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Hello All,
At Bendigo Health we have recommended Macerators for the New Bendigo Hospital(due for completion 2016). We have used macerators for some years across the existing facility in acute, subacute, psychiatry and aged care sites with few issues. Bed pan supports which are used with these systems are required to be sanitised in a utensil washer between patients therefore each unit with a macerator will have a utensil washer. We are ensuring that there is adequate storage for consumables and also considering dedicating bed pan supports (as required) to beds so that they can be reused for single patient use for the duration of the patients stay, this requires a bracket on the bed to hold the bed pan support, the support would then be sanitised on terminal clean/discharge of the patient. We did review the Canadian paper which has previously been referred to on Infexion connexion and found it very useful when presenting this and making the decision.
Regards,
JaneJane Hellsten – CICP | Manager – Infection Prevention Control & Infectious Diseases Service
Loddon Mallee Infection Control Resource Centre | Medical Services – Acute Campus
Bendigo Health
PO Box 126 Bendigo Victoria 3552
p. 03 5454 8417 | f. 03 5454 8419 | m. 0428 630 004e. jhellsten@bendigohealth.org.au
w. http://www.bendigohealth.org.au
w. http://www.newbendigohospital.org.au
w. http://www.bhfoundation.org.au[cid:image005.png@01CF2D96.4933F580]
[cid:image006.jpg@01CF2D96.4933F580]
Hi all,
We are currently in the planning phase of the new Monash Children’s Hospital in Victoria. The issue of macerators versus pan flushes has raised some debate. From an infection control perspective we favour macerators. Engineering has evaluated the maintenance issues to be equal.
There appears to be a trend toward complete maceration systems in new builds, however I am receiving some comments that there are concerns with some Water authorities anticipating future environmental impacts.Can anyone who has completed a recent build with partial or complete maceration systems in place please advise me on any significant issues around their choice.
Thanks,
AnitaAnita Lovegrove
Snr Infection Control Consultant
Monash Medical Centre
Monash HealthFax:95946992
email: anita.lovegrove@monashhealth.org.au
MonashHealth
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Happy to share our audit tools for insertion of peripheral IV cannulae and also management of peripheral IV’s.
If anyone is interested please email me. Our tools are based on our in-house protocols which are referenced to CDC guidelines.
14.12.11Jane Hellsten, CICP
Manager, Infection Prevention Control
Infectious Diseases Service
Loddon Mallee Infection Control Resource Centre
Bendigo HealthWe are currently reviewing our audit tool for monitoring compliance with guidelines for the management of peripheral venous catheters.
Are there any “gold standard” examples available for review? In anticipation of your response, thank you.
Kind regards
Ingrid Tribe
Infection Control Service
Flinders Medical Centre
Bedford Park SA 5152
AustraliaT: (08) 82045051
F: (08) 82044733
E: ingrid.tribe@health.sa.gov.auInfection prevention is everybody’s business
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The team from Bendigo Health Infection Prevention are deeply saddened by the news of Clinton’s death this week. We would like to send our deepest sympathy to Clinton’s family. We had many professional connections with Clinton especially during his time with the Health Department attending RICPRAC meetings together. He is far to young to leave this world and will be a great loss to all who knew him and especially to his loved ones.
Our thoughts are with his family.Jane Hellsten and the Infection Prevention Team
Bendigo Health, Victoria.Michael could you please put out the information below on the AICA list
Dear Colleagues ,
It is with great sadness to inform you that Clinton Dunkley passed away Tuesday 22nd March. Many of you will know Clinton from his work in Infection Control from his time at St. Vincent’s Hospital Melbourne, Senior Program Advisor Infection Control Department of Health Victoria, and more recently the Operations Manager for VICNISS Coordinating Centre. A funeral service has been booked for 1.15 pm Monday 28th March at Springvale Crematorium, followed by refreshments. Please see tomorrows Melbourne newspapers for more details.John Greenough | Infection Control Consultant
St Vincent’s | 41 Victoria Parade Fitzroy VIC 3065
t: +61 3 9816 0632 | t: +61 3 9288 4704 | f: +61 3 9288 4068 | http://www.svhm.org.auDisclaimer : The contents of this e-mail including any attachments are intended only for the person or entity to which this e-mail is addressed and may contain confidential, privileged and/or commercially sensitive material. If you are not, or believe you may not be, the intended recipient, please advise the sender immediately by return e-mail, delete this e-mail and destroy any copies.
