[Fiona de Sousa]

Hi Lindy,

We have a risk assessment tool that was developed in house to guide
placement of ‘unknown’ high risk MRO patients until swab results are
known.

Happy to share it with you but it may not be 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, 2076

—–Original Message—–
Behalf Of Julie Hunt
control re MRO pts – can anyone advise

Hi Lindy,

We don’t have anything here

Regards

Julie

Julie Hunt
Clinical Nurse Consultant | Infection Prevention and Control
Royal North Shore Hospital, Reserve Rd, St Leonards 2065
Tel 02 9926 7914 | Fax 02 9926 6161 | juhunt@nsccahs.health.nsw.gov.au

>>> Lindy Ryan 20/10/2011 5:17 pm
>>>

Dear Colleagues
I have been asked by my executive to check if anyone out there has
developed a formal tool for “rating infectious control patients. For
example an infectious patient with no drips /drains/ wound rated as a 1
where as a 3 for a patient with wounds /drips and drains?” that is used
by their their facility/service
apparently some one has one developed hence our executive putting this
forward as strategy to be considered for managing our bed block related
to infection control risk pts …..I would think they are largely
referring to MRSA pt’s.
anyhow any advice or if anyone knows of one or if there is any
literature or research supporting this approach for categorising pts
with an MRO using such a tool I would be most appreciative.
I am aware that pts without drains drips, good skin integrity etc may be
lower risk of picking/spreading MROs (as we all know) a but i have not
seen anything formalised or in concrete using a tool without the need
for clinical/ infection control consideration which is more what I was
after. I think my management are hoping for a one hat fits all approach
to managing infection control issues/pts after hours when Infection
control expertise is not available …hence me asking to see if anyone
has developed something that is safe and workable.
many thanks for any help
have a great day all
regards

Lindy
Lindy Ryan

Infection Control Clinical Nurse Consultant | Infection Control
Services, Nepean Hospital
Nepean Blue Mountains Local Health District PO Box 63 Penrith NSW 2751
Tel 02 4734 2228 | Fax 02 4734 2517 | lindy.ryan@swahs.health.nsw.gov.au

http://www.health.nsw.gov.au

Infection prevention & control is everyone’s business

___________________________________

attachments) may be confidential and may also be subject to legal
professional privilege.

Unless you are the intended recipient any unauthorised use,
dissemination,further distribution or reproduction of this communication
in any form whatsoever, is strictly prohibited.

If this communication has been sent to you in error, please notify the
sender by return e-mail and delete and/or destroy your copy of this
communication (including attachments).

Any views expressed in this communication are those of the individual
sender, except where the sender states them to be the views of the
Nepean Blue Mountains Local Health District/Western Sydney Local Health
District.

Unless otherwise expressed, it is not represented, warranted or
guaranteed that the integrity of this communication has been maintained
nor that the communication is free of virus, errors or interference.

10/20/11 – 17:17:39

Messages posted to this list are solely the opinion of the authors, and
do not represent the opinion of AICA.

Archive of all messages are available at http://aicalist.org.au/archives
– registration and login required.

Replies to this message will be directed back to the list. To create a
new message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’
(without the quotes) to listserv@aicalist.org.au

Messages posted to this list are solely the opinion of the authors, and
do not represent the opinion of AICA.

Archive of all messages are available at http://aicalist.org.au/archives
– registration and login required.

Replies to this message will be directed back to the list. To create a
new message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’
(without the quotes) to listserv@aicalist.org.au

If you are not the intended recipient you are hereby notified that any dissemination, distribution or reproduction of this message
is prohibited. If you have received this message in error please notify the sender immediately, then destroy the original message.
Any views expressed in this message are solely those of the individual sender, except where the sender is specifically authorised
by Sydney Adventist Hospital to state that they are the views of Sydney Adventist Hospital.
_____________________________________________________________________
This e-mail has been scanned for viruses by Symantec Hosted Services
Scanning Services – powered by MessageLabs. For further information
visit http://www.messagelabs.com

Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of AICA.

Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

[Fiona de Sousa]

Hi Sony,

The latest version of these guidelines is the third edition published in
2010. Section 2 (2.1 – 2.7) outlines the manual disinfection process.

Our facility uses manual cleaning, with automated disinfection using an
Automated Flexible Endoscope Reprocessor.

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
endoscopes is not allowed in Australian

Dear All,

My hospital is preparing for the hospital Accreditation in accordance
with Australian Council on Healthcare Standards
(ACHS)’s audit criteria.

We are not familiar with the Australian’s infection control practices,
and we would like to have your comment for whether manual disinfection
process for used endoscopes is allowed in Australian.

We have reviewed The Gastroenterological Society of Australia. Infection
Control in Endoscopy
Second
Edition 2003. Reprinted 2006
http://www.gesa.org.au/pdf/booklets/I_Control_2nd_Edition.pdf, and
manual disinfection is recommended. Refer to page 31 fro details.

Regards,

Sony SO

Nursing Officer, Infection Control Team

Kwong Wah Hospital

HONG KONG SAR, CHINA

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

Please consider the environment before printing this e-mail

________________________________

************************************************************************
***
Disclaimer

This Email may contain privileged and confidential information and is
solely for the use of the intended recipient. If you are not the
intended recipient, you must not print, copy, distribute or take any
action in reliance on it. If you have received this Email by mistake,
please notify the sender and then delete this Email from your computer.
The Hospital Authority does not accept liability arising from Email
transmitted by mistake.

