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  • Fiona de Sousa
    Participant

    Author:
    Fiona de Sousa

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    Fiona.DeSousa@SAH.ORG.AU

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    Hi Lindy,

    We previously had a cytoguard room for making up chemo. This room underwent regular micro testing in line with recommendations from the ISOPP Standards of Practice: Safe handling of Cytotoxics, Journal of Oncol Pharm Practice (2007) Supplement to 13:1-81.

    In particular refer to section 6- Facilities for sterile cytotoxic reconstitution and personal protective equipment.

    Kind regards,

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

    Good morning

    Just wondering if anyone had any protocol or guide, recommendations on Infection control commissioning & ongoing QI monitoring requirements of pathogens for a sterile pharmacy cabinet we are purchasing for our pharmacy for cancer pts (chemo drugs etc)

    Appreciate any advice or if anyone has protocol to share.

    Many thanks

    Kind regards

    Lindy

    Lindy Ryan

    Infection prevention & Control Clinical Nurse Consultant (CNC) | Coffs Harbour Health Campus
    Pacific Hwy Coffs Harbour NSW 2450
    Tel (02) 6656 7770 | 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 human management of the patient is the best safeguard against infection”
    (Florence Nightingale Circa 1860)

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    in reply to: Moving into a new building #71905
    Fiona de Sousa
    Participant

    Author:
    Fiona de Sousa

    Email:
    Fiona.DeSousa@SAH.ORG.AU

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    Hi Rita,

    When we moved into the new building we undertook the following process’

    Builders clean, Terminal clean, IPC inspection and approval to move into the area
    Any equipment that was moved across had to be thoroughly cleaned prior to moving.
    Consumables were allowed to run down on the wards prior to the move and their transfer across to the new ward was assessed by IPC. Any consumable that has been opened and partly used e.g. gloves, soap, gel, syringe boxes were not taken in to the new area. A sealed box of consumables was allowed to be moved across. Any consumables that were not for transfer were given to the education department for use in training.

    One issue that we had was the need to go in to “fix’ things after the terminal clean had been completed. We activated our usual ‘live ward’ policy and IPC risk assessment for these works to ensure that the ward remained protected.

    Happy for you to call and chant about our process.
    Kind regards.

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

    Dear All,
    My hospital has had construction done for new operating theatres, surgical wards and CSSD. The construction is complete and we are beginning the process of moving. I would greatly appreciate your assistance in giving me information on the steps to be taken once all construction is complete and prior to moving into a new building. I understand that there are two cleans to be done, following which an inspection has to occur by IPAC CNC. Can you share with me the “dos and don’ts” of moving especially backed by policies?
    Many thanks,
    Rita
    Rita Roy

    Clinical Nurse Consultant | Infection Control
    Hornsby Ku ring gai Health Service, Palmerston Road, Hornsby NSW 2076
    Tel (02) 9477 9232 | Fax (02) 9477 9013 | Mob 0422 930 370 | Rita.Roy@health.nsw.gov.au
    http://www.health.nsw.gov.au

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    Fiona de Sousa
    Participant

    Author:
    Fiona de Sousa

    Email:
    Fiona.DeSousa@SAH.ORG.AU

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    Hi Lindy,

    I have responded to your questions in the email below. As a rule because our facility is a private facility most of our rooms are single rooms so placing neutropenic patients in these rooms is not an obstacle for us. The responses I have given below are based on current practice only and these practices have been mostly put together by our oncology clinical educator.

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

    Hello

    Hope you are all well

    Just a query & hope you can send me back your thoughts – so make it simple

    As we have a lot of pressure for our beds like all of you in health I was wondering what many of your facilities are doing with their neutropenia pts given the recent publication in our Journal HI 2014,19 135 – 140 Mitchell et al “prior room occupancy increases the risk of MRSA acquisition” .

    I am left wondering where the risk/logic / evidence lies to insist on neutropenia pts being placed in a single room as we all used to do…but do we still now? (& often these pts remain for long time in ED whilst a single room is located anywhere in the facility to take them …& ED is not always a low risk environment for this pt group ) given this information in the publication and as we know we cannot always guarantee our environmental cleaning is always at the highest standard each time …..when the push for bed and rapid bed movement occurs (no offences to our hard working cleaning team who are always under the pump intended) I was seeking your learned and expert advice with some quick questions below

    1. Can I ask if your facility is currently placing all patients admitted with no neutrophils (neutropenia) in single rooms – protective isolation Yes/ No – YES

    2. Can I ask if your facility is currently only placing some types of patients with no neutrophils (neutropenia) in single rooms – protective isolation yes / No
    If yes what is your criteria for making this call?

