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Hi Julia,
See below for our pool exclusions / inclusions
Hydrotherapy pool use is not suitable for patients with:
* Acute infections (eg. cellulitis, pneumonia, fever)
* Airborne infections (eg: TB, flu, viral infections)
* Wound infections (should be considered if redness, heat, and increased swelling and pain)
* Non intact skin (open wounds) – see PHY-HPM-S06-D003
* Wound ooze following surgery
* Fever:
* clinical discretion by the ward physiotherapist and RN to be used
* may also indicate infection eg. wound infection
* Patients isolated for MRSA within the last 3 years (recommended by Dr. Ross Bradbury, Infectious Disease Consultant, SAH). Patients who have not had a positive diagnosis of MRSA in the last 3 years must first be assessed by the Infection Control Department.
* Urinary/faecal incontinence
* Unprotected menstruation – see PHY-HPM-S06-D003
* Complications or bleeding during pregnancy (APA Aquatic Physiotherapy Group)
* Urinary tract infections
* Diarrhoea and gastroenteritis (for 7 days after the symptoms have settled).
* Infectious skin conditions (eg tinea, verruca, thrush, impetigo)
* Clients with known blood borne viruses (eg Hep B, Hep C, HIV) are to be cared for using standard hydrotherapy precautions – see PHY-HPM-S06-D003
* Unstable epilepsy
* Recent CVA or TIA
* Unstable diabetes where BGL is16.0 mmol/L (recommended by Sian Bramwell, SAH Diabetes Educator).
* Neurological contra-indications (to be assessed by ward physiotherapist/ treating doctor)
* Renal or heart failure
* Undue shortness of breath
* Chest pain
* Symptomatic hypotension or labile BP
* Herpes Simplex (cold sores).
* Acute DVT (pool entry only at discretion of treating Doctor: Dr. approval required, dependent on extent and location of DVT)
* Acute Pulmonary Embolism
* Nausea/vomiting
* Confusion
* Intoxication
* Drowsiness or sedation – due to narcotics or other causes
* Some psychological/behavioural problems may be contraindicated (ward physiotherapist to assess)
* Patients with IV devices such as cannulas/porta caths/vas caths etc.
* Immersion a risk in respiratory disease where FEV1 and/or vital capacity are <35% of that of expected (Australian Physiotherapy Association (2002) – Guidelines for physiotherapists working in and/or managing Hydrotherapy Pools).2. The RN caring for the patient should assess urinary incontinence, skin conditions and patient confusion/drowsiness on an individual basis. This should be discussed with the ward physiotherapist and the NUM as to suitability for hydrotherapy.
3. Prior to pool use, it is ESSENTIAL that peri-care and occlusive dressings are attended to. Inpatients must shower on Ward before pool session. For those patients who have been primarily on bed rest, showering is not sufficient unless peri-care is attended. Patients who are menstruating must change their tampon immediately prior to entry and immediately following exit from pool.
4. Tegaderm is used to seal healthy post-surgical wounds. Areas covered must be free of body hair and sufficient material used to completely cover the wound and surrounding skin areas smoothly. Refer Protocol for Waterproof Dressings – see PHY-HPM-S10-D004
5. Patients with suprapubic catheters must have the bladder emptied just prior to hydrotherapy. The stoma must be clean and dry, and sealed with a fluid repellent dressing, which totally secures the catheter. The catheter must be secured a second time to the skin of the abdomen to minimise manipulation. A flip-flop valve or leg bag is to be used to contain urine.(Recommended by APA Aquatic Physiotherapy Group)
6. Patients with transurethral catheters must have the bladder emptied, and the catheter secured with a leg strap to minimise manipulation during therapy. A flip-flop valve or leg bag is to be used to contain urine. (Recommended by APA Aquatic Physiotherapy Group)
7. Patients with colostomies must first have the integrity of the stomal site checked by the stomal therapist (ward physio to liaise with the stomal therapist). The bag is to be changed by the RN immediately prior to the patient’s pool session. Use tight bathers/clothing or tubigrip to limit bag movement during the pool session. Care is to be taken not to bump stoma site and dislodge the bag. On returning to the ward, the colostomy bag is to be changed again by the RN (Refer Australian Physiotherapy Association (2002) – Guidelines for physiotherapists working in and/or managing Hydrotherapy Pools)
8. Patients with eczema, dermatitis, psoriasis or non-contagious skin rashes may enter the pool (unless they have open or infected areas). Where the skin condition is extensive the patient should be encouraged to wear a T-shirt over their bathers.
