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Glenys Harrington

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  • in reply to: ABHR Dispenser Damage and Theft #81510
    Glenys Harrington
    Participant

    Author:
    Glenys Harrington

    Position:
    Consultant

    Organisation:
    Infection Control Consultancy (ICC)

    State:

    Glenys Harrington
    Participant

    Author:
    Glenys Harrington

    Position:
    Consultant

    Organisation:
    Infection Control Consultancy (ICC)

    State:

    Hi Jan,

    The information provided to you by the Australian Commission on Safety and Quality in Healthcare is correct.

    The AS/NZ standards you are referring to in your email are not applicable to the aged care sector.

    See highlights below:

    *The Australian Standard AS/NZS 4187 is the national standard most commonly used by hospitals and day procedure services to meet the requirements in Action 3.17. Standards Australia released AS/NZS 4187:2014: Reprocessing of reusable medical devices in health service organisations in 2014 and it became operational in December 2016.

    *Standards Australias AS/NZS 4815:2006 – Office-based health care facilities Reprocessing of reusable medical and surgical instruments and equipment, and maintenance of the associated environment is commonly used in office-based practice. This standard is still operational and is not covered by this Advisory.

    Please ensure the aged care facility you refer to in your email is aware of the above information, as replacing/upgrading equipment unnecessarily will be a costly exercise.

    Regards

    Glenys

    Glenys Harrington

    Consultant

    Infection Control Consultancy (ICC)

    P.O. Box 6385

    Melbourne

    Australia, 3004

    M: +61 404816434

    E: infexion@ozemail.com.au

    Dear team,

    I trust this email finds you well.

    Our point of contact in ACIPC, Caroline, suggested I send my questions to you for discussions in the Infexion Connexion Forum.

    Please see my original question and explanation how I arrive at the question on the bottom of this thread. To ease communication, I am also copying it below. Thanks for helping us in this instance.

    Begin extract:

    We were approached by one of our customers, an aged care facility, regarding this.

    As far as we understand, AS 5369 will replace AS4187 on 1 January 2023. Our customer is concerned that he will be unable to replace all non-compliant devices, mainly bed-pan washers/disinfectors before the deadline.

    There is a document by the Australian Commission on Safety and Quality in Healthcare, which can be retrieved here:

    https://www.safetyandquality.gov.au/sites/default/files/2021-07/nsqhs_standards_advisory_as1807_july_2021.pdf

    However, after calling the Commission, they said this would not apply to the aged care sector.

    I cannot reach the Aged Care Quality and Safety Commission to receive clarification.

    I hope that you would be able to clarify this for us. If the document from the Australian Commission on Safety and Quality in Healthcare applies to aged care facilities, this would give our customer the chance to present a plan to replace the non-compliant units in due course rather than rushing to get everything done within the next two and a half months.

    Also, who would audit the compliance or the plan to be compliant? Would this be done by the Aged Care Quality and Safety Commission for aged care facilities?

    Thank you for helping us out and understand this issue better so we can give better service to our customers.

    End extract.

    Best regards,

    Jan Lohstraeter-Zhang

    National Key Account Manager

    MEIKO AUSTRALIA PACIFIC PTY LTD

    72-74 Gibbes Street, Chatswood, NSW, 2069

    Phone 1300 562 500

    Mobile 0408 011 542

    http://www.meiko.com.au

    Good morning Jan,

    Thank you for sending through your inquiry. I referred this to our Practice Guidance Committee, who suggested you post this in the Infexion Connexion Forum. There are many members including AS 4187 experts who will be able to provide suitable replies.

    To add your question to the forum, email the details to aciplist@acipc.org.au

    If you require any further information, then please do not hesitate to contact the office.

    Kind regards,

    Caroline Woolley

    Office Manager

    Australasian College for Infection Prevention and Control Ltd

    caroline@acipc.org.au

    https://www.acipc.org.au

    +61 3 6281 9239

    Level 6, 152 Macquarie St, Hobart TAS 7000, Australia

    ACIPC acknowledges Aboriginal and Torres Strait Island people as the traditional owners of country throughout Australia and ng iwi Mori as the Tangata Whenua (people of the land) of Aotearoa and respects their continuing connection to culture, land, waterways, community and whnau/family.

    Dear Sir or Madam,

    I am writing you as a member of the ACIPC and have an urgent request in regards to the above topic. I just talked to Caroline Woolley and she suggested to send an email inquiry to this inbox.

    We were approached by one of our customers, an aged care facility, regarding this.

    As far as we understand, AS 5369 will replace AS4187 on 1 January 2023. Our customer is concerned that he will be unable to replace all non-compliant devices, mainly bed-pan washers/disinfectors before the deadline.

