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Glenys HarringtonParticipant
Author:
Glenys HarringtonEmail:
infexion@ozemail.com.auOrganisation:
Infection Control Consultancy (ICC)State:
Hi All,
In Victorian Guidelines Dry and wet fogging is NOT recommended
Coronavirus (COVID-19) cleaning guidelines for workplaces, Information for business owners, managers and cleaners
*Fogging means using systems that can apply a disinfectant under high pressure, with a droplet size less than 10 microns (dry fogging), or between 20 to 100 microns (wet, cold or Ultra Low Volume fogging or misting). The department does not recommend the use of dry or wet fogging disinfection for COVID-deep cleans.
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
Hi Jude
I hope you’re doing well.
The cleaner is likely referring to disinfectant fogging bombs such as this one https://www.starhygiene.com.au/king-mist-disinfectant-fogger-250ml/?gclidCj0KCQjwv5uKBhD6ARIsAGv9a-zpjTOtkZlvbGYIkqUXJyGEFof494LVW2k1rhtVMuaAWPIH8kE0uW4aAmpCEALw_wcB
These are not appropriate, especially in a healthcare setting. In the context of COVID, the Vic DH does not recommend the use of disinfectant fogging in any form. You can find IPC guidelines here that mention fogging.
And keep in mind that all cleaning/disinfectant products must be TGA-approved.
I hope this helps.
Cheers
Crystal Polson
Infection Control Coordinator
University of Melbourne
Sent from my iPad
On 20 Sep 2021, at 4:03 pm, Jude Searles <jsearles@cdh.vic.gov.au > wrote:
Hi Folks
I have just been asked by one of our cleaners about the possibility of getting a bomb to clean our infectious rooms. What she described was something akin to a flea bomb that you set off and then close the door. Does anyone know if this is a thing and how much they cost?
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
We acknowledge and pay our respects to the traditional Aboriginal custodians of this land and to the Elders past and present.
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Glenys HarringtonParticipantAuthor:
Glenys HarringtonEmail:
infexion@ozemail.com.auOrganisation:
Infection Control Consultancy (ICC)State:
Hi Sarah,
I consult to an aged care provider who has RACFs facilities in Victoria.
At this point in time, N95 masks are only being used if there is a suspected or confirmed case of COVID-19 (staff or resident) at the a facility.
At all other times a surgical mask and visor are being worn at all times.
Given the current situation in Vic & NSW with escalating cases, facilities should ensure they have:
a.An adequate surge capacity PPE supplies (including N95 masks) and donning and doffing procedures and ongoing training in place
b.Minimised the risk of outbreaks (including breakthrough infections) by ensuring staff and residents are vaccinated.STAFF
In Victorian the Directions from Chief Health Officer in accordance with emergency powers arising from declared state of emergency COVID-19 Mandatory Vaccination Directions Public Health and Wellbeing Act 2008 (Vic) require the following for staff:
Mandatory vaccination requirement Operator obligations
(1) An operator must inform workers who perform, or are intended to perform work, at the work premises operated by the operator that the operator will be requesting the workers to provide information and evidence by 17 September 2021 that:
(a) they have received a full COVID-19 vaccination; or COVID-19 Mandatory Vaccination Directions (No 1) 2 of 7
(b) they have received a partial COVID-19 vaccination and made a booking to receive a full COVID-19 vaccination by 15 November 2021; or
(c) they have not received any doses of a COVID-19 vaccine and have made a booking to receive a dose of a COVID-19 vaccine by 1 October 2021; or
(d) they cannot receive a COVID-19 vaccine for the reason permitted in subclause (2).
RESIDENT
Residents who may have previously declined vaccination should have their vaccination status reviewed by their GP as soon as possible.
My experience has been that many are happy to now have the vaccine.
AIR PURIFERS
Depending on the functionality of your ventilation system you may also want to consider the use of air purifiers in the event you have a suspected or confirmed case. These systems provide an extra layer of protection (in addition to ventilation, masks, physical distancing and vaccination) in indoor settings where occupancy is high and there is an increased risk of transmission. see attached and links below.
https://sgeas.unimelb.edu.au/engage/guide-to-air-cleaner-purchasing
Regards
Glenys
Glenys Harrington
Consultant
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
Good morning fellow IPCs,
I work in aged care and as many of you know, we were very badly hit last year with furloughing of staff and have seen a higher propensity for this following current Victoria health department guidelines.
