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  • in reply to: Pan/Utensil washers #69195
    Fiona de Sousa
    Participant

    Author:
    Fiona de Sousa

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    Hi Liz,

    A number of years ago our facility purchased these combined units.
    However we no longer accept this as appropriate and have returned to
    seperate machines for pan / urinals and utensils. Happy to discuss this
    offline 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, 2076

    ________________________________

    Behalf Of VANDERLINDE, Liz

    Dear All

    We are looking at purchasing a pan/utensil steriliser/washer and wonder
    if any anyone has one currently in place. Your thoughts and impressions
    would be of value.

    Liz Vanderlinde
    Infection Control Officer
    North West Private Hospital

    Brickport Road, Burnie TAS 7320, Australia
    T +61 3 6432 6022 F +61 3 6431 6158
    E Liz.Vanderlinde@healthecare.com.au
    W

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    in reply to: ACHS CI for SSI #69183
    Fiona de Sousa
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    Author:
    Fiona de Sousa

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    Hi Michael,

    I will have to confirm that our THR and TKR denominators are counted as
    two when a bilateral procedure is done (I have always assumed they are).
    In relation to CABG I can confirm that I only count one surgery
    regardless of the number of grafts performed.

    Kind regards,

    Fiona De Sousa

    Infection Prevention & Control Coordinator

    Sydney Adventist Hospital

    Fiona.Desousa@sah.org.au

    185 Fox Valley Road, Wahroonga, NSW, 2076

    ________________________________

    Behalf Of Michael Wishart

    Hi all

    Another question on something different at a new employer. This one may
    just be me not being up to date, though.

    For the purposes of ACHS Infection Control Clinical Indicators 1.1-1.4
    (hip and knee prostheses) how many facilities report bilateral
    prosthesis procedures as TWO procedures in their denominator (not a
    single procedure). ACHS have confirmed to us this is what they expect,
    which surprised me a bit.

    Since there is a single CMBS / ICD-10 code for bilateral procedures such
    as these, I have only ever known reporting these as one procedure, and I
    wondered whether other ICP’s are familiar with this ACHS requirement.
    Might be worth checking with whoever collates your denominator for these
    indicators if you are unsure.

    I have to then wonder about coronary artery bypass graft procedures….
    does anyone report these by the number of grafts performed, or only as
    one procedure regardless of the number of grafts? We didn’t specifically
    ask ACHS about this, but looking at the interpretation of ‘procedure’
    for hip and knee prostheses, I have to wonder. Ie

    “Multiple procedures on an individual patient should be counted
    separately (eg hip

    prosthesis and knee prosthesis);”

    Looking at the way the indicators are worded, note:

    “1.1 Total number of hip prothesis procedures performed”

    And

    “1.5 Total number of coronary artery bypass graft procedures

    performed,”

    Thanks for any thoughts (including letting me know I am way behind the
    times here!).

    Cheers

    Michael

    Michael 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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    in reply to: CT Contrast Injecting System #69171
    Fiona de Sousa
    Participant

    Author:
    Fiona de Sousa

    Position:

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    Thanks Kathy,

    How do you ensure that the line connector does not become contaminated
    with the multiple access that is required for the reusable part of the
    system?

    Kind regards,

    Fiona De Sousa

    Infection Prevention & Control Coordinator

    Sydney Adventist Hospital

    Fiona.Desousa@sah.org.au

    185 Fox Valley Road, Wahroonga, NSW, 2076

    ________________________________

    Behalf Of Katherine Taylor

    Hi Fiona,

    We have looked a a number of automated contrast delivery systems, and
    had the same concern about multi-patient consumables. The Acist system
    was one we evaluated recently, this system has a one way/anti-reflux
    valve in the single patient consumable tubing, which was not the case
    when we evaluated a similar pump about two years ago. With the addition
    of the one way valve and information that similar pumps are in use in
    other Brisbane hospitals without any increase in infection, our
    infection control team agreed to trial.

    The major reason for changing to the automated system was a number of
    nursing staff injuries due to RSI from repeated injection of contrast by
    hand. The other benefit is that the patient receives less contrast
    using the automated system, which benefits the patient and also has a
    cost benefit to the organisation. Hope this information is useful to
    you.

