[Jodie Burr]

Hi Sony
The Australian Work Health and Safety Regulations 2011 state that:
44 Provision to workers and use of personal protective equipment

(1) This clause applies if personal protective equipment is to be
used to minimise a risk to health and safety in relation to work at a workplace
in accordance with clause 36.

(2) The person conducting a business or undertaking who directs the
carrying out of work must provide the personal protective equipment to workers
at the workplace unless the personal protective equipment has been provided by
another person conducting a business or undertaking.
Maximum penalty:
(a) in the case of an individual-$6000 or
(b) in the case of a body corporate-$30000.

Example : Equipment that has been provided by a labour
hire company.

(3) The person conducting the business or undertaking who directs
the carrying out of work must ensure that personal protective equipment provided
under subclause (2) is:
(a) selected to minimise risk to health and safety including by
ensuring that the equipment is:
(i) suitable having regard to the nature of the work and any hazard
associated with the work and
(ii) a suitable size and fit and reasonably comfortable for the
worker who is to use or wear it and
(b) maintained repaired or replaced so that it continues to
minimise risk to the worker who uses it including by ensuring that the
equipment is:
(i) clean and hygienic and
(ii) in good working order and
(c) used or worn by the worker so far as is reasonably practicable
Hope that helps
Jodie

Jodie BurrInfection Control-Clinical Practice Consultant

Disability and Domiciliary Care Services

Department for Communities and Social Inclusion

103 Fisher
Street Fullarton 5063

Jodie.Burr@sa.gov.au

> Date: Thu 6 Aug 2015 11:15:30 +1000
> From: sony@HA.ORG.HK
> Subject: [ACIPC_Infexion_Connexion] whether any international standards are related to PPE items should be maintained at “hygiene” level.
> To: AICALIST@AICALIST.ORG.AU
>
> HI
>
> In general disposable PPE should be manufactured in a “clean” working environment for preventing it from contamination.
> I would like to know whether any international standards (such as ISOEN ASTM AS CAS etc.) are related to PPE items should be maintained at “hygiene” level.
>
> Yours sincerely
>
> Sony SO
> Nursing Officer Infection Control Branch (Team 2)
> Centre for Health Protection
> http://www.chp.gov.hk/tc/cindex.html
> HONG KONG SAR CHINA
> office phone: +852 2125-2922 fax: +852 3523-0752
> HA email sony@ha.org.hk DH email no_icb4@dh.gov.hk
>
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[Jodie Burr]

Hi All
The National Immunisation Handbook 10th Edition states adrenaline MUSTbe given pages 89-91.:
Management of anaphylaxisRapid IM administration of adrenaline is the cornerstone of treatment of anaphylaxis. Adrenaline is life saving and must be used promptly.8
Anaphylaxis occurs without warning usually within 15 minutes of giving a vaccine. A protocol for the management of anaphylaxis adrenaline and 1 mL syringes must always be immediately at hand whenever vaccines are given.
If the patient is unconscious lie him/her on the left side and position to keep the airway clear. If the patient is conscious lie him/her supine in head-down and feet-up position (unless this results in breathing difficulties).If there are any respiratory and/or cardiovascular symptoms or signs of anaphylaxis give adrenaline by IM injection into the anterolateral thigh (see Use of adrenaline below for dosage). Adrenaline is not required for generalised non-anaphylactic reactions (such as skin rash or angioedema). If in doubt IM adrenaline should be given. No serious or permanent harm is likely to occur from mistakenly administering adrenaline to an individual who is not experiencing anaphylaxis.11Call for assistance. Never leave the patient alone.If oxygen is available administer by facemask at a high flow rate.If there is no improvement in the patients condition within 5 minutes repeat doses of adrenaline every 5 minutes until improvement occurs.Check breathing if absent commence basic life support or appropriate cardiopulmonary resuscitation (CPR) as per the Australian Resuscitation Council guideline12 (available at http://www.resus.org.au/policy/guidelines). In all cases transfer the person to hospital for further observation and treatment.Complete full documentation of the event including the time and dose(s) of adrenaline given.Also needs to be 1:1000
Jodie Burr
Infection Prevention and Control-Clinical Practice Consultant
Disability and Domiciliary Care Services
Department for Communities and Social Inclusion
103 Fisher Street Fullarton 5063
Mobile:0401 120 597
Jodie.Burr@dcsi.sa.gov.au

