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  • Franciska Ferreira
    Participant

    Author:
    Franciska Ferreira

    Email:
    fferreira@BURNSIDEHOSPITAL.ASN.AU

    Organisation:
    Burnside Hospital

    State:

    Thank you Sara, it was very informative. All speaker did a great job!

    Kind Regards

    Franciska Ferreira | Infection Prevention & Control/Wound Management Coordinator
    Burnside War Memorial Hospital Inc | Days out of Office: Thursdays

    D: 08 8202 7231 | F: 08 8364 0038 | P: 08 8202 7222 | E: fferreira@burnsidehospital.asn.au
    A: 120 Kensington Road, Toorak Gardens SA 5065
    W: http://www.burnsidehospital.asn.au| Like us on Facebook
    [cid:image001.png@01D492FA.465A0150] [Image result for infection prevention images]

    Hi ACIPC Members, First of all thank you to all of you who joined our IPC Tour Webinar today. We apologise for the technical issues with sound and vision this morning. Unfortunately, Speakers and Technicians were caught behind a 16 car pileup
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    Hi ACIPC Members,

    First of all thank you to all of you who joined our IPC Tour Webinar today. We apologise for the technical issues with sound and vision this morning. Unfortunately, Speakers and Technicians were caught behind a 16 car pileup in Brisbane before the event.

    The good news is the excellent program in Perth on Friday 27th May will be livestreamed and recorded.

    Details are attached and the link to register is https://us06web.zoom.us/webinar/register/6416533637746/WN_YyrcqgN_R8-dDj5atl2iNA

    Thanks to GAMA Healthcare and all of our speakers for bringing this together.

    Kind regards

    Sara Kirby
    Office Manager
    Australasian College for Infection Prevention and Control Ltd
    officemanager@acipc.org.au
    https://www.acipc.org.au
    +61 3 6281 9239
    0431 857 629
    Level 6, 152 Macquarie St, Hobart TAS 7000, Australia
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    in reply to: immunisation records #78867
    Franciska Ferreira
    Participant

    Author:
    Franciska Ferreira

    Email:
    fferreira@BURNSIDEHOSPITAL.ASN.AU

    Organisation:
    Burnside Hospital

    State:

    Yes, same here. Only with their permission and if they have not been able to access it themselves via MyGov.

    Kind Regards

    Franciska Ferreira | Infection Prevention & Control/Wound Management Coordinator
    Burnside War Memorial Hospital Inc | Days out of Office: Thursdays

    D: 08 8202 7231 | F: 08 8364 0038 | P: 08 8202 7222 | E: fferreira@burnsidehospital.asn.au
    A: 120 Kensington Road, Toorak Gardens SA 5065
    W: http://www.burnsidehospital.asn.au| Like us on Facebook
    [cid:image001.png@01D492FA.465A0150] [Image result for infection prevention images]

    Only with their permission and if they have not been able to access it themselves via MyGov.

    Robyn

    Robyn Birch
    Clinical Nurse Consultant | Infection Control
    Bayside Health Services | Metro South Health
    PO Box 585, Cleveland QLD 4163
    t. 07 3488 3518 m. 0412 585 099
    e. Robyn.Birch@health.qld.gov.au | metrosouth.health.qld.gov.au
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    Hi all – are you routinely accessing AIR for staff’s COVID vaccination status?
    Thanks Jenny

    Jenny McCarthy
    Infection Prevention and Control Coordinator

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    in reply to: ‘Sterile stock’ storage?? #78489
    Franciska Ferreira
    Participant

    Author:
    Franciska Ferreira

    Email:
    fferreira@BURNSIDEHOSPITAL.ASN.AU

    Organisation:
    Burnside Hospital

    State:

    Hi Michael,

    We have just had our organisational wide survey in August and the questions raised was in regards to type of shelving, cleaning schedules if not wire shelves and temperature & humidity control. Not aware of any other requirements in AS4187 other than temperature/humidity control in designated storage area and evidence of cleaning schedule if stock is stored in containers.

    What would the risk be?

    Kind Regards

    Franciska Ferreira | Infection Prevention & Control/Wound Management Coordinator
    Burnside War Memorial Hospital Inc | Days out of Office: Thursdays

    D: 08 8202 7231 | F: 08 8364 0038 | P: 08 8202 7222 | E: fferreira@burnsidehospital.asn.au
    A: 120 Kensington Road, Toorak Gardens SA 5065
    W: http://www.burnsidehospital.asn.au| Like us on Facebook
    [cid:image001.png@01D492FA.465A0150] [Image result for infection prevention images]

    I’ve just had my mind blown by an auditor who tells me I cannot store any ‘sterile stock’ on a shelf with non-sterile stock. I reply by saying that no sterile RMDs are stored on shelves with non-sterile stock, and they say, no ANYTHING that comes sterile should not be on the same shelf with something non-sterile.

    Have I missed something? I have always understand that the very specific storage requirements for RMDs did not apply to most commercially sterilised single use items. Sure, there are commercially sterilised disposables that have very specific storage requirements, but the majority of high volume disposable sterile goods can be safely stored on a shelf with non-sterile stock in an appropriately air-conditioned storage room. AS4187 does not cover storage of non-RMDs, correct?

