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Bellis, Kaye

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  • in reply to: COVID testing #76828
    Bellis, Kaye
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    Bellis, Kaye

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    Hi in Victoria if the person went to a government initiated COVID surveillance clinic then they can go straight back to work but if she went to a COVID clinic the they must wait until they get a negative results.

    Kaye Bellis

    Hand Hygiene Co-ordinator
    Infection Prevention Consultant
    Infection Prevention and Hospital Epidemiology Unit

    Tuesday/Wednesday/Thursday
    e K.Bellis@alfred.org.au

    The Alfred
    55 Commercial Road
    Melbourne VIC 3004
    PO Box 315 Prahran
    VIC 3181 Australia
    [cid:image001.jpg@01D6285E.BB115340]
    We acknowledge the people of the Kulin Nation, the traditional custodians and pay our respects to their culture and their Elders past, present and emerging.
    We welcome all cultures, nationalities and religions. Being inclusive and providing equitable healthcare is our commitment.

    Alfred Health incorporates The Alfred, Caulfield Hospital, Sandringham Hospital and Melbourne Sexual Health Centre
    http://www.alfred.org.au

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    Asymptomatic staff can work without restriction following being swabbed as the Victorian screening process was designed to get a snap shot of what is going on in the community and was not for anyone who displayed symptoms and was considered at particular risk for COVID19.

    [cid:image003.jpg@01D2E9BF.C675F410]

    Cathy Mowat
    Clinical Nurse Consultant
    Infection Prevention and Control
    Central Gippsland Health
    T. 03 5143 8518
    E. cathy.mowat@cghs.com.au

    Central Gippsland Health is located on the traditional land of the Gunai Kurnai people

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    Hi all
    I have a staff member who is feeling quite well but decided to be tested for COVID-19 at one of the shopping centre testing areas they have set up. She assumed she would have a result within 2 days but has been told it may be up to a week. One of my colleagues has told her she cannot return to work until she has her result – does this sound right to everyone?
    Thanks in advance for your expertise and comments
    Jenny

    Maryvale Private Hospital acknowledges the traditional owners of country, the Gunaikurnai nation, and recognises their continuing connection to land, waters and culture.
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    in reply to: Non-alcohol based hand sanitisers #76381
    Bellis, Kaye
    Participant

    Author:
    Bellis, Kaye

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    HI Donna, I too will be interested in what you are talking about as we are currently looking at what HH product we can place inside our Hyperbaric chamber.
    We have plenty of AHBR available around the department but in view that the staff preform BSLs etc inside the chamber we need a non-alcoholic based product that meets Australian requirements.
    regards Kaye

    Kaye Bellis

    Hand Hygiene Co-ordinator
    Infection Prevention Consultant
    Infection Prevention and Hospital Epidemiology Unit

    Tuesday/Wednesday/Thursday
    e K.Bellis@alfred.org.au

    The Alfred
    55 Commercial Road
    Melbourne VIC 3004
    PO Box 315 Prahran
    VIC 3181 Australia
    [cid:image001.jpg@01D5ECBA.A871F350]
    We acknowledge the people of the Kulin Nation, the traditional custodians and pay our respects to their culture and their Elders past, present and emerging.
    We welcome all cultures, nationalities and religions. Being inclusive and providing equitable healthcare is our commitment.

    Alfred Health incorporates The Alfred, Caulfield Hospital, Sandringham Hospital and Melbourne Sexual Health Centre
    http://www.alfred.org.au

    CONFIDENTIALITY NOTICE: This email and any files transmitted with it are confidential and are to be used solely by the individual or entity to whom it is addressed. If you have received this email in error, please be aware that any disclosure, copying or distribution of the information it contains; or taking any action in reliance on the contents of this information, is strictly prohibited and may be unlawful. Please notify us by return email that you have received the email and delete all copies in your system.

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    Hi Everyone,

    I have been asked by two different groups this week about non-alcohol based hand sanitisers. My initial thoughts were that, in accordance with all hand hygiene guidance for healthcare settings that I can find, alcohol-based hand rubs are the only acceptable products available. That non-alcohol based hand rubs haven’t undergone EN1500 testing and therefore shouldn’t be used.

