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Debra Lee

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  • in reply to: Pressure area care for masks #77138
    Debra Lee
    Participant

    Author:
    Debra Lee

    Position:

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    State:

    Hi Josh,

    Early on a colleague sent me these, I’m unsure if this is what you are looking for.

    Kind regards,

    Deb

    Debra Lee
    CNC – IMPS
    Infection Management and Prevention Service
    West Block
    Redcliffe Hospital
    4020
    Ph: 07 3883 7300 | Mb:
    debra.lee@health.qld.gov.au

    —–Original Message—–
    From: ACIPC Infexion Connexion On Behalf Of Josh
    Sent: Thursday, 6 August 2020 11:55 AM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: [ACIPC_Infexion_Connexion] Pressure area care for masks

    Hello IPC professionals,

    Wondering if anyone has any resources or evidence in pressure area care with mask use?

    Staff are beginning to find irritation on the bridge of their noses and are wanting help.

    Thanks,

    Josh Puglia
    Infection Prevention & Control Nurse | Hand Hygiene Coordinator The Royal Womens Hospital | Locked Bag 300 | Cnr Grattan St & Flemington Rd, Parkville VIC 3052
    P: +61 3 8345 2791 | Pager 52793
    joshua.puglia@thewomens.org.au I http://www.thewomens.org.au

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    in reply to: Punitive HH program #76127
    Debra Lee
    Participant

    Author:
    Debra Lee

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    Organisation:

    State:

    Can I add these audits are not submitted to HHA (or NHHI) as the interns are not accredited auditors!

    Cheers,
    Deb

    (Make Prevention Your Intention)

    IMPS – Redcliffe
    P: (07) 3883 7300
    debra_lee@health.qld.gov.au

    Hi there,

    I too was asked to do something similar.
    The approach my facility undertook was to conduct an ongoing Quality Improvement Activity – “modified audit” as an educational training program for the last 4 years.
    The intern group are allocated to a HH auditor for an hour and follow other teams, it usually takes 2 weeks to rotate through the interns. The focus is on Medical staff (and was initiated by the DMS in response to disappointing hand hygiene rates) and they are named in the modified tool. ALL teams are aware of the activity and the results are collated only by the Medical Education/DMS team and then privately discussed with any individuals whose performance is lower than benchmark. The generic results of Surgeons vs Medical vs Paeds etc. and Consultant vs Reg vs Interns are displayed during Grand Rounds.
    This has resulted in a lot of healthy competition between streams and a MARKED sustained improvement in compliance rates. It also gives the interns a really thorough understanding of WHEN and WHY hand hygiene moments are required.

    I would suggest that you approach your executive and suggest a targeted “Quality Improvement Activity” of short duration, rather than a systemic, ongoing, “name and shame” approach.

    I’m more than happy to share the presentation I delivered at the ACIPC conference in Melbourne if the question author wants to correspond with me directly.

    Debra Lee
    Clinical Nurse Consultant
    Infection Management and Prevention Service
    West Block – Ground floor
    Redcliffe Hospital
    Redcliffe, Qld 4020
    debra.lee@health.qld.gov.au
    metronorth.health.qld.gov.au
    (Make Prevention Your Intention)
    [Values in Action]
    [Facebook]
    [Twitter]
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    follow us on social media

    Metro North Hospital and Health Service
    [Description: Putting people first]

    [Posted on behalf of a member who prefers to remain anonymous, for obvious reasons – reply to the list and they will see the responses. If anyone would like to provide a response direct to the member can do so by emailing me directly at michael.wishart@svha.org.au.
    Thanks, Moderator]

    One of our leadership group, has directed this office to develop a tool for the HH auditors to collect the names of staff that do not adhere to correct HH moments. The staff names are then to be provided to the Nurse managers for the follow-up to be done by them. We have expressed our dismay at this tone of management and in a word we were dismissed with our concerns.

    This is in response to ongoing low HH compliance rates, and instead of supporting the program this will completely obliterate it and encourage incorrect data entry and we will lose the auditors.

    I am asking for some suggestions on how to manage this suggestion and also key suggestions how we can gain traction.

