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Thanks Rita, did you have any issues from Sydney Water?
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@01D4C2D2.DB48D090]
Dear Jayne,
We trialled a macerator in our ED. There were two issues:1. What staff put into the macerator
2. Length of time required by the company to send out someone to repair the macerator when such incidents occurred.
If both these factors can be managed, then it is very useful to use one.
Kind regards,
RitaRita Roy
Clinical Nurse Consultant | Infection Control
Hornsby Ku ring gai Health Service, Palmerston Road, Hornsby NSW 2076
Tel (02) 94856581 | Rita.Roy@health.nsw.gov.au
http://www.health.nsw.gov.auClick here to visit the Infection Prevention and Control page on the Intranet
[Description: http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Northern-Sydney-LHD.jpg%5D[quah-sm-logo-trans-menu]
Thanks Lindy, very helpful,I’m investigating both systems at the moment and also hoping our newer sanitisers could be retrofitted with some sort of soft wear so we can monitor for compliance.
Last I heard from Sydney water they were now able to cops with the demand of the pulp produced by the macerated but yes we d need to be careful/ aware of what is being put in them ahhhh.
Many thanks
JayneSent from my iPhone
On 11 Feb 2019, at 6:50 pm, Lindy Ryan (Mid North Coast LHD) <Lindy.Ryan@health.nsw.gov.au> wrote:
Hello JayneOur LHD have purchased and installed an electronic water based washer disinfector system that records and monitors the temperature of items placed inside the pan/ bowl washer disinfector each cycle .
You can visualise the cycle readout as it progresses …as they are pre set cycle selections we set up … If it fails to reach the cycle requirements then it will not pass the cycle (not sure anyone on the wards etc reads this or is interested like me ….. they just put the equipment in and close it up and press the button…it will not open if the cycle has failed without a resetting……& then they complain its is broken if they dont understand why it needs to be reset ….)All these machines are connected to our BMS & so are also monitored remotely by our maintenance department and has set ranges to alarm & notify of any failures that need rectification.
We can run quality control reports anytime we need one as it is continuous remote monitoring program (we have 7 sites where these are installed currently and mostly linked via IT/ Wi-Fi to the large 2 facilities works…but I believe there may still be some issues with the wifi at our smaller sites back to the larger sites due to IT & the intelligence of the system we purchased ……. so not perfect yet but working on it!! …one day!?)…you have reminded me I must review the trends and see how we have progressed with the Wi-Fi issues !!The district have also as part of the transition purchased a preventative maintenance program for all sites as well where the machines are services and validated at least annually (? Maybe quarterly …I cant recall) but I have seen the last reports & no major problems with processes at this tie…just need more staff education !! 🙂
Maceraters ….mmm I had believed that a number of years ago Sydney water had recommend against using macerator machines for large sewerage services such as health due to the risk to the waterways and blockage build up/ risk…given what we try to throw down them I am not surprised at all….. & the age and tenderness of Sydney water infrastructure etc . I don’t think it was in all states that this was an issue I think it was Ok in WA & looks Like QLD from Michaels response….. but I did recall reading something about Sydney when I looked at it a few years back…you may need to check with them again to be sure.
Hope this feedback useful
Kind regards
Lindy
Lindy Ryan
District Infection Prevention & Control CNC | Clinical Governance & Information Services MNCLHD
Level 1 Coffs Specialist Centre, Pacific Hwy, Coffs Harbour
Office 66911984 or Mob 0419 990 693 | lindy.ryan@ncahs.health.nsw.gov.au
http://www.health.nsw.gov.au[http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Mid-North-Coast-LHD.jpg]
“Wise and humane management of the patient is the best safeguard against infection”
(Florence Nightingale Circa 1860)Dear Brains trust,
Could you please advise as to how you monitor temperatures on your bed pan and bowl washers, do you keep a record and how is this monitored, or do you use macerators? If you use macerators in your facility have any you had any major problems with them, do you like or not.
Many thanks in advance
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 Lindy, very helpful,Im investigating both systems at the moment and also hoping our newer sanitisers could be retrofitted with some sort of soft wear so we can monitor for compliance.
Last I heard from Sydney water they were now able to cops with the demand of the pulp produced by the macerated but yes we d need to be careful/ aware of what is being put in them ahhhh.
