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Thank you all for some interesting ideas. I will try them out and see how I go 🙂
Kind Regards,
Donna Schmidt
Clinical Nurse Consultant Infection Control – Primary & Community Health
Rosemeadow Community Health Centre
5 Thomas Rose Drive, Rosemeadow, NSW, 2560
Tel (02) 4633 4113 | Fax (02) 4633 4111 | Mob 0438 925 816
donnamarie.schmidt@health.nsw.gov.au[http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-South-Western-Sydney-LHD.jpg]
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[cid:image004.jpg@01D2A16E.34EC46A0]Great ideas Michael.
Another similar activity get them to place their gloves on and apply a 20cm dollop of acrylic paint onto the gloves to simulate soap.
Ask them to pretend to wash their hands for 15 seconds then try and remove their gloves without cross contaminating themselves.
They soon learn that its difficult and always one person has a potential hole or tears their gloves when removing.
Its very visual and they see
a) areas they have missed when washing with the paint and
b) how a small hole can allow germs to remain behind even though they have worn gloves.Kind Regards
Marija Juraja |Nurse Unit Manager -CALHN Infection Prevention & Control Unit|
Division of Acute Medicine (RN, GCNS Inf Ctrl, CICP-E)
t: +61 8 7074 2810 (RAH) 8222 7588 (TQEH)| M: 0466 379 821|e:marija.juraja@sa.gov.au |
Adjunct Clinical Lecturer | University of South Australia | Division of Health Sciences
[Conumers]Hi Donna
A couple of simple things spring to mind.
1. Have users wear disposable gloves for a while, simulating normal usage. Plate hands prior to glove wearing, then after. Note how much more growth you get from gloved hands. Washing after glove use is important.
2. Get users to don gloves and flex their fingers, pick up objects, etc. Then dip gloved hands in coloured dye (and flex fingers in the dye) and see how much gets through onto the skin. Gloves develop holes very rapidly in use.
These simple activities are designed to show way it is important not to trust gloves alone, and the effect glove use can have on the active flora on your hands.
You might find a hand care product provider or glove manufacturer will have similar activities they will do with your staff.
Cheers
MichaelMichael Wishart | Infection Control Coordinator, CICP-E
St Vincent’s Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
W https://www.svphn.org.au[cid:image001.jpg@01D46C86.4CDB6090]
[2019 conference email signature]Hello all, the biggest challenge I face is trying to get staff to believe in the risk.
My latest trial is to find an innovative and practical way to make staff realise that gloves do not provide adequate protection. We all know they don’t, but how do we prove it?
Has anyone got tips or suggestions on practical demonstrations or even simple and clear evidence I could use to convince staff that gloves are not the be all and end all?
Kind Regards,
Donna Schmidt
Clinical Nurse Consultant Infection Control – Primary & Community Health
Rosemeadow Community Health Centre
5 Thomas Rose Drive, Rosemeadow, NSW, 2560
Tel (02) 4633 4113 | Fax (02) 4633 4111 | Mob 0438 925 816
donnamarie.schmidt@health.nsw.gov.au[http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-South-Western-Sydney-LHD.jpg]
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Hi Katherine, I dont have a specific policy but do have an assessment form that may be of use. Let me know if you would like me to send to you.
Kind Regards,
Donna Schmidt
Clinical Nurse Consultant Infection Control – Primary & Community Health
Rosemeadow Community Health Centre
5 Thomas Rose Drive, Rosemeadow, NSW, 2560
Tel (02) 4633 4113 | Fax (02) 4633 4111 | Mob 0438 925 816
donnamarie.schmidt@health.nsw.gov.auThis message may contain confidential information and
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the intended recipient, please delete it and notify the sender
immediately.—–Original Message—–
From: ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] On Behalf Of Kat Mckay
Sent: Wednesday, 30 January 2019 10:07 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: [ACIPC_Infexion_Connexion] Occupational DermatitisGreetings all
I am sure this request has been made in the past, but I am hoping someone can assist me with a policy/CPG regarding the management of staff with occupational dermatitis that they would be willing to share?