Although this Email and any attachments are believed to be free of virus
or other defects that might affect any computer system into which it is
received and opened, it is the responsibility of the recipient to ensure
that it is virus free, and no responsibility is accepted by the Hospital
Authority for any loss or damage in any way arising from its use.

All views or opinions expressed in this Email and its attachments are
those of the sender and do not necessarily reflect the views and
opinions of the Hospital Authority.
************************************************************************
** *

Messages posted to this list are solely the opinion of the authors, and
do not represent the opinion of AICA.

Archive of all messages are available at http://aicalist.org.au/archives
– registration and login required.

Replies to this message will be directed back to the list. To create a
new message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’
(without the quotes) to listserv@aicalist.org.au

If you are not the intended recipient you are hereby notified that any dissemination, distribution or reproduction of this message
is prohibited. If you have received this message in error please notify the sender immediately, then destroy the original message.
Any views expressed in this message are solely those of the individual sender, except where the sender is specifically authorised
by Sydney Adventist Hospital to state that they are the views of Sydney Adventist Hospital.
_____________________________________________________________________
This e-mail has been scanned for viruses by Symantec Hosted Services
Scanning Services – powered by MessageLabs. For further information
visit http://www.messagelabs.com

Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of AICA.

Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

[Fiona de Sousa]

Hi Teresa,

We use 70% alcohol as skin prep. In relation to the 5 moments with
pathology collectors we found poor compliance with our initial auditing
but it has improved with repeated audits.

We spent time with the collectors discussing the 5 moments and pulling
apart a blood collect to determine the critical points of it. The
manager of the area is also very supportive which has assisted in
change.

We have defined the start point of the procedure as the application of
the tourniquet. Throughout the procedure staff can access items from
the top of their trolley e.g. skin prep / blood tubes etc. However if
they open the drawer of the trolley to get something this is considered
a break in the procedure and hand hygiene is expected.

Once staff understood this their compliance rates improved as did their
preparedness pre procedure.

Kind Regards,

Fiona De Sousa
Infection Prevention & Control Coordinator, SAH

—–Original Message—–
Behalf Of Matthias.Maiwald@KKH.COM.SG

Dear Teresa, dear Group,

Here is a recent meta-analysis on this topic:

http://www.ncbi.nlm.nih.gov/pubmed/21194791

It becomes clear that the best results were obtained with alcohol-based
products. Alcoholic iodine tincture performed well, as did a combination
of
alcohol plus chlorhexidine, as you describe. The authors also state that
alcohol alone (e.g. 70% isopropanol) was not inferior to any of the
combination products where alcohol is combined with other ingredients.
The
authors also conclude that alcohol on its own may be OK to use, but
there
not enough data points comparing alcohol alone versus alcohol plus
chlorehexidine.

The authors also conclude, as we have also stated in an earlier letter
to
the editor () that skin antisepsis prior to blood culture collection
requires powerful immediate microbial kill, but no sustained action (as
opposed to central venous catheters and surgical sites). When looking at
the chlorhexidine component in the combination of alcohol plus
chlorhexidine, that, however, is the main contribution from
chlorhexidine,
not the immediate kill.

Further important for blood culture collection, although not well
documented in publications, is repeated application of the antiseptic
(e.g.
2 x) and an overall contact time of 1-2 minutes, which is distinctly
longer
than for ordinary venipuncture.

Best regards, Matthias.

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

Teresa Lewis

To
Sent by: AICA AICALIST@AICALIST.ORG.AU

Infexion
cc
Connexion

Blood collection

19/05/2011 09:25

AM

Please respond to

AICA Infexion

Connexion

Hello everyone

I would like to know what the practice is in other facilities for skin
preparation prior to blood collection, especially prior to collection of
blood for blood cultures?

I believe best practice is to prep skin with 70%alcohol + 2%
chlorhexidine,
am I correct in this?

Yet I find that the practice of most blood collectors is to use just 70%
alcohol. And I note that as much education I give to them re-the 5
Moments,
their habits are very difficult to change.
They are performing a procedure which involves great risk of
contamination
to the patient yet, it appears that all staff do their own thing
re-technique and sequence of doing things and glove use.

It also seems that as soon as I have trained someone in the correct
technique in regards to hand hygiene they are then moved to another
location and I need to start all over again. Some of the staff feel
that
they have been doing the same job for 20 years and don’t feel there is
need
to change anything.
Has anyone had any success in involving the pathology/ blood collecting
staff in the ownership of prevention of infection? If you have, could
you
please share how you have done it.

Thanks, hope you all have a great day.
PS. (Sorry if this is a dumb query)
Teresa

Teresa Lewis
Infection Control/Prevention
Clinical Nurse Consultant
Newcastle Private Hospital
Email:teresa.lewis@healthscope.com.au

P Please consider the environment before printing this message

“IMPORTANT – This email contains confidential information intended only
for
the person named above
and may be subject to legal privilege. If you are not the intended
recipient, any disclosure, copying or use
of this information is prohibited. Healthscope provides no guarantee
that
this communication is free of
virus or that it has not been intercepted or interfered with. If you
have
received this email in error or have
any other concerns regarding its transmission, please notify
Postmaster@healthscope.com.au. You must
destroy the original transmission and its contents. Any views expressed
within this communication are
those of the individual sender, except where the sender specifically
states
them to be the views of
Healthscope. If this document is not required for record keeping
purposes
please consider the
environment before storing or printing. This communication should not be
copied or disseminated without
permission”.

