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  • in reply to: Anaesthetic staff eating in anaesthetic bays #70467
    Helen Scott
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    Author:
    Helen Scott

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    We are a private hospital and we do not allow this. It’s in our policy
    and has to be adhered to.
    Cheers,
    Helen.

    Helen Scott
    Infection Control Co-ordinator |
    Staff Educator |
    Nepean Private Hospital
    Kingswood, NSW.
    Tel 02 4725 8758 | helen.scott@healthscope.com.au

    >>> On 9/09/2013 at 10:36 am, in message
    ,
    Joe-Anne Bendall wrote:

    Good morning
    We have been asked by Anaesthetists if they can eat and drink in the
    Anaesthetic Bays as this is what they do in private hospitals during
    long cases..I am not sure how accurate this information is.
    Does any hospital allow this practice to occur and what are the
    circumstances for this to occur?
    PS It does not occur at this hospital for a number of reasons:
    1. Infection control policy requirement
    2. Community expectations
    3. Workplace Health and Safety
    Thanks
    Joe-Anne Bendall

    Joe-anne Bendall|Clinical Nurse Consultant Infection Prevention and
    Control
    Sydney Hospital and Sydney Eye Hospital
    8 Macquarie St
    SYDNEY NSW 2000
    |(ph +61 2 9382 7199|page 22070 via switch 9382 7111| 7Fax 93827510|
    Mobile 0418984255| *Joe-anne.Bendall@SESIAHS.HEALTH.NSW.GOV.AU

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    in reply to: Re: Audit tool for invasive devices for 3.8.1 #70352
    Helen Scott
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    Author:
    Helen Scott

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    Thanks Janet, that’s great news; I’ll look out for it then.
    Helen.

    Helen Scott
    Infection Control Co-ordinator |
    Staff Educator |
    Nepean Private Hospital
    Kingswood, NSW.
    Tel 02 4725 8758 | helen.scott@healthscope.com.au

    >>> On 13/08/2013 at 12:28 pm, in message , Janet Masters wrote:
    Helen
    ICCMU is developing an audit tool to accompany the new whole of hospital CVAD guideline that will be released September 13.
    They will be loaded on IC Wiki (http://intensivecare.hsnet.nsw.gov.au/icwiki/index.php/Welcome_to_ICWiki) along with other implementation tools.

    Regards
    Janet

    Intensive Care Best Practice Project Officer
    NaMO / ACI-ICCMU
    NSW Health

    On 13 August 2013 12:04, Helen Scott wrote:

    Hi,
    Does anyone have an audit tool for Invasive Devices to meet standard 3.8.1?
    I have audit tools for PIVCs, wounds, venepuncture and urinary catheters.
    I don’t have an audit tool I can use specifically for CVADs, UWSDs, wound drains and epidurals.
    Thanks,
    Helen.

    Helen Scott
    Infection Control Co-ordinator |
    Staff Educator |
    Nepean Private Hospital
    Kingswood, NSW.
    Tel 02 4725 8758 | helen.scott@healthscope.com.au
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    Helen Scott
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    Helen Scott

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    We too are looking for some decent signage, not only to inform the
    visitors and patients that we are serious about hand hygiene, but also
    to encourage them to use the ABHR in their rooms (amazingly, a lot of
    visitors and patients have said they didn’t know what it was for and if
    they were allowed to use it).
    I have a feeling we aren’t permitted to add attachments to the list’s
    e-mails, is that correct? If so, feel free to reply privately to Lindy
    and I if you have any decent signs.
    Thanks,
    Helen.