    3. If you place a pt in protective isolation is PPE worn Yes/No/NA – This is dependent on the specific neutrophil count of the pt (e.g. 0 versus 1.5), any concurrent infectious condition the patient may have, and the patient load of the staff member caring for them.

    4. If you place a pt in protective isolation is a sign notifying protective isolation requirement placed on the door Yes/ No/NA – Yes

    5. If you do place them in a single room are these same rooms you use to accommodate MRO or pts with a communicable disease in at other times for other admissions Yes/No – Yes, we do not have any rooms with specialist air handling capabilities.
    If No – how do you manage the use of these room from pt flow perspective (ie leave the room empty, screen all non known MRO pts admitted in these rooms to ensure they don’t have an MRO, trust they are cleaned well enough etc?)

    6. If you do not place neutropenia patients in single rooms then what strategies does you facility employ to reduce the risk of cross infection if not in a single room ? (do you have a dedicated ward, location or risk group they can be cohort with ,exclusion group they cant be admitted with etc)

    Thank you and I look forward to any responses with eagerness and any other thoughtful advice with much appreciation . Thank you Brett et al for you interesting and thought provoking article…I am trying to think forward to the best way to advise our staff here and what folks may already have in place around this and neutropenia pts

    Kind regards

    Lindy

    Lindy Ryan

    Infection prevention & Control Clinical Nurse Consultant (CNC) | Coffs Harbour Health Campus
    Pacific Hwy Coffs Harbour NSW 2450
    Tel (02) 6656 7770 | 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 human management of the patient is the best safeguard against infection”
    (Florence Nightingale Circa 1860)

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    Fiona de Sousa
    Participant

    Author:
    Fiona de Sousa

    Email:
    Fiona.DeSousa@SAH.ORG.AU

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    Hi Terry,

    I also had to look at this a number of years ago. The outcome of our benchmarking exercise with other sites, literature review (there is not much around) and the opinion of our ID Physician was that the theatre needed to be cleaned appropriately between disciplines and a full air change be allowed to occur before starting the ‘cleaner’ discipline. I did actually contact the relevant college of surgeons for their advice and was told that they did not have an opinion on the issue.

    Kind regards,

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

    Thanks Michael,

    That was pretty much exactly what I have said but they want me to provide some ‘evidence’ it is ok.

    Consensus of experts at least is a good start – so keep the answers coming please people.

    Cheers
    Terry McAuley
    Sterilisation & Infection Prevention and Control Consultant
    STEAM Consulting
    E: terry@steamconsulting.com.au
    W: http://www.steamconsulting.com.au
    A: PO BOX 779
    Endeavour Hills
    VIC Australia 3802

    CONFIDENTIAL COMMUNICATION: The information contained in this message may contain confidential information intended only for the use of the individual or entity named above. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution or duplication of this transmission is strictly prohibited. If you have received this communication in error, please notify us by telephone or email immediately and return the original message to us or destroy all printed and electronic copies. Nothing in this transmission constitutes an agreement of any kind unless otherwise expressly indicated.

    Hi Terry

    Story time. Years ago, I worked in a facility that had brand new state-of-the-art imaging equipment installed in a cath lab procedure room. A renowned vascular surgeon started doing all sorts of grafts endoluminally in the HEPA filtered room.

    Then a gastroenterologist did an after-hours emergency colonoscopic procedure in the room (required the imaging) and it “hit the fan”, so to speak. The vascular surgeons rebelled, calling this an outrage.

    The ID physician who was called to literally step between the two parties (little tiny guy, actually, quite brave I thought :)) explained that as long as the procedures (colonoscopy and vascular) were not done at the same time in the same room, the risk to any subsequent patients approaches zero if standard cleaning and any required spot cleaning is performed. He was quite factual about this.

    So, my response would be along those lines. As long as environmental cleaning protocols are followed appropriately after all cases, there is no reason a procedure room or theatre cannot be shared between disciplines, even with those ”unclean’ gastroenterologists. 🙂

    My opinion, anyway. No evidence based review, though, sorry.