Many thanks in anticipation
Katherine McKay
Clinical Nurse Consultant
Hand Hygiene Portfolio
Infection Prevention and Control Services Box Hill Hospital Eastern HealthP: (03) 9194 7688
E: katherine.mckay@easternhealth.org.auhttp://www.easternhealth.org.au
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Hello, I would like to be part of this investigation. When I did look into this some years back, it seemed commercial laundromats were not as tightly regulated as health service laundries. Then there were issues with linen transport. We opted to use disposable linen instead but sometimes access to a laundry for some items would be helpful.
Kind Regards,
Donna Schmidt
Clinical Nurse Consultant Infection Control – Primary & Community Health
Rosemeadow Community Health Centre
5 Thomas Rose Drive, Rosemeadow, NSW, 2560
Tel (02) 4633 4113 | Fax (02) 4633 4111 | Mob 0438 925 816
donnamarie.schmidt@health.nsw.gov.au[http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-South-Western-Sydney-LHD.jpg]
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[cid:image004.jpg@01D2A16E.34EC46A0]Hi All,
We are currently looking at alternative tools for auditing 3rd party laundry premises. Does anyone have a tool they would be willing to share?
Kind regards,
Fiona De Sousa CICP-E| Nurse Manager | Infection Prevention & Control Unit
Launceston General Hospital, Level 2, Launceston TAS 7250
phone: 6777 6715 | mobile: 0408 487 197 | fax: 6777 5170 | email: fiona.de.sousa@ths.tas.gov.au |
intranet: http://www.dhhs.tas.gov.au/intranet/thon/infection_controlIPCU – ‘By working together we promote a culture of safety to reduce preventable infections and transmission of multi-resistant organisms’
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Dear all, given the UK findings and also what we observe locally, I believe a complete review of the current hand hygiene auditing initiative is warranted.
For the amount of time, energy and money that has been invested into this program, at the expense of other equally important initiatives, in the very least we should be generating more reliable data. But we’re not.
Yet, at the end of every audit period we continue to religiously submit flawed data. Then we create lovely reports that illustrate the wonders of this silently flawed data, so that at the end of the day Managers, Directors, CEO’s and politicians can feel like they have something to smile about. Hmmm.
The bottom line is that yes, hand hygiene is important. Yes, we need to promote it. Yes, we need to audit it. But in practical terms, can we make it better? I think we need to at least try.
Kind Regards,
Donna Schmidt
Clinical Nurse Consultant Infection Control – Primary & Community Health
Rosemeadow Community Health Centre
5 Thomas Rose Drive, Rosemeadow, NSW, 2560
Tel (02) 4633 4113 | Fax (02) 4633 4111 | Mob 0438 925 816
donnamarie.schmidt@health.nsw.gov.au[http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-South-Western-Sydney-LHD.jpg]
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[cid:image004.jpg@01D2A16E.34EC46A0]Dear Glenys
Thank you having the courage to question the value of our current Hand Hygiene system rather than just accepting it.
As you will be aware from all of your discussions with peers and your own work supporting IC&P programs the HHA auditing requirements are very resource intensive. Regardless of who collects data manually, who inputs it, who analyses it and responds to it at a local level it is resource intensive. Right back in the early days in an ACIPC journal Shabon and Stackelroth questioned its value. Macbeth and I also discussed its value. I have personally heard and held concerns that its demands force ICPs to focus overly on HH and sometimes at the risk of not paying attention to serious other issues including outbreaks, environmental cleaning, safe and appropriate use of PPE, vaccinations etc.
Cynically I recognise that from Australian govt perspectives both state and federal jurisdictions have invested millions of dollars into HH. Some of our peers have niched out their academic careers and multiple publications based on HH. Neither govt nor our HH “leaders” could ever fathom a change of tactic.
Inherently HH can’t hurt our efforts to reduce HAIs. Ongoing blind acceptance of HH promotion and onerous manual auditing requirements and questionable data (likely over reported) without reasonable review and reconsideration of their necessity perhaps stagnates our work. I would even go so far as to suggest that perhaps all of these requirements for data collection may be leading to a decline in staff interested in working in IC&P programs. Never before have I seen so many ads for IC&P positions.
Anyway I appreciate you raising these issues Glenys. Your views may not be mainstream but it’s important that we can all be challenged and our status quo questioned. I regret that you have been personally attacked on another forum for raising these concerns.
And, it would be great to see automated systems for monitoring if they bring more accurate, valid, reliable HH data and more reasonable recognition that HH alone will not solve the many challenges contemporary ICPs face.
