[Fiona De Sousa]

Hi Linda,

I have seen this done and even performed it over the years!

In one hospital we got rid of this practice. It was more hassle than anything. Patients were always needing to go to the toilet and would get up, the sterile drape would fall on the floor and then they would wrap it around themself again!.
More recently, in another facility, I tried to cease the practise as well. I was unable to find any clear supportive evidence for it but the surgeons ‘liked it’ so it stayed.
In my current orthopaedic work it is not done at all. Skin prep prior to theatre entry includes CHG bathing pre op (x2 – night before and day of). Then skin prep is performed in the theatre.

Kind regards,

Fiona De Sous
RN, Newcastle Private Hospital
CNS, Infection Prevention Service, Cessnock and Dungog

Sent from my iPad

> On 30 Jan 2018, at 5:04 pm, Lindy Ryan wrote:
>
> Hello
>
> Can I ask you to vote yes or no
>
> Orthopaedic Joint Implant surgery:
> Does you facility still apply betadine and then a drape around the limb pre operatively (in the ward or pre-admission clinic) to each patient
>
>
> it is not in the WHO SSI reduction bundle recommendations & I cant find any literature indicating this practice is evidenced based or an old ritual so wondering what you are all doing currently
>
> Thanks
>
> Lindy
>
> Lindy Ryan
>
> District Infection Prevention & Control CNC | Clinical Governance Unit MNCLHD
> Level 1 Coffs Specialist Centre, Pacific Hwy, Coffs Harbour
> Mob 0419 990 693 | lindy.ryan@ncahs.health.nsw.gov.au
> http://www.health.nsw.gov.au
>
>
>
> Wise and humane management of the patient is the best safeguard against infection
> (Florence Nightingale Circa 1860)
>
>
>
>
>
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[Fiona De Sousa]

Hi Pamela,

I have worked in facilities with fish tanks in public areas in the past.

We ensured that they were completely covered and they required a regular
cleaning regime that was carried out by either an external company or
non-clinical staff at the end of their shift. Clinical staff were notpermitted to clean the tanks.

Kind regards,

Fiona De Sousa
CNS Infection Prevention Service, HNE Health
RN Newcastle Private Hospital

—— Original Message ——

Hi everyone,

We have a paediatric ward with a fish tank located in a public area ~2
meters away from patient rooms.
I have been unable to find info that excludes them from public areas of
the wards (only clinical and high risk areas).
I would be grateful if anyone would share any info they may have around
this issue.

Regards from Pam

Pamela Boon | Clinical Nurse Manager
Infection Prevention & Management Unit
Royal Darwin Hospital |Top End Health and Hospital Services
Location: Rocklands Drive Tiwi NT 0811 / Postal Address: PO Box 41326,
Casuarina, NT 0811
Mobile: 0475 953 894 Ph: (08) 892 28428 / Fax: (08) 892 28889 / Email:
pamela.boon@nt.gov.au
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[Fiona De Sousa]

Hi Sonja,

How about a waste sorting game?
Use laminated pictures of different types of waste and have Staff sort them into the appropriate waste bins. You can use a green or yellow bucket in place if the bins.
Use pictures of the items Staff routinely segregate incorrectly.
Everyone who gets their segregation right can go into the draw for a prize or hand out lollies / lolly pops to participants.

Kind regards,

Fiona De Sousa

Sent from my iPhone

> On 21 Mar. 2017, at 12:24 pm, Sonja Wegert wrote:
>
> Hello all,
>
> We are planning a “Know before you throw” – Clinical/General waste campaign in our hospital next week. Does anybody of you have some promotion material or ideas happy to share, we would very much appreciate your help.
>
> Regards
> Sonja
>
> Sonja Wegert | Infection Control Practitioner (ICP)
> Infection Prevention and Control Unit | Central Australia Health Service
> Northern Territory Government
> Alice Springs Hospital, Gap Rd, Alice Springs
> GPO Box 2234, Suburb, NT Postcode
> p … 08 89517977
> e … sonja.wegert@nt.gov.au http://www.nt.gov.au/health
>
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[Fiona De Sousa]

Hi Carien,
We use a chlorhexidine impregnated sponge for our joint replacement and other patient pre op washes.
Fiona De Sousa
RN, Newcastle Private Hospital

Sent from my iPhone

> On 9 Jun 2016, at 3:51 pm, Carien Coleman wrote:
>
> Hi everyone,
>
> Ive recently been informed that betadine impregnated sponges have been discontinue. Can anyone please advise what alternative products are being considered or used for pre-operative skin washes (at home) prior to joint replacement surgery?
>
> Thanks,
> Carien
>
> Carien Coleman | Infection Control CNC
> The Sunshine Coast Private Hospital
> Syd Lingard Drive | BUDERIM QLD 4556
> PO Box 5050 | Maroochydore BC QLD 4558
> T: (07) 5430 3245 | F: (07) 5430 3154
> E: carien.coleman@uchealth.com.au
>
> _________________________________________________________________
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iP|@NNOz1E0=

[Fiona De Sousa]

Hi Cate,
When I was at my previous employment we had to manage this issue regularly whilst our hospital was being added on to. Good relationships with the builders are key along with explanations and education about the IPC issues associated with dust and support from your Executive to manage these issues.