    Can someone either tell me I am wrong, and I missed this big time, or that I did not miss anything, and the auditor is incorrect. Or some variation of these.

    Help?

    Thanks
    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

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    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.

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    in reply to: Re: Wearing of Surgical masks in the Operating room #73969
    Franciska Ferreira
    Participant

    Author:
    Franciska Ferreira

    Email:
    fferreira@BURNSIDEHOSPITAL.ASN.AU

    Organisation:
    Burnside Hospital

    State:

    Hi All,

    Thank you for your well said and very interesting responses and information. Much appreciated.

    Kind Regards

    Franciska Ferreira
    Infection Prevention & Control/Wound Management Consultant
    Burnside War Memorial Hospital
    120 Kensington Road, Toorak Gardens, SA 5056
    t: 08 8202 7231 f: 08 8407 8573 e: fferreira@burnsidehospital.asn.au
    [cid:image001.jpg@01D311DB.95565750][cid:image002.png@01D311DB.95565750]

    From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Matthias Maiwald (SHHQ – KKH)
    Sent: Thursday, 10 August 2017 12:12 PM
    To: AICALIST@AICALIST.ORG.AU
    Subject: Re: Wearing of Surgical masks in the Operating room

    Dear Colleagues,

    Indeed, some of these issues keep re-surfacing again and again. The problem here, as far as I can see, is an overly narrow definition of what constitutes evidence in many circles (e.g. the narrow focus on RCTs and systematic reviews as accepted evidence) and a common inability to analyze and view things from a rational, scientific perspective.

    We need to accept the fact that there are many things and practices that (a) have been established historically, (b) have a reasonable scientific (and in this case microbiological) rationale behind it, and (c) have little or no evidence (in the narrow definition as stated above) supporting it, simply because it may be difficult to gather that evidence and/or medicine has moved beyond the point at which it is reasonable to focus evidence-gathering efforts at the question.

    Some of the historical aspects are briefly but nicely explained in one of my favourite book chapters in the area:
    Grschel DHM, Pruett TL. Surgical antisepsis. In: Block SS, ed. Disinfection, sterilisation and preservation. 4 ed. London: Lea & Febiger; 1991: 642-54.

    The authors basically say that many of these things have been established in the late 1800s and early 1900s as part of the post-Listerian system of aseptic surgery, and the practices are often based on what makes scientific and/or microbiologic sense, but are often not proven by evidence in the narrow definition above.

    Another good example is surgical hand antisepsis (surgical scrubbing), which has never been tested in a controlled study.

    Reasonable indirect evidence is coming from the investigations of Bischoff and/or Sherertz from the USA who show that Staph. aureus is readily dispersed in the air from carriers who have mild viral respiratory tract infections. Such dispersal seems patchy and originates from some people, but not from others.

    Finally, the question again highlights the problem of onus of evidence-gathering. It happens again and again that people question the evidence for measures that are inconvenient to them, in the sense of show me the evidence why we must do this. These questions are often very cynical (one may also say frivolous) because these people know very well (even before asking) that the inconvenient practice (to them) is not supported by RCTs or SRs, and they usually know that they will send infection control professionals and microbiologists scrambling and spending their work time and efforts to find evidence.

    I think we need to reverse the onus for evidence in such cases. If an established measure, (a) when present, has the potential to enhance patient safety, and (b) when absent, has the potential to lead to lesser patient safety, then it becomes an ethical mandate to reverse this onus and say you show me the evidence that tells us that the practice can be safely omitted without leading to adverse outcomes. (And that evidence should withstand scientific scrutiny).

    Best regards, Matthias.


    Matthias Maiwald, MD, FRCPA
    Senior Consultant in Microbiology
    Adj. Assoc. Prof., Natl. Univ. Singapore
    Department of Pathology and Laboratory Medicine
    KK Women’s and Children’s Hospital
    100 Bukit Timah Road
    Singapore 229899
    Tel. +65 6394 8725 (Office)
    Tel. +65 6394 1389 (Laboratory)
    Fax +65 6394 1387

    From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Glenys Harrington
    Sent: Thursday, 10 August, 2017 9:55 AM
    To: AICALIST@AICALIST.ORG.AU
    Subject: Re: Wearing of Surgical masks in the Operating room

    Hi all,

    A picture often helps to tell a story.

    J Granville-Chapman and R L Dunne review the etiquette of sneezing in surgical masks. BMJ | 22-29 December 2007 | Volume 335

    This surgical team looked at sneezing etiquette and the efficacy of masks in the operating theatre. The images on page 1293 of the attached article (and at the link below) will help demonstrate how a mask worn during an operating procedure can help protect the patient. i.e. Surgical masks are effective at containing a lot of droplets.

    http://www.bmj.com/content/335/7633/1293

    Regards

    Glenys

    Glenys Harrington
    Infection Control Consultancy (ICC)
    P.O. Box 6385
    Melbourne
    Australia, 3004
    M: +61 404816434
    E: infexion@ozemail.com.au

    From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Lesley Alway
    Sent: Thursday, 10 August 2017 11:28 AM
    To: AICALIST@AICALIST.ORG.AU
    Subject: Re: [ACIPC_Infexion_Connexion] Wearing of Surgical masks in the Operating room

    Dear Cathryn and Michael, agree wholeheartedly have had to fit this fight for to many years, found it helpful ( and typical not to see the value to the patient) to focus on the wearer not the patient safety. I use the example would they do procedures without glove – of course not!!!!! Same applies to masks and eye protection.

