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Helen Scott

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  • in reply to: Gloves use during Immunisation clinics #69058
    Helen Scott
    Participant

    Author:
    Helen Scott

    Email:
    Helen.Scott@HEALTHSCOPE.COM.AU

    Organisation:

    State:

    Hi Jan,
    I find it impossible to wear gloves when vaccinating ; your hands are
    too damp after removing them and performing hand hygiene after each one.
    I just ensure I use ABHR before and after each person. That’s complying
    with standard precautions and the 5 moments.
    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 29/05/2012 at 12:32 pm, in message
    ,
    “Roberts, Jan” wrote:

    Hi all
    I have a question about the wearing of gloves and the use of hand
    hygiene during vaccination clinics, in particular in schools or
    community based clinics. The Immunisation guidelines state that gloves
    are not routinely recommended for immunisation service providers and
    that standard precautions should be used.
    Would be interested to know what others are doing.
    1. Do the immunisation staff wear gloves or not?
    2. If wearing gloves do they change them and perform hand hygiene
    between each client/ individual?
    3. If not wearing gloves do they perform hand hygiene between
    each client?
    Thanks
    Jan
    Jan Roberts RN,ICP
    Infection Prevention & Control
    Community Based Services, ACT Health
    (W) 61745352
    (M) 0435966792
    (E) janL.roberts@act.gov.au
    or communityinfectioncontrol@act.gov.au
    Care Excellence Collaboration Integrity

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    in reply to: Spray bottles and environmental cleaning #69009
    Helen Scott
    Participant

    Author:
    Helen Scott

    Email:
    Helen.Scott@HEALTHSCOPE.COM.AU

    Organisation:

    State:

    Michael, I found this, from CDC – “Guidelines for Environmental Infection Control in Health-Care Facilities, 2003.
    Page 90
    “Application of contaminated cleaning solutions, particularly from small quantity
    aerosol spray bottles or with equipment that might generate aerosols during operation, should
    be avoided, especially in high-risk patient areas.992, 993 Making sufficient fresh cleaning solution for
    daily cleaning, discarding any remaining solution, and drying out the container will help to minimize the
    degree of bacterial contamination. Containers that dispense liquid as opposed to spray-nozzle
    dispensers (e.g., quart-sized dishwashing liquid bottles) can be used to apply detergent/disinfectants to
    surfaces and then to cleaning cloths with minimal aerosol generation”
    Regards,
    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 15/05/2012 at 2:56 pm, in message , Michael Wishart wrote:
    For many years I (and many of my infection control colleagues) have been saying that using spray bottles for environmental cleaning is not a good thing, due to potential OH&S risks (eg aerosolisation and inhalation of chemicals) and the difficulties of keeping spray bottles and nozzles clean, among other concerns.

    Have again been asked to justify this position, and again I am having difficulty finding actual evidence to support this best practice recommendation (see http://remotehealthatlas.nt.gov.au/0719_spray_bottle_communique.pdf for someone brave enough to put this in writing). Does anyone have any convincing studies or well-referenced guidelines to support this recommendation?

    Would also be interested in other views: is this considered best practice by the infection control community in Australia?

    Thanks for any discussion on this.

    Cheers
    Michael

    Michael Wishart

    Public Health Nurse,Communicable Disease Control
    Logan West Moreton PHU
    Ph 34131200 Fax 34131221

    To contact Nursing team:
    LWM_PHN@health.qld.gov.au

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    in reply to: Standard three 3.10.1 #68971
    Helen Scott
    Participant

    Author:
    Helen Scott

    Email:
    Helen.Scott@HEALTHSCOPE.COM.AU

    Organisation:

    State:

    Hey Nicky,
    How are you getting on with your gap analysis? And is there any chance you can tell me exactly what you analysed and any other info cos I’m going to do one too and I’ll give you my results too.
    I’ve never done one so I have no idea where to start!!!
    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 1/05/2012 at 11:18 am, in message , Nicola Swindells wrote:

    Hi All,
    I am currently completing a gap analysis on Standard three of the national standards, I am looking at 3.10.1, 3.10.2 and 3.10.3 which is regarding aseptic non touch technique, training, auditing and compliance.
    Initially I was taken a back, as I assumed this an element of nurse training that occurred very early on in courses whether it hospital training or university.
    Although I have since been informed from graduates that pending which university they attend is dependant onto what principals they are taught as some graduate nurses have informed me they have only been taught wound field concept and not aseptic principals.
    I then proceeded to complete some observations in which I documented varying practices including touching the bin because the pedal was broken and continuing without hand hygiene, I will not comment on all but as you can imagine I observed some very unorthodox practices which has changed my initial assumption.
    My question to the group is:
    How is everyone planning to ensure a workforce is trained in aseptic technique, regularly audited and compliance monitored as stated in standard three?
    Many thanks in advance for your thoughts comments and assistance on the above.
    Kind Regards
    Nicky Swindells CNC
    Infection Control Coordinator/Wound Management
    Mater Hospitals Central Queensland
    Rockhampton Yeppoon Gladstone
    nswindells@mercycq.com
    07 49313420

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    in reply to: Audits #68857
    Helen Scott
    Participant

    Author:
    Helen Scott

    Email:
    Helen.Scott@HEALTHSCOPE.COM.AU

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    We don’t have a tool and I’d be very interested, thank you.
    Helen.
    Helen Scott
    Infection Control Co-ordinator &
    Acute Pain Service Co-ordinator
    Nepean Private Hospital
    Penrith, NSW.
    0247 327333
    Helen.Scott@healthscope.com.au

    Please consider the environment before printing this message

    >>> On 14/12/2011 at 12:10 pm, in message
    ,
    Jane Hellsten wrote:

    Happy to share our audit tools for insertion of peripheral IV cannulae
    and also management of peripheral IVs.
    If anyone is interested please email me. Our tools are based on our
    in-house protocols which are referenced to CDC guidelines.
    14.12.11

    Jane Hellsten, CICP
    Manager, Infection Prevention Control
    Infectious Diseases Service
    Loddon Mallee Infection Control Resource Centre
    Bendigo Health

    From:AICA Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On
    Behalf Of Tribe, Ingrid (Health)

    We are currently reviewing our audit tool for monitoring compliance
    with guidelines for the management of peripheral venous catheters.
    Are there any gold standard examples available for review? In
    anticipation of your response, thank you.
    Kind regards
    Ingrid Tribe
    Infection Control Service
    Flinders Medical Centre
    Bedford Park SA 5152
    Australia
    T: (08) 82045051
    F: (08) 82044733
    E: ingrid.tribe@health.sa.gov.au
    Infection prevention is everybody’s business
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    Helen Scott
    Participant

    Author:
    Helen Scott

    Email:
    Helen.Scott@HEALTHSCOPE.COM.AU

    Organisation:

    State:

    Hi Teresa, same here. None of the pages even have clickable links! Apart
    from the AICA and that won’t open. Annoying!! Let me know if you figure
    it out!
    Cheers,
    Helen.
    Helen Scott
    Infection Control Co-ordinator &
    Acute Pain Service Co-ordinator
    Nepean Private Hospital
    Penrith, NSW.
    0247 327333
    Helen.Scott@healthscope.com.au

    Please consider the environment before printing this message

    >>> On 28/11/2011 at 11:08 am, in message
    , Teresa Lewis
    wrote:
    Dear All
    This sounds fantastic, can’t wait to see it.
    Have tried to access the video on all the below links and I cannot
    access it – perhaps the work computers will not allow me, I will try
    this evening at home.
    Thanks for the tip
    Teresa
    Teresa Lewis
    “Infection Prevention is Everyone’s
    Business”
    Infection Control/Prevention
    Clinical Nurse Consultant
    Newcastle Private Hospital
    Email:teresa.lewis@healthscope.com.au

