[Denise MacGregor Fraser]

HI Sharon

I made enquiries at the ACSQH in November about the orientation module that was linked on the HHA website.
The response from the ACSQH Advice Centre, these were to be revised and become available in 2020, however no timeline as to when.

From: ACSQHC Advice Centre <support@accreditation.freshdesk.com>
Sent: Friday, November 15, 2019 11:11 AM
To: Denise MFraser <Denise.MFraser@hicmr.com.au>
Subject: Re: Infection Prevention & Control – elearning module from the previous Hand Hygiene Australia website [SEC=No Protective Marking]

Hi Denise

Thank you for sending the copy of your certificate – that was very helpful. My colleague from the HAI team advised that the module your are looking for is currently not available as it is being updated. I was advised that it will be available again next year – no timeline yet – but will be available through the NHHI training portal.

Kind regards
Zette

National Standards Program
Australian Commission on Safety and Quality in Health Care
GPO Box 5480 Sydney NSW 2001 | Level 5, 255 Elizabeth Street, Sydney NSW 2000
T 1800 304 056 | F (02) 9126 3613 | http://www.safetyandquality.gov.au
Follow us on Twitter @ACSQHC

Regards Denise
MacGregor Fraser
IPC Consultant – NSW/National
HICMR Pty Ltd
Level 1, 123 Camberwell Road Hawthorn East VIC 3123
Ph: (03) 9811 9923 Fax: (03) 9882 4534
Pager: 1300 657 359 http://www.hicmr.com.au
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From: ACIPC Infexion Connexion On Behalf Of Kenny, Sharon
Sent: Wednesday, February 12, 2020 5:30 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: [ACIPC_Infexion_Connexion] FW: Basic Infection Prevention and Control Orientation e-learning module/package

Dear Michael

Could you consider posting the email below on Infexion Connexion?

Kind Regards
Sharon

Good Morning All,

I have a question relating to Basic Infection Prevention and Control Orientation e-learning packages, suitable for both Clinical and Non-Clinical HCWs.

Many years ago there used to be a wonderful ACSQH basic IPC e-learning package/module available for use in orientation/training for all levels of HCWs. I note now though, the only ACSQH IPC education I can locate appears to be the ACSQH 10 IPC modules. These modules are of course extremely comprehensive and a very valuable suite of IPC training modules and I believe that these IPC modules are particularly good for IPC Link nurses/novice IPC staff, however are quite a commitment for all HCWs to undertake. I have also been advised when reviewing this issue, that of course the ACIPC Foundations course is available, but again I do not feel these courses are suitable to be undertaken by all HCWs.

I feel that some brief (maybe 45 mins 60mins) standardised basic IPC education/orientation e-learning, that could fill the void between the many varied locally produced PowerPoints/e-learning packages currently in use and the Commissions 10 e-learning modules, would be beneficial to all. Particularly if we can communicate standardised IPC messages to all Australian HCWs, as per those outlined in the NHMRC IPC guidelines and assist in enforcing appropriate IPC practices.

I would imagine it would not take much to revise / review the old package and make it widely available again?? Is anyone aware that any work in this area is currently underway, or of other useful basic IPC e-learning packages?

Kind Regards
Sharon

Sharon Kenny | Clinical Nurse Consultant – Infection Prevention and Control
WA Country Health Service – Central Office
8 Bennett St, EAST PERTH WA 6004
T: (08) 6553 0816 | F: (08) 6553 0935
E: sharon.kenny2@health.wa.gov.au | wachs.infectioncontrol@health.wa.gov.au
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[Denise MacGregor Fraser]

HI Kristin

Look in the ACORN Standards, there are good tables outlining exactly what to do for Standard, Contact, Droplet and Airborne precautions in theatres.
Section – Asepsis & Clinical Care Appendix

Regards Denise
MacGregor Fraser
IPC Consultant – NSW/National
HICMR Pty Ltd
Level 1, 123 Camberwell Road Hawthorn East VIC 3123
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Dear colleagues,
Does anyone have access to information surrounding the management of MRO’s in Operating Theatres they would be willing to share?
Kind regards
Kristin

Kristin Ryan-Agnew
Kristin Ryan-Agnew (MPH/Grad Cert IP&C)
Infection Prevention & Control Clinical Nurse Consultant
The Tweed Hospital

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[Denise MacGregor Fraser]

Hi Tina

Refer to the ACORN Standards on Standard / Contact / Droplet / Airborne Precautions as these tables outline what to do in theatres for MRO management.
These are located in the Asepsis & Clinical Care section – Infection Control standard.