    Lesley Alway
    Director
    Strategic Health Resources.
    Post Graduate Education Services.
    0408 324 727
    03 94390534

    Director Australian Health Design Council
    [cid:image001.png@01D311CB.C62827B0]

    From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Cathryn Murphy
    Sent: Wednesday, 9 August 2017 4:17 PM
    To: AICALIST@AICALIST.ORG.AU
    Subject: Re: Wearing of Surgical masks in the Operating room

    Dear All

    I agree with Michaels rationale and agree there are cases of occupational transmission of serious bloodborne illness from mucousal splashes reported in the literature. So from an OCH&S obligation the HCW should comply.

    This is one of those frustrating issues that come up from time to time and they drive me crazy. They are like the ? of eating in theatres/ anaesthetists wearing masks/ OT staff changing attire etc. Why IC professionals continually have to fight these causes is exhausting and sad but back to the science.whilst Michael provides a meta-analysis it is a few years old and it is based on very few reports probably because the issue hasnt been well studied not that the issue isnt important.

    I would also draw attention to the increasing use of air-purifying systems in the US and other countries. Some of the data related to validation studies are very compelling and show how CFU counts of bacteria rise (sometimes to extremes) when speaking (behind masks) happens. Obviously showing causation between high counts/ speaking and actual wound infection is difficult given to the many confounders (# of people in the room/ traffic/ movement/ +/- measures like laminar flow/ skin prep etc etc) but surely it just makes sense for people in the OR to wear masks for everyones sake.

    Off track..but I recall being asked this exact question by a group of anaesthetists at a scientific meeting in the late 1990s and after responding seriously and scientifically I then added mask wearing depends on how good looking you are and in your case I wouldas you can imagine it went down like a lead balloon but it silenced the question asker.

    I seriously wish you good luck in fighting these battles and I wish the people we served relaised the very serious and very real issues we fight daily and perhaps then they would stop creating distractions like this.

    With respect
    Cath

    Cathryn Murphy RN B. Photog MPH PhD CIC
    Chief Executive Officer & Creative Director
    Infection Control Plus Pty Ltd
    QLD, Australia

    E: Cath@infectioncontrolplus.com.au
    M: +61 428 154154
    W:http://www.infectioncontrolplus.com.au

    From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Michael Wishart
    Sent: Wednesday, 9 August 2017 15:29
    To: AICALIST@AICALIST.ORG.AU
    Subject: Re: Wearing of Surgical masks in the Operating room

    Hi Fran

    This topic has received a fair bit of attention over the years, and yes, your doctors are correct: there is no compelling evidence to suggest surgical face masks reduce surgical site infection rates. See this meta-analysis conclusion: https://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0064347/

    Having said that, my own rationale for staff wearing surgical face masks during procedures is for protection of their mucous membranes from splashing of potentially infectious material. In my view, the strike resistance for surgical face masks is of high importance, and has little to do with preventing contamination of the surgical wound.

    To suggest staff in a room during a procedure dont wear masks would in my opinion be asking for trouble. From a occupational health and safety perspective, I would always recommend everyone in a room during a surgical procedure should be wearing a surgical face mask, and eye protection as well.

    In my view, anyway.

    Cheers
    Michael

    Michael Wishart
    Infection Control Coordinator

    A 627 Rode Road, Chermside QLD 4032
    P (07) 3326 3068 | F (07) 3607 2226 | E michael.wishart@svha.org.au | W http://www.hsnph.org.au
    [cid:image001.gif@01D31124.25A5BCF0]
    P Please consider the environment before printing this email

    From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Franciska Ferreira
    Sent: Wednesday, 9 August 2017 3:03 PM
    To: AICALIST@AICALIST.ORG.AU
    Subject: Re: Wearing of Surgical masks in the Operating room

    Afternoon All,

    I require some assistance please.

    Weve had interesting discussions amongst some of Visiting Medical Officers regarding the effectiveness of wearing surgical masks in the operating room to decrease the likelihood of postoperative surgical site infections. The practice of wearing masks is believed to minimize the transmission of oro-and nasopharyngeal bacteria from Theatre Operating staff to patients wounds. However a couple of individuals believe there is not enough evidence to support this and therefore dont think it is necessary to wear surgical masks while operating.

    Im aware of the requirements as per the ACORN Standards and the National Infection Control Guidelines (2016 Draft version), which our Staff complies by, however I cannot find current best practice or evidence to provide to those two individuals.

    Any suggestions please? And if youre willing to share, what is the Policy in regards this matter at your facilities?

