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  • in reply to: Lanyards #81451
    Jennifer McCarthy
    Participant

    Author:
    Jennifer McCarthy

    Email:
    jenny@maryvaleph.com.au

    Organisation:
    Maryvale Private Hospital

    State:

    Thanks to everyone who has commented re lanyards – it has been very helpful
    Jenny

    Jenny McCarthy
    Infection Prevention and Control Coordinator

    [cid:image001.png@01D8E493.A66E94E0]
    p | 5132 1200
    e | jenny@maryvaleph.com.au
    a | 286 Maryvale Road, Morwell, VIC 3840

    http://www.maryvaleph.com.au
    Maryvale Private Hospital acknowledges the traditional owners of country, the Gunaikurnai nation,
    and recognises their continuing connection to land, waters and culture.
    We pay our respects to their Elders past, present and emerging.

    Hi Jenny,
    As per CEC Infection Prevention and Control hand book, p. 85
    https://www.cec.health.nsw.gov.au/__data/assets/pdf_file/0010/383239/IPC-Practice-Handbook-2020.PDF
    “The wearing of ties and lanyards in the clinical setting is not recommended.
    Evidence suggests that ties and lanyards can be contaminated during patient care, and in turn can carry infectious material between patients (117-119).”

    References
    117. Pepper T, Hicks G, Glass S, Philpott-Howard J. Bacterial contamination of fabric and metal-bead identity card lanyards: A cross-sectional study. Journal of Infection and Public Health.7(6):542-6. 215 IPC Practice Handbook January 2020 Not controlled if printed
    118. Weber RL, Khan PD, Fader RC, Weber RA. Prospective study on the effect of shirt sleeves and ties on the transmission of bacteria to patients. Journal of Hospital Infection.80(3):252-4.
    119. Koh KC, Husni S, Tan JE, Tan CW, Kunaseelan S, Nuriah S, et al. High prevalence of methicillin- resistant Staphylococcus aureus (MRSA) on doctor’s neckties. Medical Journal of Malaysia. 2009;64(3):233- 5.
    Regards
    Suzanne

    Suzanne Alexander
    Clinical Nurse Consultant | Infection Management and Control Service
    Level 1 Lawson House Wollongong Hospital, Crown Street Wollongong.
    Tel. 02 4222 5898 pager:182 Mobile: 0475 943 479

    Suzanne.Alexander@HEALTH.NSW.GOV.AU
    http://www.health.nsw.gov.au Link to resources
    [cid:image001.jpg@01D8E48B.8A4340C0] [covid 19]
    [https://www.health.nsw.gov.au/Infectious/covid-19/PublishingImages/covid-19-email-tile.png]

    You don’t often get email from jenny@maryvaleph.com.au. Learn why this is important
    Good morning all
    Just after some advice on lanyards – yes or no?
    We have not used them here in years, but our relatively new exec team want to reintroduce them.
    They have said they will be of a silicone material and can be wiped down regularly (not sure how that will go!!!)
    Does anyone have any recent articles/research regarding this that I could use?
    Thanks
    Jenny

    Jenny McCarthy
    Infection Prevention and Control Coordinator

    [cid:image001.png@01D8E45D.7546DF20]
    p | 5132 1200
    e | jenny@maryvaleph.com.au
    a | 286 Maryvale Road, Morwell, VIC 3840

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    Maryvale Private Hospital acknowledges the traditional owners of country, the Gunaikurnai nation,
    and recognises their continuing connection to land, waters and culture.
    We pay our respects to their Elders past, present and emerging.

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    in reply to: Transport of instruments between hospitals. #78253
    Jennifer McCarthy
    Participant

    Author:
    Jennifer McCarthy

    Email:
    jenny@maryvaleph.com.au

    Organisation:
    Maryvale Private Hospital

    State:

    Hi Brigid – our policy is to resterilise anything that comes from another facility – even if its sealed in plastic
    Jenny

    Jenny McCarthy
    Infection Prevention and Control Coordinator

    [cid:image001.png@01D783CA.D5DEA650]
    p | 5132 1200
    e | jenny@maryvaleph.com.au
    a | 286 Maryvale Road, Morwell, VIC 3840

    http://www.maryvaleph.com.au
    Maryvale Private Hospital acknowledges the traditional owners of country, the Gunaikurnai nation,
    and recognises their continuing connection to land, waters and culture.
    We pay our respects to their Elders past, present and emerging.

    Hello Brains truss,

    Could someone please point me in the right direction for standards for transporting instrument trays and RMD’s between hospitals? I understand they must be reprocessed prior to use in the next hospital as sterility cannot be guaranteed. Though some staff members are saying if transported in sealed plastic dust covers it is ok to use. I disagree, though the 4187 standards are a bit generic in this aspect.

    My belief was that if to be transported from one hospital to another, many factors needed to be taken into account including , transport vehicle, humidity etc. The hospitals are about 30mins apart.