I have heard through our grapevine that some of the Victoria hospitals are adding N95 for all patient-facing staff to aid with reducing the level of furlough based on current health department guidelines.
Is anyone out there willing to share what you are currently doing to address this issue and the rationale?
I would like to align with our partners in care regarding current practices.
Thanks in advance for your help and support.
Regards
Sarah
Sarah
Gaines Hill
Infection Prevention Manager
P: +61 3 9828 1705
|
M: +61 429 480 183
Level 1, 117 Camberwell Road,
Hawthorn East,
VIC
3123
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Glenys HarringtonParticipantAuthor:
Glenys HarringtonEmail:
infexion@ozemail.com.auOrganisation:
Infection Control Consultancy (ICC)State:
Hi Fiona,
Interesting!
Are they being used with N95 masks in addition to surgical masks?
If so, have you done any fit testing with the Mask Bracket/Face Mask Inner
Support Frame in situ?Regards
Glenys
Glenys Harrington
Consultant
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
Sousa, Fiona M
Dear Brains Trust,
We have recently started to see the use of face mask brackets / inserts
creep into use in our facility with staff wearing surgical face masks.We have been unable to find any specific literature but from an infection
prevention and control point of view we have a number of concerns
including:*Does it create a gap in the seal between mask and face?
*Does it potentially pose a risk as a pressure causing agent?
*Is removal of the mask in a manner that won’t contaminate still
possible with the bracket in place?*Is the bracket stored in a clean space?
*Is the bracket cleaned after use and before storage?
Does anyone have any references regarding these products or has anyone
investigated and / or authorised the use of these products within their
facility.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_controlIPCU – ‘By working together we promote a culture of safety to reduce
preventable infections and transmission of multi-resistant organisms’_____
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Glenys HarringtonParticipantAuthor:
Glenys HarringtonEmail:
infexion@ozemail.com.auOrganisation:
Infection Control Consultancy (ICC)State:
Hi Jude,
In Victoria if the death has occurred during an outbreak/cluster of
residents and/or staff with respiratory symptoms you need to:a.Notify the department of the outbreak including the number of people
with influenza-like symptoms who have died.See extract and reference below:
4.4 Notifying the Department of Health and Human Services If an outbreak is
suspected, notify Communicable Disease Prevention and Control (CDPC) at the
department via telephone 1300 651 160 as soon as possible.A public health officer (PHO) will assist with advice and guidance on how to
proceed.At the time of notification, the PHO will request the following information:
. total number of residents and/or staff with respiratory symptoms Page 14
Respiratory Illness in Residential and Aged Care Facilities Guidelines 2018. date of onset of illness of each person
. symptoms of each person
. number of people admitted to hospital with influenza-like symptoms
. number of people with influenza-like symptoms who have died
. total number of staff that work in the facility and in the affected area
. total number of residents in the facility and in the affected area
. whether respiratory specimens (nose and throat swabs) have been collected.
Respiratory illness in residential and aged care facilities Guidelines and
information April 2018file:///C:/Users/Glenys/Downloads/Respiratory%20illness%20in%20residential%2
0and%20aged%20care%20facilities%20-%20Guidelines%20and%20information%20kit%2
0(15).pdfIf this is not helpful suggest you contact the Communicable Disease
Prevention and Control (CDPC) at the department via telephone 1300 651 160
for further clarification.regards
Glenys
Glenys Harrington
Consultant
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
Searles
Hi Folks
We recently had a resident in our RACF unexpectedly pass away, not COVID
related, and I have been asked by my managers to report the resident’s COVID
vaccination status. My problem is I have no idea who this needs to be
reported to. Does anyone have any ideas?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.auWe acknowledge and pay our respects to the traditional Aboriginal custodians
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Glenys HarringtonParticipantAuthor:
Glenys HarringtonEmail:
infexion@ozemail.com.auOrganisation:
Infection Control Consultancy (ICC)State:
Hi All,
Let’s not get too carried away with policies/guidelines that recommend “bare
to the elbows” as the premise that bare forearms will increase the rate and
effectiveness of hand washing is yet to be proved.See comments/extracts at links below:
In order to reach firm conclusions about the effectiveness of the BBE
policy, it is therefore essential that any clinical results are interpreted
in the context of the current literature and that bias and confounding are
minimised during study design.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3293336/
The potential impact of hand hygiene on comparative bioburden between
sleeved and BBE HCWs remains unknown and is the focus of future
investigations.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3293263/
Bare below the elbows’ attire is not related to the degree of contamination
on doctors’ fingertips or the presence of clinically significant pathogens.