    Helen Scott
    Infection Control Co-ordinator |
    Staff Educator |
    Nepean Private Hospital
    Kingswood, NSW.
    Tel 02 4725 8758 | helen.scott@healthscope.com.au

    >>> On 24/07/2013 at 6:35 pm, in message
    ,
    Lindy Ryan wrote:

    Dear Colleagues
    We are in the process of upgrading our wayfinding signage Just
    wondering if anyone out there was able/ willing to share/ forward me
    any innovative hand hygiene message/slogan/pictogram you may have come
    across or are in place that I could put forward to our management would
    to be incorporated .they have provided one boring looking one to date
    but figured some of you may have some better ones out there (especially
    in new buildings) that may get our HH message across more effectively
    Hope everyone is surviving the busy winter OK!!??
    Regards
    Lindy

    Lindy Ryan
    Infection control CNC
    Nepean Hospital NBMLHD
    Phone 4734 2228
    Email lindy.ryan@swahs.health.nsw.gov.au
    Infection Prevention and control is everyones business
    Clean hands safest care.take a moment & practice the five moments

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    07/24/13 – 18:35:33
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    in reply to: Re Aseptic technique #70134
    Helen Scott
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    Author:
    Helen Scott

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    And can we please share the replies where possible, because I too would like a few ideas on how to approach this, especially considering Advisory No: A13/05.
    Thanks,
    Helen.

    Helen Scott
    Infection Control Co-ordinator |
    Staff Educator |
    Nepean Private Hospital
    Kingswood, NSW.
    Tel 02 4725 8758 | helen.scott@healthscope.com.au

    >>> On 11/07/2013 at 9:10 am, in message , Chris Braden wrote:

    Hi,
    Just wondering if anyone has any innovative ideas how to engage doctors in taking aseptic technique on board?
    Perhaps even getting them to do some education??
    Regards
    Chris

    Christine Braden
    Manager Infection Control
    Djerriwarrh Health Service
    Email- chrisb@djhs.org.au ( blocked::mailto:chrisb@djhs.org.au )
    Ph- 53 67 2000
    Mobile – 0402 242 651
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    in reply to: Traffic light system for antimicrobials #70121
    Helen Scott
    Participant

    Author:
    Helen Scott

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    Brilliant, I’ve got the St Vincents one, thanks Denise.

    >>> On 9/07/2013 at 4:13 pm, in message , Denise MFraser wrote:

    Helen
    Have a look in the Antimicrobial Stewardship book (blue/white) there are some examples in there from a few Australian hospitals

    Regards Denise
    MacGregor Fraser
    IPC Consultant – NSW/National
    HICMR Pty Ltd
    (Healthcare Infection Control Management Resources)
    Level 1, 123 Camberwell Road Hawthorn East VIC 3123
    denise.mfraser@hicmr.com.au
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    From:ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Helen Scott

    Hi,

    Can anyone direct me to the “traffic light” chart used for prescribing antimicrobials. I have one from the UK but would prefer one from Australia.

    Thank you,

    Helen Scott

    Infection Control Co-ordinator |

    Staff Educator |

    Nepean Private Hospital

    Kingswood, NSW.
    Tel 02 4725 8758 | helen.scott@healthscope.com.au

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    in reply to: Re: Antibiotic infusors #70005
    Helen Scott
    Participant

    Author:
    Helen Scott

    Position:

    Organisation:

    State:

    Can anyone tell me how they do this for private patients – how do you
    send them home on the infusors, and do the health funds agree to pay for
    this?
    Thanks,
    Helen.
    (If you want to mention any specific health funds, please reply to me
    privately).

    Helen Scott
    Infection Control Co-ordinator |
    Staff Educator |
    Nepean Private Hospital
    Kingswood, NSW.
    Tel 02 4725 8758 | helen.scott@healthscope.com.au

    >>> On 10/05/2013 at 11:41 am, in message
    ,
    “Grimes, Andrea” wrote:

    Morning all,
    We are using AB infusers for post op ortho knees and hips. It works
    well for them.
    Cheers, Andrea

    Andrea Grimes| IC | H&S | RRTWC

    Ramsay Cairns | Cairns Private Hospital| The Cairns Clinic| Cairns Day
    Surgery
    t: 07 4052 5274 | m: 0439 392 819
    e: grimesa@ramsayhealth.com.au | w: http://www.ramsayhealth.com.au (
    http://www.ramsayhealth.com.au/ )

    ( http://www.facebook.com/RamsayHealth )
    ( http://www.twitter.com/RamsayHealth )
    ( http://www.linkedin.com/company/ramsay-health-care )
    ( http://www.youtube.com/RamsayHealthAu )

    From:ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On
    Behalf Of Tim Spencer

    I would love to use infusor therapy for inpatient A/B administration.
    But with the administration of multiple parenteral medications, how
    would you get around that, apart from the use of a multi-lumen
    catheter?

