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Glenys HarringtonParticipant
Author:
Glenys HarringtonEmail:
infexion@ozemail.com.auOrganisation:
Infection Control Consultancy (ICC)State:
Hi John,
Are you saying you have had no clusters or outbreaks of VRE since the implementation 1000 ppm sodium hypochlorite for all environmental cleaning in all clinical areas ten years ago?
Also does the cleaning schedule include the use of 1000 ppm sodium hypochlorite on non-critical medical devices?
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—–
Hi Richard,
I am interested as to why you need to use a concentration of greater than 1000 ppm for terminal cleaning/disinfection.At Austin Health we have been using a cleaning disinfection solution with 1000 ppm sodium hypochlorite for over ten years as a standardised cleaning agent for all environmental cleaning in all clinical areas. We have not encountered substantial OH&S issues as long as staff use appropriate PPE and are trained in safe chemical handling. We couple this standardised cleaning system with monthly VRE environmental surveillance. Our surveillance usually does not yield VRE detections , but when we identify VRE on an item such as a commode chair we inform the clinical area to re-clean all the commode chair. We have found the standard application of 1000 ppm is effective.
Kind regards,
John Greenough
Manager – Infection Control Department03 9496 6625
Level 7, Harold Stokes Building
145 Studley Road, Heidelberg
PO Box 5555, Victoria, 3084—–Original Message—–
Hi Richard
Well, where should I start? This, admittedly, if from quite a few years ago, but anything above 1000ppm available chlorine was problematic for my staff at the time. We initially tried 10000ppm available chlorine, and saw severe cases of skin problems, and some respiratory sensitisation. And the surfaces showed a very rapid decline… even stainless steel benches showed rapid wear! So we moved down to 5000pmm and saw less respiratory sensitisation, still had multiple cases of skin problems, and still had surface wear. This was over a period of several years, mind you. So, after that, I abandoned sodium hypochlorite unless I had absolutely no alternative, and then only at level 1000ppm or less.
There are other disinfectants now available, although bleach remains easy to obtain and cheap, making it desirable from a cost perspective. But I would strongly argue that wide use of bleach is a definite hazard to staff that is very hard to control.
My opinion, at any rate.
Cheers
MichaelMichael Wishart | Infection Control Coordinator, CICP-E
St Vincents Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032 T +61 7 3326 3068 | F +61 7 3607 2226 E michael.wishart@svha.org.au | W https://clicktime.symantec.com/39g5xiNNWMD9XxxzMLsFgPw7Vc?uhttps%3A%2F%2Fwww.svphn.org.au
—–Original Message—–
Hi Everyone,
We are looking at higher concentration dilution of sodium hypochlorite (10% bleach solution) (1:10 solution 1 part bleach for every 9 parts water) for terminal cleaning. This concentration is 5 times the currently used dose 5000 ppm vs 1000ppm. The higher concentrations of chlorine are deemed respiratory sensitizers which have the potential to trigger reactions in some staff. Has anyone had issues?Kind Regards,
Richard
Richard Bartolo
Manager Infection PreventionWestern Health
Gordon Street, Footscray VIC 3011
Ph. 03 8345 6113
Mob. 0438 560 441
Email. richard.bartolo@wh.org.au
Web. https://clicktime.symantec.com/3T9CBetsUTQQ1UEyZRZusdP7Vc?uwww.westernhealth.org.auThis was sent from my iPhone.
Kind Regards,Richard Bartolo
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Glenys HarringtonParticipantAuthor:
Glenys HarringtonEmail:
infexion@ozemail.com.auOrganisation:
Infection Control Consultancy (ICC)State:
Hi Kristin,
Lots of information in the peer review literature – some suggested reading
below. Curtis J. Donskey MD et al. Effect of chlorhexidine bathing in
preventing infections and reducing skin burden and environmental
contamination: A review of the literature. American Journal of Infection
Control 44 (2016) e17-e21. Susan S. Huang, M.D.Targeted versus Universal Decolonization to
Prevent ICU Infection. N Engl J Med. 2013 Jun 13;368(24):2255-65*Bleasdale SC, Trick WE, Gonzalez IM, Lyles RD, Hayden MK, and
Weinstein RA (2007).
Effectiveness of chlorhexidine bathing to reduce catheter-associated
bloodstream infections in medical intensive care unit patients
External Web Site Icon. Archives
of Internal Medicine, 167(19):2073-9.*Climo MW, Septowitz KA, Zucotti G, Fraser VJ, Warren DK, Perl TM,
Speck K, Jernigan JA, Robles JR, Wong ES (2009).