Dear all.
This is a question relevant to nurse immunisers
We are now in the middle of our employee flu vaccination campaign and the question has arisen about administering adrenaline.
If an employee has a reaction following administration of the vaccine and the health service has a 24 hour anaesthetic service and a code blue team
should the nurse immuniser wait to administer adrenaline until the team arrives?

Thanks in anticipation
Maree

Maree Sommerville
Infection Control Coordinator
Mercy Hospital for Women

163 Studley Road
Heidelberg 3084

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[Jodie Burr]

In regards to safety retractable lancets/needles they should still be considered a sharp and disposed of appropriately.

In regards to disposal of sharps in SA under the

South Australia
Environment Protection (Waste to Resources)
Policy 2010 (under the Environment Protection Act 1993):
18Disposal of medical sharps
(1) A person must not dispose of medical sharps by
(a) depositing medical sharps in a receptacle provided by a council for collection
by a kerbside waste collection service or
(b) placing medical sharps for collection as a part of a kerbside waste collection
service provided by a council.
Mandatory provision: Category D offence.
(2) In this clause
medical sharp includes needles hypodermic needles syringes with needles or other
surgical instruments that have been used in a domestic situation for medical purposes.
(3) This clause will not apply until the second anniversary of the day fixed by the
Governor for this policy to come into operation.

Jodie Burr
Infection Prevention and Control-Clinical Practice Consultant

Disability and Domiciliary Care Services

Department for Communities and Social Inclusion
103 Fisher Street Fullarton 5063
Jodie.Burr@dcsi.sa.gov.au

Very interesting point Claire. Depending on state and local government policies some home use sharps may be allowed to be placed in general household waste in certain conditions. So there may be different rules governing sharps disposal in the community in different places as well. All adds to the confusion.
Cheers
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
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We are teaching in line with Michael’s email in our cannulation and phlebotomy course.

But I wonder what is there any standard for teaching community use by patients themselves? Perhaps this is where some confusion may arise?

Best regards Claire

Professor Claire Rickard RN PhD
c.rickard@griffith.edu.au | +61 7 3735 6460 | Skype: clairexm1 | Twitter: IVAD_Research |

http://www.griffith.edu.au/health/centre-health-practice-innovation/research/acute-critical-care/intravascular-devices

Intravascular Access Device Research Group | NHMRC Centre of Research Excellence in Nursing Interventions | Griffith Health Institute | Visiting Scholar: Royal Brisbane & Women’s Hospital | Princess Alexandra Hospital | The Prince Charles Hospital

Research frequently takes me off campus. Please contact Jenny Chan 3735 5406 j.chan@griffith.edu.au or Jo.Wright@griffith.edu.au 3735 4886 with any urgent enquiries.

It’s nice to be important but it’s more important to be nice. John Cassis.

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[Jodie Burr]

Hi Beth

When I audited our physio dept last year including the hydrocollator they had the manufacturers manual for the machine so that is what we went with as I dont think I was able to find any general guidelines.