Regards
Cath
Cathryn Murphy RN Bach. Photog. MPH. PhD. CIC
Chief Executive Officer
Infection Control Plus Pty Ltd
http://www.infectioncontrolplus.com.au
Ph:+61 428 154 154——– Original message ——–
Hi John,
Many thanks for responding.
To continue putting $$ (mostly infection control personnel resources) into direct HH observations in the setting of gross overestimations of compliance rates should be evidence enough to review current practices.
There is a significant amount of information out there that challenges the accuracy of direct observational auditing of HH compliance, some of which has been undertaken in your own state of NSW – see below.
While strides have been made by HHA since its establishment it is time to review the following given the information that is currently before use:
a) why do we continue to collect and report flawed data
b) why are we not reducing some of the current direct observation (infection control personnel /liaison nurses) auditing requirements until more accurate methods are investigated and,
c) why we are not looking at alternatives methods ( is see suggestions below – electronic devices/methods in combination with smaller observational audits).
In light of the available evidence (below) we should also be openly transparent and at this point in time when reporting direct observation compliance rates in Australia include a statement that cautions the reader that “current research indicates the rates are likely to be significantly artificially inflated” rather than implying to managers, CEOs and the general public that they are accurate.
Recent literature of interest
Australia – Yen Lee Angela Kwok et al. Automated hand hygiene auditing with and without an intervention. American Journal of Infection Control 44 (2016) 1475-80
* “HHA rates (Hand Hygiene Australia human audits) for June 2014 were 85% and 87% on the medical and surgical wards, respectively. These rates were 55 percentage points (PPs) and 38 PPs higher than covert automation rates for June 2014 on the medical and surgical ward at 30% and 49%, respectively. During the intervention phase, average compliance did not change on the medical ward from their covert rate, whereas the surgical ward improved compared with the covert phase by 11 PPs to 60%. On average, compliance during the intervention without being refreshed did not change on the medical ward, whereas the average rate on the surgical ward declined by 9 PPs”.
Australia – Mary-Louise et al. Hand hygiene compliance rates: Fact or fiction? AJIC online 17th May 2018
* Direct human audit rates for the medical ward were inflated by an average of 55 PPs in 2014 and 64 PPs in 2015, 2.8-3.1 times higher than automated surveillance rates. The rates for the surgical ward were inflated by an average of 32 PPs in 2014 and 31 PPs in 2015, 1.6 times higher than automated surveillance rates. Over the 6 mandatory reporting quarters, human audits collected an average of 255 opportunities, whereas automation collected 578 times more data, averaging 147,308 opportunities per quarter.
* The magnitude of the Hawthorne effect on direct human auditing was not trivial and produced highly inflated compliance rates.
* Mandatory compliance necessitates accuracy that only automated surveillance can achieve, whereas daily hand hygiene ambassadors or reminder technology could harness clinicians’ ability to hyperrespond to produce habitual compliance.
Systematic review – Kingston L et al. Hand hygiene-related clinical trials reported since 2010: a systematic review. Journal of Hospital Infection 92 (2016) 309-320
* “We concluded that adopting a multimodal approach to hand hygiene improvement intervention strategies, whether guided by the WHO framework or by another tested multimodal framework, results in moderate improvements in hand hygiene compliance”.
Editorial – Hand hygiene compliance: are we kidding ourselves? Editorial, Journal of Hospital Infection 92 (2016) 307-308
* “It is clear that monitoring hand hygiene compliance using direct observation is flawed and that electronic devices/methods in combination with smaller observational audits using appropriately trained staff would enable a better assessment…………… Hence, in an era of multi-resistant Gram-negative bacteria, it is now time to take stock and consider that we have spent a number of years performing research on hand hygiene with little evidence that any particular strategy works. Perhaps future research should be focused not on campaigns to improve hand hygiene at all costs, but on understanding when hand hygiene is most beneficial, setting reasonable, achievable targets, and then monitoring using validated, reproducible methods”.
Observational study – Scheithauer S et al. Workload even affects hand hygiene in a highly trained and well-staffed setting: a prospective 365/7/24 observational study. Journal of Hospital Infection 97 (2017) 11-16
* “Calculated compliance was inversely associated with nurses’ workload. Hand-rub activities (HRA)/patient-day (PD), observer-determined compliance and amount of disinfectant dispensed were used as surrogates for compliance, but did not correlate with actual compliance and thus should be used with caution”.