Many thanks
JayneSent from my iPhone
On 11 Feb 2019, at 6:50 pm, Lindy Ryan (Mid North Coast LHD) <Lindy.Ryan@health.nsw.gov.au> wrote:
Hello Jayne
Our LHD have purchased and installed an electronic water based washer disinfector system that records and monitors the temperature of items placed inside the pan/ bowl washer disinfector each cycle .
You can visualise the cycle readout as it progresses as they are pre set cycle selections we set up If it fails to reach the cycle requirements then it will not pass the cycle (not sure anyone on the wards etc reads this or is interested like me .. they just put the equipment in and close it up and press the buttonit will not open if the cycle has failed without a resetting& then they complain its is broken if they dont understand why it needs to be reset .)All these machines are connected to our BMS & so are also monitored remotely by our maintenance department and has set ranges to alarm & notify of any failures that need rectification.
We can run quality control reports anytime we need one as it is continuous remote monitoring program (we have 7 sites where these are installed currently and mostly linked via IT/ Wi-Fi to the large 2 facilities worksbut I believe there may still be some issues with the wifi at our smaller sites back to the larger sites due to IT & the intelligence of the system we purchased . so not perfect yet but working on it!! one day!?)you have reminded me I must review the trends and see how we have progressed with the Wi-Fi issues !!The district have also as part of the transition purchased a preventative maintenance program for all sites as well where the machines are services and validated at least annually (? Maybe quarterly I cant recall) but I have seen the last reports & no major problems with processes at this tiejust need more staff education !! 🙂
Maceraters .mmm I had believed that a number of years ago Sydney water had recommend against using macerator machines for large sewerage services such as health due to the risk to the waterways and blockage build up/ riskgiven what we try to throw down them I am not surprised at all.. & the age and tenderness of Sydney water infrastructure etc . I dont think it was in all states that this was an issue I think it was Ok in WA & looks Like QLD from Michaels response.. but I did recall reading something about Sydney when I looked at it a few years backyou may need to check with them again to be sure.
Hope this feedback useful
Kind regards
Lindy
Lindy Ryan
District Infection Prevention & Control CNC | Clinical Governance & Information Services MNCLHD
Level 1 Coffs Specialist Centre, Pacific Hwy, Coffs Harbour
Office 66911984 or Mob 0419 990 693 | lindy.ryan@ncahs.health.nsw.gov.au
http://www.health.nsw.gov.au[http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Mid-North-Coast-LHD.jpg]
Wise and humane management of the patient is the best safeguard against infection
(Florence Nightingale Circa 1860)Dear Brains trust,
Could you please advise as to how you monitor temperatures on your bed pan and bowl washers, do you keep a record and how is this monitored, or do you use macerators? If you use macerators in your facility have any you had any major problems with them, do you like or not.
Many thanks in advance
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@01D4C224.7768E000]
If you are not the intended recipient you are hereby notified that any dissemination, distribution or reproduction of this message
is prohibited. If you have received this message in error please notify the sender immediately, then destroy the original message.
Any views expressed in this message are solely those of the individual sender, except where the sender is specifically authorised
by Adventist HealthCare Limited to state that they are the views of Adventist HealthCare Limited.
_____________________________________________________________________
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So sad to hear of Beth’s passing, I’ll remember her as a very bubbly friendly person who was very knowledgeable and committed to her work.
May she rest in peace.
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@01D4B1A4.3DABA900]
[Forwarded on behalf of Joanna Harris – Moderator]
Dear valued colleagues and friends,
It is with great sadness that I write to tell you that Beth Bint, who many of you will remember with fondness as she never failed to make an impression, has passed away this morning. Beth was diagnosed with leukaemia last July, and sadly her condition did not respond to treatment.
Beth passed away peacefully at home, with her family and her closest friend at her side.
Beth had worked in the field of infection prevention and control for many years, starting her journey in the field when she nursed HIV patients in the 1980s. Originally from the Newcastle area, this is where she began work as an infection prevention and control nurse. After a short time working with the Department of Health in South Australia, she returned to NSW to take up the position of Clinical Nurse Consultant with the Infection Management and Control Service (IMACS) in the Illawarra Shoalhaven Local Health District, based at Wollongong Hospital.
