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Good Morning Trent,
I may have not made myself clear.
The testing would only occur in the event of a needlestick/sharps injury during theatre, there is no proposal to test every surgical patient . Each case would be risk -assessed and bloods taken if deemed appropriate. Most organisations have a 4+ hour window following anaesthetic that they would not consider gaining consent appropriate so this would occur in a case where the exposure was assessed as high risk.
Many staff are highly anxious following an injury despite education about risk and reassurance and delays in testing can have an adverse effect on them.
Post-op the patient would receive information about the incident, testing performed, results and post-test counselling as required.Many thanks
Jenny________________________________
From: ACIPC Infexion Connexion on behalf of Trent Yarwood
Sent: Monday, 5 September 2022 5:59 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] Consent for BBV TestingHi all,
I very strongly feel that it’s completely inappropriate to be routinely testing patients for BBVs prior to surgery. As noted in the initial question, it’s generally done without consent (although I’m not very fussed about full and documented informed consent for BBV testing, which I think reinforces stigma about BBVs and is a hangover from earlier times).
In any event, the results of the tests shouldn’t change clinical management, because your surgeons / proceduralists should be using standard precautions for all patients regardless of the results and should all be vaccinated against HBV, and in the event they have a percutaneous injury, they need to a) report it to IPC; b) let the patient know, at which point testing can be done anyway. Results for BBV testing only take a few hours to get back in most labs, so they don’t affect the decision about starting PEP, and if the exposure is high-enough risk, then won’t actually change the decision about starting PEP at all.
It’s an egregious waste of money on testing with absolutely zero impact on patient care or staff safety and should be firmly discouraged. (which I grant is very difficult to do in private hospitals).
(personal opinions)
Trent Yarwood
Cairns Sexual Health / Cairns Hospital
No conflicts.—
Trent Yarwood
trentyarwood@gmail.com
PGP Key: 246AF263On Mon, 5 Sept 2022 at 15:08, Michael Wishart <Michael.Wishart@svha.org.au> wrote:
Hi Jenny
We still have both on our surgical consent form currently, but we had previously received legal advice that suggested the consent for BBV testing was not valid unless it was appropriately explained (which we know its not as the surgeon will only focus on the procedural consent). So we do not utilise that consent in the case of a needlestick, which means we need to await the patient awakening post surgery and giving consent (or in the case of post op ventilated ICU patients, get the intensive care team to obtain or authorise consent).
Thats within the private sector in Queensland.
Cheers
Michael
Michael Wishart | Infection Control Coordinator, CICP-E
St Vincents Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
M +61 448 954 282 | T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
St Vincents Private Hospital Brisbane | 411 Main Street KANGAROO POINT QLD 4169
M +61 448 954 282 | T +61 7 3240 1208 | F +61 7 3240 1166
E michael.wishart@svha.org.au |[http://i8.cmail19.com/ei/t/6C/F77/A00/141133/csfinal/StaticEmailFooter-SVPHN-Celebrating20Years-650×150-9900000000079e3c.png]
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From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> On Behalf Of Jennifer Breen
Sent: Monday, 5 September 2022 12:18 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: [ACIPC_Infexion_Connexion] Consent for BBV TestingGood Morning,
We would be interested to know how many healthcare organisations have both consent for blood transfusion and consent for blood borne virus testing included in their consent for surgery documentation and any obstacles they faced when doing this.
I understand this is more common practice in the private health sector but currently am more concerned about the public sector.
Many thanks
Jenny Breen
Senior Infection Prevention Clinical Nurse Consultant
Infection Prevention & Control Unit
PO Box 52, Frankston Vic 3199
T Direct 03 9784 8239 Fax 9784 2347 Switchboard 03 9784 7777
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Hi Jenny,
We are a publicly funded Specialist cancer hospital and have in excess of 200 volunteers most of whom are in contact with patients. Many are older but we now see a lot more Uni students.
If they can provide serological evidence of immunity we accept but if anything is missing or they do not have evidence we treat them the same as our new employees and they have screening tests done which is paid for by the hospital.
As for Influenza- we vaccinate and if they are >65 years they get that vaccine also.However many will have at their GP if they can as they often have stock before us.
Kind regardsJennifer Breen
Clinical Nurse Consultant- Infection PreventionPeter MacCallum Cancer Centre
305 Grattan Street
Melbourne VIC 3000
Phone +61 3 8559 7990
Fax +61 3 8559 7999Page 1110032
Ascom 97976
E-mail jennifer.breen@petermac.org________________________________
Hi Jenny
We only offer the flu vaccination to the volunteers who are under 65; we advise the over 65s to see their GP. We do not currently offer them any other vaccines.
Kind regards,
Sharon Deen
Infection Control Nurse[http://www.ramsayhealth.com/~/media/Images/email/email-RHC-logo]
Peel Health Campus
Infection ControlPhone:
08 9531 8570
Fax:
08 9531 8409
Email:
DeenSharon@ramsayhealth.com.au
Web:
Address:
110 Lakes Road, Mandurah WA 6210
[http://www.ramsayhealth.com/~/media/Images/email/email-social-mediaPCP.jpg]
Good morning all
Can any one assist please
I have been asked to benchmark what other facilities do regarding vaccinations and volunteers
We are a private not for profit organisation and currently ask our volunteers to attend their Gp surgery for any vaccinations they require
Looking forward to your reply and interested to see what other organisations do
Regards Jenny
Jenny Garland RN CIPC-P
Acting Quality Risk & Safety Manager
Quality, Risk & Infection Control Officer
Mater Health Services North QueenslandEmail secured by Check Point
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Hi Kelly,
We have a consumer representative on our Infection Prevention Committee who has lots of ideas and comments about the various issues we discuss within Standard 3. If she cannot attend in person she will often participate via teleconference. We also have consumer input to any educational material for patients and carers.
Hope that helps
Jenny Breen
Clinical Nurse Consultant
Infection Prevention,Surveillance and Epidemiology Unit (IPSE)
Peter MacCallum Cancer Centre
Melbourne________________________________
Hi Kelly
We just went through survey last week it is a developing one that I think we all struggle with. We used the consumer engagement around some brochure development and review and as our facility has ieMR (digital record) we now document the patient communication we have when we discuss why they are in isolation and precautions in place etc and when we consider negative screening. It has increased our workload but necessary.
We do have a plan for ongoing engagement including consumer engagement with more brochures and posters. Our facility also has Planetree (whole program around consumers).
Best wishes
Robyn
Robyn Birch
MAdv Prac IP&C, CICP
CNC Infection Control
Redland Hospital
Department of Health | Queensland Government
PO Box 585, ClevelandQLD 4163
t. (07) 3488 3518m. 0412 585 099
Robyn.Birch@health.qld.gov.au | http://www.health.qld.gov.au
[cid:image001.png@01D4E939.EBB4CF50]
Hi all,
I was hoping to pick your brains! We are coming up to accreditation soon, and I am wondering is anyone can share strategies/ideas in about how to meet the following criterion:
3.3. Partnering with consumers Clinicians use organisational processes from the Partnering with Consumers Standard when preventing and managing healthcare-associated infections, and implementing the antimicrobial stewardship program to:
c. Share decision-making
Many thanks or all and any contributions!
Kelly
[wash_your_hands_icon] Hand Washing saves lives
[cid:image001.png@01D3593E.B14EC410]
Kelly Barton
Infection Prevention & Control Officer
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