The Effect of daily bathing
with Chlorhexidine on the Acquisition of Methicillin-resistant
Staphylococcus aureus, Vancomycin-resistant Enterococci and
Healthcare-associated Bloodstream Infections: Results of a
Quasi-experimental Multicenter Trial
External Web Site Icon. Critical
Care Medicine, 37(6):1858-65.*Popovich K, Hota B, Hayes R, Weinstein R, Hayden M (2009).
Effectiveness of routine
Patient Cleansing with Chlorhexidine Gluconate for Infection Prevention in
the Medical Intensive Care Unit
External Web Site Icon. Infection Control and Hospital Epidemiology,
30(10):959-963.*Huang SS, Septimus E, Hayden MK, Kleinman K, Sturtevant J, Avery TR,
Moody J, Hickok J, Lankiewicz J, Gombosev A, Kaganov RE, Haffenreffer K,
Jernigan JA, Perlin JB, Platt R, Weinstein RA; Agency for Healthcare
Research and Quality (AHRQ) DEcIDE Network and Healthcare-Associated
Infections Program, and the CDC Prevention Epicenters. Effect of body
surface decolonisation on bacteriuria and candiduria in intensive care
units: an analysis of a cluster-randomised trial. Lancet Infect Dis. 2016
Jan;16(1):70-9. doi: 10.1016/S1473-3099(15)00238-8. Epub 2015 Nov
27.PMID:26631833Regards
Glenys
Glenys Harrington
Consultant
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
Kristin Ryan-Agnew (Northern NSW LHD)
Dear colleagues,
With a recent spike in HAI MRO’s in our ICU unit, best practice literature
suggests routine 2% chlorhexidine body washes.I would love your thoughts and experiences with this proposal.
Kind regard
Kristin
Kristin Ryan-Agnew
Kristin Ryan-Agnew (MPH/Grad Cert IP&C)
Infection Prevention & Control Clinical Nurse Consultant
The Tweed Hospital
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Glenys HarringtonParticipantAuthor:
Glenys HarringtonEmail:
infexion@ozemail.com.auOrganisation:
Infection Control Consultancy (ICC)State:
Hi Lesley,
Your research projects sounds very interesting.
Are you able to share the publication or the reference for the publication?
Would be very useful to share with clinical staff as this topic seems to be raised on a routine, regular basis.
Regards
Glenys
Glenys Harrington
Consultant
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
Hi Mandy, Support your recommendation I did a research project on show covers many years ago, and found no value in use, as per your comments, What is on the floor stays there unless we provide a vector to carry contaminates ( ie pillows table attachments placed on the floor)
Change is slow and old practices entrenched without evidence.
Kind Regards
Lesley Alway
Director
Strategic Health Resources.
Post Graduate Education Services.
0408 324 727
03 94390534
Director Australian Health Design Council
Logowithtxt_AHDC
Hi all
We have mostly removed shoe covers in our operating theatres and procedural areas. The reasons for this are:
1.No-one washes their hands after they put them on! .. then they touch EVERYTHING!
2.There was no hand hygiene sink located adjacent to the change room so they could wash their hands either!. We did eventually put ABHR up in this location, but it had become a habit!
3.The floor is dirty any-how, leaving the only real purpose of the shoe cover to protect the individuals shoes from contamination during the case. This is a reasonable reason to wear shoe covers, but staff are encouraged to have dedicated shoes.
4.We have a dress codes for the operating theatres, including dedicated shoes or compliant with WHS requirements (enclosed, non-slip) plus able to be wiped over in the event blood or body fluid contamination
5.For the most part, most procedures are low risk of gross contamination to shoes, with a couple of notable exceptions (trauma etc). It is better to contain the blood/fluid before it makes it to the floor! This is better from an infection control perspective plus will reduce theatre turn around.Reference information can be sourced from Standard Statement 5 Of the Perioperative attire standard in the current ACORN Standards (Ed 15)
By reducing the number of staff who wear the shoe covers, will hopefully result in a reduction of this problem.
Re the slips, is the correct product being used on the floors and is it the correct floor covering? We found an issue with product compatibly for the type of flooring we used- the cleaning agent left a film which created a hazard when wet. However, after we investigated further it was discovered that the laminate used in the new build was not to the correct standard. I am unsure of the full details, but it eventually got rectified!