Starting with us in June 2009, she had a baptism of fire as the H1N1 influenza arrived at the same time. Beth took this in her stride, and over the ensuing years her influence on the work of IMACS can be easily identified. She had a very strong belief in the importance of putting the patient at the centre of our work, rather than the pathogen. Beth also used her extensive knowledge and skills in contributing to statewide policies and guidelines including the NSW Health Infection Prevention and Control policy and the Australasian Health Service Facility Guidelines.
One of the highlights of Beth’s recent career was winning the scientific panels’ award for best poster at the ACIPC conference in 2016.We wish Beth’s family and the many friends and colleagues that she touched on a personal and a professional level, our very best thoughts at this sad time.
With my very best wishes to you all
Joanna Harris
Nurse Manager, ISLHD Infection Management and Control Service (IMACS)
Telephone – mobile 0475 943494 / Wollongong office 4222 5898 / Warrawong office 4221 6820
Joanna.Harris@health.nsw.gov.au
http://www.health.nsw.gov.au______________________________________________________________________
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MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
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Thank you Robyn, I agree, I just needed to convince teams.
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@01D475CE.0236DE10]
Hi Jayne
Just clean clean clean. …then open your OR.Regards
Robyn LawsonOR Consulting
PO Box 465
Dianella
Western Australia 6059
roblily49@gmail.comSent from my Samsung GALAXY S5 on the Telstra Mobile Network
——– Original message ——–
Hi JayneCan I ask for what reason you would want to ‘rest’ an OT after an MRO or ‘dirty’ case? Once appropriate cleaning has occurred, you can safely use the OT for another case after surfaces are dry.
The only times we would delay the start of the next case after cleaning is either in the case of a known or suspected airborne pathogen like measles, or to allow latex particles to settle prior to a latex allergic case.
I am not sure what you are trying to achieve with a ‘rest’ for environmental contamination that has been appropriately cleaned. Maybe I am missing something, though?
Cheers
MichaelMichael Wishart, CICP-E
Infection Control CoordinatorA 627 Rode Road, Chermside QLD 4032
P (07) 3326 3068 | F (07) 3607 2226 | E michael.wishart@svha.org.au | W http://www.hsnph.org.au
[cid:image001.png@01D01926.61F1C2B0] [cid:image002.png@01D475BD.F9AE85A0]
P Please consider the environment before printing this emailDear Brains Trust,
I am sure I have asked this question before?? Regarding resting theatre following a dirty/MRO case.
We are currently debating this issue again, does anyone rest the theatre after the clean has taken place and for how long? Where possible the cases are last on the list, but we appreciate that not all MRO cases/dirty cases can go last on the list.
Advise on this matter would be greatly received.
Many thanks in advance
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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Hi Michael,
I agree, once the theatre has been cleaned/ disinfected there should be no other issue, unless for airborne or latex allergy as stated, one of our educators has questioned air changes, and whether we should wait for a completed set of air changes or not, as this obviously would cause delays. We have between 32-42 air changes per hour so meet the standard.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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Hi Jayne
Can I ask for what reason you would want to ‘rest’ an OT after an MRO or ‘dirty’ case? Once appropriate cleaning has occurred, you can safely use the OT for another case after surfaces are dry.
The only times we would delay the start of the next case after cleaning is either in the case of a known or suspected airborne pathogen like measles, or to allow latex particles to settle prior to a latex allergic case.
I am not sure what you are trying to achieve with a ‘rest’ for environmental contamination that has been appropriately cleaned. Maybe I am missing something, though?
Cheers
MichaelMichael Wishart, CICP-E
Infection Control CoordinatorA 627 Rode Road, Chermside QLD 4032
P (07) 3326 3068 | F (07) 3607 2226 | E michael.wishart@svha.org.au | W http://www.hsnph.org.au
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P Please consider the environment before printing this emailDear Brains Trust,
I am sure I have asked this question before?? Regarding resting theatre following a dirty/MRO case.
We are currently debating this issue again, does anyone rest the theatre after the clean has taken place and for how long? Where possible the cases are last on the list, but we appreciate that not all MRO cases/dirty cases can go last on the list.
Advise on this matter would be greatly received.
