[Helen Vertoudakis]

Hi Cate
Unfortunately, this is not the only type of equipment that I’ve heard cannot be cleaned properly – or has restrictions by the manufacturer on disinfection recommendations due to the nature of these screens. If damaged, the manufacturer can more often than not often tell by the nature of damage caused what type of product has been used – so, it’s a difficult situation.

One way around this is to cover the touch screen, say with clear screening – something like you may use on your computer or mobile – depending on the type of clear screen – can be removed and replaced with fresh one for each patient and the touch screen can still have the disinfectant between each patient before the new clear screen/or cleaned and disinfected screen is attached.

Otherwise, do they recommended to use microfiber on the screen? Could wet a good quality microfiber cloth with the disinfectant- that way, at least the cloth can give some of the cleaning action required. If using a disinfectant on the cloth – the cloth lifetime will diminish more quickly than simply using with water- microfiber manufacturer should have some detail about this.
Hope this helps….
Helen

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Innovate for a Healthier Future

Helen Vertoudakis | Director | Vert Health
helen@verthealth.com.au | Ph +61 433 027 373 |
PO Box 536 Broadway NSW Australia 2007
http://www.verthealth.com.au

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HI everyone

Our healthcare service recently installed new dialysis machines across a wide area. Unfortunately there was no consultation with infection prevention and control for advice on managing the infection risk of the machines, in particular cleaning and disinfection.

The manufactures instruction for use (IFU) recommend Ethanol (60% to 70%) Isopropanol 60% . There is a further large warning in the IFU stating clearly that only these 2 disinfectants are to be used to clean the touch screen. The rest of the machine maybe cleaned and disinfected with 2 in 1 wipe used in most hospitals .

The IFU do not provide sufficient information or guidance on cleaning the Touch Screen to prevent damage and voiding warranty. The Touch Screen is the most frequently touched area of equipment and likely to become highly contaminated with pathogens from healthcare worker hands. Therefore cleaning and disinfection between patients to prevent healthcare associated infections in this vulnerable high risk group is vital. The IFU describes the disinfection process but not the cleaning process.

The Australian Guidelines for the Prevention and Control of Infection in Healthcare NHMRC 2019 – Page 59 which states:

Physical (mechanical or manual) cleaning is the most important step in cleaning. Sole reliance
on a disinfectant without physical cleaning is therefore not recommended

Given that these machines are currently installed and in use and the company representatives maintain that only alcohol is to be used to clean the touch screen, I was wondering if anyone else had a similar experience and would share with me how you managed the situation.

After all we all know cleaning and disinfection is vital in preventing the transmission of pathogens ,no more so during this COVID-19 Pandemic.

Thanks very much
Cate Coffey
RN BaAScN MPH&TM Grad Cert Infection Control Nursing
Clinical Nurse Manager

Central Australia Health Service
Department of Health
Northern Territory Government

Infection Prevention and Control Unit
Alice Springs Hospital
PO Box 2234, Alice Springs, NT 0871
cate.coffey@nt.gov.au

t. 08 8951 7737
http://www.health.nt.gov.au

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[Helen Vertoudakis]

Hi John
Very difficult to advise without knowing any specifics of their products.
In the first instance I would say – does it come under the auspices of the TGA? ASIC? and then they could look at healthfacilityguidelines.com.au and there’s some useful links under the resource centre as well.

Best regards
Helen
[cid:image002.jpg@01D6F09F.3707C250]

Helen Vertoudakis | Director | Vert Health
helen@verthealth.com.au | Ph +61 433 027 373 |
PO Box 536 Broadway NSW Australia 2007
http://www.verthealth.com.au

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Good morning,

I have been approached by some local equipment manufacturers, requesting advice on how they can achieve formally meet infection control standards for their products, and be accredited as such.
I am not aware of any accreditation process in Australia, but keen to know if any process for equipment & building materials exist?

Thanks to all…..

John Gamlin
CNC Infection Control
Infection Prevention & Control Service

Queensland Health
Wide Bay Hospital & Health Service
Division of Medicine

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[Helen Vertoudakis]

Hi Sarah

Just to add to this, from the way UV functions, there are currently too many cons especially if not used properly which is the main concern.
Theres currently are some very expensive mechanisms but even so the containment and setup is typically prohibitive.

Best regards
Helen

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Helen Vertoudakis | Director | Vert Health
helen@verthealth.com.au | Ph +61 433 027 373 |
PO Box 536 Broadway NSW Australia 2007
http://www.verthealth.com.au

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From: ACIPC Infexion Connexion On Behalf Of RYAN, Kate
Sent: Friday, 22 January 2021 8:49 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] UV technology

Hi Sarah,

The Australian Infection Control Guidelines have the following statement regarding UV light for general cleaning in section 3.1.3 Routine management of the physical environment.