    There is a document by the Australian Commission on Safety and Quality in Healthcare, which can be retrieved here:

    https://www.safetyandquality.gov.au/sites/default/files/2021-07/nsqhs_standards_advisory_as1807_july_2021.pdf

    However, after calling the Commission, they said this would not apply to the aged care sector.

    I cannot reach the Aged Care Quality and Safety Commission to receive clarification.

    I hope that you would be able to clarify this for us. If the document from the Australian Commission on Safety and Quality in Healthcare applies to aged care facilities, this would give our customer the chance to present a plan to replace the non-compliant units in due course rather than rushing to get everything done within the next two and a half months.

    Also, who would audit the compliance or the plan to be compliant? Would this be done by the Aged Care Quality and Safety Commission for aged care facilities?

    Thank you for helping us out and understand this issue better so we can give better service to our customers.

    Have a good weekend. I am looking forward to hearing from you.

    Best regards,

    Jan Lohstraeter-Zhang
    National Key Account Manager

    MEIKO AUSTRALIA PACIFIC PTY LTD

    72-74 Gibbes Street, Chatswood, NSW, 2067

    Phone 1300 562 500

    Mobile 0408 011 542
    http://www.meiko.com.au

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    Glenys Harrington
    Participant

    Author:
    Glenys Harrington

    Position:
    Consultant

    Organisation:
    Infection Control Consultancy (ICC)

    State:

    Hi Lee,

    I work in this space and provide onsite workshop training.

    Feel free to contact me offline – contact details below.

    Regards

    Glenys

    Glenys Harrington
    Consultant
    Infection Control Consultancy (ICC)
    P.O. Box 6385
    Melbourne
    Australia, 3004
    M: +61 404816434
    E: infexion@ozemail.com.au

    —–Original Message—–

    Good afternoon I am hoping someone may be able to give some information on any IP&C building & renovation work shops or online courses available in Australia I have already done the ACIPC foundation course but was hoping for something more streamlined to building & renovation. I thank you all in advance.
    Lee Matthews IC&P Clinical Nurse WCH adelaide

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    in reply to: Re: Moments of Hand Hygiene #81366
    Glenys Harrington
    Participant

    Author:
    Glenys Harrington

    Position:
    Consultant

    Organisation:
    Infection Control Consultancy (ICC)

    State:

    Dear All,

    Further to this topic and comments relating to auditing of hand hygiene practices in RACFs (non-acute care setting) should be aware of the following:

    *Direct observations and the collection of low numbers of hand hygiene observations are problematic because of the following:

    *The Hawthorn effect, where those being observed are aware, they are being observed for hand hygiene practices and change their practice

    *5 Moments of Hand Hygiene – All 5 moments of hand hygiene generally cannot be observed as resident room doors are closed during clinical care (privacy), hence the majority of observations being observed will be prior to entering the room and after exiting the room, not during direct care

    *Selection bias – which occurs when the sample size is too small and hence does not represent the population being observed.

    Currently Hand Hygiene Australia (HHA) do not recommend routine Hand Hygiene Compliance (HHC) auditing with the 5 Moments for Hand Hygiene audit tool as an outcome measure in the non-acute, primary care or mental health setting. https://www.hha.org.au/audits/audit-recommendations

    Such auditing may not reflect hand hygiene practices across the facilities and is a poor use of limited infection control resources.

    Regards

    Glenys

    Glenys Harrington

    Consultant

    Infection Control Consultancy (ICC)

    P.O. Box 6385

    Melbourne

    Australia, 3004

    M: +61 404816434

    E: infexion@ozemail.com.au

    Thank you everyone for taking time to response with best practice. I really appreciate each one of you for your response and sharing your best practice and they are valuable. Thank you in particular to Robyn for your reassurance and sharing the observation tool which I was not aware of and this will be a great tool for me to apply during my next HH observational audit. I could see that you have a work number, if you okay with it, can I touch base to ensure I am on a right track?

    Wow! I really love this platform. How did I get so lucky 🙂

    Have a good afternoon everyone

    Kind regards

    Tenzin Chokey

    IPC Lead

    Life Care SA

    Sent from Yahoo Mail for iPhone

    On Monday, September 19, 2022, 11:57 am, Robyn Russell <00000057244f6faa-dmarc-request@AICALIST.ORG.AU > wrote:

    Hi Tenzin

    I agree 100% re 4 moments in aged care a RACF resident does not neatly sit within a boundary such as a room or patient area as they would in a hospital setting

    There are many shared spaces, such as dining rooms, activity areas, cafes etc

    At my organisation we combine moments 4 and 5 as you describe

    Based on the Canadian Ontario Health Just clean your hands (long term care) program https://www.publichealthontario.ca/en/health-topics/infection-prevention-control/hand-hygiene/jcyh-ltch or https://www.youtube.com/watch?vWQKu7V2sy64 , they have some amazing resources for an aged care setting

