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Hi Sue,
Our facility has the electronic sensor taps and we are also installing them in our redevelopment as well.
In our investigation of taps we were told that some facilities were going back to elbow operated ones, however when I contacted these places to find out why their decisions were based on initial cost of the sensor taps to purchase.Kind regards,
Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
Fiona.Desousa@sah.org.au
185 Fox Valley Road, Wahroonga, NSW, 2076[cid:image001.jpg@01CE14E9.6FB80730]
Dear All
Here at the Royal Hobart Hospital we are in the detailed design stage of our major redevelopment project, and we are currently investigating the pros and cons of the electronic sensor taps for our clinical hand basins. I have undertaken a literature search and it appears that some facilities that have installed the newer sensor taps, as an infection prevention and control improvement activity, are now removing them and returning to the more traditional elbow taps.
The literature suggests that the complexity of the internal workings of the electronic tap and the lower dynamic water flow, could contribute to the higher level of legionella and other waterborne bacteria found by some studies.
I am very interested to hear from facilities within Australia, regarding what type of tap ware has been installed within newly refurbished areas or new construction projects.
Kind RegardsSue Draycott
Infection Control Manager
Redevelopment RHH and CCC Services
Southern Tasmania Area Health ServiceLevel 9, A Block, Royal Hobart Hospital
Liverpool Street
Hobart, 7000________________________________
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Hi List Members,
I have previously had issues with compliance on using covers for TOE probes. The reasons given by Doctors for not using it were that it 1) reduced vision and 2) the risk of patient obstruction if the cover came off / was damaged.
How have other facilities addressed these concerns?
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 Victorian Government has not issued such a directive but did refer to high level disinfection (see link) way back in 2008.
http://www.health.vic.gov.au/hospitalcirculars/circ08/circ0108.htm
For the use of covers, ASUM (Australian Society for Ultrasound Medicine) recommend 38 microns. This is echoed in the ASA (Australian Sonographers Association). The policies are available on-line from both these organisations. The literature they use mostly refers to gynaecological/obstetric use of intracavity ultrasound.
What is the rationale to cover TOE probes when we do not cover gastroscopes bronchoscopes or duodenoscopes? Is it used to facilitate the sound wave? There are risks, given that the cover has to go past teeth and may break on the way down, thus causing a possible obstruction. I would think the most important action would be cleaning and sterilisation/disinfection and storage afterwards.
Happy to be further educated.
Good luck with it all.
Maree Sommerville
Infection Control Coordinator
Mercy Hospital for Women
________________________________Does anyone have information on the use of probe covers in diagnostic ultrasound, specifically for TOE probes and where to obtain these?
The WA Health dept has released an Operational directive for Prevention of Cross Infection in Ultrasound and states that all intracavity ultrasound transducers must be covered before insertion. We have been unable to find a suitable cover for the TOE probes and the one we have used does not allow adequate visualisation during the procedure.
Do other states have this requirement?
Kind regards,
Barbara Elliott I Coordinator Infection Prevention & Control I St John of God Subiaco Hospital
Level 3, 12 Salvado Road SUBIACO WA 6008
P: 08 9382 6871 F: 08 9382 6785 M: 0413706384 E: barbara.elliott@sjog.org.au
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Hi Lindy,
We do quite a lot of this in our Day Infusion Centre. Gowns, gloves, eye protection and PFR95 masks are worn to instill the BCG.
We have previously investigated whether this procedure requires a negative pressure environment however following a review and on advice from our Infectious Disease Physician / Clinical Microbiologist is that we don’t require special air handling.In relation to cleaning it is routine room cleaning between patients. In the event of a spill a bleach clean is used to decontaminate the affected area.
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 Colleagues
we currently perform bladder BCG administration irrigation (using a closed system) as part of therapy for bladder Ca in our cancer care centre here & i am wondering if anyone else out there does this and if so are would you be happy to share with us your cleaning & decontamination process post pt discharge after treatment & any references you may have for this.