    Kind Regards

    Franciska Ferreira
    Infection Prevention & Control/Wound Management Consultant
    Burnside War Memorial Hospital
    120 Kensington Road, Toorak Gardens, SA 5056
    t: 08 8202 7231 f: 08 8407 8573 e: fferreira@burnsidehospital.asn.au
    [cid:image006.jpg@01D3111C.606F74F0][cid:image007.png@01D3111C.606F74F0]

    ________________________________
    This email is intended only for the use of the individual or entity named above and may contain information that is confidential and privileged. If you are not the intended recipient, you are hereby notified that any dissemination, distribution or copying of this email is strictly prohibited. If you receive this email in error, could you please notify us by return email and delete it and any attachments from your system. Even though this message is scanned no representation is made that this email or any attachments are free of viruses or other defects. Virus scanning is recommended and is the responsibility of the recipient.

    ______________________________________________________________________
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    Franciska Ferreira
    Participant

    Author:
    Franciska Ferreira

    Email:
    fferreira@BURNSIDEHOSPITAL.ASN.AU

    Organisation:
    Burnside Hospital

    State:

    Hi Rachel,

    Our nurses deliver the meals when patients are under transmission-based precautions as mentioned below. They know the meal times and have to make sure their allocated patients are ready (sitting up) to have their meals. Some patients may require assistance.

    We had more issues when catering staff delivered the meals into transmission-based precaution room for example:

    – There was no room on the over-way trolley to leave the patient meals

    – Patients aren’t always in a sitting (upright) position to enjoy their meals

    – Catering Staff are asked by patients to hand them all sorts of things in the room and to help them sitting up, which delay the entire meal delivering process for all patients.

    – Catering staff don’t adhere to the use of PPE as much as Clinical staff do.

    We are a smaller hospital with only one catering staff member delivering the meals per ward. The Catering staff inform the nurse when the meals arrived. The Nurse then deliver her patient’s meal (only the patient/s that is under transmission-based precautions)
    We review and discuss this matter every year in our update training. I also conduct 3 monthly, internal Food safety Audits and can confirm that our turnaround time from serving up the meals to delivering it to the patient is: 10minutes – 15 minutes. If our Catering staff had to deliver the meals for patients under transmission-based precautions, it would have taken much longer.

    Our Catering Department/ Staff is very sticked with the time ( the 2 – 4 hour rule) of delivering and picking up of the meals. 45 Minutes after the meals have been delivered to patients, the pick-up round commences to collect all eaten or uneaten meals on trays. If patients have not consume their meals yet (for whatever reason)
    A plate of fresh sandwiches are then offered as a meal.

    I realise that the bigger the hospital the bigger the challenges, however Rachel feel free to contact me if you have any other questions.

    Kind Regards

    Franciska Ferreira
    Infection Prevention & Control/Wound Management Consultant
    Burnside War Memorial Hospital
    120 Kensington Road, Toorak Gardens, SA 5056
    t: 08 8202 7231 f: 08 8407 8573 e: fferreira@burnsidehospital.asn.au
    [cid:image005.jpg@01D30ABA.EFAFFF80][cid:image006.png@01D30ABA.EFAFFF80]

    Hi all,

    Our organisation has recently completed a pilot Quality project on mealtime assistance. This “Protected Meal Time” project identified a number of barriers to adequate nutrition including that those patients under transmission-based precautions are often not receiving timely access to meals and morning tea/ supper etc.

    Based on this pilot project, we are considering ways to improve patient access to meals etc. To assist us in our discussions would you please consider the following questions for your organisation and respond via return email at your earliest convenience.

    This project was undertaken in an Acute Tertiary facility, thus I am most interested in the practices of other Acute or Tertiary facilities.

    * Do catering staff deliver meals into the rooms of patients under the following transmission-based precautions

    o Contact ONLY (e.g. Clostridium difficile, MROs etc.) Yes/ No

    * If Yes

    * Do they wear PPE (Yes/ No)

    * If no

    * Who delivers the meals/ drinks etc.

    o Droplet ONLY (e.g. Bordetella pertussis, Meningococcal etc.)

    * If Yes

    * Do they wear PPE (Yes/ No)

    * If no

    * Who delivers the meals/ drinks etc.

    o Droplet and Contact (e.g. Viral gastroenteritis, Influenza etc.)

    * If Yes

    * Do they wear PPE (Yes/ No)

    * If no

    * Who delivers the meals/ drinks etc.

    o Airborne (e.g. TB, Chickenpox, measles etc.)

    * If Yes

    * Do they wear PPE (Yes/ No)

    * If no

    * Who delivers the meals/ drinks etc.

    o Airborne and Contact (e.g. Varicella zoster [chickenpox] etc.)

    * If Yes

    * Do they wear PPE (Yes/ No)

    * If no

    * Who delivers the meals/ drinks etc.

    * Any other comments about strategies you have implemented to support effective nutrition for isolated patients?

    Many thanks in advance for your replies

    Kind regards
    Rachel

    ……………………………………………………………………………..
    Rachel Thomson
    Nurse Unit Manager

    Infection Prevention & Control Unit
    Royal Hobart Hospital
    Tasmanian Health Organisation-South

    *: 03 6166 7882/ 6166 8658

    Level 4, H Block
    48 Liverpool Street
    Hobart, 7000

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    in reply to: Hand Hygiene video by Alfred Health #73767
    Franciska Ferreira
    Participant

    Author:
    Franciska Ferreira

    Email:
    fferreira@BURNSIDEHOSPITAL.ASN.AU

    Organisation:
    Burnside Hospital

    State:

    Well done Alfred Health IP&C Team!! Fantastic video, our team here at Burnside Hospital loved it!