Many thanks in advance
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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Thank you Michael,
the main reason we are looking at this is because of the assumptions made between nursing and cleaners, about who is responsible and who has cleaned something etc..
Just getting all my ducks in a row to meet with our directors and NUMs. This has been an ongoing issue that some areas think is beneath them to clean equipment.
Thanks for the info.
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—–Original Message—–
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Michael Wishart
Sent: Wednesday, 22 August 2018 1:37 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: cleaning of clinical equipmentHi Jayne
Our facility recently reviewed cleaning clinical items, and have agreed on a shared process between a number of different groups of staff. This is identified with a chart that specifies whose responsibility to clean various pieces of equipment. These charts are placed in ward pan rooms as well as in ward cleaners’ cupboards. I’m not at liberty to share these, but hope you understand what I mean.
When we investigated cleaning clinical equipment in wards, we found many staff assumed someone else did it! So nurses assumed cleaners cleaned certain things, and cleaners assumed nurses cleaned certain things. That is why we came up with an agreed chart that shows who cleans what, when. Sometimes it will depend on when in the patient stay as to who cleans it. For example, IV poles and pumps are basically nursing staff responsibility to clean when taking out of an occupied patient room to use for another patient, but on discharge if IV pole and pump is in the room the cleaners will clean them as part of the discharge clean.
I would recommend you have some type of discussion forum with all the key players to agree on who does what, then make sure it is well communicated to all the relevant staff.
We also did this in theatres a while ago, and it was surprising who though who cleaned what between cases. Developing charts and flow charts to outline the process really helped make sure things were not missed.
Cheers
MichaelMichael Wishart, CICP-E
Infection Control CoordinatorA627 Rode Road, Chermside QLD 4032
P(07) 3326 3068| F(07) 3607 2226| Emichael.wishart@svha.org.au| W http://www.hsnph.org.auPlease consider the environment before printing this email
—–Original Message—–
From: ACIPC Infexion Connexion On Behalf Of Jayne OConnor
Sent: Tuesday, 21 August 2018 4:10 PM
To: AICALIST@AICALIST.ORG.AU
Subject: [ACIPC_Infexion_Connexion] cleaning of clinical equipmentHi All,
Does anyone have any documents/policies around cleaning of clinical equipment, who’s responsible for the cleaning and how frequently the equipment is cleaned?
Would appreciate any help :).
Many thanks in advance.
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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Hi Cate,
We would do a terminal clean after the work is completed but not air sample, as long as there was no involvement with the air conditioning and air changes are adequate.
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:image002.png@01D403DB.49E6CA50]
Hi everyone,
During maintenance if OT light, a holding spring broke with light hitting ceiling and damaging the ceiling yesterday. A Zip wall was put up immediately to prevent further dust contamination from ceiling and equipment was cleaned covered and/or removed. The hole has been repaired and painted.
Are you able to give advice on whether air testing is required prior to recommissioning the Operating Theatre after an incident like this? I note that there no nationally agreed standards on when to undertake microbiological air sampling in the operating theatre, or on the interpretation of sampling results. There is however reasonable evidence for air sampling when commissioning a new operating theatre.
Can you let me know your thoughts.
thanks
Cate Coffey | Clinical Nurse Consultant
Infection Prevention and Control Unit | Central Australia Health Service
Northern Territory Government
Alice Springs Hopsital, Gap Rd, Alice Springs
GPO Box 2234, Suburb, NT Postcode
p … 08 89517737
e … cate.coffey@nt.gov.au http://www.nt.gov.au/healthOur Vision: Better health outcomes for all Central Australians
Our Values: Community at the Centre | Equity and Integrity | We are Accountable | We are Relevant Today and Ready for Tomorrow | We are Committed to High Quality Care | We Value our PartnershipsCentral Australia Health Service is a Smoke Free Workplace
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Thanks Michael,
was struggling with the evidence as there’s not much of it or its very old., I tend to agree with you too, as long as the shoes are not visibly soiled and are cleaned after being outside the OT then the wearing overshoe is a waste of time. Acorn standards advise to only wear them in theatre to protect (Gucci and other designer) shoes from splashes.From experience I also note hand hygiene is often not performed after removing the over shoes.
