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Thanks Jennifer,
Our cleaning/disinfection process is OK, but we had an issue recently whereby the responsibility of who does the process after hours is in question.
Thank you for your response.Jayne O’Connor RN,BSc.Inf.Cont.
IPC Co-Ordinator
Sydney Adventist Hospital
185 Fox Valley Rd.,
Wahroonga 2076Tel DD: (02) 9487 9732
—–Original Message—–
Hi Jayne,
We have just implemented a 3 step-high level disinfection wipe system for this process. Nurses have been trained in ICU by the company to undertake this process.Jen
Jennifer Lukeis|Infection Prevention Coordinator
South West Healthcare|Ryot Street|WarrnamboolVictoria3280 Phone 03 5563 1592 jlukeis@swh.net.au|www.southwesthealthcare.com.au—–Original Message—–
Dear brains trust
Would anyone be willing to share policy on decontamination/disinfection of TOE probes for out of hours procedures. Also who is responsible for taking the probe for reprocessing or indeed who takes the responsibility for reprocessing?
Many thanks in advance.Jayne OConnor
IPC Coordinator
Sydney Adventist HospitalSent from my iPhone
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Hi Mary i’d be happy to share if I discover anything.
Sent from my BlackBerry 10 smartphone on the Telstra Mobile network.
Original Message
Reply To: ACIPC Infexion ConnexionHi Jayne
I would also be very interested to hear some comments as we have had similar issues/queries raised here as well.
As you say common sense should prevail but any guidelines would be very useful.
Kind regards
MaryMary Willimann CICP-E| Manager Infection Control
St John of God Subiaco Hospital
T: (08) 9382 6871 | M: 0439 993 772 | F: (08) 9382 6785 | E: Mary.Willimann@sjog.org.au
12 Salvado Road Subiaco WA 6008 | PO Box 14, Subiaco WA 6904
http://sjog.org.au/subiaco | http://twitter.com/sjog_healthcare | LinkedIn | http://facebook.com/StJohnOfGodSubiacoHospitalWe 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.—–Original Message—–
Dear knowledge Bank,
This might sound like an odd question but one of our sites has just been had accreditation and they observed a cleaner mopping 4 bathrooms before they change mop heads and water. Bearing in mind they only mop the bathroom floor as the rest of the room is carpeted.!!! ( that’s another story). Our policy states to change after 3-4 rooms unless grossly soiled/contaminated.
Is there legislation ( I cannot find it in NSW Health or CEC guidelines)dictating how frequently mop heads and water are changed between patient rooms i.e. NON infectious patient rooms.
Common sense should prevail as changing for each room would not only be logistical nightmare but also have WH&S risks, time and cost constraints..
Happy to hear comments 🙂 Thank you in advance.
Jayne
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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Thank you Cathy. This is useful to know. I may be in touch.
Kind RegardsJayne O’Connor RN,BSc.Inf.Cont.
IPC Co-Ordinator
Sydney Adventist Hospital
185 Fox Valley Rd.,
Wahroonga 2076Tel DD: (02) 9487 9732
—–Original Message—–
Hi Jayne,
I am currently on the Operational Readiness Commissioning Team for the New Perth Children’s Hospital in Perth. We have 2 Hybrid OT rooms, 1 hybrid light OT and a hybrid Bi-plane OT. Our control rooms are fully enclosed with a glass viewing window. There is speaker /intercom system in place for communication.Feel free to contact me if you want further discussion.
Regards
CathyCatherine Jones
Senior Project Officer Infection Control | Operational Readiness | Perth Children’s Hospital Project Child and Adolescent Health Service GPO Box D184 Perth WA 6840
Ecatherine.jones@health.wa.gov.auA West Australian State Government Initiative
—–Original Message—–
Thanks Cathy,
I have looked at the Australian facility building guideline but hasn’t really told me much in terms of specialist hybrids!! However I will contact Jed Duff and seek his advice.