9. Patients undergoing chemotherapy require clearance from oncologist as to when recovered adequately to enter the pool. White cell count must have returned to acceptable levels. If still neutropenic/immunosupressed, then inappropriate to enter the pool where susceptible to infection. Pool entry is otherwise contraindicated with patients undergoing chemotherapy where:
o the patient has a port/open access/any wounds/cuts.
o For 24 – 48 hours post chemotherapy if they are incontinent or have any other “body fluid” issues (due to carcinogens associated with chemotherapy).
Recommended by APA Aquatic Physiotherapy Group
Fatigue is an issue, so start out pool work gently, progress sensibly, reassess at each session.10. Patients who have an acute fear of water are to be assessed by aquatic physiotherapist/ward physiotherapist regarding suitability of hydrotherapy. If proceeding provide reassurance and sympathetic approach, undertake careful and close handling, provide increased supervision (one on one if necessary) and avoid deep end.
11. Pregnancy: Persons should not exercise in pool (attend any Aqua classes) in 1st Trimester of pregnancy. Special Pre Natal Aqua classes are available for those in their 2nd and 3rd Trimester. Where there is bleeding, the pregnant patient should not attend the pool.
Kind regards,
Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
Fiona.Desousa@sah.org.au
185 Fox Valley Road, Wahroonga, NSW, 2076Hi All
I was wondering if anyone had a current procedure/guideline or information that was related to patients who can use (or not use) a hydrotherapy pool specifically those patients with IDC/SPC and Stomas and was happy to share. We currently have a procedure that excludes these patients from using the pool. This is causing a large number of patients that require therapy to be excluded.
Looking forward to all responses.
Julia Carey
Clinical Nurse Consultant/ Infection Prevention and Control
Ryde Hospital & Community Health Service
Denistone Road, Eastwood NSW 2122
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Hi Nicola,
I am unsure what the weight of our mattresses are but they are maneuvered by hospitality staff so that the underside can be cleaned on discharge of all patients regardless of their known infectious status. They are also supposed to undergo a mattress turning regime so that they last longer without ‘saggy’ bits.
My concern with not wiping over the underside of the mattress between patients is that staff may come in contact with it when they make the bed and tuck the sheets in so it is possible to contaminate the underneath side of the mattress and also the bedding.
Kind regards,
Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
Fiona.Desousa@sah.org.au
185 Fox Valley Road, Wahroonga, NSW, 2076Hi All,
The new mattresses we have, weigh in at 18kg and are difficult to manoeuvre by one person Eg ( the housekeeping staff when cleaning rooms on patient discharge)
Could anyone share what their housekeeping staff do on discharge of a patient unknown to have a multi resistant colonisation/infection. Is the mattress turned over and wiped with detergent on both sides or just the side the patient was lying on?
My thoughts were that the patient or nurse does not directly touch the underside of the mattress and therefore unless visibly soiled no need for it to be turned and wiped. Or is it that it is in the patient zone and all though not frequently touched should still be wiped over. Does anyone else have any views they can share with me.
Thank you and Kind Regards
Nicola Swindells Clinical Nurse Consultant
Infection Control / Skin Integrity
Mater Hospitals Central Queensland
Rockhampton Gladstone Yeppoonnswindells@mercycq.com
tel 07 49313420Clean Hands are caring hands, remember the five moments of hand hygiene
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Hi Vicki,
We have previously had one made that has the following dimensions
400mm square top
900mm high
Rail around topIt is not big enough for anything more than a basic dressing or IV cannulation and we use them for holding PPE outside of a room for a patient with Transmission Based Precatuions..
