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  • in reply to: Surgical skin prepping #70194
    James Harrison
    Participant

    Author:
    James Harrison

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    Dear Matthias

    it makes reference to starting at the cleanest area(incision site) and working concentrically to least clean area, also to avoid ‘drying’ with swabs sponges. its 5 pages long with 15 references
    kind regards
    James

    [stlukesbutterfly] James Harrison
    Manager Clinical Services

    [stlukes]
    tel : 03 6331 9255
    fax : 03 6334 0711
    web : http://www.stlukes.com.au
    17 Quadrant Mall , Launceston, TAS 7250

    “This email (which includes any attachments) is intended only for the use of the individual or entity named above and may contain information that is confidential and privileged. If you are not the intended recipient, you are hereby notified that any dissemination, distribution or copying of this email is strictly prohibited. If you are the intended recipient of this communication you should not copy, disclose or distribute this communication without the authority of St.LukesHealth.

    Any views expressed in this communication are those of the individual sender, except where the sender specifically states them to be the views of St.LukesHealth. St.LukesHealth can not guarantee that this communication has not been intercepted or that the communication is virus free, although reasonable steps have been taken to protect the integrity of our email. If you have received this email in error, please notify us immediately by return email or telephone (03) 6331 9255 and destroy the original message. Thank you.
    P Please consider the environment before you print this email.

    Dear James,

    I am curious. What does it say?

    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

    Hi Michael
    Standard S18 of the ACORN standards covers this

    [stlukesbutterfly] James Harrison
    Manager Clinical Services

    [stlukes]
    tel : 03 6331 9255
    fax : 03 6334 0711
    web : http://www.stlukes.com.au
    17 Quadrant Mall , Launceston, TAS 7250

    “This email (which includes any attachments) is intended only for the use of the individual or entity named above and may contain information that is confidential and privileged. If you are not the intended recipient, you are hereby notified that any dissemination, distribution or copying of this email is strictly prohibited. If you are the intended recipient of this communication you should not copy, disclose or distribute this communication without the authority of St.LukesHealth.

    Any views expressed in this communication are those of the individual sender, except where the sender specifically states them to be the views of St.LukesHealth. St.LukesHealth can not guarantee that this communication has not been intercepted or that the communication is virus free, although reasonable steps have been taken to protect the integrity of our email. If you have received this email in error, please notify us immediately by return email or telephone (03) 6331 9255 and destroy the original message. Thank you.
    P Please consider the environment before you print this email.

    Hi all

    Can I ask a question which may seem naive to those with a recent theatre background? When applying antiseptic solution as part of a surgical skin preparation prior to a procedure, is it best practice to apply two ‘coats’ of antiseptic solution, one immediately on top of the other, using different swabs?

    I can see not real benefit in doing this from an antiseptic action viewpoint (apart from mechanical friction) Can also not see this mentioned in a cursory review of any SSI prevention best practice guidelines.

    Any comments? Any references to get me up-to-date if I need to be updated?

    Thanks
    Michael

    Michael Wishart
    CNC Infection Control
    Holy Spirit Northside Private Hospital
    627 Rode Road, Chermside, Qld 4032
    t: (07) 3326 3068 | f: (07) 3607 2226
    e: Michael.Wishart@hsn.org.au
    w:www.holyspiritnorthside.org.au
    Please consider the environment before printing this email

    WARNING : This email contains information, which is CONFIDENTIAL, and that maybe subject to LEGAL PRIVILEGE. This e-mail and any attachments to it (the “Communication”) is confidential and is for the use only of the intended recipient, and may not duplicated or used by any other party without the express consent of the sender. The Communication may contain copyright material of St Vincent’s Health & Aged Care(“SVHAC”), or any of its related entities or of third parties. If you are not the intended recipient of the Communication, please notify the sender immediately by return e-mail, delete the Communication, and do not read, copy, print, retransmit, store or act in reliance on the Communication. Any views expressed in the Communication are those of the individual sender only, unless expressly stated to be those of SVHAC. SVHAC does not guarantee the integrity of the Communication, or that it is free from errors, viruses or interference. Thank-you.
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    [cid:kkh777d.gif]kkh

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    in reply to: Surgical skin prepping #70184
    James Harrison
    Participant

    Author:
    James Harrison

    Position:

    Organisation:

    State:

    Hi Michael
    Standard S18 of the ACORN standards covers this

    [stlukesbutterfly] James Harrison
    Manager Clinical Services

    [stlukes]
    tel : 03 6331 9255
    fax : 03 6334 0711
    web : http://www.stlukes.com.au
    17 Quadrant Mall , Launceston, TAS 7250

    “This email (which includes any attachments) is intended only for the use of the individual or entity named above and may contain information that is confidential and privileged. If you are not the intended recipient, you are hereby notified that any dissemination, distribution or copying of this email is strictly prohibited. If you are the intended recipient of this communication you should not copy, disclose or distribute this communication without the authority of St.LukesHealth.