“3.1.3.1 Emerging disinfection methods
Weak recommendation – Against
16. The effectiveness of ultra-violet light disinfection as an adjunct to routine terminal cleaning in healthcare facilities is yet to be established. Therefore routine use is not suggested in healthcare facilties.
Ultra-violet light disinfection may be considered in high-risk settings during outbreaks when other disinfection options have been exhausted.”

Kind regards

Kate Ryan

RMD Program Officer

[logo_austin]

0434 609 208 | 03 9496 6706

Infectious Diseases Department

Level 7, Harold Stokes Building

145 Studley Road, Heidelberg

PO Box 5555, Victoria, 3084

________________________________
From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> on behalf of Sarah Gaines Hill <SarahG@BLUECROSS.COM.AU>
Sent: Thursday, January 21, 2021 2:52 PM
To: ACIPCLIST@ACIPC.ORG.AU <ACIPCLIST@ACIPC.ORG.AU>
Subject: [ACIPC_Infexion_Connexion] UV technology

EXTERNAL EMAIL: Do not click links or open attachments unless you recognise the sender and know the content is safe. If you are unsure please contact service.desk@austin.org.au.

________________________________

Good Afternoon

Is anyone using UV technology as an adjunct to general cleaning particularly at aged care sites?

If you are, what are the benefits you have seen and what were the challenges or implementing?

Does anyone know if there will be a DHHS recommendation to add this to the cleaning processes?

Thanks for any information you can provide

Sarah
[BlueCross]
Sarah
Gaines Hill
Infection Control Nurse Coordinator
P: +61 3 9828 1705
|
M: +61 429 480 183
Level 1, 117 Camberwell Road,
Hawthorn East,
VIC
3123
[BlueCross Make a change]

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[Helen Vertoudakis]

Dear Paul

Heres a recent excerpt from the Pfizer CEO from their site not sure where youve seen it can only be transported 5 times once in cold chain there should be no issues – you will see references to 5 days in the excerpt which appears to be where your ref has confused with transportation.

December 15, 2020
An Open Letter from Pfizer Chairman and CEO Dr. Albert Bourla
Every day, I am asked about how Pfizer and our partners at BioNTech will distribute our COVID-19 vaccine now that it has begun to be authorized by regulators in different countries. People have questions about the process, the storage logistics and everything in between. But the underlying question is always the same: How will Pfizer and BioNTech ensure a seamless distribution of our vaccine?
More than 70 million cases of COVID-19 have been recorded globally, and that number is rising at an alarming rate. With the pandemic still raging, our vaccine will be in high demand and, upon authorization or approval, rapidly utilized to help beat back the virus. Recognizing this urgency, we have been planning for distribution for months and are continuing to work around the clock, so we can bring the vaccine to the world as quickly, efficiently and equitably as possible.
It is important the public understands some key points about how we are making this happen.
1. Weve pioneered solutions to distribution and storage requirements

In the last few months alone, Pfizer has developed cutting-edge packaging and storage solutions to meet the needs of the varied locations that will be distributing the vaccine – whether they are in a major cites or rural towns. Our engineers created specially designed, temperature-controlled shipping containers (that we call shippers), which contain GPS temperature enabled trackers for continuous, real-time location and temperature monitoring and can maintain required temperature conditions for up to 10 days unopened. We will have a Pfizer 24/7 control tower monitoring and tracking all shipments to ensure each shipments gets to where it needs to go at the right time and at the right temperature and take action if needed along the way. Once opened, the shippers can be used for temporary storage for up to 30 days, if the units are re-iced every five days effectively making them temporary deep freezers. Additionally, vials containing our vaccine can be stored at refrigerator temperatures (2-8 degrees Celsius / 35 – 46 degrees Fahrenheit) for five days once out of the shippers. These specialized thermal shippers are roughly the size of a carry-on suitcase and much like a suitcase, can be quickly and easily transported globally.

Also have a look at the attachment which outlines their distribution and storage information across the US.
Theres lots of varied information on the Pfizer web site about the vaccine as well-
https://www.pfizer.com/news/hot-topics/covid_19_vaccine_u_s_distribution_fact_sheet
Hope this helps.
Helen
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Helen Vertoudakis | Director | Vert Health
helen@verthealth.com.au | Ph +61 433 027 373 |
PO Box 536 Broadway NSW Australia 2007
http://www.verthealth.com.au

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From: ACIPC Infexion Connexion On Behalf Of Paul Ingram
Sent: Monday, 18 January 2021 4:50 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: [ACIPC_Infexion_Connexion] Pfizer Vaccine Transportation

Hi All,

Does any have any information on the transportation of the Pfizer COVID Vaccine?