    Regards

    Kathy

    Kathy Taylor CICP

    Infection Control Manager

    The Wesley Hospital

    PO Box 499,

    Toowong, Qld 4066

    07 3232 7558

    katherine.taylor@uchealth.com.au

    ________________________________

    Behalf Of Fiona de Sousa

    Hi All,

    I have been asked to evaluate a new system for injecting CT contrast to
    determine its suitability for our facility. The transflux system allows
    for multi use of syringes, common reusable tubing (both changed daily)
    and a connector tubing that is changed for every patient. It has TGA
    approval. It has been used for a number of years in Europe.

    I am concerned about the potential for line contamination from blood as
    well as the sterility of the connector ends. I would like to hear from
    anyone who has previously evaluated this system or has used 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

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    in reply to: Readmission of previous CDI patients #69162
    Fiona de Sousa
    Participant

    Author:
    Fiona de Sousa

    Position:

    Organisation:

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    Hi Michael,

    We do not routinely isolate previous CDI patients on readmission. The
    only reason we would isolate them is if they had an infectious risk.

    Kind Regards,

    Fiona De Sousa

    Infection Prevention & Control Coordinator

    Sydney Adventist Hospital

    Fiona.Desousa@sah.org.au

    185 Fox Valley Road, Wahroonga, NSW, 2076

    ________________________________

    Behalf Of Michael Wishart

    Hi

    Moving to a new facility is always interesting, as things are done
    differently. Now I get to challenge my own thinking!

    Can I ask if any facilities routinely place into single rooms on
    readmission patients who have had previous Clostridium difficile
    infection (CDI)?

    I cannot find this supported in the 2010 SHEA/IDSA Clinical Practice
    guidelines
    (http://www.cdc.gov/HAI/pdfs/cdiff/Cohen-IDSA-SHEA-CDI-guidelines-2010.p
    df), but then again it is not specifically mentioned (apart from
    screening asymptomatic patients and staff not being useful).

    Does any facility have a process for identifying patients in future
    admissions who had previously had CDI, and managing them differently
    regardless of status of diarrhoea??

    Thanks for any thoughts on this.

    Cheers

    Michael

    Michael 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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    in reply to: Cleaning solutions #69062
    Fiona de Sousa
    Participant

    Author:
    Fiona de Sousa

    Position:

    Organisation:

    State:

    Hi Kevin,

    We have been guided by the manufacturer in relation to wait times prior
    to rooms being available for occupancy. These have been verified with
    the use of a hydrogen peroxide meter that records as low as 1ppm.

    Kind Regards,

    Fiona De Sousa

    Infection Prevention & Control Coordinator

    Sydney Adventist Hospital

    Fiona.Desousa@sah.org.au

    185 Fox Valley Road, Wahroonga, NSW, 2076

    ________________________________

    Behalf Of Kevin Griffin

    Fiona

    How are you monitoring Hydrogen Peroxide levels in the room after
    disinfection ?

    In Europe

    The SWL (Safe Working Limit) for Hydrogen peroxide is 1ppm for a (TWA)
    Time Weighted Average 8 hour exposure over a 24 hour period.

    The STEL (Short Term Exposure Limit) is 2ppm for 15 minutes with a
    maximum of 4 exposures in a 24 hour period.

    The Safe Work Australia standards
    (http://www.safeworkaustralia.gov.au/sites/SWA/AboutSafeWorkAustralia/Wh
    atWeDo/Publications/Documents/237/AdoptedNationalExposureStandardsAtmosp
    hericContaminants_NOHSC1003-1995_PDF.pdf)

    Have set the TWA limit at 1ppm with no STEL established

    As Hydrogen Peroxide is odourless and colourless it is extremely
    difficult to detect at lower concentration levels ( < 5ppm) which would
    be well above the SWL or even the European STEL. This is especially
    important in rooms with porous surfaces which will outgas for some time
    and particularly so as patients are in these rooms for 24 hours a day.

    Regards

    Kevin

    Kevin Griffin
    Bioquell Asia Pacific Pte Ltd

    207 Henderson Road,#01-05

    Singapore 159550

    T: +65 6592 5145
    F: +65 6227 5878
    M: +65 8511 3733

    E: Kevin.Griffin@bioquell.com

    W: http://www.bioquell.asia

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    Behalf Of Fiona de Sousa

    Hi Nicky,

    We use a combination of disinfectants for isolation patients depending
    on why the patient is in isolation, what sort of clean (daily or
    terminal) and what sort of room it is they are in.

