[Janet Masters]

In 2014 the Intensive Care Coordination and Monitoring Unit which is part
of the NSW Agency for Clinical Innovation undertook a sytematic
literature review of temperature measurement for critically ill adults.
This is freely available on the ACI website. The review basically found
that the tympanic and infrared thermometers were nothing more than random
number generators.

Regards
Janet Masters
Safety Culture Coordinator
Far West Local Health District
NSW Australi

On Wed, 4 Mar. 2020, 14:45 , wrote:

> Hi
>
> We did a study on this during the Ebola preparedness. We looked at
> infrared and ear thermometers. It was published in a local NSW journal but
> I am unable to locate it now.
>
>
>
> The infrared thermometers were up to 1 degree Celsius lower on some
> subjects. The study subjects had their temperature taken both indoor and
> outdoors. They were a mixed age group.
>
>
>
> Our recommendation was to not use the infrared thermometers for airport
> screening as they were unreliable.
>
>
>
> I will try to locate the paper and post it.
>
>
>
> *Thank you*
>
> *Joe*
>
>
>
> INFECTION CONTROL REVIEW PTY LTD
>
> Joe-Anne Bendall Consulting
>
> ABN 98630512284
>
>
>
> Joe.bendall@bigpond.com
>
> Phone: 0419638342
>
>
>
>
>
>
>
> *From:* ACIPC Infexion Connexion *On Behalf Of *Michael
> Wishart
> *Sent:* Wednesday, 4 March 2020 10:44 AM
> *To:* ACIPCLIST@ACIPC.ORG.AU
> *Subject:* Re: [ACIPC_Infexion_Connexion] Oral thermometer question
>
>
>
> Hi Sue
>
>
> We looked at contactless infrared contactless thermometers, but the actual
> temperature measurements provided were not considered accurate enough by
> our physicians.
>
>
> We use mainly infrared ear thermometers in our adult patients, with a
> probe cover, and wipe with a detergent wipe between uses.
>
>
>
> One of the advantages of an ear thermometer is that it does not come into
> contact with mucous membranes, and therefore the question about high level
> disinfection between patients is avoided.
>
>
>
> But I know there are physicians who will not rely upon infrared ear
> thermometer readings, although we find they tend to be quite accurate,
> provided they are taken correctly and the ear used is not inflamed.
>
>
>
> Cheers
>
> Michael
>
>
>
> *Michael 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://www.svphn.org.au
>
>
>
> [image: cid:image001.jpg@01D46C86.4CDB6090]
>
>
>
> [image: cid:image005.png@01D5C601.F77FEA40]
>
>
>
> *From:* ACIPC Infexion Connexion *On Behalf Of *King,
> Sue
> *Sent:* Wednesday, 4 March 2020 9:15 AM
> *To:* ACIPCLIST@ACIPC.ORG.AU
> *Subject:* Re: [ACIPC_Infexion_Connexion] Oral thermometer question
>
>
>
> Hi all,
>
> Does anyone use contactless infrared thermometers?
>
> In the current environment it may seem prudent to use them.
>
> We use Covidien thermometers and go through 100 probe covers a day on one
> ward.
>
> It would be good to reduce the level of plastic discarded too.
>
>
>
> Regards,
>
> Sue
>
>
>
> *Sue King*
> Nurse Unit Manager/Infection Prevention and control
>
> *Donvale Rehabilitation Hospital*
> Tully Ward
>
> Phone:
>
> 03 9841 1272
>
> Fax:
>
> 03 9842 7276
>
> Email:
>
> KingS@ramsayhealth.com.au
>
> Web:
>
> http://www.ramsayhealth.com
>
>
> Address:
>
> 1119 Doncaster Road, Donvale Vic 3111
>
>
>
>
>
>
>
>
>
>
> *From:* ACIPC Infexion Connexion *On Behalf Of *Angela
> Carvosso
> *Sent:* Tuesday, 3 March 2020 2:59 PM
> *To:* ACIPCLIST@ACIPC.ORG.AU
> *Subject:* Re: [ACIPC_Infexion_Connexion] Oral thermometer question
>
>
>
> Hi Debra,
>
>
>
> We use probe covers or the thermometers dont work anyway. I have always
> wiped them down with the cleaning wipe supplied to wipe down the rest of
> the obs machine. Its standard practice to clean between each patient. I
> would of thought if proper cleaning has been used with wipes rated to kill
> the microorganism and use of covers sufficient for general use with
> dedicated equipment wherever possible for people in isolation.
>
>
>
> Regards Angela Carvosso
>
> RN Warwick Health Services
>
>
>
> Sent from Mail
>
> for Windows 10
>
>
>
> *From: *Debra Lee
> *Sent: *Monday, 2 March 2020 9:50 AM
> *To: *ACIPCLIST@ACIPC.ORG.AU
> *Subject: *[ACIPC_Infexion_Connexion] Oral thermometer question
>
>
>
> Hi all,
>
> Has anyone else been asked if oral thermometers should undergo HLD to
> comply with 4187, as the probe comes in contact with a mucous membrane?
> There is heightened awareness around COVID 19 transmission and it was
> raised that a probe cover is not considered sufficient protection without
> HLD for other sites
>
> If you could please let me know what processes do others use for cleaning
> of oral thermometer probes between each patient?
>
> Kind regards,
>
>
>
> *Debra Lee*
> *Clinical Nurse Consultant*
>
> *Infection Management and Prevention ServiceWest Block Ground floor*
> Redcliffe Hospital
> Redcliffe, Qld 4020
> Ph: (07) 3883 7300
>
> *debra.lee@health.qld.gov.au *
> metronorth.health.qld.gov.au
>
>
> (Make Prevention Your Intention)
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[Janet Masters]

