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Hi,
If organisations are contemplating qualitative fit testing of staff members, it should be noted that there are also differences in results between using the sweet and bitter solutions in the 3M qualitative kit. My understanding is that you get better results with the bitter solution but not all people can taste it.
However, the key thing here is to ensure that you have different sizes of respirators available and also different shapes- a duckbill shaped/flat fold product does not suit all face shapes. Instead, people without a prominent bridge to their nose should be using a cupped version.
Cheers
Holly
Dr Holly Seale
Senior LecturerProgram Director: Bachelor of International Public Health (BIPH) and Course Convenor (Infectious Disease Challenges and Internship Program)
Women in Research Network: Co-Chair
School of Public Health & Community Medicine @sphcmunsw
Samuels Building, Kensington Campus
UNSW SYDNEY NSW 2052 AUSTRALIA
T: +61 (2) 9385 3129
E: h.seale@unsw.edu.au
Profile: https://research.unsw.edu.au/people/dr-holly-seale[cid:image001.jpg@01D5E679.F00F6630]
CRICOS Provider Code 00098G
Hi All,
Please refer to this SA Health report:
Evaluation of a large-scale quantitative respirator-fit testing program for healthcare workers: survey results.
https://www.ncbi.nlm.nih.gov/pubmed/20658919Kind regards
[cid:image007.png@01D3A1A9.77E508C0]
Chris Pollard
Sales Engineer
Kenelec Scientific Pty Ltd, 23 Redland Drive, Mitcham VIC 3132
d 03 9872 9929 | m 0437 007 810 | e chris.pollard@kenelec.com.au
Visit our website | View our Terms and Conditions
[cid:image007.png@01D3BD09.751EBB60]Hi John
The 2019 Australian Guidelines p. 116 recommends fit testing as follows:
* on commencement of employment for HCWs in clinical areas where there is a significant risk of exposure via airborne route
* when there is significant change to the wearer’s facial characteristics (eg. weight loss or gain, etc)
* annually thereafter (AS/NZS 1715:2009)
* link here https://www.nhmrc.gov.au/about-us/publications/australian-guidelines-prevention-and-control-infection-healthcare-2019#block-views-block-file-attachments-content-block-1There are two types of fit testing:
* Qualitative – inexpensive equipment (approximately $400 per kit) requires hood and sprays, company rep can provide training to staff to perform fit testing, human resources required to perform fit testing on staff
* Quantitative – expensive equipment, generally performed by mask company reps where a good seal cannot be obtained via a qualitative approachIt is my understanding that all HCFs are recommended to undertake fit testing for staff, however my observation is that very few do. I am aware of two HCFs that participate in fit testing (1 x major public hospital and 1 private hospital).
It would be interesting to know how many other HCFs participate in fit testing.
Kind regards
Meredith Southon
Meredith Southon RN MIPC QualNursImm
Clinical Nurse Consultant | Infection Prevention & Control | Staff Health | Murwillumbah District Hospital
PO Box 821, Murwillumbah NSW 2484
Tel 02 6672 0232 | Fax 02 6672 0226 | Meredith.Southon@health.nsw.gov.au
http://www.health.nsw.gov.au[Description: http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Northern-NSW-LHD.jpg%5D
[cid:image002.jpg@01D5E670.4731A860]
Hi all,
Is anyone concerned that this (and other statements) ignores the requirement for fit testing of staff who are going to rely on airborne mask protection?
Btw, CEC NSW have developed nice combined Contact/Droplet signage for those with geographical signage space deficiency (GSSD). Kathy D am sure will share it.
Regards
John[We are being directed to this commonwealth site btw which does have a nice video on methods etc
https://www1.health.gov.au/internet/main/publishing.nsf/Content/safe-use-dvd
[cid:image003.png@01D5E5D3.7A05FA90]Dr John Ferguson MBBS DTM&H FRACP FRCPA
Director, Infection Prevention Service | Hunter New England Local Health District
John Hunter Hospital, Locked Bag 1, Newcastle Mail Centre, NSW 2310, Australia
T: 61 2 49214444 | F: 61 2 49214440 | M: +61(0)428 885573 (Speed Dial 67607) | Tw @mdjkf
Mon
Tues
Wed
Thurs
Fri
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[cid:image002.png@01D5E5D2.A3686B80]An information sheet with interim recommendations for the use of personal protective equipment (PPE) during hospital care of people with Coronavirus Disease 2019 (COVID-19).
