[Julie Hunt]

Hi Franciska,

Sadly we don’t have an IV team.

Our current policy is that the IVC should be reviewed every shift for signs of inflammation/patency etc and ideally be changed at 72 hours. This period may be extended to a maximum of 96 hours if the site does not show any sign of inflammation; or in the event that another peripheral site cannot be easily accessed. Justification for this extended time period must be documented in the patient’s health care record. This may change as the Clinical Excellence Commission in NSW is currently working on a Peripheral Intravenous Cannulation policy.

It is recommended that IVCs be changed at least every 48 hours in Neutropenic patients.

An IVC inserted under less than ideal conditions (e.g. by ambulance personnel in emergency situations) should be replaced at the earliest opportunity and within 24 hours of admission to hospital.

Regards

Julie

Julie Hunt
Clinical Nurse Consultant | Infection Prevention and Control
Royal North Shore Hospital, Reserve Rd, St Leonards 2065
Tel 02 99264339 or 99264490 juhunt@nsccahs.health.nsw.gov.au

>>> Franciska Ferreira 1/05/2013 11:12 am >>>
Good Morning to you all,

Our current Peripheral Intravenous Cannulation policy states; to resite a IV cannula every 72 hours. I know there is some debate on this issue and recent evidence suggests routine resite is unnecessary. Current recommendations are to resite IV Cannulas every 96 hours with the exception of children and patients with poor veins. Saying that, not all Hospitals has IV teams to resite all the necessary IV cannulas.

Could you please let me know if any of your organizations have an IV Team and when do you routinely resite patients cannulas?

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

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[Julie Hunt]

Hi Terry,

There is some information on the storage of tissue in:
Therapeutic Goods Act 1089
Section 10
Standards for Human skin

It doesn’t go into specific types of refrigeration, only temperatures and duration and that collected human skin must be sampled for bioburden, using a validated sampling technique prior to being packaged and, when packaged, must be packaged within at least one moisture impermeable barrier using an aseptic technique and stored
in accordance with conditions and duration specified and justified by validation data or documented evidence from the relevant scientific literature

Regards

Julie

Julie Hunt
Clinical Nurse Consultant | Infection Prevention and Control
Royal North Shore Hospital, Reserve Rd, St Leonards 2065
Tel 02 99264339 or 99264490 juhunt@nsccahs.health.nsw.gov.au

>>> Michael Wishart 11/03/2013 2:15 pm >>>
Hi Terry

We looked at storage of human skin recently, as we were using a fridge that was used to store lab specimens. Provided you have a temperature monitored and maintained fridge with appropriate alarms and checks, and provided the tissue is labelled with name and date of collection / expiry, and sealed into its own container, we couldn’t find any guidelines that specified what else could be storied in the fridge with it.

We have changed our practice here, though, and now store these tissues in a blood fridge, as that has is attached to a monitored alarm system. Whereas the pathology fridge just beeps to itself in the pathology room where no one can hear it.

If anyone has actual tissue storage guidelines that specify more clearly where these tissues can be stored I would be interested as well.

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
Please consider the environment before printing this email

Hi everyone,

I have recently come across a practice of storing human tissue i.e. skin in the same fridge as drugs.

I was wondering if anyone could point me to the reference where it clearly states that this is not an acceptable practice? A quick internet search hasn’t been helpful.

Thanks in anticipation.

Regards
Terry McAuley
Sterilisation & Infection Control Consultant
STEAM Consulting
E: terry@steamconsulting.com.au
W: http://www.steamconsulting.com.au
A: PO BOX 779
Endeavour Hills
VIC Australia 3802

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[Julie Hunt]

Hi Kerry,

There was a lot of information on carpets on the list a few weeks ago.

In our new hospital Infection Prevention & Control stipulated that
floor coverings throughout must be easy to clean and resistant to
disinfection procedures therefore all clinical areas utilise both slip
resistant and non slip vinyl (as required).

The vinyl selected is a Polyurethane reinforced low maintenance PVC
floor covering engineered for heavy duty hospital and health care use.

We reviewed a lot of vinyl products but haven’t seen the Bolon. For us
it was important that we could clean the product with our usual neutral
detergents (some require special cleaning agents) and if required
disinfect with Hypochlorite 1000ppm, so that narrowed down the field.

Regards

Julie

Julie Hunt
Clinical Nurse Consultant | Infection Prevention and Control
Royal North Shore Hospital, Reserve Rd, St Leonards 2065
Tel 02 9926 4339 or 992604490 juhunt@nsccahs.health.nsw.gov.au

>>> Kerry Addlem 20/11/2012 2:55 pm >>>
We are in the planning stages of building a new hospital. It is time to
decide on floorcoverings.

I would be interested on your thoughts regarding carpet verses vinyl in
residents’ bedrooms in a high care facility.

Also, does anyone have any experience with a European design “Bolon”
textured vinyl.

I look forward to your thoughts.

