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Hi Jennifer,
Thank you for your response.
We generally don’t swab either but one of our open heart team volunteers asked the questions as they had been involved with a case recently OS and wanted to know if we should be swabbing this group of staff on their return. We would be opening a whole new can of worms if we did I’m sure?
JayneHi Jayne.
Im wondering why you ask this question.
I take health care workers to Vietnam and I have never heard of a requirement to screen them coming home.
We do not screen any of our employees for MRSA at anytime and I have only heard of it done as a prerequisite for working in Western Australia.
Ive only heard of it be considered as a last resort in outbreak investigation in the Eastern states
Jennifer Benjamin.
IPAC CNC
Eastern HealthG’day Brains Trust,
Does anyone have or know of a MRSA policy for staff returning to work following volunteer work overseas for charity groups delivery hands on health care?
Would love to hear from the experts.
Kind Regards
Jayne
Jayne OConnor RN, BSc.Inf.Cont.
Acting Co ordinator IPC
Sydney Adventist Hospital
185 Fox valley Rd,
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Thanks Joe,
I suspect we may have to do similar once we have gathered all the evidence, as we understand it, wound field concept is OK to use on chronic wounds i.e. in the community setting but not for acute surgical wounds? Wound field concept has defiantly opened the debate here at our facility. Watch this space!!
Many Thanks
Jayne
Dear Jayne
This was published in 2009. Wound Field Concept was developed for community wound dressings
We had to re-teach nursing students aseptic technique when they came into the hospitals.We now ask students what they were taught at Uni and we find now that they are all taught aseptic technique.
Wound Field Concept has caused a lot of controversyThanks
Joe
Joe-Anne Bendall
(Monday – Wednesday)
HAI Project Officer | Clinical Nurse Consultant Infection Prevention and Control
Clinical Governance Unit(Thursday/Friday)
Joe-anne Bendall | Clinical Nurse Consultant Infection Prevention and Control
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.AUDear Colleagues,
‘Wound field theory’ has raised its head again in our facility and we wish to seek advice, it is apparently being taught in universities across NSW???
I’d be interested in your thoughts on wound field theory/concept.
Does your facility teach it ?
How does this fit with aseptic technique and aseptic non touch technique?
Kind regards
JayneJayne O’Connor BSc. Infection Control, RN
CNC IPC Sydney Adventist Hospital
185 Fox valley Rd
Wahroonga
NSW 2076Tel:(02) 9487 9433; Mob 0406 752 685
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Hi Sara,
Not sure I’ve heard of this being an issue, but would recommend the use of over shoes & good old fashioned hand hygiene after they have removed overshoes.
Kind regards
Jayne
Jayne O’Connor, RN, BSc. Infection ControlCNC- IPC
Sydney Adventist Hospital
185 Fox Valley Rd
Wahroonga
NSW 2076
Good Morning all,
Some of the surgeons have suggested that it would be a good idea to spray their shoes after going to the bathroom etc. prior to re-entering the theatre. Therefore the theatre Manager has asked me what could be used, so I am asking if any of you follow this practice at all and if so suggestions on brands via private email would be greatly appreciated.
Thank you for any thoughts on this matter
Regards
Sara
Sara Godden
Infection Control Coordinator – CICP
Acting Stomal Therapy Nurse
Brisbane Private hospital
259 Wickham Terrace
Brisbane QLD 4000
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Hi Tim,
Why can’t a fob watch be worn? They are tax deductable and some very trendy looking ones available now?We discourage wearing of wrist watches as can impede hand hygiene. I know you’re referring to non touch technique but if they don’t remove the watch during hand hygiene how can you guarantee that hand hygiene has been carried out correctly, also the wrist may remain wet beneath the watch which poses other issues in my mind.
However this is what NSW Health policy states for hand hygiene!
Other hand, wrist or forearm jewellery must not be worn by healthcare professionals providing
direct patient care unless required for patient care (eg. watch) or medically essential (eg.
medical alert bracelet). These must be removable and able to be cleaned.Kind regards
Jayne
Jayne O’Connor, RN, BSc. Infection Control
CNC- IPC
Sydney Adventist Hospital
185 Fox Valley Rd
Wahroonga
NSW 2076
Hi Infection Controllers,
Is removing a wrist watch required for a non-sterile, non-touch procedure?
If appropriate hand hygiene has been performed (hand gel or alcohol-based hand rub) and the clinician is wearing non-sterile gloves, does the wrist watch need to be removed if its required for the procedure i.e counting seconds for the procedure
This is for a scrub the hub principles..
Thoughts, recommendations or guideline quotes are welcomed.
Regards,
Tim..Timothy R. Spencer, RN, APN, DipAppSci, Bach.Health, ICCert.