The use of liaison nurses to undertake direct observation of HH compliance audits is not a common practice across Australia and I’m not aware of any information that using a liaison nurse is any more accurate that an infection control professional? Happy to be corrected.
Ill cross posting my response with the Australasian College of infection Prevention and Control (ACIPC) list server in order to keep infection control personnel in on the discussions.
Regards
Glenys
Glenys Harrington
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
E: infexion@ozemail.com.auHi Glenys
I’m not sure I’d agree that the current Australian HH audit system is broke and parliamentary records are not necessarily representative of what is really going on ! We should remember what little we had before HHA came into existence. In fact the load on infection control services has been minimised by training auditors who are link nurses etc. We now have such a brace of auditors that the main problem is keeping them credentialed. Our audits go across a large number of facilities each time and work pretty well like clockwork. Across Oz we have invested a lot of work in getting things to where they are and arguably there have been measurable gains in terms of SAB reduction etc. I think we should focus not on revolution but rather tinkering with the existing system.
A huge issue to me is that we medicos are still largely allowed to operate in a parallel universe, with no real accountability system ensuring that we (in NSW at least) have even completed 5 moments training or shock/horror been competency assessed for HH, PPE or aseptic technique. Aside from the College of Surgeons, it seems that the other colleges are dodging and weaving still and that is where ACIPC and ASID should be pushing +++. For instance our medical advanced trainees still have no explicit expectation put on them by the RACP concerning expectations of inf control practice during exams etc. We allow doctors to get about in all sorts of gear (suits, coats etc) or theatre scrubs and no-one wants to say boo. Why can’t we adopt a bare below elbow standard nationally? Can we hear more about the Cognitive Institute’s recent aust. pilot into Vanderbilt style accountability systems please? Royal Melb Hosp has been part of that pilot.
Other possible improvements:
a) At one of our sites, we’ve had the experience of a well credentialed external auditor conducting most of the HH audits for the past two audits. We have seen compliance there fall considerably indicating to me that all locations should adopt an approach to auditing whereby auditors are always drawn from a different ward or hospital (proper independent auditing).
b) We know also that the initial audit figures from a session are more indicative of actual practice and so, we should not allow for auditing at any site to go on for more than say 30 mins max.
c) We should ensure that audits occur more frequently than thrice yearly and across all shifts with at least monthly feedback of data to cadres and managers
d) Integrating HH auditing with AT audits
e) More careful operational research – what is working , what is not, how valid are results, what effects are improvements in HH having, why are medicos not getting engaged with the system? etc
Best wishes
JohnDr John Ferguson MBBS DTM&H FRACP FRCPA
Director, Infection Prevention Service | HNE Local Health District
John Hunter Hospital, Locked Bag 1, Newcastle Mail Centre, NSW 2310, Australia
T: 61 2 49214444 | F: 61 2 49214440 | M: +61(0)428 885573 (Speed Dial 67607) | Tw @mdjkf
[http://www.health.nsw.gov.au/images/communications/e-signatures/images/NSW-Health-Master.jpg]Dear All,
There was a debate in the UK parliament, Westminster Hall on 15/5/2018 in relation to hand hygiene compliance.
The parliament was told that actual hand hygiene compliance is only 18% – 44% in the UK and that direct observation is grossly overestimating HH compliance rates (Hawthorn effect).
The discussion has implications for direct observation of hand hygiene compliance programs in Australian healthcare settings.
It is time to review our direct observation HH compliance strategies and the significant infection control resources committed to such programs across Australia.
Regards
Glenys
Glenys Harrington
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
E: infexion@ozemail.com.au
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Hello this is just a general comment about the topic from a community health perspective
I consider myself lucky because I get to focus my attentions on the community setting in my district. I have found that it has provided a generally less experienced perspective on infection prevention and control.
In my experience, health departments continue to focus their monitoring on the hospital setting, even though many of those infections have been acquired in the community. Health information including journals, education, policies, procedures and conferences continue to predominantly focus on what happens in hospitals. Even the demographics of Infection Control Professionals indicate that the majority are based in hospitals. Sure, many may also be required to manage the community, but this is not their primary focus.
