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Thanks Kareen your response,
I agree, just adds to poor compliance headache!!!
Thanks
JayneJayne O’Connor RN ,BSc.,Inf.Cont
IPC Co-Ordinator
Sydney Adventist Hospital | 185 Fox Valley Road, Wahroonga, NSW 2076p: +61 2 9480 9732 | f: +61 2 9470 8052 | m: +61 0406 752685 | e: jayne.oconnor@sah.org.au
http://www.sah.org.au
[cid:image001.png@01D81E99.61DA0FA0]
[1_twitter] [2_linkedIn] [3_facebook] [4_insta] [5_youtube]From: ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] On Behalf Of Kareen Dunlop
Sent: Thursday, 10 February 2022 1:36 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: [EXT] Re: [ACIPC_Infexion_Connexion] Double maskingHi Jayne
They may be taking it from CDC and getting confused with wearing a cloth mask under a disposable mask. https://www.cdc.gov/coronavirus/2019-ncov/your-health/effective-masks.html
Kind regards
Kareen Dunlop
Consultant Nurse EducatorSent from my iPhone
On 10 Feb 2022, at 09:46, Jayne OConnor wrote:
Hi Brains Trust,
Have you noticed staff wearing double surgical masks? I have noticed this practice recently and just looking for evidence to refer to when discussing with staff that think it is a good idea?.
Many Thanks in advance
Jayne
Jayne O’Connor RN ,BSc.,Inf.Cont
IPC Co-Ordinator
Sydney Adventist Hospital | 185 Fox Valley Road, Wahroonga, NSW 2076p: +61 2 9480 9732 | f: +61 2 9470 8052 | m: +61 0406 752685 | e: jayne.oconnor@sah.org.au
http://www.sah.org.au
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Hi Liz,
Our orthopaedic patients are given a pre op skin wash to use prior to admission, they are advised to use day/night before admission and day of surgery. This is given to them at preadmission clinic.
Thanks
JayneJayne O’Connor RN ,BSc.,Inf.Cont
IPC Co-Ordinator
Sydney Adventist Hospital | 185 Fox Valley Road, Wahroonga, NSW 2076p: +61 2 9480 9732 | f: +61 2 9470 8052 | m: +61 0406 752685 | e: jayne.oconnor@sah.org.au
http://www.sah.org.au
[cid:image001.png@01D72AE9.A98C26C0]
[1_twitter] [2_linkedIn] [3_facebook] [4_insta] [5_youtube]Hello Everyone
Can those who undertake orthopaedic surgery tell me whether you currently undertake Orthopaedic pre-op skin prep on wards pre theatre. Apparently our sterile drape supplies are restricted.
I was under the impression that this an older discarded practice other than pre-op shower and that skin prep is only conducted immediately pre-op.
Would appreciate your inputWith Thanks
Liz Vanderlinde
Infection Prevention Control Co-ordinator
North West Private Hospital
[Description: hca_luye_logo]
Brickport Road, Burnie TAS 7320, Australia
T +61 3 6432 6005 F +61 3 6431 5766
E liz.vanderlinde@healthecare.com.au W healthecare.com.au
Healthe Care Hospitals are accredited by ACHS NSQHS Standards or ACHS EQuIP National
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Hi Cate,
we only isolate and initiate contact precautions if the Acinetobacter is multi drug resistant, maybe question the ID physician as he may have another reason for isolation?
Would be interested to know their response. Good luckJayne
Jayne O’Connor RN ,BSc.,Inf.Cont
IPC Co-Ordinator
Sydney Adventist Hospital | 185 Fox Valley Road, Wahroonga, NSW 2076p: +61 2 9480 9732 | f: +61 2 9470 8052 | m: +61 0406 752685 | e: jayne.oconnor@sah.org.au
http://www.sah.org.au
[cid:image001.png@01D70440.B6249DB0]
[1_twitter] [2_linkedIn] [3_facebook] [4_insta] [5_youtube]HI everyone
ID team have just recommended that we isolate in contact precautions an ICU patient with a sensitive Acinetobacter Baumannii in his sputum . Currently we only isolate and used contact transmission based precautions for multi resistant Acinetobacter Species.
The NHMRC guidelines do not include this pathogen in Section 6.4 Type and duration of precautions for specific infections and conditions .Until now we have always managed this pathogen using standard precautions when it is sensitive and in contact precautions when resistant.
Can you let you how you manage patients with this pathogen in your hospital? Do you include this pathogen in your transmission based precautions guidelines?