    Kind Regards

    Franciska Ferreira
    Infection Prevention & Control/Wound Management Consultant
    Burnside War Memorial Hospital
    120 Kensington Road, Toorak Gardens, SA 5056
    t: 08 8202 7222 f: 08 8407 8573 e: fferreira@burnsidehospital.asn.au

    [cid:image001.gif@01D2C8C7.ADD43B60] [cid:image002.png@01D2C8C7.ADD43B60]

    “Share the fun not the germs, clean your hands”

    One of my hand hygiene auditors sent me this this YouTube link, which they saw on social media. Not sure if many ICP’s would have seen this yet.

    Well done Alfred Health Infection Control Team! 🙂

    https://www.youtube.com/watch?vG6z5-RikOsg&featureyoutu.be

    Cheers
    Michael

    Michael Wishart
    Infection Control Coordinator

    A 627 Rode Road, Chermside QLD 4032
    P (07) 3326 3068 | F (07) 3607 2226 | E michael.wishart@svha.org.au | W http://www.hsnph.org.au
    [cid:image001.gif@01D2C7E1.E14A5600] [cid:image002.png@01D2C7E1.E14A5600]
    P Please consider the environment before printing this email

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    in reply to: Re: Alcohol-based surgical hand rub #73361
    Franciska Ferreira
    Participant

    Author:
    Franciska Ferreira

    Email:
    fferreira@BURNSIDEHOSPITAL.ASN.AU

    Organisation:
    Burnside Hospital

    State:

    Hi Michael,

    Thank you for your feedback.

    Yes I’m referring to the use of waterless alcohol-based surgical hand rub agent. You also took the words right out of my mouth,,, regards having good guidance on these products. We’ve referred to the ACORN standards edition 14 under Alcohol-based surgical hand rub 3.11 – 3.16 when the question was raised whether staff are using the product correctly? e.g. there is a perception that some wash their hands after a coffee break and then use the alcohol-based hand rub and some just use the alcohol-based hand rub. However we’re looking at reinforcing clear guidance as well as ongoing education.

    Kind Regards

    Franciska Ferreira
    Infection Prevention & Control/Wound Management Consultant
    Burnside War Memorial Hospital
    120 Kensington Road, Toorak Gardens, SA 5056
    t: 08 8202 7222 f: 08 8407 8573 e: fferreira@burnsidehospital.asn.au

    [cid:image001.gif@01D20920.AE1E23E0] [cid:image003.png@01D20926.A8237930]

    “Share the fun not the germs, clean your hands”

    Hi Fran

    Not sure if you are referring to use of alcohol hand gels/rubs in procedural areas for social handwashing, or use of waterless alcohol as a scrub agent.

    We have been doing both here for a number of years. There are some surgical disciplines where the use of waterless alcohol based scrub agents has been embraced with a gusto. And some surgical disciplines where waterless alcohol based scrub agents are still frowned upon.

    I would say 70% of all of our surgical scrubbing is now down with waterless alcohol based products. It has generally been well received. My only reservations are bout the professional societies not having good guidance on their use. ACORN has recently released some better guidance, but none of the surgical colleges have any specific guidance about how to use waterless agents, when you need to wash with soap and water, or anything. This to me makes to hard to enforce good practice across all disciplines. But then again, I have recently discovered that RACS doesn’t even have a procedure on how to do a water based surgical scrub!

    Europeans have been using waterless based alcohol scrubbing for some time, and there has been no reported changes in SSI rates there.

    So, I would give surgeons and theatre nurses the option of using these products, setting some simple ground rules for their use (like soap and water wash before the first waterless scrub of each list).

    Good luck.

    Cheers
    Michael

    Michael Wishart
    Infection Control Coordinator

    A 627 Rode Road, Chermside QLD 4032
    P (07) 3326 3068 | F (07) 3607 2226 | E michael.wishart@svha.org.au | W http://www.hsnph.org.au
    [cid:image001.gif@01D20917.0B5F2BD0]
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    Dear all,

    How many of you out there are currently using an alcohol-based surgical hand rub in the Perioperative Suites? Some Visiting Medical Officers states that they’ve never heard of it and others can’t go without it.

    Kind Regards

    Franciska Ferreira
    Infection Prevention & Control/Wound Management Consultant
    Burnside War Memorial Hospital
    120 Kensington Road, Toorak Gardens, SA 5056
    t: 08 8202 7222 f: 08 8407 8573 e: fferreira@burnsidehospital.asn.au

    [cid:image002.gif@01D2090B.7FC25C60] [cid:image004.png@01D2090C.522F8830]

    “Share the fun not the germs, clean your hands”

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    in reply to: Re: Personal Hygiene in the Catering department #72695
    Franciska Ferreira
    Participant

    Author:
    Franciska Ferreira

    Email:
    fferreira@BURNSIDEHOSPITAL.ASN.AU

    Organisation:
    Burnside Hospital

    State:

    Hi All,

    Thank you for the feedback Ive received. Much appreciated.