If you would like more details please email me offline.Kind regards,
Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
Fiona.Desousa@sah.org.au
185 Fox Valley Road, Wahroonga, NSW, 2076Hi All,
Does anyone have an alternate to the general dressing trolleys that will assist with limited storage space , can have a small sharps container attached & have enough room on the surface to facilitate an open dressing pack or IV starter kit pack?
Vicki Denyer
Infection Prevention & Control Clinical Nurse Consultant
Lismore Base HospitalInfection Prevention & Control is Everyone’s Business
________________________________
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Hi Vicki,
It was a passion by the Managers who had seen them in use elsewhere. Others who now want them have seen them in ICU / EC and want them as well.
Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
Fiona.Desousa@sah.org.au
185 Fox Valley Road, Wahroonga, NSW, 2076Thank you Fiona, sorry to annoy but could you tell me why trialling in ICU & ED?
Vicki Denyer
Clinical Nurse Consultant | Infection Prevention & Control Unit
Lismore Base Hospital
Tel 02 6620 2385 | vicki.denyer@ncahs.health.nsw.gov.au[Description: cid:image001.png@01CE7F1B.E103A4C0]
Hi Vicki,
We are currently trialling in the ICU and EC dept. Many other areas have expressed a desire to also use them (as they look so good), but as yet the trial sites have not been extended.
Kind regards,Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
Fiona.Desousa@sah.org.au
185 Fox Valley Road, Wahroonga, NSW, 2076Hi All,
Have a small issue – Disposable curtains/screens!
Would appreciate feedback from areas that are using the disposable curtain/screens in their facilities
The issue is around cost of linen vs disposable curtains/screens.
We have trialed & like what we have but those who watch the pennies are questioning their use.
Originally we brought them into our ED because the poor terminal cleaning staff were frantic with attending the cleaning ( which involves the replacement of curtains).
The NUM of ED was indicating at this particular incident -that there were three ambulances waiting to off load patients onto ED beds which were being held up by the terminal cleaning required.Amongst other actions taken regarding this issue in ED-was the implementation of the disposable curtains.
Now the question being asked is who else in other health areas has disposable curtains/screens & where are they ( ie high risk areas).
Much appreciate any assistance with this.
Thank you
Vicki Denyer
Clinical Nurse Consultant | Infection Prevention & Control Unit
Lismore Base Hospital
Tel 02 6620 2385 | vicki.denyer@ncahs.health.nsw.gov.au[Description: cid:image001.png@01CE7F1B.E103A4C0]
________________________________
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________________________________
This message is intended for the addressee(s) named and may contain confidential information. If you are not the intended recipient, please delete the message and any attachments and notify the sender. Views expressed in this message are those of the individual sender, and are not necessarily the views of NSW Health or any of its entities.
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_____________________________________________________________________
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visit http://www.messagelabs.comMESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
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Hi Vicki,
We are currently trialling in the ICU and EC dept. Many other areas have expressed a desire to also use them (as they look so good), but as yet the trial sites have not been extended.
Kind regards,Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
Fiona.Desousa@sah.org.au
185 Fox Valley Road, Wahroonga, NSW, 2076Hi All,
Have a small issue – Disposable curtains/screens!
Would appreciate feedback from areas that are using the disposable curtain/screens in their facilities
The issue is around cost of linen vs disposable curtains/screens.
We have trialed & like what we have but those who watch the pennies are questioning their use.
Originally we brought them into our ED because the poor terminal cleaning staff were frantic with attending the cleaning ( which involves the replacement of curtains).
The NUM of ED was indicating at this particular incident -that there were three ambulances waiting to off load patients onto ED beds which were being held up by the terminal cleaning required.Amongst other actions taken regarding this issue in ED-was the implementation of the disposable curtains.
Now the question being asked is who else in other health areas has disposable curtains/screens & where are they ( ie high risk areas).
