[HIP Consultancy]

HIT
Hospital Intravascular Team

Cath Wade
Director
Healthcare & Infection Prevention

—–Original Message—–

Hi All
At Canberra Hospital we are implementing a Vascular Aceess Team – only the abbreviation VAT is already in use for several other medical procedures etc.
I am looking for ideas of what we should call our team/service- we will be inserting PICC lines, difficult cannulas, monitoring central lines etc. We need to make sure that staff and patients recognise what we do from the name as well!

Any suggestions for a name that can also be a catchy acronym?

Thanks Kerry Taliaferro

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[HIP Consultancy]

Hi Anne,
For ventilation information, try the NSW Health Engineering Services And
Sustainable Development Guidelines Technical Series TS11.
It’s a reference document of the Australasian Heathcare Facility Guidelines
and can be accessed through the Aus HFG website
http://www.healthfacilityguidelines.com.au/references.aspx
Cheers
Cath Wade
Director
Healthcare & Infection Prevention

Of Britton, Anne (Health)

HI All,

I have reviewed the “engineering down the risk” document, but am unable to
find a suitable answer to our issue. Is anyone aware of
guidelines/standards related to shared bathrooms, in particular the
requirements for “hospital grade” toilets including cisterns, the
maintenance of such, and/or ventilation of such bathrooms?

Regards,
Anne Britton
Infection Control (Mon Tues and Alt Fri)
Hospital Coordinator/NQIS
Noarlunga Hospital
8384 9649
0427 809 131
Anne.Britton@HEALTH.sa.gov.au

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[HIP Consultancy]

Hi Tain,

Also try the Australian Government Website for the National Pathology
Accreditation Advisory Council

http://www.health.gov.au/internet/main/publishing.nsf/Content/health-npaac-p
ublication.htm

Cheers

Cath Wade

Director

Healthcare & Infection Prevention

Of Tain Gardiner

Good morning Michael

I am wondering if the group can point me in the direction of any standards
for pathology departments. Cleaning requirements for P3 labs. Anything in
general would be of assistance. Also anything on forensic morgues too.

Thanks so much

Tain Gardiner Clinical Nurse Manager

BN, MPH
Infection Prevention & Management Unit
Top End Health and Hospital Services
Rocklands Drive, Casuarina, NT 0811 PO Box 41326, Casuarina, NT 0811
p… (08) 892 28045 pager # 0239| f… (08) 892 28889
e…Tain.Gardiner@nt.gov.au

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International Infection Prevention Week, October 20-26th 2013.

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[HIP Consultancy]

Hi Tain,

I find the pathology industry often refer to the Clinical and Laboratory
Standards Institute for professional guidelines etc.

http://www.clsi.org.

Unfortunately none of the documents are free, have to purchase them.

Regards

Cath Wade

Director

Healthcare & Infection Prevention

Of Tain Gardiner

Good morning Michael

I am wondering if the group can point me in the direction of any standards
for pathology departments. Cleaning requirements for P3 labs. Anything in
general would be of assistance. Also anything on forensic morgues too.

Thanks so much

Tain Gardiner Clinical Nurse Manager

BN, MPH
Infection Prevention & Management Unit
Top End Health and Hospital Services
Rocklands Drive, Casuarina, NT 0811 PO Box 41326, Casuarina, NT 0811
p… (08) 892 28045 pager # 0239| f… (08) 892 28889
e…Tain.Gardiner@nt.gov.au

IIPW13_Microsite_TopLogoBanner_final-rev_notabs

International Infection Prevention Week, October 20-26th 2013.

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[HIP Consultancy]

Refer your theatre nurse to the current 2012 / 2013 ACORN Standards.

Walls are cleaned 6 monthly – routine cases.

However, walls must be spot cleaned after each case, common sense if visibly
soiled, this is part of normal cleaning of blood and body substance spills
splashes etc.

Infectious cases would be a different matter. There is no guidance in the
ACORN standards regarding terminal cleaning after infectious patients.

The best resource is the Clinical Excellence Commission Environmental
Cleaning Standard Operating Procedure section 3.5 Operating Theatres which
has a section about infectious cleaning in OT (double clean) after a
patient.

Regards

Cath Wade

Director

Healthcare & Infection Prevention

Of Denyer, Vicki

Hi All,

Question ask by theatre nurse as to whether the wall of the theatres require
cleaning after every case & also for a terminal clean or can the walls be
spot cleaned with a general overall cleaning .

Vicki Denyer

Clinical Nurse Consultant | Infection Prevention & Control Unit
Lismore Base Hospital
Tel 02 6620 2385 | vicki.denyer@ncahs.health.nsw.gov.au

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[HIP Consultancy]

Chutes are not recommended as per Australian Standards HB 260-2003: Hospital
Acquired Infections – Engineering down the risks. Section 3.2 part (o)

The CDC Guidelines for Environmental Infection Control in Health-Care
Facilities also has information regarding laundry chutes.