I have watched the debate unfold with sadness that politics is invading
this list.
I belong to further my education and as a reference point on infection
control -whilst I no longer work actively within Infection Control I remain
a passionate advocate in my current role.

I personally do not believe that the College has the right to engage in
politics – unless it is on an Infection Control related matter.

Unfortunately Andrea I think you are making an assumption that Catherine
and those who have spoken out against the Colleges public stance are
against the refuges and accused them of prejudice. No where has anyone said
that, so I do not think you can make that assumption. The point that
Catherine and the others are making is that the College is a group of
Infection Control Professionals and as such we should limit our comments to
that arena.

We are all entitled to our personal beliefs and opinions, however the
primary function of this list is Infection Control
Too often I have seen other lists – both health and non health be ripped
apart by the introduction of politics.

Politics is a subject that people are passionate about and can at times
lead to heated exchanges.
FYI – before you think that I personally am prejudiced – I think most of
the refugees should be allowed to stay (once appropriate screening has been
undertaken for criminal background)

Regards
Janet

Ex Infection Control
RN
Sydney
Australia

On 25 February 2016 at 08:57, Menzies, Andrea (Health) wrote:

> Also without Prejudice.
>
>
>
> Dear members,
>
>
>
> It is a pity Cathryn Murphy believes humanity works on a dichotomy.
>
> That is, humanitarian issues such as are occurring on our watch as nurses
> and leaders only deserve comment when an infection is involved.
>
>
>
> The issue of Children in detention in Australia or in centres managed and
> paid for by Australian dollars must never be relegated to politics alone.
> Matters of this kind go beyond the issue of politics and define us by
> diminishing our humanity when we are silent.
>
>
>
> Thankfully, Professor Shaban has spoken out where perhaps others may have
> not. I support his comments and am grateful we, as an college , are finally
> making certain views known.
>
> Is it possible those who are complaining about the recent ACIPC media
> release are being motivated to examine their own prejudice?
>
>
>
> In the words of Martin Luther King
>
>
>
> Injustice for one is injustice for all.
>
>
>
> Kind regards
>
> Andrea Menzies (an ordinary RN , no Ph D )
>
>
>
>
>
> *Regards*
>
> *Andrea Menzies*
>
> RN | Infection Prevention and Control | Health Directorate
>
> Building 10, Level 4 | The Canberra Hospital | Garran ACT 2605
>
> Phone: (02) 6244 2512 | Fax: (02) 6244 4646 | Email
> Andrea.Menzies@act.gov.au
>
>
>
> The very first requirement in a hospital is that it should do the sick no
> harm.
> *Florence Nightingale
> *
>
>
>
>
>
> *Care **|** Excellence **|** Collaboration **|** Integrity*
>
> *[image: CH_Logo_ACT_Health_Lockup_CMYK_HR]*
>
>
>
>
>
>
>
> *From:* ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] *On
> Behalf Of *Dr Cathryn Murphy
> *Sent:* Wednesday, 24 February 2016 8:01 AM
> *To:* AICALIST@AICALIST.ORG.AU
> *Subject:* Re: ACIPC Media release: Children in Detention
>
>
>