    Kind Regards

    Franciska Ferreira
    Infection Prevention & Control/Wound Management Consultant
    Burnside War Memorial Hospital
    120 Kensington Road, Toorak Gardens, SA 5056
    t: 08 8202 7222 f: 08 8407 8573 e: fferreira@burnsidehospital.asn.au
    [cid:image001.jpg@01D158F0.924F9760]

    From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Terry Grimmond
    Sent: Wednesday, 27 January 2016 10:15 AM
    To: AICALIST@AICALIST.ORG.AU
    Subject: Re: Personal Hygiene in the Catering department

    Hi Franciska,

    Amazingly, today, Beckers Hospital Review cited a 2014 JHI article that found bearded men carried less facial organisms than clean-shaven men! They both carried pathogens but bearded men less so. It may help your discussion.

    See http://www.beckershospitalreview.com/quality/how-clean-is-clean-shaven-study-finds-beardless-healthcare-workers-carry-more-bacteria-on-their-faces.html.

    And the original publically-available article at http://www.journalofhospitalinfection.com/article/S0195-6701(14)00090-5/pdf.

    Best regards, Terry

    Terry Grimmond FASM, BAgrSc, GrDpAdEd
    Consultant Microbiologist
    Grimmond and Associates
    Ph (NZ): +64 7 855 3212
    Mob (NZ): +64 274 365 140
    E: terry@terrygrimmond.com
    [cid:image004.png@01D15900.802D75B0]: @terrygrimmond
    W: http://terrygrimmond.com
    [cid:image003.gif@01D158FF.A0D392A0]
    “This email (including any attachments) is intended only for the use of the individual or entity named above and may contain information that is confidential and privileged. If you are not the intended recipient, you are reminded that any dissemination, distribution or copying of this email or attachments is prohibited. If you have received this email in error, please notify me immediately by return email or telephone and destroy the original message. Thank you.”

    From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Marlize Senekal
    Sent: Monday, January 25, 2016 2:30 PM
    To: AICALIST@AICALIST.ORG.AU
    Subject: Re: Personal Hygiene in the Catering department

    Hi Francisca,

    Ive run this past our Hospitality Service Manager and he thinks the risk is fairly low, as long as the beard is neatly trimmed, not Ned Kelly style. They do however wear these in food manufacturing areas.

    Regards
    Marlize

    Marlize Senekal
    Infection Prevent & Control CNC – Education and Research

    T (07) 3621 4545 | M 0418 866 816
    E m.senekal@wmb.org.au | http://www.wmb.org.au
    Central Offices – Wheller Gardens: 930 Gympie Road, Chermside QLD 4032

    [cid:image001.gif@01D15763.AA6CC950]
    [cid:image002.gif@01D15763.AA6CC950] [cid:image003.gif@01D15763.AA6CC950] [cid:image004.gif@01D15763.AA6CC950] [cid:image005.gif@01D15763.AA6CC950] [cid:image006.gif@01D15763.AA6CC950] [cid:image007.gif@01D15763.AA6CC950]

    Disclaimer: Opinions contained in this email do not necessarily reflect the opinions of Wesley Mission Brisbane and the email may contain private or confidential information. If you have received this email in error, please immediately notify the sender and delete the message and any attached files.
    From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Franciska Ferreira
    Sent: Monday, 18 January 2016 1:43 PM
    To: AICALIST@AICALIST.ORG.AU
    Subject: Re: Personal Hygiene in the Catering department

    Dear All,

    I was wondering whether any of you might have specific information/advice around the wearing of beard-nets in the Catering department? The question was raised whether male chefs with beards should wear beard-nets?? To be honest, Ive never heard of beard-nets until today and never witnessed male chefs wearing beard-nets either.
    However, Im aware that facial hair is no different than any other hair when it comes down to safe handling of food but I cant seem to find any specifics around this subject.

    The Australia New Zealand Food Standards 3.2.2 Food Safety Practices and General Requirements covers personal hygiene but no where do they mention beards.

    In the mean time weve manage to source beard nets for our Chefs, but was hoping to also source evidence on current best practices.

    Kind Regards

    Franciska Ferreira
    Infection Prevention & Control/Wound Management Consultant
    Burnside War Memorial Hospital
    120 Kensington Road, Toorak Gardens, SA 5056
    t: 08 8202 7222 f: 08 8407 8573 e: fferreira@burnsidehospital.asn.au
    [cid:image004.jpg@01D151FA.5BB9EB80]

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    in reply to: Re: 2014 Conference #71673
    Franciska Ferreira
    Participant

    Author:
    Franciska Ferreira

    Email:
    fferreira@BURNSIDEHOSPITAL.ASN.AU

    Organisation:
    Burnside Hospital

    State:

    To all involved,

    I loved it!! Thank you to all the speakers and organisers!!