Kind regards
Mandy Davidson
RN; GCert Inf Pre & Cont; MPHTM; Cert III Sterilisation; Cert IV TAE; Immunisation cred; CICP-A
Clinical Nurse Consultant 4187 Implementation project
Infection Prevention & Control
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T
07 4433 1873 | 0402 987 432
E
Mandy.Davidson@health.qld.gov.au
W
http://www.health.qld.gov.au/townsville
Townsville Hospital and Health Service
100 Angus Smith Drive, Douglas, QLD 4814
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We are currently having problems with shoe covers in theatre too. The cleaners are sweeping up pieces of white plastic type material which are coming from the shoe covers. The type we are using are obviously not designed for all day wear and bits are wearing off over the course of the day. We are looking at other products that may be a bit stronger and can last a full day of wear intact
cid:image003.jpg@01D2E9BF.C675F410
Cathy Mowat
Clinical Nurse Consultant
Infection Prevention and Control
Central Gippsland Health
T. 03 5143 8518
Central Gippsland Health is located on the traditional land of the Gunai Kurnai people
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Are the shoe covers leaving behind a film? as we had a similar issue & subsequently changed our shoe covers ect
Emma Trippe
Infection Control ConsultantCalvary Riverina Hospital
Hardy Avenue Wagga Wagga NSW 2650
P: 02 6932 1628
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[Posted on behalf of member Moderator]
Hi everyone
We seem to have an issue within our operating theatre regarding the product we use on the floors VMOs complaining they slip easily and the manager wants to try something else instead
Any help would be appreciated
Regards, Jenny
Jenny Garland
Acting Quality Risk and Safety Manager
Infection control officer
Mater Health Service North Queensland
E mail:Jenny.garland@matertsv.org.au
Phone 47274173
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Glenys HarringtonParticipantAuthor:
Glenys HarringtonEmail:
infexion@ozemail.com.auOrganisation:
Infection Control Consultancy (ICC)State:
Hi Michael,
Found the following cleaning instructions online (see below and attached):
. Cleaning The Reverie Harp If you are using your Reverie Harp in a
hospital setting and need to keep it disinfected you can wipe down the
instrument and strings with the alcohol based disinfectant wipes commonly
found in hospitals.I would also include patient/client/resident HH before and after each use
Glenys
Glenys Harrington
Consultant
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
Michael Wishart
Hi all
Our pastoral care team want to use a Reverie Harp as part of working with
patients https://www.robertsmusic.net/harps/It would potentially be taken into patient rooms, and patients would hold it
or it would be placed on their bed for them to play.Any suggestions about how we would manage this form an infection prevention
and control perspective? Does anyone use anything like this in their
facilities already? Any suggestions on how it could be cleaned between
patients?Thanks for any advice.
Cheers
Michael
Michael Wishart | Infection Control Coordinator, CICP-E
St Vincent’s Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
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Glenys HarringtonParticipantAuthor:
Glenys HarringtonEmail:
infexion@ozemail.com.auOrganisation:
Infection Control Consultancy (ICC)State:
Hi Nadene,
These publications may be of interest/use.
Contaminated Portable Equipment Is a Potential Vector for Dissemination of
Pathogens in the Intensive Care Unit Infect Control Hosp Epidemiol
2017;38:1247-1249Do wheelchairs spread pathogenic bacteria within hospital walls?
World Journal of Microbiology and
Biotechnology, 30(2), 385-387, 2014Havill NL, Havill HL, Mangione E, Dumigan DG, Boyce JM. Cleanliness of
portable medical equipment disinfected by nursing staff. Am J Infect
Control. 2011;39:602-4.Ide N, Frogner BK, LeRouge CM, et al What’s on your keyboard? A systematic
review of the contamination of peripheral computer devices in healthcare
settings BMJ Open 2019;9:e026437. doi: 10.1136/bmjopen-2018-026437Regards
Glenys
Glenys Harrington
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
Walker, Nadene
equipmentHi All,
Does anyone have any recent research on the incidence of microorganisms on
shared patient equipment?Thank you, regards, Nadene
Nadene Walker
Clinical Nurse Specialist
Infection Prevention and Control
WA Country Health Service – Great Southern
Albany Health Campus
Warden Ave Albany WA 6330
PO Box 252 Albany WA 6331
P (08) 98922211 F (08) 98426037
M: 0428 086 062 (Business hours)
nadene.walker@health.wa.gov.au
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22/05/2019 at 12:52 pm in reply to: Sodium Hypochlorite dilution – Hospital grade disinfectants #75433Glenys HarringtonParticipantAuthor:
Glenys HarringtonEmail:
infexion@ozemail.com.auOrganisation:
Infection Control Consultancy (ICC)State:
Hi Pam,
Generally in Australia 1000ppm Sodium Hypochlorite is recommended and used
however you will find in the USA Sodium Hypochlorite 5000ppm is general
what is used.In outbreak control reports (i.e. multiple strategies) you will find both
concentrations of Sodium Hypochlorite noted.If your including spores in your query find below an extract from the recent
“ASID/ACIPC position statement – Infection control for patients with
Clostridium difficile infection in healthcare facilities” which explains
further the use of chlorine based agent.. “If using a chlorine based agent (i.e. household bleach) high
levels of chlorine (5000 mg/L free chlorine) have been shown to have
consistent efficacy against C difficile spores however lower dilutions of
chlorine (1000 and 3000 mg/L free chlorine) show varying capacity to
eradicate spores. Sporicidal agent contact times recommended by the
manufacturer/supplier need to be practical for healthcare n settings. Long
contact times (the time the surface needs to remain wet) of 10-30 min may be
an occupational health and safety hazard and are not practical for a
healthcare setting”.Rhonda L. Stuart et al. ASID/ACIPC position statement – Infection control
for patients with Clostridium difficile infection in healthcare facilitieshttps://www.idhjournal.com.au/article/S2468-0451(18)30143-3/fulltext
I hope this is helpful.