    Any views expressed in this communication are those of the individual sender, except where the sender specifically states them to be the views of St.LukesHealth. St.LukesHealth can not guarantee that this communication has not been intercepted or that the communication is virus free, although reasonable steps have been taken to protect the integrity of our email. If you have received this email in error, please notify us immediately by return email or telephone (03) 6331 9255 and destroy the original message. Thank you.
    P Please consider the environment before you print this email.

    Hi all

    Can I ask a question which may seem naive to those with a recent theatre background? When applying antiseptic solution as part of a surgical skin preparation prior to a procedure, is it best practice to apply two ‘coats’ of antiseptic solution, one immediately on top of the other, using different swabs?

    I can see not real benefit in doing this from an antiseptic action viewpoint (apart from mechanical friction) Can also not see this mentioned in a cursory review of any SSI prevention best practice guidelines.

    Any comments? Any references to get me up-to-date if I need to be updated?

    Thanks
    Michael

    Michael Wishart
    CNC Infection Control
    Holy Spirit Northside Private Hospital
    627 Rode Road, Chermside, Qld 4032
    t: (07) 3326 3068 | f: (07) 3607 2226
    e: Michael.Wishart@hsn.org.au
    w:www.holyspiritnorthside.org.au
    Please consider the environment before printing this email

    WARNING : This email contains information, which is CONFIDENTIAL, and that maybe subject to LEGAL PRIVILEGE. This e-mail and any attachments to it (the “Communication”) is confidential and is for the use only of the intended recipient, and may not duplicated or used by any other party without the express consent of the sender. The Communication may contain copyright material of St Vincent’s Health & Aged Care(“SVHAC”), or any of its related entities or of third parties. If you are not the intended recipient of the Communication, please notify the sender immediately by return e-mail, delete the Communication, and do not read, copy, print, retransmit, store or act in reliance on the Communication. Any views expressed in the Communication are those of the individual sender only, unless expressly stated to be those of SVHAC. SVHAC does not guarantee the integrity of the Communication, or that it is free from errors, viruses or interference. Thank-you.
    ________________________________
    Message protected by MailGuard: e-mail anti-virus, anti-spam and content filtering.
    http://www.mailguard.com.au

    Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

    Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

    Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

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    Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

    Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

    Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

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    in reply to: Re: Antibiotic infusors #70006
    James Harrison
    Participant

    Author:
    James Harrison

    Position:

    Organisation:

    State:

    I understand that the infusors are on the prosthesis schedule – as such funds are required to pay when part of an inpatient episode

    [stlukesbutterfly] James Harrison
    Manager Clinical Services

    [stlukes]
    tel : 03 6331 9255
    fax : 03 6334 0711
    web : http://www.stlukes.com.au
    17 Quadrant Mall , Launceston, TAS 7250

    “This email (which includes any attachments) is intended only for the use of the individual or entity named above and may contain information that is confidential and privileged. If you are not the intended recipient, you are hereby notified that any dissemination, distribution or copying of this email is strictly prohibited. If you are the intended recipient of this communication you should not copy, disclose or distribute this communication without the authority of St.LukesHealth.

    Any views expressed in this communication are those of the individual sender, except where the sender specifically states them to be the views of St.LukesHealth. St.LukesHealth can not guarantee that this communication has not been intercepted or that the communication is virus free, although reasonable steps have been taken to protect the integrity of our email. If you have received this email in error, please notify us immediately by return email or telephone (03) 6331 9255 and destroy the original message. Thank you.
    P Please consider the environment before you print this email.

    From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Helen Scott
    Sent: Monday, 13 May 2013 11:30 AM
    To: AICALIST@AICALIST.ORG.AU
    Subject: Re: Antibiotic infusors

    Can anyone tell me how they do this for private patients – how do you send them home on the infusors, and do the health funds agree to pay for this?
    Thanks,
    Helen.
    (If you want to mention any specific health funds, please reply to me privately).

