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Hi Sara,
The CEC has a list of advice for skin sensitivity with mask use – Section 4.10 onwards. https://www.cec.health.nsw.gov.au/__data/assets/pdf_file/0005/644009/Chapter-4-COVID-19-IPAC-manual.pdf
When not in red alert, a risk assessment can be performed to determine the risk. I’m wondering whether a face shield could be an option to explore.
Susan Farrugia
Infection Control Coordinator
Arcadia Pittwater Private Hospital
4 Daydream Street
Warriewood NSW
Infectioncontrol@arcadiapittwater.com.au—–Original Message—–
From: ACIPC Infexion Connexion On Behalf Of Sara Nannery
Sent: Wednesday, 28 July 2021 5:00 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: [ACIPC_Infexion_Connexion] Facial Skin Conditions + PPEHi Colleagues,
One of our podiatry clinicians has a serious skin condition on her face which has been getting worse due to mask use (full time mask use at work since March 2020). She is now having to take personal leave as she has received medical advice that she can’t continue wearing masks.
We work in a relatively low risk COVID environment: Community Health Centre, where clients are screened before entry, so whilst we cannot guarantee we are COVID free, we don’t have clients with any epidemiological risk factors.
1. Does anyone have any guidance on how to manage clinical staff who cannot wear face masks?
2. Is there any feasible alternative to clinicians wearing face masks?
3. Does anyone have any documentation/assessment forms for tracking skin conditions relating to PPE?
Thanks in advance
Sara Nannery
OHS, Risk & IPC Coordinator
Sunbury Community HealthMESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
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Hi Helen,
We put PPE from rooms with transmission based precautions into general waste unless they are visibly soiled and / or fit the definition of clinical waste.
Most of our PPE from these patients goes into general waste.Clinical waste means any waste resulting from medical, nursing, dental, pharmaceutical, skin penetration or other related clinical activity, being waste that has the potential to cause injury, infection or offence, and includes waste containing any of the following:
human tissue (other than hair, teeth and nails)
bulk body fluids or blood
visibly blood-stained body fluids, materials or equipment
laboratory specimens or cultures
animal tissue, carcasses or other waste from animals used for medical research. https://www.health.nsw.gov.au/environment/clinicalwaste/Pages/default.aspxKind regards,
Susan
Susan Farrugia
Infection Control Coordinator
Arcadia Pittwater Private Hospital
4 Daydream Street
Warriewood NSW
Infectioncontrol@arcadiapittwater.com.au[cid:image001.jpg@01D70B54.79A89A10]
From: ACIPC Infexion Connexion On Behalf Of Helen Roberts
Sent: Tuesday, 23 February 2021 2:34 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: [ACIPC_Infexion_Connexion] PPE wasteGood afternoon everyone,
Just enquiring in which waste bin (general or clinical) do staff put their PPE after being in a precautions room (MRSA, VRE, CDiff etc).
Currently, we put all our PPE in to clinical waste.
I cannot see a clear directive in the Guild line for Prevention and control of infection in healthcare.
Do you place it in general waste or clinical waste?
Thanks in advance
Helen
Helen Roberts
Infection Control
P:
07 4646 3106
|
F:
07 4633 7602
E:
robertsh@sath.org.au
|
W:
http://www.sath.org.au
Post:
PO Box 263, Toowoomba, QLD 4350
Address:
280 North St, Toowoomba, QLD 4350
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Hi Helen,
I’m also interested in linen trolley covers & would appreciate the information as well.
Thanks
Susan
Susan Farrugia
Infection Control Coordinator
Arcadia Pittwater Private Hospital
4 Daydream Street
Warriewood NSW
Infectioncontrol@arcadiapittwater.com.au[cid:image002.jpg@01D6B910.7E163C10]
Hi Helen
Would you mind sharing with me if you get the info please
Kind regards
Johanna Du Plooy
LEI Infection and Compliance Coordinator
Get Outlook for Android________________________________
Hi all,
Does anyone have the name of the company who provides vinyl covers for linen trolleys please?
Please reply to my email, not the discussion list.
Many thanks,
Helen.