The architect said they would put me in touch with other hospital in Australia- There’s one in the Gold Coast apparently that have a Hybrid OT- Fancy term for a lot of equipment costs a lot of $- but does allow for more diagnostic and minimal invasive procedure to be carried out, including Cardiothoracic surgery. So someone else out there might be familiar.
Have a great weekend. Thanks again
Jayne
Jayne O’Connor RN,BSc.Inf.Cont.
IPC Co-Ordinator
Sydney Adventist Hospital
185 Fox Valley Rd.,
Wahroonga 2076Tel DD: (02) 9487 9732
—–Original Message—–
Hi Jayne
Could you please define what you mean by the term “hybrid” theatre? I would imagine that there are v. specific guidleines and probably Australian Standards around what areas can be termed operating theatres and also what procedures can be performed in what types of spaces (other than in the event of life-saving emergency conditions).
There is an Australian Facility Building Code or the like. Others will be able to point you to that. There may also be an ACORN Stadnard on the issue. I suggest you contact Jed Duff, ACORN President.
There are also likely to be N. American guidelines on this which whilst not directly translatable they may give you insight.
Good luck with it, an interesting idea…I wonder what has promoted the need for a “hybrid”. FYI – standardisation is much safer than hybridisation, any day.
Cheers
CathCathryn Murphy MPH PhD CIC
Chief Executive Officer & Creative Director Infection Control Plus Pty Ltd PO Box 3079 Burleigh Town 4220 OLD, AustraliaE: Cath@infectioncontrolplus.com.au
M: +61 428 154154
W: infectioncontrolplus.com.au—–Original Message—–
Morning Brains trust 🙂
Our facility are in the process of planning for a hybrid theatre, I would like to know if there are any standards written for them? Also has anyone been involved in the planning and completion of a hybrid theatre? If so do you have open ceiling control rooms?
Our team are requesting that a 2.1 meter wall (with glass)door free is built for the control room instead of floor to ceiling wall. There reason being it’s easier to communicate with the surgeon!!
Thus far I have said NO to the 2.1 meter wall hence my question here today. I’d be happy for any advice.
Many thanks
Jayne
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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_____________________________________________________________________
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Thanks Cathy,
I have looked at the Australian facility building guideline but hasn’t really told me much in terms of specialist hybrids!! However I will contact Jed Duff and seek his advice.
The architect said they would put me in touch with other hospital in Australia- There’s one in the Gold Coast apparently that have a Hybrid OT- Fancy term for a lot of equipment costs a lot of $- but does allow for more diagnostic and minimal invasive procedure to be carried out, including Cardiothoracic surgery. So someone else out there might be familiar.
Have a great weekend. Thanks again
Jayne
Jayne O’Connor RN,BSc.Inf.Cont.
IPC Co-Ordinator
Sydney Adventist Hospital
185 Fox Valley Rd.,
Wahroonga 2076Tel DD: (02) 9487 9732
—–Original Message—–
Hi Jayne
Could you please define what you mean by the term “hybrid” theatre? I would imagine that there are v. specific guidleines and probably Australian Standards around what areas can be termed operating theatres and also what procedures can be performed in what types of spaces (other than in the event of life-saving emergency conditions).
There is an Australian Facility Building Code or the like. Others will be able to point you to that. There may also be an ACORN Stadnard on the issue. I suggest you contact Jed Duff, ACORN President.
There are also likely to be N. American guidelines on this which whilst not directly translatable they may give you insight.
Good luck with it, an interesting idea…I wonder what has promoted the need for a “hybrid”. FYI – standardisation is much safer than hybridisation, any day.
Cheers
CathCathryn Murphy MPH PhD CIC
Chief Executive Officer & Creative Director Infection Control Plus Pty Ltd PO Box 3079 Burleigh Town 4220 OLD, AustraliaE: Cath@infectioncontrolplus.com.au
M: +61 428 154154
W: infectioncontrolplus.com.au—–Original Message—–
Morning Brains trust 🙂
Our facility are in the process of planning for a hybrid theatre, I would like to know if there are any standards written for them? Also has anyone been involved in the planning and completion of a hybrid theatre? If so do you have open ceiling control rooms?