Much appreciate any assistance with this.
Thank you
Vicki Denyer
Clinical Nurse Consultant | Infection Prevention & Control Unit
Lismore Base Hospital
Tel 02 6620 2385 | vicki.denyer@ncahs.health.nsw.gov.au[Description: cid:image001.png@01CE7F1B.E103A4C0]
________________________________
This message is intended for the addressee(s) named and may contain confidential information. If you are not the intended recipient, please delete the message and any attachments and notify the sender. Views expressed in this message are those of the individual sender, and are not necessarily the views of NSW Health or any of its entities.
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
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by Adventist HealthCare Limited to state that they are the views of Adventist HealthCare Limited.
_____________________________________________________________________
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The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
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Hi Sony,
Excuse my ignorance but what is a paffarin bath and why is it used?
Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
Mobile: 0408 468 470
Office: (02) 9487 9732
Fax: (02) 9472 8053
Fiona.Desousa@sah.org.au
185 Fox Valley Road, Wahroonga, NSW, 2076—–Original Message—–
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Sony SO
Sent: Monday, 3 March 2014 11:19 PM
To: AICALIST@AICALIST.ORG.AU
Subject: infection control for paraffin bath using in Physio DeptDear All,
Would you please share your prevailing infection control practices for the captioned issue to us for reference.
Thanks.
Sony SO
Nursing Officer, Infection Control Branch (Team 2) Center for Health Protection office phone: +852 2125-2922; fax: +852 3523-0752 HA email sony@ha.org.hk; DH email no_icb4@dh.gov.hk Please consider the environment before printing this e-mailMESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
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_____________________________________________________________________
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Hi Paul,
I have worked in a number of facilities with sensor taps including my current one. The experience of how well they work and of them failing depends a lot on the initial quality of the tap sensors and also the regular maintenance. We are currently installing them in our redevelopment and they will be on the emergency backup power system.
In relation to their potential for increased infection risk due to higher bacterial counts I have no ‘on the ground’ evidence either way to say that they are causing increased or decreased infections in our facility.
Kind regards,Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
Fiona.Desousa@sah.org.au
185 Fox Valley Road, Wahroonga, NSW, 2076Hi All,
My hospital has just entered into a major redevelopment phase & I have had a number questions about installing sensor operated taps in both clinical & non-clinical environments. I have initially been reticent about their use based on the report from the John Hopkins that suggested senor taps had higher bacterial counts which they speculated may be due to the increased complexity of these taps. However, a joint ‘ASHE & APIC Statement on Recently Presented Research on Electronic Faucets (2011)’ is generally supportive of their use. There isn’t a heap of evidence out there to draw any absolute conclusion on so I was wondering if anyone out there has a view or experience with installing & using sensor taps.Regards,
Paul Simpson, RN, MSc
Infection Control Consultant
(Mon,Tues,Thurs & Friday)
Royal Victorian Eye & Ear Hospital
32 Gisborne Street, East Melbourne, 3002, VIC
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Thank you everyone for your on and off line responses.
Kind regards,
Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
Fiona.Desousa@sah.org.au
185 Fox Valley Road, Wahroonga, NSW, 2076Dear Fiona
You ask a good question.
We are a private Endoscopy Centre, so all our cannulas are peripherally inserted and insitu for <24hrs (usually in for 3 – 4.hrs max).
I saw the NSW Health published guideline called Peripheral Intravenous Cannula (PIVC) Insertion and Post Insertion Care in Adult Patients too.
We discussed the very point you are looking at and looked at the ANTT guidelines and the EPIC2 guidelines and like yourself we are aware of IVC related BSIs occurring when the PIVC has been insitu for <24hrs.