Regards
Glenys
Glenys Harrington
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
Pamela Ann Boon
grade disinfectantsGood morning everyone,
I am comparing two Sodium Hypochlorite products for hard surface
cleaning/disinfection (floors etc).They have widely different recommended ppm dilutions for reconstitution as
hospital grade disinfection (one is 1000ppm, the other is 5000ppm).Does anyone have any suggestions where I can locate advice on approximate
ppm Sodium Hypochlorite dilution for microbial kill?Thanks so much,
Kind regards,
Pam
Pamela Boon | Clinical Nurse Manager
Infection Prevention and Management Unit
Royal Darwin Palmerston Hospitals | Top End Health Service
Northern Territory Government
LG Floor, Royal Darwin Hospital, Rocklands Drive, Tiwi
GPO Box 41326, Casuarina, NT 0811
p …08 892 28045
f … 08 892 28889
e … Pamela.Boon@nt.gov.au
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Glenys HarringtonParticipantAuthor:
Glenys HarringtonEmail:
infexion@ozemail.com.auOrganisation:
Infection Control Consultancy (ICC)State:
Hi Matt,
My experience when these audits were in place (large acute care facility/community hospital/aged care facility) was that the audit training was internal.
The audit tool was fairly self-explanatory as it included a scoring system so easy to follow.
Initially the audits were multidisciplinary however because it was labour intensive (one of the problems) it was usually just done by an experienced environmental services manager or the corporate person overseeing the service.
There was also an annual external audit undertaken. This was conducted by a private company/contractors, some of whom were ICPs.
I do know of a facility that is still doing these audits so if you need an ICP contact drop me an email infexion@ozemail.com.au
Regards
Glenys
Glenys Harrington
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
Hi All,
Going back a few years Victoria introduced cleaning standards and trained people (IPC and Hotel Services Staff) to audit their own and other facilities. Just wondering if this is still a thing, and if so who overseas the standards and the training?? Thanks in advance.
Cheers Matt
Matt Mason RN, CICP-E, FCRANAplus, BN, M Rural Health, M Advanced Practice (IC)
Lecturer
School of Nursing, Midwifery & Paramedicine
USCPh +61 7 5456 5191
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Glenys HarringtonParticipantAuthor:
Glenys HarringtonEmail:
infexion@ozemail.com.auOrganisation:
Infection Control Consultancy (ICC)State:
Hi Donna,
Such information should be sourced directly from the medical product/device manufacturer/s as they are required by TGA to provide recommended instructions for use(IFU) which must include cleaning instructions and be inclusive of the recommended cleaning/disinfecting agents.
Healthcare facilities should:
Identify and follow the device manufacturers cleaning and decontamination instructions as failure may be considered off-label use
Ensure any detergents and/or disinfectants used are compatible with the device manufacturers instructions for use (IFU)
Ensure staff are training in the appropriate use of the cleaning and disinfection agents and
If the manufacturers instructions for use (IFU) are inadequate, report to the Australian Government, Therapeutics Goods Administration (TGA), Medical Device Incident Reporting & Investigation Scheme (IRIS) https://www.tga.gov.au/medical-device-incident-reporting-investigation-scheme-iris and the manufacturer.
Hope this is helpful.
Regards
Glenys
Glenys Harrington
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
Hello, does anyone know of an exercise heart rate monitor for children that can be used to ascertain their fitness level? I am looking for something that can be easily cleaned.