    Thanks

    Brigid Robertson

    Brigid Robertson | Clinical Nurse Educator Perioperative Services
    Palmerston Regional Hospital | Top End Health Service

    Ph: (08) 7979 9619
    e … brigid.robertson@nt.gov.au
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    in reply to: RACF Staff across multiple campus’ #77170
    Jennifer McCarthy
    Participant

    Author:
    Jennifer McCarthy

    Email:
    jenny@maryvaleph.com.au

    Organisation:
    Maryvale Private Hospital

    State:

    Hi Sarah – the DHHS have put out “Movement of healthcare workers and health service employees during coronavirus (COVID-19) pandemic – 8 August 2020
    Jenny

    Jenny McCarthy | Infection Prevention and Control Coordinator
    Maryvale Private Hospital
    286 Maryvale Rd, Morwell VIC 3840
    P.O. Box 348, Morwell, VIC, 3840
    t +61 (0)3 51321235 f +61 (0)3 51339505
    e jenny@maryvaleph.com.au

    Maryvale Private Hospital acknowledges the traditional owners of country, the Gunaikurnai nation, and recognises their continuing connection to land, waters and culture.
    We pay our respects to their Elders past, present and emerging.

    [cid:SignatureMPH_c3098e90-9dc7-415d-877d-27e2a4e7930c.jpg]

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    Hi Team,

    I am after some advice regarding staff working across multiple sites in RACF.

    We are Victorian based, and lucky enough to be in an area of no known active cases but am cautious at the idea of ‘sharing’ staff.
    Does the department currently have any recommendations out, or is it up to each facility to determine the risk?

    Kind regards,

    Sarah Bulzomi
    Infection Control Officer (Wednesdays)
    [cid:image001.png@01D56E25.E2C982C0]

    Robinvale District Health Services
    PO Box 376, Robinvale VIC 3549
    Mobile:

    [cid:image002.png@01D56E25.E2C982C0]
    Robinvale District Health Services would like to acknowledge the Traditional Custodians of the land and pay our respects to Elders past, present and emerging.

    P If this document is not required for record keeping purposes, please consider the environment before printing.

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    in reply to: COVID testing #76825
    Jennifer McCarthy
    Participant

    Author:
    Jennifer McCarthy

    Email:
    jenny@maryvaleph.com.au

    Organisation:
    Maryvale Private Hospital

    State:

    Hi Rachel – as Cathy said the Victorian government is doing a screening process to get a snapshot of what is going on in the community before they start to ease restrictions. From my research today it seems there is no need for them to isolate until they get their test results – thanks to all who have replied
    Jenny

    Maryvale Private Hospital acknowledges the traditional owners of country, the Gunaikurnai nation, and recognises their continuing connection to land, waters and culture.
    We pay our respects to their Elders past, present and emerging.

    [cid:SignatureMPH_c3098e90-9dc7-415d-877d-27e2a4e7930c.jpg]

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    Hi Jenny,

    I wonder why this HCW was accepted for testing if they were symptom free? Maybe each jurisdiction are doing their own thing in this regard. In Tasmania, this person would not have met testing criteria if no symptoms and no other risk factors for COVID-19

    If this HCW has symptoms or are a confirmed close contact of a COVID-19 case or have other risk factors for COVID-19 then they should wait until their results are available.

    Interested to understand more about the decision to test this HCW.

    Kind regards
    Rachel

    ……………………………………………………………………………..
    Rachel Thomson
    Nurse Unit Manager

    Infection Prevention & Control Unit
    Royal Hobart Hospital
    Tasmanian Health Organisation-South

    *: 03 6166 7882/ 6166 8658

    Level 4, H Block
    48 Liverpool Street
    Hobart, 7000

    Hi all
    I have a staff member who is feeling quite well but decided to be tested for COVID-19 at one of the shopping centre testing areas they have set up. She assumed she would have a result within 2 days but has been told it may be up to a week. One of my colleagues has told her she cannot return to work until she has her result – does this sound right to everyone?
    Thanks in advance for your expertise and comments
    Jenny

    Maryvale Private Hospital acknowledges the traditional owners of country, the Gunaikurnai nation, and recognises their continuing connection to land, waters and culture.
    We pay our respects to their Elders past, present and emerging.
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    in reply to: Re-using PPE #76592
    Jennifer McCarthy
    Participant

    Author:
    Jennifer McCarthy

    Email:
    jenny@maryvaleph.com.au

    Organisation:
    Maryvale Private Hospital

    State:

    Hi Fiona – I have just heard that a group in the US is suggesting putting the N95 mask through a sterrad cycle- thoughts anyone?
    Jenny McCarthy

    Sent from my iPhone

    Maryvale Private Hospital acknowledges the traditional owners of country, the Gunaikurnai nation, and recognises their continuing connection to land, waters and culture.
    We pay our respects to their Elders past, present and emerging.