    Timothy R. Spencer, RN, APN, DipAppSci, Bach.Health, ICCert.
    Clinical Nurse Consultant, Central Venous Access & Parenteral
    Nutrition Service
    Conjoint Lecturer, South West Sydney Clinical School | Faculty of
    Medicine |University of NSW
    Dept of Intensive Care, Level 2, Clinical Building, Liverpool Hospital,
    Elizabeth Street, Liverpool, 2170, NSW, Australia
    Tel (+61) 2 8738 3603 | Fax (+61) 2 8738 3551 | Mob +61 (0)409 463 428
    | Tim.Spencer@sswahs.nsw.gov.au | Timothy.Spencer@unsw.edu.au (
    about:Timothy.Spencer@unsw.edu.au )

    From:ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On
    Behalf Of Franciska Ferreira

    Hi Tim,
    For inpatient therapy.
    Thank you

    Franciska Ferreira
    INFECTION PREVENTION & CONTROL /WOUND MANAGEMENT CONSULTANT
    Burnside War Memorial Hospital
    120 Kensington Road, Toorak Gardens, SA 5056
    t:08 8202 7222 f:08 8407 8573 e: fferreira@burnsidehospital.asn.au

    From:ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On
    Behalf Of Tim Spencer

    For in or outpatient therapy?
    We use it for outpatient therapy only, but I would love to have it for
    some inpatients as well.
    However, with multi antibiotic administration, its not usually
    feasible.

    Timothy R. Spencer, RN, APN, DipAppSci, Bach.Health, ICCert.
    Clinical Nurse Consultant, Central Venous Access & Parenteral
    Nutrition Service
    Conjoint Lecturer, South West Sydney Clinical School | Faculty of
    Medicine |University of NSW
    Dept of Intensive Care, Level 2, Clinical Building, Liverpool Hospital,
    Elizabeth Street, Liverpool, 2170, NSW, Australia
    Tel (+61) 2 8738 3603 | Fax (+61) 2 8738 3551 | Mob +61 (0)409 463 428
    | Tim.Spencer@sswahs.nsw.gov.au | Timothy.Spencer@unsw.edu.au (
    about:Timothy.Spencer@unsw.edu.au )

    From:ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On
    Behalf Of Franciska Ferreira

    Good morning all,
    Im just interested to know how many organizations are using the
    prefilled antibiotic infusors?? If any??
    Kind Regards
    Franciska Ferreira
    INFECTION PREVENTION & CONTROL /WOUND MANAGEMENT CONSULTANT
    Burnside War Memorial Hospital
    120 Kensington Road, Toorak Gardens, SA 5056
    t:08 8202 7222 f:08 8407 8573 e: fferreira@burnsidehospital.asn.au

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    in reply to: Re: Observational Audit Tools for IV Cannulation #69550
    Helen Scott
    Participant

    Author:
    Helen Scott

    Position:

    Organisation:

    State:

    Hi, Can I also please have a look,
    Thanks,

    Helen Scott

    Infection Control Co-ordinator |
    Nurse Educator |
    Nepean Private Hospital
    Kingswood, NSW.
    Tel 02 4725 8758 | helen.scott@healthscope.com.au
    ( mailto:Helen.Scott@healthscope.com.au )

    Please consider the environment before printing this message

    >>> On 14/11/2012 at 5:08 pm, in message
    ,
    “Moore, Genevieve (Health)” wrote:

    Hi Rhea
    Can you please share these audit tools with me also as I have looking
    for an audit tool for IV for a while
    Thanks
    Genevieve

    Genevieve Moore
    Diabetes Educator
    Clinical Placement Coordinator
    Infection Control Link Nurse
    Southern Flinders Health – Crystal Brook Campus
    Country Health SALocal Health Network
    Edmund Terrace
    Crystal Brook SA 5523
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    From:ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On
    Behalf Of MARTIN, Rhea

