[Helen Newman]

Hi Michelle,
NSW Health PD 2010_58 Hand Hygiene outlines the necessity to use AHR or antiseptic hand wash prior to insertion of invasive devices. See appendix 1

Regards
Helen
Helen Newman

Infection Prevention and Control CNC CICP| Infection Management and Control Service
Shellharbour and Kiama Hospitals
Tel 02 4295 2416 | Mobile 0475823959 | Fax 02 4295 2497 | Helen.Newman@sesiahs.health.nsw.gov.au
http://www.health.nsw.gov.au

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Morning All, I recently found our PICC team no longer use antiseptic hand wash pre PICC insertion and use neutral soap. Can anyone tell me where to find evidence of using antiseptic hand wash prior to invasive procedures?

Thank you
Michelle Kennedy

CNC | Infection Prevention Service
John Hunter Hospital Campus
Lookout rd, New Lambton
Tel 02 4921 3129 | michelle.kennedy@hnehealth.nsw.gov.au
http://www.health.nsw.gov.au

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[Helen Newman]

Hi Louise,
I will send you our tool off line. I hope it is what you are looking for.
Helen

Helen Newman

Infection Prevention and Control CNC CICP| Infection Management and Control Service
Shellharbour and Kiama Hospitals
Tel 02 4295 2416 | Fax 02 4295 2497 | Helen.Newman@sesiahs.health.nsw.gov.au
http://www.health.nsw.gov.au

—–Original Message—–

Hi all,

I would like to ask if anyone has a hand care assessment tool for healthcare workers that are potentially having problems with the hand hygiene products supplied by the facility?

Many thanks in advance

Regards

Louisa Sasko
CNC Infection Control
Department Manager
Blacktown Mt Druitt Hospitals
WSLHD
p: 9881 8994
m: 0408 923 789
e: Louisa.Sasko@swahs.health.nsw.gov.au

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[Helen Newman]

Hi Michael,
We had a similar discussion about two years ago and subsequently moved to single use pens. If you are interested, I can provide the product order details off line. Our patients are marked prior to entering the operating theatre.
Helen

Helen Newman

Infection Prevention and Control CNC CICP| Infection Management and Control Service
Shellharbour and Kiama Hospitals
Tel 02 4295 2416 | Fax 02 4295 2497 | Helen.Newman@sesiahs.health.nsw.gov.au
http://www.health.nsw.gov.au

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Hi all

What do other facilities use for marking skin prior to surgery? We currently use a reusable felt tip permanent marker that doesn’t appear to be cleaned in any way between each patient. This occurs prior to the surgical procedure outside of the operating room, so does not need to enter the sterile field.

Our questions revolve around whether we should source disposable pens, or try to clean the markers between each patient use. This raises the question: how do you clean a felt tip??

We did note some interesting discussions on possible cross-contamination using marking pens (eg http://patientsafetyauthority.org/ADVISORIES/AdvisoryLibrary/2008/Dec5(4)/Pages/130.aspx ).

Any comments?

Thanks
Michael

Michael Wishart
CNC Infection Control
Holy Spirit Northside Private Hospital
627 Rode Road, Chermside, Qld 4032
t: (07) 3326 3068 | f: (07) 3607 2226
e: Michael.Wishart@hsn.org.au
w:www.holyspiritnorthside.org.au
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[Helen Newman]

Hi Fiona,

An argument that you could possibly use is that ” ward storage should be specifically designed for patient supplies only and not located with cleaning materials or food items or adjacent to a hand basin”. This quote is from
NSW Health Peak Purchasing Council AS/NZ 4187 Working Party. Guidelines for Storage and Handling of Sterile Consumables. April 2003. ( a bit dated I know, but still current as it relates to the current standard)

I only have this document in hard copy, but if you like can arrange to get it, or the section you need, to you.

Another argument may be that the facility would need a separate refrigerator to store milk etc for the tea and coffee. The Commonwealth IC guidelines section 19.3: Refrigerators state that “Food should not be stored with contaminated material, clinical specimens or medical products such as drugs, vaccines and blood”.

I hope this helps

Helen

Helen Newman
Infection Prevention & Control Nurse
Shellharbour Hospital
ph: 42 966666(switch)
42 952416 (office)
email: Helen.Newman@SESIAHS.health.nsw.gov.au

Hi All,

I have been asked to consider placing a zip urn for hot water access in a medication room. My initial response was it is not appropriate to make tea and coffee in the same room where staff are drawing up medications. However when I have looked for the evidence to back this up I have had trouble finding any.

What do others think about this issue from an infection prevention and control point of view?

Kind Regards,

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

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