We came to the conclusion that unless the patient had a chlorhexidine allergy/sensitivity we would continue to use the 2 %chlorhexidine 70%V/v Isopropyl alcohol solution (prep pad).(The cannula is being inserted into a blood vessel, I hesitate to ask …. how relevant is it, that it's only insitu for a limited amount of time? Aren't we wanting to ensure that skin antisepsis is carried out as per evidence based best practice prior to the cannula being inserted? The next question I want to ask is, if we only need to use 70% alcohol for skin antisepsis for PIVCs that are in situ for 70% alcohol solutions/swabs should be used (to reduce unnecessary exposure to chlorhexidine when residual antimicrobial activity is not required”
In the guideline appendix 5 it states that
“For a cannula that is likely to be in for <24hours, skin cleaning with at least 70% alcohol is sufficient"Our facility currently uses an alcoholic chlorhexidine skin prep for all PIVC insertions unless the person has a known sensitivity. We are currently reviewing this and are inclined to continue with this product as we have known of IVC related BSIs occurring when a PIVC has been insitu for less that the 24 hours outlined in this document.
We are interested to know what other facilities are using as skin prep for this cohort of patients.
Kind regards,Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
Fiona.Desousa@sah.org.au
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Hi Karen,
Our facility uses as automated electronic database that has feeds from the ADT, Radiology, Surgery and Laboratory systems in the hospital. This allows us to review potential HAIs easily and then investigate them. The electronic database means that spreadsheets are a thing of the past.
At present we use it to collect ACHS indicators, SSI, BSI, Dialysis, MRO, Device associated, SAB, C.diff and targeted organism data and assess patients for HAI.
Happy for you to contact me offline to discuss further.
Kind regards,
Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
Fiona.Desousa@sah.org.au
185 Fox Valley Road, Wahroonga, NSW, 2076Hi All,
We are seeking information on what other regional size (250+ beds) acute hospitals are doing that works well for SSI surveillance. We don’t do CABGs, nor 100 THRs/TKRs in a calendar year, nor participate in the ACHS clinical indicators program for BSI & LUSCS,
What we have done for many years is a ‘day-5 survey’: anyone who has a surgical wound and is still an inpatient on day 5 (DOS day 0) undergoes chart review against the SSI definitions. Although this has provided valuable data over the years, I suspect times have changed and the validity of someone being here on day 5 (although consistent) might not be sensitive to ever-shorter LOS. One of the obvious catches is if you go home on antibiotics on day 4 or present with infection on/after day 6 – you don’t count. This is a labour intensive spreadsheet based process with manual theatre list entry, (fairly reliable) electronic report for patient matching for day 5 (that is a step up in our world!), and trips to the wards as no electronic medical record.
We also do an annual telephone follow-up at 30 days of selected 100+ (annual total, not the quarter we do the survey for) procedures (e.g. LUSCS, lap chole, etc.) for a 3-month period.
Any suggestions, protocols, ideas most welcome
Thanks
Karen Turnbull
Acting Nurse Manager
Infection Prevention & Control Unit
Level 2, Launceston General Hospital
Charles Street 7250________________________________
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Hi Andrea,
In our facility any patient identified as being in another facility for greater than 48 hours in the preceding six months automatically gets a private room and has MRSA swabs attended. Depending on the facility they have been in and the level of care they received they may also have additional MRO testing done.
If there are not enough single rooms to accommodate them then a risk assessment is performed to identify those patients who are less at risk for going into a shared room – looking at their admission diagnosis, skin integrity, which facility they have come from etc. This also takes into account the risk factors of the patient that they will share with and if they have lines, drains, wounds etc.
I have a flow chart I would be happy to share with you.
Kind regards,Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
Fiona.Desousa@sah.org.au
185 Fox Valley Road, Wahroonga, NSW, 2076Good Afternoon all,
We are currently looking at our bed management policies. In particular placement of patients transferred from another facility. Does any one have a risk flowchart, admission flowchart etc they would be willing to share. We have concerns re whether the patient should be isolated etc.
Many thanks in advance,
AndreaAndrea Grimes | IC | H&S | RRTWC
Ramsay Cairns | The Cairns Clinic | Cairns Day Surgery | Cairns Private Hospital
t: 07 4052 5274 | m: 0439 392 819
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Thank you everyone for your responses (on and off list).