    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
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    P Please consider the environment before printing this email

    [http://www.interactivejam.com.au/images/ACIPC-conference.jpg]

    Hi everyone,

    I have been asked the question – is it ok to perform endoscopy procedures in the same Operating Room in which ophthalmic procedures are also going to be performed?

    I have also been asked is it ok to perform cystoscopy procedures in the same room in which ophthalmic procedures are performed?

    Obviously I have my own opinion about this – but I am interested to hear feedback and or any directions to an evidence based review around this topic from my colleagues as it appears to be quite an emotive issue!

    Thanks in anticipation of your responses.

    Regards
    Terry McAuley
    Sterilisation & Infection Prevention and Control Consultant
    STEAM Consulting
    E: terry@steamconsulting.com.au
    W: http://www.steamconsulting.com.au
    A: PO BOX 779
    Endeavour Hills
    VIC Australia 3802

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    in reply to: VRE Clearance #71461
    Fiona de Sousa
    Participant

    Author:
    Fiona de Sousa

    Email:
    Fiona.DeSousa@SAH.ORG.AU

    Organisation:

    State:

    At SAH we do not routinely clear VRE patients. However on very rare occasions we have taken these patients off contact precautions under the guidance of our ID Physician. This involved multiple sets of rectal swabs that were negative for VRE prior to ceasing the precautions.

    Kind regards,

    Fiona De Sousa
    Infection Prevention & Control Coordinator
    Sydney Adventist Hospital
    Mobile: 0408 468 470
    Office: (02) 9487 9732
    Fax: (02) 9473 8053
    Fiona.Desousa@sah.org.au
    185 Fox Valley Road, Wahroonga, NSW, 2076

    From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Michael Wishart
    Sent: Friday, 12 September 2014 2:30 PM
    To: AICALIST@AICALIST.ORG.AU
    Subject: [asid-ozbug] VRE clearance

    [Posted on behalf of Dotel Ravindra Moderator. Replies will be copied to Dr Ravindra.]

    ——– Original message ——–
    From: Dotel Ravindra
    Date:12/09/2014 11:52 (GMT+10:00)
    To: asid-ozbug@malbec.burnet.edu.au
    Subject: [asid-ozbug] VRE clearance

    Dear Ozbuggers,

    Could we ask about your practice on VRE clearance and deflagging previously VRE colonized patients?

    What are your inclusion and exclusion criteria for the clearance?
    Is there a differentiation according to the van type van A vs. van B?

    We currently dont have a policy or procedure for clearing VRE flagged patients, but are feeling increasing pressure to do so.

    With regards,
    Ravi Dotel (ID registrar Liverpool Hospital)
    &
    Michael Maley
    .

    ______________________________________________________________________
    For the purposes of protecting the integrity and security of the SVHA network and the information held on it, all emails to and from any email address on the svha.org.au domain (or any other domain of St Vincents Health Australia Limited or any of its related bodies corporate) (an SVHA Email Address) will pass through and be scanned by the Symantec.cloud anti virus and anti spam filter service. These services may be provided by Symantec from locations outside of Australia and, if so, this will involve any email you send to or receive from an SVHA Email Address being sent to and scanned in those locations.
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    in reply to: Re: Air sampling – Reading the results #71408
    Fiona de Sousa
    Participant

    Author:
    Fiona de Sousa

    Email:
    Fiona.DeSousa@SAH.ORG.AU

    Organisation:

    State:

    Thank you to everyone who sent me information on and off list.

    The controversy continues – I can tell you that there is certainly no consensus in what people are using for limits to their testing or even if we should be testing with air sampling in the first place.

    The range of acceptable fungal CFU / cubic metre ranged from 0 to 35, with one document suggesting <500 and the bacterial count was between 0 – 500 as well.
    The most common recommendations were 0cfu/m3 for fungi and 35 cfu/m3 for bacteria.

    John – I agree a national standard would be excellent not only for the limits but more importantly should we do this testing in the first place?

    Kind regards,

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

    Dear Fiona

    We also base our approach on Dharan

    I did put together an approach on the WIKI – see http://hicsigwiki.asid.net.au/index.php?titleOperating_theatre_commissioning_-_Microbiological

    It would be useful to agree a national standard for this!