Both documents contain similar information regarding the spread of airborne
contaminants from laundry chutes. Special design considerations must be
taken into account if used e.g. negative pressure.

There are also problems with cleaning – it is very difficult to clean chute.

Regards

Cath Wade

Director

Healthcare & Infection Prevention

Of Tozer, Jennifer (Health)
control issue

Can any of the ACIPC members please provide me with information around
laundry chutes in the health care setting around issues from an infection
control perspective . Also I would be very grateful if anyone could direct
me towards literature around this topic of: laundry chutes and if they are
deemed an infection control issue or not.

Thank you for your assistance

Jennifer K Tozer

BArts Anthro,RN,MHN,IC cert

Infection Prevention & Control Coordinator

Central and Northern Adelaide Local Health Networks

CALHN – MHS [Glenside Campus]

NALHN – MHS [Oakden and James Nash House Campuses]

Telephone (08) 7425 6237 Facsimile (08) 7425 6208 Mobile 0423 782
171

Infection Prevention and Control is Everybody’s Business.

email jennifer.tozer@health.sa.gov.au

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[HIP Consultancy]

The CDC Environmental Infection Control in Healthcare Facilities warns of the generation of aerosols from cleaning chemical, especially if the cleaning chemical happen to be contaminated. The CDC recommends;

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.

Dispensed diluted chemicals are unstable as they do not contain any preservatives etc like ready to use chemicals do and grow bacteria very easily, which is why they must be dispensed every day / prior to use and then discarded at the end of each day / end of shift / after use as per manufacturers instructions. Best Practice is to use pour caps or pre-impregnated cleaning wipes.

Cheers

Cath Wade

Director

Healthcare & Infection Prevention

Hi All,

Would anyone know if there are any reasons for not using Trigger Bottles in healthcare housekeeping settings, please? Some of our bottles tips over easily and cause spills and stains. We are looking at color coded containers which will transfer the liquid to the trigger bottles.

Does anyone have any suggestions or experience please?

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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[HIP Consultancy]

Hi

It may not necessarily be mould, so it’s good to do a bit of a test.

Sometimes there is static electricity from the air flow & the static can
pick circulating dust in the room.

If the dust can be easily removed / flicked off with a cloth, then it is
most likely not mould but dust / dirt.

If this is the case, the dust can collect due to the static or the air is
coming through dirty & the filters need cleaning / changing, possibly on a
more frequent basis.

The dirt can appear like mould (fine black / brown) and when wiped off, it
then quickly returns. This will be due to not eliminating the static problem
(difficult) or have not cleaned the filters from the air conditioning.

If the dirt / mould is difficult remove & needs bleach, then you may need to
reassess how the air-conditioner is being used.

In tropical climates with high humidity, air conditioning systems are best
run on a ‘DRY’ mode to remove the humidity, which will hopefully prevent
further mould growth.

Dry mode is also a more cost effective way to run an air conditioner.

Hope this helps

Cheers

Cath Wade

Director

Healthcare & Infection Prevention

Of Long, Kylie FLTLT

UNCLASSIFIED

Good Morning All,

I was hoping to get some advice regarding an effective cleaning solution in
healthcare facilities (particularly those in the tropics) for mould on
walls, around aircons etc.

Regards,

Kylie Long

Clinical Governance/Infection Prevention and Control

Joint Health Command

Department of Defence

kylie.long@defence.gov.au

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[HIP Consultancy]

Hi,

You should use caution when selecting the product e.g. chlorhexidine, as
some of the chemical ingredients are not necessarily deemed food safe.

The FDA in the USA has a bit of a write up about hand sanitisers & is
working with the CDC to develop guidelines for the Food Industry.

http://www.fda.gov/Food/FoodSafety/RetailFoodProtection/IndustryandRegulator
yAssistanceandTrainingResources/ucm135577.htm

Education as to when hand sanisitisers can be used is very important.

Hand sanitisers do have a place but staff need to be aware of the need to
hand wash during food preparation to remove invisible fats & proteinaceous
matter that can be on hands when preparing food.

Cheers

Cath Wade

Director

Healthcare & Infection Prevention

Of SAWMH.ICC

Dear All,

We are currently looking for a alcohol based hand sanitiser to use in our
Food Service Department. I was wondering what the practices are out there,
and what product you are using in your Food Service Departments and on your
food delivering trolleys?

Thank you and regards

Marlize Senekal

Infection Prevention and Control Coordinator

St. Andrew’s War Memorial Hospital

457 Wickham Terrace, Spring Hill

Brisbane

Ph. 07-3834 4444

Ext. 4328, Pg. 0328

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