Removing items from theatre is for non-essential items only.
Recovering patients in the theatre should be for Airborne &/or Droplet transmission diseases only.

Regards Denise
MacGregor Fraser
IPC Consultant – NSW/National
HICMR Pty Ltd
Level 1, 123 Camberwell Road Hawthorn East VIC 3123
denise.mfraser@hicmr.com.au / support@hicmr.com.au
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Afternoon,

I’m a new member, and very excited to be able to network with such a diverse body of knowledge.

Question?
We are currently reviewing our management of MRO’s within the perioperative Unit.
Specifically focusing on decanting theatres prior to admitting the patient into theatre.
This includes the anaesthetic drugs trolley – which is kept close at hand outside the door.
Yes, we allocate an outside runner.

There are two components that we are keen to focus on.

1. Decanting the Theatre – we are discussing the Non-Contact vs Contact Zone
2. Recovering of patient – in the theatre ( VRE / ESBL/CRE ) vs PACU (MRSA)

These are the core issue that cause grief among the staff.
Ana Folk- not ready access to emergent equipment if required.
Loss of theatre time in recovering patient in Theatre.

As you are aware, this implicates theatre staff and activity time.
This is addressed with allocating the MRO patients to the end of the elective lists –
If we have a spare theatre – we will take the MRO patients there, so there is minimal lost time in their home theatre( while someone else cleans up or recovers the patient)
No so easy to negotiate if this is an emerg patient.

Earlier this year, I emailed across QHealth via SWAPNET, and thank-you to all who responded.
This has given us much to consider, drawing us to the Contact vs Non-Contact area within the actual theatre.

[cid:image001.jpg@01D48E36.7789BA40]

Before I totally re-write our Policy reflecting the changes, I would like the opinion of the ACIPC Network.
I thank-you for your time and consideration in this matter.

Regards,
Tina

Tina Muller
Clinical Nurse Consultant / Perioperative & CSD.
Mackay Hospital and Health Service
P: 07 4885 5387
E:tina.muller@health.qld.gov.au

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[Denise MacGregor Fraser]

Hi Tina

I agree about surgical scrub audits / competencies for Medical Officers, this is generally only attended for nursing staff.
We should be including the Doctors – VMOs & CMOs, they are a large cohort of clinical staff.

Regards Denise
MacGregor Fraser
IPC Consultant – NSW/National
HICMR Pty Ltd
(Healthcare Infection Control Management Resources)
Level 1, 123 Camberwell Road Hawthorn East VIC 3123
Ph: (03) 9811 9923 Fax: (03) 9882 4534
Pager: 1300 657 359 http://www.hicmr.com.au
denise.mfraser@hicmr.com.au
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From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of SDH Manager
Sent: Wednesday, 11 December 2013 11:33 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Hand Hygiene auditing in the operating room

HI Maree

We are only a very small day hospital and I have always audited in the operating theatre (our theatre staff & anaesthetists), as well as our PACU. HHA are aware of this and have never said anything to me, so I will continue to do it.

Personally, I think theatre should be audited. We have Alcoholic rubs placed in theatre for staff to use. The circulating nurse is touching the patient and then touching other items in the theatre, as well the anaesthetist and anaesthetic nurse are also touching the patient and putting in IVs and doing other invasive procedures, so why shouldnt they be audited? We are also planning on doing surgical scrub audits and hand hygiene observational audits on our surgeons, they are statistically the worst offenders!