Available here
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Hi,
Following on from Glenys email, you may also be interested in checking out the latest safety data from AusVaxSafety
For anyone running a HCW vaccine program currently, it may be worth using some of the data available on the website to highlight the safety of the vaccine to those who may have concerns. The system is already documenting reported adverse events for 2019 and highlighting of events (including site reactions and those who needed medical attendance)
http://www.ausvaxsafety.org.au
The graphs are easy to read and suitable for presentation to all categories of staff members
Cheers
Holly
Dr Holly Seale
Senior LecturerProgram Director: Master of Infectious Diseases Intelligence; Course Convenor (Infectious Disease Challenges: Epidemiology and Control, Infection Prevention and Control in the Healthcare Setting and Internship Program)
Women in Research Network: Co-Chair
School of Public Health & Community Medicine @sphcmunsw
Samuels Building, Kensington Campus
UNSW SYDNEY NSW 2052 AUSTRALIA
T: +61 (2) 9385 3129
E: h.seale@unsw.edu.au
Profile: https://research.unsw.edu.au/people/dr-holly-seale
Twitter: @hollysealeFrom: ACIPC Infexion Connexion on behalf of Glenys Harrington
Reply-To: ACIPC Infexion Connexion
Date: Thursday, 2 May 2019 at 8:36 pm
To: “ACIPCLIST@ACIPC.ORG.AU”
Subject: Re: [ACIPC_Infexion_Connexion] FW: Issues with Influenza Vaccination leakageHi Sue,
You may have already done this but if not your issues/problems should be reported to the TGA using the Medicine or defective vaccine report form at the following link:
https://www.tga.gov.au/medicine-or-vaccine-defect-reportAs per TGA – The report is to report defects that you think have arisen during manufacture, storage or handling of medicines. These sorts of problems are usually found in a single batch or a single pack of a product. These problems may require investigation by the Therapeutic Goods Administration (TGA) Laboratories.
Your particular issues/problems may relate to a specific batch.
Regards
Glenys
Glenys Harrington
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
E: infexion@ozemail.com.auFrom: ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] On Behalf Of Susan Gonelli
Sent: Thursday, 2 May 2019 10:37 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: [ACIPC_Infexion_Connexion] FW: Issues with Influenza Vaccination leakageHi All,
I would like to ask if anyone else is having issues with the AfluriaQuad Influenza vaccine and BD Eclipse needles. We have had a number of leur lock mechanism breakages as well as vaccine leaking requiring a 2nd dose. We have also had a needle stick injury post vaccination when the needle and syringe fell apart as the safety mechanism was being activated. I also have been informed that another organisation have had 3 needle stick injuries within their IC department using the same combination of vaccine and BD Eclipse needles. I have attached a photo of the broken syringe / needle combination.
This issue has been reported to TGA, BD and Seqirus
Regards
Sue Gonelli CNC Pre Employment Immunisation Coordinator
Employee Exposure Management and Immunisation Service PO Box 52, Frankston Vic 3199
Direct 9788 4568 Fax 9784 2347 Switchboard 03 9784 7777
Penisula HealthThe information contained in this e-mail and its attachments is intended only for the private and confidential use of the recipient named above and may be subject to legal privilege. If you are not the intended recipient and/or you have received this e-mail in error, you must notify the sender immediately and delete the e-mail. You are hereby notified that any dissemination, misuse, copying or disclosure of this information is strictly prohibited.
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
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Hi
Just to following up on the information provided by Marija- fit testing should also be repeated if your unit changes brands/types of masks
Cheers
Holly
Dr Holly Seale
Senior Lecturer
School of Public Health and Community Medicine, UNSW MedicineProgram Director: Master of Infectious Diseases Intelligence
Course Convenor (Infectious Disease Challenges: Epidemiology and Control, Infection Prevention and Control in the Healthcare Setting and Internship Program)Women in Research Network: Faculty of Medicine representative
UNSW SYDNEY NSW 2052 AUSTRALIA
E: h.seale@unsw.edu.au
T: +61 2 9385 3129
Profile: https://research.unsw.edu.au/people/dr-holly-seale
W: unsw.edu.au
CRICOS Provider Code 00098G[cid:image001.png@01D2758A.1DD460C0]
From: ACIPC Infexion Connexion On Behalf Of Juraja, Marija (Health)
Sent: Monday, 18 February 2019 3:59 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] infection control in OTHi Helen,
Our clinical worker health do a once off fit test and also competency assessment for donning and doffing of PPE.
Fit testing is only repeated if the person has had significant weight gain/loss, facial surgery or major dental work.
These tools might help you as they are similar to what our ICLN undertake.Kind Regards
Marija Juraja |Nurse Unit Manager CALHN Infection Prevention & Control Unit|
Division of Acute Medicine (RN, GCNS Inf Ctrl, CICP-E)
t: +61 8 7074 2810 (RAH) 8222 7588 (TQEH)| M: 0466 379 821|e:marija.juraja@sa.gov.au |
Adjunct Clinical Lecturer | University of South Australia | Division of Health Sciences
[Conumers]From: ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] On Behalf Of Helen Roberts
Sent: Monday, 18 February 2019 11:13 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] infection control in OTMorning Marija,
I am only new to infection control and it is such a big learning curve.
This looks very interesting. I will have a good read.
Something that I might be able too implement here.