Our team are requesting that a 2.1 meter wall (with glass)door free is built for the control room instead of floor to ceiling wall. There reason being it’s easier to communicate with the surgeon!!
Thus far I have said NO to the 2.1 meter wall hence my question here today. I’d be happy for any advice.
Many thanks
Jayne
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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_____________________________________________________________________
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Hi Rita,
Where possible we admit our MRO orthopaedic patients to a ‘dirty’ ward (when we have two orthopaedic wards open)otherwise they are segregated to clean end and dirty end of the ward.
Louise Teare did some research in the UK regarding the benefits of ‘ring fencing’ for orthopeadics in the late 1990s early 2000s -Have a look at – Eradication of MRSA by ‘ring fencing’ of elective orthopaedic beds 2005, it can be accessed online think its published in BMJ.
Hope this helpsKind Regards
Jayne
Jayne OConnor RN, BSc.Inf.Cont.
IPC Co ordinator
Sydney Adventist Hospital
185 Fox valley Rd,
Wahroonga 2076[Description: 5 moments hand hygiene]
Dear All,
Does any hospital have a guideline for admission of patients to orthopaedic wards? More specifically, are there any criteria that you might be following, for example: no patients with MROs, wounds, ulcers, etc. to be allowed admission into orthopaedic wards, even if the presentation is related to orthopaedics?
Many thanks in advance,
Rita
Rita RoyClinical Nurse Consultant | Infection Control
Hornsby Ku ring gai Health Service, Palmerston Road, Hornsby NSW 2076
Tel (02) 9477 9232 | Fax (02) 9477 9013 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: Description: http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Northern-Sydney-LHD.jpg%5D[Description: 5 moments hand hygiene]
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Hi Cathy,
Thank you, there have been some great responses, I agree the award has to be innovative and meaningful. Making the process fun along the way always makes embedding change or new initiative easier. I know HHA isn’t new but new ways of getting the message across is always difficult and giving incentives however big or small helps.
We plan to present the award at our annual quality awards dinner, a perpetual plaque that can be engraved and kept for the year. So we are trying to come up with criteria for judging the award that is fair to all but obviously to the department that are most consistent with their compliance.Kind regards
JayneJayne OConnor RN, BSc.Inf.Cont.
IPC Co ordinator
Sydney Adventist Hospital
185 Fox valley Rd,
Wahroonga 2076—–Original Message—–
Hi Jane
I read the responses to your question with great interest. There are some good ideas. I would encourage you to be very very innovative in what you introduce. Make your system fun, make the reward something that is valued and perhaps look even to award criteria outside of healthcare so you can find a pattern or an idea that could be adapted. There are numerous fields where 100% compliance is the Gold Standard and I would even encourage you to not make awards if you get a consistent rate far short of 100% or you don’t get substantial sustained compliance, otherwise who knows if the results were by chance only and who would reward chance? I know there is fabulous Aussie research coming out about over estimation by human auditors compared to non-human observations.For examples of other industries look for food awards (5-hats etc), aviation safety or airline of the year, hotel of the year or even burger of the year. I hope that this idea makes sense and doesn’t infer all I do is travel and eat burgers (far from the truth). There are also ranking systems for universities and US hospitals which could give you some innovative ideas. If you would like to talk about this offline I am happy to help you. Otherwise good luck and hopefully you will proud enough of whatever you develop to share it here.
Regards
CathCath Murphy RN PhD CIC
Executive Director
Infection Control Plus Pty Ltd—–Original Message—–
Dear Colleagues,
Just wondering if anyone has an annual hand hygiene award that is awarded to ward/department, and if so what are your criteria for selecting the winners?
We are about to award for the first time in our annual awards, but want the selection to be correct as it is not just about improvement but consistency of improvement, we don’t want to put staff off improving on hand hygiene compliance who have had good results but maybe have not been consistent!! Does that make sense???Anyway happy to hear your advise:)
Kind regards
JayneJayne OConnor RN, BSc.Inf.Cont.