    [cid:SignatureMPH_c3098e90-9dc7-415d-877d-27e2a4e7930c.jpg]

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    On 27 Mar 2020, at 4:04 pm, Infection Control <infectioncontrol@arcadiapittwater.com.au> wrote:

    Hi Fiona,

    The CDC has the following information:

    Strategies for Optimizing the Supply of Facemasks
    https://www.cdc.gov/coronavirus/2019-ncov/hcp/ppe-strategy/face-masks.html

    Strategies for Optimizing the Supply of N95 Respirators
    https://www.cdc.gov/coronavirus/2019-ncov/hcp/respirators-strategy/index.html

    Checklist for Healthcare Facilities: Strategies for Optimizing the Supply of N95 Respirators during the COVID-19 Response https://www.cdc.gov/coronavirus/2019-ncov/hcp/checklist-n95-strategy.html

    There are links regarding isolation gowns & protective eyewear as well.
    There are strategies for conventional, contingency & crisis capacity.

    Susan

    Susan Farrugia
    Infection Control Coordinator
    Arcadia Pittwater Private Hospital
    4 Daydream Street
    Warriewood NSW
    Infectioncontrol@arcadiapittwater.com.au

    [cid:image001.jpg@01D6044D.B744F170]

    Hi Fiona,

    The Dutch are investigating this:

    https://www.linkedin.com/posts/timhoreman_rivm-rdgg-lumc-activity-6647000197740142592-L_rT

    Kind Regards
    Terry McAuley
    Director
    MSc Medical Device Decontamination

    PO BOX 2249, Greenvale, VIC Australia 3059

    [cid:image001.png@01D60066.D7BF7000]

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    Hi all,

    It has been suggested to me that with PPE shortages associated with Coronavirus that we may need to decontaminate and re-use PPE.

    Although this goes against all my infection control experience and training, I am interested to hear from any site that may be investigating this.

    What method of decontamination is being considered / investigated?

    How do you know it has been effective in decontamination?

    How do you know the PPE item is still effective for protecting staff?

    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_control

    IPCU By working together we promote a culture of safety to reduce preventable infections and transmission of multi-resistant organisms

    Sent from my iPhone

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    in reply to: Mask shortages and the Operating Suite #76233
    Jennifer McCarthy
    Participant

    Author:
    Jennifer McCarthy

    Email:
    jenny@maryvaleph.com.au

    Organisation:
    Maryvale Private Hospital

    State:

    Hi Terry- am I missing something here? Why are theatre staff using N95 masks in the OR?

    Sent from my iPhone

    Maryvale Private Hospital acknowledges the traditional owners of country, the Gunaikurnai nation, and recognises their continuing connection to land, waters and culture.
    We pay our respects to their Elders past, present and emerging.

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    On 31 Jan 2020, at 4:26 pm, Lincoln Fowler <Lincoln.Fowler@calvary-act.com.au> wrote:

    Hi Terry
    Maybe there are some useful ideas in this article:
    https://www.cdc.gov/niosh/topics/hcwcontrols/recommendedguidanceextuse.html

    Lincoln Fowler
    Infection Control and Staff Health Coordinator CBPH
    Infection Prevention, Control & Staff Health Department

    [cid:image001.jpg@01D5D842.BA05EF90]Calvary
    Public Hospital Bruce
    Cnr Belconnen Way & Haydon Drive Bruce ACT 2617
    PO Box 254 Jamison Centre ACT 2614
    P: 02 6245 3117 F: 02 6201 6702
    E: lincoln.fowler@calvary-act.com.au
    http://www.calvary-act.com.au

    Hi Everyone,

    I am hearing about mask shortages and this is impacting on my Day Surgery clients, as they are being told that their orders may not be able to be filled because demand is outstripping supply.

    Consequently, I am being asked what strategies could be implemented to conserve masks to avoid running out and not being able to perform surgical procedures.

    There are obvious conservation strategies we could implement such as anaesthetic team members not wearing masks unless in close proximity to the sterile field or at risk from aerosols or plume; wearing the same mask for more than one patient for short cases such as ophthalmic surgery etc; however I am concerned that if we enact these interim conservation measures there will be push back to correct usage of surgical masks when we return to business as usual.

    Do the brains trust have any thoughts re this or other conservation strategies that are being implemented in other Operating Suites?

    Kind Regards
    Terry McAuley
    Director
    MSc Medical Device Decontamination

    PO BOX 2249, Greenvale, VIC Australia 3059

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    in reply to: Compactus storage Theatre Suites #76186
    Jennifer McCarthy
    Participant

    Author:
    Jennifer McCarthy

    Email:
    jenny@maryvaleph.com.au

    Organisation:
    Maryvale Private Hospital

    State:

    Hi Liz
    We have wire shelving in our SSR

    Kind regards,
    Jenny McCarthy
    Operating Room Manager/Infection Prevention and Control Coordinator
    Maryvale Private Hospital
    PO Box 348, Morwell, 3840
    286 Maryvale Rd. Morwell, 3840
    T +61 3 5132 1283 | F +61 3 5132 1281
    E jenny@maryvaleph.com.au

    Maryvale Private Hospital acknowledges the traditional owners of country, the Gunaikurnai nation, and recognises their continuing connection to land, waters and culture.
    We pay our respects to their Elders past, present and emerging.

