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Janet G. Wallace

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  • in reply to: blood and body fluid exposures #70315
    Janet G. Wallace
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    Janet G. Wallace

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    Hi Nicola

    I am replying on behalf of Janet as she is currently on leave. We recently updated our policy for exposure management as well as the consent form for source pathology. Hopefully the policy will be of help to you.

    regards

    Belinda Meehan RN B Nurs M Nurs (AP) M WIMOR
    Clinical Nurse Consultant | HNEMH Staff Health
    P.O. Box 833 Newcastle NSW 2300
    Tel 02 4033 5016 | Fax 02 4033 5019 | Mob 0408 400 328 | Belinda.Meehan@hnehealth.nsw.gov.au
    http://www.health.nsw.gov.au

    [cid:image001.jpg@01CE9449.46BBCF80]

    Conjoint Fellow
    School of Nursing and Midwifery
    Faculity of Health
    University of Newcastle
    [cid:image002.jpg@01CE9449.46BBCF80]

    Hi All,

    I would like some advice from the group on gaining informed consent from the source of a blood and body fluid exposure and timeliness of bloods being sent for testing, in particular if the patient is aneasthetised.

    Our current situation:

    On our generic consent form for procedures it has a sentence regarding bloods being taken from them whilst anaesthetised for the purpose of testing re if there is a needlestick injury during their procedure. I have never been comfortable with this as there is no risk assessment, discussion regarding what tests or how we keep that information confidential. Although there has been a signed consent, I do not see it as an informed consent. Also if Drs use their own consent forms this sentence is not included.

    If we wait 24 hours post anaesthetic then potentially you could miss the window for administration of post exposure prophylaxis .

    If the patient is not anaesthetised then the management is completed using a signed consent and discussion regarding results of tests with treating Dr or infection control.

    Thank you for your assistance in advance

    Kind Regards

    Nicola Swindells
    Infection Control /Quality and Risk Manager
    Mater Hospitals Central Queensland
    Rockhampton Yeppoon Gladstone
    nswindells@mercycq.com
    07 49313420

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    in reply to: Infection Control CNC Position – Thursday Island #69860
    Janet G. Wallace
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    Janet G. Wallace

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    Hi

    I have been asked if we have a safe work practice for sharps containers.

    Does anyone have a safe work practice for a sharps container? If so, I would greatly appreciate if you could send me a copy

    regards

    Janet

    Janet Wallace

    Staff Health Coordinator | Hunter New England Health
    Tel 02 4924 6844 | Fax 02 4924 6845 | Mob 0439 769 033 | janet.wallace@hnehealth.nsw.gov.au

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    in reply to: Portable fans #69471
    Janet G. Wallace
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    Janet G. Wallace

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    HI
    I recently saw one of those new style fans in use – the ones with no blades that look like an empty circle. Very easy to clean and decreased OHS risk from spinning blades.
    regards
    Janet
    Janet Wallace

    Staff Health Coordinator | Hunter New England Health
    Tel 02 4924 6844 | Fax 02 4924 6845 | Mob 0439 769 033 | janet.wallace@hnehealth.nsw.gov.au

    Hi Gerard

    I recall seeing a study years ago, I think UK based so maybe in JHI, that showed MRSA in dust on portable fans. Never have seen anything that linked increase in MRSA or HAI directly to portable fans, though; that would be epidemiologically difficult to show, I think. Too many other variables.

    Doesn’t mean fans are not bad, though. 🙂 Especially when not maintained well. Ask if they cleaned thoroughly (meaning the fan blades) between each patient use. I suspect not!

    Cheers
    Michael

    Michael Wishart
    CNC Infection Control
    Holy Spirit Northside Private Hospital
    627 Rode Road, Chermside, Qld 4032
    t: (07) 3326 3068 | f: (07) 3326 3523
    e: Michael.Wishart@hsn.org.au
    w:www.holyspiritnorthside.org.au
    Please consider the environment before printing this email

    ________________________________
    Dear all,

    I’m looking for evidence to back us up on not having fans in patient rooms (especially seeing that summer is around the corner).

    I can’t seem to locate any supportive articles on this.

    Has there been any studies done that demonstrate an increased rate of infection/colonisation (MRSA, MSSA, etc.) through fan usage in a healthcare setting?

    Cheers,
    Gerald

    Gerald Chan
    Coordinator Infection Control

    St John of God Murdoch Hospital
    100 Murdoch Drive
    MURDOCH. WA 6150

    P: 9366 1552
    M: 0405 495 906 (7804)
    F: 9311 4685

    E: Gerald.Chan@sjog.org.au
    W: http://www.sjog.org.au/murdoch

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    twitter.com/sjgh_murdoch

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Viewing 3 posts - 1 through 3 (of 3 total)