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—–Original Message—–
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Michael Wishart
Sent: Tuesday, 5 June 2018 1:23 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Over shoes for use outside of operating theatresHi Jayne
No robust evidence, just an old, old document from the UK full of common sense called ‘Behaviours and Rituals in the Operating Theatre’ (attached).
Theatre footwear
The floor surface of the operating theatre should be kept clean but the effect this has on infection rates remains uncertain. Studies of bacterial contamination of the operating theatre corridor floors indicate that a change of footwear should occur as far from the operating theatre as possible.74 Well-fitting footwear with impervious soles should be worn and regularly cleaned to remove splashes of blood and body fluid.
All footwear should be cleaned after every use, and procedures should be in place to ensure that this is undertaken at the end of every session.
Humphreys et al.75 illustrated that the use of plastic overshoes led to a significant increase in floor colony counts rather than a decrease. Carter
76 also showed that hands became contaminated when overshoes were put on or removed.
Recommendation: category 3
Special footwear should be worn in the operating department and regularly cleaned. The practice of wearing plastic overshoes should cease.My personal thought is that provided you keep them visibly clean (no blood, no mud, etc), footwear worn in OT can be worn throughout the hospital and then worn back into OT. The way we state that in policy here is that footwear worn in OT must be cleaned after going outside the building, or outside worn shoes must either be cleaned or covered with an overshoe on entry to the operating suite.
Evidence is great if you have it, but sometimes we need to consider common sense and the epidemiology of infections.
Oh, and just a thought on those Gucci loafers the anaesthetist has on…. if you don’t want them splashed with body fluid, put some overshoes on! Nothing to do with protecting the patient, just to protect your $1000 Gucci’s.
Cheers
MichaelMichael Wishart, CICP-E
Infection Control CoordinatorA627 Rode Road, Chermside QLD 4032
P(07) 3326 3068| F(07) 3607 2226| Emichael.wishart@svha.org.au| W http://www.hsnph.org.auP Please consider the environment before printing this email
—–Original Message—–
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Jayne OConnor
Sent: Tuesday, 5 June 2018 12:38 PM
To: AICALIST@AICALIST.ORG.AU
Subject: [ACIPC_Infexion_Connexion] Over shoes for use outside of operating theatresDear Brains Trust,
Does anyone know of some robust research/evidence to back up, or not, the use of over shoes for visitors to operating theatre and for theatre staff wearing them out side of the theatre environment?
Many thanks in advance.
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
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Thanks Marija,
will take a look at the articles.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—–Original Message—–
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Juraja, Marija (Health)
Sent: Tuesday, 5 June 2018 6:10 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Over shoes for use outside of operating theatresI agree with regard to dedicated in OR shoes or wearing overshoes when not having a dedicated shoe in the OR.
As the article published in the Ann R Coll Surg Engl 2007; 89: 605608 states in its conclusion:
“Theatre shoes and floors present a potential source for postoperative infection. A combination of dedicated theatre shoe use and a good floor washing protocol controls the level of shoe contamination by coagulase-negative staphylococci in particular.
This finding is significant given the importance of staphylococcal species in postoperative wound infection.”I think its important that all aspects of a patient journey is taken into consideration when assessing the risk of an infection from pre, intra and postoperative. This includes understanding and unpacking the evidence and applying it with the risks associated.
https://publishing.rcseng.ac.uk/doi/pdf/10.1308/003588407X205440
https://www.ncbi.nlm.nih.gov/pubmed/15761585
These are just my thoughts.
Kind Regards
Marija Juraja
Clinical Service Coordinator CALHN Infection Prevention & Control Unit Division of Acute Medicine (RN, GCNS Inf Ctrl, CICP)
m: 0410 567 385 |e:marija.juraja@sa.gov.au________________________________________
From: ACIPC Infexion Connexion on behalf of Michael Wishart
Sent: Tuesday, 5 June 2018 12:53 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] Over shoes for use outside of operating theatresHi Jayne
No robust evidence, just an old, old document from the UK full of common sense called ‘Behaviours and Rituals in the Operating Theatre’ (attached).
Theatre footwear
The floor surface of the operating theatre should be kept clean but the effect this has on infection rates remains uncertain. Studies of bacterial contamination of the operating theatre corridor floors indicate that a change of footwear should occur as far from the operating theatre as possible.74 Well-fitting footwear with impervious soles should be worn and regularly cleaned to remove splashes of blood and body fluid.