Regards

Tina Owens, RN
Clinical Manager
Southport Day Hospital
Tel: (07) 5555 7800 / Fax: (07) 55557801
Mb: 0419 026 091
Email: manager@southportdayhospital.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: 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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[Denise MacGregor Fraser]

Hi Maree

HHA have previously said not to audit inside operating theatres.
Other areas ok PACU etc

Regards Denise
MacGregor Fraser
IPC Consultant – NSW/National
HICMR Pty Ltd
(Healthcare Infection Control Management Resources)
Level 1, 123 Camberwell Road Hawthorn East VIC 3123
Ph: (03) 9811 9923 Fax: (03) 9882 4534
Pager: 1300 657 359 http://www.hicmr.com.au
denise.mfraser@hicmr.com.au
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From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Maree Sommerville
Sent: Wednesday, 11 December 2013 8:40 AM
To: AICALIST@AICALIST.ORG.AU
Subject: 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

DISCLAIMER This email and any files transmitted with it

may be confidential and intended solely for the use of the

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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

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[Denise MacGregor Fraser]

Helen
Have a look in the Antimicrobial Stewardship book (blue/white) there are some examples in there from a few Australian hospitals

Regards Denise
MacGregor Fraser
IPC Consultant – NSW/National
HICMR Pty Ltd
(Healthcare Infection Control Management Resources)
Level 1, 123 Camberwell Road Hawthorn East VIC 3123
denise.mfraser@hicmr.com.au
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Any views expressed in this email any any files transmitted with it are those of the individual sender, except where the sender specifically states them to be the views of HICMR Pty Ltd. HICMR Pty Ltd does not represent or warrant that the attached files are free from computer viruses or other defects. The user assumes all responsibility for any loss or damage resulting directly or indirectly from the use of the attached files.

Hi,

Can anyone direct me to the “traffic light” chart used for prescribing antimicrobials. I have one from the UK but would prefer one from Australia.

Thank you,

Helen Scott
Infection Control Co-ordinator |
Staff Educator |
Nepean Private Hospital
Kingswood, NSW.
Tel 02 4725 8758 | helen.scott@healthscope.com.au
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[Denise MacGregor Fraser]

Hi Fiona

Refer to the Australasian Health Facility Guidelines available at http://www.healthfacilityguidelines.com.au/guidelines.aspx
Part D Infection prevention and control – section 860 Physical Environment (revision June 2012)

“All supply air and return air registers and grills should be removable for cleaning and
not be installed directly above a patient bed.”

Also “NSW Health TS11 Engineering Services and Sustainable Development Guidelines” may help

Regards Denise
MacGregor Fraser
Infection Control Consultant
HICMR Pty Ltd
(Healthcare Infection Control Management Resources)
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Hi List Members,

We are currently undertaking a new building project and I have been asked to consider air conditioning vents located directly above the patient bed in the middle of the room.

I was concerned that this may blow air directly onto the patient and potentially increase risk associated with procedures, such as dressings, but I have been told that new air conditioning vent designs have air currents that hug the ceiling of the room and would not blow directly onto patients.

Does anyone have any experience of installing air conditioning vents directly above patients and has this led to a change in such things as surgical site infection rates or healthcare associated wound infections?

Kind Regards,

Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
Fiona.Desousa@sah.org.au
185 Fox Valley Road, Wahroonga, NSW, 2076

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[Denise MacGregor Fraser]

Hi Ruth
Refer this query to your in house IC coordinator – Prue.
Swabbing is not required & operating theatres should be cleaned between patients as Glenys said.
Denise
Sent from my iPhone

On 30/11/2012, at 1:55 PM, “Dalrymple, Ruth” <Ruth.Dalrymple@HEALTHECARE.COM.AU> wrote:

Dear All,

Is anyone able to help me out. We recently had a patient come to OT who had their procedure performed, went to Recovery, then went back to the ward. It was then discovered that they were MRO positive. Other patients had already followed the patient into OT. What should be done in this case? Should all the patients that followed be swabbed? Does the OT room then gets cleaned as well as all of Recovery before any other patients come in?

Ruth Dalrymple
Registered Nurse
Hurstville Private Hospital
37 Gloucester Road, Hurstville NSW 2220, Australia
T 9579 7720 F 9586 2311
E Ruth.Dalrymple@healthecare.com.au W
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[Denise MacGregor Fraser]

Well said Louisa – I agree with your comments.

No need to place patients last on the list. Clean between every patient, the appropriate disinfectant product for all MRO’s.