Messages posted to this list are solely the opinion of the authors, and
do
not represent the opinion of AICA.

Archive of all messages are available at http://aicalist.org.au/archives
–
registration and login required.

Replies to this message will be directed back to the list. To create a
new
message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’
(without
the quotes) to listserv@aicalist.org.au

————————————————————————
—–
The information contained in this e-mail or in any attachment is
confidential and may be privileged. If you are not the intended
recipient,
you are not authorised to read, print, retain, copy, disseminate,
distribute, or use this e-mail or any part thereof. If you receive this
e-mail in error, please notify the sender immediately by e-mail and
delete
all copies of this e-mail. All opinions, conclusions and other
information
expressed in this e-mail that are not of an official nature shall not be
deemed as given or endorsed by KK Women’s & Children’s Hospital.

Insofar as this e-mail contains any medical opinion or advice, the
medical
opinion or advice is premised solely on the extent of medical
information
available to the writer of this e-mail and, where applicable, qualified
by
the lack of direct physical assessment and personal evaluation of the
patient. Any medical opinion or advice expressed in this email does not
necessarily represent the views of KK Women’s & Children’s Hospital.

Messages posted to this list are solely the opinion of the authors, and
do not represent the opinion of AICA.

Archive of all messages are available at http://aicalist.org.au/archives
– registration and login required.

Replies to this message will be directed back to the list. To create a
new message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’
(without the quotes) to listserv@aicalist.org.au

If you are not the intended recipient you are hereby notified that any dissemination, distribution or reproduction of this message
is prohibited. If you have received this message in error please notify the sender immediately, then destroy the original message.
Any views expressed in this message are solely those of the individual sender, except where the sender is specifically authorised
by Sydney Adventist Hospital to state that they are the views of Sydney Adventist Hospital.
_____________________________________________________________________
This e-mail has been scanned for viruses by Symantec Hosted Services
Scanning Services – powered by MessageLabs. For further information
visit http://www.messagelabs.com

Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of AICA.

Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

[Fiona de Sousa]

Hi Ruth,

Our facility originally looked at this item but were not convinced about
the cleaning / disinfection requirements as outlined by the company. We
are currently reviewing an alternative product.

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—–
Behalf Of Jenny McCarthy
glidescope using disposable baldes

Hi Ruth

We use this videolaryngoscope in the operating room here – the company
do have a reusable blade that we high level disinfect (soluscope
machine) between uses and terminally sterilise (thru the
Sterrad machine) at the end of the day. Might be a bit more tricky for
you in the ER though!

Jenny McCarthy
Maryvale Private Hospital
Morwell

—–Original Message—–
Behalf Of Wishart, Michael
glidescope using disposable baldes

Hi Ruth

We looked at some similar devices here, and I was concerned that these
devices use a ‘sheath’, which means the device part covered by the
sheath (that enters mucous membrane area) would need high level
disinfection between uses. Never really resolved this, as manufacturer
stated it was not a sheath, so we were all set to do some clinical
testing of contamination of the device under the hard plastic cover in
use, when the doctors decided to buy a difference scope that was fully
sterilisable, so we dropped the whole thing.

I had mixed opinions from colleagues about this when I posted to this
list in March last year, so will be interested in further comments here.
You can see that thread if you search ‘sheath’ in the website archives.

Cheers
Michael

Michael Wishart | GPH – Infection Control Coordinator

GPH – Quality & Safety Unit (Infection Control) | Greenslopes Private
Hospital
Newdegate Street, Greenslopes QLD 4120
t: 07 3394 7919 | f: 07 3394 7985
e: WishartM@ramsayhealth.com.au | w: http://www.ramsayhealth.com.au

Ramsay Health Care is an environmentally responsible corporation, please
consider the environment before printing this email.
________________________________________
Behalf Of Ruth Barratt
glidescope using disposable baldes

Hi all,
I would appreciate input for this query from my cross-Tasman colleagues.

I am currently working in an acute care tertiary hospital and the
emergency department has recently purchased a new videolaryngoscope –
The Glidescope. It has a digital camera incorporated in the blade which
displays a view of the vocal cords on a monitor. This instrument has
been on the market for a number of years originating from Canada. I am
told that some Australian facilities uses it too.

The model we have purchased uses a single use blade that fits snugly
(clicks into place) and is totally enclosed. – that is there is no
opening in the plastic blade at the end.

My question is for any one that is familiar with this piece of
equipment. Are you satisfied that the single use blades negate the need
to high-level disinfect the video baton that inserts into these blades.
The product rep suggests that routine high-level disinfection of the
baton is not required between cases and that the baton need only be
wiped down with detergent and a 70% alcohol wipe if necessary. The baton
is capable of being high-level disinfected if it is visibly contaminated
but this is not usually undertaken routinely.