    I am at a loss for change in this facility because no matter what we have implemented it lacks sustained support and is ultimately ends up being used as a punitive tool .

    Concerned experienced Infection Prevention and Control Professional.

    ______________________________________________________________________
    This email and any attachments to it (the “Email”) is confidential and is for the use only of the intended recipient, and may not be duplicated or used by any other party without the express consent of the sender. If you are not the intended recipient of the Email, please notify the sender immediately by return email, delete the Email, and do not copy, print, retransmit, store or act in reliance on the Email. St Vincent’s Health Australia (“SVHA”) does not guarantee that the Email is free from errors, viruses or interference. Emails to and from SVHA or its related entities may be scanned and filtered in locations outside Australia.
    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.

    Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

    Replies to this message will be directed back to the list. To create a new message send an email to acipclist@acipc.org.au

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    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.

    Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

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    in reply to: Punitive HH program #76126
    Debra Lee
    Participant

    Author:
    Debra Lee

    Position:

    Organisation:

    State:

    Hi there,

    I too was asked to do something similar.
    The approach my facility undertook was to conduct an ongoing Quality Improvement Activity – “modified audit” as an educational training program for the last 4 years.
    The intern group are allocated to a HH auditor for an hour and follow other teams, it usually takes 2 weeks to rotate through the interns. The focus is on Medical staff (and was initiated by the DMS in response to disappointing hand hygiene rates) and they are named in the modified tool. ALL teams are aware of the activity and the results are collated only by the Medical Education/DMS team and then privately discussed with any individuals whose performance is lower than benchmark. The generic results of Surgeons vs Medical vs Paeds etc. and Consultant vs Reg vs Interns are displayed during Grand Rounds.
    This has resulted in a lot of healthy competition between streams and a MARKED sustained improvement in compliance rates. It also gives the interns a really thorough understanding of WHEN and WHY hand hygiene moments are required.

    I would suggest that you approach your executive and suggest a targeted “Quality Improvement Activity” of short duration, rather than a systemic, ongoing, “name and shame” approach.

    I’m more than happy to share the presentation I delivered at the ACIPC conference in Melbourne if the question author wants to correspond with me directly.

    Debra Lee
    Clinical Nurse Consultant
    Infection Management and Prevention Service
    West Block – Ground floor
    Redcliffe Hospital
    Redcliffe, Qld 4020
    debra.lee@health.qld.gov.au
    metronorth.health.qld.gov.au
    (Make Prevention Your Intention)
    [Values in Action]
    [Facebook]
    [Twitter]
    [LinkedIn]
    follow us on social media

    Metro North Hospital and Health Service
    [Description: Putting people first]

    [Posted on behalf of a member who prefers to remain anonymous, for obvious reasons – reply to the list and they will see the responses. If anyone would like to provide a response direct to the member can do so by emailing me directly at michael.wishart@svha.org.au.
    Thanks, Moderator]

    One of our leadership group, has directed this office to develop a tool for the HH auditors to collect the names of staff that do not adhere to correct HH moments. The staff names are then to be provided to the Nurse managers for the follow-up to be done by them. We have expressed our dismay at this tone of management and in a word we were dismissed with our concerns.

    This is in response to ongoing low HH compliance rates, and instead of supporting the program this will completely obliterate it and encourage incorrect data entry and we will lose the auditors.

    I am asking for some suggestions on how to manage this suggestion and also key suggestions how we can gain traction.

    I am at a loss for change in this facility because no matter what we have implemented it lacks sustained support and is ultimately ends up being used as a punitive tool .

    Concerned experienced Infection Prevention and Control Professional.

    ______________________________________________________________________
    This email and any attachments to it (the “Email”) is confidential and is for the use only of the intended recipient, and may not be duplicated or used by any other party without the express consent of the sender. If you are not the intended recipient of the Email, please notify the sender immediately by return email, delete the Email, and do not copy, print, retransmit, store or act in reliance on the Email. St Vincent’s Health Australia (“SVHA”) does not guarantee that the Email is free from errors, viruses or interference. Emails to and from SVHA or its related entities may be scanned and filtered in locations outside Australia.
    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.

    Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

    Replies to this message will be directed back to the list. To create a new message send an email to acipclist@acipc.org.au

    To send a message to the list administrator send an email to admin@acipc.org.au

    You can unsubscribe manually from this list by sending ‘signoff acipclist’ (without the quotes) to listserv@aicalist.org.au

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    Any unauthorised use, alteration, disclosure, distribution or review of this email is strictly prohibited. The information contained in this email, including any attachment sent with it, may be subject to a statutory duty of confidentiality if it relates to health service matters.

    If you are not the intended recipient(s), or if you have received this email in error, you are asked to immediately notify the sender by telephone collect on Australia +61 1800 198 175 or by return email. You should also delete this email, and any copies, from your computer system network and destroy any hard copies produced.

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    Although Queensland Health takes all reasonable steps to ensure this email does not contain malicious software, Queensland Health does not accept responsibility for the consequences if any person’s computer inadvertently suffers any disruption to services, loss of information, harm or is infected with a virus, other malicious computer programme or code that may occur as a consequence of receiving this email.

    Unless stated otherwise, this email represents only the views of the sender and not the views of the Queensland Government.

    **********************************************************************************

    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.

    Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

    Replies to this message will be directed back to the list. To create a new message send an email to acipclist@acipc.org.au

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    in reply to: Retention of Records in Sterilising Departments #75971
    Debra Lee
    Participant

    Author:
    Debra Lee

    Position:

    Organisation:

    State:

    It also has implications for all caesarean procedures.

    Cheers,
    Deb

    (Make Prevention Your Intention)

    IMPS – Redcliffe
    P: (07) 3883 7300
    debra_lee@health.qld.gov.au

    Hi all,

    I must admit, I have been meaning to look this up as well. I was lead to understand that it was different for records that pertain to children, in Queensland.

    For a child or surgery involving a child the record needed to be kept for 5 or 7 years after they had turned 21 years of age. Considering the school dental program, this is mind boggling!

    This was information I received when I was doing my Certificate III in Sterilisation. If anyone has any further clarification, it would be appreciated as well.

    Kind regards

    Mandy Davidson
    RN; GCert Inf Pre & Cont; MPHTM; Cert III Sterilisation; Cert IV TAE; Immunisation cred; CICP-A
    Clinical Nurse Consultant – 4187 Implementation project
    Infection Prevention & Control

    [cid:image001.png@01D3A192.E1513890]
    T
    07 4433 1873 | 0402 987 432
    E
    Mandy.Davidson@health.qld.gov.au
    W
    http://www.health.qld.gov.au/townsville

    Townsville Hospital and Health Service
    100 Angus Smith Drive, Douglas, QLD 4814
    [Facebook-Icon] [Twitter-Icon] [Linkedin-Icon]
    Townsville Hospital and Health Service acknowledges the Traditional Owners of the land, and pays respect to Elders past, present and future.

    Hi,
    As a matter of interest I looked up Queensland retention records as it has been updated. Sterilising services has been omitted and now comes under patient records. Interestingly it states 15years from the last occasion of service!!!!! How do you determine the last occasion of service. Luckily most of our are now recorded electronically so not really an issue.
    Cheers Kerrin

    Kerrin Maher RN BN
    Nurse Unit Manager | Central Sterilising Department
    QEll Jubilee Hospital | Metro South Health
    Kessels Road QLD 4108
    t. 07 31826151
    e. kerrin.maher@health.qld.gov.au

    Afternoon Joe,

    When I first came on to manage a CSSD in SA government hospital around 2010, I made similar enquiries to our State Records department. This was in part due to a towering pile of physical records in the sub-sub-basement of the building, going back many years and of dubious completion. The requirement in AS4187:2003 at the time was that sterilisation records should be “controlled and retrievable” and I had come upon a situation which was neither.

    The General Disposal Schedule for government health records made no reference to sterilisation and reprocessing, so I worked with a couple of officers in State Records to add something into the next version. AS4187 had already specified the list of documents which shall be kept in the running of a reprocessing facility, so we decided that the entry should read “…as required by Standards” or similar. That way, regulatory changes to the required documentation would just carry over.