They have been very helpful.
Kind regards,Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
Fiona.Desousa@sah.org.au
185 Fox Valley Road, Wahroonga, NSW, 2076Hi Fiona
Staff training, procedure/protocol in place, documentation, currency of machine maintenance, among others.
Simply perform a documented random check on the visual cleanliness of the machine ( on a regular basis) hence the provision of an evidence of monitoring. Semi critical endoscopes are performed periodical culture swabs or qualitative swabs, so why not do a random protein/carbohydrate/blood residue tests with appropriate documentations.Good luck and happy testing.
Roel
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*hWK4nY*Fiona
We too have looked at this machine and have set up a register that tracks the machine and documents the disinfection of the machine between patients, requires names/signature of those responsible for the process. To have some control over the process we requested that these machines be returned to either our ICU or ED where there are dedicated equipment nurses trained in the process. Once disinfected the machine is placed in a clean bag, sealed and labelled.
We have good compliance with documentation however my concern is that there is still room for a machine to be re-used on a ward without being returned and reprocessed if staff are not familiar with the piece of equipment and the requirement for the heat disinfection process between patients.
Leanne
Leanne Houston
Associate Director
INFECTION PREVENTION & CONTROL SERVICE (IPAC)Hi All,
I have recently been asked to assess a machine that delivers humidified oxygen to patients. It has disposable tubing with the machine itself undergoing a manual clean and a machine generated heat disinfection cycle between patient use.
I would like to hear from others who have this sort of product in their facility regarding how they manage the validation of the cleaning / disinfection process between pateints.
Kind regards,Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
Fiona.Desousa@sah.org.au
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Hi Joe-Anne,
I believe it is quite common in eye hospitals and that patients often walk into the theatre as well.
We looked at it for our day surgery and have implemented it in a halfway manner. Patients having eye surgery can wear their trousers and socks underneath a hospital gown. The gown is a must so that the chest can be accessed quickly in an emergency. All metal belts are removed as are any clothing items that are obviously soiled. For all other day surgery procedures patients wear the hospital clothing. All patients enter the theatre in a bed (too slow and dangerous to walk after having eye drops as vision is often affected) and covered with clean linen.
My understanding is that the Day Surgery Association does not comment on the practice but refer facilities to ACORN. I have found nothing in ACORN to support or contradict the practice.
I have not seen any changes in AMO reported SSI rates for eye surgery patients since this practice was implemented.
Kind Regards,
Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
Fiona.Desousa@sah.org.au
185 Fox Valley Road, Wahroonga, NSW, 2076Hi everyone
Has anyone allowed patients to wear their own clothes to the operating theatre for day and overnight surgery (hand, ENT and eye surgery).
If yes, do you have any restrictions?Thanks
Joe-Anne Bendall
Joe-anne Bendall | Clinical Nurse Consultant Infection Prevention and Control
Sydney Hospital and Sydney Eye Hospital|* ph +61 2 9382 7199 |page 22070 via switch 9382 7111| 7 Fax 93827510 |
Mobile 0418984255 | * Joe-anne.Bendall@SESIAHS.HEALTH.NSW.GOV.AU———————————————————————————————
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Hi All,
We have included the sensor taps on our emergency power, therefore if power is lost to the building the taps still work. Also when you install them you need to choose the location and type of sensor carefully as the various types perform differently. Following testing of different types our preferred option is a wall sensor mounted directly above the sink. We have had poor experience with sensors located in the base of the water spout (fail to easily) and to the side of the sink (too sensitive when you walk past).
Kind regards,
Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
Fiona.Desousa@sah.org.au
185 Fox Valley Road, Wahroonga, NSW, 2076—–Original Message—–
I agree with comment about loss of power as it clearly then makes them unusable as your back up generator may only support ‘essential’ power needs- we lost both power and water in our EQ though so had to resort to alcohol gel anyway! However, in a private new build facility I’m involved in we’ve planned to install only in theatre scrub bays and procedure room scrub bays partly for these reasons and partly cost. They are installed in our neonatal unit here and there were issues with sensitivity of them initially (triggering when someone walks past) but I’m sure they have improved the design considerably since these were installed (7 years ago).
