[Kerry Taliaferro]

Hi Vicki
I agree with Fiona that the cadoxomer iodine preparations are best for breaking down Bio Films – they have been shown to be effective against biofilms. You need to be sure the patient does not have any sensitivities or conditions that prevent iodine use. Also no longer than 3 months and not for large extensive wounds (150 gm max per week)
The Australian Wound Management Assoc. guidelines are available at the AWMA website http://www.awma.com.au/publications/publications.php
Also the Venous leg ulcer guidelines are there

Kerry Taliaferro

AWMA (ACT) Secretary / Newsletter Editor

[AWMA_Logo_Australian_Capital_Territory_LH[1].JPG]

Thank you Jo ,

Will provide this to the local drug committee….I can only keep chipping away

But definitely appreciate the document

Vicki Denyer

Clinical Nurse Consultant | Infection Prevention & Control Unit
Lismore Base Hospital
Tel 02 6620 2385 | vicki.denyer@ncahs.health.nsw.gov.au

[Description: cid:image001.png@01CE7F1B.E103A4C0]

Hi Vicky
Check NSW Policy on off-label for medications http://www0.health.nsw.gov.au/policies/pd/2008/pdf/PD2008_037.pdf

This may be helpful – it tells the drug committees how to assess any off-label use of medications before it can be used

Thanks

Joe-Anne Bendall

(Monday/Thursday/Friday)
Joe-anne Bendall | Clinical Nurse Consultant Infection Prevention and Control
Sydney Hospital and Sydney Eye Hospital
8 Macquarie St
SYDNEY NSW 2000
|* ph +61 2 9382 7199 |page 22070 via switch 9382 7111| 7 Fax 93827510 |
Mobile 0418984255 | * Joe-anne.Bendall@SESIAHS.HEALTH.NSW.GOV.AU

Many thanks for this information Fiona,

Whilst I can understand why potentially there may be steps to utilization antibiotics topically ( under strict supervision) it’s the issue that here they are using IV gentamycin – impregnated onto another dressing bed to apply. In accordance with the antibiotic guidelines this is not the designated application
Currently I believe TGA has not approved a topical gentamycin application & in accordance with antibiotic stewardship I thought I had some strong support to stop this practise. However seem to be fighting a losing battle. . I also tried with inappropriate use of medication as well as the doctors prescribe this on medication charts ( wrong route/wrong dose etc…)

Thanks again with supplying this information …

Vicki Denyer

Clinical Nurse Consultant | Infection Prevention & Control Unit
Lismore Base Hospital
Tel 02 6620 2385 | vicki.denyer@ncahs.health.nsw.gov.au

[Description: cid:image001.png@01CE7F1B.E103A4C0]

Hi Vicki,
I posed this question to our Wound care consultant and this is the response I received

Topical antibiotics have traditionally been frowned upon in the care of chronic wounds.
However, recent developments in what is now known as biofilm wound bed preparation is recommending that antibiotics are part of the following steps :
* Wound debridement at every dressing change [low frequency ultrasound is becoming more common]
* Wound bed antisepsis [Prontosan or iodine preparations are common]
* Topical antibiotics [dependent on pathology]
* Appropriate dressing and bandaging
* Systemic antibiotics if required
Consistent and persistent wound assessment is vital, as the topical & systemic antibiotics need to be stopped once the desired clinical effect is obtained.
Hope this is useful info.

Kind Regards,

Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
Fiona.Desousa@sah.org.au
185 Fox Valley Road, Wahroonga, NSW, 2076

Hi All,

I would appreciate any additional advice on the following issue:

Rural hospital with medical staff prescribing IV gentamycin as a topical application onto dressings for ulcers.

Vicki Denyer

Clinical Nurse Consultant | Infection Prevention & Control Unit
Lismore Base Hospital
Tel 02 6620 2385 | vicki.denyer@ncahs.health.nsw.gov.au

[Description: cid:image001.png@01CE7F1B.E103A4C0]

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[Kerry Taliaferro]

Haha you people are funny!!!

Kerry Taliaferro RN
Vascular Access Team Acting CNC
Division of Medicine

Canberra Hospital & Health Services
Level 2, Building 5, Canberra Hospital

Care | Excellence | Collaboration | Integrity
[cid:image001.jpg@01CD2235.C77A3B20]

Then you need to have someone called Janet working on the service (a la Rocky Horror Picture Show)

:0)

C

On 29 October 2013 17:10, Mary Willimann <Mary.Willimann@sjog.org.au> wrote:
Wonderful!!!