    Kind regards
    John

    Dr John Ferguson
    Director, Infection Prevention & Control, Hunter New England Health

    [http://www.health.nsw.gov.au/images/communications/e-signatures/images/NSW-Health-Hunter-New-England-LHD.jpg]

    Dear Fiona,

    Here at our institution, we are currently using this reference:

    Dharan S, Pittet D. Environmental controls in operating theatres. J Hosp Infect. 2002 Jun;51(2):79-84.
    http://www.ncbi.nlm.nih.gov/pubmed/12090793

    Realising that it is very difficult to set and apply acceptable CFU limits, and there always will be an arbitrary component to this.

    Best regards, Matthias.


    Matthias Maiwald, MD, FRCPA
    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

    Dear members,

    I know that air sampling in a new building is a contentious issue but we are currently undergoing it as part of the commissioning process for new operating theatres and one of the difficulties I face is people asking for the acceptable limit of certain organisms. Aside from fungal organisms I have been unable to find any references to guide me on specific organisms counts.

    I would like to hear people’s views on the isolation of skin or environmental flora when doing this sampling – how many CFU would be acceptable per air sample ?

    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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    in reply to: Air sampling – Reading the results #71406
    Fiona de Sousa
    Participant

    Author:
    Fiona de Sousa

    Email:
    Fiona.DeSousa@SAH.ORG.AU

    Organisation:

    State:

    Hi Glenys,

    Your assumptions are correct.
    Kind regards,

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

    Hi Fiona,

    Can you elaborate further on when you will be doing the air sampling?

    I’m assuming:

    * after Engineering ventilation parameters met and

    * before any occupation of the facility (i.e. staff/stock & equipment) and

    * after the ventilation has been running in the unoccupied facility for a 24hr period?

    Regards

    Glenys

    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

    Dear members,

    I know that air sampling in a new building is a contentious issue but we are currently undergoing it as part of the commissioning process for new operating theatres and one of the difficulties I face is people asking for the acceptable limit of certain organisms. Aside from fungal organisms I have been unable to find any references to guide me on specific organisms counts.

    I would like to hear people’s views on the isolation of skin or environmental flora when doing this sampling – how many CFU would be acceptable per air sample ?

    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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    Fiona de Sousa
    Participant

    Author:
    Fiona de Sousa

    Email:
    Fiona.DeSousa@SAH.ORG.AU

    Organisation:

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    Hi Lyn,

    In our oncology ward we do use “neutropenic precautions” to reverse barrier nurse these patients , but only if their neutrophil count is less than 1.0. The Oncology NUM oversees all of this.

    We leave it to the discretion of the senior nursing staff on the ward and the patients Dr in conjunction with the patient to balance their need for visitors and family whilst protecting the patient from potential infection. This may include the use of masks by significant others (if they are unwell) or no PPE at all for visitors or reduced visitors until the patients neutrophil count improves. All visitors are encouraged to perform hand hygiene on entry and exit to the room.

    Kind regards,

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

    The question has been raised. Is it best practice to reverse barrier nurse febrile neutropenic patients or not?
    Staff have suggested that maybe patients are not getting the best care by being isolated as the patients feel neglected and shut off, our Oncologists feels that once antibiotics are commenced that there is no need to isolate, “standard precautions” is all that’s needed.
    I’m interested, what is the current practice out there?
    Regards Lyn

    Lyn Golden
    17 Francis Street
    Echuca 3564
    P 54855340
    E lgolden@erh.org.au

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    in reply to: Fit testing #71289
    Fiona de Sousa
    Participant

    Author:
    Fiona de Sousa

    Email:
    Fiona.DeSousa@SAH.ORG.AU

    Organisation:

    State:

    Hi Janine,

    The company that we purchase our masks from also supplies fit testing kits. In the first instance I suggest contacting your mask supplier. Alternatively contact me offline and I will supply you with details of our specific company.

    Kind regards,

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

    Good Morning everyone,

    Is anyone able to provide me with information on ordering hoods (or a template) and saccharine products (? pharmacy) for doing fit testing?

    We need to ensure that our new doctors (especially) are aware of how to fit masks properly.

    Any information would be great.