We also put in place sealed areas, dust mats, use of shoe and boot covers, mopping, cleaning etc along with regular IPC and other key manager walks past the site. We also undertook regular audits of compliance with these precautions and had an escalation process when they were breached (including tracked dust).

Depending on the severity of the issue this may have been a phone call and/or face to face discussion, a non-conformance report or a stop work order (rarely used).

Throughout our build this issue did not completely go away but we reduced the frequency and severity of it through education, good relationships and a lot of persistence.

Kind regards
Fiona De Sousa
RN, Newcastle Private Hospital

Sent from my iPad

> On 7 Jun 2016, at 3:50 pm, Joe-Anne Bendall wrote:
>
> Hi Cate
>
> We did a small renovation and the contractors did a major seal up with plastic during the generation of dust phase. They also used some sticky mats at the exit point.
> We had a similar issue with dust in corridors and near the lift. They did mopping twice a day also to keep the area clean.
>
> I was on first name basis with them by the end!
>
> Thank you
>
> Joe-Anne Bendall
> Joe-Anne Bendall
> Clinical Nurse Consultant Infection Prevention and Control
> (Including vaccination and screening)
> Monday Friday 0800 – 1630
> Sydney Hospital and Sydney Eye Hospital
> 8 Macquarie St
> SYDNEY NSW 2000
> |( ph +61 2 9382 7199 |page 22070 via switch 9382 7111| 7 Fax 93827510 |
> Mobile 0418984255 | * Joe-Anne.Bendall@HEALTH.NSW.GOV.AU
>
> From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Michael Wishart
> Sent: Tuesday, 7 June 2016 2:52 PM
> To: AICALIST@AICALIST.ORG.AU
> Subject: Re: Construction Dust
>
> Hi Cate
>
> If it is airborne dust rather than trafficked dust that is the issue, my thoughts would be to get the contractor to create a negative pressure zone in the corridor outside the work to stop dust spreading to other areas through the air. There are mobile negative pressure extractors they can hire which can be placed strategically in the corridor.
>
> Just a thought.
>
> Cheers
> Michael
>
>
> Michael Wishart
> Infection Control Coordinator
>
> A 627 Rode Road, Chermside QLD 4032
> P (07) 3326 3068 | F (07) 3607 2226 | E michael.wishart@svha.org.au | W http://www.hsnph.org.au
>
> P Please consider the environment before printing this email
>
> From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Cate Coffey
> Sent: Tuesday, 7 June 2016 2:40 PM
> To: AICALIST@AICALIST.ORG.AU
> Subject: Construction Dust
>
> Hi everyone,
> I am trying to manage construction dust from the new ICU build- yes the same one as the jumbo toilet rolls- I am having an issue with dusty footprints in the hallway and lift near the construction zone. The wards close to the zone include Renal Dialysis, Maternity, NICU and ICU The contractors regularly mop the hallway etc but the issue is the dust leaving the zone. In the Zone there is a long piece of carpet leading to door and just before the door is another sticky matt. There is also a rubber matt outside the door. There is a sign about wiping feet etc. It is clear that these are not enough, can anyone give me some ideas on the best way to manage this. We have a good working relationship with the contractors and should be able to resolve this issue. Are there better products the contractors can purchase to prevent this dust be transported
> Thanks in advance
> Cate Coffey | Clinical Nurse Consultant
> Infection Prevention and Control Unit | Central Australia Health Service
> Northern Territory Government
> Alice Springs Hopsital, Gap Rd, Alice Springs
> GPO Box 2234, Suburb, NT Postcode
> p … 08 89517737
> e … cate.coffey@nt.gov.au http://www.nt.gov.au/health
>
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[Fiona De Sousa]

Hi Glenys
Blankets are always laundered between patients at our facility they are also laundered if they are visible soiled / contaminated. This is an acute care facility including rehab.
Fiona De SousaNewcastle Private

Hi Megan No not after the Laundry practice standards (AS/NZS 4146:2000). Im after the frequency bed blanket getting changed and sent for laundering in different healthcare settings. I understand some healthcare settings dont launder blankets on discharge unless soiled. Hence if this is the case how often are they changed and laundered and what is this frequency based on? Regards Glenys Glenys HarringtonConsultantInfection Control Consultancy (ICC)PO Box 5202Middle ParkVictoria 3206AustraliaM: +61 404 816 434infexion@ozemail.com.auABN 47533508426 From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Megan Reilly
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