
    http://www.infectionprevention.com.au

    [signature_932622801]

    From: ACIPCLIST on behalf of Janine Egart
    Reply to: ACIPCLIST
    Date: Thursday, 15 August 2019 at 9:35 am
    To: ACIPCLIST
    Subject: [ACIPC_Infexion_Connexion] HH auditors – non clinicians

    Good Morning,

    Do any facilities have HH auditors that are non-clinicians e.g. operational staff & admin staff?

    Im aware that HHA recommend that you should only have professional staff as auditors but have been asked the question by my line manager?

    If you do, can you advise if they audit all staff and all wards?

    Many thanks in advance.

    Regards

    Janine Egart
    Clinical Nurse Consultant DDH
    Infection Prevention & Control
    Clinical Governance

    p: 07 46166206 | m: 0400704118 SD 1947
    a: Pechey Street, Toowoomba,QLD 4350
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