Really appreciate everyone valuable input.Just wondering do you still fit test all staff, and if so do you have a competencies that you use?
Kind regards,
HelenHelen Roberts
Infection Control
P:
07 4646 3106
|
F:
07 4633 7602
E:
|
W:
Post:
PO Box 263, Toowoomba, QLD 4350
Address:
280 North St, Toowoomba, QLD 4350
[cid:image538877.jpg@339B7DEF.F5E4F484]
From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> On Behalf Of Juraja, Marija (Health)
Sent: Friday, 15 February 2019 4:08 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] infection control in OTHi Helen,
We follow the SA Health Cleaning Standard and we clean the area with a single step product (detergent/disinfectant solution) and the same in disposable wipes.
This just removes the guess work out of what to use.Kind Regards
Marija Juraja |Nurse Unit Manager CALHN Infection Prevention & Control Unit|
Division of Acute Medicine (RN, GCNS Inf Ctrl, CICP-E)
t: +61 8 7074 2810 (RAH) 8222 7588 (TQEH)| M: 0466 379 821|e:marija.juraja@sa.gov.au |
Adjunct Clinical Lecturer | University of South Australia | Division of Health Sciences
[Conumers]From: ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] On Behalf Of Helen Roberts
Sent: Wednesday, 13 February 2019 9:22 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: [ACIPC_Infexion_Connexion] infection control in OTMorning Brain trust,
I was looking for some advice in regards to infection control in theater.
I was wondering in anyone can tell me how they clean the operating theater after MRSA, VRE, ESBL.
Recently a staff member said that we are over doing the cleaning in regards to what I do and we only need to use soap and water.
I give them 2 options of how to clean with the products, which I cant mention on here I believe.I was just wondering what is a good cleaning regime for all the codes?
Any information would be helpful,
Kind regards
HelenHelen Roberts
Infection Control
P:
07 4646 3106
|
F:
07 4633 7602
E:
|
W:
Post:
PO Box 263, Toowoomba, QLD 4350
Address:
280 North St, Toowoomba, QLD 4350
[cid:image875396.jpg@906870F6.975E1165]
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Dear Charlaine and Kristy,
Thanks for sharing the resource focused on visitor hand hygiene
I am currently leading some research around patient/visitor involvement around infection control and have come across some international examples of posters/resources.
The main issue is that they dont provide any rational for the practice- which is an issue as we know that patients (and some providers) fail to link HH with infections.
I would be happy to work with any groups to develop resources that encourage engagement
Cheers
Holly
Dr Holly Seale
Senior Lecturer
School of Public Health and Community Medicine, UNSW MedicineProgram Director: Master of Infectious Diseases Intelligence
Course Convenor (Current Challenges in Infectious Diseases, Infection Prevention and Control in the Healthcare Setting and Internship Program)UNSW SYDNEY NSW 2052 AUSTRALIA
E: h.seale@unsw.edu.au
T: +61 2 9385 3129
Profile: https://research.unsw.edu.au/people/dr-holly-seale
W: unsw.edu.au
CRICOS Provider Code 00098G[cid:image001.png@01D2758A.1DD460C0]
From: ACIPC Infexion Connexion on behalf of “Kirsty Graham (Central Coast LHD)”
Reply-To: ACIPC Infexion Connexion
Date: Wednesday, 3 October 2018 at 9:56 am
To: “ACIPCLIST@ACIPC.ORG.AU”
Subject: Re: [ACIPC_Infexion_Connexion] Poster to prompt visitors to use Hand rub before entering facilityHi Charlaine
Have attached some from Central Coast.
Cheers
Kirsty GrahamNurse Manager | CCLHD Infection Prevention and Control Unit
Level 1, 67 Holden Street, Gosford, New South Wales 2060
Tel (02) 4320 3382 (Internal 93382)| Fax (02) 4320 2874 |Pager 18028 |
kirsty.graham@health.nsw.gov.au or CCLHD-IPAC@health.nsw.gov.au
[CCLHD Logo] [cid:image004.png@01D45AF8.4D1184D0]From: ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] On Behalf Of Charlaine Havlin
Sent: Tuesday, 2 October 2018 12:55 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: [ACIPC_Infexion_Connexion] Poster to prompt visitors to use Hand rub before entering facilityGood Afternoon
Does anyone have a poster they are willing to share, to prompt visitors and staff to use Hand rub before entering facility ?Thank you
Charlaine Havlin | WHS, RTW & IPC Manager
The Victoria Clinic
P: 92700394 | 95260200 | 0425742940 | Fax 95260222
E: Charlaine.Havlin@healthscope.com.au[cid:image002.jpg@01D341CD.70399780]
[cid:image003.png@01D341CD.70399780] [cid:image001.jpg@01D3A0DC.17E50290]
[http://elephantintheroom.org.au/resources/2018/APHA_MHW_Footer_2018.jpg] [cid:image004.png@01D45A23.B1F49B60]MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
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