    I have subsequently been advised by one of the groups asking me about the product they current use (a non-alcohol based hand rub) that the product has achieved EN1500 certification. They will be providing me with this product information next week.

    In the interim, I was interested to know if any other ICPs etc have either experience or knowledge of non-alcohol based hand rubs, their use (in a healthcare setting) and efficacy.

    I realise we can’t use product names (I am happy for you to contact me directly (email below) if you wish to), but I am very interested to hear people’s thoughts/advice/experience on this topic. One of the groups was particularly keen to know about appropriateness in relation to coronavirus so your thoughts on that would also be appreciated.

    Regards,
    Donna

    Donna Cameron
    Infection Control Consultant
    T +61 (0) 3 8344 3574 (Monday, Wednesday & Friday); +61 (0) 3 9096 5233 (Tuesday & Thursday)
    donna.cameron@unimelb.edu.au
    Microbiological Diagnostic Unit Public Health Laboratory
    The Peter Doherty Institute for Infection and Immunity
    792 Elizabeth Street | Melbourne | Victoria | Australia | 3000
    doherty.edu.au
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    in reply to: Re: Compression Stocking #76355
    Bellis, Kaye
    Participant

    Author:
    Bellis, Kaye

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    HI Kristin, I agree with Belinda. Its a difficult time for her but if you cannot perform correct HH then you cannot be clinical.
    regards Kaye

    Kaye Bellis

    Hand Hygiene Co-ordinator
    Infection Prevention Consultant
    Infection Prevention and Hospital Epidemiology Unit

    Tel: 03 9076 3139 or 9076 6550
    Mob: 0417 636 179
    Tuesday/Wednesday/Thursday
    e K.Bellis@alfred.org.au

    The Alfred
    55 Commercial Road
    Melbourne VIC 3004
    PO Box 315 Prahran
    VIC 3181 Australia
    [cid:image001.jpg@01D5EBC4.B318C500]
    We acknowledge the people of the Kulin Nation, the traditional custodians and pay our respects to their culture and their Elders past, present and emerging.
    We welcome all cultures, nationalities and religions. Being inclusive and providing equitable healthcare is our commitment.

    Alfred Health incorporates The Alfred, Caulfield Hospital, Sandringham Hospital and Melbourne Sexual Health Centre
    http://www.alfred.org.au

    CONFIDENTIALITY NOTICE: This email and any files transmitted with it are confidential and are to be used solely by the individual or entity to whom it is addressed. If you have received this email in error, please be aware that any disclosure, copying or distribution of the information it contains; or taking any action in reliance on the contents of this information, is strictly prohibited and may be unlawful. Please notify us by return email that you have received the email and delete all copies in your system.

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    From: ACIPC Infexion Connexion On Behalf Of craig henderson
    Sent: Friday, 21 February 2020 4:29 PM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: Re: [ACIPC_Infexion_Connexion] Compression Stocking

    Hi Kristin
    This is a challenging topic, however if the staff member is unable to comply with bare below the elbows and attend hand hygiene they are unable to undertake clinical care.
    cheers
    Belinda

    Belinda Henderson RN BN IPN MAdvanced Prac CICP-E

    Clinical Nurse Consultant

    Infection Management Services – Infection Control

    Princess Alexandra Hospital

    Metro South Health Service |Queensland Health Level 1,Building 17, 199 Ipswich Road WOOLLOONGABBA QLD 4102

    Phone: 07 3176 5920 (ext: 5920)

    Email: BelindaC.Henderson@health.qld.gov.au<mailto:BelindaC.Henderson@health.qld.gov.au>
    [image.png]

    On Thu, Feb 20, 2020 at 12:13 PM Kristin Ryan-Agnew (Northern NSW LHD) <Kristin.RyanAgnew@health.nsw.gov.au> wrote:
    Hi all,
    We have a fantastic RN who is required to wear a pressure stocking on her arm due to lymphedema from breast cancer.
    We would love to assist her getting back to work but we have a question around hand hygiene?
    I would appreciate your thoughts on this matter.
    Kind regards
    Kristin

    Kristin Ryan-Agnew
    Kristin Ryan-Agnew (MPH/Grad Cert IP&C)
    Infection Prevention & Control Clinical Nurse Consultant
    The Tweed Hospital
    Ph: 0755067406
    Mobile: 0427112213

