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  • in reply to: cleaning #78460
    Glenys Harrington
    Participant

    Author:
    Glenys Harrington

    Position:
    Consultant

    Organisation:
    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

    E: infexion@ozemail.com.au

    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

    crystal.polson@unimelb.edu.au

    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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    in reply to: PPE precautions in hospitals to reduce furloughs #78434
    Glenys Harrington
    Participant

    Author:
    Glenys Harrington

    Position:
    Consultant

    Organisation:
    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).

    https://www.dhhs.vic.gov.au/sites/default/files/documents/202109/covid-19-mandatory-vaccination-directions.pdf

    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

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

    Regards

    Glenys

    Glenys Harrington

    Consultant

    Infection Control Consultancy (ICC)

    P.O. Box 6385

    Melbourne

    Australia, 3004

    M: +61 404816434

    E: infexion@ozemail.com.au

    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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    in reply to: face mask brackets / inserts #78396
    Glenys Harrington
    Participant

    Author:
    Glenys Harrington

    Position:
    Consultant

    Organisation:
    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

    E: infexion@ozemail.com.au

    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_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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    in reply to: help #78352
    Glenys Harrington
    Participant

    Author:
    Glenys Harrington

    Position:
    Consultant

    Organisation:
    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 2018

    file:///C:/Users/Glenys/Downloads/Respiratory%20illness%20in%20residential%2
    0and%20aged%20care%20facilities%20-%20Guidelines%20and%20information%20kit%2
    0(15).pdf

    If 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

    E: infexion@ozemail.com.au

    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.au

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    in reply to: Bare the elbows #78318
    Glenys Harrington
    Participant

    Author:
    Glenys Harrington

    Position:
    Consultant

    Organisation:
    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
    ltext

    This 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

    E: infexion@ozemail.com.au

    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&A

    kelly.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 0871

    cate.coffey@nt.gov.au

    t. 08 8951 7737

    http://www.health.nt.gov.au

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    in reply to: Question #78218
    Glenys Harrington
    Participant

    Author:
    Glenys Harrington

    Position:
    Consultant

    Organisation:
    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

    E: infexion@ozemail.com.au

    sixdunns@OPTUSNET.COM.AU

    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.
    http://www.avast.com

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    in reply to: Fwd: Changing of bed linen #78110
    Glenys Harrington
    Participant

    Author:
    Glenys Harrington

    Position:
    Consultant

    Organisation:
    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

    E: infexion@ozemail.com.au

    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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    in reply to: To empty or not to empty pans pre sanitizing? #78112
    Glenys Harrington
    Participant

    Author:
    Glenys Harrington

    Position:
    Consultant

    Organisation:
    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

    E: infexion@ozemail.com.au

    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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    Glenys Harrington
    Participant

    Author:
    Glenys Harrington

    Position:
    Consultant

    Organisation:
    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

    E: infexion@ozemail.com.au

    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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    Glenys Harrington
    Participant

    Author:
    Glenys Harrington

    Position:
    Consultant

    Organisation:
    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

    E: infexion@ozemail.com.au

    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 staff

    If 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 MNCLHD

    Level 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”

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    Glenys Harrington
    Participant

    Author:
    Glenys Harrington

    Position:
    Consultant

    Organisation:
    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

    E: infexion@ozemail.com.au

    Kate
    in ward based shared equipment/devices

    Hi 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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    in reply to: Use of ABHR in Dementia Units in Aged Care #77551
    Glenys Harrington
    Participant

    Author:
    Glenys Harrington

    Position:
    Consultant

    Organisation:
    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

    E: infexion@ozemail.com.au

    Finlay
    Care

    Hello 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.au

    Level 2, 615 Dandenong Road, Armadale VIC 3143

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    in reply to: Drive thru COVID-19 Clinic #77444
    Glenys Harrington
    Participant

    Author:
    Glenys Harrington

    Position:
    Consultant

    Organisation:
    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

    E: infexion@ozemail.com.au

    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 0871

    cate.coffey@nt.gov.au

    t. 08 8951 7737

    http://www.health.nt.gov.au

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    in reply to: FW: P2N95 masks fit testing – Victoria #77399
    Glenys Harrington
    Participant

    Author:
    Glenys Harrington

    Position:
    Consultant

    Organisation:
    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-taskforce

    regards

    Glenys

    Glenys Harrington

    Consultant

    Infection Control Consultancy (ICC)

    P.O. Box 6385

    Melbourne

    Australia, 3004

    M: +61 404816434

    E: infexion@ozemail.com.au

    Coffey
    Victoria

    HI 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 mask

    rEGARDS

    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 0871

    cate.coffey@nt.gov.au

    t. 08 8951 7737

    http://www.health.nt.gov.au

    > 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 public

    This 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

    E: infexion@ozemail.com.au

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    in reply to: Environmental swab alalysis #77335
    Glenys Harrington
    Participant

    Author:
    Glenys Harrington

    Position:
    Consultant

    Organisation:
    Infection Control Consultancy (ICC)

    State:

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