Further studies are required to establish whether investment in doctors’
uniforms and patient education campaigns are worthwhile.https://www.journalofhospitalinfection.com/article/S0195-6701(09)00557-X/ful
ltextThis thread also begs the question why such audits would be being planned
and undertaken during a surge in the COVID-19 Pandemic?Given the lack of evidence, this 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
Barton
Yes! All staff that go onto the wards. How can they do proper hand hygiene
otherwise?Kind regards,
Kelly
I acknowledge the traditional owners of the land on which we work and live,
and respect their ongoing custodianship of the land. I pay respect to
Aboriginal people, and Elders past and present.Kelly Barton
Infection Prevention & Control Officer
RN BHSc (Nursing). Grad Cert (Infection Control)(Advanced Acute Care). Nurse
Immuniser. Cert IV T&Akelly.barton@alpinehealth.org.au
P Reduce, re-use, recycle. Please consider the environment before printing
this e-mail.> On Behalf Of Cate Coffey
HI there
Do you include ward clerk healthcare worker group in your Bare Below the
Elbow audits?Regards
Cate Coffey
RN BaAScN MPH&TM Grad Cert Infection Control Nursing
Clinical Nurse Manager
Central Australia Health Service
Department of Health
Northern Territory Government
Infection Prevention and Control Unit
Alice Springs Hospital
PO Box 2234, Alice Springs, NT 0871t. 08 8951 7737
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Glenys HarringtonParticipantAuthor:
Glenys HarringtonEmail:
infexion@ozemail.com.auOrganisation:
Infection Control Consultancy (ICC)State:
Hi Catherine,
All hoist slings that are shared between residents should be laundered
between each residents use.If hoist slings are allocated to specific residents I usually recommend
laundering weekly and whenever visibly soiled.You will need to ensure you have enough slings to allow for laundry
turnaround times.Hope this is helpful.
Regards
Glenys
Glenys Harrington
Consultant
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
Hi Michael,
Could you please put this out as a question.
Can anyone tell me how often hoist slings should be washed, (apart from when
they are obviously soiled) ?With thanks,
Catherine Dunn
IPC Lead
Fairway Bayside Aged Care
195 Bluff Road
Sandringham. Vic 3191
Virus-free.
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Glenys HarringtonParticipantAuthor:
Glenys HarringtonEmail:
infexion@ozemail.com.auOrganisation:
Infection Control Consultancy (ICC)State:
My advice every 2-3 days.
Even if the linen does not look dirty the person will still be shedding skin cells and some will be colonised with potential pathogens such as Staphylococcus aureus including methicillin resistant S. aureus, MRSA.
The average adult human loses up to 500 million skin cells per day.
Regards
Glenys
Glenys Harrington
Consultant
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
Hi all,
Ive had the following question from a colleague:
How often does bed linen need to be changed if not soiled?
I have checked the linen protocol and Australian IPC guideline 3.1.8 but cant find anything?
Are there any best practice guidelines or anything?
Thanks,
Helen Scott CICP-P
CNE, Infection Prevention & Control
Northwest Regional Hospital
Tasmanian Health Service – North West
_____
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The information in this transmission may be confidential and/or protected by legal professional privilege, and is intended only for the person or persons to whom it is addressed. If you are not such a person, you are warned that any disclosure, copying or dissemination of the information is unauthorised. If you have received the transmission in error, please immediately contact this office by telephone, fax or email, to inform us of the error and to enable arrangements to be made for the destruction of the transmission, or its return at our cost. No liability is accepted for any unauthorised use of the information contained in this transmission.MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
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Glenys HarringtonParticipantAuthor:
Glenys HarringtonEmail:
infexion@ozemail.com.auOrganisation:
Infection Control Consultancy (ICC)State:
No, no need to empty first BEFORE putting it into a pan flusher.
Regards
Glenys
Glenys Harrington
Consultant
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
Dear All
Before I go argue my point, I would like confirmation from my IPC experts re: above.
Is there ever a need to empty the contents (faeces) in a pan into a toilet BEFORE putting it into a pan flusher for sanitising?
Thank you for your time in answering my question.