    Where possible we use a hydrogen peroxide disinfectant for terminal
    cleans of infectious patient rooms, if not (e.g. an open room) it is
    either bleach or triclosan. I have had reports from our Cleaning
    Manager the staff are really on board with hydrogen peroxide
    disinfection as their chemical exposure has been reduced.

    Kind Regards,

    Fiona De Sousa

    Infection Prevention & Control Coordinator

    Sydney Adventist Hospital

    Fiona.Desousa@sah.org.au

    185 Fox Valley Road, Wahroonga, NSW, 2076

    ________________________________

    Behalf Of Nicola Swindells

    Hi All,

    We currently follow the Australian Guidelines for the Prevention and
    Control of Infection in Healthcare Guidelines regarding cleaning
    schedules, using a detergent for most surfaces and a TGA – registered
    disinfectant with label claims specifying its effectiveness against
    specific infectious organisms for isolation rooms.

    My question is the hospital is wishing to switch to a bleach product for
    the purposes of isolation rooms can anyone offer any evidence for or
    against a bleach product to assist me in my discussions, one of my
    concerns is the aspect of OH&S when using bleach regularly.

    Thank you for your responses in advance.

    Kind Regards

    Nicky Swindells CNC

    Infection Control Coordinator/Wound Management

    Mater Hospitals Central Queensland

    Rockhampton Yeppoon Gladstone

    nswindells@mercycq.com

    07 49313420

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    in reply to: Cleaning solutions #69059
    Fiona de Sousa
    Participant

    Author:
    Fiona de Sousa

    Position:

    Organisation:

    State:

    Hi Nicky,

    We use a combination of disinfectants for isolation patients depending
    on why the patient is in isolation, what sort of clean (daily or
    terminal) and what sort of room it is they are in.

    Where possible we use a hydrogen peroxide disinfectant for terminal
    cleans of infectious patient rooms, if not (e.g. an open room) it is
    either bleach or triclosan. I have had reports from our Cleaning
    Manager the staff are really on board with hydrogen peroxide
    disinfection as their chemical exposure has been reduced.

    Kind Regards,

    Fiona De Sousa

    Infection Prevention & Control Coordinator

    Sydney Adventist Hospital

    Fiona.Desousa@sah.org.au

    185 Fox Valley Road, Wahroonga, NSW, 2076

    ________________________________

    Behalf Of Nicola Swindells

    Hi All,

    We currently follow the Australian Guidelines for the Prevention and
    Control of Infection in Healthcare Guidelines regarding cleaning
    schedules, using a detergent for most surfaces and a TGA – registered
    disinfectant with label claims specifying its effectiveness against
    specific infectious organisms for isolation rooms.

    My question is the hospital is wishing to switch to a bleach product for
    the purposes of isolation rooms can anyone offer any evidence for or
    against a bleach product to assist me in my discussions, one of my
    concerns is the aspect of OH&S when using bleach regularly.

    Thank you for your responses in advance.

    Kind Regards

    Nicky Swindells CNC

    Infection Control Coordinator/Wound Management

    Mater Hospitals Central Queensland

    Rockhampton Yeppoon Gladstone

    nswindells@mercycq.com

    07 49313420

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    Fiona de Sousa
    Participant

    Author:
    Fiona de Sousa

    Position:

    Organisation:

    State:

    Hi Bronwyn,

    Our facility uses a system in theatres called the Neptune system for the
    disposal of bulk body fluids. It is managed by Stryker. Theatre staff
    tell me you must use the company’s specific canisters and that they are
    not interchangeable.

    Kind Regards,

    Fiona De Sousa

    Infection Prevention & Control Coordinator

    Sydney Adventist Hospital

    Fiona.Desousa@sah.org.au

    185 Fox Valley Road, Wahroonga, NSW, 2076

    ________________________________

    Behalf Of Wellington, Bronwyn
    suction liners in the Operating Suite

    Hello All

    I am looking for a suction disposal system to enable the emptying of
    filled suction liners in the operating suite. I had been given the name
    of a system available in Western Australia but cannot find the
    information.