I have heard some reports the Pfizer COVID vaccine can only be moved 5 times in total. And what is moved?

If the cold chain is maintained and the vaccine stored at the correct temperature is it still limited to 5 moves?

Ta Paul.

Paul Ingram
Head of Nursing
RFDS Western Operations
3 Eagle Drive
Jandakot WA 6164

T
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M
E
>

(08) 9417 6327
(08) 9417 6489
0419 968 041
Paul.Ingram@rfdswa.com.au
http://www.flyingdoctor.org.au

>Providing the finest care to the furthest corners of Australia. Visit us at http://www.flyingdoctor.org.au/wa

RFDS Western Operations respectfully acknowledges the Traditional Owners and Elders of the lands
that we operate within, providing our Service to all that live, work and travel across these lands.

[new financial year 2020]
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[Helen Vertoudakis]

Apologies Annette my message went out without finishing, not sure why

Anyway, ATP testing can be performed faster and more routinely for your practice – if youd like to discuss ATP testing just give me a call, details are below.

Cheers
Helen

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Helen Vertoudakis | Director | Vert Health
helen@verthealth.com.au | Ph +61 433 027 373 |
PO Box 536 Broadway NSW Australia 2007
http://www.verthealth.com.au

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From: Helen Vertoudakis
Sent: Friday, 25 September 2020 11:34 AM
To: ACIPC Infexion Connexion
Subject: RE: [ACIPC_Infexion_Connexion] Environmental swab alalysis

Hi Annette

Theres a local lab for you in Wangara Perth that will help you.
Name – ALS
Number – 9406 1301

Just wondering if youve also considered ATP testing both micro nalysis and ATP are recommended as outcome testings by CEC and NHMRC Aust guidelines for Prevention and Control of Infection in Healthcare.
ATP

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Helen Vertoudakis | Director | Vert Health
helen@verthealth.com.au | Ph +61 433 027 373 |
PO Box 536 Broadway NSW Australia 2007
http://www.verthealth.com.au

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From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> On Behalf Of Annette Lenarz
Sent: Thursday, 24 September 2020 6:09 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: [ACIPC_Infexion_Connexion] Environmental swab alalysis

Hi everyone.

We’re looking for labs that will analyse environmental swabs for the presence (and ideally numbers) of any pathogens on surfaces.
We’d like to implement this as part of our infection control auditing.
Does anyone know of any labs that will do this for private clinics?
I’ve searched the internet and spoken to some other healthcare providers, but have not had much luck so far.
Thanks!

Kind regards,
Annette Lenarz
Practice Manager
Acu-ease
Subiaco WA
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[Helen Vertoudakis]

Hi Annette

Theres a local lab for you in Wangara Perth that will help you.
Name – ALS
Number – 9406 1301

Just wondering if youve also considered ATP testing both micro nalysis and ATP are recommended as outcome testings by CEC and NHMRC Aust guidelines for Prevention and Control of Infection in Healthcare.
ATP

[cid:image007.jpg@01D6932F.BC890290]

Helen Vertoudakis | Director | Vert Health
helen@verthealth.com.au | Ph +61 433 027 373 |
PO Box 536 Broadway NSW Australia 2007
http://www.verthealth.com.au

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From: ACIPC Infexion Connexion On Behalf Of Annette Lenarz
Sent: Thursday, 24 September 2020 6:09 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: [ACIPC_Infexion_Connexion] Environmental swab alalysis

Hi everyone.

We’re looking for labs that will analyse environmental swabs for the presence (and ideally numbers) of any pathogens on surfaces.
We’d like to implement this as part of our infection control auditing.
Does anyone know of any labs that will do this for private clinics?
I’ve searched the internet and spoken to some other healthcare providers, but have not had much luck so far.
Thanks!

Kind regards,
Annette Lenarz
Practice Manager
Acu-ease
Subiaco WA
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[Helen Vertoudakis]

Hi Bridgette

I’ve attached a table from the SA guidelines which I think neatly summarises the types of cleaning and requirements – is this an easy visual ‘matrix’ similar to what you’re looking for?

Cheers
Helen

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Helen Vertoudakis | Director | Vert Health
helen@verthealth.com.au | Ph +61 433 027 373 |
PO Box 536 Broadway NSW Australia 2007
http://www.verthealth.com.au

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Hi I am just trying to improve our cleaning process for the environmental cleaners at my workplace and would like to implement a ‘Cleaning Matrix’ to make it simpler and easier to follow.