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Hello Jo,
We use a product by ECOLAB called Retreat, it is a combined cleaner /sanitiser and contains bleach. We use it at 1000ppm for all routine surface cleaning so we dont have to change it for gastro cleans. We do not use it routinely on floors as it can smell of bleach when covering a large surface area, but do so if we have an outbreak eg Norovirus. Some of our mattresses are not meant to be cleaned with bleach but we use it anyway, we justify this from a cost point of view ie that spread of MROs/ Gastro etc is more costly than having to replace a mattress more often. Divercleanse is another product which is very similar it is made by Diversey I believe.
Austin Health also uses a similar product.
Nice to hear from you, and all the best
Regards,Jane
Jane Hellsten
Manager Infection Prevention Control
Bendigo Health
Tel: 5454 8417
Mob: 0428630004From: AICA Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Joanna Harris
Sent: Wednesday, 4 August 2010 7:09 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: [AICA_Infexion_Connexion] Phenolic disinfectantHi Jane,
Here in the south of SESIAHS (Wollongong, NSW) we are keen on chlorine-releasing disinfectants for environmental disinfection. Our mattress covers state that they are not tolerant of phenolics so we stick to NaDCC it is effective against C diff including spores and Norovirus as well as the usual suspects… We are also now using a combined detergent / NaDCC product for environmental disinfection as required, as this cuts down the time needed by half without compromising effectiveness. These products are now widely used in the UK and Europe since their huge problems with C difficile emerged some years ago.
I understand that there are now two such products available in Australia that have been approved by the TGA.Jo
Nurse Manager, Infection Management and Control Service (IMACS)
Level 1, Lawson House
The Wollongong Hospital
LMB 8808
SCMC NSW 2521Ph: 02 4222 5892 or 4222 5898
Fax: 02 4222 5367From: AICA Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Jane Barnett
Sent: Tuesday, 20 July 2010 7:26 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Phenolic disinfectantHi
Id like to find out the extent of use (if any!) of a phenolic disinfectant in Australia. We are still using it here in this District Health Board in NZ although I understand we are one of the few that still have this as part of our disinfectant policy. Our microbiologist advises us that it is still used in Australia hence the query!
Most of us would prefer to go for a single disinfectant approach based on bleach solution but the phenolic has been retained based on its effectiveness against MDRO.
Any thoughts welcome!
Thank you.Jane Barnett
CNS IP&C
Christchurch Womens Hospital
New Zealand*************************************************************************************************************
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I concur with Wendy, Bendigo Health’s policy is 48-72 hrs. Peripheral line cannulation audits have provided evidence to not extend the time here, as per the CDC statements in the guidelines. We also have the 24 hr policy for lines inserted in emergency settings and paediatric lines are not changed routinely.
Jane Hellsten
Manager, Infection Prevention Control
Bendigo Health
5454 8417
0428630004The recommendation from CDC that replacement of IV cannuales at 72-96 hours is based on studies of phlebitis however in our experience at TCH we have found that the majority of our peripheral cannulae related BSI occurred with dwell times of greater than 72 hours.
Therefore we have kept our policy to 48 -72 hours with good success. We have a 24 hour rule for those inserted in an emergency or prior to ambulance transfer. On another note we don’t routinely change children peripheral IV unless it has ceased to work.