    As for the retention period, the advice of State Records was that of a 15 year period.

    Section 3.8.2 of the GDS28 was the final product.

    We then had a wonderful time cataloguing, re-boxing and sending all of the records off for storage. Luckily the hospital where I am involved now has a fully electronic tracking system, so the volume of physical records is not only greatly reduced but we can make more of them electronic themselves.

    Regards,

    Andrew Ellis
    Sterilising and Reusable Medical Device Reprocessing State Coordinator (Part Time: Monday/Friday)
    Infection Control Service | Communicable Disease Control Branch
    Health Regulation & Protection
    Department for Health and Wellbeing | Government of South Australia
    Level 3 | Citi Centre | 11 Hindmarsh Square | Adelaide SA 5000
    HCW infection prevention: http://www.sahealth.sa.gov.au/infectionprevention
    General public: http://www.sahealth.sa.gov.au/hospitalinfections

    This email may contain confidential information, which also may be legally privileged. Only the intended recipient(s) may access, use, distribute or copy this email. 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.

    Good morning everyone

    I have discussed the retention of records in sterilising departments with several people and I get different answers!

    I have checked NSW Records and their retention rules but they are not specific for sterilisation departments. They make blanket statements eg Quality Assurance (7 years), Accreditation (10years), Significant Investigations (State Archive).

    Does anyone have any more definitive information? Will it be different in each State/Territory?

    Thank you
    Joe

    INFECTION CONTROL REVIEW PTY LTD
    Joe-Anne Bendall Consulting
    ABN 98630512284

    Joe.bendall@bigpond.com
    [Infection Control Review Logo – small2]

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

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    Any unauthorised use, alteration, disclosure, distribution or review of this email is strictly prohibited. The information contained in this email, including any attachment sent with it, may be subject to a statutory duty of confidentiality if it relates to health service matters.

    If you are not the intended recipient(s), or if you have received this email in error, you are asked to immediately notify the sender by telephone collect on Australia +61 1800 198 175 or by return email. You should also delete this email, and any copies, from your computer system network and destroy any hard copies produced.

    If not an intended recipient of this email, you must not copy, distribute or take any action(s) that relies on it; any form of disclosure, modification, distribution and/or publication of this email is also prohibited.

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    Unless stated otherwise, this email represents only the views of the sender and not the views of the Queensland Government.

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    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: Re: Alcohol hand rub in CSSD #75542
    Debra Lee
    Participant

    Author:
    Debra Lee

    Position:

    Organisation:

    State:

    Thank you Terry for providing such a great response

    Cheers,
    Deb

    (Make Prevention Your Intention)

    IMPS – Redcliffe
    P: (07) 3883 7300
    debra_lee@health.qld.gov.au

    From: ACIPC Infexion Connexion On Behalf Of Terry
    Sent: Tuesday, 2 July 2019 2:33 PM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: Re: [ACIPC_Infexion_Connexion] Alcohol hand rub in CSSD

    Hi Everyone,

    My response to being told that you cant use ABHR in CSSD is wheres the evidence?

    If you read the ingredients of liquid soap you will also find it contains emollients.

    I remember vividly watching a demonstration at a polypropylene sterilisation wrap factory of the impact of liquid soap in the permeability of the product when applied directly to the surface. However who would ever think to apply liquid soap to a sterilisation wrap?

    Long story short, they wouldnt and the hand hygiene process would ensure that clean, dry hands are no risk to the sterile barrier.

    Therefore I am of the opinion that YES, CSSD staff can use an ABHR when appropriate in the CSSD workspaces, as long as they use the product correctly and ensure their hands are dry before touching sterile barrier systems and RMDs.

    If CSSD staff cant use an ABHR because theres an emollient in it, then it follows that anybody touching a CSSD produced sterile package should not be allowed to use ABHR.

    IF someone has evidence to the contrary please share.
    Kind Regards
    Terry McAuley
    Director
    MSc Medical Device Decontamination

    PO BOX 2249, Greenvale VIC Australia 3059
    Mobile: +61 (0)438 109 692
    Email: terry@steamconsulting.com.au
    Website: http://www.steamconsulting.com.au

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    From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> On Behalf Of VANDERLINDE, Liz
    Sent: Tuesday, July 2, 2019 12:22 PM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: Re: [ACIPC_Infexion_Connexion] Alcohol hand rub in CSSD

    This correct most ABHR have an emollient of some description which may compromise sterile wrap. CSSD staff should have available a handwashing sink.