IPC Co ordinator
Sydney Adventist Hospital
185 Fox valley Rd,
Wahroonga 2076If 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.
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Thanks Terri,
great ideas, and reminder too that we must reward our auditors!Kind regards
JayneJayne OConnor RN, BSc.Inf.Cont.
IPC Co ordinator
Sydney Adventist Hospital
185 Fox valley Rd,
Wahroonga 2076
Tel: DD (02)0 9487 9732
Mobile: 0406752685—–Original Message—–
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Terri Cripps (SCHN)
Sent: Wednesday, 23 March 2016 4:31 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: hand hygiene awardsHi Jayne,
At Sydney Children’s Hospital we have also given awards for hand hygiene – most improved ward, most consistent ward and ward with the highest percentage of compliance. They got a large box of chocolates and a certificate.
We have also given the auditor with the most audits done and the most consistent auditor recognition with a coffee voucher.
They all get their names mentioned in our hospital newsletter online.
Our Hand Hygiene committee decides on these awards at the end of each audit period.
We have also discussed putting up a notice board of recognition of these achievements in the entry foyer but have yet to act on this idea.Yes, it is time consuming and the money for these things needs to come from somewhere as well (despite it not being very much money). However, the rewards are positive reinforcement and have generated some friendly rivalry.
Hope that helps,
Terri Cripps | Clinical Nurse Consultant – Infection Prevention and Control | SCHN Medical Diagnostics and HIV/Immunology
t: (02) 9382 1876 | f: (02) 9382 2084 | e: TERRI.Cripps@health.nsw.gov.au | w: http://www.schn.health.nsw.gov.au
p: 47140High Street, Randwick 2031, NSW Australia 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: Wednesday, 23 March 2016 3:37 PM
To: AICALIST@AICALIST.ORG.AU
Subject: hand hygiene awardsDear Colleagues,
Just wondering if anyone has an annual hand hygiene award that is awarded to ward/department, and if so what are your criteria for selecting the winners?
We are about to award for the first time in our annual awards, but want the selection to be correct as it is not just about improvement but consistency of improvement, we don’t want to put staff off improving on hand hygiene compliance who have had good results but maybe have not been consistent!! Does that make sense???Anyway happy to hear your advise:)
Kind regards
JayneJayne OConnor RN, BSc.Inf.Cont.
IPC Co ordinator
Sydney Adventist Hospital
185 Fox valley Rd,
Wahroonga 2076
Tel: DD (02)0 9487 9732
Mobile: 0406752685CAUTION: This message may contain both confidential and privileged information intended for the addressee named above.
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Thanks Joe Anne,
Agree with your last comment, it becomes laborious after a while.!!!Kind regards
JayneJayne OConnor RN, BSc.Inf.Cont.
IPC Co ordinator
Sydney Adventist Hospital
185 Fox valley Rd,
Wahroonga 2076
Tel: DD (02)0 9487 9732
Mobile: 0406752685—–Original Message—–
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Joe-Anne Bendall
Sent: Wednesday, 23 March 2016 3:44 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: hand hygiene awardsHi Jayne
We have done various awards eg most improved, best professional group in a department, first ward/department to reach 90%. We do not do it every year
I think we should have an award for the auditor who consistently performs the auditing!
Thank you
Joe-Anne Bendall
Joe-Anne Bendall
Clinical Nurse Consultant Infection Prevention and Control (Including vaccination and screening) Monday Friday 0800 – 1630 Sydney Hospital and Sydney Eye Hospital
8 Macquarie St
SYDNEY NSW 2000
|| ph +61 2 9382 7199 |page 22070 via switch 9382 7111|7 Fax
|| 93827510 |
Mobile 0418984255 | | Joe-anne.Bendall@SESIAHS.HEALTH.NSW.GOV.AU—–Original Message—–
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Jayne OConnor
Sent: Wednesday, 23 March 2016 3:37 PM
To: AICALIST@AICALIST.ORG.AU
Subject: hand hygiene awardsDear Colleagues,
Just wondering if anyone has an annual hand hygiene award that is awarded to ward/department, and if so what are your criteria for selecting the winners?