RegardsCate Coffey
RN BaAScN MPH&TM Grad Cert Infection Control Nursing
Clinical Nurse ManagerCentral Australia Health Service
Department of Health
Northern Territory GovernmentInfection Prevention and Control Unit
Alice Springs Hospital
PO Box 2234, Alice Springs, NT 0871
cate.coffey@nt.gov.aut. 08 8951 7737
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Hi Cate,
We supply and launder all our surgical scrubs for both surgical and for staff working in the COVID wards. We also initiated that staff change on site, so they travel to and from work in civvies, 1 to protect them from taking anything home with them on clothing and secondly to protect the staff from members of public and bad behaviour towards tem.Thanks
JayneJayne O’Connor RN ,BSc.,Inf.Cont
IPC Co-Ordinator
Sydney Adventist Hospital | 185 Fox Valley Road, Wahroonga, NSW 2076p: +61 2 9487 9732 | f: +61 2 9473 8052 | m: +61 0406 752685 | e: jayne.oconnor@sah.org.au
http://www.sah.org.au[SAH_EntitySignature2017][cid:image002.png@01D6814A.18E7DD60]
HI Cate
Our experience in the beginning was that it didn’t matter IPC or Executive had informed people not taking surgical scrubs from Theatres. People just did it.
IPC & ID continue with the consistent message of PPE is appropriate; along with hand hygiene.Eventually, many members of the General Medical Team have purchased their own. We still have some who continue to use hospital scrubs yet it is a lot less.
Our ID/IPC Team decided to write a brief communication about this: https://onlinelibrary.wiley.com/doi/epdf/10.1111/jpc.14938Regards
Claire Nayda | CNC Infection Prevention & Control and TB Coordinator| Microbiology CHW
t: (02) 9845 0534 | p: 6820 | e: claire.nayda@health.nsw.gov.au | w: http://www.schn.health.nsw.gov.auHI everyone
Could you tell me if your facility is supplying hospital ( surgical OT) scrubs and laundering to clinical staff in quarantine or swabbing clinics, drive through or otherwise. If so can you tell me the rationale and point me in the direction of evidence that this reduces transmission of COVID-19.We are advocating that PPE including Gown, eye protection, mask and gloves is sufficient for these environments.
What are your thoughts?Cate Coffey
Clinical Nurse ManagerCentral Australia Health Service
Department of Health
Northern Territory GovernmentInfection Prevention and Control Unit
Alice Springs Hospital
PO Box 2234, Alice Springs, NT 0871
cate.coffey@nt.gov.aut. 08 8951 7737
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Hi Janine,
we are still double bagging, this is more to prevent the runners coming in contact with the bags, so the runner stands in the corridor with open ‘clean bag’ and ‘dirty’ bag placed into it .
Kind regardsJayne O’Connor RN ,BSc.,Inf.Cont
IPC Co-Ordinator
Sydney Adventist Hospital | 185 Fox Valley Road, Wahroonga, NSW 2076p: +61 2 9487 9732 | f: +61 2 9473 8052 | m: +61 0406 752685 | e: jayne.oconnor@sah.org.au
http://www.sah.org.au[SAH_EntitySignature2017][cid:image003.png@01D60761.138FED70]
Good Morning,
Can anyone advise if you are double bagging clinical waste for known or suspected COVID-19 patients?
I thought that I had seen it written somewhere in the early part – but now the guidelines are stating normally process for clinical waste which would be one bag.
Any comments would be gratefully received.
Regards
Janine Egart
Clinical Nurse Consultant
Infection Prevention & Control
p: 07 46166206 | m: 0400704118
a: Level 2 Cossart House, Toowoomba Hospital
e: janine.egart@health.qld.gov.au | w: Darling Downs Health
[Darling Downs Health]
[Hand Hygiene]
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Hi Liz,
we have wire shelving too.Jayne O’Connor RN ,BSc.,Inf.Cont
IPC Co-Ordinator
Sydney Adventist Hospital | 185 Fox Valley Road, Wahroonga, NSW 2076p: +61 2 9487 9732 | f: +61 2 9473 8052 | m: +61 0406 752685 | e: jayne.oconnor@sah.org.au
http://www.sah.org.au[SAH_EntitySignature2017][cid:image002.png@01D5D1C2.66E6F3D0]
From: ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] On Behalf Of Deen, Sharon
Sent: Wednesday, 22 January 2020 2:39 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] Compactus storage Theatre SuitesWire shelving throughout.