    [cid:SignatureMPH_c3098e90-9dc7-415d-877d-27e2a4e7930c.jpg]

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    Dear 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
    [Description: achs][Description: equip]
    QIC Standards
    [Description: qic]
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    in reply to: VMO hand hygiene #75982
    Jennifer McCarthy
    Participant

    Author:
    Jennifer McCarthy

    Email:
    jenny@maryvaleph.com.au

    Organisation:
    Maryvale Private Hospital

    State:

    Hi Helen interested to see comments here as we are actually going through accreditation yesterday/ today and this has been the only issue for me with Standard 3. We are a small private hospital and dont employ our VMOs so have not undertaken any HH or ANTT education with them ( we have audited HH and ANTT with anaesthetists).
    The surveyors have said we need to show we have provided them with education so any tips would be appreciated
    Thanks
    Jenny

    Kind regards,
    Jenny McCarthy
    Operating Room Manager/Infection Prevention and Control Coordinator
    Maryvale Private Hospital
    PO Box 348, Morwell, 3840
    286 Maryvale Rd. Morwell, 3840
    T +61 3 5132 1283 | F +61 3 5132 1281
    E jenny@maryvaleph.com.au

    Maryvale Private Hospital acknowledges the traditional owners of country, the Gunaikurnai nation, and recognises their continuing connection to land, waters and culture.
    We pay our respects to their Elders past, present and emerging.

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    From: ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] On Behalf Of Thomson, Rachel EA
    Sent: Friday, 8 November 2019 10:41 AM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: Re: [ACIPC_Infexion_Connexion] VMO hand hygiene

    Hi Helen,

    Our organisation has used the HHA on-line assessment program for some time. We have managed to link the completions to our organisations on-line education system for reporting. This is all done by an extracted report and uploading to our on-line education system.

    Completion compliance by medical staff is appalling!!

    Many doctors (and others to be fair) think that the HHA on-line module is too lengthy and complicated. The argument we hear is that when staff are trying to juggle the numerous mandatory education requirements this is seen as a barrier to engagement.

    Many of our doctors would like to be seen as up to date if they sit through a brief update, rather than have to complete something formal on-line.

    I guess that the issue in relation to lack of completion by medical staff comes down to is leadership and governance, so maybe making sure that you have good engagement from your senior medical leadership is key!

    Id love to know what pathway you end up going down to build medical engagement with this, please keep us posted!

    Kind regards
    Rachel

    ..
    Rachel Thomson
    Nurse Unit Manager

    Infection Prevention & Control Unit
    Royal Hobart Hospital
    Tasmanian Health Organisation-South

    : 03 6166 7882/ 6166 8658

    Mobile: 0400 718 574
    Email: rachel.thomson@ths.tas.gov.au

    Level 4, H Block
    48 Liverpool Street
    Hobart, 7000

    From: ACIPC Infexion Connexion On Behalf Of Michael Wishart
    Sent: Friday, 8 November 2019 8:22 AM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: Re: [ACIPC_Infexion_Connexion] VMO hand hygiene

    [Posted on behalf of member Moderator]

    Hi ,

    We have asked VMOs to forward us their online hand hygiene certificate for the last 4 years with a 30% return rate. It is getting better but it takes time. Ive even had to sit at the computer with a few of the senior VMOs and go through it.
    Good luck

    Jane Howard
    Infection Control
    Sydney Private Hospital

    ________________________________
    From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> on behalf of Helen Roberts <robertsh@SATH.ORG.AU>
    Sent: Thursday, 17 October 2019 1:31:49 PM
    To: ACIPCLIST@ACIPC.ORG.AU <ACIPCLIST@ACIPC.ORG.AU>
    Subject: [ACIPC_Infexion_Connexion] VMO hand hygiene

    Hi everyone,

    I have been asked to look at VMOs to undertake an annual mandatory and Hand Hygiene module as part of credentialing process.

    Just wondering what other hospitals do?

    I have email Hand Hygiene Australia to see what they recommended.

    Any suggestion would be appreciated.

    Kind regards,

    Helen

    Helen Roberts

    Infection Control

    P:

    07 4646 3106

    |

    F:

    07 4633 7602

    E:

    robertsh@sath.org.au

    |

    W:

    http://www.sath.org.au

    Post:

    PO Box 263, Toowoomba, QLD 4350

    Address:

    280 North St, Toowoomba, QLD 4350

    [cid:image561693.jpg@853736FD.CC41FBB8]

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    in reply to: Re: Alcohol hand rub in CSSD #75544
    Jennifer McCarthy
    Participant

    Author:
    Jennifer McCarthy

    Email:
    jenny@maryvaleph.com.au

    Organisation:
    Maryvale Private Hospital

    State:

    Thanks everyone for your responses – it’s reassuring to hear your thoughts
    Jenny

    Kind regards,
    Jenny McCarthy
    Operating Room Manager/Infection Prevention and Control Coordinator
    Maryvale Private Hospital
    PO Box 348, Morwell, 3840
    286 Maryvale Rd. Morwell, 3840
    T +61 3 5132 1283 | F +61 3 5132 1281
    E jenny@maryvaleph.com.au

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    Hi Everyone,

    My response to being told that you can’t use ABHR in CSSD is ‘where’s the evidence?’