Currently the service is looking at strap-on chest monitors made of a stretchy fabric material, which would in the very least will require machine washing. Something I am very reluctant to add to my list of risks at this stage.
If anyone can suggest a suitable product, could you please inbox me? Thankyou
Kind Regards,
Donna Schmidt
Clinical Nurse Consultant Infection Control – Primary & Community HealthRosemeadow Community Health Centre
5 Thomas Rose Drive, Rosemeadow, NSW, 2560
Tel (02) 4633 4113 | Fax (02) 4633 4111 | Mob 0438 925 816donnamarie.schmidt@health.nsw.gov.au
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Hi guys,
Can you please post this to the list.
Thanks,
Helen.
Helen Scott
A/CNC Infection Prevention & Control
Clinical Governance Unit
North West Hospital and Health Service | Queensland Government
p: 07 4744 4021 | m: 0429 474 493
a: PO Box 27 Mount Isa Qld 4825
w: http://www.health.qld.gov.au
e: Helen.Scott@health.qld.gov.au
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Glenys HarringtonParticipantAuthor:
Glenys HarringtonEmail:
infexion@ozemail.com.auOrganisation:
Infection Control Consultancy (ICC)State:
Hi Sue,
You may have already done this but if not your issues/problems should be
reported to the TGA using the “Medicine or defective vaccine report” form at
the following link:https://www.tga.gov.au/medicine-or-vaccine-defect-report
As per TGA – The report is to “report defects that you think have arisen
during manufacture, storage or handling of medicines. These sorts of
problems are usually found in a single batch or a single pack of a product.
These problems may require investigation by the Therapeutic Goods
Administration (TGA) Laboratories”.Your particular issues/problems may relate to a specific batch.
Regards
Glenys
Glenys Harrington
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
Susan Gonelli
leakageHi All,
I would like to ask if anyone else is having issues with the AfluriaQuad
Influenza vaccine and BD Eclipse needles. We have had a number of leur lock
mechanism breakages as well as vaccine leaking requiring a 2nd dose. We
have also had a needle stick injury post vaccination when the needle and
syringe fell apart as the safety mechanism was being activated. I also have
been informed that another organisation have had 3 needle stick injuries
within their IC department using the same combination of vaccine and BD
Eclipse needles. I have attached a photo of the broken syringe / needle
combination.This issue has been reported to TGA, BD and Seqirus
Regards
Sue Gonelli CNC – Pre Employment Immunisation Coordinator
Employee Exposure Management and Immunisation Service – PO Box 52, Frankston
Vic 3199Direct 9788 4568 Fax 9784 2347 Switchboard 03 9784 7777
Penisula Health
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Glenys HarringtonParticipantAuthor:
Glenys HarringtonEmail:
infexion@ozemail.com.auOrganisation:
Infection Control Consultancy (ICC)State:
Hi Pam,
This recently published review by Evonne Curran et al in the Journal of
Infection Prevention will help you with guidance in relation to cleaning and
disinfection.. Curran et al. Chemical disinfectants: controversies regarding
their use in low risk healthcare environments (part 1). Journal of Infection
Prevention. First Published March 5, 2019. Accessed online 11/3/2019.
https://journals.sagepub.com/doi/pdf/10.1177/1757177419828139Regards
Glenys
Glenys Harrington
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
Pamela Ann Boon
Good morning,
We are reviewing bed cleaning procedures and products in our hospitals.
In regards to discharge bed cleaning, can anybody share;
. Do you use detergent
. Do you use detergent & disinfectant – if YES what product do you
useThanks so much.
Cheers from Pam
Pamela Boon | Clinical Nurse Manager
Infection Prevention and Management Unit
Royal Darwin Palmerston Hospitals | Top End Health Service
Northern Territory Government
LG Floor, Royal Darwin Hospital, Rocklands Drive, Tiwi
GPO Box 41326, Casuarina, NT 0811
p …08 892 28045
f … 08 892 28889
e … Pamela.Boon@nt.gov.au
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Glenys HarringtonParticipantAuthor:
Glenys HarringtonEmail:
infexion@ozemail.com.auOrganisation:
Infection Control Consultancy (ICC)State:
Hi Lindy,
This article (abstract below) may be of interest/use. The types of wall
finishes tested included latex-based paint, enamel paint, vinyl,
micro-perforated vinyl (with paper backing) and textured wallpaper.Do you know the specific (generic) type of wallpaper that is proposed? For
example vinyl wallpaper may unintentionally form vapour barriers which can
create an environment where mould is likely to grow.Am J Infect Control. 2006
Jun;34(5):258-63.Assessment of materials commonly utilized in health care: implications for
bacterial survival and transmission.Lankford MG1,
Collins S,
Youngberg L,
Rooney DM,
Warren JR,
Noskin GA.Author information
Abstract
BACKGROUND:
Contaminated environmental surfaces, equipment, and health care workers’
hands have been linked to outbreaks of infection or colonization because of
vancomycin-resistant enterococci (VRE) and Pseudomonas aeruginosa (PSAE).