    Thanks
    Janine

    Janine Egart

    A/Clinical Nurse Consultant | Infection Management

    Darling Downs Hospital and Health Service

    Toowoomba Hospital

    Kobi House

    Pechy Street

    Toowoomba QLD 4350

    P: 07 4616 6446 | F: 07 4616 6456

    M: 0400704118 SD:1947

    E: janine.egart@health.qld.gov.au

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    in reply to: Ebola #71279
    Fiona de Sousa
    Participant

    Author:
    Fiona de Sousa

    Email:
    Fiona.DeSousa@SAH.ORG.AU

    Organisation:

    State:

    Thanks Michael,

    I have already been fielding calls and emails from concerned staff about their Ebola risk – this article will be part of my response from now on. I especially like the humorous diagram.
    Kind regards,

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

    I came across this great article by Dr Tara C Smith (Epidemiologist) in the US, and thought it was very useful to share. We may not have any direct links to Ebola patients yet in Australia, but the West African outbreak is growing still, and it may only be a matter of time before we hear of possible cases in Australian healthcare workers assisting in control, or in travellers to Australia.

    http://www.slate.com/articles/health_and_science/medical_examiner/2014/08/ebola_in_united_states_research_on_deadly_hemorrhagic_fevers_lassa_marburg.html?wpsrcsh_all_dt_tw_ru

    Dr Smith’s blog has more useful info on Ebola as well, including discussion on risks of airborne transmission. If you in a humorous mood, have a look at the handy diagram at the end of that blog post (warning: strong language)

    http://scienceblogs.com/aetiology/2014/08/03/are-we-sure-ebola-isnt-airborne/

    Cheers
    Michael

    Michael Wishart
    Infection Control Coordinator
    Holy Spirit Northside Private Hospital
    627 Rode Road, Chermside, Qld 4032
    t: (07) 3326 3068 | f: (07) 3607 2226
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    w:www.holyspiritnorthside.org.au
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    in reply to: post for forum please #71254
    Fiona de Sousa
    Participant

    Author:
    Fiona de Sousa

    Email:
    Fiona.DeSousa@SAH.ORG.AU

    Organisation:

    State:

    Hi Heather,

    We never rely on a builders clean alone – it is never satisfactory. We also perform a terminal clean which is done by either our own cleaning service or a specialist hospital contract cleaning service. Following this cleaning we perform a disinfection using nocospray.

    Happy to chat further.
    Kind regards,

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

    Hi
    I would like to place a post on the discussion forum as below.

    The Construction and Renovation section of the Australasian Health Facility Guidelines discuss the responsibilities of the commissioning team to ensure that a newly constructed or renovated area complies with the standards for occupation. In relation to environmental cleanliness it states ” thorough cleaning and decontamination of all surfaces including walls, ceilings, windows, ventilation systems, services cavities and ceiling spaces;”

    We would like to know how other hospitals interpret this especially the requirement for decontamination.

    I understand the builders do a builders clean and often facilitate a preoccupancy clean by contracted cleaners.

    1. Does your hospital cleaning team re-clean all surfaces?
    2. Are the surfaces disinfected after the initial clean?
    3. Can you please share what process and type of products you use? i.e. a one step clean or two step clean (with a disinfectant)

    Kind regards
    Heather

    Heather Craigie
    CNC Infection Prevention and Control,
    Mersey Community Hospital,
    Tasmanian Health Organisation – North West
    Phone 6426 5443 or 0400 351 706

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    Fiona de Sousa
    Participant

    Author:
    Fiona de Sousa

    Email:
    Fiona.DeSousa@SAH.ORG.AU

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    Hi Christine,

    We use them in our ensuites, including our newly opened building and also have a changing regime for them. They are then laundered in a commercial laundry.

    In relation to removing them the objections that have been raised to me include:
    The bathroom, toilet, IV pump, other equipment etc will get wet if they are not there.
    The ensuites are not big enough to put in a nib wall / solid screen and still allow nursing access for assistance in the shower.
    Required for privacy if someone opens the door inadvertently

    Kind regards,

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

    Hi,

    Shower Curtains – replaced after each admission and routinely entire hospital 3 monthly regardless.

    Hotel Services would love to remove all together – any thoughts on their use and need in ensuites????