Apparently it is routine practice worldwide to accept the single use
blades as an adequate precaution to prevent cross infection between
patients.

Any opinions or advice would be appreciated.

Regards

Ruth

Ruth Barratt
Clinical Nurse Specialist – Infection Prevention and Control
Christchurch Hospital
New Zealand

This e-mail message and any accompanying files may contain
information that is confidential and subject to privilege. If you
are not the intended recipient, and have received the e-mail
in error, you are notified that any use, dissemination,
distribution, forwarding, printing or copying of the message
and any attached files is strictly prohibited. If you have
received this e-mail message in error please immediately
advise the sender by return e-mail, or telephone 1800 243 903.
You must destroy the original transmission and its contents.
Any views expressed within this communication are those of
the individual sender, except where the sender specifically
states them to be the views of Ramsay Health Care.
This communication should not be copied or disseminated
without permission.
————————————————————————

Messages posted to this list are solely the opinion of the authors, and
do not represent the opinion of AICA.

Archive of all messages are available at http://aicalist.org.au/archives
– registration and login required.

Replies to this message will be directed back to the list. To create a
new message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’
(without the quotes) to listserv@aicalist.org.au
Maryvale Private Hospital Confidentiality and Privacy Notice

This email and any attachments transmitted with it are confidential and
may be subject to legal professional privilege. If you are not the
intended recipient, you are prohibited from using, disclosing, or
copying the information (including any personal information) contained
in it unless lawfully authorised to do so by the intended recipient. Any
misuse may contravene Australian privacy and other laws where personal
information is included.
If you have received this email in error, please inform us by return
email and
then delete the all copies of the email and any attachments from your
mailbox and computer storage.

Messages posted to this list are solely the opinion of the authors, and
do not represent the opinion of AICA.

Archive of all messages are available at http://aicalist.org.au/archives
– registration and login required.

Replies to this message will be directed back to the list. To create a
new message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’
(without the quotes) to listserv@aicalist.org.au

If you are not the intended recipient you are hereby notified that any dissemination, distribution or reproduction of this message
is prohibited. If you have received this message in error please notify the sender immediately, then destroy the original message.
Any views expressed in this message are solely those of the individual sender, except where the sender is specifically authorised
by Sydney Adventist Hospital to state that they are the views of Sydney Adventist Hospital.
_____________________________________________________________________
This e-mail has been scanned for viruses by Symantec Hosted Services
Scanning Services – powered by MessageLabs. For further information
visit http://www.messagelabs.com

Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of AICA.

Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

[Fiona de Sousa]

Hi Beth,

Refer to the Australasian Health Facility Guidelines, Part D- Infection
Prevention and Control http://www.healthfacilityguidelines.com.au/

This document provides information on the four different types of basins
required in a hospital and their specific uses. Also the AHFG provide
room layout ‘standard components’ sheets which also tell you what type
of hand basin is required including its purpose.

Although you may not be undertaking any renovations / building works the
infection prevention and control section is still sound advice and is
mandatory for NSW (it is listed in the front of the NSW Health
PD2007_036).

I can’t help you on the laundering of patient clothing as we
specifically removed all patient washing machines and clothes dryers a
number of years ago.

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 Beth Bint
and Laundering of Patientclothing in hospitals

Hi All

Clinical Hand Basins

Does any one know of any Australian guidelines/standards/policies that
state: clinical hand basins are only to be used for hand hygiene
purposes?

Laundering of Patient Clothing Guidelines

Does anyone have a local policy/procedure/guideline for the laundering
of patient clothing within a healthcare facility that you would like to
share?

Thank you

Beth

Beth Bint | Clinical Nurse Consultant Infection Prevention and Control,

Infection Management and Control Service (IMACS)

The Wollongong Hospital|* ph +61 2 4222 5869 *page 182 via switch+61 2
4222 5000| * beth.bint@sesiahs.health.nsw.gov.au

————————————————————————
———————

SOUTH EASTERN SYDNEY AND ILLAWARRA AREA HEALTH SERVICE CONFIDENTIALITY
NOTICE

This email, and the files transmitted with it, are confidential and
intended solely for the use of the individual or entity to whom they are
addressed. If you are not the intended recipient, you are not permitted
to distribute or use this email or any of its attachments in any way. We
also request that you advise the sender of the incorrect addressing.

This email message has been virus-scanned. Although no computer viruses
were detected, South Eastern Sydney and Illawarra Area Health Service
accept no liability for any consequential damage resulting from email
containing any computer viruses.

Messages posted to this list are solely the opinion of the authors, and
do not represent the opinion of AICA.

Archive of all messages are available at http://aicalist.org.au/archives
– registration and login required.

Replies to this message will be directed back to the list. To create a
new message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’
(without the quotes) to listserv@aicalist.org.au

If you are not the intended recipient you are hereby notified that any dissemination, distribution or reproduction of this message
is prohibited. If you have received this message in error please notify the sender immediately, then destroy the original message.
Any views expressed in this message are solely those of the individual sender, except where the sender is specifically authorised
by Sydney Adventist Hospital to state that they are the views of Sydney Adventist Hospital.
_____________________________________________________________________
This e-mail has been scanned for viruses by Symantec Hosted Services
Scanning Services – powered by MessageLabs. For further information
visit http://www.messagelabs.com

Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of AICA.

Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

[Fiona de Sousa]

Hi Lesley,

Our facility has used a 1% CHG in 75% ethanol skin prep for epidurals
for quite a number of years without incident. However we reviewed this
earlier this year following an article in the journal Anaesthesia News
titled ‘The Truth, The Whole Truth” (available at the following
website):
http://www.aagbi.org/publications/anaesthesia_news/2010/feb2010.pdf

We were not able to find any guidelines clearly specifying the strength
for epidural skin prep. However an e-letter discussion sparked by the
following article was helpful.

T. M. Cook, D. Counsell, and J. A. W. Wildsmith Major complications of
central neuraxial block: report on the Third National Audit Project of
the Royal College of Anaesthetists Br. J. Anaesth. (2009) 102(2):
179-190 first published online January 12, 2009 doi:10.1093/bja/aen360

After a lengthy investigation and multidisciplinary review it was agreed
to continue using the current skin prep. I am happy to discuss this
offline if you want further information.

Regards,

Fiona De Sousa

Infection Prevention & Control Coordinator, SAH

02 9487 9732

—–Original Message—–
Behalf Of Lesley Lewis
insertion

Can someone please direct me to any documentation guiding the most
appropriate strength of chlorhexidine for skin disinfection prior to
epidural insertion.

I am reviewing a request to use 0.5% chlorhexidene in 70% alcohol to
minimise any risk from residual chlorhexidene being transmitted on the
needle to the meninges. While there is information available for
prevention of catheter related bloodstream infections my lit search has
not found anything specifying the ideal strength for epidural insertion.

thanks Lesley Lewis

Regional Infection Control Consultant

Hume Region Infection Control Resosurce and Consulting Service

Messages posted to this list are solely the opinion of the authors, and
do not represent the opinion of AICA.

Archive of all messages are available at http://aicalist.org.au/archives
– registration and login required.

Replies to this message will be directed back to the list. To create a
new message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’
(without the quotes) to listserv@aicalist.org.au

If you are not the intended recipient you are hereby notified that any dissemination, distribution or reproduction of this message
is prohibited. If you have received this message in error please notify the sender immediately, then destroy the original message.
Any views expressed in this message are solely those of the individual sender, except where the sender is specifically authorised
by Sydney Adventist Hospital to state that they are the views of Sydney Adventist Hospital.
_____________________________________________________________________
This e-mail has been scanned for viruses by Symantec Hosted Services
Scanning Services – powered by MessageLabs. For further information
visit http://www.messagelabs.com

Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of AICA.

Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

[Fiona de Sousa]

Hi Sue,

Our facility introduced rapid PCR for MRSA swabs for all our patient
groups. However there are high costs associated with this introduction
and we have had to revise the groups that use this method. We are now
using a combination of culture and PCR. PCR is used for any patient
identified in the Emergency dept as being a ‘high risk’ MRO, this
includes our #NOF patients, it is also used in the ICU.

I am happy to speak with you off line about our facility experience.

In relation to the decolonisation for pre-op patients this is done on
the advice of the ID physician to the surgeon prior to admission.
Generally colonised patients having surgery have vancomycin alone for
prophylaxis – but this can vary depending on the surgeon.

Fiona De Sousa

Infection Prevention & Control Coordinator

Sydney Adventist Hospital

Fiona.Desousa@sah.org.au

185 Fox Valley Road, Wahroonga, NSW, 2076

________________________________

Behalf Of Thorpe, Sue
for ortho emerg procedures

Dear colleagues

We currently perform MRSA screening (culture) for all of our patients
undergoing elective orthopaedic hips and knees prosthetic procedures.
The swabs are taken in pre admission clinic and if they come back MRSA
positive a decolonisation program is implemented and the antibiotic
prophylaxis adjusted.

We now wish to extend the screening to our non elective and emergency
patients with #NOF’s using the rapid Gene Expert PCR so we can get the
results back quickly before the surgery. We anticipate that we would
need the emergency department staff to perform the screening when the
patient presents.

We would like to ask 3 questions:

1. is anybody out there using the rapid Gene Expert PCR for this type of
screening and if so are there any issues or advice you could offer.

2. what do you use for your pre op decolonisation eg. nasal mupirocin,
tricolan, chlorhex body washes

3. for patients colonised with MRSA do you use IV vancomycin alone or
with cephazolin

Thanks for your help

Warm regards

Sue

Sue Thorpe

Clinical Nurse Consultant

Senior Infection Preventionist

Employee Exposure Management & Immunisation Services (EEMIS)

Infection Prevention and Control Unit

Peninsula Health

PO Box 52

Frankston 3199

Peninsula Health – Metropolitan Health Service of the Year 2007 & 2009

Messages posted to this list are solely the opinion of the authors, and
do not represent the opinion of AICA.

Archive of all messages are available at http://aicalist.org.au/archives
– registration and login required.

Replies to this message will be directed back to the list. To create a
new message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’
(without the quotes) to listserv@aicalist.org.au

If you are not the intended recipient you are hereby notified that any dissemination, distribution or reproduction of this message
is prohibited. If you have received this message in error please notify the sender immediately, then destroy the original message.
Any views expressed in this message are solely those of the individual sender, except where the sender is specifically authorised
by Sydney Adventist Hospital to state that they are the views of Sydney Adventist Hospital.
_____________________________________________________________________
This e-mail has been scanned for viruses by Symantec Hosted Services
Scanning Services – powered by MessageLabs. For further information
visit http://www.messagelabs.com

Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of AICA.

Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

[Fiona de Sousa]

Hi Michael,

At our facility we have one Orthopaedic ward and a second surgical ward
that takes the MRO positive orthopaedic patients as well as other types
of surgery.

Our surgeons generally complain when their MRO positive patient does not
get accommodated on the orthopaedic ward however the same surgeons get
quite upset if anyone else’s MRO positive patient makes it onto the
orthopaedic ward ! We keep reminding them of this and they are
generally ok about it.

We do have one exception to this rule and that is in the case where
extremely specialist orthopaedic nursing care is required. In this
situation we would isolate the patient on the orthopaedic ward with
contact precautions and either 1 to 1 nursing care or a very select
patient load for the nurse caring for them. This is extremely rare
though (less than 1 patient per year).

In relation to wound infections if it is caused by an MRO then the
patient will be accommodated in the second ward. However if it is an
infection caused by another organism they have a single room in the
orthopaedic ward and the staff use standard precautions.

I do not have a specific guideline about this but it is based on advice
form our ID physician and the Orthopaedic section.

Fiona De Sousa
Infection Prevention & Control Coordinator, SAH

—–Original Message—–
Behalf Of Wishart, Michael

Hi all

Just some quick questions about orthopaedic patients with infections.

1. Do you accommodate orthopaedic patients with active wound infection
on your post-op orthopaedic wards?
2. In particular, do you accommodate orthopaedic joint surgery patients
with active wound infections on the same ward as post-op orthopaedic
joint surgery patients?
3. Do you allow patients colonised with MRSA or ESBL’s to be
accommodated on the same ward as post-op orthopaedic joint surgery
patients?
4. If yes to any of the above, are patients on orthopaedic wards with
colonisation or infections always placed in single rooms?

These are contentious issues for orthopaedic surgeons in our facility
(and probably many other facilities!), so any comments or thoughts on
risks and risk management strategies to prevent joint infections
post-operatively would be appreciated.

Does any one know of any useful published guidelines about this?

Thanks
Michael

Michael Wishart | GPH – Infection Control Coordinator

GPH – Quality & Safety Unit (Infection Control) | Greenslopes Private
Hospital
Newdegate Street, Greenslopes QLD 4120
t: 07 3394 7919 | f: 07 3394 7985
e: WishartM@ramsayhealth.com.au | w: http://www.ramsayhealth.com.au

Ramsay Health Care is an environmentally responsible corporation, please
consider the environment before printing this email.

This e-mail message and any accompanying files may contain
information that is confidential and subject to privilege. If you
are not the intended recipient, and have received the e-mail
in error, you are notified that any use, dissemination,
distribution, forwarding, printing or copying of the message
and any attached files is strictly prohibited. If you have
received this e-mail message in error please immediately
advise the sender by return e-mail, or telephone 1800 243 903.
You must destroy the original transmission and its contents.
Any views expressed within this communication are those of
the individual sender, except where the sender specifically
states them to be the views of Ramsay Health Care.
This communication should not be copied or disseminated
without permission.
————————————————————————

Messages posted to this list are solely the opinion of the authors, and
do not represent the opinion of AICA.
Archive of all messages are available at http://aicalist.org.au/archives
– registration and login required.
Replies to this message will be directed back to the list. To create a
new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’
(without the quotes) to listserv@aicalist.org.au

If you are not the intended recipient you are hereby notified that any dissemination, distribution or reproduction of this message
is prohibited. If you have received this message in error please notify the sender immediately, then destroy the original message.
Any views expressed in this message are solely those of the individual sender, except where the sender is specifically authorised
by Sydney Adventist Hospital to state that they are the views of Sydney Adventist Hospital.
_____________________________________________________________________
This e-mail has been scanned for viruses by Symantec Hosted Services
Scanning Services – powered by MessageLabs. For further information
visit http://www.messagelabs.com

Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of AICA.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

[Fiona de Sousa]

Hi Michael,

We have two day chemotherapy / infusion units and both use hot packs for
warming veins.

Fiona De Sousa
Infection Prevention & Control Coordinator,
Syndey Adventist Hospital
02 9487 9732

—–Original Message—–
Behalf Of Chard, Colette

Hi Michael,

In OT we utilize the warming towels/ blankets from the warming cabinets.
I know some of our patients aren’t at high risk of poor veins as in on
oncology but it maybe food for thought

Thanks

Colette Chard
Infection Control Coordinator
Clinical Nurse Day Surgery
North West Private Hospital
137 Flockton St.,
Everton Park

07 3246 3145 / 3246 3183(Tuesdays)
email:chardc@ramsayhealth.com.au

—–Original Message—–
Behalf Of Wishart, Michael

In our day oncology unit, to help with cannulation of patients with
difficult to access peripheral veins, they are using a tub of warm water
to soak a patient’s hand or arm in for 15-20 minutes prior to
cannulation to make the vein more accessible. Whilst the limb is dried
and appropriate skin antisepsis is performed prior to cannulation, there
are some other concerns with this practice (more related to staff and
patient safety than infection control) and thus we are looking at
alternatives. Apart from warm towels and hot packs (which do not hold
heat long enough, according to the staff of the unit), does anyone know
of any other methods limbs can be warmed safely prior to cannulation?