    Basically I am looking for a system that is fitted to the wall of our
    decontamination room, the staff can take full suction canisters to the
    system and suction out the contents (in less than 2 seconds). The fluid
    then goes into the sewerage system.

    Can anybody recommend a system that can be used with Hospira suction
    canisters?

    Regards

    Bronwyn Wellington I Quality and Infection Control Coordinator

    Quality and Infection Control I Glengarry Private Hospital

    53 Arnisdale Road

    Duncraig WA 6023

    http://www.glengarryprivate.com.au

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    Fiona de Sousa
    Participant

    Author:
    Fiona de Sousa

    Position:

    Organisation:

    State:

    Hi Sony,

    Refer to the Australian / New Zealand Standards for Laundry Practice
    AS/NZS 4146:2000. Section 3 outlines the requirements for thermal and
    chemical disinfection.

    Kind Regards,

    Fiona De Sousa

    Infection Prevention & Control Coordinator

    Sydney Adventist Hospital

    Fiona.Desousa@sah.org.au

    185 Fox Valley Road, Wahroonga, NSW, 2076

    ________________________________

    Behalf Of Sony SO
    process for different fabric

    HI All,

    I am reviewing our hospital’s laundry practices, and I would like to
    know the temperature for laundry – drying process for different fabric.

    (1) for heat liable fabric that is treated by low temperature.

    (2) for general fabric that would stand for higher temperature.

    Yours sincerely,

    Sony SO

    Nursing Officer, Infection Control Team

    Kwong Wah Hospital

    Tel:+ 852 3517-2409 Fax: +852 2332-3348 email:sony@ha.org.hk

    Please consider the environment before printing this e-mail

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    in reply to: water-soluble laundry bags #68975
    Fiona de Sousa
    Participant

    Author:
    Fiona de Sousa

    Position:

    Organisation:

    State:

    Hi Sony,

    We use an external linen contractor. They do not allow us to use water
    soluble bags as these cause issues with their machines. Any
    contaminated linen is put into a normal clear plastic bag and then into
    the linen skip. The laundry manually remove the plastic bags prior to
    reprocessing the linen.

    Kind Regards,

    Fiona De Sousa

    Infection Prevention & Control Coordinator

    Sydney Adventist Hospital

    Fiona.Desousa@sah.org.au

    185 Fox Valley Road, Wahroonga, NSW, 2076

    ________________________________

    Behalf Of Sony SO

    HI All,

    I am reviewing our hospital’s laundry practices, and I would like to
    know whether water soluble bags are commonly used in Australia
    hospitals. If use, how it minimize infection risk, If not, what is the
    limitation?

    Regards,

    Sony SO

    Nursing Officer, Infection Control Team

    Kwong Wah Hospital

    Tel:+ 852 3517-2409 Fax: +852 2332-3348 email:sony@ha.org.hk

    Please consider the environment before printing this e-mail

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    in reply to: Standard three 3.10.1 #68963
    Fiona de Sousa
    Participant

    Author:
    Fiona de Sousa

    Position:

    Organisation:

    State:

    Hi Nicky,

    We have developed an e-learning theoretical package and a theory /
    practical competency assessment for clinical staff who are required to
    use ANNT. We have currently rolled this out to staff and they are
    undertaking the package and assessment.

    To be assessed as competent staff must complete the e-Learning package,
    answer theory questions from their assessor and then demonstrate safe
    practice. We will use completion data as part of the audit process and
    it will also be included in the audit of standard precautions which we
    will be developing.

    I am happy to chat offline about this if you like.

    Kind Regards,

    Fiona De Sousa

    Infection Prevention & Control Coordinator

    Sydney Adventist Hospital

    Fiona.Desousa@sah.org.au

    185 Fox Valley Road, Wahroonga, NSW, 2076

    ________________________________

    Behalf Of Nicola Swindells

    Hi All,

    I am currently completing a gap analysis on Standard three of the
    national standards, I am looking at 3.10.1, 3.10.2 and 3.10.3 which is
    regarding aseptic non touch technique, training, auditing and
    compliance.

    Initially I was taken a back, as I assumed this an element of nurse
    training that occurred very early on in courses whether it hospital
    training or university.