Upholstery, walls, and flooring may enhance bacterial survival, providing
infectious reservoirs.OBJECTIVES:
Investigate recovery of VRE and PSAE, determine efficacy of disinfection,
and evaluate VRE transmission from surfaces.METHODS:
Upholstery, flooring, and wall coverings were inoculated with VRE and PSAE
and assessed for recovery at 24 hours, 72 hours, and 7 days. Inoculated
surfaces were cleaned utilizing manufacturers’ recommendations of natural,
commercial, or hospital-approved products and methods, and samples were
obtained. To assess potential for transmission, volunteers touched
VRE-inoculated surfaces and imprinted palms onto contact-impression plates.RESULTS:
Twenty-four hours following inoculation, all surfaces had recovery of VRE;
13 (92.9%) of 14 surfaces had persistent PSAE. After cleaning, VRE was
recovered from 7 (50%) surfaces, PSAE from 5 (35.7%) surfaces. After
inoculation followed by palmar contact, VRE was recovered from all surfaces
touched.CONCLUSION:
Bacteria commonly encountered in hospitals are capable of prolonged survival
and may promote cross transmission. Selection of surfaces for health care
environments should include product application and complexity of
manufacturers’ recommendations for disinfection. Recovery of organisms on
surfaces and hands emphasizes importance of hand hygiene compliance prior to
patient contact.Regards
Glenys
Glenys Harrington
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
Lindy Ryan (Mid North Coast LHD)
adviceHello brains trust
It seems our local health services and state health infrastructure are
intending to put wall paper in clinical areas in part of our new builds
.such as birthing unit.My infection control sense is really twitching with concerns as they don’t
see any infection control issues at this time without more rationale re
risks that would sway them to reconsider doing this (as they believe it
will give them the homey feeling they are after in their new model of care)
.So …in the spirit of trying to be informed and with the times in
understanding & working proactively to support these new model of care
needs ..can anyone else provide any advice of their experience with this
being installed and any pros and cons .I am screaming ‘no don’t ‘ inside
for a number of reasons (we have a warm humid climate here on the coast in
summer) . so I am hoping for any wise words or publications , commentary
from this group around the use of wallpaper in clinical areas if anyone has
any to help us withMany thanks as always
Kind regards
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@ncahs.health.nsw.gov.au
http://www.health.nsw.gov.auhttp://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Hea
lth-Mid-North-Coast-LHD.jpg“Wise and humane management of the patient is the best safeguard against
infection”(Florence Nightingale Circa 1860)
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Glenys HarringtonParticipantAuthor:
Glenys HarringtonEmail:
infexion@ozemail.com.auOrganisation:
Infection Control Consultancy (ICC)State:
Hi Lindy,
The simple answer is that wall paper cannot be cleaned nor when necessary
disinfected which may be required in a birthing suite.I think if the supplier or manufacturer of the wall paper was asked they
will advise that the wall paper will not tolerate water nor chemical
disinfectants such as sodium hypochlorite (i.e. household bleach).Your architects may not be familiar with current Australasian Health
Facility GuidelinesSection – 04 SURFACES AND FINISHES
04.01 General
“All surfaces in patient care areas should be smooth and impervious, and
easily cleanable. Unnecessary horizontal, textured, moisture-retaining
surfaces or inaccessible areas where moisture or soil can accumulate should
be avoided”Regards
Glenys
Glenys Harrington
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
Lindy Ryan (Mid North Coast LHD)
adviceHello brains trust
It seems our local health services and state health infrastructure are
intending to put wall paper in clinical areas in part of our new builds
.such as birthing unit.My infection control sense is really twitching with concerns as they don’t
see any infection control issues at this time without more rationale re
risks that would sway them to reconsider doing this (as they believe it
will give them the homey feeling they are after in their new model of care)
.So …in the spirit of trying to be informed and with the times in
understanding & working proactively to support these new model of care
needs ..can anyone else provide any advice of their experience with this
being installed and any pros and cons .I am screaming ‘no don’t ‘ inside
for a number of reasons (we have a warm humid climate here on the coast in
summer) . so I am hoping for any wise words or publications , commentary
from this group around the use of wallpaper in clinical areas if anyone has
any to help us withMany thanks as always
Kind regards
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@ncahs.health.nsw.gov.au
http://www.health.nsw.gov.auhttp://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Hea
lth-Mid-North-Coast-LHD.jpg“Wise and humane management of the patient is the best safeguard against
infection”(Florence Nightingale Circa 1860)
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Glenys HarringtonParticipantAuthor:
Glenys HarringtonEmail:
infexion@ozemail.com.auOrganisation:
Infection Control Consultancy (ICC)State:
Hi Marija
Thanks for the extract from the standard.