Regards

Kerry Addlem
Infection Control CoordinatorPO Box 159 Charlton VIC 3525 Tel: 03
5477 6867 Fax: 03 54912010

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[Julie Hunt]

Hi Kathy,

We are presently opening a new hospital, I came into the planning late
& when I asked regarding toilet lids I was told that it was agreed early
on in the project to not include toilet lids. I understood it was due to
OHS issues! I haven’t given up & will still work on this…

In relation to ICU, we opened a 58 bed unit last week consisting of 4
Pods (2 x 13 bed & 2 x 16 bed), all are single rooms. Each Pod has a
dirty utility, in addition each 16 bed Pod contains 3 negative pressure
rooms and 1 positive pressure room. A single negative pressure room is
provided in each of the thirteen (13) bed pods. Each of these rooms has
a sub dirty utility plus an ante room. The positive pressure rooms are
for haematology and burns (we have a Severe Burns Injury Unit)
patients.

The Pods have been engineered so that in the event of a pandemic one
Pod can be ‘locked down’ with separate air handling & entry/exit from
the rest of the Unit.

Regards

Julie

Julie Hunt
Clinical Nurse Consultant | Infection Prevention and Control
Royal North Shore Hospital, Reserve Rd, St Leonards 2065
Tel 02 9926 4339 or 992604490 juhunt@nsccahs.health.nsw.gov.au

>>> Kathy Dempsey 5/11/2012
2:26 pm >>>
Hi All,
I’m after some information / experience with rebuild and design of
Health care facilities and peoples thoughts around toilet lids or No
toilet lids. For years I have been told that the toilet lids were
removed because of Infection Control. Now with the rebuilds there
continues to be great debate around to have a lid or not to have a
lid.
So would be interested in other’s experiences.
My other question is around how many of the new ICUs are moving to
single rooms and what initiatives people may have put in place around
managing disposal of body wastes. these are rooms with no ensuites and
the option for a pan rooms is at the furthest point at end of unit.
looking forward to responses.
Regards
kathy

Kathy Dempsey
CNC Infection Control & Hospital Epidemiology Department
ph: 61 2 9845 7501
mobile:0423 000169
pager 27230 (M,T,W,T)
Clinical pager 9868

email: kathy.dempsey@swahs.health.nsw.gov.au

>>> Michael Wishart 10/29/2012 1:09 pm
>>>
[Posted on behalf of Skye Mentjox Moderator]

Hi Michael – I haven’t see this come up on the AICA discussion list
but
I believe will be of interest to many members.

Please be advised that the period for public comment on the AS/NZ 4187
draft has been extended to Tuesday, 23 January
2013

A free Draft can be downloaded from SAI Global at the following link:

http://infostore.saiglobal.com/store/Details.aspx?ProductID1595343

1) Click on Log In Required next to the pdf
icon. Then login under Registered User, or Not
registered?
if its your first time.
2) Then, click on the Free Download icon directly
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Comments from the public may be made on Standards Australia website,
using the PUBLIC ACCESS icon, at the following link:

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Skye Mentjox
Product Manager
Whiteley Corporation
m. 0412068053
e. skye@whiteley.com.au

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[Julie Hunt]

Hi Wendy,

There are sterile labels that can be ordered and used for this purpose – they may also be required in operating theatre.

Regards

Julie

Julie Hunt
Clinical Nurse Consultant | Infection Prevention and Control
Royal North Shore Hospital, Reserve Rd, St Leonards 2065
Tel 02 9926 7914 | Fax 02 9926 6161 | juhunt@nsccahs.health.nsw.gov.au

>>> “Beckingham, Wendy” 13/06/2012 2:22 pm >>>
Hello All
The question has been raised re the new standards for labelling of medicines.

Has anyone developed a process for labelling injectable medicines when administering them as part of a sterile procedure e.g. connecting to a haemodialysis machine.

Look forward to your replies

Wendy Beckingham
CNC Infection Prevention and Control
ph. (02) 6244 3695 or mobile 0478408787 orpager 50390
e. wendy.beckingham@act.gov.au
Care Excellence Collaboration Integrity
GERMS CAN KILL…
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[Julie Hunt]

Dear Sony,

Water-soluble laundry bags have not been used in NSW for many years.

One issue is that if you place ‘wet’ linen in these bags, being ‘water-soluble’ they may start to disintegrate prior to reaching the laundry i.e on the dock or in the transport truck.

NSW Health Infection Control Policy 2007_036 stipulates that linen heavily soiled with blood or body substances, or other fluids that have potential to leak, should be contained, stored and transported in leak proof bags contained within the linen bag.

Regards

Julie Hunt
Clinical Nurse Consultant | Infection Prevention and Control
Royal North Shore Hospital, Reserve Rd, St Leonards 2065
Tel 02 9926 7914 | Fax 02 9926 6161 | juhunt@nsccahs.health.nsw.gov.au

>>> Sony SO 9/05/2012 11:31 pm >>>
HI All,

I am reviewing our hospital’s laundry practices, and I would like to know whether water soluble bags are commonly used in Australia hospitals. If use, how it minimize infection risk, If not, what is the limitation?