    Please consider the environment before printing this message

    >>> Glenys Harrington 26/11/2011 12:55 pm
    >>>

    Dear All,
    To support infection control professionals in their infection
    prevention and control initiatives the Victorian Infection Control
    Professionals Association (VICPA) has developed a storytelling video
    with the assistance and support of a family who share their experience
    and the impact that acquiring a hospital associated infection has had on
    their lives.
    The video was launched at The 5th International Congress of the Asia
    Pacific Society of Infection Control (APSIC), 811 November 2011,
    Melbourne, Australia
    and we include a link to the abstract:
    http://www.apsic2011.com/abstract/223.asp
    The VICPA Video Project Team would like to share the video with the
    infection control community. The team request that if you display the
    video on your hospital web page (intranet or internet) or in your
    infection control educational material that the title of the video and
    VICPA acknowledgement as outlined below be included:
    Glens Story
    How Hospital Associated Infections Can Impact on a Persons Life and
    Family.
    Produced by The Victorian Infection Control Professionals Association
    (VICPA)
    The video can be accessed at the following web pages and links.
    Australian Infection Control Association(AICA) – home page
    http://www.aica.org.au/
    Hand Hygiene Australia(HHA) – video files
    http://www.hha.org.au/ForHealthcareWorkers/education.aspx#VideoFiles
    The Australian Commission on Safety and Quality in Health Care (ACSQHC)
    – Healthcare Associated Infection (HAI)
    http://www.safetyandquality.gov.au/internet/safety/publishing.nsf/Content/PriorityProgram-03

    Regards
    Glenys Harrington
    VICPA Video Project Team Coordinator
    Glenys Harrington
    Consultant
    Infection Control Consultancy (ICC)
    PO Box 5202
    Middle Park
    Victoria, 3206
    Australia
    H: +61 3 96902216
    M: +61 404 816 434
    infexion@ozemail.com.au
    ABN 47533508426

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    Helen Scott
    Participant

    Author:
    Helen Scott

    Email:
    Helen.Scott@HEALTHSCOPE.COM.AU

    Organisation:

    State:

    We have XL non-sterile for one of our anaesthetists, non latex and we have size 9 sterile also.
    Helen.
    Helen Scott
    Infection Control Co-ordinator &
    Acute Pain Service Co-ordinator
    Nepean Private Hospital
    Penrith, NSW.
    0247 327333
    Helen.Scott@healthscope.com.au

    Please consider the environment before printing this message

    >>> On 23/11/2011 at 2:55 pm, in message , Tim Spencer wrote:
    Rachel,
    We also have the single use disposable XL gloves, as thats what I wear
    also.
    I wear 8.5-9 sterile gloves – depends on branding..
    Not sure how many are throughout the hospital for all other departments,
    but there is nothing worse than trying to wear gloves that are too small
    and you keep ripping then when donning them.
    As HCP, we should be doing everything to promote both staff and patient
    protection and safety first.
    I would suggest having some stock ordered and possibly storing them in
    an area which is easily accessible for all staff who require them.. At
    least they have options. maybe there is no need to have them scattered
    everywhere with the other boxes of gloves..
    Just a comment.

    Timothy R. Spencer, RN, APN, DipAppSci, Bach.Health, ICCert.
    Clinical Nurse Consultant | Central Venous Access & Parenteral Nutrition
    Service
    Conjoint Lecturer, University of NSW
    Dept of Intensive Care, Level 2, Clinical Building, Liverpool Hospital,
    Elizabeth Street, Liverpool, 2170, NSW, Australia
    Tel 02 8738 3603 | Fax 02 8738 3551 | Mob 0409 463 428 |
    Tim.Spencer@sswahs.nsw.gov.au

    ________________________________

    Behalf Of Thomson, Rachel EA

    Hi all,

    We have a member of staff who works across multiple units within our
    organisation. He requires size 9 sterile gloves and extra large non
    sterile. We routinely provide Small, Medium and Large examination
    gloves near to patient treatment care zones. We routinely provide up to
    size 8.5 sterile gloves in most units. We are reluctant to install a
    4th size of examination gloves, but clearly this raises issues of staff
    safety in an emergency and even potentially during routine care.

    Can I ask if AICA-list members would be willing to share what your
    organisation does in relation to providing ready access to gloves for
    individuals such as our staff member? If possible if you could respond
    via email at your earliest convenience I would be most grateful.