    SA Health adapted the tool we developed at my organisation based on the Ontario model for use by providers who do not contribute to the NHHI

    This tool more accurately reflects an aged care setting

    Instead of identifying Moments 1, 2, 3 etc we assess against opportunities observed and whether HH was undertaken

    https://www.sahealth.sa.gov.au/wps/wcm/connect/321b0200408cc7bf9f52bf222b2948cf/Hand+Hygiene+Observation+Tool_v3.6+%28Jun2020%29_amended.pdf?MODAJPERES &CACHEIDROOTWORKSPACE-321b0200408cc7bf9f52bf222b2948cf-o5jb2f6

    Initially we developed posters and education focussing on the 4 moments, but over time most signage reflects the standard 5 moments for HH.

    I dont really get hung up on 4 / 5 moments, I talk to the opportunities which is observing HH being undertaken prior to and after any care / person / environment contact

    IA bit hard to explain in an email sorry

    At the end of the day our focus is on improving hand hygiene practice ensuring improved resident outcomes

    Tenzin, I am happy to chat if you want more information

    Regards

    Robyn

    Robyn Russell RN, CICP-P

    Client Safety & Quality Consultant
    34 Molesworth Street, North Adelaide SA 5006
    T. (08) 8224 7851
    M. 0424 167 101
    F. (08) 8267 2690
    http://www.helpinghand.org.au

    Hi All

    I am fairly new to the role as a centralised IPC lead. Prior to taking on the role, in the recent time my organisation had adopted 4 moments of hand hygiene instead of 5 moments and the rationale behind this is 5 moments apparently doesnt support aged care setting. If we are to apply a 5 moments, we must either have a ABHR at each residents bedside or alternatively all staff would need to carry hand gel with them. The posters were changed from 5 moments to WHO 4 moments.

    This was not something that I have implemented, but was there in place. When I started our HH audit, my audit template was based on 4 moments. However, recent SA health online infection course that all aged care workers required to complete still has 5 moments. I find this quite misleading for the staff given there are now 2 different instructions to follow. I was wondering if other organisation follow 4 or 5 moments. If 5, how do you make sure this is followed correctly by staff.

    I would really appreciate some response.

    Tenzin Chokey

    Infection Prevention and Control Lead

    Life Care SA

    Sent from Yahoo Mail for iPhone

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    in reply to: Portable air purifiers in RACFs #81324
    Glenys Harrington
    Participant

    Author:
    Glenys Harrington

    Position:
    Consultant

    Organisation:
    Infection Control Consultancy (ICC)

    State:

    Hi Christine,

    Hopefully your organisation has undertaken a risk assessment of your
    ventilation system and optimised as necessary (including older buildings).

    Air purifiers can be used as an adjunct to your HVAC systems along with
    other strategies you will have in place.

    Find below and attached efficacy publications, Dept of Health guidelines and
    Melbourne University GUIDES re purchasing and which air cleaners work best

    Australian and UK Research

    *”Use of portable air cleaners to reduce aerosol transmission on a
    hospital coronavirus disease 2019 (COVID-19) ward”, Infection Control &
    Hospital Epidemiology (2021), 1-6

    https://findanexpert.unimelb.edu.au/scholarlywork/1550924-use-of-portable-ai
    r-cleaners-to-reduce-aerosol-transmission-on-a-hospital-covid-19-ward

    *Conway Morris, A, et al.
    The removal of
    airborne SARS-CoV-2 and other microbial bioaerosols by air filtration on
    COVID-19 surge units. Clin Inf Dis; 30 Oct 2021; DOI: 10.1093/cid/ciab933

    Melbourne University

    WHICH AIR CLEANERS WORK BEST TO REMOVE AEROSOLS THAT CONTAIN VIRUSES?

    *
    https://pursuit.unimelb.edu.au/articles/which-air-cleaners-work-best-to-remo
    ve-aerosols-that-contain-viruses

    *GUIDE TO AIR CLEANER PURCHASING

    https://sgeas.unimelb.edu.au/engage/guide-to-air-cleaner-purchasing

    Victorian guidance

    Vic Dept of Health “Ventilation strategies to reduce COVID-19 transmission
    in residential aged care facilities v1.1, Jan 2022” guidance – attached

    Electronic versions can be found at the following link: Infection
    prevention control resources

    https://www.dhhs.vic.gov.au/infection-prevention-control-resources-covid-19

    regards

    Glenys

    Glenys Harrington

    Consultant

    Infection Control Consultancy (ICC)

    P.O. Box 6385

    Melbourne

    Australia, 3004

    M: +61 404816434

    E: infexion@ozemail.com.au

    Christine Morrison

    Hi again,

    Another question from me, prompted by the recent changes to guidelines.