    Although I have since been informed from graduates that pending which
    university they attend is dependant onto what principals they are taught
    as some graduate nurses have informed me they have only been taught
    wound field concept and not aseptic principals.

    I then proceeded to complete some observations in which I documented
    varying practices including touching the bin because the pedal was
    broken and continuing without hand hygiene, I will not comment on all
    but as you can imagine I observed some very unorthodox practices which
    has changed my initial assumption.

    My question to the group is:

    How is everyone planning to ensure a workforce is trained in aseptic
    technique, regularly audited and compliance monitored as stated in
    standard three?

    Many thanks in advance for your thoughts comments and assistance on the
    above.

    Kind Regards

    Nicky Swindells CNC

    Infection Control Coordinator/Wound Management

    Mater Hospitals Central Queensland

    Rockhampton Yeppoon Gladstone

    nswindells@mercycq.com

    07 49313420

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    in reply to: Detergent wipes #68882
    Fiona de Sousa
    Participant

    Author:
    Fiona de Sousa

    Position:

    Organisation:

    State:

    Hi All,

    Our facility uses this product and a combination of sizes, I am happy to
    discuss this off line if you have further questions.

    Kind regards,

    Fiona De Sousa

    Infection Prevention & Control Coordinator

    Sydney Adventist Hospital

    Fiona.Desousa@sah.org.au

    185 Fox Valley Road, Wahroonga, NSW, 2076

    ________________________________

    Behalf Of Houston, Leanne (BHH)

    Carolyn

    We had the same issue and have moved to the smaller canisters that fit
    into the brackets supplied by the company. These actually were more
    cost effective and were consider less wet than the tubs. We have had no
    further complaints.

    Leanne

    Leanne Houston

    Eastern Health Infection Control Coordinator

    Behalf Of Carolyn Ord

    Does anyone use disposable detergent wipes for cleaning non-critical
    items between patients?

    We have started using ‘Tuffies’ brand wipes for cleaning non-critical
    items between patients.

    The ward staff like them – but Theatre staff find the larger wipes from
    the tubs too wet, they take ages to dry & leave a residue.

    The smaller wipes in the flexicans – are too small & dry out in the can.

    I wondered what other hospitals use for cleaning stainless steel
    trolleys & instrument trays between cases.

    Regards,

    Carolyn Ord

    Clinical Nurse Consultant

    Infection Control

    Bowral Hospital

    NSW 2576

    Tel : (02) 4861 0266

    e-mail : Carolyn.ord@sswahs.nsw.gov.au

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    Fiona de Sousa
    Participant

    Author:
    Fiona de Sousa

    Position:

    Organisation:

    State:

    Hi All,

    I have been able to access each of these links today with no difficulty.
    We have now placed it on our hospital intranet and plan to use it in
    future training events.

    Congratulations to the team for producing such a great resource, and
    thankyou to Glen for sharing his story.

    Fiona De Sousa

    Infection Prevention & Control Coordinator

    Sydney Adventist Hospital

    Fiona.Desousa@sah.org.au

    185 Fox Valley Road, Wahroonga, NSW, 2076

    ________________________________

    Behalf Of Helen Scott
    Associated Infections Can Impact on a Person’s Life and Family. Produced
    by The Victorian Infection Control Professionals Association (VICPA)

    Hi Teresa, same here. None of the pages even have clickable links! Apart
    from the AICA and that won’t open. Annoying!! Let me know if you figure
    it out!

    Cheers,

    Helen.

    Helen Scott

    Infection Control Co-ordinator &

    Acute Pain Service Co-ordinator

    Nepean Private Hospital

    Penrith, NSW.

    0247 327333

    Helen.Scott@healthscope.com.au

    Please consider the environment before printing this message

    >>> On 28/11/2011 at 11:08 am, in message
    , Teresa Lewis
    wrote:

    Dear All

    This sounds fantastic, can’t wait to see it.

    Have tried to access the video on all the below links and I cannot
    access it – perhaps the work computers will not allow me, I will try
    this evening at home.