We are about to award for the first time in our annual awards, but want the selection to be correct as it is not just about improvement but consistency of improvement, we don’t want to put staff off improving on hand hygiene compliance who have had good results but maybe have not been consistent!! Does that make sense???Anyway happy to hear your advise:)
Kind regards
JayneJayne OConnor RN, BSc.Inf.Cont.
IPC Co ordinator
Sydney Adventist Hospital
185 Fox valley Rd,
Wahroonga 2076
Tel: DD (02)0 9487 9732
Mobile: 0406752685CAUTION: This message may contain both confidential and privileged information intended for the addressee named above.
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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Hi Ruth,
This is very timely question and one we would like to clarify too.
We recently had a patient who wasn’t a direct transfer from an overseas hospital but was admitted a few days after their return and CRE was isolated on an admission wound swab.
The other concern we have are for our CFAT patients, many of them are not direct admissions from a hospital but we assume they have had recent hospitalisation. They are not routinely swabbed for MROs on admission as they are not always known or flagged to IPC at this time. We are working with our IT department to ensure they are flagged at the beginning of their admission so at least we get a base line. We have had request from the facilities that the patients are returning to, to swab for MRSA, VRE. What are other facilities doing?
Kind regards
JayneJayne OConnor RN, BSc.Inf.Cont.
IPC Co ordinator
Sydney Adventist Hospital
185 Fox valley Rd,
Wahroonga 2076Hello to my Australian colleagues,
We have recently experienced a CRE outbreak involving 4 patients that was not associated with any overseas hospitalisation or travel . A laboratory colleague who recently attend a conference in Melbourne advises that it is the norm now in Australian acute hospitals to screen all patients who have travelled overseas for CPO/CRE as per the ACSQH 2013 guidelines for CRE. We are coming under pressure to introduce this.
We currently screen all patients who have had an overseas hospital stay within the previous 12 months but if we were to screen all travellers as well, we would not be able to isolate them pending screening results and I am not sure how cost effective the screening would be versus positive results.I am interested to know if most Australian acute hospitals actually do this extended screening and if so how you were able to get buy in from the nursing staff.
Cheers
Ruth
[IPC logo for email signature]
Ruth Barratt RN, BSc, MAdvPrac (Hons)
Clinical NurseSpecialist Infection Prevention and Control
Community Liaison Infection Prevention
*: ruth.barratt@cdhb.health.nz
*: + 64 3 3640 083 or ext.80083
[1098272744j4O36h]: 0275 263175
Level 5, Riverside Building
Christchurch Hospital | Private Bag 4710, Christchurch
Clean Hands Save Lives!********************************************************************************************
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Thanks Rita,
That’s correct this is what we do here too. However the curtains that I refer to are really window dressing as opposed to a privacy screen.!! Here we don’t have the need for window dressing. The issue has arisen as we have a new GM at the rehab facility ( which we don’t or haven’t previously covered)and has highlighted to us. Cleanable roller blinds might be the long term solution.???Kind regards
JayneJayne OConnor RN, BSc.Inf.Cont.
IPC Co ordinator
Sydney Adventist Hospital
185 Fox valley Rd,
Wahroonga 2076—–Original Message—–
Dear Jayne,
At our hospital, when we were using cloth curtains, these were changed(that is laundered) after a patient with an MRO was discharged.
Kind regards,
Rita
Rita RoyClinical Nurse Consultant | Infection Control Hornsby Kuringai Health Services Tel 02 9477 9232 | Fax 02 9477 9013 | Mob 0422 930 370 | Rita.Roy@health.nsw.gov.au http://www.health.nsw.gov.au
________________________________________
Dear Colleagues,
I am seeking advice regarding window dressing .i.e. net curtain and drapes.