Thanks
Michael

Michael Wishart | GPH – Infection Control Coordinator

GPH – Quality & Safety Unit (Infection Control) | Greenslopes Private
Hospital
Newdegate Street, Greenslopes QLD 4120
t: 07 3394 7919 | f: 07 3394 7985
e: WishartM@ramsayhealth.com.au | w: http://www.ramsayhealth.com.au

Ramsay Health Care is an environmentally responsible corporation, please
consider the environment before printing this email.

This e-mail message and any accompanying files may contain
information that is confidential and subject to privilege. If you
are not the intended recipient, and have received the e-mail
in error, you are notified that any use, dissemination,
distribution, forwarding, printing or copying of the message
and any attached files is strictly prohibited. If you have
received this e-mail message in error please immediately
advise the sender by return e-mail, or telephone 1800 243 903.
You must destroy the original transmission and its contents.
Any views expressed within this communication are those of
the individual sender, except where the sender specifically
states them to be the views of Ramsay Health Care.
This communication should not be copied or disseminated
without permission.
————————————————————————

Messages posted to this list are solely the opinion of the authors, and
do not represent the opinion of AICA.
Archive of all messages are available at http://aicalist.org.au/archives
– registration and login required.
Replies to this message will be directed back to the list. To create a
new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’
(without the quotes) to listserv@aicalist.org.au

Messages posted to this list are solely the opinion of the authors, and
do not represent the opinion of AICA.
Archive of all messages are available at http://aicalist.org.au/archives
– registration and login required.
Replies to this message will be directed back to the list. To create a
new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’
(without the quotes) to listserv@aicalist.org.au

If you are not the intended recipient you are hereby notified that any dissemination, distribution or reproduction of this message
is prohibited. If you have received this message in error please notify the sender immediately, then destroy the original message.
Any views expressed in this message are solely those of the individual sender, except where the sender is specifically authorised
by Sydney Adventist Hospital to state that they are the views of Sydney Adventist Hospital.

Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of AICA.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

[Fiona de Sousa]

At our facility staff in clinical areas were given an amnesty two years
ago to remove their artificial nails and comply with policy in relation
to nail polish, fingernail length, jewellery and sleeve length (based on
NSW Health Infection Control Policy Directive).

We have had great success with the artificial fingernails but we have
noticed that nail polish is creeping back in. Our biggest issue though
is getting engagement rings removed.

We formally audit clinical staff hands with an observation audit twice a
year and feed back results to Managers who are expected to monitor and
manage their staff non-compliance. Some Managers are better than others.

We also informally monitor staff hands when ever the IPC staff are on
the wards.

It is still a challenge.

Fiona De Sousa
Infection Prevention & Control Coordinator, SAH

—–Original Message—–
Behalf Of Wilson, Fiona L (Infection Control)

As per Hand Hygiene Australia and WHO consensus recommendations, we do
not recommend that HCW have artificial fingernails while working in the
clinical area. I am wondering how you ‘police’ this (for want of a
better term) and does anyone have a HR process for HCW’s who refuse to
remove artificial fingernails.
Regards

Fiona Wilson
Manager, Infection Control
Western Health
email: fiona.wilson@wh.org.au

Messages posted to this list are solely the opinion of the authors, and
do not represent the opinion of AICA.
Archive of all messages are available at http://aicalist.org.au/archives
– registration and login required.
Replies to this message will be directed back to the list. To create a
new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’
(without the quotes) to listserv@aicalist.org.au

If you are not the intended recipient you are hereby notified that any dissemination, distribution or reproduction of this message
is prohibited. If you have received this message in error please notify the sender immediately, then destroy the original message.
Any views expressed in this message are solely those of the individual sender, except where the sender is specifically authorised
by Sydney Adventist Hospital to state that they are the views of Sydney Adventist Hospital.

Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of AICA.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

[Fiona de Sousa]

Hi Lindy,

In response to recessed clinical basins – we have these in our newer
ward areas (if you want to come for a visit I would be happy to show
you). They were in existence before I started at the facility so am not
sure what discussions were had about them when the wards were being
refurbished.

The recess is floor to ceiling in size and you actually stand on what
would be the edge of the corridor if the wall was still in place. I do
not believe that these areas are any more difficult to clean than the
non-recessed sinks we have in other parts of the facility and the size
of the recess allows for additional PPE to be placed there and for the
rubbish bin to be placed out of the corridor path

Our corridors are quite narrow and if the sinks were not fully recessed
there would be definite OH&S issues.

In response to N class rooms if we were building one I would expect a
complete ante room however we are not building any nad do not have any
either.

Fiona De Sousa
Infection Prevention & Control Coordinator, SAH

—–Original Message—–
Behalf Of Lindy Ryan
ante room or not in N class rooms?