Wondering if anyone out there has a similar thing to share?

Cheers,

Bridgette Connor
Infection Prevention Consultant
Epworth HealthCare
Phone:
(03)9426 8320

epworth.org.au

[Image removed by sender. Epworth Logo]

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[Helen Vertoudakis]

Hi Robyn
There are locally available protective face masks in large quantity from FDA accredited facilities with pharma grade materials that have come in – just not TGA credited at present but they are from reputable source.
If you wish to have further information please contact me.

Best regards
Helen

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Helen Vertoudakis | Director | Vert Health
helen@verthealth.com.au | Ph +61 433 027 373 |
PO Box 536 Broadway NSW Australia 2007
http://www.verthealth.com.au

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Hello brains trust

In SA, new Emergency Management (RACF) Directions have been put out requiring all Care Workers, Nursing, Allied Health and Medical staff to wear face masks in residential care facilities when social distancing can not be achieved

It is unclear at this point what assistance we will be provided sourcing these masks from SA Health
We have calculated for our organisation (800+ residential beds) we will need approximately 11,000 masks a week
Our PPE contractors have been unable to supply our previous orders for masks, so we have no hope of securing these numbers on a weekly basis
We have also tried alternate suppliers we have sourced PPE from

Im not sure what ACIPC group rules are in place re my request, but I am after any leads from within this group for sourcing TGA approved face masks / potential suppliers
Please delete my email if this request sits outside of group guidelines

Many thanks
Robyn

[http://www.helpinghand.org.au/hhsig.png]Robyn Russell
Client Safety & Quality Consultant
34 Molesworth Street, North Adelaide SA 5006
T. (08) 8224 7851
M. 0424 167 101
F. (08) 8267 2690
http://www.helpinghand.org.au
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[Helen Vertoudakis]

Sorry for delayed response Leanne-IT issues unfortunately…
I realise I inadvertently sent the description of the surgical gown from the guide – did not intend to mislead – It is maintained that surgical gowns should be used for surgical environments and for sterile procedures. In this case you’re required to use a single use fluid resistant or isolation gown with sleeves- as opposed to an apron – as it provides far more protection in covering more surface area of the HCW. Isolation gowns with sleeves typically cover the back – like surgical gowns- and sometimes they are available in key hole style at the back. The main consideration for isolation gowns is that they protect the HCW adequately depending on the protection level needed for the circumstances.

Cheers
Helen

Helen Vertoudakis| Director | Vert Health
helen@verthealth.com.au | Ph +61 433 027 373 |
PO Box 536 Broadway NSW Australia 2007
http://www.verthealth.com.au

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—–Original Message—–
From: ACIPC Infexion Connexion On Behalf Of Leanne Codd
Sent: Saturday, 25 July 2020 6:16 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] Gowns

Hi,
Thanks so much for your reply. Your attachment was very useful.
After reading, my understanding is back coverage is for surgical gowns and these are only to be used for surgical procedures? Do we wear surgical gowns for AGPs in patients with suspected or confirmed Covid.

>
> Leanne Codd
> Clinical Nurse Specialist
> Eastern Heart Clinic
> Randwick
> NSW

Sent from my iPhone

> On 24 Jul 2020, at 4:22 pm, Helen Vertoudakis wrote:
>
> Hi Leanne
>
> CEC guide says that performing a single AGP on a suspected, probable or confirmed case in any setting recommends single use fluid resistant or isolation gowns as opposed to aprons.
> These are typically are neck to knee with sleeves and cuffs on the wrists and should overlap on the back – and not separate even when the person is sitting.
>
> I’ve attached the latest version of the CEC’s detailed information on PPE during Covid-19. Appendix A at the back has a summary table for all types of PPE recommended so maybe useful to you.
>
> Hope this helps.
>
> Cheers
> Helen
>
> Helen Vertoudakis | Director | Vert Health helen@verthealth.com.au |
> Ph +61 433 027 373 | PO Box 536 Broadway NSW Australia 2007
> https://urldefense.proofpoint.com/v2/url?u=http-3A__www.verthealth.com
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>
>
> —–Original Message—–
> From: ACIPC Infexion Connexion On Behalf Of
> Leanne Codd
> Sent: Thursday, 23 July 2020 8:54 PM
> To: ACIPCLIST@ACIPC.ORG.AU
> Subject: [ACIPC_Infexion_Connexion] Gowns
>
> Hi,
> Has anyone got any information on what level gown is recommended for AGPs on patients with suspected or confirmed Covid? Is it recommended that the gown should cover your back?
>
> Leanne Codd
> Clinical Nurse Specialist
> Eastern Heart Clinic
> Randwick
> NSW
>
>
>
> Sent from my iPhone
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[Helen Vertoudakis]

Hi Leanne

CEC guide says that performing a single AGP on a suspected, probable or confirmed case in any setting recommends single use fluid resistant or isolation gowns as opposed to aprons.
These are typically are neck to knee with sleeves and cuffs on the wrists and should overlap on the back – and not separate even when the person is sitting.