Community nursing services commonly rely on hospital and private-based medical governance, with no more direct access to specialist teams than a GP. So when a patients condition becomes too complex, they have to be referred back to the ED. There are community health speech pathologists, OTs and physios that the community nursing service cant refer to because the system doesnt work that way.
We change at least as many IDCs and SPCs as hospitals and yet the CAUTi project is not community focussed. I cant submit occupational exposure data because I am not from a hospital. I regularly push for community to be included in district policies. Sometimes it works and sometimes it doesnt.
Yes, hospitals are acute care facilities where patients are at a high risk of mortality and mobility. However, in the community we are seeing more and more patients with serious medical, surgical and oncological conditions, many of which have an indwelling device of some sort. We also see patients with MROs in clinics that vulnerable patients also attend. Yet, health departments dont include comparable data for HAIs acquired during community-based health care. Even education resources remain predominantly hospital based e.g. HETI and hand hygiene.
Im not saying managing HAIs in the community setting is easy. In fact WA tried this with MRSA and it was resource intensive. But there are some things that could be done, if we at least took time to investigate options. Any results would then filter into hospitals and make their job a little easier. Yet there is no general support to move in this direction.
So this leads me to agree that although governing bodies may have good intentions, theyre actions arent always be best for all concerned.
Kind Regards,
Donna Schmidt
Clinical Nurse Consultant Infection Control – Primary & Community Health
Rosemeadow Community Health Centre
5 Thomas Rose Drive, Rosemeadow, NSW, 2560
Tel (02) 4633 4113 | Fax (02) 4633 4111 | Mob 0438 925 816
donnamarie.schmidt@health.nsw.gov.au[http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-South-Western-Sydney-LHD.jpg]
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[cid:image004.jpg@01D2A16E.34EC46A0]From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Michael Wishart
Sent: Monday, 7 May 2018 11:42 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Good Intentions Does not Always Mean Good PolicyThis is an interesting opinion piece. How many of our policies and practices are driven by science, and how many by political pressure?
Cheers
Michael
Michael Wishart
Infection Control Coordinator
Holy Spirit Northside Private Hospital
ph: 07 3326 3068 Email: michael.wishart@svha.org.auControversies in Hospital Infection Prevention
Good Intentions Does not Always Mean Good Policy
Posted: 05 May 2018 03:09 PM PDT
How often do negative studies influence our behavior, or better yet our policies? For those of you that are familiar with the work I have published, you know that I published a lot of material focused on MRSA; emerging resistance, community-emergence, burden of disease, attributable cost, risk factors, and on. I was in a position at CDC to access and synthesize a lot of data, with a goal of putting the problem in perspective and ideally affect policy. Well intended as it was, I remember very clearly in mid-2007 when policy got way ahead of the science. Two independent (but related) events occurred on October 16-17, 2007 that led to several years of a watershed of policy developments. Although I give a huge amount of credit to the very passionate and important patient advocates and consumers that built momentum for the policies but with hindsight the policy inertia was really overcome when a senior student at
Staunton River High Schoo
l died on October 16 from MRSA sepsisMRSA he acquired in the community. The press linked that death to Dr. Elizabeth Bancrofts
editorial
that same week stating more people die of
MRSA
in the U.S. than of AIDS published on October 17. Many of us see much of the public reporting and mandatory reporting policies have opened up real pathways for additional hospital resources to invest in HAI prevention. However all of us should recognize some policies of that era are likely in place that really should be re-examined.
One of these is the Illinois
210 ILCS 83/ legislation
requiring all patients admitted to intensive care units be screened for MRSA by nasal active surveillance testing (AST). Lin and colleges just published a negative study with a lot of important findings. To many, the findings will not be a surprise
(CID May 15 2018, pp 1535-1539)
Lin worked with 51 intensive care units at 25 hospitals over 5 years starting within months of enactment of this mandate to evaluate any changes in ICU MRSA prevalence through periodic point prevalence surveys performed by trained study staff during the time of this mandate. The study was a quasi-experimental time series evaluation but without a real before observation group and no control group. However, I believe that any impact would have been additive over time the first year would have been a sort of wash in period for an intervention as broad in participation as this. They sampled 3909 patients having the power to even detect an absolute difference in carriage as small as a 1.9% change in prevalence (eg, 10% vs 8.1%)
but they detected none
. No change in prevalence of MRSA on these patients.
