[GREENOUGH John R (SVHM)]

Hi Matt,
I find this quite odd. We use procedure trolleys with sharps containers and ABHR attached in our residential aged care facilities. These procedure trolleys are stored in utility rooms when not in use. They are not stored in the resident’s rooms. This has never been raised at accreditation as being an issue. Indeed I would have concerns if the facility did not use procedure trolleys.

Kind regards.

John Greenough | Infection Control Consultant
St Vincent’s | 41 Victoria Parade Fitzroy VIC 3065
t: +61 3 9288 4704 | f: +61 3 9288 4068 | http://www.svhm.org.au

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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

P: (07) 4069 2670
I: +61 7 4069 2670
F: (07) 4069 2627
E: matt.mason@jcu.edu.au
W: http://www.jcu.edu.au/nursing/

JCU CRICOS Provider Code: 00117J

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[GREENOUGH John R (SVHM)]

Hi Beth,
At STV Melbourne we require symptomatic staff to remain away from work until 48 hours after last symptoms (mainly diarrhoea) has ceased. Historically in our residential facilities, management have required symptomatic staff to supply a clearance certificate from their G.P. As a rule staff use their own sick leave. If they do not have sufficient sick leave available then the manager of the area (NUM) is encouraged to make an arrangement with the H.R. Department. We do not routinely process staff sick leave as work cover as this may be more expensive in the long run as any claims may impact on insurance premiums.

But of course the Infection Control component of the advice is really limited to the staff remaining away from work with a 48 hour symptom free period. How staff are paid and by who is not an Infection Control issue is it? I would recommend that the managers of the areas affected need to make those decisions.

Kind regards.

John Greenough
Infection Control Consultant
St. Vincent’s Health
PO Box 2900
Fitzroy 3065
Telephone:
SVH (03) 9288 2020
SGHS (03) 9816 0632

Good afternoon

I am interested in knowing how various health services or facilities managed staff who become ill during a gastroenteritis (norovirus) outbreak.

How long are symptomatic staff recommended to stay off duty?
What type of leave do they take whilst symptomatic and recovering?
If it is deemed a work related illness, what are the parameters/definitions used for this?
Is there a variation in recommendations according to the type and place of employment in the health service?

Thank you
Beth

Beth Bint
CNC Infection Control
The Wollongong Hospital

M: 0458 230 562
e beth.bint@sesiahs.health.nsw.gov.au

Infection Management and Control Service (IMACS)
Level 1, Lawson House
The Wollongong Hospital
LMB 8808
SCMC NSW 2521

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[GREENOUGH John R (SVHM)]

Hi Keryn,
Processing through the dishwasher in the kitchen would be my recommendation. I do not understand what the “system” problem is with the kitchen processing these items and returning them. We process our feeder cups and spoons in the dishwasher at our facilities.

John Greenough
Infection Control Consultant
St. Vincent’s Health
PO Box 2900
Fitzroy 3065
Telephone:
SVH (03) 9288 2020
SGHS (03) 9816 0632

Good afternoon all,

Looking for advice.

I have had a query from the Aged Care area of our facilities, who state that the Aged Care Accreditor/Auditor has raised concerns about the washing on the ward of plastic (non-disposable) feeder cups and metal teaspoons used in the mixing and administration of medications to the clients.
The auditor insists that these items should be assigned to the dishwasher – the kitchens refuse them due to incidents of them being delivered with medications still contained therein and their inability to guarantee their return.

There is insistence that we should then use plastic disposable items. Unfortunately we have very real concerns, and a history, of clients attempting to consume such items or receiving oral injury from biting same.

Is there any issue with the staff washing the items in hot water and detergent in the medicating rooms following every use and prior to reuse?

Is anyone aware of any Infection Control or OHS concern with regard to this practice?

Keryn Eden
Occupational Health/Infection Control Nurse
Disability SA – Highgate Park
103 Fisher Street
FULLARTON SA 5063
Wash Wipe Cover ……. Don’t Infect Another
Ph. (08) 8372 1421
E-Mail – Keryn.Eden@dfc.sa.gov.au

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