Regards
Vanessa Watkins
RN, IPC Lead
Donwood Community Aged Care
Croydon Vic
9845 8500
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27/05/2021 at 1:07 pm in reply to: Auditing Hand Hygiene in the community with community workers #78039Glenys HarringtonParticipantAuthor:
Glenys HarringtonEmail:
infexion@ozemail.com.auOrganisation:
Infection Control Consultancy (ICC)State:
Hi Lyn,
Happy to comment on direct observations of HH compliance in this setting.
Summary
Direct observations in this setting and the collection of low numbers of hand hygiene observations will be problematic for the following reasons:
*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 persons are in and out of room with doors which are closed during care for privacy reasons, 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.Hence, direct observation of HH practices in this setting will not necessarily reflect hand hygiene practices across the facilities and is a poor use of limited infection control resources.
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
My suggestion would be to focus on an education and training program that includes the following:
*Knowledge assessment annually – HHA have training packages online and these provide the user with a certification on completion that can be presented to line manager/s
*Hand hygiene training and competency assessments which include the use of florescent, odourless lotion which mimics germs and glows brightly when exposed to ultraviolet light. Such simulated training is useful for teaching proper handwashing and allows staff to demonstrate correct hand hygiene technique.*This could be done on employment, annual and during working hours (i.e. just-in-time peer review)
*Readily available laminated Hand Hygiene Australia infographics (posters) across the organisation/service
*Strategies to monitor and ensure alcohol hand rub is readily available across the organisation/service at all times
*Keep reporting simple. Suggest the following:*Report 6mthly and annually
*% of staff completing knowledge assessment
*% of staff, 100% competent in HH technique during assessments i.e. on employment, annually and during just-in-time peer review
*% of staff requiring retraining HHA technique.Hope this is helpful.
Regards
Glenys
Glenys Harrington
Consultant
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
Good morning. Can this information request please be shared with the broader community?
Good morning all. At a recent clinical review meeting the question was asked as to how we can monitor staff adherence to the 5 moments of hand hygiene in the community. Any advice in this space would be greatly appreciated. Regards Lyn
Lyn Lang
Director of Clinical Operations and Nursing
PO Box 77
Tallangatta
VIC 3700
tallangattahealthservice.com.au
Empowering People for Health
Our Values: Integrity, Caring, Respect, Adaptable, Excellence
Tallangatta Health Service acknowledges the traditional owners of this land on which we stand and pay our respects to the elders, past, present and future, for they hold the memories, the traditions and the culture of all Aboriginal and Torres Strait Islander people.
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20/05/2021 at 4:50 pm in reply to: “Infection control” keyboards – what are you using in your clinical areas – are we alone ? #78000Glenys HarringtonParticipantAuthor:
Glenys HarringtonEmail:
infexion@ozemail.com.auOrganisation:
Infection Control Consultancy (ICC)State:
Hi Lindy,
In the first instance I would have the supplier/manufacturer of the
keyboards investigate the complaints to ensure they are not faulty or
components are not becoming worn.Regards
Glenys
Glenys Harrington
Consultant
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
Ryan (Mid North Coast LHD)
you using in your clinical areas – are we alone ?Good morning brains trust
Just after some thoughts/ advice /feedback
We are receiving feedback from the junior doctors that the “infection
control” keyboards ie the which are used on some of our computers is
impeding their ability to document patient notes as they are hard to type
on. They are also slowing down ward rounds. Apparently some nursing staff
and they are having similar problems. They have indicated that Correct
documentation is just as important as infection control (fair call) and
they have indicated the inefficiency of the current keyboards are impacting
on ward round times, correct documentation and discharges.Can I ask what other services facilities are advocating for re Infection
control for their key boards in clinical areas to keep them clean and are
they having problems .ie are we the only ones using the “infection Control”
keyboards & are we the only ones having complaints re these easy to clean,
sealed boards & mouse from some end users ? I know these have been around &
in use for many years and as such am surprised re are only now getting this
feedback ..So there has been a request that the new “infection control” keyboards be