Regards Denise
Infection Control Consultant (NSW)
HICMR Pty Ltd
(Healthcare Infection Control Management Resources)
Level 1, 123 Camberwell Road Hawthorn East VIC 3123
Ph: (03) 9811 9923 Fax: (03) 9882 4534
Pager: 1300 657 359 http://www.hicmr.com.au
denise.mfraser@hicmr.com.au
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—–Original Message—–
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Louisa Sasko
Sent: Thursday, 23 August 2012 8:52 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: MROs in procedural areas

Hi Michael,

In my facility and some of those Ive previously worked in staff in procedural areas are instructed to do a ‘spot clean’ with the appropriate disinfectant post MRO patient. A terminal clean is only required if there is widespread contamination of the environment. The rationale is that the patient isn’t in the procedural area for very long and cleaning the surfaces with the appropriate solution is sufficient to break the chain of infection

However placing patients last on the list is something that causes much angst as far as Im concerned. I do not encourage this as patient’s are being discriminated against according to MRO status. Also there should be no need to place the patient last on the list as the work area should be cleaned in between each patient and the only difference with a MRO patient is the choice of cleaning product. Also there is risk to the patient placing them last on the list in that when procedural lists are running sometimes they are late and often patients get cancelled. Its been my previous experience that a MRSA patient was to go for a amputation of a MRSA infected foot and was placed last on the list in surgery and got cancelled 3 times. He developed a MRSA bacteremia and subsequently died. So I feel very strongly against placing patients last on the list as it has the potential to impact on patient outcomes, when there should be no difference in care of the patient in terms of cleaning the environment ie choose a disinfectant and ‘spot clean’.

Hope this helps

Louisa

Regards
Louisa

CNC Infection Control
Ph 985 87664
M 0434323266
Pager 54581

>>> Michael Wishart 23/08/2012 8:32 am >>>
Hi all

Just trying to see what the current thoughts are in regard to management of patients with multi resistant organisms in procedural areas. Do most facilities still have ‘special cleaning’ after procedures on patients colonised or infected with MRSA, ESBL and MRGN’s? I would assume that most facilities would still have special cleaning following procedures on patients colonised or infected with VRE.

In my opinion, provided we have a good process for cleaning the immediate environment between cases, ‘special cleaning’ for MRSA / ESBL / MRGN is not necessary, and these organisms should be easily removed with normal cleaning techniques. The opportunities for widespread environmental colonisation from patients in procedural areas where patient movement is severely controlled is reasonably low, unlike in ward accommodation situations. VRE as an environmentally hardy organism requires a different approach, however. Does anyone else use this approach?

Also, should all MRO patients always be placed last on a list?

Any expert opinions out there?

Thanks
Michael

Michael Wishart
CNC Infection Control
Holy Spirit Northside Private Hospital
627 Rode Road, Chermside, Qld 4032
t: (07) 3326 3068 | f: (07) 3326 3523
e: Michael.Wishart@hsn.org.au
w:www.holyspiritnorthside.org.au
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[Denise MacGregor Fraser]

Hi Wendy

Here is a company I have just heard about who will provide sterile labels. (see attached)

Big Green Surgical Company
T: 02 4967 6650 / 1300 244 475
Steel River Industrial Estate, Channel Corporate Centre, Unit 1 / 8 Channel Road, Mayfield West NSW 2304
http://www.biggreen.com.au

Regards

Denise MacGregor Fraser
Infection Control Consultant
HICMR Pty Ltd

pager: 1300 657 359

denise.mfraser@hicmr.com.au
http://www.hicmr.com.au

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Hello All
The question has been raised re the new standards for labelling of medicines.

Has anyone developed a process for labelling injectable medicines when administering them as part of a sterile procedure e.g. connecting to a haemodialysis machine.

Look forward to your replies

Wendy Beckingham
CNC Infection Prevention and Control
ph. (02) 6244 3695 or mobile 0478408787 orpager 50390
e. wendy.beckingham@act.gov.au
Care Excellence Collaboration Integrity
GERMS CAN KILL…
[cid:image001.jpg@01CD496F.F5C3A690]

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[Denise MacGregor Fraser]

Hi Helen & Teresa
It will be Healthscopes firewall
Just go to the home page of AICA or the Safety Commission site that is all the link is for AICA & follow the direction for HAIs in the Safety Commission there will be directions there

Regards

Denise MacGregor Fraser
Infection Control Consultant
HICMR Pty Ltd

pager: 02 9963 0459

denise.mfraser@hicmr.com.au
http://www.hicmr.com.au

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From: AICA Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Helen Scott
Sent: Monday, 28 November 2011 12:32 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Glen’s Story – How Hospital Associated Infections Can Impact on a Person’s Life and Family. Produced by The Victorian Infection Control Professionals Association (VICPA)

Hi Teresa, same here. None of the pages even have clickable links! Apart from the AICA and that won’t open. Annoying!! Let me know if you figure it out!