Sharon Deen
Infection Control Nurse
Phone:08 9531 8570From: ACIPC Infexion Connexion On Behalf Of Gill Wheaton (Warrnambool)
Sent: Wednesday, 22 January 2020 7:38 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] Compactus storage Theatre SuitesLiz, wire shelving here, Gill
Gill Wheaton | Peri operative Services Manager
St John of God Warrnambool Hospital
T: (03) 5564 0643 | M: | F: (03) 5564 0639 | E: Gill.Wheaton@sjog.org.au
136 Botanic Road Warrnambool VIC 3280| PO Box 316, Warrnambool VIC 3280
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We acknowledge the Traditional Owners of Country throughout Australia and recognise their continuing connection to land, waters and community.
We pay our respect to them and their cultures and to Elders past and present.From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> On Behalf Of VANDERLINDE, Liz
Sent: Wednesday, 22 January 2020 9:37 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: [ACIPC_Infexion_Connexion] Compactus storage Theatre SuitesDear Brains Trust
For those of you who utilise compactus storage systems in your Theatre Suites for housing procedure trays etc. Does your compactus system comprise solid shelving or wire shelving to allow potential dust to fall to floor?
With Thanks in advance
Liz Vanderlinde
Infection Prevention Control Co-ordinator
North West Private Hospital
[Description: hca_luye_logo]
Brickport Road, Burnie TAS 7320, Australia
T +61 3 6432 6005 F +61 3 6431 5766
E liz.vanderlinde@healthecare.com.au W
Healthe Care Hospitals are accredited by ACHS NSQHS Standards or ACHS EQuIP National
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Hi Helen,
Always a bit contentious, but we always isolate until no diarrhoea for 48 hours.
Kind regards
Jayne O’Connor RN ,BSc.,Inf.Cont
IPC Co-Ordinator
Sydney Adventist Hospital | 185 Fox Valley Road, Wahroonga, NSW 2076p: +61 2 9487 9732 | f: +61 2 9473 8052 | m: +61 0406 752685 | e: jayne.oconnor@sah.org.au
http://www.sah.org.au[SAH_EntitySignature2017][cid:image002.png@01D5958B.346CDC80]
From: ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] On Behalf Of Helen Roberts
Sent: Thursday, 7 November 2019 10:39 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: [ACIPC_Infexion_Connexion] AeromonasMorning,
I recently have 2 patients transferred into our hospital with a positive Aeromonas in faeces.
The patients both have loose bowel motions and I have placed them on precautions.I am wondering do these patients need to go on precautions and if so for how long?
I normally would do 48 hr. post last loose bowel motion.
Any help would be appreciated.
Kind regards
HelenHelen Roberts
Infection Control
P:
07 4646 3106
|
F:
07 4633 7602
E:
|
W:
Post:
PO Box 263, Toowoomba, QLD 4350
Address:
280 North St, Toowoomba, QLD 4350
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Totally agree with Michael.
I worked in the UK for many years and had not heard of this practice in paeds and surprised to hear that it is happening in some places in Australia!! Recapping of any type needle is poor practice, this is evident from our needlestick injuries that occur far too often with staff thinking they are saving money or time by doing so.
Kind regards
Jayne O’Connor RN ,BSc.,Inf.Cont
IPC Co-Ordinator
Sydney Adventist Hospital | 185 Fox Valley Road, Wahroonga, NSW 2076p: +61 2 9487 9732 | f: +61 2 9473 8052 | m: +61 0406 752685 | e: jayne.oconnor@sah.org.au
http://www.sah.org.au[SAH_EntitySignature2017][cid:image002.png@01D57F7A.A5CAB2C0]
From: ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] On Behalf Of Michelle Fernandez (NSW Ambulance)
Sent: Thursday, 10 October 2019 1:45 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] Sharps Safety and Recapping Drawing up NeedlesCompletely agree Michael, this is an unsafe practice. I have never heard of this either.
Kind regards,
Michelle
Michelle Fernandez
CNC | Manager, Infection Control | Clinical Systems Integration
Part time work days: Wednesday, Thursday, Friday
Balmain Road, ROZELLE NSW 2039
p: 02 9320 7868 | m: 0429 926 505 | f: 02 9320 7729 | Michelle.Fernandez@health.nsw.gov.au
http://www.ambulance.nsw.gov.au
[cid:image002.png@01D37B37.BA4491B0]
Follow NSW Ambulance on: [cid:image003.png@01D37B37.BA4491B0] [cid:image004.png@01D37B37.BA4491B0]From: ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] On Behalf Of Claire Nayda (SCHN)
Sent: Thursday, October 10, 2019 1:29 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] Sharps Safety and Recapping Drawing up NeedlesHi
Ive never heard of or practiced breaking needles in any Paeds setting.Claire Nayda | A/CNC Infection Prevention & Control | Microbiology
t: (02) 9845 0534 | p: 6820 | e: claire.nayda@health.nsw.gov.au | w: http://www.schn.health.nsw.gov.auFrom: ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] On Behalf Of Michael Wishart
Sent: Thursday, 10 October 2019 1:14 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] Sharps Safety and Recapping Drawing up NeedlesHi Hannah
Please explain why needles have to be broken for paediatrics. In this patient population, I would be very concerned about manipulation of any clinical device (such as a needle) and the potential to cause the patient harm because the device had been damaged or changed.
