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Thanks for your support and knowledge over the years – I hope you have many exciting new adventures ahead of you!
Kind regards
Kate Ryan
RMD Program Officer
[logo_austin]
0434 609 208 | 03 9496 6706
Infectious Diseases Department
Level 7, Harold Stokes Building
145 Studley Road, Heidelberg
PO Box 5555, Victoria, 3084
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Good morning
I would like to thank ACIPC for their ongoing support of IPAC over the years.
This is my last year as a member as I will be closing my consultancy services and finally retiring!
I am very excited and looking forward to this next phase of my life.
Thanks
Joe
Joe-Anne Bendall
Director, Infection Control Review
ABN 98630512284
[cid:image001.png@01D87CA1.8B992CC0]
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That is a really great question and one I would be interested to see people’s thoughts.
I am not employed as an “ICP”, but I am working in a role that is within the same space, overseeing implementation of AS4187 requirements across my organisation. I am not a nurse, but I am a credentialled ICP via ACIPC.
I wonder how many other credentialled members of ACIPC are not nurses like me?P.S. I have a Masters in Cardiothoracic Physiotherapy
Kind regards
Kate Ryan
RMD Program Officer
[logo_austin]
0434 609 208 | 03 9496 6706
Infectious Diseases Department
Level 7, Harold Stokes Building
145 Studley Road, Heidelberg
PO Box 5555, Victoria, 3084
________________________________
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[This message is being posted on behalf of a member, who chooses to remain anonymous in the event there are strong opinions concerning this question. Moderator.]
Hi all,
I’m thrilled to see all the Infection Control positions coming up in our facilities.
I wondered though, if someone could please clarify why all of the positions require a nursing qualification?
If suitable and relevant experience and qualifications can be demonstrated, is it critical that the Infection Prevention and Control practitioner needs to be a nurse, especially if they are working across multidisciplinary teams?
Thanks
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Hi Cate,
I am not going to be helpful in suggesting a solution for you! What I would like to do is use your example to encourage everyone needing to meet the needs of AS/NZ 4187 to push back on medical devices manufacturers and suppliers to ensure there are cleaning/disinfection/sterilisation options provided that are available in Australia and are TGA approved.Since I started in my role a year ago, I have been contacting many companies to request that they provide a suitable Australian reprocessing option when none is given in the IFU. For the most part they have been particularly helpful, and have gone on to provide me with letters of approval to use the products we have in our hospital, or they have gone as far as doing proper compatibility testing and updating their IFUs as a result.
For those few that are unwilling to engage in the conversation, we have informed them that we will not be using their product in future once the existing requires replacement, or if a new product, that we will not be able to purchase from them at all. At the same time I am in the process of tightening up our purchasing policy to ensure that RMDs, and reprocessing equipment can’t be purchased unless they meet strict criteria, namely that they can be reprocessed using the products/equipment we have available.
If we all start pushing back on industry to do their part to enable safe and effective reprocessing, we might start to make change. So I would suggest that you go back to the dialysis supplier and suggest that it is their role to provide an option as per section 3 of AS/NZ 4187, and that alcohol is not a TGA approved product for RMDs.
Kind regards
Kate Ryan
RMD Program Officer
[logo_austin]
0434 609 208 | 03 9496 6706
Infectious Diseases Department
Level 7, Harold Stokes Building
145 Studley Road, Heidelberg
PO Box 5555, Victoria, 3084
________________________________
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HI everyone
Our healthcare service recently installed new dialysis machines across a wide area. Unfortunately there was no consultation with infection prevention and control for advice on managing the infection risk of the machines, in particular cleaning and disinfection.
The manufactures instruction for use (IFU) recommend Ethanol (60% to 70%) Isopropanol 60% . There is a further large warning in the IFU stating clearly that only these 2 disinfectants are to be used to clean the touch screen. The rest of the machine maybe cleaned and disinfected with 2 in 1 wipe used in most hospitals .
The IFU do not provide sufficient information or guidance on cleaning the Touch Screen to prevent damage and voiding warranty. The Touch Screen is the most frequently touched area of equipment and likely to become highly contaminated with pathogens from healthcare worker hands. Therefore cleaning and disinfection between patients to prevent healthcare associated infections in this vulnerable high risk group is vital. The IFU describes the disinfection process but not the cleaning process.
The Australian Guidelines for the Prevention and Control of Infection in Healthcare NHMRC 2019 Page 59 which states:
Physical (mechanical or manual) cleaning is the most important step in cleaning. Sole reliance
on a disinfectant without physical cleaning is therefore not recommended
Given that these machines are currently installed and in use and the company representatives maintain that only alcohol is to be used to clean the touch screen, I was wondering if anyone else had a similar experience and would share with me how you managed the situation.
After all we all know cleaning and disinfection is vital in preventing the transmission of pathogens ,no more so during this COVID-19 Pandemic.
Thanks very much
Cate Coffey
RN BaAScN MPH&TM Grad Cert Infection Control Nursing
Clinical Nurse Manager
Central Australia Health Service
Department of Health
Northern Territory Government
Infection Prevention and Control Unit
Alice Springs Hospital
PO Box 2234, Alice Springs, NT 0871t. 08 8951 7737
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Hi Sarah,
The Australian Infection Control Guidelines have the following statement regarding UV light for general cleaning in section 3.1.3 Routine management of the physical environment.
“3.1.3.1 Emerging disinfection methods
Weak recommendation – Against
16. The effectiveness of ultra-violet light disinfection as an adjunct to routine terminal cleaning in healthcare facilities is yet to be established. Therefore routine use is not suggested in healthcare facilties.
