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Jennifer McCarthyParticipant
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Jennifer McCarthyEmail:
jenny@maryvaleph.com.auOrganisation:
Maryvale Private HospitalState:
Thanks to everyone who has commented re lanyards – it has been very helpful
JennyJenny 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 3840http://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
SuzanneSuzanne 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 479Suzanne.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
JennyJenny 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 3840http://secure-web.cisco.com/1bC4TyjPDHxrKrS5GbxbfzcVlxEB1PPTDbwhJ1LYSc2rwxEAorDzBt7DxH8etRkxwkaZ6a1oQeKEMQ8mdFuyo4FeVQdvOe3nkv3b2S423kyLezW7BMdLti-rF8n2bkKlMA2RfF3l7Xw36KmuA-CCIRwq_QMpVV9ztSXCxKopnWmMzwVgZoBiMAwiRQVH1cywdbFeH4nybQPZMuTi0lAXfh_PJhrnHkHHhnrUn3os5PZLIV73rgrDBkaKI4GNq9l5GFszgkV4M2ARZpV8y22dMqSwwwtgj_NJPC8hWBNvsQzNOSmM8ECUP1vAI96h2TmhPR9zETnIEukRb5UV06IY1uh4Kf0Z9LFF54LbQywTGhKUNr6IqO3edN22_-u2MqSIYZcKzN4Gz1iacMy73IGv42vpywDqATY8rlGShtRphBJ4Czg-gEI-rOSNsy3dUQZE-kdYfYVAIh4XFVo1WpuKXLeqbqpfJ3P2lV2GM0Endpjk/http%3A%2F%2Fwww.maryvaleph.com.au
Maryvale Private Hospital acknowledges the traditional owners of country, the Gunaikurnai nation,
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Jennifer McCarthyParticipantAuthor:
Jennifer McCarthyEmail:
jenny@maryvaleph.com.auOrganisation:
Maryvale Private HospitalState:
Hi Brigid – our policy is to resterilise anything that comes from another facility – even if its sealed in plastic
JennyJenny 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 3840http://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 ServicePh: (08) 7979 9619
e … brigid.robertson@nt.gov.au
w… http://www.nt.gov.au/healthOur Vision: Building Better Care | Better Health | Better Communities Together
Our Values: Teamwork and Trust | Excellence and Equity | Honesty and Accountability | Service and InnovationTop End Health Service is a Smoke Free Workplace
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Jennifer McCarthyParticipantAuthor:
Jennifer McCarthyEmail:
jenny@maryvaleph.com.auOrganisation:
Maryvale Private HospitalState:
Hi Sarah – the DHHS have put out “Movement of healthcare workers and health service employees during coronavirus (COVID-19) pandemic – 8 August 2020
JennyJenny 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.auMaryvale 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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Jennifer McCarthyParticipantAuthor:
Jennifer McCarthyEmail:
jenny@maryvaleph.com.auOrganisation:
Maryvale Private HospitalState:
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
JennyMaryvale 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 ManagerInfection Prevention & Control Unit
Royal Hobart Hospital
Tasmanian Health Organisation-South*: 03 6166 7882/ 6166 8658
Level 4, H Block
48 Liverpool Street
Hobart, 7000Hi 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
JennyMaryvale 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.
This e-mail transmission is intended only for the addressee and may contain confidential or privileged information. Confidentiality and privilege are not waived if you are not the intended recipient of this e-mail, nor may you use or retain, or disclose, copy or forward to any third party this e-mail, or any information contained in or attached to it. If you received this e-mail in error please delete it (and any copy of it from your computer system) and kindly notify the sender by reply e-mail.MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
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Jennifer McCarthyParticipantAuthor:
Jennifer McCarthyEmail:
jenny@maryvaleph.com.auOrganisation:
Maryvale Private HospitalState:
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 McCarthySent 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.htmlStrategies for Optimizing the Supply of N95 Respirators
https://www.cdc.gov/coronavirus/2019-ncov/hcp/respirators-strategy/index.htmlChecklist 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 DecontaminationPO 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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Jennifer McCarthyParticipantAuthor:
Jennifer McCarthyEmail:
jenny@maryvaleph.com.auOrganisation:
Maryvale Private HospitalState:
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.[cid:SignatureMPH_c3098e90-9dc7-415d-877d-27e2a4e7930c.jpg]
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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.htmlLincoln 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.auHi 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 DecontaminationPO BOX 2249, Greenvale, VIC Australia 3059
[cid:image001.png@01D5D825.FB0424C0]
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Hospitality | Healing | Stewardship | Respect
Continuing the Mission of the Sisters of the Little Company of Mary
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Jennifer McCarthyParticipantAuthor:
Jennifer McCarthyEmail:
jenny@maryvaleph.com.auOrganisation:
Maryvale Private HospitalState:
Hi Liz
We have wire shelving in our SSRKind 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.auMaryvale 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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Jennifer McCarthyParticipantAuthor:
Jennifer McCarthyEmail:
jenny@maryvaleph.com.auOrganisation:
Maryvale Private HospitalState:
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
JennyKind 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.auMaryvale 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]
This e-mail transmission is intended only for the addressee and may contain confidential or privileged information. Confidentiality and privilege are not waived if you are not the intended recipient of this e-mail, nor may you use or retain, or disclose, copy or forward to any third party this e-mail, or any information contained in or attached to it. If you received this e-mail in error please delete it (and any copy of it from your computer system) and kindly notify the sender by reply e-mail.