    National Standard 3 : Preventing and Controlling Healthcare Associated Infections

    I acknowledge the Bundjalung people as traditional owners of the land on which I work and live.
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    Belinda Henderson
    Past President

    Australasian College for Infection Prevention and Control Ltd

    GPO Box 3254, Brisbane Qld 4001
    Tel (07) 3211 4695 Fax (07) 3211 4900
    Email admin@acipc.org.au

    Web: https://www.acipc.org.au
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    in reply to: Re: Sharps Safety and Recapping Drawing up Needles #75911
    Bellis, Kaye
    Participant

    Author:
    Bellis, Kaye

    Position:

    Organisation:

    State:

    Good morning, Im similar to Donna in thats its been many (many ) years since I worked in pathology but we always broke the needle to bleed the NICU and SCN babies.
    Regards Kaye

    Kaye Bellis
    Hand Hygiene Project Co-ordinator
    Inf Dis – Infection Control
    (Tuesday, Wednesday and Thursdays)

    t: 03 90766550
    m: 0417636179
    e: K.Bellis@alfred.org.au

    Alfred Health
    55 Commercial Road
    Melbourne VIC 3004
    PO Box 315 Prahran
    VIC 3181 Australia
    [cid:image001.jpg@01D58332.34AE76B0]
    Alfred Health incorporates The Alfred, Caulfield Hospital and Sandringham Hospital
    http://www.alfredhealth.org.au

    CONFIDENTIALITY NOTICE: This email and any files transmitted with it are confidential and are to be used solely by the individual or entity to whom it is addressed. If you have received this email in error, please be aware that any disclosure, copying or distribution of the information it contains; or taking any action in reliance on the contents of this information, is strictly prohibited and may be unlawful. Please notify us by return email that you have received the email and delete all copies in your system.

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    From: ACIPC Infexion Connexion On Behalf Of Donna Cameron
    Sent: Friday, 11 October 2019 5:05 PM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: Re: [ACIPC_Infexion_Connexion] Sharps Safety and Recapping Drawing up Needles

    Hi,

    Although it has been a long time since I worked in paeds, the practice of breaking a needle was relatively common to take blood from babies. Their veins are small and can easily collapse with pressure from drawing back with a syringe. The blood drops were collected directly into the blood tube. I presume the hub was broken off because blood would fill the hub first, that way as much blood as possible could be collected and not be wasted staying in the hub.

    Here is an article I found mentioning a similar method but they cut some of the hub off.

    https://acutecaretesting.org/en/articles/heel-or-back-of-the-hand

    As I said, that was quite a long time ago that I observed that practice so I dont know if it still occurs.

    Regards,
    Donna

    Donna Cameron
    Infection Control Consultant
    T +61 (0) 3 8344 3574 (Monday, Wednesday & Friday); +61 (0) 3 9096 5233 (Tuesday & Thursday)
    donna.cameron@unimelb.edu.au
    Microbiological Diagnostic Unit Public Health Laboratory
    The Peter Doherty Institute for Infection and Immunity
    792 Elizabeth Street | Melbourne | Victoria | Australia | 3000
    doherty.edu.au

    Sent from my iPad

    On 10 Oct 2019, at 13:48, Michelle Fernandez (NSW Ambulance) <Michelle.Fernandez@health.nsw.gov.au> wrote:

    Completely agree Michael, this is an unsafe practice. I have never heard of this either.

    Kind regards,
    Michelle
    Michelle Fernandez
    CNC | Manager, Infection Control | Clinical Systems Integration
    Part time work days: Wednesday, Thursday, Friday
    Balmain Road, ROZELLE NSW 2039
    p: 02 9320 7868 | m: 0429 926 505 | f: 02 9320 7729 | Michelle.Fernandez@health.nsw.gov.au
    http://www.ambulance.nsw.gov.au
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    Follow NSW Ambulance on: [cid:image003.png@01D37B37.BA4491B0] [cid:image004.png@01D37B37.BA4491B0]

    From: ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] On Behalf Of Claire Nayda (SCHN)
    Sent: Thursday, October 10, 2019 1:29 PM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: Re: [ACIPC_Infexion_Connexion] Sharps Safety and Recapping Drawing up Needles

    Hi
    Ive never heard of or practiced breaking needles in any Paeds setting.