I disagree with the premise that an audit is required.
The wording is review, hence there are many way this can be done without a
formal audit process, checklists are what come to mind for me.In addition such reviews should be the responsibility of the service manager
not audit weary infection prevention and control staff don’t you think?Regards
Glenys
Glenys Harrington
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
Juraja, Marija (Health)
As per my understanding of the new standard with regard to last points in
red. I believe that the overall goverenance for this sists with Executive
and including the contractual obligations placed onto the company that is
providing that service. We should be auditing internal compliance with
provision and storage of clean linen and its removal. My thoughts JAction 3.12
Review processes for linen handling
Review the movement, supply and handling of clean and used linen in the
health service organisation to minimise infection risks associated with
linen for both patients and the workforce. This includes linen used for
patient care, environmental linen (for example, privacy screens), and linen
used by the workforce (for example, theatre scrubs, uniforms). Consider how
to:Minimise excess handling
Ensure effective containment and storage
Optimise traffic flows to minimise contamination of
clean linenReprocess used linen (methods used, and whether this
is done by the health service organisation or an external service).Ensure that any external services are part of the systems for quality
improvement and contracts review addressed in the Clinical Governance
Standard.Kind Regards
Marija Juraja |Nurse Unit Manager -CALHN Infection Prevention & Control
Unit|Division of Acute Medicine (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 | Division of
Health SciencesConumers
Fefe Lawson
Hi All
My understanding for accreditation and food safety requirements is that you
should have certification from 3rd party providers.Fefe Lawson
Director Governance and Corporate Services
Karitane
0419100366
Sent from my Samsung Galaxy smartphone.
——– Original message ——–
Dear All,
Such requests from accreditors in relation to 3rd party laundry service
providers should be reported to ACSQHC.Such requests are setting an unfortunate precedent in which the healthcare
facility has no jurisdiction over such providers.Regards
Glenys
Glenys Harrington
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
De Sousa, Fiona M (THS)
Hi All,
In some of my previous roles auditing the laundry provider on a regular
(annual / second yearly) basis was required and specifically asked for by
accreditors. I have also worked in facilities where the provision of
compliance documentation from the laundry was considered sufficient by
accreditors.In my current facility an annual audit is carried out of our 3rd party
provider but is not the responsibility of IPC.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’Michael Wishart
Hi Marija
I certainly agree. Similar to sterile stock we purchase (we don’t audit them
on AS 4187 compliance, we get documentation they meet requirement), we
should have copies of the external laundry provider’s certifications as part
of the contract.There is one external infection control audit group I know of that does
request these audits are down by the facility, though. And, I will admit, it
gives the ICP an opportunity to visit the laundry annually, which I have
found to be useful in order to understand the laundry process and meet the
key stakeholders.Maybe rather than a formal audit, ICP’s could request to visit the external
laundry for a tour?Cheers
Michael
Michael Wishart | Infection Control Coordinator, CICP-E
St Vincent’s Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
cid:image001.jpg@01D46C86.4CDB6090
2019 conference email signature
Marija (Health)
Hi All,
I agree and yes it should be built into the contract ( and something I check
when the contracts are due for renewal) for the linen services provided for
the organisation and something that can be requested by your Hotel Services
Manager.This is not for us to audit (we have enough as it is to do), but for the
service to provide their evidence if required and for us to ensure that
linen managed on site is managed within the guidelines/standards.My thoughts.