I would reinforce the need to use specific devices where necessary, rather than staff trying to change an existing device. How would facility or a practitioner defend harm caused through a device that had been changed?
Any manipulation of a sharp, whether prior to, during or after use, should definitely be avoided.
Too often we make choices that we are not in a position to make because we did not consider the risk (or thought the risk was too small to be of concern). But altering medical devices is way beyond the engineering, ergonomics and clinical safety expertise of most of us.
Apologies for the rant; I have strong views on this. And its my view, at least, and I would welcome further comment from others
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://www.svphn.org.au[cid:image001.jpg@01D46C86.4CDB6090]
[2019 conference email signature]From: ACIPC Infexion Connexion On Behalf Of Brien, Hannah
Sent: Thursday, 10 October 2019 11:47 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] Sharps Safety and Recapping Drawing up NeedlesWhat about the breaking off of needles for paediatrics!!
Hannah Brien
Infection Control Clinical Nurse
Phone:07 4052 8029From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> On Behalf Of Michelle Fernandez (NSW Ambulance)
Sent: Thursday, 10 October 2019 11:00 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] Sharps Safety and Recapping Drawing up NeedlesHi Sam,
As per Michaels response below, bending needles increase the risk of sharps injury. Here are a few documents that reference bending as an increased risk of sharps injury.:
https://www.cdc.gov/sharpssafety/pdf/WorkbookComplete.pdf (page 10)
Injection safety at primary health care level in south-western Saudi Arabia: https://ciap.ovidds.com.acs.hcn.com.au/discover/result?acc=36422&logSearchID=34195713&pubid=6057-medline%3A19554992
Effect of changing needle disposal systems on needle puncture injuries: https://ciap.ovidds.com.acs.hcn.com.au/discover/result?acc=36422&logSearchID=34195713&pubid=6057-medline%3A3644804
Kind regards,
Michelle
Michelle Fernandez
CNC | Manager, Infection Control | Clinical Systems Integration
Part time work days: Wednesday, Thursday, Friday
Balmain Road, ROZELLE NSW 2039
p: 02 9320 7868 | m: 0429 926 505 | f: 02 9320 7729 | Michelle.Fernandez@health.nsw.gov.au
http://www.ambulance.nsw.gov.au
[cid:image002.png@01D37B37.BA4491B0]
Follow NSW Ambulance on: [cid:image003.png@01D37B37.BA4491B0] [cid:image004.png@01D37B37.BA4491B0]From: ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] On Behalf Of Michael Wishart
Sent: Thursday, October 10, 2019 9:07 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] Sharps Safety and Recapping Drawing up NeedlesHi Sam
In my understanding no manipulation of sharps is recommended because of the risks of either sharps injury or damage to the sharp resulting in harm to the patient (eg needle breaking off inside patient). Even manipulating clean needles may result in an exposure if the manipulation is done using gloves contaminated with blood or body fluid.
Where needles are required to have angled tips, there should be specifically manufactured needles used for this, rather than manipulation of the needles.
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://www.svphn.org.au[cid:image001.jpg@01D46C86.4CDB6090]
[2019 conference email signature]From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> On Behalf Of Sam Dickson
Sent: Wednesday, 9 October 2019 8:17 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] Sharps Safety and Recapping Drawing up NeedlesHi Brains Trust,
what are your thoughts on ‘bending’ CLEAN needles for anaesthetic or ophthalmic procedures? I’m currently reviewing our ‘Sharps Handling Procedure’ and it was suggested that ‘bending’ should be added to the procedure. In my research ‘bending’ is not supported by any standard/guideline. Your thoughts appreciated….Kind regards
Sam Dickson
E+E Hospital
VictoriaOn Mon, 7 Oct 2019 at 12:24, Lesley Lewis <Lesley.Lewis@nhw.org.au> wrote:
Dear all,
Safety devices for recapping needles have been on the market for many years.