    If you read the ingredients of liquid soap you will also find it contains emollients.

    I remember vividly watching a demonstration at a polypropylene sterilisation wrap factory of the impact of liquid soap in the permeability of the product when applied directly to the surface. However – who would ever think to apply liquid soap to a sterilisation wrap?

    Long story short, they wouldn’t and the hand hygiene process would ensure that clean, dry hands are no risk to the sterile barrier.

    Therefore I am of the opinion that YES, CSSD staff can use an ABHR when appropriate in the CSSD workspaces, as long as they use the product correctly and ensure their hands are dry before touching sterile barrier systems and RMDs.

    If CSSD staff can’t use an ABHR because there’s an emollient in it, then it follows that anybody touching a CSSD produced sterile package should not be allowed to use ABHR.

    IF someone has evidence to the contrary – please share.
    Kind Regards
    Terry McAuley
    Director
    MSc Medical Device Decontamination

    PO BOX 2249, Greenvale VIC Australia 3059

    [cid:image001.png@01D3B9DC.14E0B210]

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    This correct most ABHR have an emollient of some description which may compromise sterile wrap. CSSD staff should have available a handwashing sink.

    Liz Vanderlinde
    Infection Prevention Control Co-ordinator
    North West Private Hospital
    [Description: hca_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
    [Description: achs][Description: equip]
    QIC Standards
    [Description: qic]

    Hello – just after some advice on using the 70% alcohol hand rub in CSSD. I was under the impression it would be acceptable to use but my CSSD staff have said they were told as it has a moisturiser component it can’t be used. I am aware that straight moisturiser can’t be used during the shift – any thoughts?
    Thanks
    Jenny

    Kind regards,
    Jenny McCarthy
    Operating Room Manager/Infection Prevention and Control Coordinator
    Maryvale Private Hospital
    PO Box 348, Morwell, 3840
    286 Maryvale Rd. Morwell, 3840
    T +61 3 5132 1283 | F +61 3 5132 1281
    E jenny@maryvaleph.com.au

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    in reply to: Alcohol hand rub in CSSD #75538
    Jennifer McCarthy
    Participant

    Author:
    Jennifer McCarthy

    Email:
    jenny@maryvaleph.com.au

    Organisation:
    Maryvale Private Hospital

    State:

    Thanks Liz – they do have a hand washing sink available – but only in the decontamination area. Their issue is doing HH when entering in the clean/wrapping area and when entering the sterile store.

    Kind regards,
    Jenny McCarthy
    Operating Room Manager/Infection Prevention and Control Coordinator
    Maryvale Private Hospital
    PO Box 348, Morwell, 3840
    286 Maryvale Rd. Morwell, 3840
    T +61 3 5132 1283 | F +61 3 5132 1281
    E jenny@maryvaleph.com.au

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    * Please consider the environment before printing this email

    This correct most ABHR have an emollient of some description which may compromise sterile wrap. CSSD staff should have available a handwashing sink.

    Liz Vanderlinde
    Infection Prevention Control Co-ordinator
    North West Private Hospital
    [Description: hca_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
    [Description: achs][Description: equip]
    QIC Standards
    [Description: qic]

    Hello – just after some advice on using the 70% alcohol hand rub in CSSD. I was under the impression it would be acceptable to use but my CSSD staff have said they were told as it has a moisturiser component it can’t be used. I am aware that straight moisturiser can’t be used during the shift – any thoughts?
    Thanks
    Jenny

    Kind regards,
    Jenny McCarthy
    Operating Room Manager/Infection Prevention and Control Coordinator
    Maryvale Private Hospital
    PO Box 348, Morwell, 3840
    286 Maryvale Rd. Morwell, 3840
    T +61 3 5132 1283 | F +61 3 5132 1281
    E jenny@maryvaleph.com.au

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    in reply to: FW: Laundry Audits #74999
    Jennifer McCarthy
    Participant

    Author:
    Jennifer McCarthy

    Email:
    jenny@maryvaleph.com.au

    Organisation:
    Maryvale Private Hospital

    State:

    Hi Fiona – I too would be interested in any auditing tools out there
    Jenny

    Kind regards,
    Jenny McCarthy
    Operating Room Manager/Infection Prevention and Control Coordinator
    Maryvale Private Hospital
    PO Box 348, Morwell, 3840
    286 Maryvale Rd. Morwell, 3840
    T +61 3 5132 1283 | F +61 3 5132 1281
    E jenny@maryvaleph.com.au

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    * Please consider the environment before printing this email

    Hi All,

    We are currently looking at alternative tools for auditing 3rd party laundry premises. Does anyone have a tool they would be willing to share?