    Claire Nayda | A/CNC Infection Prevention & Control | Microbiology
    t: (02) 9845 0534 | p: 6820 | e: claire.nayda@health.nsw.gov.au | w: http://www.schn.health.nsw.gov.au

    From: ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] On Behalf Of Michael Wishart
    Sent: Thursday, 10 October 2019 1:14 PM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: Re: [ACIPC_Infexion_Connexion] Sharps Safety and Recapping Drawing up Needles

    Hi Hannah

    Please explain why needles have to be broken for paediatrics. In this patient population, I would be very concerned about manipulation of any clinical device (such as a needle) and the potential to cause the patient harm because the device had been damaged or changed.

    I would reinforce the need to use specific devices where necessary, rather than staff trying to change an existing device. How would facility or a practitioner defend harm caused through a device that had been changed?

    Any manipulation of a sharp, whether prior to, during or after use, should definitely be avoided.

    Too often we make choices that we are not in a position to make because we did not consider the risk (or thought the risk was too small to be of concern). But altering medical devices is way beyond the engineering, ergonomics and clinical safety expertise of most of us.

    Apologies for the rant; I have strong views on this. And its my view, at least, and I would welcome further comment from others

    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://www.svphn.org.au

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    From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> On Behalf Of Brien, Hannah
    Sent: Thursday, 10 October 2019 11:47 AM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: Re: [ACIPC_Infexion_Connexion] Sharps Safety and Recapping Drawing up Needles

    What about the breaking off of needles for paediatrics!!

    Hannah Brien
    Infection Control Clinical Nurse
    Phone:07 4052 8029

    From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> On Behalf Of Michelle Fernandez (NSW Ambulance)
    Sent: Thursday, 10 October 2019 11:00 AM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: Re: [ACIPC_Infexion_Connexion] Sharps Safety and Recapping Drawing up Needles

    Hi Sam,

    As per Michaels response below, bending needles increase the risk of sharps injury. Here are a few documents that reference bending as an increased risk of sharps injury.:

    https://www.cdc.gov/sharpssafety/pdf/WorkbookComplete.pdf (page 10)

    Injection safety at primary health care level in south-western Saudi Arabia: https://ciap.ovidds.com.acs.hcn.com.au/discover/result?acc=36422&logSearchID=34195713&pubid=6057-medline%3A19554992

    Effect of changing needle disposal systems on needle puncture injuries: https://ciap.ovidds.com.acs.hcn.com.au/discover/result?acc=36422&logSearchID=34195713&pubid=6057-medline%3A3644804

    Kind regards,
    Michelle
    Michelle Fernandez
    CNC | Manager, Infection Control | Clinical Systems Integration
    Part time work days: Wednesday, Thursday, Friday
    Balmain Road, ROZELLE NSW 2039
    p: 02 9320 7868 | m: 0429 926 505 | f: 02 9320 7729 | Michelle.Fernandez@health.nsw.gov.au
    http://www.ambulance.nsw.gov.au
    [cid:image002.png@01D37B37.BA4491B0]
    Follow NSW Ambulance on: [cid:image003.png@01D37B37.BA4491B0] [cid:image004.png@01D37B37.BA4491B0]

    From: ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] On Behalf Of Michael Wishart
    Sent: Thursday, October 10, 2019 9:07 AM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: Re: [ACIPC_Infexion_Connexion] Sharps Safety and Recapping Drawing up Needles

    Hi Sam

    In my understanding no manipulation of sharps is recommended because of the risks of either sharps injury or damage to the sharp resulting in harm to the patient (eg needle breaking off inside patient). Even manipulating clean needles may result in an exposure if the manipulation is done using gloves contaminated with blood or body fluid.

    Where needles are required to have angled tips, there should be specifically manufactured needles used for this, rather than manipulation of the needles.