> Without Prejudice
>
>
>
> Dear Members
>
>
>
> I was saddened to read the recent Press Release regarding the College’s
> position on Children In Detention. In my 25 plus years as a member and once
> President of AICA and as a 7 year board member and 2010 APIC President
> alignment of a professional body with any non-infection prevention
> political issue appears unprecedented.
>
>
>
> Regardless of where members stand personally on this contentious issue it
> is arrogant and perhaps even incorrect for the President to assume
> unilateral support of his position by all members.
>
>
>
> Further, whilst the AMA acts as the primary industrial relations agency
> for medical practitioners and as such rightly has an opinion on this issue
> the College purpose as stated in its Constitution makes no mention of
> political commentary as a goal.
>
>
>
> Informally, I have canvassed views from at least two other senior College
> members who are offended by the College’s action. I would request that in
> future the Executive and College leadership do not assume members’
> positions on non infection prevention matters and instead focus solely on
> working within the scope of the Constitution representing members well on
> infection prevention matters.
>
>
>
>
>
> Regards
>
> Cathryn Murphy
>
> Executive Director
>
> Infection Control Plus Pty Ltd
>
>
>
>
>
>
>
> Cathryn Murphy RN PhD
>
> Executive Director
>
> PO Box 106
>
> West Burleigh QLD 4219
>
> Queensland, AUSTRALIA
>
>
>
> +61 428 154154
>
> E: Cath@infectioncontrolplus.com.au
>
>
>
>
>
>
>
> ——– Original message ——–
>
> From: Michael Wishart
>
> Date: 22/02/2016 14:18 (GMT+10:00)
>
> To: AICALIST@AICALIST.ORG.AU
>
> Subject: ACIPC Media release: Children in Detention
>
>
>
> [Posted on behalf of ACIPC President Moderator]
>
>
>
> Colleagues
>
> Please note the attached media release from the College.
>
>
>
> Kind regards,
>
> Ramon
>
>
>
> [image: ACIPC_Logo_Colour_RGB_Hi_Res.jpg]
>
>
> *Professor Ramon Z Shaban PRESIDENT*
>
> Australasian College for Infection Prevention and Control
>
> GPO Box 3254, Brisbane Qld 4001
> Tel: +61 7 3735 6463 Mobile: 0478 312 668
>
> Email: president@acipc.org.au
>
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[Janet Masters]

Hi Jo
ICCMU (the Intensive Care Coordination and Monitoring Unit) – Part of NSW
Health is in the final stages of developing a consensus and evidence based
Clinical Practice Guideline – part of it is loaded into their wiki (
http://intensivecare.hsnet.nsw.gov.au/icwiki/index.php/Welcome_to_ICWiki)
and I hope to get the rest of it up tomorrow (the IT gods willing). The
guideline has been developed by ICU and Vascular Access Nurses following a
systematic review (it is being presented as a poster at the Australian and
New Zealand Intensive Care Annual Scientific Meeting in October). The
guideline had ICP input. There is recommendations about flushing but I can
not remember what they said – the recommendation statements are in the wiki
– its the narrative that will go up tomorrow which discusses the evidence.

Janet
Ex ICP Blacktown Mt Druitt Health
Currently Intensive Care Best Practice Project Officer
ACI – ICCMU / Nursing and Midwifery Office (till Friday)

On 25 September 2013 16:36, COCKS Joanne M (SVHM)
wrote:

> Hi All****
>
> ** **
>
> I am reviewing our current CVAD policy and I need to include an item
> around *flushing un-used lumens*****
>
> ** **
>
> **1. **Do you flush all un-used lumens (if not heparin locked) for
> all patients? Or just some groups of patients? E.g Haematology****
>
> **2. **If you flush how often e.g once per shift, once per day?*
> ***
>
> **3. **Does anyone replace CVAD (using a guidewire) in the
> situation where the CVAD in-situ has (for example) 5 lumens inserted in
> ICU – and on transfer to the wards only needs 2 lumens for on-going
> clinical management. Providing there is no evidence of sepsis, insertion
> site is OK etc. Or do you leave the 5 lumen CVAD in and flush the lumens
> or just note they are not in use and not use them form this point on****
>
> ** **
>
> The CDC guidelines dont address flushing of lumens, I can only find it
> addressed in Oncology (referenced to UK Guidelines) and the ANZICS guide
> (not referenced)****
>
> ** **
>
> Thanks for the help****
>
> ** **
>
> Regards****
>
> ** **
>
> Jo****
>
> ** **
>
> Joanne Cocks | Infection Control Coordinator****
>
> St Vincents Melbourne | PO Box 2900 | 41 Victoria Parade, Fitzroy VIC
> 3065 ****
>
> t: +61 3 9288 4069 | f: +61 3 9288 4068 http://www.svhm.org.au****
>
> [image: Description: cid:image002.jpg@01CE2B97.03F7F180]****
>
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[Janet Masters]

Helen
ICCMU is developing an audit tool to accompany the new whole of hospital
CVAD guideline that will be released September 13.
They will be loaded on IC Wiki (
http://intensivecare.hsnet.nsw.gov.au/icwiki/index.php/Welcome_to_ICWiki) along
with other implementation tools.

Regards
Janet

Intensive Care Best Practice Project Officer
NaMO / ACI-ICCMU
NSW Health

On 13 August 2013 12:04, Helen Scott wrote:

> Hi,
>
> Does anyone have an audit tool for Invasive Devices to meet standard 3.8.1?
>
> I have audit tools for PIVCs, wounds, venepuncture and urinary catheters.
> I don’t have an audit tool I can use *specifically for* CVADs, UWSDs,
> wound drains and epidurals.
>
> Thanks,
> Helen.
>
>
> Helen Scott
> *Infection Control Co-ordinator *|
> *Staff Educator *|
> Nepean Private Hospital
> Kingswood, NSW.
> Tel 02 4725 8758 | helen.scott@healthscope.com.au
> Messages posted to this list are solely the opinion of the authors, and do
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[Janet Masters]

Hi Phillipa

The NSW Hand Hygiene Policy has an appendix on dealing with non compliance
PD2010_058 if you are unable to download from the NSW Website please email
me off list and I will send it to you

Janet
Intensive Care Best Practice Project Officer
Nursing and Midwifery Office
NSW Ministry of Health

On 23 July 2013 13:39, Christian HARKENSEE
wrote:

> My suggestions: Make hand hygiene a performance indicator essential for
> training progress (junior doctors) or quality of care/bonus payments
> (senior doctors). Without a minimum score in hand hygiene compliance no
> career advancement or bonus! It seems it has to hurt for people to really
> comply, in particular when a culture of hand hygiene is not well
> established Obviously, you will need support and endorsement of any such
> policy from senior management!****
>
> ** **
>
> Chris Harkensee****
>
> ** **
>
> *Dr Christian Harkensee* MD, PhD, MRCPCH(UK), PG Dip Infect Dis (Univ. of
> London)****
>
> Assistant Professor in Paediatrics, National University Singapore****
>
> Consultant Paediatrician****
>
> Division of Paediatric Infectious Diseases****
>
> Khoo Teck Phuat – National University Children”s Medical Institute****
>
> National University Hospital****
>
> 1E Kent Ridge Road****
>
> NUHS Tower Block, Level 12, Singapore 119228****
>
> Tel: ++65-96544593, Fax: ++65-67797486****
>
> ** **
>
> ** **
>
> *From:* ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] *On
> Behalf Of *Parsons, Phillipa
> *Sent:* Tuesday, July 23, 2013 11:00 AM
> *To:* AICALIST@AICALIST.ORG.AU
> *Subject:* Policy for Hand hygiene non-compliance – individual, ward or
> group****
>
> ** **
>
> ** **
>
> Dear All,****
>
> ** **
>
> Has anyone attempted to write or have in place a policy or procedure for
> hand hygiene non-compliance?****
>
> Does anyone have a management plan for managing this issue?****
>
> Any suggestions anyone. I have been asked to write one.****
>
> I have looked at disciplinary procedure and accreditation guidelines for
> medical officers as a starting point.****
>
> ** **
>
> Regards****
>
> ** **
>
> *Phillipa Parsons*
>
> *Infection Prevention and Control Clinical Coordinator*
>
> *Cabrini Health*
>
> *183 Wattletree Rd*
>
> *Malvern Vic 3144*
>
> *03 9508 1577*
>
> *0400 369 741*
>
> *Email: pparsons@cabrini.com.au*
>
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[Janet Masters]