Clinical Nurse Consultant, Central Venous Access & Parenteral Nutrition Service
Conjoint Lecturer, South West Sydney Clinical School | Faculty of Medicine | University of NSW
Dept of Intensive Care, Level 2, Clinical Building, Liverpool Hospital, Elizabeth Street, Liverpool, 2170, NSW, Australia
Tel (+61) 2 8738 3603 | Fax (+61) 2 8738 3551 | Mob +61 (0)409 463 428 | Tim.Spencer@sswahs.nsw.gov.au | Timothy.Spencer@unsw.edu.au
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Hi Rosie
Just to add, with the protocol we followed ( in my previous life) compliance was an issue until we were fortunate enough to employ a nurse specifically to maintain our MRSA protocol, this involved education of staff and patients/relatives, commencing the patient on the protocol early with follow up in the community if needed and close monitoring while they were inpatients. I understand this may not be appropriate in all settings but it was very successful and our MRSA infection rates were halved over a 3 year period.
Jayne
________________________________
Hi Rosie,
Our facilities policy is to use triclosan 1% for all our MRO patients. I have used chlorhexidene wash as part of a decolonisation protocol too.
Kind regards
Jayne
Jayne O’Connor RN, BSc. Infection control
CNC IPC
Sydney Adventist Hospital
185 fox valley rd
Wahroonga
NSW 2076________________________________
Hello
We have been using 3% hexachlorophene body wash as part of the topical decolonisation therapy for selected MRSA carriers who meet a specific for over 20 years. The supply is no longer available. Suggested alternatives are 1% Triclosan or Chlorhexidene. I wanted to get a feel on what others are using around Australia so hoping you can share the information. It is difficult to measure success but if you have done so it would be great to hear about it.
Regards
Rosie
Rosie Lee
RN. BSc. CICP
Coordinator – Infection Prevention & Management
SMH Service – Royal Perth HospitalPh + 61 8 9224 2805 Fax + 61 8 9224 1989
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Hi Rosie,
Our facilities policy is to use triclosan 1% for all our MRO patients. I have used chlorhexidene wash as part of a decolonisation protocol too.
Kind regards
Jayne
Jayne O’Connor RN, BSc. Infection control
CNC IPC
Sydney Adventist Hospital
185 fox valley rd
Wahroonga
NSW 2076________________________________
Hello
We have been using 3% hexachlorophene body wash as part of the topical decolonisation therapy for selected MRSA carriers who meet a specific for over 20 years. The supply is no longer available. Suggested alternatives are 1% Triclosan or Chlorhexidene. I wanted to get a feel on what others are using around Australia so hoping you can share the information. It is difficult to measure success but if you have done so it would be great to hear about it.
Regards
Rosie
Rosie Lee
RN. BSc. CICP
Coordinator – Infection Prevention & Management
SMH Service – Royal Perth HospitalPh + 61 8 9224 2805 Fax + 61 8 9224 1989
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Hi Gerald,
We are a 350 bed private facility with two FTEs for IPC and 1 FTE for
staff health who carries out immunisations for the facility along with
other duties e.g. NSI, body substance exposures.Hope this helps
Kind Regards
Jayne O’Connor RN, BSc
IPC CNC
Sydney Adventist Hospital
Wahroonga
NSW 2076
________________________________
Behalf Of Gerald Chan
Dear all,
I’m keen to know what are the current Infection Control staffing ratios
utilised by hospitals with 300-400 beds (happy for those with more beds
to respond to this as well).If you could specify your:
– number of beds:
– FTE:
(Does this include an immunisation nurse? Y/N)
(If yes, please specify that FTE: )
I’ve seen various reports specifying ideal IC staff to bed ratios but
would be keen to know what’s actually happening at ground level.Thank you.
Regards,
Gerald
Gerald Chan
Coordinator Infection Control
St John of God Murdoch Hospital
100 Murdoch Drive
MURDOCH. WA 6150P: 9366 1552
M: 0405 495 906 (7804)
F: 9311 4685W: http://www.sjog.org.au/murdoch
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Hi Michael,
We don’t routinely isolate patients with history of CDI unless they are
symptomatic. Being a private facility most of our rooms are single so it
would be a matter of commencing them on transmission based precautions.Kind regards
Jayne O’Connor RN, BSc infection control
CNC -IPC
Sydney Adventist Hospital,
Fox Valley rd,
Wahroonga
NSW 2076
T: 02 9487 9433
M:0406 752 685
________________________________
Behalf Of Michael Wishart
Hi
Moving to a new facility is always interesting, as things are done
differently. Now I get to challenge my own thinking!Can I ask if any facilities routinely place into single rooms on
readmission patients who have had previous Clostridium difficile
infection (CDI)?I cannot find this supported in the 2010 SHEA/IDSA Clinical Practice
guidelines
(http://www.cdc.gov/HAI/pdfs/cdiff/Cohen-IDSA-SHEA-CDI-guidelines-2010.p
df), but then again it is not specifically mentioned (apart from
screening asymptomatic patients and staff not being useful).Does any facility have a process for identifying patients in future
admissions who had previously had CDI, and managing them differently
regardless of status of diarrhoea??Thanks for any thoughts on this.
Cheers
Michael
Michael Wishart
CNC Infection Control
Holy Spirit Northside Private Hospital
627 Rode Road, Chermside, Qld 4032
t: (07) 3326 3068 | f: (07) 3326 3523
w:www.holyspiritnorthside.org.au
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