    Does anyone have air purifiers in their Aged Care Facilities and how do you
    use them and find their efficacy?

    Thanks in advance

    Kind regards,

    Chris

    Christine Morrison

    Practice Facilitator – Infection Control

    Practice Facilitation Team

    Level 3, Webber House,

    439 Ann St, Brisbane Q 4000

    PO Box 10556, Brisbane Adelaide St Q 4000

    M: 0499526913

    E: cmorrison2@anglicaresq.org.au

    E: pft@anglicaresq.org.au

    W: anglicaresq.org.au

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    in reply to: Mask extender use for P2s #81252
    Glenys Harrington
    Participant

    Author:
    Glenys Harrington

    Position:
    Consultant

    Organisation:
    Infection Control Consultancy (ICC)

    State:

    Hi Samantha,

    You need to check if the mask is TGA registered and on the Australian Register of Therapeutic Goods (ARTG) as generally masks with ear loops (with and without extender clips) are not suitable nor recommended as N95 mask in healthcare settings because of the problems with fit checks and fit testing.

    Simply put the name of the mask, manufacturer or ask the company for the TGA ARTG number and search the Australian Register of Therapeutic Goods (ARTG) at the link below.

    https://www.tga.gov.au/australian-register-therapeutic-goods

    Also ask the manufacturer/supplier to provide a TGA, ARTG form.

    NOTE:

    Checking that the mask you are using is not registered with the TGA as a Medical device including Class 1 for Public respirator, single use. These mask are for use by a member of the general public see below

    *A 57793 Public Respirator, single use mask is:

    *A form-shaped filtering mask designed to be placed over the nose and mouth of a member of the general public to permit normal breathing while protecting the wearer from large particles (e.g., blood, body fluids, and airborne particulate materials) and small particles (e.g., bacteria and viruses) when considered necessary (e.g., viral epidemic). It is typically made of multiple layers of non-woven polymers to produce a soft, flexible mask that will create an airtight seal against the user’s face and typically secured using elastic head straps or ties; it may incorporate a forming nosepiece (metal wire) and/or an exhalation valve. This is a single-use device.

    Summary

    Because of the problems with N95 mask fit check/fit testing when using masks with ear loops (with and without extender clips) you may find it easier to simply source a TGA registered mask (suitable for use in healthcare settings) that has headbands.

    I understand these types of masks are now readily available.

    Regards

    Glenys

    Glenys Harrington

    Consultant

    Infection Control Consultancy (ICC)

    P.O. Box 6385

    Melbourne

    Australia, 3004

    M: +61 404816434

    E: infexion@ozemail.com.au

    Hi all,

    My apologies if this question has already come up, I didn’t see it in the archives.

    I work for a service which includes aged care homes.

    They have received P2 masks (regular) that aren’t great achieving a good fit for most of the staff (the masks do meet standards. The masks are ear loops).

    The manufacturer advised, and supplied, plastic mask extenders. When used, these extenders do increase fit and seal on the face.

    Currently they service doesn’t fit test, but has a PPE and fit check program.

    May I ask the current advice on the use of mask extenders with P2s?

    Kind regards,

    Samantha Lavender

    Infection Prevention and Control Advisor

    Wesley Mission QLD

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    in reply to: Re: Legionnaires Disease Diagnostics #81248
    Glenys Harrington
    Participant

    Author:
    Glenys Harrington

    Position:
    Consultant

    Organisation:
    Infection Control Consultancy (ICC)

    State:

    Hi Chris,

    Below are the Dept of Health Victoria framework and regulatory (legislative)
    requirements.

    Victoria’s regulatory framework for Legionella
    https://www.health.vic.gov.au/water/victorias-regulatory-framework-for-legio
    nella

    In Victoria Legionella risk management is regulated under the Public Health
    and Wellbeing Act 2008 (the Act)
    https://www.health.vic.gov.au/water/public-health-and-wellbeing-act-2008
    Search for the act here:
    https://www.legislation.vic.gov.au/

    Generally, oversight, which may include oversight of private contractors, is
    undertaken by the engineering department in healthcare facilities.

    Feel free to call me direct if you need further information.

    Regards

    Glenys

    Glenys Harrington
    Consultant
    Infection Control Consultancy (ICC)
    P.O. Box 6385
    Melbourne
    Australia, 3004
    M: +61 404816434
    E: infexion@ozemail.com.au

    —–Original Message—–
    Pollard

    Hi Glenys – sorry, buildings, not clinical.

    Kind regards

    Chris Pollard
    Sales Engineer – ANZ
    Kenelec Scientific Pty Ltd, 23 Redland Drive, Mitcham VIC 3132 d 0437 007
    810 | m 0437 007 810 | e chris.pollard@kenelec.com.au Visit our website |
    View our Terms and Conditions

    —–Original Message—–
    Harrington

    Hi Chris,

    Do you mean testing for legionella in patients or testing water sources
    (i.e., cooling towers/potable water systems)?