Helen Scott CICP-P
CNE, Infection Prevention & Control
Northwest Regional Hospital
Tasmanian Health Service – North West
[cid:175b99cccf14ce8e91]
[cid:175b99cccf15b16b22]
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Hi Josh,
This is a resource posted a while ago. It might help.
Susan Farrugia
Infection Control Coordinator
Arcadia Pittwater Private Hospital
4 Daydream Street
Warriewood NSW
Infectioncontrol@arcadiapittwater.com.au—–Original Message—–
From: ACIPC Infexion Connexion On Behalf Of Josh
Sent: Thursday, 6 August 2020 11:55 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: [ACIPC_Infexion_Connexion] Pressure area care for masksHello IPC professionals,
Wondering if anyone has any resources or evidence in pressure area care with mask use?
Staff are beginning to find irritation on the bridge of their noses and are wanting help.
Thanks,
Josh Puglia
Infection Prevention & Control Nurse | Hand Hygiene Coordinator The Royal Womens Hospital | Locked Bag 300 | Cnr Grattan St & Flemington Rd, Parkville VIC 3052
P: +61 3 8345 2791 | Pager 52793
joshua.puglia@thewomens.org.au I http://www.thewomens.org.auMESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
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Hi Fiona,
The CDC has the following information:
Strategies for Optimizing the Supply of Facemasks
https://www.cdc.gov/coronavirus/2019-ncov/hcp/ppe-strategy/face-masks.htmlStrategies for Optimizing the Supply of N95 Respirators
https://www.cdc.gov/coronavirus/2019-ncov/hcp/respirators-strategy/index.htmlChecklist for Healthcare Facilities: Strategies for Optimizing the Supply of N95 Respirators during the COVID-19 Response https://www.cdc.gov/coronavirus/2019-ncov/hcp/checklist-n95-strategy.html
There are links regarding isolation gowns & protective eyewear as well.
There are strategies for conventional, contingency & crisis capacity.Susan
Susan Farrugia
Infection Control Coordinator
Arcadia Pittwater Private Hospital
4 Daydream Street
Warriewood NSW
Infectioncontrol@arcadiapittwater.com.au[cid:image001.jpg@01D6044D.B744F170]
From: ACIPC Infexion Connexion On Behalf Of Terry
Sent: Sunday, 22 March 2020 4:28 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] Re-using PPEHi Fiona,
The Dutch are investigating this:
https://www.linkedin.com/posts/timhoreman_rivm-rdgg-lumc-activity-6647000197740142592-L_rT
Kind Regards
Terry McAuley
Director
MSc Medical Device DecontaminationPO BOX 2249, Greenvale, VIC Australia 3059
Mobile: +61 (0)438 109 692
Email: terry@steamconsulting.com.au
Website: http://www.steamconsulting.com.au[cid:image001.png@01D60066.D7BF7000]
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From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> On Behalf Of De Sousa, Fiona M
Sent: Sunday, March 22, 2020 4:21 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: [ACIPC_Infexion_Connexion] Re-using PPEHi all,
It has been suggested to me that with PPE shortages associated with Coronavirus that we may need to decontaminate and re-use PPE.
Although this goes against all my infection control experience and training, I am interested to hear from any site that may be investigating this.
What method of decontamination is being considered / investigated?
How do you know it has been effective in decontamination?
How do you know the PPE item is still effective for protecting staff?
Kind regards,
Fiona De Sousa CICP-E| Nurse Manager | Infection Prevention & Control Unit
Launceston General Hospital, Level 2, Launceston TAS 7250
phone: 6777 6715 | mobile: 0408 487 197 | fax: 6777 5170 | email: fiona.de.sousa@ths.tas.gov.au |
intranet: http://www.dhhs.tas.gov.au/intranet/thon/infection_control
IPCU By working together we promote a culture of safety to reduce preventable infections and transmission of multi-resistant organisms
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Hi All,
The NSW Health website COVID-19 FAQs does state this:
Someone in my household recently returned from overseas or has been in contact with a confirmed COVID-19 case and is self-isolating. Do I need to self-isolate too?
Other members of the household are not required to be isolated unless they have also:
* been overseas in the last 14 days
* been a close contact of a confirmed COVID-19 case.