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 hygieneHi 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 ManagerInfection 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.auLevel 4, H Block
48 Liverpool Street
Hobart, 7000From: 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 luckJane 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 hygieneHi 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:
|
W:
Post:
PO Box 263, Toowoomba, QLD 4350
Address:
280 North St, Toowoomba, QLD 4350
[cid:image561693.jpg@853736FD.CC41FBB8]
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Jennifer McCarthyParticipantAuthor:
Jennifer McCarthyEmail:
jenny@maryvaleph.com.auOrganisation:
Maryvale Private HospitalState:
Thanks everyone for your responses – it’s reassuring to hear your thoughts
JennyKind 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.auMaryvale Private Hospital Confidentiality and Privacy Notice
NOTICE – This e-mail is only intended to be read by the named recipient. It may contain information which is confidential or proprietary. If you are not the intended recipient please notify the sender immediately and delete this e-mail. If you are not the intended recipient you should not copy this e-mail or use the information contained in it for any purpose nor disclose its contents to any other person. Maryvale Private Hospital Pty Ltd accepts no responsibility for electronic viruses or damage caused as a result of this email or for changes made to this email or to any attachments after transmission from Maryvale Private Hospital. You should not distribute or publish the contents of this email or any attachment without the prior consent of Maryvale Private Hospital.
* Please consider the environment before printing this emailHi 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 DecontaminationPO 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
JennyKind 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.auaccepts no liability for the content of this email, or for the consequences of any actions taken on the basis of the information provided, unless that information is subsequently confirmed in writing. If you are not the intended recipient, you are notified that disclosing, copying, distributing or taking any action in reliance on the contents of this information is strictly prohibited.
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Jennifer McCarthyParticipantAuthor:
Jennifer McCarthyEmail:
jenny@maryvaleph.com.auOrganisation:
Maryvale Private HospitalState:
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.auMaryvale Private Hospital Confidentiality and Privacy Notice
NOTICE – This e-mail is only intended to be read by the named recipient. It may contain information which is confidential or proprietary. If you are not the intended recipient please notify the sender immediately and delete this e-mail. If you are not the intended recipient you should not copy this e-mail or use the information contained in it for any purpose nor disclose its contents to any other person. Maryvale Private Hospital Pty Ltd accepts no responsibility for electronic viruses or damage caused as a result of this email or for changes made to this email or to any attachments after transmission from Maryvale Private Hospital. You should not distribute or publish the contents of this email or any attachment without the prior consent of Maryvale Private Hospital.
* Please consider the environment before printing this emailThis 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
JennyKind 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.auaccepts no liability for the content of this email, or for the consequences of any actions taken on the basis of the information provided, unless that information is subsequently confirmed in writing. If you are not the intended recipient, you are notified that disclosing, copying, distributing or taking any action in reliance on the contents of this information is strictly prohibited.
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Jennifer McCarthyParticipantAuthor:
Jennifer McCarthyEmail:
jenny@maryvaleph.com.auOrganisation:
Maryvale Private HospitalState:
Hi Fiona – I too would be interested in any auditing tools out there
JennyKind 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.auMaryvale Private Hospital Confidentiality and Privacy Notice
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* Please consider the environment before printing this emailHi 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_controlIPCU – ‘By working together we promote a culture of safety to reduce preventable infections and transmission of multi-resistant organisms’
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Jennifer McCarthyParticipantAuthor:
Jennifer McCarthyEmail:
jenny@maryvaleph.com.auOrganisation:
Maryvale Private HospitalState:
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
JennyKind 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
MichaelMichael Wishart
Infection Control Coordinator
Holy Spirit Northside Private Hospital
627 Rode Road, Chermside, Qld 4032
t: (07) 3326 3068 | f: (07) 3326 3523
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.auAny comments?
Cheers
MichaelMichael Wishart
Infection Control Coordinator
Holy Spirit Northside Private Hospital
627 Rode Road, Chermside, Qld 4032
t: (07) 3326 3068 | f: (07) 3326 3523
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 PathologyM: 0402000590
Quality is in our DNA
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Jennifer McCarthyParticipantAuthor:
Jennifer McCarthyEmail:
jenny@maryvaleph.com.auOrganisation:
Maryvale Private HospitalState:
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.
JennyJenny 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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Jennifer McCarthyParticipantAuthor:
Jennifer McCarthyEmail:
jenny@maryvaleph.com.auOrganisation:
Maryvale Private HospitalState:
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,
JennyJenny 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/1471-2253/13/49There 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 615http://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
times1-41) 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 NSWDirector-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 JobsBehalf 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 HospitalLevel 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.aucid:image003.png@01CFD191.167DCCC0
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Jennifer McCarthyParticipantAuthor:
Jennifer McCarthyEmail:
jenny@maryvaleph.com.auOrganisation:
Maryvale Private HospitalState:
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
ctKind 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 thisThanks
Jenny McCarthy
Maryvale Private HospitalMaryvale Private Hospital Confidentiality and Privacy Notice
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DO NOT REPRESENT THE OPINION OF ACIPC.The use of trade/product/commercial brand names through the list is
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