    Hi Craig,
    Would be happy to share audit tool with you. We use two, one audits
    insertion (use this in ED where there is plenty of action) and the other
    is a ward based audit tool which looks at management of IVs on the ward
    Rhea

    Rhea Martin

    Manager Infection Control Team

    Austin Health

    Studley Rd., Heidelberg

    Victoria, Australia3084

    Phone 9496 5801

    Page 2556
    Mobile 0407 806 299

    From:Craig Boutlis [mailto:Craig.Boutlis@SESIAHS.HEALTH.NSW.GOV.AU]

    Hi Rhea,
    I’m pretty sure that you would be on this email list but I thought I
    should forward this to you just in case. Would you be happy to share the
    audit tool that you presented at the recent Melbourne Infection Control
    education day? If so, would you mind cc’ing me in too?
    The NSW policy is out for review at the moment and I’m going to make
    sure that I contribute that we should be moving to credentialling
    statewide along the lines of your program (thanks for making me aware of
    it).
    Craig

    From:ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On
    Behalf Of Joe-Anne Bendall
    Cannulation
    Hi everyone
    I have a very keen medical officer who wants to be a champion for
    improving IV cannula insertion. Does anyone have an observational audit
    tool they would like to share?

    I have an observational audit tool for aseptic technique wound
    dressing I would be willing to swap for IV cannula insertion!
    Thanks
    Joe

    Joe-anne Bendall
    Infection Prevention and Control CNC
    Sydney Hospital and Sydney Eye Hospital
    8 Macquarie St
    Sydney 2000
    Joe-Anne.Bendall@sesiahs.health.nsw.gov.au

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    in reply to: Warming of heatpacks #69437
    Helen Scott
    Participant

    Author:
    Helen Scott

    Position:

    Organisation:

    State:

    I think you’ll find this is covered by WH&S issues (scalding, bursting of contents etc.) and the obvious infection transmission issues (gastro!!!), especially putting in same place as food. Plus, a lot of places say they can’t warm up their own food because of the risk of food poisoning.
    Most of us are going to respond in this way I think!!
    Cheers,
    Helen.
    ( mailto:Helen.Scott@healthscope.com.au )
    Helen Scott
    Clinical Nurse Specialist |
    Infection Control |
    Anaesthetics & Recovery
    Nepean Private Hospital
    Kingswood, NSW.
    Tel 02 4732 7333 | helen.scott@healthscope.com.au

    Please consider the environment before printing this message

    >>> On 18/10/2012 at 10:55 am, in message , Carien Coleman wrote:

    Hi everyone,
    What is your practices regarding heating of heatpacks in microwaves. Do you use dedicated microwaves for this purpose? If it is being shared with patients to warm up their home meals any practices you encourage?
    Thanks,
    Carien
    Carien Coleman | Infection Control CNC
    The Sunshine Coast Private Hospital
    Syd Lingard Drive | BUDERIM QLD 4556
    PO Box5050 | Maroochydore BC QLD 4558
    T: (07) 5430 3245 | F: (07) 5430 3375
    E:carien.coleman@uchealth.com.au

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    in reply to: Re: IC staffing ratios #69360
    Helen Scott
    Participant

    Author:
    Helen Scott

    Position:

    Organisation:

    State:

    Our facility is 109 beds; my hours are 14 per week (not sure what FTE
    that is) and I also do staff health (includes immunisation) in those 14
    hours.
    Helen.
    ( mailto:Helen.Scott@healthscope.com.au )
    Helen Scott
    Clinical Nurse Specialist |
    Infection Control |
    Nepean Private Hospital
    Kingswood, NSW.
    Tel 02 4732 7333 | helen.scott@healthscope.com.au

    Please consider the environment before printing this message

    >>> On 6/09/2012 at 9:32 am, in message
    ,
    “Bartolo, Richard” wrote:

    Hi Gerald,
    I think this would be valuable information for all of us within
    Infection Prevention, and would appreciate more responses from our
    colleagues across Australia.
    At Western Health Victoria:
    Western Hospital 360 beds, 2.9 FTE
    Sunshine Hospital 426 beds, 1.0 FTE
    Williamstown Hospital 90 beds, 0.6 FTE
    Sunbury Day Hospital 27 beds, 0.2 FTE
    Reg Geary nursing home 30 high care beds
    Hazeldean Transition Care 30 beds.
    Total of 5.7 FTE for 963 beds including 1 FTE Hand Hygiene Nurse, we do
    the influenza vaccinations annually and all NSI management.
    Thanks for raising this matter.
    Regards