Dear Collegues

I have 3 questions that I am hoping someone out there may have some
advice/experince with our solution

1. Clinical hand basins

we are currently in the process of designing and building a new
surgical wing. I have managed to get clinical hand basins located at the
exit entry point to the single rooms directly in the adjacent corridoor
(don’t ask about why they aren’t on the inside of the room at this
location – its a long long story)

anyhow these are planned to be recessed but the decision remains
whether to have them fully reccessed on all sides or to have only on
one side recessed (the other side open to the doorway so basins are in
view as you exit)

I am concerned that if the basins are fully recessed that this will
interfer with the line of sight of the basins for clinical
staff/visitors upon exiting the room – as you wont see them dierctly on
exiting and that fully recessed hand basins may create more difficulty
for cleaning staff to clean around especially on the floor and drains
if they are difficult to get to.

(Note: there will be ABHR at the end of the bed/point of care )

However another collegue has indicated that there are risks re “people
running into them and moving beds around them when not recessed is an
issue but as for hand washing, water does go everywhere but non-slip
flooring would cover this” I believe this is a fair point tooo!

so does anyone have any experience with reccesed hand basins re line
of sight and cleaning or alternatively potenial slip risk with water
splashing from not having fully recessed hand basins?

2.Prone beds
Does anyone know of beds suitable for nursing patient’s prone other
than striker beds ?- given these ones are a nightmare to keep clean.

3. Ante room in N class rooms
building a new ward and negative pressure isolation ….Is an negative
pressure room OK to build without an ante room – what provisons should
be considered…how do you overcome the relationship for enteing and
exiting that having and ante room provides re

the Black (pt area) /
grey (ante room for removal of contaminated PPE prior to entering the
white zone
white (outside area for donning clean PPE and charts etc)

I know when we didn’t have the opportunity to build an ante room we
just tried to separate the white and grey by putting clean PPE and notes
etc on one side of the door and contaminated PPE, bins and equipment
being removed form the room on the other side of the outside door…..
but I had believed that this was a compromise to being able to work with
what you….. have not a preffed option to in build in a new unit?
(hence your thought helpful & welcome)

I am asking this as I being encouraged to support the build of a
negative pressure room without an ante room (just the ventilation being
negative from corridoor to room with 100% exhaust etc …) .as I am
being told that an ante room is considered not necessary for airborne
isolation in a renal dialysis unit if you have the ventilation correct
as it posess a safety risk to viewing and accessing pts undergoing
dialysis (& yes we are all aware of the HCF guidelines for N class room
but I am told they aren’t relavant in this instance)

(ie we have currently designed the ante room to be a side entry so full
visualisation of the pt can be just like a normal s class single
isolation room)..again any advice/thoughts re your experiences and am i
being too pedantic wantinfg the ante room

thanks for your time and expertise/experience in advance – sorry I have
so many questions this time around!!

kind regards

Lindy

Lindy Ryan
Infection Control Clinical Nurse Consultant (CNC)

Nepean Hospital,
Western Cluster
Sydney West Area Health Service

email: ryanl@wahs.nsw.gov.au

“Infection Control is Everybody’s Business”

________________________________________________________________________
______

This electronic message and any attachments may be confidential. If you
are not the intended recipient of this message would you please delete
the
message and any attachments and advise the sender. Sydney West
Area Health Service (SWAHS) uses virus scanning software but excludes
any liability for viruses contained in any email or attachment.

This email may contain privileged and confidential information intended
only for the use of the addressees named above. If you are not the
intended recipient of this email, you are hereby notified that any use,
dissemination, distribution, or reproduction of this email is
prohibited. If
you have received this email in error, please notify SWAHS
immediately.

Any views expressed in this email are those of the individual sender
except where the sender expressly and with authority states them
to be the views of SWAHS.

Messages posted to this list are solely the opinion of the authors, and
do not represent the opinion of AICA.
Archive of all messages are available at http://aicalist.org.au/archives
– registration and login required.
Replies to this message will be directed back to the list. To create a
new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’
(without the quotes) to listserv@aicalist.org.au

Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of AICA.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

[Fiona de Sousa]

Hi Fiona,

We have it outside the entrance doors to each ward area, in the lifts,
outpatient waiting rooms and at the entrance to the hospital cafeteria.
We have had no issues other than a full bottle disappearing from one of
our lifts every day for a week (it was the height of swine flu). We
also have it available in every patient room but not on the bed yet as
we are yet to overcome some OH&S issues related to bed swing and door
widths. In the public areas a poster has been put up next to the
bracket.

Outside our ward areas and waiting rooms it is combined with a box of
masks and tissue to encourage correct respiratory hygiene. I am happy
to share copies of our posters with you if you like.

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

—–Original Message—–
Behalf Of Wilson, Fiona L (Infection Control)
handrubs

I would like to know if any members have placed their alcohol based hand
rubs in public areas such as near lifts, entrances etc in their
hospitals.
If so where have you put it and what form has this taken (bracket on
wall, hand hygiene station etc) and have you had any issues with this.

Regards

Fiona Wilson
Manager, Infection Control
Western Health
email: fiona.wilson@wh.org.au

Messages posted to this list are solely the opinion of the authors, and
do not represent the opinion of AICA.
Archive of all messages are available at http://aicalist.org.au/archives
– registration and login required.
Replies to this message will be directed back to the list. To create a
new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’
(without the quotes) to listserv@aicalist.org.au

Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of AICA.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

[Author]

Posts