Wendy Beckingham
CNC Infection Control
The Canberra Hospital
pager 50390 or phone 43695________________________________
Michael,
The CDC Guideline for the Prevention of Intravascular Catheter-Related Infections recommends the following:“In adults, replace short, peripheral venous catheters at least 72–96 hours to reduce the risk for phlebitis. If sites for venous access are limited and no evidence of phlebitis or infection is present, peripheral venous catheters can be left in place for longer periods, although the patient and the insertion sites should be closely monitored”
This is a Category IB recommendation – Strongly recommended for implementation and supported by some experimental, clinical, or epidemiologic studies, and a strong theoretical rationale. http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5110a1.htm
However having noted the above recommendation it should be read in context with other statements in the guideline including the following:
“Recommendations should be considered in the context of the institution’s experience with catheter-related infections, experience with other adverse catheter-related complications and availability of personnel skilled in the placement of intravascular devices”.
While the reviews conclusions are of interest consideration of local factors before a change in clinical practice (as per the CDC guideline) would be judicious.
Glenys
Glenys Harrington, Infection Control Consultant |Communicable Disease Prevention and Control | Public Health
Department of Health | Level 14 50 Lonsdale Street Melbourne Victoria 3000 Australia
t. 1300 651 160 (03 909 65123) | f. 03 909 69174 | e. glenys.harrington@dhs.vic.gov.au | http://www.health.vic.gov.au/ideasFrom:
“Wishart, Michael”
To:
Date:
16/07/2010 08:28 AM
Subject:
Routine replacement of peripheral IV catheters
Sent by:
AICA Infexion Connexion
________________________________
There has been a recent Australian published review of routine
replacement of peripheral IV catheters as recommended in the current
HIPAC guidelines. The review concludes:The review found no conclusive evidence of benefit in changing catheters
every 72 to 96 hours. Consequently, health care organisations
may consider changing to a policy whereby catheters are changed only if
clinically indicated. This would provide significant cost savings
and would also be welcomed by patients, who would be spared the
unnecessary pain of routine re-sites in the absence of clinical
indications.
http://www.mrw.interscience.wiley.com/cochrane/clsysrev/articles/CD00779
8/pdf_fs.html[NB Here is a short link in case the longer link gets broken –
http://tinyurl.com/22m4xlf ]Have any facilities considered this recommendation and made changes to
current routine replacement of peripheral IV catheters?Personally, I am concerned that such a recommendation does not take into
account the variety of settings in which peripheral IV catheters are
inserted and managed. It appears possible that all of the six included
studies were in settings where additional resources were available to
manage peripheral IV’s (eg dedicated IV teams), which could in part
account for the improved outcomes of catheter management.Whilst we should review and challenge current standards, I feel we
should be cautious in making changes which have the potential for harm
to patients. Bacteraemias associated with peripheral IV catheters are
reasonably rare events, and a rise in incidence may not be readily noted
in an individual facility.Thanks
MichaelMichael Wishart | GPH – Infection Control Coordinator
GPH – Quality & Safety Unit (Infection Control) | Greenslopes Private
Hospital
Newdegate Street, Greenslopes QLD 4120
t: 07 3394 7919 | f: 07 3394 7985
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I fully support this. We struggle with HH compliance of medical staff, more so than with any other health care professional group. It is a great suggestion.
regards,
Jane HellstenManager
Infection Prevention Control
Infectious Diseases Service
Loddon Mallee Region Infection Control
Bendigo Health—–Original Message—–
Hi John
Personally, I would support this move.
I will raise this particular question with TICA members and forward a
proposal to the AICA Exec on behalf of TICA if TICA members are in
agreementThanks
Brett___________________________________
Mr Brett Mitchell (RN, BN, MSc, CICP, MRCNA)
Tasmanian Infection Prevention & Control Unit (TIPCU) & President,
Tasmanian Infection Control AssociationDepartment of Health & Human Services
GPO Box 125, Hobart, Tasmania, 7001
3rd Floor, 25 Argyle St, Hobart
Mobile:—–Original Message—–
Behalf Of John Ferguson
training to health professional registration renewalDear Colleagues
Might AICA discuss the following proposal?