    Thanks for the tip

    Teresa

    Teresa Lewis

    “Infection Prevention is Everyone’s

    Business”

    Infection Control/Prevention

    Clinical Nurse Consultant

    Newcastle Private Hospital

    Email:teresa.lewis@healthscope.com.au

    Please consider the environment before printing this message

    >>> Glenys Harrington 26/11/2011 12:55 pm >>>

    Dear All,

    To support infection control professionals in their infection prevention
    and control initiatives the Victorian Infection Control Professionals
    Association (VICPA) has developed a storytelling video with the
    assistance and support of a family who share their experience and the
    impact that acquiring a hospital associated infection has had on their
    lives.

    The video was launched at The 5th International Congress of the Asia
    Pacific Society of Infection Control (APSIC), 8-11 November 2011,
    Melbourne, Australia

    and we include a link to the abstract:
    http://www.apsic2011.com/abstract/223.asp

    The VICPA Video Project Team would like to share the video with the
    infection control community. The team request that if you display the
    video on your hospital web page (intranet or internet) or in your
    infection control educational material that the title of the video and
    VICPA acknowledgement as outlined below be included:

    Glen’s Story

    How Hospital Associated Infections Can Impact on a Person’s Life and
    Family.

    Produced by The Victorian Infection Control Professionals Association
    (VICPA)

    The video can be accessed at the following web pages and links.

    Australian Infection Control Association(AICA) – home page
    http://www.aica.org.au/

    Hand Hygiene Australia(HHA) – video files
    http://www.hha.org.au/ForHealthcareWorkers/education.aspx#VideoFiles

    The Australian Commission on Safety and Quality in Health Care (ACSQHC)
    – Healthcare Associated Infection (HAI)
    http://www.safetyandquality.gov.au/internet/safety/publishing.nsf/Conten
    t/PriorityProgram-03

    Regards

    Glenys Harrington

    VICPA Video Project Team Coordinator

    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

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    Fiona de Sousa
    Participant

    Author:
    Fiona de Sousa

    Position:

    Organisation:

    State:

    Hi Nicky,

    At our facility the time taken to perform discharge cleaning is as
    follows:

    Standard room 35 – 45 minutes

    Infectious room clean – triclosan- 1 hour (if it is a carpeted room it
    takes extra)

    Infectious room clean – nocospray- 1 1/2 hours (if it is a carpeted room
    it takes extra)

    Infectious room clean – bleach- 2 hours (if it is a carpeted room it
    takes extra)

    I am happy to discuss our cleaning schedules off line if you would like.

    Kind Regards,

    Fiona De Sousa

    Infection Prevention & Control Coordinator

    Sydney Adventist Hospital

    Fiona.Desousa@sah.org.au

    185 Fox Valley Road, Wahroonga, NSW, 2076

    ________________________________

    Behalf Of Nicola Swindells
    discharge both normal and isolation.

    Hi All,

    Currently we are reviewing our cleaning schedules in line with the
    National infection control guidelines. We have observed hospitality
    staff completing the cleaning of rooms on discharge as below.

    My question is, has anyone else done this and if so does it look
    similar? My concern is that rooms are not always getting cleaned
    properly on discharge particularly when there is a push on beds.
    Particularly in isolation rooms when curtains and carpets are required
    to be changed/cleaned I am concerned other things get missed in an
    attempt to speed up the process. Until we observed the cleaning of rooms
    we assumed it only took 30 minutes.

    Does anyone have any checklists for normal and isolation rooms that they
    can share?

    Room isolation clean:

    Normal Clean of a carpeted room

    20 minutes per person – 3 people.

    Noticed walls were done in room (probably only need to be run over with
    the duster??)

    60 minutes

    Room normal clean with vinyl:

    Normal Clean vinyl room

    No furniture in room

    2 staff – 12 minutes each

    24 minutes

    Room isolation with carpets and curtain change:

    Isolation Bay Bed including carpet and curtains

    No furniture needed doing as it was moved with patient

    Toilet and shower rooms both done

    2 staff – 50 minutes – curtains (down and replaced), toilet and room

    1 staff – 17 minutes carpets

    117 minutes (almost 2 hours)

    Kind Regards

    Nicky Swindells CNC

    Infection Control Coordinator/Wound Management

    Mater Hospitals Central Queensland

    Rockhampton Yeppoon Gladstone

    nswindells@mercycq.com

    07 49313420

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    in reply to: FW: Discussion request #68818
    Fiona de Sousa
    Participant

    Author:
    Fiona de Sousa

    Position:

    Organisation:

    State:

    Hi Lyndall,

    Our facility does not routinely allow for the return of these items to patients. However there is provision for their return in specific circumstances (e.g. cultural, religious, legal reasons) this request needs to be made in advance so that it can be fully considered and appropriately prepared for.

