[GREENOUGH, John]

Hi Lindy,
At Austin Health we screen:

1. ICU upon admission and twice per week for MRSA, VRE and MRGNO.
2. High Risk Units upon admission and weekly for VRE/MRGNO.
3. Point Prevalence Survey for all inpatients (whole of organisation) every 6 months, for VRE/MRGNO

We risk assess patients upon admission for an overseas admission in the past 12 months or admission to a known CPE transmission area. These patients are screened for VRE/MRGNO.
We also screen patients for C.auris if they have had an overseas admission in the past 12 months.

Kind regards,

John Greenough

Manager – Infection Control Department

[logo_austin]

03 9496 6625

Level 7, Harold Stokes Building

145 Studley Road, Heidelberg

PO Box 5555, Victoria, 3084

http://www.austin.org.au

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Hello

Just hoping for quick survey for those site who have an ICU and the advice from the ACSQHC Table 2 high risk units re MRO screening on admission , weekly and on discharge (especially VRE)

as I am getting mixed messages from one of our ICUs that other units no longer undertake weekly MRO screening despite the national guide so I am trying to get an understanding of what others unit may be doing

Question – Do you currently screen ICU patients for MROs on weekly as well as on discharge and admission

Many thanks for your useful feedback

Kind regards

Lindy

Lindy Ryan

District Infection Prevention & Control CNC | Clinical Governance & Information Services MNCLHD

Level 1 Coffs Specialist Centre, Pacific Hwy, Coffs Harbour
Office 66911984 or Mob 0419 990 693 | lindy.ryan@health.nsw.gov.au
http://www.health.nsw.gov.au

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Wise and humane management of the patient is the best safeguard against infection

(Florence Nightingale Circa 1860)

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[GREENOUGH, John]

Hi Wendy,
The units contain both normal saline, and contrast multi dose components.

Kind regards,

John Greenough
Manager – Infection Control Department

[logo_austin]
03 9496 6625

Level 7, Harold Stokes Building
145 Studley Road, Heidelberg
PO Box 5555, Victoria, 3084

http://www.austin.org.au

Share [linkedin] https://www.youtube.com/watch?v=

From: ACIPC Infexion Connexion On Behalf Of nursewendy10
Sent: Wednesday, 15 January 2020 10:10 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: [ACIPC_Infexion_Connexion] Multi use contrast injections.

Hi,

I can’t speak officially as a infections control delegate for my unit but I am a medical imaging nurse. Do you mean the IV contrast as a multi use or a normal saline bolus multi use injection?

Wendy Naylor R.N.
Medical Imaging Department,
Sunshine Coast University Hospital.
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[GREENOUGH, John]

Hi Richard,
I am interested as to why you need to use a concentration of greater than 1000 ppm for terminal cleaning/disinfection.

At Austin Health we have been using a cleaning disinfection solution with 1000 ppm sodium hypochlorite for over ten years as a standardised cleaning agent for all environmental cleaning in all clinical areas. We have not encountered substantial OH&S issues as long as staff use appropriate PPE and are trained in safe chemical handling. We couple this standardised cleaning system with monthly VRE environmental surveillance. Our surveillance usually does not yield VRE detections , but when we identify VRE on an item such as a commode chair we inform the clinical area to re-clean all the commode chair. We have found the standard application of 1000 ppm is effective.

Kind regards,

John Greenough
Manager – Infection Control Department

03 9496 6625

Level 7, Harold Stokes Building
145 Studley Road, Heidelberg
PO Box 5555, Victoria, 3084

http://www.austin.org.au

—–Original Message—–
From: ACIPC Infexion Connexion On Behalf Of Michael Wishart
Sent: Wednesday, 31 July 2019 4:15 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] Higher concentration dilution of sodium hypochlorite

Hi Richard

Well, where should I start? This, admittedly, if from quite a few years ago, but anything above 1000ppm available chlorine was problematic for my staff at the time. We initially tried 10000ppm available chlorine, and saw severe cases of skin problems, and some respiratory sensitisation. And the surfaces showed a very rapid decline… even stainless steel benches showed rapid wear! So we moved down to 5000pmm and saw less respiratory sensitisation, still had multiple cases of skin problems, and still had surface wear. This was over a period of several years, mind you. So, after that, I abandoned sodium hypochlorite unless I had absolutely no alternative, and then only at level 1000ppm or less.

There are other disinfectants now available, although bleach remains easy to obtain and cheap, making it desirable from a cost perspective. But I would strongly argue that wide use of bleach is a definite hazard to staff that is very hard to control.