    Richard Bartolo
    Manager Infection Prevention

    Western Health
    Gordon Street, Footscray VIC 3011
    Tel. 03 8345 6113
    Pager. 03 8345 6666 No. 506
    Mob. 0438 560 441
    Email. richard.bartolo@wh.org.au
    Web. http://www.westernhealth.org.au ( http://www.westernhealth.org.au/ )

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    From:ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On
    Behalf Of Jayne O’Connor

    Hi Gerald,
    We are a 350 bed private facility with two FTEs for IPC and 1 FTE for
    staff health who carries out immunisations for the facility along with
    other duties e.g. NSI, body substance exposures.
    Hope this helps
    Kind Regards
    Jayne OConnor RN, BSc
    IPC CNC
    Sydney Adventist Hospital
    Wahroonga
    NSW 2076
    Jayne.oconnor@sah.org.au

    From:ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On
    Behalf Of Gerald Chan

    Dear all,

    I’m keen to know what are the current Infection Control staffing ratios
    utilised by hospitals with 300-400 beds (happy for those with more beds
    to respond to this as well).

    If you could specify your:

    – number of beds:

    – FTE:

    (Does this include an immunisation nurse? Y/N)

    (If yes, please specify that FTE: )

    I’ve seen various reports specifying ideal IC staff to bed ratios but
    would be keen to know what’s actually happening at ground level.

    Thank you.

    Regards,

    Gerald

    Gerald Chan

    Coordinator Infection Control

    St John of God Murdoch Hospital
    100 Murdoch Drive
    MURDOCH. WA 6150

    P: 9366 1552

    M: 0405 495 906 (7804)
    F: 9311 4685

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    in reply to: Re: Hand Hygiene auditing in the Operating Theatre #69248
    Helen Scott
    Participant

    Author:
    Helen Scott

    Position:

    Organisation:

    State:

    Hi Joe,
    We also do recovery, but also when HCWs come out of the operating theatre into the main complex and remove gloves (ie. wardspersons after helping position patients), then we see if they practice moments 3 or 4.
    With regards education, we have posters explaining what the 5 moments are and we incorporate the moments into our mandatory hand hygiene practical competencies which everyone has to do every year.
    Auditing is the same as everywhere else, same forms, same principle.
    Barriers – none, except we don’t go into the actual operating room, same as with Bronwyn.
    As for engagement with medical staff, we tell them that we are auditing everyone for hand hygiene compliance and we tell them that they are included. With all staff, we let them know that we capture data for all personnel.
    As I work in theatres as well as the rest of the hospital, they all know who I am and why I’m holding a clipboard! One of our regular CMOs actually comes to tell me how often he’s washed/cleaned his hands so far every day!
    Improvements have been that we have now got more standard auditors, and that all the doctors/patients/visitors (the persons who are the hardest to get to comply) and regular hospital staff, all use the new products. This is because a.) they like putting their hands underneath and having it do it for them! and b.) most people like the new products.
    Hope that helps!
    Helen.

    ( mailto:Helen.Scott@healthscope.com.au )
    Helen Scott
    Clinical Nurse Specialist |
    Infection Control |
    Anaesthetics & Recovery
    Nepean Private Hospital
    Kingswood, NSW.
    Tel 02 4732 7333 | helen.scott@healthscope.com.au

    Please consider the environment before printing this message

    >>> On 20/07/2012 at 3:57 pm, in message , Bronwyn Pyke wrote:

    Hi
    Only in recovery and preop with the anaesthetists, not in the actual operating theatre.
    Bronwyn Pyke
    Infection Control Coordinator
    Alexandra District Hospital
    PO Box 21
    Alexandra, 3714
    p: 0357720905
    f: 0357720920