Ultra-violet light disinfection may be considered in high-risk settings during outbreaks when other disinfection options have been exhausted.”Kind regards
Kate Ryan
RMD Program Officer
[logo_austin]
0434 609 208 | 03 9496 6706
Infectious Diseases Department
Level 7, Harold Stokes Building
145 Studley Road, Heidelberg
PO Box 5555, Victoria, 3084
________________________________
From: ACIPC Infexion Connexion on behalf of Sarah Gaines Hill
Sent: Thursday, January 21, 2021 2:52 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: [ACIPC_Infexion_Connexion] UV technologyEXTERNAL EMAIL: Do not click links or open attachments unless you recognise the sender and know the content is safe. If you are unsure please contact service.desk@austin.org.au.
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Good Afternoon
Is anyone using UV technology as an adjunct to general cleaning particularly at aged care sites?
If you are, what are the benefits you have seen and what were the challenges or implementing?
Does anyone know if there will be a DHHS recommendation to add this to the cleaning processes?
Thanks for any information you can provide
Sarah
[BlueCross]
Sarah Gaines Hill
Infection Control Nurse Coordinator
P: +61 3 9828 1705 | M: +61 429 480 183
Level 1, 117 Camberwell Road, Hawthorn East, VIC 3123
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Hi Teresa,
The Victorian answer would be as follows, not sure if it is different in NSW:If your patients answer that they have had COVID19 then they will have received a clearance letter from DHHS. The general public would not have been retested to confirm clearance. It would have been decided on symptoms and time elapsed. Only HCW/aged care/support workers are being retested and require 2 x negative tests to be cleared.
Close contact you would need to know the date of the contact. They need to have 14 days isolation before being about to leave their house and to be cleared. If they developed symptoms in that time then they should have had a screening test, but if they remained symptom free there would have been no requirement for a test.
Hope this helps
Kate Ryan
Austin HealthFrom: ACIPC Infexion Connexion On Behalf Of Teresa Lewis
Sent: Tuesday, 28 April 2020 8:44 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: [ACIPC_Infexion_Connexion] Screening questionnaire for patients for elective surgery or investigationsSubject: Screening questionnaire for patients for elective surgery or investigations
Hi team
Weve all no doubt implemented screening of patients since the beginning of this ride we find ourselves on, and now NSQHS has put out a questionnaire for patients presenting for elective surgery or investigations.Can I please ask for some clarity on one of the questions, as we are the ones screening the patient pre-procedure at our facility?
Have you been told that you had COVID19? Should we not then ask how long ago was that notification and have you had two negative swabs since the initial diagnosis? If they are negative then I see no reason to prevent them from having the procedure/investigation.
Were you a close contact of a person who is known to have COVID19? Should we then ask, has this person returned a negative swab? Do we need to be concerned how long ago that negative swab was taken? (If only 2 days ago, should we wait at least 14days post this before the patient can then be re-screened again to check if any transmission has taken place)?
I appreciate your help and guidance with this query.
Kind Regards
Teresa Lewis
Infection Prevention & Control CNC
Tuesday 08:00 16:30
Infection Prevention is everybodys business, and it only takes 5 Moments[cid:image002.png@01D61D37.CE6460E0]
Newcastle Endoscopy Centre
Ph. 02 4947 6007
Fax: 02 4947 6010
Email: tlewis@newcastleendoscopy.com.au
http://www.curagroup.com.au/newcastle-endoscopy-centreNewcastle Endoscopy Centre acknowledges the traditional custodians of the land and waters, the Awabakal People. We pay respect and acknowledge community members, knowledge holders and Elders past, present and future.
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Hi All,
Apologies for the multiple emails, but this is the exact issue that I am being asked to advise on.Yes – in most circumstances these devices are non-critical items, however it is my understanding that if you are using Spaulding to classify a device, then contact with non-intact skin immediately classifies the device as a semi-critical device, which according to AS4187 requires HLD. Thus a stethoscope could be non-critical if used on intact skin, or semi-critical if used on broken skin. An ultrasound probe could be non-critical if used on intact skin, semi-critical if used on a wound, and critical if used in theatre.
For clarity of instruction in my organisation I am trying to find out what others are doing in these exact circumstances.
Thanks again for all your responses
KateKate
It’s been a while since I have been in the clinical area however I believe your examples stethoscope, blood pressure cuffs, EEG/ECG leads (note: EEG electrodes may not be included in this group if the skin is abraded before attachment) would be considered non-critical items according to Spaulding, that is items that come in contact with intact skin but not mucous membranes. Most noncritical reusable items may be decontaminated where they are used and do not need to be transported to a central processing area (thus no tracking required).
Regards
Judy_______________________________________________________________________________
Judith Brett
Infection Control Consultant, VICNISS Coordinating Centre
T +61 (0) 3 9342 9353 T +61 (0) 3 9342 9333 (Reception)
judy.brett@mh.org.au |www.vicniss.org.au
The Peter Doherty Institute for Infection and Immunity
792 Elizabeth Street | Melbourne | Victoria | Australia | 3000
doherty.edu.au
[cid:image009.jpg@01D2D3C9.3CE16F60]Can I please ask for assistance with the following question:
How are semi-critical devices being high level disinfected in other organisations? Specifically devices (RMD) that come into contact with non-intact skin, blood or body fluid; that can’t be reprocessed in CSSD or an automatic HLD unit e.g. stethoscope, blood pressure cuffs, EEG/ECG leads etc.
Furthermore, how do you track the reprocessing of these items?
Kind regards
Kate Ryan
RMD Program Officer
[logo_austin]
0434 609 208 | 03 9496 6706
Infectious Diseases Department
Level 7, Harold Stokes Building
145 Studley Road, Heidelberg
PO Box 5555, Victoria, 3084MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
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