Kind Regards
Marija Juraja |Nurse Unit Manager -CALHN Infection Prevention & Control
Unit|Division of Acute Medicine (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 | Division of
Health SciencesConumers
Glenys Harrington
Dear all,
I have heard some hospitals teams are being asked during accreditation about
their linen service compliance with Australian and NZ Linen standard
4146:2000.While this would be appropriate for internal laundry services I would be
interested to know of any regulatory requirement for annual/other auditing
requirements by hospital staff (infection control/hospital service) when the
provider is a 3rd party provider (external)?Surely compliance with relevant standards/regulations is included contracts
with 3rd party providers and hence such providers themselves could be
compelled can provide evidence if requested?It does not seem like a good use of busy infection control/other hospitals
personnel resources to be conducting audits (annual or otherwise) on 3rd
party providers whom they have no direct jurisdiction over?Regards
Glenys
Glenys Harrington
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
De Sousa, Fiona M (THS)
Hi All,
We are currently looking at alternative tools for auditing 3rd party
laundry premises. Does anyone have a tool they would be willing to share?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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Glenys HarringtonParticipantAuthor:
Glenys HarringtonEmail:
infexion@ozemail.com.auOrganisation:
Infection Control Consultancy (ICC)State:
Dear All,
Such requests from accreditors in relation to 3rd party laundry service
providers should be reported to ACSQHC.Such requests are setting an unfortunate precedent in which the healthcare
facility has no jurisdiction over such providers.Regards
Glenys
Glenys Harrington
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
De Sousa, Fiona M (THS)
Hi All,
In some of my previous roles auditing the laundry provider on a regular
(annual / second yearly) basis was required and specifically asked for by
accreditors. I have also worked in facilities where the provision of
compliance documentation from the laundry was considered sufficient by
accreditors.In my current facility an annual audit is carried out of our 3rd party
provider but is not the responsibility of IPC.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’Michael Wishart
Hi Marija
I certainly agree. Similar to sterile stock we purchase (we don’t audit them
on AS 4187 compliance, we get documentation they meet requirement), we
should have copies of the external laundry provider’s certifications as part
of the contract.There is one external infection control audit group I know of that does
request these audits are down by the facility, though. And, I will admit, it
gives the ICP an opportunity to visit the laundry annually, which I have
found to be useful in order to understand the laundry process and meet the
key stakeholders.Maybe rather than a formal audit, ICP’s could request to visit the external
laundry for a tour?Cheers
Michael
Michael Wishart | Infection Control Coordinator, CICP-E
St Vincent’s Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
cid:image001.jpg@01D46C86.4CDB6090
2019 conference email signature
Marija (Health)
Hi All,
I agree and yes it should be built into the contract ( and something I check
when the contracts are due for renewal) for the linen services provided for
the organisation and something that can be requested by your Hotel Services
Manager.This is not for us to audit (we have enough as it is to do), but for the
service to provide their evidence if required and for us to ensure that
linen managed on site is managed within the guidelines/standards.My thoughts.
Kind Regards
Marija Juraja |Nurse Unit Manager -CALHN Infection Prevention & Control
Unit|Division of Acute Medicine (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 | Division of
Health SciencesConumers
Glenys Harrington
Dear all,
I have heard some hospitals teams are being asked during accreditation about
their linen service compliance with Australian and NZ Linen standard
4146:2000.While this would be appropriate for internal laundry services I would be
interested to know of any regulatory requirement for annual/other auditing
requirements by hospital staff (infection control/hospital service) when the
provider is a 3rd party provider (external)?Surely compliance with relevant standards/regulations is included contracts
with 3rd party providers and hence such providers themselves could be
compelled can provide evidence if requested?It does not seem like a good use of busy infection control/other hospitals
personnel resources to be conducting audits (annual or otherwise) on 3rd
party providers whom they have no direct jurisdiction over?Regards
Glenys
Glenys Harrington
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
De Sousa, Fiona M (THS)
Hi All,
We are currently looking at alternative tools for auditing 3rd party
laundry premises. Does anyone have a tool they would be willing to share?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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The information in this transmission may be confidential and/or protected by
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If you have received the transmission in error, please immediately contact
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Glenys HarringtonParticipantAuthor:
Glenys HarringtonEmail:
infexion@ozemail.com.auOrganisation:
Infection Control Consultancy (ICC)State:
Dear all,
I have heard some hospitals teams are being asked during accreditation about
their linen service compliance with Australian and NZ Linen standard
4146:2000.While this would be appropriate for internal laundry services I would be
interested to know of any regulatory requirement for annual/other auditing
requirements by hospital staff (infection control/hospital service) when the
provider is a 3rd party provider (external)?Surely compliance with relevant standards/regulations is included contracts
with 3rd party providers and hence such providers themselves could be
compelled can provide evidence if requested?It does not seem like a good use of busy infection control/other hospitals
personnel resources to be conducting audits (annual or otherwise) on 3rd
party providers whom they have no direct jurisdiction over?Regards
Glenys
Glenys Harrington
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
De Sousa, Fiona M (THS)
Hi All,
We are currently looking at alternative tools for auditing 3rd party
laundry premises. Does anyone have a tool they would be willing to share?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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