Make sure you maintain a safe distance from that person at all times but support them as much as possible to maintain their self-isolation.
https://www.health.nsw.gov.au/Infectious/alerts/Pages/coronavirus-faqs.aspx#4-2It’s a shame it doesn’t say confirmed or suspected case of COVID-19
Susan
Susan Farrugia
Infection Control Coordinator
Arcadia Pittwater Private Hospital
4 Daydream Street
Warriewood NSW
Infectioncontrol@arcadiapittwater.com.au[cid:image001.jpg@01D6042D.85CD44F0]
Hi Michael,
Maybe the college could contact the DoH COVID team & tell them to make that clear, i.e. BIG print. There is a lot of confusion about household contact for non-sick travellers. I’m in home quarantine after coming back from NZ, alive & well. My kids thought they had to move out! I found one small piece of advice on the traveller website (small print) that household contacts of well returned travellers were not quarantined. I have raised it with the DoH.
Cheers
KarenKaren Booth
RN BHSCN GAICD
President APNA
Australian Primary Health Care Nurses Association
M: 0411 898 884
karenbooth1@bigpond.comAustralian Primary Health Care Nurses Association (APNA)
Level 17/350 Queen Street, Melbourne VIC 3000
p: 1300 303 184 f: (03) 9322 9599
president@apna.asn.au | http://www.apna.asn.au
[cid:image001.png@01D6042A.525B9700]Hi Emma
We have had lots of staff and patients in this situation, and our advice from our local public health unit is that unless they were exposed to symptomatic person why then has confirmed disease, or unless the person developed symptoms within 24 hours of the contact and then has confirmed disease, it is not considered exposure.
So, my rule is if they have not been contacted by public health about being a known close contact there is no considered risk to them.
Cheers
MichaelMichael Wishart | Infection Control Coordinator, CICP-E
St Vincent’s Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
W https://www.svphn.org.au[cid:image001.jpg@01D46C86.4CDB6090]
[cid:image005.png@01D5C601.F77FEA40]
Dear Brainstrust ,
Firstly I hope you’re all surviving out there!!
This has happened twice in my organisation where family members (staff) have picked up their family member from the airport after being overseas ( & the travellers are expected to be in isolation for 14 days)
And the staff member has had close contact with themI’ve asked the staff member not to come to work – but there doesn’t seem to be much in our govt literature about this?
Has anyone been in the same circumstance ,Much appreciated Emma
Emma Trippe
Infection Control Consultant
[cid:image001.png@01D60419.DA834DA0]
Calvary Riverina Hospital
Hardy Avenue Wagga Wagga NSW 2650
P: 02 6932 1628
E: Emma.Trippe@calvarycare.org.au
http://www.calvary-wagga.com.auHospitality | Healing | Stewardship | Respect
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Hi Keven,
The information was given in a Private Hospitals teleconference, not formally documented, however it is difficult to find an avenue to gain information on options. I was not involved in the teleconference, rather had feedback from it.
Local distribution via public health units is being investigated, although their online requests are for GPs & Dentists.
We are continuing to investigate.Susan
Hi Susan
Do you have any written documents supporting what the government have told NSW private hospitals ?. I would really be interested in this to support our current limited stock and supplies.
Keven Renshaw
Infection Control Practitioner
Mercy Health and Aged Care Central Queensland Limited
Ward Street, ROCKHAMPTON QLD 4700
Dear All,
NSW Private Hospitals have been informed that the government stockpile of masks will not be available for private hospitals, also that unless a patient is medically unable to be cared for at the private hospital facility, they are not to transferred to a public hospital.
Whilst we are not out of supplies of masks, if we were to have many patients diagnosed with COVID-19, we would struggle with supply, particularly with surgical masks. We are not a surgical hospital, rather, medical, post surgical, rehab & palliative care.
During the SARS outbreak, masks were reportedly re-used, after spraying with a disinfectant and bagging for a nominated period of time. There has also been talk of hand made masks for low risk situations.
I’m wondering what other facilities are experiencing?