I am just wanting to review out process here (in discussion with our cancer CNC here) as its been a while and we are actually increasing our numbers of pts undergoing this treatment & so just wanted to see if or what may have changed & wondering if anyone out there can helpKind regards
Lindy
Lindy Ryan
Clinical Nurse Consultant | Infection Control Services, Nepean Hospital. Nepean Blue Mountains Local Health District PO Box 63 Penrith NSW 2751Tel 02 4734 2228 | Fax 02 4734 2517 | lindy.ryan@swahs.health.nsw.gov.au
http://www.health.nsw.gov.au[http://www.health.nsw.gov.au/images/communications/e-signatures/images/NSW-Health-Master.jpg]
Infection prevention & control is everyone’s business
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Hi Marlize,
In our facility the food services dept use J&J products.
Where it is not considered food safe to use alcohol hand sanitiser staff use hand wash facilites. In areas where it is safe to use alcohol hand products we use the angel product (meal delivery trolleys, cashier in the cafeteria etc).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,
We are currently looking for a alcohol based hand sanitiser to use in our Food Service Department. I was wondering what the practices are out there, and what product you are using in your Food Service Departments and on your food delivering trolleys?
Thank you and regards
Marlize Senekal
Infection Prevention and Control Coordinator
St. Andrew’s War Memorial Hospital
457 Wickham Terrace, Spring Hill
Brisbane
Ph. 07-3834 4444
Ext. 4328, Pg. 0328_________________________________________________________________
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Thanks Michael,
The baths are smooth surface. And the biggest area of concern is the waste outlet and potential proteinaceous contamination of it.
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
Is there any reason why these baths would not be easy to physically remove proteins with detergent and water after each use? Are they tiled, have below bath plumbing, or any other non-continuous smooth surfaces? Do they have non-removable drain strainers which can retain proteinaceous material which you are concerned about? Are you concerned about the cleaning process between each patient use?
It would only be for those reasons I would suggest a hypochlorite product would be required in the cleaning process.
My thoughts, anyway.
Cheers
MichaelMichael Wishart
CNC Infection Control
Holy Spirit Northside Private Hospital
627 Rode Road, Chermside, Qld 4032
t: (07) 3326 3068 | f: (07) 3326 3523
e: Michael.Wishart@hsn.org.au
w:www.holyspiritnorthside.org.au
Please consider the environment before printing this emailHi List members,
We are currently reviewing our cleaning policy for baths in the labour and delivery suite of maternity. At present bleach is used (in a three step process) in case of blood contamination. This has been questioned with a suggestion that our standard bathroom product is sufficient. I would appreciate hearing from other facilities about the type of products they use to clean / disinfect their baths.
Kind regards
Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
Fiona.Desousa@sah.org.au
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Hi Tara,
We use a sharps bin company that provides a lockable device that is mounted in the boot of our vehicles for taking into the community. This can then be carried into the persons home and returned to the car. We also have a range of small containers that can be left in a persons home. When full these are disposed of by our staff into a larger container.
Happy to chat off line.
Kind Regards,
Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
Fiona.Desousa@sah.org.au
185 Fox Valley Road, Wahroonga, NSW, 2076
________________________________Afternoon
I was wondering if anyone was able to share their policy/ procedure of transporting sharps containers within the community,eg. travel form base to school and return or home visits.
Your assistance will be greatly appreciated.
Thanks
TaraTara Stanway
A/ CN Infection Prevention and Control
Cape York Hospital and Health Service
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Hi Ruth,
Our facility would change the curtains and send them for laundering. We have previously looked at steam cleaning curtains insitu but disbanded this project due to OH&S issues associated with using the steam cleaner to clean a hanging curtain.
Kind Regards,
Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
Fiona.Desousa@sah.org.au
185 Fox Valley Road, Wahroonga, NSW, 2076
________________________________Do your facilities use steam cleaners to decontaminate curtains in situ at the bed space after patient discharge or transfer from a bed that is deemed infectious?
One example would be when a patient has developed diarrhoea and vomiting and is then moved to a side room. The bed space undergoes a disinfection clean including the bed screens or privacy curtains. These are either removed for laundering or in some cases they are steam cleaned in situ. If the bed is in a multi room we are investigating if it is possible to transfer the pathogens via the steam / spray through the curtain to contaminate the adjacent bed area?Any thoughts on this would be appreciated.