    Regards

    Glenys

    Glenys Harrington
    Consultant
    Infection Control Consultancy (ICC)
    P.O. Box 6385
    Melbourne
    Australia, 3004
    M: +61 404816434
    E: infexion@ozemail.com.au

    —–Original Message—–
    Pollard

    Hi All,

    Was wondering if anyone had any information / processes / methods for
    diagnosing Legionnaires diseases in a hospital environment?

    Chris Pollard
    Sales Engineer – ANZ
    Kenelec Scientific Pty Ltd, 23 Redland Drive, Mitcham VIC 3132 d 0437 007
    810 | m 0437 007 810 | e chris.pollard@kenelec.com.au Visit our website |
    View our Terms and Conditions

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    in reply to: Legionnaires Disease Diagnostics #81245
    Glenys Harrington
    Participant

    Author:
    Glenys Harrington

    Position:
    Consultant

    Organisation:
    Infection Control Consultancy (ICC)

    State:

    Hi Chris,

    Do you mean testing for legionella in patients or testing water sources
    (i.e., cooling towers/potable water systems)?

    Regards

    Glenys

    Glenys Harrington
    Consultant
    Infection Control Consultancy (ICC)
    P.O. Box 6385
    Melbourne
    Australia, 3004
    M: +61 404816434
    E: infexion@ozemail.com.au

    —–Original Message—–
    Pollard

    Hi All,

    Was wondering if anyone had any information / processes / methods for
    diagnosing Legionnaires diseases in a hospital environment?

    Chris Pollard
    Sales Engineer – ANZ
    Kenelec Scientific Pty Ltd, 23 Redland Drive, Mitcham VIC 3132 d 0437 007
    810 | m 0437 007 810 | e chris.pollard@kenelec.com.au Visit our website |
    View our Terms and Conditions

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    in reply to: PFR for source control #79512
    Glenys Harrington
    Participant

    Author:
    Glenys Harrington

    Position:
    Consultant

    Organisation:
    Infection Control Consultancy (ICC)

    State:

    Hi All,

    This paper from a group at Monash University Melbourne does provide data re:
    the protection from surgical masks verses fit and non-fit tested N95 masks
    along with the addition of heap filters (air purifiers), however the study
    is in healthy healthcare workers not patients.

    *”Fit-Tested N95 Masks Combined with Portable High-Efficiency
    Particulate Air Filtration Can Protect Against High Aerosolized Viral Loads
    Over Prolonged Periods at Close Range”

    https://academic.oup.com/jid/advance-article/doi/10.1093/infdis/jiac195/6582
    941?login=false

    May be of interest/use.

    regards

    Glenys

    Glenys Harrington

    Consultant

    Infection Control Consultancy (ICC)

    P.O. Box 6385

    Melbourne

    Australia, 3004

    M: +61 404816434

    E: infexion@ozemail.com.au

    Edward

    Reposting this… Keen to hear if anyone has an opinion or experience of
    implementing PFR use for source control. I don’t think there’s a right
    answer.

    Thanks

    Ed

    _____

    > on behalf of Raby, Edward
    <Edward.Raby@HEALTH.WA.GOV.AU >
    <ACIPCLIST@ACIPC.ORG.AU >

    CAUTION External Communication: This email originated from outside of the
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    Hello IPC community,

    Are you recommending PFRs for source control in your facilities?

    We are considering use for

    1.COVID positive patients coming into outpatient areas for
    infusions/assessment
    2.All visitors to very high risk areas, eg bone marrow transplant
    unit, as we reduce stringency of RAT screening and have increasing levels of
    non-COVID respiratory illness in community

    The available literature seems to provide evidence of only marginal
    theoretical benefit which needs to be balanced against the cost and
    confusion of applying this targeted strategy.

    Summarised in this systematic review 2022
    https://doi.org/10.1007/s00420-021-01775-y
    which in discussion says: “The
    results of the present review indicate that the use of a surgical mask by
    the source of the aerosol reaches a higher level of protection than the use
    of the N95 respirator by the receiver (Diaz and Smaldone 2010; Mansour and
    Smaldone 2013; Patel et al 2016). These data suggest that traditional
    surgical masks are useful in preventing the transmission of respiratory
    diseases when applied at the source of the infected aerosol, significantly
    reducing the exposure of pathogens, functioning as an inhalation barrier;
    however, in regard to respiratory protection equipment, there are still
    doubts about which is the best type to be used for this purpose (Patel et
    al. 2016 ). In an environment of 27 m3 occupied by five people, although the
    N95 respirator promotes greater filtration, surgical masks seemed to be more
    effective in reducing the release of bioaerosol, a difference mainly due to
    the adjustment and sealing of the mask to the face of the source (Xu et al.
    2017).”