    From:ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Joeanne Bendall

    Hi
    Is anyone doing the National Hand Hygiene 5 Moments audit in an operating theatre? If you are, I would be interested in finding out about your education program, process of auditing, barriers, engagement with medical staff and the improvements you have made.
    Our operating theatre is very keen to be involved in participating in the audit
    Thanks
    Joe

    Joe-anne Bendall
    Infection Prevention and Control CNC
    Sydney Hospital and Sydney Eye Hospital
    8 Macquarie St
    Sydney 2000
    joeanne.bendall@sesiahs.health.nsw.gov.au

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    in reply to: Consumption of food stuff in ward areas #69236
    Helen Scott
    Participant

    Author:
    Helen Scott

    Position:

    Organisation:

    State:

    Has anyone got anymore information on this please? I’d like to provide evidence and documentation to follow up my concerns about the same thing.
    Thanks,
    Helen.
    ( mailto:Helen.Scott@healthscope.com.au )
    Helen Scott
    Clinical Nurse Specialist |
    Infection Control |
    Anaesthetics & Recovery
    Nepean Private Hospital
    Kingswood, NSW.
    Tel 02 4732 7333 | helen.scott@healthscope.com.au

    Please consider the environment before printing this message

    >>> On 10/07/2012 at 12:57 pm, in message , “Breen, Jennifer (MH)” wrote:

    Hi All,
    We are having some issues with staff consuming food in their ward area, particularly at the staff base and in the corridors. We have located articles about transmission of Hepatitis A but are hoping to source articles to provide further evidence . Our current hospital guidelines are fairly general in this area and pertain more to an outbreak of gastro .
    Kind Regards

    Jenny Breen
    Clinical Nurse Consultant
    Infection Control
    Maroondah Hospital
    Tel: 98713175 Pager 0111

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    in reply to: Betadine impregnated surgical scrub sponges. #69197
    Helen Scott
    Participant

    Author:
    Helen Scott

    Position:

    Organisation:

    State:

    Hi Liz,
    Apparently we used to use them; we don’t anymore but I’ve been reliably informed that the plain ones we use are made by the same company who we had the Betadine impregnated ones from, and this is 3M. I do not know if this is still the case though.
    Cheers,
    Helen.
    ( mailto:Helen.Scott@healthscope.com.au )
    Helen Scott
    Clinical Nurse Specialist |
    Infection Control |
    Anaesthetics & Recovery
    Nepean Private Hospital
    Kingswood, NSW.
    Tel 02 4732 7333 | helen.scott@healthscope.com.au

    Please consider the environment before printing this message

    >>> On 17/07/2012 at 11:30 am, in message , “VANDERLINDE, Liz” wrote:
    Dear All,
    Does anyone use Betadine impregnated surgical scrub sponges. If so I would be interested in where they could be obtained.

    Liz Vanderlinde
    Infection Control Officer
    North West Private Hospital
    Brickport Road, Burnie TAS 7320, Australia
    T +61 3 6432 6022 F +61 3 6431 6158
    E Liz.Vanderlinde@healthecare.com.au W ( http:/// )
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    in reply to: Single-use Disposable Tourniquets #69144
    Helen Scott
    Participant

    Author:
    Helen Scott

    Position:

    Organisation:

    State:

    Hi Maureen,
    We tried some last year from one company and they were dreadful; they
    snapped easily and the anaesthetists didn’t like them. I don’t know
    about any other brands.
    However, what we do actually do now is send all of our usual
    tourniquets to CSSD at the end of each day to be cleaned, which is
    working out well.
    Cheers,
    Helen.
    ( mailto:Helen.Scott@healthscope.com.au )
    Helen Scott
    Clinical Nurse Specialist |
    Infection Control |
    Anaesthetics & Recovery
    Nepean Private Hospital
    Kingswood, NSW.
    Tel 02 4732 7333 | helen.scott@healthscope.com.au

    Please consider the environment before printing this message

    >>> On 27/06/2012 at 9:17 am, in message
    ,
    Maureen Mckenzie wrote:

    Hi all
    We are currently looking into replacing reusable tourniquets with
    single-use disposable tourniquets throughout the hospital.
    Just wondering if anyone has implemented a similar strategy in their
    facility and what were the pros and cons you encountered?