I’ve attached the latest version of the CEC’s detailed information on PPE during Covid-19. Appendix A at the back has a summary table for all types of PPE recommended so maybe useful to you.

Hope this helps.

Cheers
Helen

Helen Vertoudakis| Director | Vert Health
helen@verthealth.com.au | Ph +61 433 027 373 |
PO Box 536 Broadway NSW Australia 2007
http://www.verthealth.com.au

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—–Original Message—–

Hi,
Has anyone got any information on what level gown is recommended for AGPs on patients with suspected or confirmed Covid? Is it recommended that the gown should cover your back?

Leanne Codd
Clinical Nurse Specialist
Eastern Heart Clinic
Randwick
NSW

Sent from my iPhone
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[Helen Vertoudakis]

Hi Elizabeth
I also agree with Michael – especially the point where you don’t want any pretence that the masks will perform a greater function than they’re capable of – especially in a place where so many vulnerable persons reside.
I would also add that once in place – just inadvertently touching the mask may pull it out the original alignment and the gap may widen without even realising it.

Have a good weekend
Helen

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Helen Vertoudakis | Director | Vert Health
helen@verthealth.com.au | Ph +61 433 027 373 |
PO Box 536 Broadway NSW Australia 2007
http://www.verthealth.com.au

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Thanks Michael and Marilyn. Good advice.

regards

Elizabeth Carroll | Executive Manager Residential & Chief Clinical Officer
p 07 3223 4444 d 07 3223 4491 f 07 3223 4411 m 0468 522 131
Level 3, 19 Lang Parade, Milton Q 4064 | PO Box 771, Toowong BC Q 4066

[PresCare]

I agree with Michael’s assessment.

Stay safe everyone 🙂

Marilyn Harris

CNC Infection Prevention & Control | Sydney Dental Hospital and Oral Health Services, SLHD
Sydney Dental Hospital, 2 Chalmers Street, SURRY HILLS 2010
Tel 02 9293 3276 | Fax 02 9293 3488 | marilyn.harris@health.nsw.gov.au

[cid:image001.jpg@01D661B7.CFB2A870]

Hi Elizabeth

The technique itself looks OK, particularly with that specific brand and type of mask. You would have to test it on other brands and types to see if the same technique could be used.

BUT… I’m not convinced that using this technique is a good idea or even necessary, for a number of reasons, including:

1. It assumes that a loose fitting mask is a risk. If you are using a level 2 or 3 surgical mask appropriately to prevent droplet transmission, there is no evidence to suggest the seal at the sides is so important.

2. You are, in my opinion, fanning the flames for the aerosol route of transmission being important with routine contact, not just droplet spread.

3. Using a level 2 or 3 surgical mask with a seal is sending a false assurance about spread from aerosols, as these masks are not designed to prevent inhalation of aerosols like a correctly fitted P2/N95 masks.

I will be quite interested in other members’ view on this.

Cheers
Michael

Michael Wishart | Infection Control Coordinator, CICP-E

St Vincent’s Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
M +61 448 954 282 | T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
W https://www.svphn.org.au

St Vincent’s Private Hospital Brisbane | 411 Main Street KANGAROO POINT QLD 4169
M +61 448 954 282 | T +61 7 3240 1208 | F +61 7 3240 1166
E michael.wishart@svha.org.au |
W https://www.svphb.org.au

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[Stop the Flu before it stops you]

https://youtu.be/2TTg53aAP8Q

Hello all: I have seen this video on utube which shows how to modify a surgical mask by folding it to achieve a tighter fit.
Is there any benefit in modifying the masks in this way?

Is there any problem with doing this – assuming of course that it’s a fresh mas), and also ensuring that that doffing is as per normal infection control procedure?

I was considering sharing this with my Managers and incorporating into our procedures (in residential and home aged care).

Any thoughts?

Elizabeth Carroll | Executive Manager Residential & Chief Clinical Officer
p 07 3223 4444 d 07 3223 4491 f 07 3223 4411 m 0468 522 131
Level 3, 19 Lang Parade, Milton Q 4064 | PO Box 771, Toowong BC Q 4066

[PresCare]

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