Recapping needles by hand is a risky practice (and habit) that should not be encouraged for any needles clean or used (a one size fits all approach)Fiona raises a good question and I too am interested to hear if there is any literature and evidence validating the risk of chemical exposure (medications/drugs) to clinical staff through aerosol and splash when priming syringes and other equipment.
How can the risk be managed?
Is recapping the only possible risk management method?
Are there any alternative methods?
If the risk is serious should fume cabinets have a place in ward medication rooms?As noted in the original post a needle (blunt or otherwise) should never be recapped. The recommendation against recapping needles is clearly articulated in the national IPAC guidelines.
Page 2 and on page 51: Statutory Requirement. 7. It is good practice to follow safe sharp handling practices including: not passing sharps directly from hand to hand keep handling to a minimum not recapping, bending or breaking needles after use.
Page 51: In dentistry, recapping or disassembling sharps may be unavoidable. If so, a risk assessment must be undertaken and safety devices should be used where appropriate[89].
Page 52: Certainty of the Evidence. This advice is based on limited evidence, but on sound theoretical principles and supported by expert advice. National and international guidelines are consistent in the advice regarding the importance of the safe use and disposal of sharps. The Epic Guidelines[78] recommend that sharps should not be passed directly from hand to hand, and that needles must not be bent, broken or recapped.
Regards,
Lesley Lewis
Regional Infection Control Consultant HRICRCS Program
Tel: (03) 57 225486 Lesley.Lewis@nhw.org.auFrom: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> On Behalf Of Angela Carvosso
Sent: Friday, 4 October 2019 11:01 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] Sharps Safety and Recapping Drawing up NeedlesHi Fiona,
I personally recap just to remove the needle from the syringe as I was taught to never touch the coloured hub. The premise of not recapping is to prevent transmission of infection via needlestick from needles used on people. A risk analysis would indicate that as the needle has not been used on a person then it is safe to recap.
Regards Angela Carvosso
RN Warwick HospitalSent from Mail for Windows 10
________________________________
From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> on behalf of De Sousa, Fiona M <fiona.de.sousa@THS.TAS.GOV.AU>
Sent: Wednesday, October 2, 2019 4:28:46 PM
To: ACIPCLIST@ACIPC.ORG.AU <ACIPCLIST@ACIPC.ORG.AU>
Subject: [ACIPC_Infexion_Connexion] FW: Sharps Safety and Recapping Drawing up NeedlesHi All,
We are currently having discussions about how to safely draw up medications and whether it is suitable to recap a blunt fill drawing up needle to expel air from a syringe.
One side of the argument is that the blunt fill is recapped so that when air is expelled the contents are not aerosolised. The other side is that a needle (blunt or otherwise) should never be recapped.
I would be interested to know other peoples thoughts and what evidence if any you have for this.
Kind regards,
Fiona De Sousa CICP-E| Nurse Manager | Infection Prevention & Control Unit
Launceston General Hospital, Level 2, Launceston TAS 7250
phone: 6777 6715 | mobile: 0408 487 197 | fax: 6777 5170 | email: fiona.de.sousa@ths.tas.gov.au |
intranet: http://www.dhhs.tas.gov.au/intranet/thon/infection_controlIPCU By working together we promote a culture of safety to reduce preventable infections and transmission of multi-resistant organisms
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Hi Kathy,
we use a detergent/disinfectant wipe for daily cleans, discharge clean is with same wipe followed by hydrogen peroxide vapour.
Kind regards
Jayne O’Connor RN ,BSc.,Inf.Cont
IPC Co-Ordinator
Sydney Adventist Hospital | 185 Fox Valley Road, Wahroonga, NSW 2076p: +61 2 9487 9732 | f: +61 2 9473 8052 | m: +61 0406 752685 | e: jayne.oconnor@sah.org.au
http://www.sah.org.au[SAH_EntitySignature2017][cid:image002.png@01D573B5.778D2030]
Dear ACIPC members,
I have a query about what room cleaning is required for patients in droplet precautions. What does everyone use for daily room cleaning when the patient is in the room? Do you have a different process for post-discharge room cleaning for droplet precautions?Regards
KathyKathy Taylor- Infection Control Manager | The Wesley Hospital | 451 Coronation Drive, Auchenflower QLD 4066
t: 07 3232 7558 | f: 07 3232 6043 |e: katherine.taylor@uchealth.com.au
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Hi Michael,
I will know whether they were talking about micro testing or the particulate testing tomorrow, if they ask me, but thanks for clarifyingJayne O’Connor RN ,BSc.,Inf.Cont
IPC Co-Ordinator
Sydney Adventist Hospital | 185 Fox Valley Road, Wahroonga, NSW 2076p: +61 2 9487 9732 | f: +61 2 9473 8052 | m: +61 0406 752685 | e: jayne.oconnor@sah.org.au
http://www.sah.org.au[SAH_EntitySignature2017][cid:image002.png@01D55CEE.D4029AD0]
Hi Jayne
Particle counts and micro sampling are not the same. This is form a Particle counter vendor website, about the Standard for clean rooms:
Is the ISO 14644-2 also considering the microbial monitoring?