    Regards
    Maureen
    Maureen McKenzie

    Clinical Nurse Consultant | Infection Control
    Concord Repatriation General Hospital
    C/- Microbiology Dept.
    Hospital Road Concord NSW 2139
    Tel 02 9767 6898 | Fax 02 9767 7868 |
    maureen.mckenzie@sswahs.nsw.gov.au
    http://www.health.nsw.gov.au ( http://www.health.nsw.gov.au/ )

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    in reply to: chlorhexidine wash #69098
    Helen Scott
    Participant

    Author:
    Helen Scott

    Position:

    Organisation:

    State:

    Hi Matthias,
    Thank you for your reply.
    The product is b, soap based and it is for hand washing prior to an aseptic technique such as a dressing change. It is not for pre surgical hand washing.
    Thanks,
    Helen.
    Helen Scott
    Infection Control Co-ordinator
    Nepean Private Hospital
    Penrith, NSW.
    0247 327333
    Helen.Scott@healthscope.com.au

    Please consider the environment before printing this message

    >>> On 12/06/2012 at 3:51 pm, in message , “Matthias Maiwald (KKH)” wrote:
    Dear Helen,

    What kind of product do you mean? (a) Alcohol-based hand rub product or (b) soap-based hand wash product? (It would be either/or).

    For (antiseptic) hand washing, a typical chlorhexidine concentration would be 4%, for alcohol-based hand or skin antiseptics, typical concentrations of chlorhexidine (if this is added) would be 0.5-2%.

    For skin antisepsis, it is important to know whether it is (a) for normal superficial skin, or (b) for antisepsis on or near mucous membranes (e.g. vaginal surgery). For (b), alcohol-containing products cannot be used.

    For normal superficial skin, chlorhexidine alone without alcohol or triclosan alone are not recommended, because they are too weak and ineffective as antiseptics.

    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

    —–Original Message—–

    [Posted on behalf of Helen Scott – Moderator]

    We are installing a new alcohol based hand rub and soap product. The chlorhexidine hand wash at the sinks on the wards is going to be removed. We use this for skin antisepsis prior to aseptic techniques.
    Are there guidelines somewhere that recommend the use of the 0.2% – 2% for skin antisepsis? Have trawled through the WHO site. The CDC states that the use of Triclosan 0.1% (similar stuff) reduces bacterial counts on hands by 2.8 log (whatever a log is).

    Can anyone provide me with best practice on using chlohex/Triclosan prior to these kinds of procedures?

    Thanks,

    Helen Scott
    Infection Control Co-ordinator
    Nepean Private Hospital
    Penrith, NSW.
    0247 327333
    Helen.Scott@healthscope.com.au

    Please consider the environment before printing this message

    Michael Wishart

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    in reply to: Surgical hand scrub #69090
    Helen Scott
    Participant

    Author:
    Helen Scott

    Position:

    Organisation:

    State:

    Hi Jane,
    The CDC have got a good article on this. It’s their MMWR and in October
    2002, Vol 51, page 17 it discusses exactly this. I’m sure there’s a more
    up to date report somewhere. You could also try Skinman Soft, made by
    Orion.
    Cheers,
    Helen.
    Helen Scott
    Infection Control Co-ordinator
    Nepean Private Hospital
    Penrith, NSW.
    0247 327333
    Helen.Scott@healthscope.com.au

    Please consider the environment before printing this message

    >>> On 11/06/2012 at 5:50 am, in message
    , Jane
    Barnett wrote:

    Hi
    Weve got some staff who can only use the PCMX scrub product as they
    are sensitive to both chlorhex and betadine but BD have advised that
    they are withdrawing this product. Can I ask what other centres are
    doing for staff with allergies would plain soap and water washed
    followed by plain alcohol (without antiseptic additive) be sufficient
    for surgical procedures? Thoughts/ideas welcome.
    Thanks
    Jane Barnett
    Clinical Nurse Specialist
    Infection Prevention & Control
    Christchurch Women’s Hospital
    Private Bag 4711, Christchurch
    Infection Prevention and Control is Everyone’s Business

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