    Kind regards

    Rachel

    Rachel Thomson

    Nurse Unit Manager

    Infection Prevention & Control Unit

    Royal Hobart Hospital

    E: rachel.thomson@dhhs.tas.gov.au

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    in reply to: Transmission based precautions signage #68804
    Helen Scott
    Participant

    Author:
    Helen Scott

    Email:
    Helen.Scott@HEALTHSCOPE.COM.AU

    Organisation:

    State:

    We do the same as Kathy.
    Helen.
    Helen Scott
    Infection Control Co-ordinator &
    Acute Pain Service Co-ordinator
    Nepean Private Hospital
    Penrith, NSW.
    0247 327333
    Helen.Scott@healthscope.com.au

    Please consider the environment before printing this message

    >>> On 11/11/2011 at 11:08 am, in message , Katherine Taylor wrote:
    Hi Nicky,
    We use laminated coloured posters displayed on the patient’s door when additional transmission based precautions are in place and as far as I am aware have had no complaints about privacy. We also have colourful posters displaying standard precautions in staff and public areas on some wards.
    The information on the posters is to alert visitors as well as staff. We also place a stand or trolley with the PPE needed for the patient outside the door, so with or without the poster the PPE stand would make it obvious to most people walking past that the patient was being isolated.
    Regards
    Kathy
    Kathy Taylor CICP
    Infection Control Manager
    The Wesley Hospital
    PO Box 499,
    Toowong, Qld 4066
    07 3232 7558
    katherine.taylor@uchealth.com.au

    Hi All,
    I work in a private hospital who currently uses a colored magnet outside the patients room to denote if any precautions are required, for example yellow is for contact etc. This had been fraught with problems due to people often unaware of there meanings, forgetting or missing the magnets.
    I have seen some posters to place on doors released by the commission outlining appropriate PPE and what type of precautions are in place.
    I wondered from a privacy issue what other private hospitals were doing with regards to patients in isolation and whether they were using posters on doors. I have had comments that if a poster is on the door then it is obvious to others walking past that the patient has an infection.
    I would welcome your thoughts and opinions on this subject.
    Kind Regards
    Nicky Swindells CNC
    Infection Control Coordinator/Wound Management
    Mater Hospitals Central Queensland
    Rockhampton Yeppoon Gladstone
    nswindells@mercycq.com
    07 49313420

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    Helen Scott
    Participant

    Author:
    Helen Scott

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    Helen.Scott@HEALTHSCOPE.COM.AU

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    Hi Lindy,
    A possible place to ask would be Charles Gairdner hosp in Perth. They are into acuity scores and ratings so they might have one for infectious ratings.
    Helen.
    Helen Scott
    Infection Control Co-ordinator &
    Acute Pain Service Co-ordinator
    Nepean Private Hospital
    Penrith, NSW.
    0247 327333
    Helen.Scott@healthscope.com.au

    Please consider the environment before printing this message

    >>> On 20/10/2011 at 4:17 pm, in message , Lindy Ryan wrote:

    Dear Colleagues
    I have been asked by my executive to check if anyone out there has developed a formal tool for “rating infectious control patients. For example an infectious patient with no drips /drains/ wound rated as a 1 where as a 3 for a patient with wounds /drips and drains?” that is used by their their facility/service
    apparently some one has one developed hence our executive putting this forward as strategy to be considered for managing our bed block related to infection control risk pts …..I would think they are largely referring to MRSA pt’s.
    anyhow any advice or if anyone knows of one or if there is any literature or research supporting this approach for categorising pts with an MRO using such a tool I would be most appreciative.
    I am aware that pts without drains drips, good skin integrity etc may be lower risk of picking/spreading MROs (as we all know) a but i have not seen anything formalised or in concrete using a tool without the need for clinical/ infection control consideration which is more what I was after. I think my management are hoping for a one hat fits all approach to managing infection control issues/pts after hours when Infection control expertise is not available …hence me asking to see if anyone has developed something that is safe and workable.
    many thanks for any help
    have a great day all
    regards

    Lindy
    Lindy Ryan

    Infection Control Clinical Nurse Consultant | Infection Control Services, Nepean Hospital
    Nepean Blue Mountains Local Health District PO Box 63 Penrith NSW 2751
    Tel 02 4734 2228 | Fax 02 4734 2517 | lindy.ryan@swahs.health.nsw.gov.au
    http://www.health.nsw.gov.au

    Infection prevention & control is everyone’s business

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    10/20/11 – 17:17:39
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    Helen Scott
    Participant

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    Helen Scott

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    Does this mean 3am AEST?
    Thanks,

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

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    >>> On 27/09/2011 at 12:47 pm, in message , “Wishart, Michael” wrote:
    [Posted on behalf of AICA Executive – Moderator]

    Dear AICA Member,

    See below latest information from APIC regarding IIPW and access to their free webinars

    The access code for the 2011 IIPW Webinar Series was just released! Please be sure to pass along this code to your association members for free access to the 2011 IIPW webinar series: AICAIIPW11.