Mary Willimann I Clinical Nurse Consultant – Infection Prevention & Control I St John of God Subiaco Hospital

Level 3, 12 Salvado Road SUBIACO WA 6008
P: 08 9382 6220 F: 08 9382 6785 E: mary.willimann@sjog.org.au
[X]>>> Tim Spencer <Tim.Spencer@SSWAHS.NSW.GOV.AU> 29/10/2013 2:41 PM >>>
Here’s one more… 😉
Department of Access Management and Infusion Therapy (DAMIT)

Enjoy your evening everyone.
T..

Timothy R. Spencer, RN, APN, DipAppSci, Bach.Health, ICCert.
Clinical Nurse Consultant, Central Venous Access & Parenteral Nutrition Service
Conjoint Lecturer, South West Sydney Clinical School | Faculty of Medicine | University of NSW
Dept of Intensive Care, Level 2, Clinical Building, Liverpool Hospital, Elizabeth Street, Liverpool, 2170, NSW, Australia
Tel (+61) 2 8738 3603 | Fax (+61) 2 8738 3551 | Mob +61 (0)409 463 428 | Tim.Spencer@sswahs.nsw.gov.au | Timothy.Spencer@unsw.edu.au
“Be a yardstick of quality. Some people aren’t used to an environment where excellence is expected.” – Steve Jobs

How about Vascular Access Management Team – VAMT (vamped). It’s catchy!!

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

Have seen IVADHeroes, and VAST around….If you are ok acronym free what about WeLoveLines ?!?!

Kind regards,
Prof Claire Rickard
NHMRC Centre for Research Excellence in Nursing Interventions
Griffith University
c.rickard@griffith.edu.au

——– Original message ——–
Date:

iVee team

Craig Boutlis

Department Head, Infectious Diseases | IMACS
LMB 8808, SCMC, NSW, 2521
Tel. 02 4222 5898 | craig.boutlis@sesiahs.health.nsw.gov.au

—–Original Message—–

Hi All
At Canberra Hospital we are implementing a Vascular Aceess Team – only the abbreviation VAT is already in use for several other medical procedures etc.
I am looking for ideas of what we should call our team/service- we will be inserting PICC lines, difficult cannulas, monitoring central lines etc. We need to make sure that staff and patients recognise what we do from the name as well!

Any suggestions for a name that can also be a catchy acronym?

Thanks Kerry Taliaferro

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—

Best regards, Claire

Professor Claire Rickard RN PhD

c.rickard@griffith.edu.au | +61 (0)7 3735 6460 | Skype: clairexm1 | Twitter: IVAD_Research |
http://www.griffith.edu.au/health/centre-health-practice-innovation/research/acute-critical-care/intravascular-devices

Australian Vascular Access Teaching and Research Group | NHMRC Centre of Research Excellence in Nursing Interventions | Griffith Health Institute Centre for Health Practice Innovation | Royal Brisbane & Women’s Hospital | Princess Alexandra Hospital | The Prince Charles Hospital

Research frequently takes me off campus. Please contact Jo.Wright@griffith.edu.au 3735 4886, or School Secretary (Nathan) Jenny Chan 3735 5406 j.chan@griffith.edu.au for urgent enquiries.

“Science is simply common sense at its best, that is, rigidly accurate in observation, and merciless to fallacy in logic.”
Thomas Henry Huxley

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[Kerry Taliaferro]

Lol!

Kerry Taliaferro RN
Vascular Access Team Acting CNC
Division of Medicine

Canberra Hospital & Health Services
Level 2, Building 5, Canberra Hospital

Phone: 02 6244 4102
E-mail: kerry.taliaferro@act.gov.au

Care | Excellence | Collaboration | Integrity
[cid:image001.jpg@01CD2235.C77A3B20]

From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Tim Spencer
Sent: Tuesday, 29 October 2013 5:41 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Suggestions for names for a IV/PICC teams

Heres one more 😉
Department of Access Management and Infusion Therapy (DAMIT)

Enjoy your evening everyone.
T..