    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://www.svphn.org.au

    [cid:image001.jpg@01D46C86.4CDB6090]
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    From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> On Behalf Of Sam Dickson
    Sent: Wednesday, 9 October 2019 8:17 PM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: Re: [ACIPC_Infexion_Connexion] Sharps Safety and Recapping Drawing up Needles

    Hi Brains Trust,
    what are your thoughts on ‘bending’ CLEAN needles for anaesthetic or ophthalmic procedures? I’m currently reviewing our ‘Sharps Handling Procedure’ and it was suggested that ‘bending’ should be added to the procedure. In my research ‘bending’ is not supported by any standard/guideline. Your thoughts appreciated….

    Kind regards
    Sam Dickson
    E+E Hospital
    Victoria

    On Mon, 7 Oct 2019 at 12:24, Lesley Lewis <Lesley.Lewis@nhw.org.au> wrote:
    Dear all,
    Safety devices for recapping needles have been on the market for many years.
    Recapping needles by hand is a risky practice (and habit) that should not be encouraged for any needles clean or used (a one size fits all approach)

    Fiona raises a good question and I too am interested to hear if there is any literature and evidence validating the risk of chemical exposure (medications/drugs) to clinical staff through aerosol and splash when priming syringes and other equipment.
    How can the risk be managed?
    Is recapping the only possible risk management method?
    Are there any alternative methods?
    If the risk is serious should fume cabinets have a place in ward medication rooms?

    As noted in the original post a needle (blunt or otherwise) should never be recapped. The recommendation against recapping needles is clearly articulated in the national IPAC guidelines.

    Page 2 and on page 51: Statutory Requirement. 7. It is good practice to follow safe sharp handling practices including: not passing sharps directly from hand to hand keep handling to a minimum not recapping, bending or breaking needles after use.

    Page 51: In dentistry, recapping or disassembling sharps may be unavoidable. If so, a risk assessment must be undertaken and safety devices should be used where appropriate[89].

    Page 52: Certainty of the Evidence. This advice is based on limited evidence, but on sound theoretical principles and supported by expert advice. National and international guidelines are consistent in the advice regarding the importance of the safe use and disposal of sharps. The Epic Guidelines[78] recommend that sharps should not be passed directly from hand to hand, and that needles must not be bent, broken or recapped.

    Regards,
    Lesley Lewis
    Regional Infection Control Consultant HRICRCS Program
    Tel: (03) 57 225486 Lesley.Lewis@nhw.org.au

    From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> On Behalf Of Angela Carvosso
    Sent: Friday, 4 October 2019 11:01 AM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: Re: [ACIPC_Infexion_Connexion] Sharps Safety and Recapping Drawing up Needles

    Hi Fiona,

    I personally recap just to remove the needle from the syringe as I was taught to never touch the coloured hub. The premise of not recapping is to prevent transmission of infection via needlestick from needles used on people. A risk analysis would indicate that as the needle has not been used on a person then it is safe to recap.

    Regards Angela Carvosso
    RN Warwick Hospital

    Sent from Mail for Windows 10

    ________________________________
    From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> on behalf of De Sousa, Fiona M <fiona.de.sousa@THS.TAS.GOV.AU>
    Sent: Wednesday, October 2, 2019 4:28:46 PM
    To: ACIPCLIST@ACIPC.ORG.AU <ACIPCLIST@ACIPC.ORG.AU>
    Subject: [ACIPC_Infexion_Connexion] FW: Sharps Safety and Recapping Drawing up Needles

    Hi All,

    We are currently having discussions about how to safely draw up medications and whether it is suitable to recap a blunt fill drawing up needle to expel air from a syringe.

    One side of the argument is that the blunt fill is recapped so that when air is expelled the contents are not aerosolised. The other side is that a needle (blunt or otherwise) should never be recapped.

    I would be interested to know other peoples thoughts and what evidence if any you have for this.

    Kind regards,

    Fiona De Sousa CICP-E| Nurse Manager | Infection Prevention & Control Unit
    Launceston General Hospital, Level 2, Launceston TAS 7250
    phone: 6777 6715 | mobile: 0408 487 197 | fax: 6777 5170 | email: fiona.de.sousa@ths.tas.gov.au |
    intranet: http://www.dhhs.tas.gov.au/intranet/thon/infection_control

    IPCU By working together we promote a culture of safety to reduce preventable infections and transmission of multi-resistant organisms

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