    Helen Scott
    Infection Control Co-ordinator |
    Staff Educator |
    Nepean Private Hospital
    Kingswood, NSW.
    Tel 02 4725 8758 | helen.scott@healthscope.com.au

    >>> On 10/05/2013 at 11:41 am, in message <459DD726659A204B92494D87266FCC627FD0A619@VWIDC122.east.wan.ramsayhealth.com.au>, “Grimes, Andrea” <grimesa@RAMSAYHEALTH.COM.AU> wrote:
    Morning all,

    We are using AB infusers for post op ortho knees and hips. It works well for them.

    Cheers, Andrea

    Andrea Grimes | IC | H&S | RRTWC

    Ramsay Cairns | Cairns Private Hospital | The Cairns Clinic | Cairns Day Surgery
    t: 07 4052 5274 | m: 0439 392 819
    e: grimesa@ramsayhealth.com.au | w: http://www.ramsayhealth.com.au
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    From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Tim Spencer
    Sent: Friday, 10 May 2013 10:31 AM
    To: AICALIST@AICALIST.ORG.AU
    Subject: Re: [ACIPC_Infexion_Connexion] Antibiotic infusors

    I would love to use infusor therapy for inpatient A/B administration.
    But with the administration of multiple parenteral medications, how would you get around that, apart from the use of a multi-lumen catheter?

    Timothy R. Spencer, RN, APN, DipAppSci, Bach.Health, ICCert.
    Clinical Nurse Consultant, Central Venous Access & Parenteral Nutrition Service
    Conjoint Lecturer, South West Sydney Clinical School | Faculty of Medicine | University of NSW
    Dept of Intensive Care, Level 2, Clinical Building, Liverpool Hospital, Elizabeth Street, Liverpool, 2170, NSW, Australia
    Tel (+61) 2 8738 3603 | Fax (+61) 2 8738 3551 | Mob +61 (0)409 463 428 | Tim.Spencer@sswahs.nsw.gov.au | Timothy.Spencer@unsw.edu.au
    [200 yeas logo white.jpg]

    From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Franciska Ferreira
    Sent: Friday, 3 May 2013 9:30 AM
    To: AICALIST@AICALIST.ORG.AU
    Subject: Re: Antibiotic infusors

    Hi Tim,

    For inpatient therapy.

    Thank you

    Franciska Ferreira
    INFECTION PREVENTION & CONTROL /WOUND MANAGEMENT CONSULTANT
    Burnside War Memorial Hospital
    120 Kensington Road, Toorak Gardens, SA 5056
    t: 08 8202 7222 f: 08 8407 8573 e: fferreira@burnsidehospital.asn.au

    From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Tim Spencer
    Sent: Friday, 3 May 2013 8:28 AM
    To: AICALIST@AICALIST.ORG.AU
    Subject: Re: Antibiotic infusors

    For in or outpatient therapy?
    We use it for outpatient therapy only, but I would love to have it for some inpatients as well.
    However, with multi antibiotic administration, its not usually feasible.

    Timothy R. Spencer, RN, APN, DipAppSci, Bach.Health, ICCert.
    Clinical Nurse Consultant, Central Venous Access & Parenteral Nutrition Service
    Conjoint Lecturer, South West Sydney Clinical School | Faculty of Medicine | University of NSW
    Dept of Intensive Care, Level 2, Clinical Building, Liverpool Hospital, Elizabeth Street, Liverpool, 2170, NSW, Australia
    Tel (+61) 2 8738 3603 | Fax (+61) 2 8738 3551 | Mob +61 (0)409 463 428 | Tim.Spencer@sswahs.nsw.gov.au | Timothy.Spencer@unsw.edu.au
    [200 yeas logo white.jpg]

    From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Franciska Ferreira
    Sent: Thursday, 2 May 2013 8:52 AM
    To: AICALIST@AICALIST.ORG.AU
    Subject: Re: Antibiotic infusors

    Good morning all,

    Im just interested to know how many organizations are using the prefilled antibiotic infusors?? If any??

    Kind Regards

    Franciska Ferreira
    INFECTION PREVENTION & CONTROL /WOUND MANAGEMENT CONSULTANT
    Burnside War Memorial Hospital
    120 Kensington Road, Toorak Gardens, SA 5056
    t: 08 8202 7222 f: 08 8407 8573 e: fferreira@burnsidehospital.asn.au

    ________________________________
    This email is intended only for the use of the individual or entity named above and may contain information that is confidential and privileged. If you are not the intended recipient, you are hereby notified that any dissemination, distribution or copying of this email is strictly prohibited. If you receive this email in error, could you please notify us by return email and delete it and any attachments from your system. Even though this message is scanned no representation is made that this email or any attachments are free of viruses or other defects. Virus scanning is recommended and is the responsibility of the recipient.

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