Our facility has recently acquired a small rehab facility, where they have net curtains and drapes at the window for each room!!
My question to you all is, should the curtains be laundered after a patient with an MRO has been care for in the room? Baring in mind the drapes are for window dressing and not privacy and are not always drawn closed. Ideally I’d like to get rid of said items but it is not possible at present.Please advise 🙂
Kind regards
JayneJayne OConnor RN, BSc.Inf.Cont.
IPC Co ordinator
Sydney Adventist Hospital
185 Fox valley Rd,
Wahroonga 2076If 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.
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Thanks Michelle
Kind regards
JayneJayne OConnor RN, BSc.Inf.Cont.
IPC Co ordinator
Sydney Adventist Hospital
185 Fox valley Rd,
Wahroonga 2076—–Original Message—–
HI Jayne
The other thing to consider is why are they testing.
You can refer to the National HIV testing policy which clearly articulates reasonable testing, but it is just not to cover their poor practice in the event of a needle stick injury You can download it off the web
Regards
MichelleMichelle Bibby
Infection Prevention Australia
+61 429 071 165
Michelle@infectionprevention.com.auOn 3/11/2015, 10:48 AM, “ACIPC Infexion Connexion on behalf of Jayne OConnor”
wrote:>Dear Brains trust,
>
>Something to think about over morning tea!
>
>Some of our surgeons have decided to start testing patients for HIV,
>HepB & HepC , our concern is around consent and who gains it, rumour
>has that the Drs are not??, how do we stand as a healthcare facility legally?
>Doc’s we have read talk about the practitioner obtaining consent but
>not the healthcare facilities responsibility.
>
>Does anyone have any evidence or can point me in the right direction to
>obtain the evidence?
>
>Muchly appreciated
>
>Kind regards
>Jayne
>
>Jayne OConnor RN, BSc.Inf.Cont.
>IPC Co ordinator
>Sydney Adventist Hospital
>185 Fox valley Rd,
>Wahroonga 2076
>Tel: DD (02)0 9487 9732
>Mobile: 0406752685
>
>
>CAUTION: This message may contain both confidential and privileged
>information intended for the addressee named above.
>If you are not the intended recipient you are hereby notified that any
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>prohibited. If you have received this message in error please notify
>the sender immediately, then destroy the original message.
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>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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Thanks Michael,
We consent our patients that have been involved in an exposure too, the issue now is that the Drs accepting responsibility and I think they are trying to push it onto nursing. So thank you for the advice, I will feed it back to my colleague, who is working for the Medical director!!!Kind regards
JayneJayne OConnor RN, BSc.Inf.Cont.
IPC Co ordinator
Sydney Adventist Hospital
185 Fox valley Rd,
Wahroonga 2076
Tel: DD (02)0 9487 9732
Mobile: 0406752685—–Original Message—–
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Michael Wishart
Sent: Tuesday, 3 November 2015 11:14 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: HIV,HEPB & HEPC consentHi Jayne
Here in the QLD private sector it’s all about the relationship of the doctor as a consultant to the patient. All of the tests they order, including pre-op serology for HIV, Hep B and Hep C where they order it, are all tests undertaken in the doctor’s relationship with the patient, not the facility’s relationship. So the onus on consent for these tests is on the doctor; the nurse or phlebotomist just has to gain consent for the procedure of obtaining the blood if the test is conducted within the facility.
The only time the facility becomes involved with consent for this type of serology testing is when we actually initiate the tests (eg if the patient is a source of an exposure). Then we are required to gain informed consent prior to initiating the tests.
If you have concerns about patients being tested without informed consent by your doctors, you should raise it with your Medical Director to discuss within your medical community.
And… try not to get sucked in to the vortex of doing your medical consultant’s work for them. Informed consent is THEIR responsibility to gain if they are ordering these tests.
That’s my view, anyway.