All footwear should be cleaned after every use, and procedures should be in place to ensure that this is undertaken at the end of every session.
Humphreys et al.75 illustrated that the use of plastic overshoes led to a significant increase in floor colony counts rather than a decrease. Carter
76 also showed that hands became contaminated when overshoes were put on or removed.
Recommendation: category 3
Special footwear should be worn in the operating department and regularly cleaned. The practice of wearing plastic overshoes should cease.My personal thought is that provided you keep them visibly clean (no blood, no mud, etc), footwear worn in OT can be worn throughout the hospital and then worn back into OT. The way we state that in policy here is that footwear worn in OT must be cleaned after going outside the building, or outside worn shoes must either be cleaned or covered with an overshoe on entry to the operating suite.
Evidence is great if you have it, but sometimes we need to consider common sense and the epidemiology of infections.
Oh, and just a thought on those Gucci loafers the anaesthetist has on…. if you don’t want them splashed with body fluid, put some overshoes on! Nothing to do with protecting the patient, just to protect your $1000 Gucci’s.
Cheers
MichaelMichael Wishart, CICP-E
Infection Control CoordinatorA 627 Rode Road, Chermside QLD 4032
P (07) 3326 3068 | F (07) 3607 2226 | E michael.wishart@svha.org.au | W http://www.hsnph.org.auP Please consider the environment before printing this email
—–Original Message—–
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Jayne OConnor
Sent: Tuesday, 5 June 2018 12:38 PM
To: AICALIST@AICALIST.ORG.AU
Subject: [ACIPC_Infexion_Connexion] Over shoes for use outside of operating theatresDear Brains Trust,
Does anyone know of some robust research/evidence to back up, or not, the use of over shoes for visitors to operating theatre and for theatre staff wearing them out side of the theatre environment?
Many thanks in advance.
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
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Hi Cate,
We do have both types of soap at all our hand wash sinks. We do not have clinical rooms for dressing either, however we continue to find the chlorhexidine out of date, this is mainly because the volume is too large. We have opted to use smaller volume in our rehab unit, but it is a free standing bottle as opposed to being wall mounted next to the non-antibacterial soap. Alcohol gel is however in every room too.
Hope this helps.
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:image002.png@01D3F804.F2BC2310]
Hi everyone
Can you tell me if you have 2% chlorhexidine clinical hand wash located at all hand basins in your patient rooms? We currently do as we do not have procedure rooms.
What are your thoughts?
cheersCate Coffey | Clinical Nurse Consultant
Infection Prevention and Control Unit | Central Australia Health Service
Northern Territory Government
Alice Springs Hopsital, Gap Rd, Alice Springs
GPO Box 2234, Suburb, NT Postcode
p … 08 89517737
e … cate.coffey@nt.gov.au http://www.nt.gov.au/healthOur Vision: Better health outcomes for all Central Australians
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Hi Cate,
We change ours annually, unless they have become grossly soiled, they must be labelled and dated. Our departments that use them love them.
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:image002.png@01D3CDB2.3CD1EDE0]
Hi everyone,
For those of you who use disposable curtains, would you share your curtain change schedule with me?
cheersCate Coffey | Clinical Nurse Consultant
Infection Prevention and Control Unit | Central Australia Health Service
Northern Territory Government
Alice Springs Hopsital, Gap Rd, Alice Springs
GPO Box 2234, Suburb, NT Postcode
p … 08 89517737
e … cate.coffey@nt.gov.au http://www.nt.gov.au/healthOur Vision: Better health outcomes for all Central Australians
Our Values: Community at the Centre | Equity and Integrity | We are Accountable | We are Relevant Today and Ready for Tomorrow | We are Committed to High Quality Care | We Value our PartnershipsCentral Australia Health Service is a Smoke Free Workplace
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Hi Sarah,
We recently had our accreditation all good with our water testing however they did ask how we tested our ice machines, frequency etc., not the ice for consumption but that used for equipment.
We hadn’t previously tested the ice machine but will do now following their observation. Any information you have in regards to ice water testing would be greatly appreciated.
Look forward to hearing your talk in November.