    Kind Regards

    Franciska Ferreira
    INFECTION PREVENTION & CONTROL /WOUND MANAGEMENT CONSULTANT
    Burnside War Memorial Hospital
    120 Kensington Road, Toorak Gardens, SA 5056
    t: 08 8202 7222 f: 08 8407 8573 e: fferreira@burnsidehospital.asn.au

    —–Original Message—–

    Hi All
    Another wonderful conference, a program that facilitated learning, networking, and thought provoking discussion. Well done to Rosie, Glenys and the team. A special thanks also to our delegates.
    Cheers
    Belinda

    ACIPC President

    —–Original Message—–

    Hi Joe-Anne
    On behalf the Organising Committee and I am sure Glenys will respond when she gets the chance for the Scientific Committee! Thank you very much for the lovely feedback.

    If we only take home a tip each the conference is indeed successful. The networking was fantastic. Thank you again and to all delegates, speakers, participants and trade for supporting this event. There is no conference without you all.
    Look forward to your evaluations which will be valuable for us to continuously improve.

    Regards
    Rosie Lee

    Sent from my iPad

    On 27 Nov 2014, at 10:28 am, Joe-Anne Bendall <Joe-Anne.Bendall@SESIAHS.HEALTH.NSW.GOV.AU> wrote:

    Hi
    Can I congratulate the organising and scientific committee on the program for the conference. I thought it was an excellent conference and has given me some ideas, reinvigorated me to relook at some of my programs and has made me think of why we do some things!

    I am looking forward to next year

    Thanks

    Joe-Anne Bendall
    Joe-anne Bendall
    Clinical Nurse Consultant Infection Prevention and Control Sydney Hospital and Sydney Eye Hospital
    8 Macquarie St
    SYDNEY NSW 2000
    |* ph +61 2 9382 7199 |page 22070 via switch 9382 7111| 7 Fax
    |93827510 |
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    Franciska Ferreira
    Participant

    Author:
    Franciska Ferreira

    Email:
    fferreira@BURNSIDEHOSPITAL.ASN.AU

    Organisation:
    Burnside Hospital

    State:

    To anyone that are thinking about it,

    I went to this workshop in March 2013, very useful and interesting.

    Kind Regards

    Franciska Ferreira
    INFECTION PREVENTION & CONTROL /WOUND MANAGEMENT CONSULTANT
    Burnside War Memorial Hospital
    120 Kensington Road, Toorak Gardens, SA 5056
    t: 08 8202 7222 f: 08 8407 8573 e: fferreira@burnsidehospital.asn.au

    —–Original Message—–

    [Posted on behalf of ACIPC – Moderator]
    [Moderator note: – these workshops also in Melbourne, Sydney and Wagga Wagga in June / July 2013 as listed here:
    https://www.acipc.org.au/CMS/Uploads/2013%20Renovation%20Workshop%20Flyer%20-%20NSW%20&%20VIC.pdf ]

    Expression of Interest

    Infection Control During Construction, Renovation and Maintenance: a simulated training workshop

    This workshop will be of interest for infection control practitioners, engineers, architects and builders working in the healthcare setting. The workshop focuses on strategies for the prevention of infection in patients, staff and visitors during times of environmental disturbance, caused by construction, renovation and repair activities in the healthcare setting including:

    * Infection control risks
    * At risk construction activities
    * Conducting a risk assessment
    * Conducting a site inspection

    The workshop will be a simulated interactive group session. The workshop will be conducted by Glenys Harrington RN, RM, CID, Infection Control Consultancy, Melbourne. Glenys is an expert in infection control and renovation management in the healthcare setting.
    Locations:
    Darwin
    Alice Springs
    Perth

    The workshop runs from 10.15am to 4.45pm
    Non-members – $200 per person (inc GST, morning tea and lunch)
    Express Your Interest: Via an email to: admin@acipc.org.au (the workshops require a minimum number before they can be organised). In your email, please advise the location you would be interested in attending.

    Please on-forward this to your colleagues and greater industry networks so as they may express interest in such a workshop too.

    Lorelei Broadbent
    Secretariat
    Australasian College for Infection Prevention and Control Ltd GPO Box 3254, Brisbane Qld 4001
    Tel (07) 3211 4695 Fax (07) 3211 4900
    Email admin@acipc.org.au


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    in reply to: Re: Antibiotic infusors #69993
    Franciska Ferreira
    Participant

    Author:
    Franciska Ferreira

    Email:
    fferreira@BURNSIDEHOSPITAL.ASN.AU

    Organisation:
    Burnside Hospital

    State:

    Hi Tim,

    For inpatient therapy.

    Thank you

    Franciska Ferreira
    INFECTION PREVENTION & CONTROL /WOUND MANAGEMENT CONSULTANT
    Burnside War Memorial Hospital
    120 Kensington Road, Toorak Gardens, SA 5056
    t: 08 8202 7222 f: 08 8407 8573 e: fferreira@burnsidehospital.asn.au

    For in or outpatient therapy?
    We use it for outpatient therapy only, but I would love to have it for some inpatients as well.
    However, with multi antibiotic administration, it’s not usually feasible.