My opinion, at any rate.

Cheers
Michael

Michael Wishart | Infection Control Coordinator, CICP-E

St Vincents Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032 T +61 7 3326 3068 | F +61 7 3607 2226 E michael.wishart@svha.org.au | W https://clicktime.symantec.com/39g5xiNNWMD9XxxzMLsFgPw7Vc?u=https%3A%2F%2Fwww.svphn.org.au

—–Original Message—–
From: ACIPC Infexion Connexion On Behalf Of Bartolo, Richard
Sent: Wednesday, 31 July 2019 3:58 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: [ACIPC_Infexion_Connexion] Higher concentration dilution of sodium hypochlorite

Hi Everyone,
We are looking at higher concentration dilution of sodium hypochlorite (10% bleach solution) (1:10 solution = 1 part bleach for every 9 parts water) for terminal cleaning. This concentration is 5 times the currently used dose 5000 ppm vs 1000ppm. The higher concentrations of chlorine are deemed respiratory sensitizers which have the potential to trigger reactions in some staff. Has anyone had issues?

Kind Regards,

Richard

Richard Bartolo
Manager Infection Prevention

Western Health
Gordon Street, Footscray VIC 3011
Ph. 03 8345 6113
Mob. 0438 560 441
Email. richard.bartolo@wh.org.au
Web. https://clicktime.symantec.com/3T9CBetsUTQQ1UEyZRZusdP7Vc?u=www.westernhealth.org.au

This was sent from my iPhone.
Kind Regards,

Richard Bartolo
Manager Infection Prevention

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[GREENOUGH, John]

Hi Sam,
At Austin Health we use a cleaning/disinfection product with 1000 ppm sodium hypochlorite for all environmental cleaning in clinical areas. In addition we perform very detailed “super cleans” with a dedicated cleaning staff of our high risk patient areas 3 times a year – using this product. There is not a different chemical or method used for transmission based precaution rooms.

Happy to discuss further offline if you wish.

Kind regards,

John Greenough| Manager – Infection Control Department |Austin Health
ph. +61 3 9496 6625 | Level 7 HSB Austin Campus
P.O Box 5555 Heidelberg Vic 3084
email. john.greenough@austin.org.au | http://www.austin.org.au
[cid:image001.png@01D3C287.0E766510]

Good morning,

Just wanted to do a snap pole…

1 What bleach concentration do you use in your facilities?
2 Bleach concentration for cleaning additional precaution rooms, is this different if c.diff or gastro?
3 Do you routinely clean all toilets with bleach?

Many thanks,
Sam

Samantha Palmby | Infection Control Coordinator (Tues-Fri)
St Vincent’s Melbourne | 41 Victoria Parade Fitzroy VIC 3065
t: +61 3 9231 4069 | f: +61 3 9231 4068 |
e: Samantha.palmby@svha.org.au
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[GREENOUGH, John]

Hi Janine,
At Austin Health we have a Blood and Body Fluid Exposure (BBFE) Coordinator. Staff page the BBFE pager number and the BBFE Coordinator makes an assessment of the exposure, Source blood testing is arranged as well as recipient blood testing. During business hours this pager is answered by Infection Control. After hours and including public holidays and weekends this pager is answered by the After Hours Site Manager. Results are managed in consultation with the Infectious Diseases team.

Kind regards,

John Greenough l Infection Control Manager
Infection Control l Austin Health
Level 7 HSB l Austin Campus
[5th May banner]

Hi All,

I am seeking information from our network about the management of staff occupational exposures afterhours, weekends, public holidays.

In our hospital, during business hours, staff present to staff clinic/infection control for management of their occupational exposure. Management includes blood test, counselling and follow-up.
After hours, staff present to the Emergency department for initial blood test and counselling. Infection control provides all follow-up from here on the next business day. During long periods of public holidays ie Easter, ED has followed up the initial blood test and provided PEP if appropriate.

I would like to know what other hospitals arrangements are for management of occupational exposures as we are about to conduct a review of the role that ED plays in the management of occupational exposures, in particular how you manage after hours exposures when infection control is not physically on the premises. We do have an on call arrangement.

Thanks in advance.

Janine Carrucan
RN B AppSci MPHTM GradCertEd MAdvPrac (Infection Prevention & Control) CICP-E
Nursing Director , Infection Prevention & Control
The Townsville Hospital & Health Service
PO Box 670 Townsville Qld 4810
DECT 4433 3606 Mob: Speed Dial *5838. 0431930929

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