    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_control

    IPCU – ‘By working together we promote a culture of safety to reduce preventable infections and transmission of multi-resistant organisms’

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    in reply to: Re: AS/ NZ 4187 2014 #72775
    Jennifer McCarthy
    Participant

    Author:
    Jennifer McCarthy

    Email:
    jenny@maryvaleph.com.au

    Organisation:
    Maryvale Private Hospital

    State:

    Hi all
    The other issue we are having with testing the quality of water is the
    need to test the “final water rinse” (Table 7.2)
    My understanding is this refers to the final rinse in the instrument
    washers cycle. Our particular washer (Miele) do not allow us to access
    the rinse water – is this how others understand this requirement?
    thanks
    Jenny

    Kind regards,
    Jenny McCarthy
    Operating Room Manger/Infection Prevention and Control Coordinator
    Maryvale Private Hospital
    PO Box 348, Morwell, 3840
    286 Maryvale Rd. Morwell, 3840
    T +61 3 5132 1283 | F +61 3 5132 1281
    E jenny@maryvaleph.com.au

    ________________________________

    Behalf Of Michael Wishart

    Hi Jenny

    I asked this question of my CSSD manager, who was a SRACA
    representative on the committee for this Standard. His reply is below. I
    believe you would be best to refer to the ISO / BN guidances for a
    fuller picture.

    Cheers
    Michael

    Michael Wishart

    Infection Control Coordinator

    Holy Spirit Northside Private Hospital

    627 Rode Road, Chermside, Qld 4032

    t: (07) 3326 3068 | f: (07) 3326 3523

    e: Michael.Wishart@hsn.org.au

    w:www.holyspiritnorthside.org.au

    Please consider the environment before printing this email

    ________________________________

    Hi Michael,

    The section 7.2.3.1 refers to water quality for supply purposes for
    washers and sterilizer feeds. Not drinking water.

    There are tables in Section 7 that have been extracted and referenced to
    both ISO and BN standards for these purposes.

    One must remember that the definition of ‘potable’ water can be
    interpreted by Local Councils and in some places in Qld, the local
    ‘potable’ water is illegal to be given to livestock as it is classified
    as too high in various chemicals and compounds. Similarly by law, Public
    utilities do not report and will not disclose contaminants and only have
    to disclose if the water when it leaves there pump houses is ‘potable’.

    The water quality spoken about is for technical terms and not in regards
    to the necessary bacterial contamination. It is referenced to the
    specifics on what the water is to be used for that defines the ‘quality’
    of the water required. Picking a phrase out of the standards without
    the referencing is always going to be a debatable item with anyone
    having interpreted it differently.

    What are your thoughts

    Regards
    David L McNamara
    CSSD Manager
    Holy Spirit Northside Private Hospital
    p 07 3326 3904 | f 07 3326 3907
    a 627 Rode Road, Chermside Q 4032
    e david.mcnamara@svha.org.au
    wwww.holyspiritnorthside.org.au

    Any comments?

    Cheers
    Michael

    Michael Wishart

    Infection Control Coordinator

    Holy Spirit Northside Private Hospital

    627 Rode Road, Chermside, Qld 4032

    t: (07) 3326 3068 | f: (07) 3326 3523

    e: Michael.Wishart@hsn.org.au

    w:www.holyspiritnorthside.org.au

    Please consider the environment before printing this email

    ________________________________

    Jennifer Benjamin [jennifer.benjamin@MPS.COM.AU]

    7.2.3.1 says ” if local water is not of recognized suitable quality then
    tests will be conducted “.

    Local water for most is our drinking water. We have been on the water
    boards water quality site and all but the endotoxins is reported and we
    have requested if this information is available for our use (awaiting a
    reply)

    How are people testing their water??

    Jennifer Benjamin
    Infection Control Consulant
    Melbourne Pathology

    M: 0402000590

    Quality is in our DNA

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    in reply to: Dental curing lights #71967
    Jennifer McCarthy
    Participant

    Author:
    Jennifer McCarthy

    Email:
    jenny@maryvaleph.com.au

    Organisation:
    Maryvale Private Hospital

    State:

    Hi Terry
    We do use these lights when we do dentals. I don’t know how many types
    of lights there are but you could not sterilize ours as it is one unit.
    We do wipe if over after use and use a barrier.
    Jenny

    Jenny McCarthy

    OR Manager/Infection Prevention and Control Coordinator

    Maryvale Private Hospital

    ________________________________

    Behalf Of Terry McAuley

    Hi everyone,

    I have recently been asked a question about dental curing lights [these
    are the usually transparent rods that emit coloured light / UV to cure
    bonding agents].

    By definition, as there is risk of contact with mucosa, they should be
    treated as semi-critical items and in practice, you often see blood on
    these devices.

    As the new AS/NZS4187 has a very clear statement on the hierarchy of
    reprocessing on page 37 – it would require the curing lights to be
    cleaned and sterilised as they are mostly compatible with the process.

    In reality – many dental practices are putting barriers on the curing
    lights and then just wiping them over after each use – in which case
    this is not compliant with the requirements of the Standard., including
    AS/NZS4815:2006.

    I am keen to know what your dental clinics are doing with these devices.

    Thanks in anticipation.