Timothy R. Spencer, RN, APN, DipAppSci, Bach.Health, ICCert.
Clinical Nurse Consultant, Central Venous Access & Parenteral Nutrition Service
Conjoint Lecturer, South West Sydney Clinical School | Faculty of Medicine | University of NSW
Dept of Intensive Care, Level 2, Clinical Building, Liverpool Hospital, Elizabeth Street, Liverpool, 2170, NSW, Australia
Tel (+61) 2 8738 3603 | Fax (+61) 2 8738 3551 | Mob +61 (0)409 463 428 | Tim.Spencer@sswahs.nsw.gov.au | Timothy.Spencer@unsw.edu.au
[200 yeas logo white.jpg]
Be a yardstick of quality. Some people aren’t used to an environment where excellence is expected. Steve Jobs

From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Michael Wishart
Sent: Tuesday, 29 October 2013 4:52 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Suggestions for names for a IV/PICC teams

How about Vascular Access Management Team VAMT (vamped). Its catchy!!

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

[International Infection Prevention Week 2012]

From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Claire Rickard
Sent: Tuesday, 29 October 2013 3:46 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Suggestions for names for a IV/PICC teams

Have seen IVADHeroes, and VAST around….If you are ok acronym free what about WeLoveLines ?!?!

Kind regards,
Prof Claire Rickard
NHMRC Centre for Research Excellence in Nursing Interventions
Griffith University
c.rickard@griffith.edu.au

——– Original message ——–
From: Craig Boutlis <Craig.Boutlis@SESIAHS.HEALTH.NSW.GOV.AU>
Date:
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Suggestions for names for a IV/PICC teams

iVee team

Craig Boutlis

Department Head, Infectious Diseases | IMACS
LMB 8808, SCMC, NSW, 2521
Tel. 02 4222 5898 | craig.boutlis@sesiahs.health.nsw.gov.au

—–Original Message—–
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Kerry Taliaferro
Sent: Monday, 28 October 2013 11:37 AM
To: AICALIST@AICALIST.ORG.AU
Subject: [ACIPC_Infexion_Connexion] Suggestions for names for a IV/PICC teams

Hi All
At Canberra Hospital we are implementing a Vascular Aceess Team – only the abbreviation VAT is already in use for several other medical procedures etc.
I am looking for ideas of what we should call our team/service- we will be inserting PICC lines, difficult cannulas, monitoring central lines etc. We need to make sure that staff and patients recognise what we do from the name as well!

Any suggestions for a name that can also be a catchy acronym?

Thanks Kerry Taliaferro

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[Kerry Taliaferro]

It is catchy!

Kerry Taliaferro RN
Vascular Access Team Acting CNC
Division of Medicine

Canberra Hospital & Health Services
Level 2, Building 5, Canberra Hospital

Phone: 02 6244 4102
E-mail: kerry.taliaferro@act.gov.au

Care | Excellence | Collaboration | Integrity
[cid:image001.jpg@01CD2235.C77A3B20]

From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Michael Wishart
Sent: Tuesday, 29 October 2013 4:52 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Suggestions for names for a IV/PICC teams

How about Vascular Access Management Team VAMT (vamped). Its catchy!!

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

[International Infection Prevention Week 2012]

From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Claire Rickard
Sent: Tuesday, 29 October 2013 3:46 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Suggestions for names for a IV/PICC teams

Have seen IVADHeroes, and VAST around….If you are ok acronym free what about WeLoveLines ?!?!

Kind regards,
Prof Claire Rickard
NHMRC Centre for Research Excellence in Nursing Interventions
Griffith University
c.rickard@griffith.edu.au

——– Original message ——–
From: Craig Boutlis <Craig.Boutlis@SESIAHS.HEALTH.NSW.GOV.AU>
Date:
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Suggestions for names for a IV/PICC teams

iVee team

Craig Boutlis

Department Head, Infectious Diseases | IMACS
LMB 8808, SCMC, NSW, 2521
Tel. 02 4222 5898 | craig.boutlis@sesiahs.health.nsw.gov.au

—–Original Message—–
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Kerry Taliaferro
Sent: Monday, 28 October 2013 11:37 AM
To: AICALIST@AICALIST.ORG.AU
Subject: [ACIPC_Infexion_Connexion] Suggestions for names for a IV/PICC teams

Hi All
At Canberra Hospital we are implementing a Vascular Aceess Team – only the abbreviation VAT is already in use for several other medical procedures etc.
I am looking for ideas of what we should call our team/service- we will be inserting PICC lines, difficult cannulas, monitoring central lines etc. We need to make sure that staff and patients recognise what we do from the name as well!

Any suggestions for a name that can also be a catchy acronym?

Thanks Kerry Taliaferro

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