switched back to the normal old style keyboards and covers be placed over
the old keyboards that can be wiped? I am reluctant to do this given the
move forward as previously the covers were never being wiped or replaced and
were quite grotty (hence the move the sealed silicon easy wipe one piece
keyboards) However I am always open in working to support what does work
for our staff and minuses safety risks for our pts and staffIf any of you are using “infection control” keyboards & are able to can you
email back directly on my email with the brand you may be using .perhaps we
could be better placed with another type of Infection control keyboard if
these are unacceptable by our medical staff ? Any tips or advice welcome as
we need to feedback to our medicos and your feedback as to what your sites
have as standard would be most useful.(ie are we alone?)Thanks for any advice in advance
Cheers
Lindy
Lindy Ryan
District Infection Prevention & Control CNC | Clinical Governance &
Information Services MNCLHDLevel 1 Coffs Specialist Centre, Pacific Hwy, Coffs Harbour
Office 66911984 or Mob 0419 990 693 |
lindy.ryan@health.nsw.gov.au
http://www.health.nsw.gov.au“Wise and humane management of the patient is the best safeguard against
infection”(Florence Nightingale Circa 1860)
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16/04/2021 at 9:24 am in reply to: Cleaning products and damage to plastics in ward based shared equipment/devices #77921Glenys HarringtonParticipantAuthor:
Glenys HarringtonEmail:
infexion@ozemail.com.auOrganisation:
Infection Control Consultancy (ICC)State:
Hi Kate,
You might want to check with the manufacturer/supplier if the disinfectant
needs to be wiped off equipment periodically.This advice has been provided to some facilities that have experienced the
same/similar issue/problems however it is not included in the manufacturer’s
instructions for use.Suggest you request a response on company letterhead for your hospital
insurers.Regards
Glenys
Glenys Harrington
Consultant
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
Kate
in ward based shared equipment/devicesHi Everyone,
We are currently reviewing the clinical equipment cleaning processes used at
our health service as there is a lot of variation of practice between
wards/people, and with products used compared with those recommended in the
IFU. However, the main reason we are reviewing this is due to having a
significant number of items turning up at our engineering dept with stress
cracking in the plastics.Has anyone previously investigated environmental stress cracking in plastics
of clinical equipment at your organisation?If yes, are you able to share with me your findings and whether it was able
to be attributed to a particular reason?What do you recommend for cleaning products in ward settings (e.g. IV pumps,
commodes, weigh chairs, obs machines etc.)? In particular:*Do you direct staff to use only 1-2 products to make it easy to know
which one to use for which circumstance (clinical vs environmental OR
clinician vs cleaner) ?
*Or do you specify a particular product for each individual item or
group of items as per the IFU?*If you go against the IFU recommendations, what process did you go
through to decide on the chosen product?Looking forward to hearing from everyone’s experiences.
Kind regards
Kate Ryan
RMD Program Officer
0434 609 208 | 03 9496 6706
Infectious Diseases Department
Level 7, Harold Stokes Building
145 Studley Road, Heidelberg
PO Box 5555, Victoria, 3084
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Glenys HarringtonParticipantAuthor:
Glenys HarringtonEmail:
infexion@ozemail.com.auOrganisation:
Infection Control Consultancy (ICC)State:
Hi Helen,
In such settings tamper proof dispensers should be utilised.
Regards
Glenys
Glenys Harrington
Consultant
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
Finlay
CareHello all
I wondered if anyone has specific research into the installation of wall
mounted ABHR units in wings for residents with dementia. Much of the
research or reported cases of people drinking ABHR relate to individual
bottles of solution and not from wall mounted units. W are currently looking
the installation across all of our units and wondered if anyone has
undertaken a risk assessment of this or had experience/opinions of this. We
naturally want to balance the safety risk for the confused resident with the
risk of not have suitable hand hygiene methods available from an IPC
perspective.Kind regards,
Helen Finlay
National Manager Infection Control
t 0427 110 668 | 03 8518 7356
e hfinlay@regis.com.au | w
http://www.regis.com.auLevel 2, 615 Dandenong Road, Armadale VIC 3143
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Glenys HarringtonParticipantAuthor:
Glenys HarringtonEmail:
infexion@ozemail.com.auOrganisation:
Infection Control Consultancy (ICC)State:
Hi All,
What is the evidence for car AC on fresh air or recycled?