Jane Barnett
Infection Prevention & Control Nurse Specialist Christchurch Women’s Hospital
3644510 or int 85510
Pager 5200—–Original Message—–
Hi Sue,
You need to think about how will they work without power. If they are not on the uninterrupted supply then staff will be unable to use them if the power is out. One facility I worked at also had an issue with water temperature with these taps as you could not run them to allow the temperature to increase. This is more of an installation issue rather than a tap issue though. Maintenance and repair costs are also more than hand operated taps and need to be considered over the life of the product.
Cheers MattMatt Mason
RN, BNSci, Grad Dip (Remote Health), M Rural Health, M Adv Prac (Inf Cont), CICPLecturer/Campus Co-ordinator
School of Nursing, Midwifery & Nutrition James Cook University Thursday Island Qld, 4875 AustraliaP: (07) 4069 2670
I: +61 7 4069 2670
F: (07) 4069 2627
E: matt.mason@jcu.edu.au
W: http://www.jcu.edu.au/nursing/JCU CRICOS Provider Code: 00117J
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Hi Barbara,
We isolate all VRE positive patients in a single room and use contact precautions.
In our dialysis unit we do our best to provide a single room but at times also have to cohort two VRE patients together.Kind regards,
Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
Fiona.Desousa@sah.org.au
185 Fox Valley Road, Wahroonga, NSW, 2076Hello,
My managers have asked me to review our current practices of isolating VRE positive patients. This is mainly due to the limited number of single rooms within our facility. I am interested to know how you manage patients who have a positive VRE screen, whether you isolate or not, what risk assessments you undertake to determine as to whether to isolate or not and whether you have introduced a yoghurt regime for these patients and how you then manage these patients.Thanking you in advance,
BarbaraBarbara May
CNC Infection Control
Hastings Macleay Clinical Network
Ph. 0255242061
Mo. 0402890677This message is intended for the addressee(s) named and may contain confidential information. If you are not the intended recipient, please delete the message and any attachments and notify the sender. Views expressed in this message are those of the individual sender, and are not necessarily the views of NSW Health or any of its entities.
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Hi Jennifer,
We use a machine called an IQ Air which has hyper HEPA and charcoal filters . Although it is marketed as an air cleaning machine for use in Airborne precautions situations we use it more for smells. It works very well for taking odours out of the environment.
Kind regards,
Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
Fiona.Desousa@sah.org.au
185 Fox Valley Road, Wahroonga, NSW, 2076Ozone above a concentration of 0.1ppm is highly dangerous to humans so one has to execute extreme caution
RegardsDon Bissell
Managing Director
BIOQUELL ASIA PACIFIC PTE LTD207 Henderson Road,#01-05
Singapore 159550Hi Jennifer
More as a householder with experience living in possum infested houses than in hospital facilities, I would say residual smell is most likely a deceased possum which remains in al cavity (wall/roof/floor, take your pick). We actually had an issue here at HSN during a building expansion program where a possum found its way into a ceiling cavity (small crawl space) and ended up dying in there. The flies came first (humidity breeds them quickly), then the smell, which grew as time progressed, then abated, but the flies persisted. Took lots of unpleasant crawling to find the offender, actually. Would suggest a pest control expert with experience in possum infestations to do a full check. Other than that, lots of ozone generating machine for a long time….
Good luck.
Cheers
MichaelMichael Wishart
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
Please consider the environment before printing this emailIm wondering if anyone has experience with clean up after possum infiltration?
One of our smaller clinics had the pesky critters come visiting and they managed to make a rather gruesome mess while awaiting their eviction. Clean up has occurred but there still is a malingering smell… particularly with warmer weather…. Any suggestions?Jennifer Benjamin
Infection Control Consulant
Melbourne Pathology
M: 0402000590
Quality is in our DNA
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