Would be interested if anyone does know of any guidelines though

Jodie Burr
Infection Prevention and Control-Clinical Practice Consultant
Disability and Domiciliary Care Services
Department for Communities and Social Inclusion
103 Fisher Street Fullarton 5063

Jodie.Burr@dcsi.sa.gov.au

Good Afternoon
I am after some guidelines on water baths that are used for softening of thermo plastic splints in a clinical setting. The splint is placed in the bath until the plastic is malleable and returned to the patients hand/arm for a fit check. This process can happen multiple times until the correct shape of the splint is reached.
Keys issues of concern:

frequency of water change

frequency and type of routine cleaning
On a related matter does anyone have any guidelines for the use of hydrocollators used in physiotherapy departments for heat packs.
Thanks heaps
Beth
Beth Bint

Clinical Nurse Consultant | Infection Management and Control Service
Level 1 Lawson House Wollongong Hospital 2500 NSW
Tel. 02 4222 5869 | Fax. 02 4222 5367 | beth.bint@sesiahs.health.nsw.gov.au

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[Jodie Burr]

We use Aqium (or Purell mainly in the newer facilities) for the kitchens trolleys off site receiving areas etc

Jodie Burr
Infection Prevention and Control-Clinical Practice Consultant
Disability and Domiciliary Care Services
Department for Communities and Social Inclusion
103 Fisher Street Fullarton 5063

Jodie.Burr@dcsi.sa.gov.au

Dear All
We are currently looking for a alcohol based hand sanitiser to use in our Food Service Department. I was wondering what the practices are out there and what product you are using in your Food Service Departments and on your food delivering trolleys?
Thank you and regards
Marlize Senekal
Infection Prevention and Control Coordinator
St. Andrew’s War Memorial Hospital
457 Wickham Terrace Spring Hill
Brisbane
Ph. 07-3834 4444
Ext. 4328 Pg. 0328

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[Jodie Burr]

Hi Michael would it be possible to repost this as I havent received any replies and it was sent out during the New Year/Christmas break so everyone was probably on leave – thanks. Jodie

Hi All
Part of our service has changed to the SITA waste system where all the rubbish bins have been removed from the offices in the first instance and replaced with three bins (organics dry waste recycling) at the lift area and kitchen area on each floor. They are going to roll it out throughout the whole building including the ward areas at some stage.
My concern is that staff cant easily dispose of waste in their office (mainly used tissues especially during cold/flu season).
Just wondering what other facilities are doing (if you have this system) and how it is going in the office areas?
Also do you have this system in the clinical areas (bedrooms clinics doctors rooms podiatry dentristy etc) or still have waste bins for general waste?
Thanks
Jodie

Jodie Burr
Infection Prevention and Control-Clinical Practice Consultant
Disability and Domiciliary Care Services
Department for Communities and Social Inclusion
103 Fisher Street Fullarton 5063

Jodie.Burr@dcsi.sa.gov.au
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[Jodie Burr]

Hi Matt a couple of our Aged Care Facilities have just had their accreditation within the last 2 months and nothing was mentioned about the trolleys, we have dressing trolleys, IV trolleys, Medication trolleys, trachy trolleys, catheter trolleys, etc . The accreditors didnt have any issues with infection control related things. I think they were more than happy that we had set up practices to ensure everything was clean, stocked and audited. They all have detergent wipes and ABHR on them too and we actually did an ABHR audit yesterday and the areas have it on all of their trolleys. The trolleys are not kept in the clients rooms (except for the ventilator ward, which isnt Aged CAre anyway), they are generally in the medication room or store room or clean rooms.

Jodie Burr$B!!(BInfection Prevention and Control-Clinical Practice Consultant
Disability and Domiciliary Care Services
Department for Communities and Social Inclusion
103 Fisher Street, Fullarton 5063

Ph:$B!!(B $B!!(B08 8372 1421
Fax:$B!!(B 08 8372$B!!(B1491
Jodie.Burr@dcsi.sa.gov.au
Infection Control intranet Site: http://one.dfc.sa.gov.au/disability/infectioncontrol/Pages/default.aspx

Hi All,
It has been suggested to me that dressing trolleys should not be used in aged care facilities as this reduces the homely nature of the facility and can put the facility at risk in relation to their accreditation. Instead the facility wants to use the bedside table or bed to lay out the sterile field. I have a number of concerns about this, both from an OH&S and infection prevention point of view. Has anyone else come across this argument before?
Cheers Matt