Kind regards
Jayne O’Connor RN,BSc.Inf.Cont.
IPC Co-Ordinator
Sydney Adventist Hospital
185 Fox Valley Rd.,
Wahroonga 2076Tel DD: (02) 9487 9732
[Description: 5 moments hand hygiene]
Good Afternoon,
I would always include the filtered water when putting together a testing programme for any healthcare building. The carbon filters do (in my experience) tend to have a build-up of bacteria in them, and they also get rid of residual chlorine in the water supply that passes through them. If they are present, then they should be maintained as per the manufacturer’s instructions, and filters changed in line with this. The source tap water should also be tested at some point, as only then do you know if the filter is the issue, or if it is an issue with supply water. If they are needed or not should be part of the Legionella/potable water risk assessment for the facility.
I’m going to be speaking at the national conference on Legionella, on the Tuesday just before lunch.
Hopefully I can cover this, but, if anyone else has any burning questions that they would like to know the answer to, please get in touch and I will see how much I can include to make my presentation as useful as possible for everyone.
Sarah Bailey MSc, PGDip Med Myc
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This communication contains information which is confidential and the copyright of QED Environmental Services Pty Ltd (ACN 060 866 720) (QED) or a third party. If you are not the intended recipient of this communication please delete and destroy all copies and contact QED immediately. If you are the intended recipient of this communication you should not copy, disclose or distribute this communication without the authority of QED. Except as required at law, QED does not represent, warrant and/or guarantee that the integrity of this communication has been maintained nor that the communication is free of errors, virus, interception or interference. The information contained in this communication is intended solely for the use of the individual or entity to whom it is addressed and others authorised to receive it. It may contain confidential information. If you are not the intended recipient you are hereby notified that any disclosure, copying, distribution or taking any action in reliance on the contents of this information is strictly prohibited and may be unlawful. If you have received this communication in error, please notify us immediately by responding to this email and then delete it from your system. QED is neither liable for the proper and complete transmission of the information contained in this communication nor for any delay in its receipt.Good morning,
Just wondering if any facilities have instant chilled and boiling water systems for patients and staff to access for drinking water and hot tea/coffee in there lounges/kitchens.
If you do, how long have they been installed?
Do you undertake any legionella and bacterial micro testing on the cold and hot water from the system including the sink tap water that its connected to?
If you would be prepared to share what system you use and your results with us please contact me off line directly by email at marija.juraja@sa.gov.auKind Regards
Marija Juraja |Nurse Unit Manager -CALHN Infection Prevention & Control Unit|
Division of Acute Medicine (RN, GCNS Inf Ctrl, CICP-E)
The Royal Adelaide Hospital| Central Adelaide Local Health Network
8E Rm256 Port Road, ADELAIDE 5000
The Queen Elizabeth Hospital | Central Adelaide Local Health Network
Level 8 Tower Building | 28 Woodville Road, WOODVILLE SOUTH 5011
t: +61 8 7074 2810 (RAH) 8222 7588 (TQEH)| f: +61 8 7074 6228 (RAH) +61 8 8222 6461 (TQEH) | m: 0466 379 821|DX: 465432 (TQEH) |e:marija.juraja@sa.gov.au |web: IPCU Intranet Site and Resources
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Morning Marija,
We use Zip taps hot and cold for some patient areas and some staff areas, they are not tested as per our legionella policy, but are treated and tested monthly as it comes from our potable water supply, the water is also filtered , hot water is supplied at boiling point at point of use. Makes and models I would need to look up as we use a number of different one, happy to forward to you once I know.
Kind regards
Jayne O’Connor RN,BSc.Inf.Cont.
IPC Co-Ordinator
Sydney Adventist Hospital
185 Fox Valley Rd.,
Wahroonga 2076Tel DD: (02) 9487 9732
[Description: 5 moments hand hygiene]
Good morning,
Just wondering if any facilities have instant chilled and boiling water systems for patients and staff to access for drinking water and hot tea/coffee in there lounges/kitchens.
If you do, how long have they been installed?
Do you undertake any legionella and bacterial micro testing on the cold and hot water from the system including the sink tap water that its connected to?