    Regards

    Terry McAuley

    Sterilisation & Infection Prevention and Control Consultant

    STEAM Consulting

    E: terry@steamconsulting.com.au

    W: http://www.steamconsulting.com.au

    A: PO BOX 779

    Endeavour Hills

    VIC Australia 3802

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    in reply to: Re: Use of IV venflon catheter #71941
    Jennifer McCarthy
    Participant

    Author:
    Jennifer McCarthy

    Email:
    jenny@maryvaleph.com.au

    Organisation:
    Maryvale Private Hospital

    State:

    Hi Tim
    B Braun have a similar product which is used in our Operating Room. I
    have been aware of the difficulty in decontaminating the hub – the
    anaesthetists say it is better as they know the drug is going straight
    into the vein – as opposed to using the injection port which can be an
    issue if the IV is a bit dodgy! Thanks for your references and
    suggestions,
    Jenny

    Jenny McCarthy

    OR Manager/Infection Prevention and Control Coordinator

    Maryvale Private Hospital

    ________________________________

    Behalf Of Tim Spencer

    Hi Rosie,

    You are correct. The BD Venflon IV cannula has been widely used
    throughout Europe and the UK (well it was when I was there many years
    ago). Is it the Pro Safety or the standard ported cannula?

    This style of ported cannula has been around since the early 1980’s, so
    despite the recent addition of a safety aspect, it is still old
    technology (in regards to the port aspect).

    A ported cannula has significantly increased infection rates due to the
    inability to correctly scrub the hub or decontaminate the injection
    port, as well as port cap failure.

    Here is an Australian publication from NT in 2013 that may help in
    product purchase changes – Tay, S et al. Functional evaluation and
    practice survey to guide purchasing of intravenous cannulae, BMC
    Anesthesiology 2013, 13:49 http://www.biomedcentral.com/1471-2253/13/49

    There has also been reports from the UK of the ports failing – H. Adler,
    R. Cunningham, R. Parimkayala Valve failure in an injection port, Irish
    Journal of Medical Science June 2011, Volume 180, Issue 2, p 615

    http://link.springer.com/article/10.1007/s11845-010-0622-z

    These ported styles of cannula were likely introduced due to the higher
    number of UK physicians coming to work in WA (possibly due to clinician
    preference only) and have high infection and poor compliance rates, due
    to the difficult nature of port location. These are primarily placed in
    OT only (as you describe) and are not used in the general wards areas as
    far as I am aware.

    Although this may be a ‘convenient option’ for clinicians, it is not in
    the best interest of the patient, due to the higher risks associated
    with these types of cannulae.

    From the BD Europe website;
    http://www.bd.com/europe/safety/en/products/infusion/bdv_prosafety.asp

    * BD Vialon(tm) – Proven easy insertion and longer in dwell
    times1-4

    1) Maki D, Ringer M. Risk Factors for Infusion-related Phlebitis
    with Small Peripheral Venous Catheters. Annals of Internal Medicine.
    (1991); 114: 845-854.

    2) Gaukroger PB, Roberts JG, Manners TA. Infusion Thrombophlebitis:
    A Prospective Comparison of 645 Vialon(r) and Teflon(r) Canulae in
    Anesthetic and Postoperative Use. Anesthesia and Intensive Care.August
    (1988); 16(3).

    3) Stanley M, Meister E, Fuschuber K. Infiltration During
    Intravenous Therapy in Neonates: Comparison of Teflon(r) and Vialon(r)
    Catheters. Southern Medical Journal.September (1992); 85(9); 883-886.

    4) McKee JM, Shell JA, Warren TA, Campbell VP. Complications of
    Intravenous Therapy: A Randomized Prospective Study–Vialon vs. Teflon.
    Journal of Infusion Nursing. September (1989); 12: 288-2.

    Considering the ongoing changes in technology and increased focus on
    device and patient outcomes, these references are very old and dated. I
    agree with you that this as a huge risk for contamination and a breach
    of AT principles.

    The BD Nexiva cannula would seem to be a far better alternative (for
    patient and clinician), and still offering a safety option, various
    access points and improved securement.

    Timothy R. Spencer, RN, APN, DipAppSci, Bach.Health, ICCert, VA-BC.

    Independent Vascular Access Consultant
    President, Australian Vascular Access Society
    Conjoint Lecturer, South West Sydney Clinical School | Faculty of
    Medicine | University of NSW

    Director-at-Large, Vascular Access Certification Corporation (VACC)

    Representative – WoCoVA Global Strategic Committee
    M: +1 (623) 326 8889 (USA)

    M: +61 (0)409 463 428 (AU)
    E: tim.spencer68@icloud.com

    “Be a yardstick of quality. Some people aren’t used to an environment
    where excellence is expected.” – Steve Jobs

    Behalf Of Lee, Rosie

    Hello

    Recently I have been made aware of this practice following
    implementation of Aseptic Technique Policy. It appears in our theatres
    the Anaesthetists use the BD Venflon(tm) intravenous catheter with
    integrated injection port and valve for medication and this stays in the
    patient. I am told the caps are either being left open in Theatres for
    quick access by Anaesthetists or they popp off very frequently. In
    recovery nurses are observed continuing to use this to administer
    medication. I see this as a huge risk for contamination and a breach of
    AT principles.