    This is primarily based on the Patel/Smaldone 2016 paper
    http://dx.doi.org/10.1080/15459624.2015.1043050
    which reports findings from an
    in vitro model that perhaps underrepresents the efficiency and seal achieved
    in the majority of people with the current generation of soft shell PFRs.

    Keen to hear your approach/experience.

    Kind regards,

    Ed

    Dr Ed Raby

    Medical Director Infection Prevention and Control

    South Metropolitan Health Service, WA

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    in reply to: air scrubbers #79266
    Glenys Harrington
    Participant

    Author:
    Glenys Harrington

    Position:
    Consultant

    Organisation:
    Infection Control Consultancy (ICC)

    State:

    Hi Jude,

    I posted additional information back in Oct 2021 – see attached posting.

    Since my posting these additional publications may be of interest/use:

    *Conway Morris, A, et al.
    The removal of
    airborne SARS-CoV-2 and other microbial bioaerosols by air filtration on
    COVID-19 surge units. Clin Inf Dis; 30 Oct 2021; DOI: 10.1093/cid/ciab933

    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8689842/

    *Morawska L, Allen J, Bahnfleth W, et al. A paradigm shift to
    combat indoor respiratory infection. Science 2021; 372:689-91.

    https://eprints.qut.edu.au/210390/1/83856124.pdf

    regards

    Glenys

    Glenys Harrington

    Consultant

    Infection Control Consultancy (ICC)

    P.O. Box 6385

    Melbourne

    Australia, 3004

    M: +61 404816434

    E: infexion@ozemail.com.au

    Searles

    Hi Folks

    A fair few months ago someone posted scholarly articles on the efficiency of
    air scrubbers. Would anyone have the links for me?

    Cheers

    Jude Searles RN

    Infection Prevention & Control

    Co-ordinator Undergraduate Education

    Dialysis Clinical Lead

    Cohuna District Hospital

    Committed to Excellence in Rural Healthcare

    148-155 King George Street, Cohuna, Victoria, 3568

    T: Wk: (03) 54565300, Mob: +61409235654, Fax: (03) 5456 2627

    E: jsearles@cdh.vic.gov.au W:
    http://www.cdh.vic.gov.au

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    in reply to: ‘New’ AS4187 – public comment opens on AS5369 #79155
    Glenys Harrington
    Participant

    Author:
    Glenys Harrington

    Position:
    Consultant

    Organisation:
    Infection Control Consultancy (ICC)

    State:

    Thanks Terry

    Regards

    Glenys

    Glenys Harrington

    Consultant

    Infection Control Consultancy (ICC)

    P.O. Box 6385

    Melbourne

    Australia, 3004

    M: +61 404816434

    E: infexion@ozemail.com.au

    AS5369

    Hi Everyone,

    You might have heard about this already.

    Yesterday, Standards Australia released a draft of AS5369 for public
    comment.

    AS5369 will replace AS/NZS4187 and AS/NZS4815 once published.

    Please take this opportunity to provide feedback on the Standard so that the
    Committee can consider your comments and hopefully use them to improve the
    document, where a need for clarification may exist.

    Please note that when you click on the link below you will be prompted to
    enter log in details if you have already registered on the Standards
    Australia website.

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    Comments can only be submitted electronically via this portal and each
    comment must be ‘stand alone’ and not refer back to comments made previously
    or elsewhere on the draft.

    devices in health and non-health related facilities

    Comment Start Date: 22/11/2021
    Comment End Date: 24/01/2022

    You can view the draft with latest comments and provide your feedback here:
    https://comment.standards.org.au/Drafts/6b350c60-e495-4c99-b48c-a46739733cce

    Kind Regards

    Terry McAuley

    Director

    MSc Medical Device Decontamination

    PO BOX 2249, Greenvale VIC Australia 3059

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    in reply to: Air Purifiers #79130
    Glenys Harrington
    Participant

    Author:
    Glenys Harrington

    Position:
    Consultant

    Organisation:
    Infection Control Consultancy (ICC)

    State:

    Hi Liz,

    I posted this information in relation to air purifiers on 1/10/2021

    May be of interest use

    Regards

    Glenys

    Glenys Harrington

    Consultant

    Infection Control Consultancy (ICC)

    P.O. Box 6385

    Melbourne

    Australia, 3004

    M: +61 404816434

    E: infexion@ozemail.com.au

    Hello Liz

    Modelling done by the Royal Melbourne Hospital indicates that a good portable HEPA filter unit would remove most of the aerosols within about 15mins if the clean air delivery is selected for 15ACH. The tests they conducted measured 2.5micron aerosol particles but HEPA filters will filter down to 0.3microns.