None that I have seen in terms of COVID-19 transmission but happy to be
corrected.Glenys
Glenys Harrington
Consultant
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
Marija (Health)
Hi Cate,
If they drive with ac on fresh air, have their surgical mask on and just
roll the window down for the test and back up when finished and go.I know we have told patients to sit in the back of the car, surgical mask on
with the window open, driver side window open and the AC on fresh air (which
works okay on normal days, chilly for winter and not tolerable on a hot
day). Allows for airflow through the car when driving.It’s more important that the staff are wearing the correct PPE and distance
when undertaking the testing. Plus their exposure time is significantly
short.Kind Regards
Marija Juraja |Nurse Unit Manager -CALHN Infection Prevention & Control
Unit|Specialty Medicine 2 RN, GCNS Inf Ctrl, CICP-E)
t: +61 8 7074 2810 (RAH) 8222 7588 (TQEH)| M: 0466 379
821|e:marija.juraja@sa.gov.au |Adjunct Clinical Lecturer | University of South Australia | Horizon Hospital
and Health Service“Nurses and midwives: clean care is in your hands”
> On Behalf Of Cate Coffey
HI everyone
Could you let me know what advice you give to members of the public waiting
in their car for a COVID-19 test? Do you advise them to have windows up with
A/C on fresh air or recycled air? The temp has been in the 40’s here so A/C
is essential.There seems to be 2 differing opinions. Our policy when transporting
patients with active TB apart from PPE is to drive with windows down if
possible and A/C on fresh air. I support windows up with COVID-19 but am
confused about the A/C on recycled.Any thoughts on his big pressing issue- ha ha
Regards
Cate Coffey
RN BaAScN MPH&TM Grad Cert Infection Control Nursing
Clinical Nurse Manager
Central Australia Health Service
Department of Health
Northern Territory Government
Infection Prevention and Control Unit
Alice Springs Hospital
PO Box 2234, Alice Springs, NT 0871t. 08 8951 7737
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Glenys HarringtonParticipantAuthor:
Glenys HarringtonEmail:
infexion@ozemail.com.auOrganisation:
Infection Control Consultancy (ICC)State:
Hi Cate,
No I have not seen any “random control trials regarding the accuracy or
superiority of Fit Testing V Fit Checking of P2/N95 masks for respiratory
pathogens”.Perhaps you could do a literature review and share with the members?
Yes I’m aware fit testing does not replace fit (seal)checks which should be
undertaken every time a staff member don’s a P2/N95 masks. In addition staff
should be trained in how to do this in accordance with the manufacturer’s
instructions for use (IFU).You may not be aware but in Vic there have been recently released “Victorian
Respiratory Protection Program guidelines” September 2020 (Version 1.1)
which included recommendations about fit testing. The document can be found
at this link.https://www.dhhs.vic.gov.au/healthcare-worker-infection-prevention-and-wellb
eing-taskforceregards
Glenys
Glenys Harrington
Consultant
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
Coffey
VictoriaHI Glenys
Are there any peer reviewed random control trials regarding the accuracy or
superiority of Fit Testing V Fit Checking of P2/N95 masks for respiratory
pathogens that you are aware of? Fit testing does not replace fit checking ,
I acknowledge the importance of ensuring the correct fit of mask however
this should be done very time a P2/N95 mask is worn.AS/NZS 1715:2009 states Qualitative facial fit testing has been retained as
a suitable means of monitoring a respiratory protection program. The
standard does not state it is gold standard or superior merely suitable .Australian Guidelines for the Prevention and Control of Infection in
Healthcare 2019 NHMRC state*In order for a P2 respirator to offer the maximum desired protection
it is essential that the wearer is properly fitted and trained in its safe
use
*Healthcare workers are encouraged to actively observe each other’s
mask fitting and immediately advise of any fitting issues to maximise
healthcare worker and patient safety.
*A risk-management approach should be applied to ensure that staff
working in high- risk areas are trained in appropriate fit of the P2
respirator and how to perform a fit check at the point of use.
*This may also include fit testing of the maskrEGARDS
Cate Coffey
Clinical Nurse Manager
Central Australia Health Service
Department of Health
Northern Territory Government
Infection Prevention and Control Unit
Alice Springs Hospital
PO Box 2234, Alice Springs, NT 0871t. 08 8951 7737
> On Behalf Of Glenys Harrington
Hi All,
As a infection control colleagues I would like to share the attached fit
testing results that were undertake in Victoria HCFs and with Vic HCWs
between March 2020 – 25 September 2020.No. of Hospitals: 6 Hospitals plus private clinicians from various private
and publicThis will be useful for to yourself and your colleagues/peers when
selecting/reviewing P2N95 masks.members of Ozbug in the interest “assisting the healthcare industry in
selecting and using appropriate respiratory protection”.Regards
Glenys
Glenys Harrington
Consultant
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
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Glenys HarringtonParticipantAuthor:
Glenys HarringtonEmail:
infexion@ozemail.com.auOrganisation:
Infection Control Consultancy (ICC)State:
-
AuthorPosts