Thanks
Ruth
[cid:image001.png@01CD258C.3ACB65F0]
Ruth Barratt RN, BSc, MAdvPrac (Hons)
Clinical NurseSpecialist Infection Prevention and Control
*: ruth.barratt@cdhb.health.nz
*: + 64 3 3640 083 or ext.80083
[1098272744j4O36h]: 0275 263175
Level 5, Riverside Building
Christchurch Hospital | Private Bag 4710, Christchurch
Clean Hands Save Lives!________________________________
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Hi Joe,
I have not seen it myself but have had it reported to me and I have had staff ask me if they can do this. Obviously the answer was NO!
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
Has anyone else noticed staff wearing gloves and then cleaning the gloves with alcohol hand rub – rather than removing the gloves and performing hand hygiene?Thanks
Joe
Joe-anne Bendall
Infection Prevention and Control CNC
Sydney Hospital and Sydney Eye Hospital
8 Macquarie St
Sydney 2000joeanne.bendall@sesiahs.health.nsw.gov.au
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Hi Michael,
I have checked your questions with our Operating Theatre and they have informed me that:
1. the door to the bypass room is always kept closed.
2. Lines are NOT pre-set for bypass pumps.
3. If the bypass pump has been set up and is not used they have up to 24 hours to use it or else it is discarded – this is NOT encouraged and is rarely likely to occur.Kind regards,
Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
Fiona.Desousa@sah.org.au
185 Fox Valley Road, Wahroonga, NSW, 2076
________________________________We are reviewing our cardiac surgery theatre protocols, and have a couple of questions for those facilities with cardiac surgery theatres.
1. Do you leave the door to your bypass pump room open during procedures? If so, is it a dedicated pump room (note if it has a door or not, please!) or it is a shared pump / stock room?
2. Do you pre-set lines for bypass pumps the night before surgery? The question is related to possibly spiking fluids onto lines, but leaving the lines ‘dry’ (ie not fully primed or connected to pump), overnight. If you pre-set your bypass pumps overnight, what rules surrounding resetting the lines do you have? Is there a maximum time they can be left before being having to be reset?
Thanks for any and all replies, just seeking what varying practices may be out there, and what rationales there are for them.
Cheers
MichaelMichael Wishart
CNC Infection Control
Holy Spirit Northside Private Hospital
627 Rode Road, Chermside, Qld 4032
t: (07) 3326 3068 | f: (07) 3326 3523
e: Michael.Wishart@hsn.org.au
w:www.holyspiritnorthside.org.au
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Hi Sony,
I have worked in a number of facilities is my career and have never followed this practice (although older colleagues have told me about having to do it). After the body is washed / prepared, it is placed into an impervious bag for collection, this way if there is a fluid leak it is contained.
The following document and the references associated with it may be of assistance http://www.health.nsw.gov.au/policies/pd/2007/pdf/PD2007_017.pdf
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,
We would like to know your prevailing practices for handling dead body, and whether you the following practices – “All orifices have to be plugged with cotton wool soaked in “1 in 4 diluted household bleach” to prevent leakage of body fluids from the dead bodies. Meanwhile, an absorbent pad can be added for additional safety.”
Regards,
Sony SO
Nursing Officer, Infection Control Team
Kwong Wah Hospital
Hong Kong SAR, CHINA
http://www.ha.org.hk/kwh/default.htm
Tel:+ 852 3517-2409 Fax: +852 2332-3348 email:sony@ha.org.hk
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Hi Terri,
All our slide sheets are sent to the external laundry for washing. We
do not reprocess them on site at all.They are used for single patients only and when soiled or the patient is
discharged they go out in the dirty linen.Kind regards,
Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
185 Fox Valley Road, Wahroonga, NSW, 2076
________________________________
Behalf Of TERRI CRIPPS
Hi all,
Just wondering how some of you clean the nylon slide sheets used with
pat slides? At present in the hospital there are several different ways
to do it and we would like to standardise this process using best
practice.Thanks,
Terri Cripps | Clinical Nurse Consultant Infection Control | Sydney
Children’s Hospital
‘: (02) 9382 1876 | fax: (02) 9382 2084 |* :
terri.cripps@sesiahs.health.nsw.gov.au| “:www.sch.edu.au| page: 47140————————————————————————
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Hi Jodie,
Following a number of issues with staff returning to clinical duties
with splints / casts and the like we have implemented a blanket ban.