If you would be prepared to share what system you use and your results with us please contact me off line directly by email at marija.juraja@sa.gov.auKind Regards
Marija Juraja |Nurse Unit Manager -CALHN Infection Prevention & Control Unit|
Division of Acute Medicine (RN, GCNS Inf Ctrl, CICP-E)
The Royal Adelaide Hospital| Central Adelaide Local Health Network
8E Rm256 Port Road, ADELAIDE 5000
The Queen Elizabeth Hospital | Central Adelaide Local Health Network
Level 8 Tower Building | 28 Woodville Road, WOODVILLE SOUTH 5011
t: +61 8 7074 2810 (RAH) 8222 7588 (TQEH)| f: +61 8 7074 6228 (RAH) +61 8 8222 6461 (TQEH) | m: 0466 379 821|DX: 465432 (TQEH) |e:marija.juraja@sa.gov.au |web: IPCU Intranet Site and Resources
Adjunct Clinical Lecturer | University of South Australia | Division of Health SciencesThis email may contain confidential information, which also may be legally privileged. Only the intended recipient(s) may access , use, distribute or copy this email. If this email is received in error, please inform the sender by return email and delete the original. If there are doubts about the validity of this message, please contact the sender by telephone. It is the recipient’s responsibility to check the email and any attached files for viruses.
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Hi Terry ,
My understanding of micro fibre is that disinfectants wouldn’t be required as the microfiber properties clean and disinfects in one??
The micro fibre cloth just require wetting in order to mop the floor.
Kind regards
Jayne O’Connor RN,BSc.Inf.Cont.
IPC Co-Ordinator
Sydney Adventist Hospital
185 Fox Valley Rd.,
Wahroonga 2076Tel DD: (02) 9487 9732
[Description: 5 moments hand hygiene]
Hi Everyone,
I’m coming across environmental cleaning service providers in the Day Surgery sector that are wanting to ‘mop’ floors with a disposable microfiber wipe system used in conjunction with a disinfectant that is either supplied by dipping the wipe in the disinfectant solution or alternatively having the disinfectant poured into the handle of the mop and discharged by the press of a button.
The disposable microfiber wipe is discarded between cleaning different areas, however I am not convinced that this method of cleaning is suitable.
I’d appreciate some feedback from the brains trust please.
Kind Regards
Terry McAuley
Sterilisation & Infection Prevention and Control Consultant
STEAM Consulting Pty Ltd ACN 604 439 698
E: terry@steamconsulting.com.au
W: http://www.steamconsulting.com.au
A: PO BOX 779
Endeavour Hills
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Thanks Irene,
The intention would be for public areas only. Thanks for your input.
Kind regardsJayne O’Connor RN,BSc.Inf.Cont.
IPC Co-Ordinator
Sydney Adventist Hospital
185 Fox Valley Rd.,
Wahroonga 2076Tel DD: (02) 9487 9732
[Description: 5 moments hand hygiene]
We have both in staff and public toilets (quite frankly the “cheap” paper towel dispenser (roller type) keeps breaking down) but I would say that most people use the towel in preference to the dryer.
As a majority of our patients are immunocompromised we do not have dryers where patients will use them both in clinic and inpatient areas.
Hope this helps
Irene
Ms IRENE BARRON, RGN, BA (LI), Grad Diploma (IC), MSN, CIC, CPHQ
ASSISTANT DIRECTOR,
DEPARTMENT OF INFECTION CONTROL & HOSPITAL EPIDEMIOLOGY
Pager Number: 45808
________________________________
Dear Brains trust,
The use of hand dryers in public toilet has been raised again to me today because ‘other hospital use them in public toilets’.
If you work in ‘ one of those hospitals’ can you give me a rationale why this is so, please ?
Our executive are looking at quick fix cost savings and have come up with hand dryers verses paper towels as a way of saving money?! they assume by installing hand dryers you won’t need someone to fill up the hand towel, cost of hand towels, cost of waste disposal etc. I ‘d rather not pursue the use of them even in public toilets personally, but said I would look at it.Any ideas/advice greatly appreciated.
Many Thanks in advanceJayne
Jayne O’Connor RN,BSc.Inf.Cont.
IPC Co-Ordinator
Sydney Adventist Hospital
185 Fox Valley Rd.,
Wahroonga 2076Tel DD: (02) 9487 9732
[Description: 5 moments hand hygiene]
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