    I am only aware of this happening on a couple of occasions in 5 years and the request has never been from a surgeon.

    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 Lyndall

    I have been invovlved in a group developing a WA Health state policy in relation to this issue. Currently it is still draft and out for consultation.

    Hopefully it should be available on website by end of month. It states:

    While the Department of Health does not support the release of human tissue or explanted medical devices, because of the potential public health risks associated with the uncontrolled storage and disposal, consideration will be given to requests for the return of human tissue or explanted medical devices for reasons of cultural, religious, or personal conviction.

    There is a section specifically on explanted devices.

    If you would like further information you can email me directly

    Kind Regards

    Rebecca

    Rebecca McCann Program Manager

    Healthcare Associated Infection Unit (HAIU)
    Communicable Disease Control Directorate Department of Health
    Grace Vaughan House
    227 Stubbs Terrace
    SHENTON PARK WA 6008
    T:08 9388 4859 M:0439 920 819 F:08 9388 4888
    E:rebecca.mccann@health.wa.gov.au

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    ________________________________

    Hello all

    Despite a clear hospital policy in regard to the Handling and Disposal of Explanted Items and Human Tissue some of the orthopaedic surgeons continue to request that metal plates, screws and prosthesis be reprocessed in CSSD.

    One of the surgeons has recently written to the hospital stating that the reason for these ongoing reprocessing requests is that:

    It is relevant to examine explanted prostheses to gain further understanding of wear patterns, bone ingrowth or the lack of ingrowth, and metal or polyethylene failure. These items do not pose a threat. They are routinely examined in similar manner in Public Institutions, after sterilization.

    I strongly support the hospitals policy that the explanted items should not be reprocessed but the surgeon is adamant that this practice routinely occurs in many public hospitals.

    I would really appreciate feedback from other hospitals in regard to this issue.

    Lyndall Finn RN/RM Grad Dip Infectious Disease / Population Health
    Infection Control Consultant
    The Burnside War Memorial Hospital Inc.
    120 Kensington Road

    Toorak Gardens

    South Australia 5065

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    in reply to: Transmission based precautions signage #68802
    Fiona de Sousa
    Participant

    Author:
    Fiona de Sousa

    Position:

    Organisation:

    State:

    Hi Nicky,

    At our facility there was quite a lot of concern about patient privacy
    in relation to signage. We have compromised. The poster states
    ‘patient protection’ and is colour coded to the type of precautions
    required. All staff have an information tag to wear with their ID which
    tells them what each coloured poster means. There is also a ‘quick
    reference guide’ in every nurses station.

    Of course it is quite obvious that the patient has something ‘different’
    going on due to the PPE and additional rubbish bins required for each
    room.

    I am happy to share our posters with you if you would like.

    Kind Regards,

    Fiona De Sousa

    Infection Prevention & Control Coordinator

    Sydney Adventist Hospital

    Fiona.Desousa@sah.org.au

    185 Fox Valley Road, Wahroonga, NSW, 2076

    ________________________________

    Behalf Of Nicola Swindells
    signage

    Hi All,

    I work in a private hospital who currently uses a colored magnet outside
    the patients room to denote if any precautions are required, for example
    yellow is for contact etc. This had been fraught with problems due to
    people often unaware of there meanings, forgetting or missing the
    magnets.

    I have seen some posters to place on doors released by the commission
    outlining appropriate PPE and what type of precautions are in place.

    I wondered from a privacy issue what other private hospitals were doing
    with regards to patients in isolation and whether they were using
    posters on doors. I have had comments that if a poster is on the door
    then it is obvious to others walking past that the patient has an
    infection.

    I would welcome your thoughts and opinions on this subject.

    Kind Regards

    Nicky Swindells CNC

    Infection Control Coordinator/Wound Management

    Mater Hospitals Central Queensland

    Rockhampton Yeppoon Gladstone

    nswindells@mercycq.com

    07 49313420

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