Clinical staff can be redeployed to non-clinical duties (including
within their ward area) but they can not have hands on patient care
until the splint / cast is removed.Any redeployment is only considered in conjunction with the OH&S rehab
coordinator, this is to ensure that the staff member does not aggravate
their injury.Kind Regards,
Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
185 Fox Valley Road, Wahroonga, NSW, 2076
________________________________
Behalf Of Jodie Burr
direct contact with patientsHi All
We are currently undertaking a risk assesment regarding issues related
to staff wearing splints whilst they are providing direct patient care.At this stage we are considering to allow them to work (if medically
fit) as long as their splint is made of smooth impervious material that
can be easily wiped over with detergent and water and that they remove
it to perform hand hygiene as appropriate.Has anyone had any staff that have had to wear a splint, if so were they
allowed to continue having patient care and what safety measures were
put in place to ensure that they could appropriately decontaminate their
hands and splint.Thanks for any help you can provide
Jodie
Jodie Burr
Infection Control-Clinical Practice Consultant
Disability Services and Domiciliary Care
Community and Home Support SA
Department for Communities and Social Inclusion
103 Fisher Street, Fullarton 5063
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Thanks you to the gentlemen who responded for your input and expertise.
Kind Regards,
Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
185 Fox Valley Road, Wahroonga, NSW, 2076
________________________________
Behalf Of Paul Smollen
Urinal Versus TroughFiona,
I agree with Matt and Terry. In addition the single units reduce water
consumption and in fact in across a number of government departments and
office towers in Sydney we use a waterless single mounted urinal. I have
had no reports or complaints from anyone about the waterless units.Paul Smollen
Project Manager, HAI
Clinical Excellence Commission | Level 14/227 Elizabeth Street, Sydney
NSW 2000T: (02) 9269 5586 l F: (02) 9269 5599 | E:
Paul.Smollen@cec.health.nsw.gov.auhttp://www.cec.health.nsw.gov.au
cid:image001.jpg@01CCB4FA.2BC3D5E0
Behalf Of Fiona de Sousa
Hi All,
We are currently considering bathroom furniture for male toilets and
there is a debate over floor troughs versus wall mounted single urinals.
I have been told that the floor mounted trough poses a greater infection
control risk for the spread of infection than the wall mounted urinal
but am unsure why this is. Has anyone else looked at this issue for
their facility and what was the outcome?Kind Regards,
Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
185 Fox Valley Road, Wahroonga, NSW, 2076
information intended for the addressee named above.
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Hi Ruth,
Our facility stopped using alginate bags many years ago as they cause damage to the industrial washing machines at the laundry. Instead we use a large clear plastic bag for infectious / wet linen. The laundry decant out of these bags.
Kind Regards,
Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
Mobile: 0408 468 470
Office: (02) 9487 9732
Fax: (02) 9472 8053
185 Fox Valley Road, Wahroonga, NSW, 2076
________________________________
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Ruth Ryburn
Sent: Friday, 20 July 2012 5:43 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] Management of MROs in the Operating SuiteHi Rebecca,
Thank you for the excerpt from your MRSA/VRE policy which was interesting.
I did note that you specify using alginate bags for contaminated linen but I was under the impression these were no longer in vogue. Can anyone confirm or otherwise please?
Many thanks,
Ruth Ryburn
Infection Control Coordinator
58 Quirk St
Dee Why, NSW 2099
T: +612 8978 5276
F: +612 9971 7299
M: 0414 801 660
The content of this e-mail is the view of the sender or stated author and does not necessarily reflect the view of Delmar Private Hospital. The content, including attachments, is a confidential communication between of Delmar Private Hospital and the intended recipient. If you are not the intended recipient, any use, interference with, disclosure or copying of this e-mail, including attachments is unauthorised and expressly prohibited. If you have received this e-mail in error please contact the sender immediately and delete the e-mail and any attachments from your system.