    Registration is now open at http://webinars.apic.org/.

    The code AICAIIPW11 permits access to all IIPW webinars. (These accredited webinars will also be archived on APIC ANYWHERE(tm) for their future (free) participation.)

    Five free, accredited webinars created especially for IIPW in collaboration with Key Partners:

    The Society for Healthcare Epidemiology of America (SHEA), scheduled for Monday, October 17th, 1 p.m. EDT (LIVE)

    National Patient Safety Foundation (NPSF), Tuesday, October 18th 1 p.m. EDT

    Association of PeriOperative Nurses (AORN), Wednesday, October 19th 1 p.m. EDT

    Infusion Nurses Society (INS), Thursday, October 20th 1 p.m. EDT

    Association for the Healthcare Environment (AHE), Friday, October 21st 1 p.m. EDT

    For the latest information, please check back http://www.apic.org/iipw for on speakers, events, and much more.

    Nicola Isles, CICP
    Infection Control Coordinator
    Hobart Private Hospital
    GPO Box 772 Hobart
    Tasmania 7001

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    in reply to: hanging of IV lines #68740
    Helen Scott
    Participant

    Author:
    Helen Scott

    Email:
    Helen.Scott@HEALTHSCOPE.COM.AU

    Organisation:

    State:

    Hi,
    We don’t have a policy as such but we don’t reconnect any lines once they have been disconnected. When IV fluids have finished, if they in an additive line, the whole thing is thrown away.
    IV lines are not disconnected when patients go for showers.
    If anything needs to be reconnected, there has to be new giving set and bag of fluids.
    We also clean our cannula caps with chlorhexidine alcohol swabs.
    Cheers,
    Helen.
    Helen Scott
    Infection Control Co-ordinator &
    Acute Pain Service Co-ordinator
    Nepean Private Hospital
    Penrith, NSW.
    0247 327333
    Helen.Scott@healthscope.com.au

    Please consider the environment before printing this message

    >>> On 8/09/2011 at 10:50 am, in message , “Beckingham, Wendy” wrote:

    Good morning
    Our question is: does anyone have a policy on when to change IV lines that are used for antibiotics and then left to hang disconnected by the patients bed side?
    Would love to hear from you if you do.
    Wendy Beckingham
    CNC Infection Prevention and Control
    ph. (02) 6244 3695 or pager 50390
    e.wendy.beckingham@act.gov.au ( mailto:fiona.kimber@act.gov.au )
    Care Excellence Collaboration Integrity
    GERMS CAN KILL…

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    in reply to: FW: Disposable curtains #68731
    Helen Scott
    Participant

    Author:
    Helen Scott

    Email:
    Helen.Scott@HEALTHSCOPE.COM.AU

    Organisation:

    State:

    Hi,
    We don’t use them at this stage but have looked at them.
    Helen.
    Helen Scott
    Infection Control Co-ordinator &
    Acute Pain Service Co-ordinator
    Nepean Private Hospital
    Penrith, NSW.
    0247 327333
    Helen.Scott@healthscope.com.au

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    >>> On 7/09/2011 at 10:27 am, in message , SAWMH.ICC wrote:
    Good morning Everyone,
    I have a few questions today on disposable curtains and their use in general and Transmission based precaution rooms. The company claims that the curtains in anti-microbial and can hang for up to 12 months, unless contaminated. Does anyone currently uses these curtains in your facilities, and if so:
    1. How often do you change them?
    2. Do you throw them out when a patient gets discharged from a Transmission based precautions room?
    3. If it gets thrown out, do you do it for all organisms, or just for Droplet and Contact spread organisms?
    Thank you
    Marlize Infection Prevention and Control is Everybody’s Business
    Marlize Senekal
    Infection Prevention and Control Coordinator
    St. Andrew’s War Memorial Hospital
    Wickham Terrace
    Spring Hill, Brisbane
    Ph. (07) 3834 4328
    Ext. 4328, Pager 0328