    Given that they are recirculating the room air no room pressurisation is achieved.

    Room pressures equalise when the door is opened.

    Hope this helps.

    Lalith Ramachandra

    LR Consulting Engineers

    Mechanical Engineer

    PO Box 40968

    Casuarina, NT

    p 0401117423

    e lalith.ramachandra@gmail.com

    Please, please, get vaccinated!

    On Wed, 17 Nov 2021 at 10:48, Liz Vanderlinde <liz.vanderlinde@healthecare.com.au > wrote:

    Hello Colleagues.

    In the absence of negative pressure rooms with view to admitting labouring women am looking for advice re use in room air purifiers? As rooms are closed.

    My thinking is adds to positive pressure when door opens? Any advice fortified by rationale evidence?

    Eternal Thanks

    Liz Vanderlinde
    Infection Prevention Control Co-ordinator
    North West Private Hospital

    Brickport Road, Burnie TAS 7320, Australia
    T +61 3 6432 6005 F +61 3 6431 5766
    E liz.vanderlinde@healthecare.com.au W healthecare.com.au

    Healthe Care Hospitals are accredited by ACHS NSQHS Standards or ACHS EQuIP National

    QIC Standards

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    in reply to: Hospital furlough rules #78822
    Glenys Harrington
    Participant

    Author:
    Glenys Harrington

    Position:
    Consultant

    Organisation:
    Infection Control Consultancy (ICC)

    State:

    Hi Glenda,

    This is the guidance you may be looking for:

    *Contact assessment and management guidance: Primary care, community-based healthcare and emergency services.
    *Version 2 23/10/2021
    *https://www.dhhs.vic.gov.au/primary-care-guidance-response-covid-19-risks

    regards

    Glenys

    Glenys Harrington

    Consultant

    Infection Control Consultancy (ICC)

    P.O. Box 6385

    Melbourne

    Australia, 3004

    M: +61 404816434

    E: infexion@ozemail.com.au

    Here is new matrix

    Lucille Ridley | Group Infection Control Coordinator
    St John of God Health Care
    T: (08) 6116 0566 | M: 0427704877 | F: (08) 6116 0566 | E: Lucille.Ridley@sjog.org.au
    Level 1, 556 Wellington Street, Perth WA 6000 | PO Box 5753, St Georges Terrace Perth WA 6831
    http://www.sjog.org.au | Twitter | LinkedIn | Facebook

    We acknowledge the Traditional Owners of Country throughout Australia and recognise their continuing connection to land, waters and community.
    We pay our respect to them and their cultures and to Elders past and present.

    Hi All,

    I am seeking to understand the DHHS rules for staff furlough with Covid exposures for hospitals.

    I can find the new furlough rules for community clinics on DHHS site but I was wondering what the rules are for hospitals and PPE status and furlough with cases.

    Many thanks

    Glenda Farmer

    Infection control and prevention consultant

    SmartDentist.com.au

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    in reply to: Re: Air Purifiers #78566
    Glenys Harrington
    Participant

    Author:
    Glenys Harrington

    Position:
    Consultant

    Organisation:
    Infection Control Consultancy (ICC)

    State:

    Hi Susan,

    Hopefully by now your organisation has undertaken a risk assessment of your
    ventilation system and optimised as necessary (including older buildings).
    Air purifiers can be used as an adjunct to your HVAC systems along with
    other strategies you will have in place.

    Find below and attached information that will get you started:

    Australian Research

    *”Use of portable air cleaners to reduce aerosol transmission on a
    hospital coronavirus disease 2019 (COVID-19) ward”, Infection Control &
    Hospital Epidemiology (2021), 1-6

    Melbourne University

    WHICH AIR CLEANERS WORK BEST TO REMOVE AEROSOLS THAT CONTAIN VIRUSES?

    *
    https://pursuit.unimelb.edu.au/articles/which-air-cleaners-work-best-to-remo
    ve-aerosols-that-contain-viruses

    *GUIDE TO AIR CLEANER PURCHASING

    https://sgeas.unimelb.edu.au/engage/guide-to-air-cleaner-purchasing

    Victorian guidance

    *Ventilation strategies to reduce COVID-19 transmission in
    residential aged care facilities Version 1.1 June 2021
    *Ventilation strategies to reduce COVID_19 transmission in
    residential aged care facilities

    Electronic versions can be found at the following link:

    Infection prevention control resources

    https://www.dhhs.vic.gov.au/infection-prevention-control-resources-covid-19

    regards

    Glenys

    Glenys Harrington

    Consultant

    Infection Control Consultancy (ICC)