    Liz Vanderlinde
    Infection Prevention Control Co-ordinator
    North West Private Hospital
    [Description: hca_logo]
    Brickport Road, Burnie TAS 7320, Australia
    T +61 3 6432 6005 F +61 3 6431 5766
    E liz.vanderlinde@healthecare.com.au W
    Healthe Care Hospitals are accredited by ACHS NSQHS Standards or ACHS EQuIP National
    [Description: achs][Description: equip]
    QIC Standards
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    Disclaimer: This message including any attachments is confidential. It is intended only for the use of the addressee(s) named above and may contain information that is privileged or subject to copyright. If you are not the intended recipient of this message you are hereby notified that you must not disseminate, copy or take any action based upon it. Please delete and destroy the message from your computer. If you received this message in error please notify Healthe Care Australia immediately.
    From: ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] On Behalf Of Jenny McCarthy
    Sent: Tuesday, 2 July 2019 10:35 AM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: [ACIPC_Infexion_Connexion] Alcohol hand rub in CSSD

    Info: This email originated from outside Healthe Care.
    Hello just after some advice on using the 70% alcohol hand rub in CSSD. I was under the impression it would be acceptable to use but my CSSD staff have said they were told as it has a moisturiser component it cant be used. I am aware that straight moisturiser cant be used during the shift any thoughts?
    Thanks
    Jenny

    Kind regards,
    Jenny McCarthy
    Operating Room Manager/Infection Prevention and Control Coordinator
    Maryvale Private Hospital
    PO Box 348, Morwell, 3840
    286 Maryvale Rd. Morwell, 3840
    T +61 3 5132 1283 | F +61 3 5132 1281
    E jenny@maryvaleph.com.au

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    in reply to: PPE STANDS #75430
    Debra Lee
    Participant

    Author:
    Debra Lee

    Position:

    Organisation:

    State:

    They are really helpful. They keep the clutter down around sinks etc
    We found a great supplier – there are mobile versions if required and ‘fixtures’ are too tricky.

    I can send you contact details if you want?

    Cheers,

    Deb
    CNC CDIM (but experience with the supplier was in local hospital setting)
    debra.lee@health.qld.gov.au

    HI everyone
    We are looking at purchasing PPE stands. Could you let me know if you use them and they are useful or otherwise. Any advice would be most helpful.
    Regards

    Cate Coffey | Clinical Nurse Consultant
    Infection Prevention and Control Unit | Central Australia Health Service
    Northern Territory Government
    Alice Springs Hospital, Gap Rd, Alice Springs
    GPO Box 2234, Alice Springs, NT 0871
    p … 08 89517737
    e … cate.coffey@nt.gov.au http://www.nt.gov.au/health

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    in reply to: ESBL #75269
    Debra Lee
    Participant

    Author:
    Debra Lee

    Position:

    Organisation:

    State:

    Hi,

    As it happens I came across this article today. It may be wise to reconsider clearance processes for ESBL.

    Cheers,

    Deb

    CNC – CDIM
    Communicable Diseases Branch
    Queensland Health

    debra.lee@health.qld.gov.au

    As far as I am aware there is no clearance protocol for clearance of ESBL.

    Sharon Deen
    Infection Control Nurse

    [http://www.ramsayhealth.com/~/media/Images/email/email-RHC-logo]

    Peel Health Campus
    Infection Control
    Phone:

    08 9531 8570

    Fax:

    08 9531 8409

    Email:

    DeenSharon@ramsayhealth.com.au

    Web:

    http://www.ramsayhealth.com

    Address:

    110 Lakes Road, Mandurah WA 6210

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    Hello all,

    I am wondering if anyone has a resource for education re ESBL, namely what constitutes as clearance of ESBL?

    Many thanks

    Katherine Fisher

    Eurobodalla Infection Prevention Specialist

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