Matt Mason
RN, BNSci, Grad Dip (Remote Health), M Rural Health, M Adv Prac (Inf Cont), CICP

Lecturer/Campus Co-ordinator
School of Nursing, Midwifery & Nutrition
James Cook University
Thursday Island
Qld, 4875
Australia

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I: +61 7 4069 2670
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JCU CRICOS Provider Code: 00117J

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[Jodie Burr]

Hi Jane
That would be great if you could share your tools with us as well
Thanks very much
Jodie Burr
Jodie Burr
Infection Control-Clinical Practice Consultant
Disability Services
Community and Home Support SA
Department for Communities and Social Inclusion
103 Fisher Street Fullarton 5063

Jodie.Burr@dcsi.sa.gov.au

Happy to share our audit tools for insertion of peripheral IV cannulae and also management of peripheral IVs.
If anyone is interested please email me. Our tools are based on our in-house protocols which are referenced to CDC guidelines.
14.12.11

Jane Hellsten CICP
Manager Infection Prevention Control
Infectious Diseases Service
Loddon Mallee Infection Control Resource Centre
Bendigo Health

We 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
Australia
T: (08) 82045051
F: (08) 82044733
E: ingrid.tribe@health.sa.gov.au
Infection prevention is everybody’s business
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[Jodie Burr]

Hi Teresa
Thats not a dumb question at all!!!!
Currently we are using 70% Alcohol for blood cultures
We have recently implemented the 5 Moments into all of our Collections centres (including metro and country hospital ward services community collection centres and domicilliary services)
Most staff have been very keen to improve infection control practices and therfore we have had a very good uptake. Most staff are trying hard to comply.
I found by invloving the staff and getting them to help in determining how we can fit the 5 moments into their practice helped greatly.
We also involved the State Hand Hygiene Coordiantor and Dept of Health Infection control Service in determining how we can meet the requirements of the 5 moments whilst still providing safe patient care and quality specimen collection.
We had to “modify” the 5 moments to enable this. I teach staff to hand hygiene apply gloves and then place the tourniquet and take blood as we found that by doing it the 5 Moments way the tourniquet would be on for more than a minute especially if the blood taker was new or not as fast. this would cause a safety concern for patients and the quality of the specimen would be compromised.
We also introduced cleaning of the tourniquet with an alcohol wipe between patient uses so that at least only clean items would be touched after HH and glove donning (ie moment 2).
I modified their phlebotomy procedure to include HH and am currently in the process of developing a diagram poster outling when to HH and clean tourniquet etc.
I have now provided education to 98% of our staff on IC practices including when to HH during phlebotomy and 95% of the staff have completed their assessment (including doing the HHA online learning package).
We have alot of new staff always starting so the education will continue and competency assessments will also be conducted to ensure the staff know what to do.
Hope this helps
Jodie Burr
Infection Control Project Officer
SA Pathology
jodie.burr@health.sa.gov.au

Hello everyone
I would like to know what the practice is in other facilities for skin preparation prior to blood collection especially prior to collection of blood for blood cultures?
I believe best practice is to prep skin with 70%alcohol + 2% chlorhexidine am I correct in this?
Yet I find that the practice of most blood collectors is to use just 70% alcohol. And I note that as much education I give to them re-the 5 Moments their habits are very difficult to change.
They are performing a procedure which involves great risk of contamination to the patient yet it appears that all staff do their own thing re-technique and sequence of doing things and glove use.
It also seems that as soon as I have trained someone in the correct technique in regards to hand hygiene they are then moved to another location and I need to start all over again. Some of the staff feel that they have been doing the same job for 20 years and don’t feel there is need to change anything.
Has anyone had any success in involving the pathology/ blood collecting staff in the ownership of prevention of infection? If you have could you please share how you have done it.
Thanks hope you all have a great day.
PS. (Sorry if this is a dumb query)
Teresa

Teresa Lewis
Infection Control/Prevention
Clinical Nurse Consultant
Newcastle Private Hospital
Email:teresa.lewis@healthscope.com.au

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