ISO 14644 do not specifically talk about microbial contamination, but takes only care of particles. Anyway, microbial contamination must be controlled as well during production using appropriate monitoring tools. You can find additional details in the EU-GMP Annex 1, FDA cGMP and ISO 14698.Cheers
MichaelMichael 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 |
W https://www.svphn.org.au[cid:image001.jpg@01D46C86.4CDB6090]
[2019 conference email signature]Thanks Terry,
By particulate counts I am assuming you mean air sampling?Jayne O’Connor RN ,BSc.,Inf.Cont
IPC Co-Ordinator
Sydney Adventist Hospital | 185 Fox Valley Road, Wahroonga, NSW 2076p: +61 2 9487 9732 | f: +61 2 9473 8052 | m: +61 0406 752685 | e: jayne.oconnor@sah.org.au
http://www.sah.org.au[SAH_EntitySignature2017][cid:image002.png@01D55CEC.B95859B0]
Hi Jayne,
Every year your HEPA filters should undergo an integrity test, the flow velocity should be checked as should the number of air changes per hour, [ideally] a particulate count [ORs are usually specified to meet a Class 8 clean room standard or better] and the pressure differentials across doorways into the OR checked. These tests hould also be performed in other areas where HEPA filters are located.
This resource is ageing now, but still well worth a read.
https://www2.health.vic.gov.au/Api/downloadmedia/%7B7C0364A2-A34D-4088-99F9-77FF0A818AF3%7D
Kind Regards
Terry McAuley
Director
MSc Medical Device DecontaminationPO BOX 2249, Greenvale VIC Australia 3059
[cid:image001.png@01D55CEB.22915F00]
I endeavour to achieve a sensible work-life balance: There is no need to reply to this email from you outside of your normal working hours. Please expect the same from me.
CONFIDENTIAL COMMUNICATION: The information contained in this message may contain confidential information intended only for the use of the individual or entity named above. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution or duplication of this transmission is strictly prohibited. If you have received this communication in error, please notify us by telephone or email immediately and return the original message to us or destroy all printed and electronic copies. Nothing in this transmission constitutes an agreement of any kind unless otherwise expressly indicated.
Hi Brains trust,
We are in the middle of accreditation this week and a question regarding to ‘micro’ testing of hepa filters in theatres was asked by one of the auditors to our maintenance team, IPC have the same auditor tomorrow so we may also get the same question??
Does anyone have any information regarding whether we should be air sampling for example, frequency of the testing, to ensure the Hepa filters are working. We have a maintenance schedule for the them, but the only time we have done air sampling or micro is on commissioning of new theatres. I am not aware that micro sampling is done routinely or is a requirement??Many thanks inadvance
Jayne O’Connor RN ,BSc.,Inf.Cont
IPC Co-Ordinator
Sydney Adventist Hospital | 185 Fox Valley Road, Wahroonga, NSW 2076p: +61 2 9487 9732 | f: +61 2 9473 8052 | m: +61 0406 752685 | e: jayne.oconnor@sah.org.au
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Thanks Terry,
By particulate counts I am assuming you mean air sampling?Jayne O’Connor RN ,BSc.,Inf.Cont
IPC Co-Ordinator
Sydney Adventist Hospital | 185 Fox Valley Road, Wahroonga, NSW 2076p: +61 2 9487 9732 | f: +61 2 9473 8052 | m: +61 0406 752685 | e: jayne.oconnor@sah.org.au
http://www.sah.org.au[SAH_EntitySignature2017][cid:image002.png@01D55CEC.B95859B0]
Hi Jayne,
Every year your HEPA filters should undergo an integrity test, the flow velocity should be checked as should the number of air changes per hour, [ideally] a particulate count [ORs are usually specified to meet a Class 8 clean room standard or better] and the pressure differentials across doorways into the OR checked. These tests hould also be performed in other areas where HEPA filters are located.