    The BD representative states that this type of catheter is not used in
    other states of Australia but is common in UK and Europe. Is this
    correct?

    Have you come across this in your hospitals? If so have you ceased the
    use or do you advocate using the side extension tubing which has a hub
    that can be scrubbed?

    Regards

    Rosie Lee | Coordinator | Infection Prevention & Management
    Royal Perth Hospital

    Level 6, South Block, Wellington Street PERTH WA 6000
    T: (08) 9224 2805 | F: (08) 9224 1989
    E: rosie.lee@health.wa.gov.au
    http://www.rph.health.wa.gov.au |
    http://www.healthywa.wa.gov.au

    cid:image003.png@01CFD191.167DCCC0

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    in reply to: Skin prep #71035
    Jennifer McCarthy
    Participant

    Author:
    Jennifer McCarthy

    Email:
    jenny@maryvaleph.com.au

    Organisation:
    Maryvale Private Hospital

    State:

    thankyou to everyone who responded to my question – its given me a great
    basis for discusssion with the ortho surgeon !!

    ________________________________

    Behalf Of Matthias Maiwald (KKH)

    Hi John,

    I was actually considering remaining in the background for this
    particular discussion. You make very good points. The (potentially)
    increased incidence of skin reactions is interesting information that
    may be worth publishing if you can.

    One may want to bear in mind that different applications of skin
    antisepsis (e.g. blood culture collection, surgical skin prep, vascular
    catheter insertion) have different functional and physiological
    characteristics and requirements, and for surgical skin preparation
    (Jenny’s question), the question of chlorhexidine/alcohol versus
    povidone-iodine/alcohol is unresolved. Chlorhexidine/alcohol is an
    excellent choice, but iodine/alcohol should not be discounted for this
    purpose.

    Best regards, Matthias.

    Matthias Maiwald, MD, FRCPA

    Consultant in Microbiology

    Adj. Assoc. Prof., Natl. Univ. Singapore

    Department of Pathology and Laboratory Medicine

    KK Women’s and Children’s Hospital

    100 Bukit Timah Road

    Singapore 229899

    Tel. +65 6394 8725 (Office)

    Tel. +65 6394 1389 (Laboratory)

    Fax +65 6394 1387

    Behalf Of John Ferguson

    Dear Jenny

    The critical point is that when chlorhex is mixed with alcohol , there
    is no apparent benefit from exceeding 0.5%.

    The old literature on 2% C and lines related to an aqueous preparation.

    Furthermore, we found an increase in skin reactions to the more
    concentrated products (went to a poster).

    Matthias M will comment no doubt – he has recently published this piece
    that is of relevance – Maiwald M, Chan ESY. Pitfalls in evidence
    assessment: the case of chlorhexidine and alcohol in skin antisepsis
    (Leading Article). J. Antimicrob. Chemother. (2014) Advance Access.

    http://jac.oxfordjournals.org/content/early/2014/04/28/jac.dku121.abstra
    ct

    Kind regards

    John

    Dr John Ferguson

    Infectious Diseases & Microbiology

    +61 428 885573

    Behalf Of Tim Spencer

    Hi Jenny,
    There is lots of supportive evidence for 2%CHG in 70%IPA, particularly
    for invasive device skin preparation (CVC/PICC/PIVC,ICC/Epidural,
    etc,etc..)
    Here is a link to Dr William Jarvis discussing the differences of
    various skin preps.
    http://www.medscape.com/viewarticle/761489
    There is both a video of the discussion..
    To cut to the conclusion;
    The findings were very interesting. Of greatest importance, the
    investigators found that all products (0.5% chlorhexidine with ethanol,
    1% chlorhexidine with ethanol, and 2% chlorhexidine with isopropyl
    alcohol) were equally effective. This will be very helpful information
    when you are trying to select a product for preparation of the insertion
    site for intravascular catheters or for a preoperative surgical
    antiseptic. Chlorhexidine is effective, and different concentrations of
    chlorhexidine are equally effective, with no statistically significant
    difference in colony counts. All of these products should be equally
    beneficial to patients in preventing central line-associated bloodstream
    infections or surgical site infections.

    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
    President, Australian Vascular Access Society
    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

    “Be a yardstick of quality. Some people aren’t used to an environment
    where excellence is expected.” – Steve Jobs

    ________________________________

    Jenny McCarthy [jenny@MARYVALEPH.COM.AU]

    Hi all – not sure if this has already been discussed and apologies if it
    has – one of the orthopaedic surgeons here is requesting Chlorhexidine
    2% with 70% alcohol (tinted red) as opposed to the 0.5% with 70% alcohol
    for skin prep. Firstly, is there an advantage to using the 2% as opposed
    to the 0.5% and if so would anyone have any literature to support this

    Thanks
    Jenny McCarthy
    Maryvale Private Hospital

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    kkh

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