Cheers
MichaelMichael Wishart
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 [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Jayne OConnor
Sent: Tuesday, 3 November 2015 9:48 AM
To: AICALIST@AICALIST.ORG.AU
Subject: HIV,HEPB & HEPC consentDear Brains trust,
Something to think about over morning tea!
Some of our surgeons have decided to start testing patients for HIV, HepB & HepC , our concern is around consent and who gains it, rumour has that the Drs are not??, how do we stand as a healthcare facility legally? Doc’s we have read talk about the practitioner obtaining consent but not the healthcare facilities responsibility.
Does anyone have any evidence or can point me in the right direction to obtain the evidence?
Muchly appreciated
Kind regards
JayneJayne OConnor RN, BSc.Inf.Cont.
IPC Co ordinator
Sydney Adventist Hospital
185 Fox valley Rd,
Wahroonga 2076
Tel: DD (02)0 9487 9732
Mobile: 0406752685CAUTION: This message may contain both confidential and privileged information intended for the addressee named above.
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Hi Sue,
On discharge our rooms that have had a patient with an MRO are cleaned using a disinfectant /detergent followed by an aerosol type disinfection. I will email you detail as am aware we cannot used trade name etc on here.Kind Regards
Jayne
Jayne OConnor RN, BSc.Inf.Cont.
Co ordinator – IPC
Sydney Adventist Hospital
185 Fox valley Rd,
Wahroonga 2076
Tel: DD (02)0 9487 9732
Mobile: 0406752685—–Original Message—–
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Sue Flockhart
Sent: Tuesday, 29 September 2015 11:06 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Terminal/Exit cleaningGood morning all,
Hoping that someone can provide some assistance with a question I have in relation to terminal/exit cleaning of patient rooms/cubicles who have been in transmission based precautions. This includes the emergency department and paediatric unit for short length of stays. We are currently in the process of reviewing the current systems that we have in place and would be keen to know what other facilites are doing and using in these situations.Kind regards
Sue Flockhart
Manager, Infection Prevention & Control Unit Staff Immunisation Clinic Ballarat Health Services
Ph-53204792
Fax-53204487
Mobile-0437856349
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Hi Rita,
Think I’m a bit late responding to this but thought RNS were participating in FMT.
Kind Regards
JayneJayne O’Connor RN, BSc.Infection Control, Cert IV TAE
IPC Coordinator
Sydney Adventist Hospital
185 Fox Valley Rd,
Wahroonga 2076.Tel (02) 9487 9732
Mobile 0406 752 685Dear All,
Does anyone have or is anyone aware of a National guideline or State Guidelines / policies for the administration of Faecal Microbiota Transplant (FMT)?
Is any site doing FMT maintaining a donor register for long term follow-up of donors?
Is any site doing FMT maintaining a prospective adverse events register for recipients?Any policies, procedures, guidelines that you might have would be greatly appreciated if you are able to share
Many thanks in anticipation,
RitaRita Roy
Clinical Nurse Consultant | Infection Control
Hornsby Ku ring gai Health Service, Palmerston Road, Hornsby NSW 2076
Tel (02) 9477 9232 | Fax (02) 9477 9013 Rita.Roy@health.nsw.gov.au
http://www.health.nsw.gov.auClick here to visit the Infection Prevention and Control page on the Intranet
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Hi Louis,
We have pet therapy program happy to share will forward our policy to you.
Jayne
Jayne OConnor RN, BSc.Inf.Cont.
Acting Co ordinator IPC
Sydney Adventist Hospital
185 Fox valley Rd,
Wahroonga 2076Dear All
Wondering if anyone might have a pet therapy/visitation policy that they would be willing to share. Our rehab campus are wanting to allow an external organisation to bring dogs into the hospital. Love to hear from people who are running such a program. Thanks
Kind regards
Louis Geri | Infection Prevention & Control Clinical Coordinator
Cabrini Health
183 Wattletree Rd, Malvern VIC 3144
Ph 0417 166 481 | 9508 1632 | Fax: 9508 8563 | lgeri@cabrini.com.auPlease consider the environment before you print this e-mail.
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