3M used to have small individual bottles (and I presume they still do)

Janet
ICU Best Practice Project Officer
ICCMU / Ministry of Health
Sydney
Australia

On 9 October 2012 08:41, Tara Stanway wrote:

> Morning Mary-Rose
>
> We use deb Cutan, they have a 50 ml bottle with holder. There web address
> is http://www.debgroup.com or email: sales@deb.com.au.
>
> I hope this will help.
>
> Thanks
> Tara
>
>
> *Tara Stanway*
> A/ CN Infection Prevention and Control
> Cape York Hospital and Health Service
> Ph: 07 4082 3662
> tara_stanway@health.qld.gov.au
>
>
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[Janet Masters]

Hi Joe
I have seen staff doing this in my previous role as an ICP. When you
attempt to reason with them regarding this they can not see that the
alcohol hand rub is designed to clean their hands not gloves.

I have also had to have discussions with staff re using the alcohol hand
rub to clean equipment.

Janet
Project Officer
Intensive Care Best Practice Project
NaMO / ICCMU
NSW Health

previously worked as an RN in Infection Prevention

On 4 October 2012 13:14, Joe-Anne Bendall wrote:

> Hi****
>
> Has anyone else noticed staff wearing gloves and then cleaning the gloves
> with alcohol hand rub rather than removing the gloves and performing hand
> hygiene?****
>
> ** **
>
> ** **
>
> Thanks****
>
> ** **
>
> Joe****
>
> ** **
>
> ** **
>
> *Joe-anne Bendall*
>
> Infection Prevention and Control CNC****
>
> Sydney Hospital and Sydney Eye Hospital****
>
> 8 Macquarie St****
>
> Sydney 2000****
>
> ** **
>
> Phone: 93827199****
>
> Mobile: 0418984255****
>
> Fax: 93827510****
>
> Page: 21552****
>
> ** **
>
> *joeanne.bendall@sesiahs.health.nsw.gov.au*
>
> ** **
>
> ** **
>
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[Janet Masters]

Morning all,

I have been asked to pose the following question to the list by Kaye Rolls,
the Knowledge Management CNC Intensive Care Co-ordination and Monitoring
Unit. NSW

What are the most relevant variables to consider when interpreting studies
on the effect of isolation of MRO patients?

She is preparing a literature review with the purpose of identifying the
appropriate number of isolation rooms for an ICU. So the effects would
include reduction in transmission, minimising psychological effects
environmental contamination – I guess this would be outside the isolation
room itself. I realise the room becomes ‘contaminated’ quite quickly.

Your answers can be sent to the list and I can forward them to Kaye or
alternatively email her directly on Kaye.Rolls@swahs.health.nsw.gov.au

On 10 October 2011 10:25, Wishart, Michael wrote:

> Hi Janet
>
> My question would be what kind of ‘effect’ are you examining. Psychological
> impact? Environmental contamination? Transmission?
>
> Thanks
> Michael
>
> Michael Wishart | GPH – Infection Control Coordinator
>
> GPH – Quality & Safety Unit (Infection Control) | Greenslopes Private
> Hospital
> Newdegate Street, Greenslopes QLD 4120
> t: 07 3394 7919 | f: 07 3394 7985
> e: WishartM@ramsayhealth.com.au | w: http://www.ramsayhealth.com.au
>
>
> Ramsay Health Care is an environmentally responsible corporation, please
> consider the environment before printing this email.
> ________________________________________
> From: AICA Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf
> Of Janet Masters
> Sent: Monday, 10 October 2011 8:58 AM
> To: AICALIST@AICALIST.ORG.AU
> Subject: [AICA_Infexion_Connexion] Isolation of MRO patients
>
> Morning all,
>
> I have been asked to pose the following question to the list by Kaye Rolls,
> the Knowledge Management CNC Intensive Care Co-ordination and Monitoring
> Unit. NSW
> What are the most relevant variables to consider when interpreting studies
> on the effect of isolation of MRO patients?
>
> Your answers can be sent to the list and I can forward them to Kaye or
> alternatively email her directly on Kaye.Rolls@swahs.health.nsw.gov.au
>
> thank you
>
> Janet Masters
> Project Officer
> Intensive Care Best Practice Project
> ICCMU
>
>
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