Regards,

Sony SO
Nursing Officer, Infection Control Team
Kwong Wah Hospital
Tel:+ 852 3517-2409 Fax: +852 2332-3348 email:sony@ha.org.hk
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[Julie Hunt]

Hi Toni,

We don’t have a specific format hear although I know Clinical Governance are working on one for investigation of all BSIs (we are currently 6 months behind in this reporting. We do investigate & report all BSIs, I really just use the old format from eICAT.

We have no clerical assistance or help with the investigation.

Regards

Julie

Julie Hunt
Clinical Nurse Consultant | Infection Prevention and Control
Royal North Shore Hospital, Reserve Rd, St Leonards 2065
Tel 02 9926 7914 | Fax 02 9926 6161 | juhunt@nsccahs.health.nsw.gov.au

>>> Toni Schouten 23/04/2012 1:02 pm >>>
Hello,

Would anyone be willing to share what tools or methods they are using
for investigation and feedback of SABs.

I have the ISLHD, Liverpool & Nepean Hospital tools (many thanks).

Also, what resources you have to do this, e.g. have you employed an
extra person or do you have clerical assistance.

Many thanks in advance, Toni.

Regards,

Toni Schouten CICP
Clinical Quality Manager | Clinical Governance Unit
Level 11 KGV Building Missenden Road Camperdown NSW 2050
Tel. 02 9515 9339 | Fax. 02 9515 9610 | Mob. 0438 171 493 |

toni.schouten@sswahs.nsw.gov.au

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[Julie Hunt]

Hi Lindy,

We don’t have anything here

Regards

Julie

Julie Hunt
Clinical Nurse Consultant | Infection Prevention and Control
Royal North Shore Hospital, Reserve Rd, St Leonards 2065
Tel 02 9926 7914 | Fax 02 9926 6161 | juhunt@nsccahs.health.nsw.gov.au

>>> Lindy Ryan 20/10/2011 5:17 pm >>>

Dear Colleagues
I have been asked by my executive to check if anyone out there has
developed a formal tool for “rating infectious control patients. For
example an infectious patient with no drips /drains/ wound rated as a 1
where as a 3 for a patient with wounds /drips and drains?” that is used
by their their facility/service
apparently some one has one developed hence our executive putting this
forward as strategy to be considered for managing our bed block related
to infection control risk pts …..I would think they are largely
referring to MRSA pt’s.
anyhow any advice or if anyone knows of one or if there is any
literature or research supporting this approach for categorising pts
with an MRO using such a tool I would be most appreciative.
I am aware that pts without drains drips, good skin integrity etc may be
lower risk of picking/spreading MROs (as we all know) a but i have not
seen anything formalised or in concrete using a tool without the need
for clinical/ infection control consideration which is more what I was
after. I think my management are hoping for a one hat fits all approach
to managing infection control issues/pts after hours when Infection
control expertise is not available …hence me asking to see if anyone
has developed something that is safe and workable.
many thanks for any help
have a great day all
regards

Lindy
Lindy Ryan

Infection Control Clinical Nurse Consultant | Infection Control
Services, Nepean Hospital
Nepean Blue Mountains Local Health District PO Box 63 Penrith NSW 2751
Tel 02 4734 2228 | Fax 02 4734 2517 | lindy.ryan@swahs.health.nsw.gov.au
http://www.health.nsw.gov.au

Infection prevention & control is everyone’s business

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10/20/11 – 17:17:39

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[Julie Hunt]

Hi Mary,

The advice below is provided on the NSW Legal & Legislative Services web page:

What should be done where a patient wishes to take home tissue removed or expelled from their body while they are in hospital?

This can sometimes be requested by persons who have certain cultural or religious beliefs (eg as to treatment of the placenta after birth). Legally, there is no ownership in excised body parts and patients do not have any legally enforceable rights to take home such tissue.

However, there is no objection to such a course of action where it presents no risk to the patient or others.

A responsible medical practitioner should be satisfied that arrangements for taking home such tissue do not present a risk to public health.

For further information please see: Policy Directive 2005_341 Use/Retention of Human Tissue including Organ Donation, Post-Mortem Examination and Coronial Matters (Appendix 2, Procedures for the return of tissue to patient/next-of-kin) and Policy Directive 2005_247 Infection Control Policy.

A copy of PD 2005_341 can be accessed at:
http://www.health.nsw.gov.au/policies/pd/2005/PD2005_341.html

Regards

Julie Hunt
Infection Prevention & Control CNC
Royal North Shore Hospital

>>> Mary Willimann 6/09/2010 4:12 pm >>>
Hi Everyone
Our Peri-Operative area is currently revising our policy relating to the disposal of surgically removed human tissue and explanted items. I was wondering what policies other facilities have in place particularly when it comes to patients wanting to take these items home with them. Do you ask patients to sign a disclaimer as advised in the ACORN standards and allow it or not?
All comments would be most welcome!
Kind Regards
Mary

Mary Willimann
Clinical Nurse Consultant
Infection Prevention & Control
St John of God Hospital
Subiaco
Dect phone 2358

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