    P.O. Box 6385

    Melbourne

    Australia, 3004

    M: +61 404816434

    E: infexion@ozemail.com.au

    Mitchell

    Hi Susan,

    I did a podcast with Prof Jason Monty on air purifiers that you may find
    helpful. Jason covers many things in this podcast, including things to
    consider.
    https://infectioncontrolmatters.podbean.com/e/cleaning-up-the-air-with-jason
    -monty/

    Kind regards

    Brett

    Professor Brett Mitchell. Professor of Nursing.
    College of Health, Medicine and Wellbeing, School of Nursing and Midwifery

    T: +61 2 4349 4536 |
    E: brett.mitchell@newcastle.edu.au
    W:
    https://www.newcastle.edu.au/profile/brett-mitchell

    The University of Newcastle, Central Coast Clinical School
    Level 9, 77a Holden St, Gosford Hospital, Gosford NSW 2250

    Top 200 University in the world by QS World University Rankings 2022

    I acknowledge and respect the Pambalong clan of the Awabakal people,
    traditional custodians of the land on which Callaghan campus of The
    University of Newcastle is situated; the Darkinjung people, traditional
    custodians of the land on Ourimbah campus; and the Birapai people,
    traditional custodians of the land on which the Port Macquarie campus is
    situated, and pay my respect to Elders past, present and emerging.

    I extend this acknowledgement to the Awabakal people of the land in which
    the Callaghan campus resides and which I work.

    CRICOS Provider 00109J

    > On Behalf Of Susan Marquez (Berwick)

    Happy Friday!

    Can I pls have your assistance on the query below from our Allied Health
    Manager, re air purifiers for use in an “older”

    building where they conduct their outpatient services?

    Much obliged,

    Susan Marquez | Infection Control Coordinator
    St John of God Berwick Hospital
    T: (03) 8784 5004 | M: 0425 767 229 | F: | E: Susan.Marquez@sjog.org.au

    75 Kangan Drive Berwick VIC 3806| PO Box 101 Berwick VIC 3806
    http://www.sjog.org.au/berwick |
    Twitter |
    LinkedIn |
    Facebook

    We acknowledge the Traditional Owners of Country throughout Australia and
    recognise their continuing connection to land, waters and community.
    We pay our respect to them and their cultures and to Elders past and
    present.

    >
    >; Susan Marquez (Berwick)
    <Susan.Marquez@sjog.org.au >

    Hi Allison/ Suzi,

    What are your thoughts about air purifiers?
    I heard that government bought some for public schools.

    https://www.google.com/amp/s/www.techguide.com.au/amp/samsung/samsung-deploy
    s-51000-air-purifiers-for-the-safe-return-of-students-to-the-classroom/

    Are there any specific evidence that you know of?

    I was thinking whether it will be beneficial for Stephenson House
    Outpatient, esp there’s no proper central ventilation system like at Kangan
    Drive.

    Keen to hear your thoughts.

    Thanks.

    Angel

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    in reply to: ‘Sterile stock’ storage?? #78485
    Glenys Harrington
    Participant

    Author:
    Glenys Harrington

    Position:
    Consultant

    Organisation:
    Infection Control Consultancy (ICC)

    State:

    Can you tells us a bit more?

    What area was the storage room/area in?

    What was the sterile and non-sterile stock?

    Regards

    Glenys

    Glenys Harrington

    Consultant

    Infection Control Consultancy (ICC)

    P.O. Box 6385

    Melbourne

    Australia, 3004

    M: +61 404816434

    E: infexion@ozemail.com.au

    Wishart

    I’ve just had my mind blown by an auditor who tells me I cannot store any
    ‘sterile stock’ on a shelf with non-sterile stock. I reply by saying that no
    sterile RMDs are stored on shelves with non-sterile stock, and they say, no
    ANYTHING that comes sterile should not be on the same shelf with something
    non-sterile.

    Have I missed something? I have always understand that the very specific
    storage requirements for RMDs did not apply to most commercially sterilised
    single use items. Sure, there are commercially sterilised disposables that
    have very specific storage requirements, but the majority of high volume
    disposable sterile goods can be safely stored on a shelf with non-sterile
    stock in an appropriately air-conditioned storage room. AS4187 does not
    cover storage of non-RMDs, correct?

    Can someone either tell me I am wrong, and I missed this big time, or that I
    did not miss anything, and the auditor is incorrect. Or some variation of
    these.

    Help?

    Thanks

    Michael

    Michael Wishart | Infection Control Coordinator, CICP-E

    St Vincent’s Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032

    M +61 448 954 282 | T +61 7 3326 3068 | F +61 7 3607 2226

    E michael.wishart@svha.org.au |

    W https://www.svphn.org.au

    St Vincent’s Private Hospital Brisbane | 411 Main Street KANGAROO POINT QLD
    4169
    M +61 448 954 282 | T +61 7 3240 1208 | F +61 7 3240 1166
    E michael.wishart@svha.org.au |

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