Compliance was high overall (93%), admission prevalence was comparable to other studies (9.7%), and overall, at any given survey of known positive patients and unknown, 11.1% were positive in any given month, in any given year of this study. Sure, time to placement of contact precautions lagged from test turnaround time or from time to test result to actual placement of precautions, but most notably the mandated testing was only 84% sensitive compared to best testing methods employed by the study investigators. This is the real world after all.
While these ICUs have invested time, effort, and money into these admission swabbing and targeted placement of contact precautions, the prevalence of MRSA carriage has not budged in these intensive care unit patients.
There may be many reasons the hospitals in Illinois overall are seeing an estimated
30% decrease
in their hospital-onset MRSA BSI (as most states are) since the 2010 NHSN baseline, but admission screening isnt one of them. Maybe its CLABSI prevention, or that uptake of the percentage of study patients receiving CHG baths. However, this study suggests it was not the mandated AST for all ICU patients admitted to the ICU. These patients are bringing their MRSA in with them, lets free up staff time to prevent the infections.
I know there are many major federal policies we all can be passionate about changing or starting, these are crazy days. But when the scientific evidence is so strong illustrating that a very well-intended policy regarding use of nursing and infection control resources does not have the intended impact change it. Nursing care can better be spent caring for patients, practicing best infection control for all patients in these intensive care units.
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Hi, I cannot endorse this document as a credible reference source or guideline. I think its a shame because a lot of work went into. It had the potential to be a really valuable document for wound management but in my opinion isnt.
PROS:
It does provide an extensive list of information sources
It does have some good ideas
CONS:I do not agree with all of the content in this document from an infection control perspective
It didnt go through a formal endorsement process, so I cannot be assured of the quality of the information or even if journal articles were peer reviewed.
The document was not sent for wider consultation to appropriate governing bodies or to ICPs, so I cannot be sure (without in depth checking) that it meets the required standards or is consistent with other guidelines/policies currently in use.
Kind Regards,
Donna Schmidt
Clinical Nurse Consultant Infection Control – Primary & Community Health
Rosemeadow Community Health Centre
5 Thomas Rose Drive, Rosemeadow, NSW, 2560
Tel (02) 4633 4113 | Fax (02) 4633 4111 | Mob 0438 925 816
donnamarie.schmidt@swsahs.nsw.gov.au[http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-South-Western-Sydney-LHD.jpg]
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[cid:image004.jpg@01D2A16E.34EC46A0]From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Hayley Puckeridge
Sent: Tuesday, 30 January 2018 4:22 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: 2017 Application of aseptic technique in wound dressing procedure – Wounds Australia publicationHi
Page 20 of this consensus highlights the references utilised with many references to infection control and guidelines.
Kind Regards,
Hayley Puckeridge
Clinical Nurse Consultant Wound Management (NSW&ACT)
[Description: cid:image002.png@01D12698.0E596880]to inspire people, enliven communities
and confront injusticePractice & Quality
7 Myall Rd, Cardiff NSW 2289
P 49080271 M 0408547295 Fax 49422019
uniting.org
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I pay respect to the Traditional Custodians of the land past, present and future. Honouring our Elders and nurturing our youth.
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From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Lindy Ryan
Sent: Tuesday, 30 January 2018 3:37 PM
To: AICALIST@AICALIST.ORG.AU
Subject: 2017 Application of aseptic technique in wound dressing procedure – Wounds Australia publicationHello
hope you are all having a lovey day
Just wondering if anyone has come across this 2017 document developed by Wounds Australia called the application of aseptic technique in wound dressing procedure.
It is a consensus document put out by Wound Australiana that I have been approached by staff in regards to them in using & developing local processes and procedures .I am uncertain with whom they may have consulted with from Infection control perspective in developing their consensus as on face value it looks like a useful resource what are others thoughts?
kind regards
Lindy
Lindy Ryan
District Infection Prevention & Control CNC | Clinical Governance Unit MNCLHD
Level 1 Coffs Specialist Centre, Pacific Hwy, Coffs Harbour
Mob 0419 990 693 | lindy.ryan@ncahs.health.nsw.gov.au
http://www.health.nsw.gov.au[http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Mid-North-Coast-LHD.jpg]
Wise and humane management of the patient is the best safeguard against infection
(Florence Nightingale Circa 1860)________________________________
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