This resource is ageing now, but still well worth a read.
https://www2.health.vic.gov.au/Api/downloadmedia/%7B7C0364A2-A34D-4088-99F9-77FF0A818AF3%7D
Kind Regards
Terry McAuley
Director
MSc Medical Device DecontaminationPO BOX 2249, Greenvale VIC Australia 3059
[cid:image001.png@01D55CEB.22915F00]
I endeavour to achieve a sensible work-life balance: There is no need to reply to this email from you outside of your normal working hours. Please expect the same from me.
CONFIDENTIAL COMMUNICATION: The information contained in this message may contain confidential information intended only for the use of the individual or entity named above. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution or duplication of this transmission is strictly prohibited. If you have received this communication in error, please notify us by telephone or email immediately and return the original message to us or destroy all printed and electronic copies. Nothing in this transmission constitutes an agreement of any kind unless otherwise expressly indicated.
Hi Brains trust,
We are in the middle of accreditation this week and a question regarding to ‘micro’ testing of hepa filters in theatres was asked by one of the auditors to our maintenance team, IPC have the same auditor tomorrow so we may also get the same question??
Does anyone have any information regarding whether we should be air sampling for example, frequency of the testing, to ensure the Hepa filters are working. We have a maintenance schedule for the them, but the only time we have done air sampling or micro is on commissioning of new theatres. I am not aware that micro sampling is done routinely or is a requirement??Many thanks inadvance
Jayne O’Connor RN ,BSc.,Inf.Cont
IPC Co-Ordinator
Sydney Adventist Hospital | 185 Fox Valley Road, Wahroonga, NSW 2076p: +61 2 9487 9732 | f: +61 2 9473 8052 | m: +61 0406 752685 | e: jayne.oconnor@sah.org.au
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Thanks Michael,
yes we receive a certificate on servicing, just wanted to ensure I am can give a reasonable response if they ask us the same question tomorrow.
CheersJayne O’Connor RN ,BSc.,Inf.Cont
IPC Co-Ordinator
Sydney Adventist Hospital | 185 Fox Valley Road, Wahroonga, NSW 2076p: +61 2 9487 9732 | f: +61 2 9473 8052 | m: +61 0406 752685 | e: jayne.oconnor@sah.org.au
http://www.sah.org.au[SAH_EntitySignature2017][cid:image002.png@01D55CEB.EA5B2750]
Hi Jayne
There is no requirement to ‘micro’ test HEPA filters, nor routinely sample air for microbial contamination. The HEPA filters need to be tested to ensure their efficiency for filtration remains intact (which should be part of the servicing, and you should receive certification for this). The only requirement for air sampling in theatres is, as you say, on commissioning or major works involving air handling systems.
WA Health have a good policy on this, which I have linked below. Hopefully this will be enough evidence to keep any auditors at bay!
Cheers
MichaelMichael 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 |
W https://www.svphn.org.au[cid:image001.jpg@01D46C86.4CDB6090]
[2019 conference email signature]Hi Brains trust,
We are in the middle of accreditation this week and a question regarding to ‘micro’ testing of hepa filters in theatres was asked by one of the auditors to our maintenance team, IPC have the same auditor tomorrow so we may also get the same question??
Does anyone have any information regarding whether we should be air sampling for example, frequency of the testing, to ensure the Hepa filters are working. We have a maintenance schedule for the them, but the only time we have done air sampling or micro is on commissioning of new theatres. I am not aware that micro sampling is done routinely or is a requirement??Many thanks inadvance
Jayne O’Connor RN ,BSc.,Inf.Cont
IPC Co-Ordinator
Sydney Adventist Hospital | 185 Fox Valley Road, Wahroonga, NSW 2076p: +61 2 9487 9732 | f: +61 2 9473 8052 | m: +61 0406 752685 | e: jayne.oconnor@sah.org.au
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Thanks Michael,
this is what I had thought but just needed a bit of back up.
Many thanksJayne O’Connor RN ,BSc.,Inf.Cont
IPC Co-Ordinator
Sydney Adventist Hospital | 185 Fox Valley Road, Wahroonga, NSW 2076p: +61 2 9487 9732 | f: +61 2 9473 8052 | m: +61 0406 752685 | e: jayne.oconnor@sah.org.au
http://www.sah.org.au[SAH_EntitySignature2017][cid:image002.png@01D53B3A.0F1BF4D0]
Hi Jayne
Under the Spaulding Classification, items used to manage upper airways only need to be ‘clinically clean’, because the space is not a sterile space. We used to reprocess rubber ET tubes many years ago, and they were not sterilised, just high level disinfected with heat. This table comes from the Australian Guidelines for the Prevention and control of Infection in Healthcare:
Table 7. Categories of items for patient care
Category
Description
Critical
These items confer a high risk for infection if they are contaminated with any microorganism and must be sterile at the time of use. This includes any objects that enter sterile tissue or the vascular system, because any microbial contamination could transmit disease.