Regards,
Susan
Susan Farrugia
Infection Control Coordinator
Arcadia Pittwater Private Hospital
Infectioncontrol@arcadiapittwater.com.au[cid:image001.jpg@01D5E7F7.A43D0B20]
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Hi Sue,
We are an 85 bed sub acute private hospital in NSW. I see that you are in Victoria, so the not the same Health Service.
Our Staff Health requirements are strongly aligned with the NSW Health PD 2018_009 Occupational Assessment, Screening and Vaccination Against Specified Infectious Diseases: https://www1.health.nsw.gov.au/pds/ActivePDSDocuments/PD2018_009.pdf
Whilst not mandatory for Private Hospitals, we use it as guidance material.
To answer your questions below:1. Stat Declarations are accepted as evidence for age appropriate Hep B and must be accompanied by positive serology. We use Attachment 6 Undertaking/ Declaration from the PD above.
2. Cat A
* Measles evidence positive serology or 2 doses MMR at least 1 month apart. Also acceptable is birth year before 1966. We also require the Mumps & Rubella evidence
* Hep B vaccination/ Stat Dec plus Serology Anti- HBs of 10 IU/mL or more
* History of disease no longer acceptable evidence for VZV we require positive serology or 2 doses VZV at least 1 month apart
* Evidence of dTpa adult dose within the last 10 years for all staff as we dont have many staff who do not have direct contact with patients at some point
3. Cat B are not required to undergo screening / vaccination
4. Cat C not a category in the 2018 PD
5. TB Screening All Cat A staff are required to complete Attachment 7 TB Assessment Tool to determine whether they require screening. Its largely based on country of birth and/or cumulative travel to high risk countries link to the list here file:///C:/Users/InfectionControl/Desktop/TB%20High%20Risk%20countries-incidence.pdfAttachment 4 Checklist: Evidence required from Cat A Applicants is helpful in spelling out what is required when staff apply for a position. There is also a section in the PD for existing workers.
Hope this helps,
Susan
Susan Farrugia
Infection Control Coordinator
Arcadia Pittwater Private Hospital
4 Daydream St, Warriewood NSW 2102
Email: infectioncontrol @arcadiapittwater.com.au
Website: http://www.arcadiapittwater.com.au
[cid:image001.jpg@01D3437A.E62CC080][cid:image001.jpg@01D46175.E0DEE940]Sent from Mail for Windows 10
________________________________
From: ACIPC Infexion Connexion on behalf of Susan Gonelli
Sent: Tuesday, August 6, 2019 12:37:36 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: [ACIPC_Infexion_Connexion] Health Services Staff Immunisation Requirements QueryHi All,
I am benchmarking what other Health Services are requesting / requiring of their staff in terms of immunisation evidence and would be very appreciative of any information you can provide for the following questions
1. Does anyone ever accept statutory declarations as evidence of immunisation?
2. For Category A Healthcare Workers (HCW) direct patient care / potential contact with blood and body fluids
a. Do you require serology as well as vaccination evidence for Measles?
b. Do you require evidence of Hepatitis B vaccination course or is documented positive surface antibodies post course sufficient?
c. Do you require serology for Chickenpox VZV or do you accept history of disease as evidence enough?
d. Do you require evidence of pertussis vaccination for all staff or just staff in some clinical areas ( please specific areas )?
3. For Category B HCW Non direct patient contact / e.g. ward clerks, food services, social work etc.
a. Do you require serology as well as vaccination evidence for Measles?
b. Do you require serology for Chickenpox VZV or do you accept history of disease as evidence enough?
c. Do you require evidence of pertussis vaccination for all staff or just staff in some clinical areas ( please specific areas )?
4. For Category C HCW
a. Do you require serology as well as vaccination evidence for Measles?
b. Do you require any other vaccination evidence? If yes please specify
5. Do you conduct TB screening for all staff or just subgroups? If subgroups which ones
Thanking you in advance for you time
Kind Regards
Sue Gonelli CNC Pre Employment Immunisation Coordinator
Employee Exposure Management and Immunisation Service PO Box 52, Frankston Vic 3199
Direct 9788 1747 Fax 9784 2347 Switchboard 03 9784 7777
immunisations@phcn.vic.gov.au
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