Cheers,
Helen.

Helen Scott
Infection Control Co-ordinator &
Acute Pain Service Co-ordinator
Nepean Private Hospital
Penrith, NSW.
0247 327333
Helen.Scott@healthscope.com.au

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>>> On 28/11/2011 at 11:08 am, in message , Teresa Lewis wrote:
Dear All
This sounds fantastic, can’t wait to see it.
Have tried to access the video on all the below links and I cannot access it – perhaps the work computers will not allow me, I will try this evening at home.
Thanks for the tip
Teresa

Teresa Lewis
“Infection Prevention is Everyone’s
Business”
Infection Control/Prevention
Clinical Nurse Consultant
Newcastle Private Hospital
Phone: 49418657
Email:teresa.lewis@healthscope.com.au

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>>> Glenys Harrington 26/11/2011 12:55 pm >>>
Dear All,

To support infection control professionals in their infection prevention and control initiatives the Victorian Infection Control Professionals Association (VICPA) has developed a storytelling video with the assistance and support of a family who share their experience and the impact that acquiring a hospital associated infection has had on their lives.

The video was launched at The 5th International Congress of the Asia Pacific Society of Infection Control (APSIC), 811 November 2011, Melbourne, Australia
and we include a link to the abstract: http://www.apsic2011.com/abstract/223.asp

The VICPA Video Project Team would like to share the video with the infection control community. The team request that if you display the video on your hospital web page (intranet or internet) or in your infection control educational material that the title of the video and VICPA acknowledgement as outlined below be included:

Glens Story
How Hospital Associated Infections Can Impact on a Persons Life and Family.
Produced by The Victorian Infection Control Professionals Association (VICPA)

The video can be accessed at the following web pages and links.
Australian Infection Control Association(AICA) – home page
http://www.aica.org.au/
Hand Hygiene Australia(HHA) – video files
http://www.hha.org.au/ForHealthcareWorkers/education.aspx#VideoFiles
The Australian Commission on Safety and Quality in Health Care (ACSQHC) – Healthcare Associated Infection (HAI)
http://www.safetyandquality.gov.au/internet/safety/publishing.nsf/Content/PriorityProgram-03
Regards

Glenys Harrington
VICPA Video Project Team Coordinator

Glenys Harrington
Consultant
Infection Control Consultancy (ICC)

PO Box 5202
Middle Park
Victoria, 3206
Australia
H: +61 3 96902216
M: +61 404 816 434
infexion@ozemail.com.au
ABN 47533508426

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and may be subject to legal privilege. If you are not the intended recipient, any disclosure, copying or use

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virus or that it has not been intercepted or interfered with. If you have received this email in error or have

any other concerns regarding its transmission, please notify Postmaster@healthscope.com.au. You must

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[Denise MacGregor Fraser]

Hi Carolyn

Most likely this is the best option as per the Immunisation guidelines.
Particularly the patients in the nearby bays, due to the length of time in close proximity, unless the contacts have confirmed immunity / previous adult booster.
If patients are isolated from each other via single rooms, this would make a difference.
However, this would need to be discussed with each patients’ Physician, or advice from an ID Physician, regarding the patients’ ‘health’ at the time and the risks / benefits.

Regards

Denise MacGregor Fraser
Infection Control Consultant
HICMR Pty Ltd
pager: 016 301 701

denise.mfraser@hicmr.com.au
http://www.hicmr.com.au

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Hi all,

Can anyone help with the question below.

Haemodialysis patients, have a chronic disease and impaired immune systems. If a patient on a haemodialysis shift is diagnosed with whooping cough, do the other patients need to receive booster immunisations?

Sincerely
Carolyn

Carolyn Chenoweth
National Quality Coordinator
Fresenius Medical Care

Nephrocare Payneham Dialysis Centre
2 Portrush Road
PAYNEHAM SA 5070
phone (08) 81654313
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