Semi-critical
These items come into contact with mucous membranes or non-intact skin, and should be single use or sterilised after each use. If this is not possible, high-level disinfection is the minimum level of reprocessing that is acceptable.
Non-critical
These items come into contact with intact skin but not mucous membranes. Thorough cleaning is sufficient for most non-critical items after each individual use, although either intermediate or low-level disinfection may be appropriate in specific circumstances.
An introducer only enters this same space, which is not sterile, so only requires to be ‘clinically clean’. Sterilisation is desired if practicable, but not essential.
Cheers
MichaelMichael 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 |
W https://www.svphn.org.au[cid:image001.jpg@01D46C86.4CDB6090]
[2019 conference email signature]Dear All,
Just a question in regards to whether the introducer/guidewire for assisting in paed or adult intubation, does this item need to be sterile or ‘surgically clean'( this is how it is described by manufacturer),this is a single use item?
Kind regradsJayne O’Connor RN ,BSc.,Inf.Cont
IPC Co-Ordinator
Sydney Adventist Hospital | 185 Fox Valley Road, Wahroonga, NSW 2076p: +61 2 9487 9732 | f: +61 2 9473 8052 | m: +61 0406 752685 | e: jayne.oconnor@sah.org.au
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Hi Jane,
Our staff use PPE for both daily room cleans and the discharge. Carpets are vacuumed daily and last, where possible, carpet only get shampood if the is heavily soiled with body fluids on discharge.Jayne O’Connor RN ,BSc.,Inf.Cont
IPC Co-Ordinator
Sydney Adventist Hospital | 185 Fox Valley Road, Wahroonga, NSW 2076p: +61 2 9487 9732 | f: +61 2 9473 8052 | m: +61 0406 752685 | e: jayne.oconnor@sah.org.au
http://www.sah.org.au[SAH_EntitySignature2017][cid:image003.png@01D52040.69A5D890]
Hello Brainstrust,
Do cleaners have to gown as well as glove up when cleaning Patients rooms with an MRO?.
Ours do but it has been questioned recently by staff due to the cleaners not touching the patient. There is nothing about this in the NSW health directives but we’re following the contact precautions protocol of PPE for pts with MROs.We have the cleaners clean the MRO rooms last.
Also if the floor is carpeted does the floor need to be shampooed or simply sprayed with an approved product for carpets on patient discharge.Thank you
Jane Howard SPH
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Hi Fiona,
we use a containment device for most of our ceiling works but when we can’t. Where possible equipment and stock items are removed, plastic covers and zip walls are used to protect the environment followed by a terminal clean.
Happy to discuss off line.
Kind regards
Jayne O’Connor RN ,BSc.,Inf.Cont
IPC Co-Ordinator
Sydney Adventist Hospital | 185 Fox Valley Road, Wahroonga, NSW 2076p: +61 2 9487 9732 | f: +61 2 9473 8052 | m: +61 0406 752685 | e: jayne.oconnor@sah.org.au
http://www.sah.org.au[SAH_EntitySignature2017][cid:image002.png@01D4CA8E.E24EAA40]
Hi Brains Trust,
I am looking for some advice. Our facility is currently undergoing our regular smoke detector testing which includes external and concealed detectors. The concealed detectors are in the roof cavity and to access them we need to lift ceiling tiles.
Our risk assessment (based on the Australasian Health Facility Guidelines) shows that in highest risk clinical areas this activity requires Class II precautions. We had hoped to use a containment device to undertake this work but there are too many items mounted on the ceiling to allow easy use.
I am interested to know how other facilities undertake concealed detector testing. Happy for you to contact me offline if you prefer.
Kind regards,
Fiona De Sousa CICP-E| Nurse Manager | Infection Prevention & Control Unit
Launceston General Hospital, Level 2, Launceston TAS 7250
phone: 6777 6715 | mobile: 0408 487 197 | fax: 6777 5170 | email: fiona.de.sousa@ths.tas.gov.au |
intranet: http://www.dhhs.tas.gov.au/intranet/thon/infection_controlIPCU – ‘By working together we promote a culture of safety to reduce preventable infections and transmission of multi-resistant organisms’
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