    Timothy R. Spencer, RN, APN, DipAppSci, Bach.Health, ICCert.
    Clinical Nurse Consultant, Central Venous Access & Parenteral Nutrition Service
    Conjoint Lecturer, South West Sydney Clinical School | Faculty of Medicine | University of NSW
    Dept of Intensive Care, Level 2, Clinical Building, Liverpool Hospital, Elizabeth Street, Liverpool, 2170, NSW, Australia
    Tel (+61) 2 8738 3603 | Fax (+61) 2 8738 3551 | Mob +61 (0)409 463 428 | Tim.Spencer@sswahs.nsw.gov.au | Timothy.Spencer@unsw.edu.au
    [cid:image001.jpg@01CE47DC.4534ABA0]

    Good morning all,

    I’m just interested to know how many organizations are using the prefilled antibiotic infusors?? If any??

    Kind Regards

    Franciska Ferreira
    INFECTION PREVENTION & CONTROL /WOUND MANAGEMENT CONSULTANT
    Burnside War Memorial Hospital
    120 Kensington Road, Toorak Gardens, SA 5056
    t: 08 8202 7222 f: 08 8407 8573 e: fferreira@burnsidehospital.asn.au

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    in reply to: Re: PICC Line Dressings #69953
    Franciska Ferreira
    Participant

    Author:
    Franciska Ferreira

    Email:
    fferreira@BURNSIDEHOSPITAL.ASN.AU

    Organisation:
    Burnside Hospital

    State:

    Hi All,

    Would anyone know if there are any reasons for not using Trigger Bottles in healthcare housekeeping settings, please? Some of our bottles tips over easily and cause spills and stains. We are looking at color coded containers which will transfer the liquid to the trigger bottles.

    Does anyone have any suggestions or experience please?

    Kind Regards

    Franciska Ferreira
    INFECTION PREVENTION & CONTROL /WOUND MANAGEMENT CONSULTANT
    Burnside War Memorial Hospital
    120 Kensington Road, Toorak Gardens, SA 5056
    t: 08 8202 7222 f: 08 8407 8573 e: fferreira@burnsidehospital.asn.au

    ________________________________
    This email is intended only for the use of the individual or entity named above and may contain information that is confidential and privileged. If you are not the intended recipient, you are hereby notified that any dissemination, distribution or copying of this email is strictly prohibited. If you receive this email in error, could you please notify us by return email and delete it and any attachments from your system. Even though this message is scanned no representation is made that this email or any attachments are free of viruses or other defects. Virus scanning is recommended and is the responsibility of the recipient.

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    in reply to: Masks, gloves a ‘waste of time’: study #69874
    Franciska Ferreira
    Participant

    Author:
    Franciska Ferreira

    Email:
    fferreira@BURNSIDEHOSPITAL.ASN.AU

    Organisation:
    Burnside Hospital

    State:

    Hi Michael,

    Yes, would like to know what the WHO would say about this too in regards the efforts in Hand Hygiene and the decrease in infection rates over the last 4 years?

    Cheers

    Franciska Ferreira
    INFECTION PREVENTION & CONTROL /WOUND MANAGEMENT CONSULTANT
    Burnside War Memorial Hospital
    120 Kensington Road, Toorak Gardens, SA 5056
    t: 08 8202 7222 f: 08 8407 8573 e: fferreira@burnsidehospital.asn.au

    —–Original Message—–
    From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Michael Wishart
    Sent: Friday, 22 March 2013 8:13 PM
    To: AICALIST@AICALIST.ORG.AU
    Subject: Masks, gloves a ‘waste of time’: study

    This article may be worth debating or at least commenting on here

    ‘Doctors and nurses are confused about when and how to wear face masks and respirators, with some doing it just for show, an Australian study finds.

    In-depth interviews at a major Sydney hospital found several staff held negative attitudes towards infection control measures, with one even complaining respirators made them sound like the Cookie Monster.

    Speaking Tuesday at the Australasian Society for Infectious Diseases annual conference in Canberra, researcher Dr Holly Seale highlighted a quote from a senior ward director suggesting masks, handwashing, gloves and gowns were a waste of time.

    They actually said its all a show and there may not be any value in using those products, she said.

    Meanwhile, face mask and respirator use among health workers was inconsistent, with staff unsure about when, how and why to wear them, Dr Searle said. Some complained they interfered with communication and rapport.

    People were wearing them to protect themselves and not around actually anything to do with patient safety, said Dr Searle, blaming the lack of clear guidelines.

    One participant even went on to call the respirator a Cookie Monster muffler quite out-there language in terms of a product that should be commonly used in these settings.

    The interviews were conducted last year with 18 staff. The hospital has not been named.

    Dr Seale, from the University of NSWs school of public health and community medicine, called for a review of current recommendations on infection control measures, citing studies showing low levels of compliance among hospitals worldwide.

    My concern is that hospital staff dont know how to properly don and doff, nor are there any clear guidelines as to how long a mask can be worn for and whether masks can be used between patients, she said.’

    Link: http://www.6minutes.com.au/news/latest-news/masks-gloves-a-waste-of-time-study (free registration by AHPRA registration number required).

    Cheers
    Michael Wishart
    ACIPC Infexion Connexion Administrator
    CNC Infection Control
    Holy Spirit Northside Private Hospital
    627 Rode Road, Chermside, Qld 4032
    t: (07) 3326 3068 | f: (07) 3607 2226
    e: Michael.Wishart@hsn.org.au
    w:www.holyspiritnorthside.org.au
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