    Regards,

    Christine Lawson | Nursing Admin

    Quality & Risk Manager I Infection Control Coordinator I Education Coordinator
    Caboolture Private Hospital
    McKean Street, CABOOLTURE QLD 4510
    t: 07 5495 9418
    e: LawsonC@ramsayhealth.com.au | w: http://www.ramsayhealth.com.au

    [http://www.ramsayhealth.com.au/images/email/RHC-email-2013.jpg]

    UNCLASSIFIED
    Good morning

    I would be interested in other people’s thoughts or if there is any policy concerning the use of shower curtains in health care facilities.

    Also what cleaning and replacement currently occurs in health care facilities for shower curtains?

    Regards

    Melissa McEwan RN, BN, Grad Cert Health Management, Quality and Leadership & Infect Control
    Quality Manager
    Contractor to Defence
    Wagga Wagga
    02 69338338
    Private mobile 0428 753783
    melissa.mcewan@defence.gov.au

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    in reply to: Re: patient vs trolley #71152
    Fiona de Sousa
    Participant

    Author:
    Fiona de Sousa

    Email:
    Fiona.DeSousa@SAH.ORG.AU

    Organisation:

    State:

    Hi Jane,

    I have to say I have never seen this practice although I do not work in theatres. I have had a number of cannulas inserted by anaesthetists in the past but they always used some sort of work surface (trolley / overbed table).
    I would be concerned that the patient would move or cough and contaminate things also it does not sound a safe practice to me in relation to aseptic technique or sharps safety.

    Kind regards,

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

    Sure Fiona,

    Using the patient’s chest/abdo (covered by a blanket) to place equipment on instead of using a trolley. I know this is not best practice and I am trying to get an indication on how common this practice is elsewhere.

    Regards,

    Jane Bryant, RN
    Acting Infection Control Consultant
    Royal Victorian Eye & Ear Hospital
    32 Gisborne Street, East Melbourne, 3002, VIC
    [Description: Description: Description: Home]

    Hi Jane,

    I don’t quite understand what you mean by using the patient as a ‘workbench’, can you please clarify?

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

    Hi,

    I’m interested to hear what practices are occurring in other organisations in regard to anaesthetists cannulating patients pre op. I’ve heard arguments for and against using the patient as ‘the workbench’ vs using a trolley. The appeal of using the patients is that there is no cross over. I believe this can be achieved positioning a trolley correctly, but would like to hear what other places are doing.

    Regards,

    Jane Bryant, RN
    Acting Infection Control Consultant
    Royal Victorian Eye & Ear Hospital
    32 Gisborne Street, East Melbourne, 3002, VIC
    [Description: Description: Description: Home]

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    in reply to: patient vs trolley #71142
    Fiona de Sousa
    Participant

    Author:
    Fiona de Sousa

    Email:
    Fiona.DeSousa@SAH.ORG.AU

    Organisation:

    State:

    Hi Jane,

    I don’t quite understand what you mean by using the patient as a ‘workbench’, can you please clarify?

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

    Hi,

    I’m interested to hear what practices are occurring in other organisations in regard to anaesthetists cannulating patients pre op. I’ve heard arguments for and against using the patient as ‘the workbench’ vs using a trolley. The appeal of using the patients is that there is no cross over. I believe this can be achieved positioning a trolley correctly, but would like to hear what other places are doing.

    Regards,

    Jane Bryant, RN
    Acting Infection Control Consultant
    Royal Victorian Eye & Ear Hospital
    32 Gisborne Street, East Melbourne, 3002, VIC
    [Description: Description: Description: Home]

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    in reply to: isolation room window furnishings #71071
    Fiona de Sousa
    Participant

    Author:
    Fiona de Sousa

    Email:
    Fiona.DeSousa@SAH.ORG.AU

    Organisation:

    State:

    Hi Jayne,

    We have opted for integrated blinds in our clinical areas, the main reason being ease of cleaning.
    Kind regards,

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

    Hello,

    This is my first post, so hopefully I am following correct protocol. I was hoping to get an idea on what type of window furnishings are being used in isolation rooms. My hospital is undergoing redevelopment and there is a query relating to interstitial venetian vs. roll up blinds in an isolation room. Any advice would be welcomed.

    Regards,

    Jane Bryant, RN
    Infection Control Co-ordinator
    Royal Victorian Eye & Ear Hospital
    32 Gisborne Street, East Melbourne, 3002, VIC
    [Description: Description: Description: Home]

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