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    in reply to: Hydrotherapy pools #68705
    Helen Scott
    Participant

    Author:
    Helen Scott

    Email:
    Helen.Scott@HEALTHSCOPE.COM.AU

    Organisation:

    State:

    There’s a rubber type sock you can buy from pharmacies to cover it. Waterproof dressings should be sufficient but they usually come off. There are some good British websites which cover this, but look up “verrucas” because that’s what we call them in England.
    Try http://www.patient.co.uk/health/Warts-and-Verrucas.htm
    Helen.
    Helen Scott
    Infection Control Co-ordinator &
    Acute Pain Service Co-ordinator
    Nepean Private Hospital
    0247 327333
    Helen.Scott@healthscope.com.au

    Please consider the environment before printing this message

    >>> On 5/08/2011 at 2:08 pm, in message , Sue Kelly wrote:
    Does anyone have any good information or guidelines about the use of hydrotherapy pools for someone who has a plantar (or any other type) of wart.
    We have a patient, post knee replacement who has a wart and who wants/needs to use the pool for their rehabilitation program.

    We are considering covering the wart with two occlusive dressings, but am uncertain if that is sufficient to prevent cross contamination. The information from NSW Health ( PUBLIC SWIMMING POOL AND SPA POOL GUIDELINES June 1996) is particularly unhelpful, saying only:
    “Plantar warts are caused by a papovavirus through contaminated floor surfaces.”

    I have not searched any other health department sites.

    Any information would be really appreciated.

    Sue Kelly
    Quality Consultant and Infection Prevention & Control

    Wolper Jewish Hospital

    PO Box 844 Woollahra NSW 1350

    email: suekelly@wolper.com.au

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    in reply to: Cleaning Staff Ratios #68681
    Helen Scott
    Participant

    Author:
    Helen Scott

    Email:
    Helen.Scott@HEALTHSCOPE.COM.AU

    Organisation:

    State:

    Hi Terri,
    I asked at our HCF and this was the info I received.
    we work on a work hr KPI.
    Total work hrs divided by total patient numbers at midnight (including endoscopy and day surgery patient)
    There is not set rule on how many staff to patient rooms. we have 107 beds, on a busy day we have 5 people on a morning (approx38hrs), plus 3 on night shift (28hrs).
    Regards,
    Helen.

    Helen Scott
    Infection Control Co-ordinator &
    Acute Pain Service Co-ordinator
    Nepean Private Hospital
    0247 327333
    Helen.Scott@healthscope.com.au

    PPlease consider the environment before printing this message

    >>> On 6/07/2011 at 1:15 pm, in message , Terri Orrell wrote:

    Cleaning services at my HCF are currently being looked and I need to argue for retention of cleaning staff.
    Does anyone know of and can refer me to any publications on cleaning staff ratios to patient bed numbers?
    I am also looking to bench mark cleaning staff ratio to patients beds with other private hospitals of around 200 beds.
    My HCF provides the following services: A&E, Surgery ( general and elective orthopaedic implants), Medical, Midwifery, Paediatrics , Rehabilitation and Renal dialysis and Oncology day beds.
    Can anyone help me with benchmark ratios please?
    Regards,
    Terri
    Terri Orrell
    Clinical Nurse Consultant, Infection Control
    Peel Health Campus
    110 lake Road
    Mandurah 6210 WA
    terri.orrell@peelhc.com.au
    Ph 08 95318570 Pager 161
    Fax 08 95318578

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    in reply to: Operating room floor cleaning #68619
    Helen Scott
    Participant

    Author:
    Helen Scott

    Email:
    Helen.Scott@HEALTHSCOPE.COM.AU

    Organisation:

    State:

    Hi Brenda,
    We had this dilemma also.
    We decided, in consultation with HICMR, that all mop heads and
    definitely water should be changed after each case. At first, there were
    a few grumbles from the wardsmen who clean the floors but it now works
    fine. However, you’re right about risk assessment like in cataract
    surgery, so we don’t do it there.
    Also, the following are parts of our policy:
    Floors of the OT/IPR should be cleaned between lists, or as soon as
    possible if contaminated by organic debris, fluid or after any
    blood/body substance spillage.
    All cloths, mops, scrubbers and buckets should be colour coded (White)
    to the appropriate national standards. In addition, they should be clean
    and dry prior to use.
    Detachable white mop heads that can be laundered after each day’s use
    are recommended. Refer Policy: Cleaning Equipment Selection and Care.
    Solutions used for general cleaning should be freshly made up just
    prior to use, ensuring that the correct concentration of cleaning agent
    is used. Choice of agent is dictated by cleaning ability, lack of
    residue and cost, refer Policy: Cleaning Chemicals
    Selection and Appropriate Use.
    Regards,
    Helen.
    Helen Scott,
    Infection Control Co-ordinator,
    Nepean Private Hospital, Penrith, NSW.

    PPlease consider the environment before printing this message

    >>> Brenda Evans 15/05/2011 4:31 pm >>>
    Hi all
    I am trying to find information on the practice of changing mop heads
    in the operating room between all cases and also at the end of the
    list.

    Do all operating rooms change mops and water between every case or is
    it done from a risk assessment point of view?
    How big is the risk. eg between cataract cases or other surgery where
    there is minimal risk of blood and body substance splash.
    Is it mandated in ACORN or other publications to do this?
    Any references specifically relating to this would be most welcome.
    Thanks

    Brenda Evans
    Infection Control

    PO Box 751, Mildura VIC 3502
    http://www.milduraprivatehospital.com.au
    The information contained in this email message is intended for the
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    in reply to: Management of MRO patients in OT #68615
    Helen Scott
    Participant

    Author:
    Helen Scott

    Email:
    Helen.Scott@HEALTHSCOPE.COM.AU

    Organisation:

    State:

    Hi, this is our policy taken from ACORN and HICMR:
    INFECTION CONTROL RITUALS IN THE OPERATING THEATRE SUITE /
    INTERVENTIONAL
    PROCEDURE ROOM
    Order of Patients on the Operating List, eg. Dirty/Clean Cases
    The most probable route of infection transmission between
    successive/sequential surgical
    cases is from the air, instruments or environmental surfaces. If the
    ventilation system is
    effective, air will not be a source of infection transmission.
    Furthermore, surfaces that do
    not come into direct contact with the patient do not become
    contaminated. As a
    consequence, the inanimate theatre environment has a negligible
    contribution to the
    incident of post-operative infection. Therefore the order of patients
    on an operating list
    should not be determined on the basis of risk of cross infection.
    Cheers,
    Helen.
    Helen Scott,
    Infection Control Co-ordinator,
    Nepean Private Hospital, Penrith, NSW.

    PPlease consider the environment before printing this message

    >>> Prue Wright 13/05/2011
    7:13 am >>>

    Hi Carien,
    We wrote a policy last year specifically for OT and put together a kit
    for use when there is an MRO patient.
    We acknowledge that more often than not, we could have a colonised
    patient that we are not aware of; but when a patient is identified we
    follow strict control measures.
    VRE patients are put on the end of the list; and also MRSA if
    feasible.
    We have an outside scout if we can, if not possible, then a stock
    trolley is placed near the door and the porters help out with handing in
    extra sponges etc.
    The patient is recovered in OT if last on the list. Depending on the
    source of the MRO, and the clinical condition of the patient, recovery
    may have to be in the Recovery Unit. The bed is changed and cleaned
    during the procedure, and PPE is worn by porters and nursing staff
    caring for the patient.
    With this policy there is no confusion as to what MRO requires special
    precautions and there is full awareness of the need for extra measures
    as the patient progresses through the hospital.

    Prue Wright
    Infection Control Co-ordinator
    Hurstville Private

    From:AICA Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On
    Behalf Of Carien Coleman

    Hi,
    We are currently looking into our practices regarding MRO patients in
    OT. I would like to know what other hospitals are doing re outside
    scout nurses and where and how do you recover pts post anaesthesia if
    they have a MRO.
    Thank you,
    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 3436
    E:carien.coleman@uchealth.com.au
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