P Please consider the environment before printing this email
________________________________
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Rebecca O’Donnell
Sent: Tuesday, 17 July 2012 12:32 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Management of MROs in the Operating SuiteHi Sue,
Here is an excerpt from our MRSA / VRE policy. Hope it helps?
Management of MRSA Positive Patients in the Operating Suite
* Ensure the Infection Control Coordinator is notified
* Ensure MRSA positive patients be admitted directly to the ward, and then transferred to directly theatre. This will avoid unnecessary travel throughout day surgery unit and other areas of theatre department
* For ease of management and cleaning purposes, patients who are known to be colonised or infected with MRSA must be placed last on the theatre list
* Ensure patients with MRSA be recovered in the operating room where possible then transferred directly back to the ward
* If this is not possible, then the patient will be cared for by designated nurse in recovery area
* The operating room and/or recovery area must be thoroughly cleaned with hospital approved cleaning solution for MRSA (see General Cleaning Procedure). This includes the anaesthetic machine, trolley. All horizontal surfaces must be cleaned and walls should be spot cleaned
* Ensure non disposable equipment is wiped down with hospital approved cleaning solution for MRSA (see General Cleaning Procedure) before being returned to general use
* Ensure all linen is discarded in alginate bags then placed in white linen bags
* Ensure all clinical waste e.g. dressings, sputum, blood soaked items be discarded in yellow clinical waste bags/bins
Kind regards,
Rebecca ODonnell | Infection Control Co-ordinator
St Vincent’s Hospital Toowoomba | 22-36 Scott Street TOOWOOMBA 4350
T 07 4690 4042 | F 07 46904400
E rebecca.odonnell@stvincents.org.au | W http://www.stvincents.org.au
Please consider the environment before printing this email.
This e-mail and any attachments to it (the “Communication”) 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. The Communication may contain copyright material of St Vincent’s Health & Aged Care (“SVHAC”), or any of its related entities or of third parties. If you are not the intended recipient of the Communication, please notify the sender immediately by return e-mail, delete the Communication, and do not read, copy, print, retransmit, store or act in reliance on the Communication. Any views expressed in the Communication are those of the individual sender only, unless expressly stated to be those of SVHAC. SVHAC does not guarantee the integrity of the Communication, or that it is free from errors, viruses or interference.
—–Original Message—–
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Sue Flockhart
Sent: Monday, 16 July 2012 5:41 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Management of MROs in the Operating SuiteHi All,
We are loking at standardising our approach to the management of patients with known MROs in our operating suite. I am interested to know what other facilites are doing and would you share guidelines/policies etc.
kind Regards
Sue Flockhart
Manager, Infection Prevention & Control Unit Staff Immunisation Clinic Ballarat Health Services Victoria
0437856349
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CAUTION: This message may contain both confidential and privileged information intended for the addressee named above.
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is prohibited. If you have received this message in error please notify the sender immediately, then destroy the original message.
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Hi Joe,
At our Day Surgery Unit they audit in the 1st and 2nd stage recovery
this also includes anaesthetist insertion of IVC pre-op. The doctors
seem to be open to it. The audit does not include scrub technique or
anything that happens within each operating theatre itself.Kind Regards,
Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
185 Fox Valley Road, Wahroonga, NSW, 2076
________________________________
Behalf Of Joeanne Bendall
Operating TheatreHi
Is anyone doing the National Hand Hygiene 5 Moments audit in an
operating theatre? If you are, I would be interested in finding out
about your education program, process of auditing, barriers, engagement
with medical staff and the improvements you have made.Our operating theatre is very keen to be involved in participating in
the auditThanks
Joe
Joe-anne Bendall
Infection Prevention and Control CNC
Sydney Hospital and Sydney Eye Hospital
8 Macquarie St
Sydney 2000
joeanne.bendall@sesiahs.health.nsw.gov.au
————————————————————————
———————Illawarra Shoalhaven Local Health District, South East Sydney Local
Health District and Sydney Children’s Hospital Network (Randwick Campus)
Confidentiality NoticeThis email, and the files transmitted with it, are confidential and
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also request that you advise the sender of the incorrect addressing.This email message has been virus-scanned. Although no computer viruses
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