We all particularly struggle to get medical staff to learn about
correct hand hygiene practices. They either know it all or profess not
to have the time etc. Furthermore in order to enforce the standard, one
needs to ensure that the person is aware of the expectations etc.My proposal is that AICA (together with ASID- I have suggested this to
them) makes a formal request to the new National Registration and
Accreditation scheme (Health Workforce) to require completion of a
specified online hand hygiene elearning program and assessment PRIOR to
issue of registration renewal for all health professionals.Furthermore, we should require them to include safe practice of hand
hygiene in the relevant codes of conduct for each cadre of health staff.Best wishes
JohnDr John Ferguson
Director, Infection Prevention and Control Unit Microbiologist and
Infectious Diseases Physician HUNTER NEW ENGLAND HEALTH Locked Bag 1,
Newcastle, NSW 2310, Australia
tel 61 2 49214422, fax 61 2 49214440
Visit http://www.hicsiganz.org for updates on healthcare infection prevention &
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You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.auWe have had ABHR in public areas across all campuses (acute, subacute, residential care, Psychiatry,ambulatory services etc)since the SARS alert. It is placed in entry foyers, corridors, outside lifts, on entry to wards,waiting rooms,Triage desk in ED, on entry to the gym, hydrotherapy etc etc. In some locations we have had theft of the product, it is not locked in, it sits in brackets. Over many years we have had very few incidents where a child has tampered with the product and been splashed with it. Presently it is being offered to visitors and anyone who approaches the information desk in the main hospital foyer, volunteers have been given a ‘blurb’ to follow, hand hygiene brochures to hand out and the product.We do not have a permanent HH station as such. Posters accompany the product in most locations recommending everyone use the product.Environmental services staff replenish the product in public areas and it is paid for by IPCU. Overall very successful and not too many issues re theft and tampering.
regards,
Jane Hellsten
Manager Infection Prevention Control
Bendigo Health
24.2.10—–Original Message—–
I would like to know if any members have placed their alcohol based hand rubs in public areas such as near lifts, entrances etc in their hospitals.
If so where have you put it and what form has this taken (bracket on wall, hand hygiene station etc) and have you had any issues with this.Regards
Fiona Wilson
Manager, Infection Control
Western Health
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You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.auHello Michael,
we do have a specific screening program for staff in our Oncology unit who perform BCG bladder instillations. They are mantoux tested biannually.
regards,
Jane Hellsten
Bendigo Health.Thanks for all who have replied so far. I just need to clarify my question a bit.
I need to specifically know if any other organisations have a specific health surveillance program for staff handling BCG used for bladder instillations. Whilst knowing whether all HCW’s are screening for TB is useful, I have been advised that we should have a specific health surveillance program for staff who handle BCG (specifically the reconstitution of the freeze dried powder and the administration of the solution). Does anyone out there have any such a program? If so, how frequently do you conduct Mantoux on this group of staff?
If anyone has any comment or opinion on this form of health surveillance I would also be very interested.
Thanks
MichaelMichael Wishart | GPH – Infection Control Coordinator
GPH – Quality & Safety Unit (Infection Control) | Greenslopes Private Hospital
Newdegate St, Greenslopes QLD 4120
t: 07 3394 7919 | f: 07 3394 7985
e: WishartM@ramsayhealth.com.au | w: http://www.ramsayhealth.com.au[cid:image001.jpg@01CAA0CF.278D0C30]
Ramsay Health Care is an environmentally responsible corporation, please consider the environment before printing this email.________________________________
For those ICP’s involved in staff health, I am interested in knowing how many organisations offer routine Mantoux screening to staff involved in BCG instillations / immunotherapy. If you do offer routine Mantoux for this group of staff, how frequently are they performed?
Any comments or opinions appreciated!!
Thanks
MichaelMichael Wishart | GPH – Infection Control Coordinator
GPH – Quality & Safety Unit (Infection Control) | Greenslopes Private Hospital
Newdegate St, Greenslopes QLD 4120
t: 07 3394 7919 | f: 07 3394 7985
e: WishartM@ramsayhealth.com.au | w: http://www.ramsayhealth.com.au[cid:image001.jpg@01CAA008.B7FAA600]
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