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  • in reply to: Mask doffing (in or out of room) #78592
    kfelstead@unitingsa.com.au
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    kfelstead@unitingsa.com.au

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    Hi Vanessa

    SA Health Have a PPE poster that we utilise in our aged care facilities in relation to Doffing Mask and goggles outside a residents room.

    I have attached the poster for you. Which is available from SA Health. We implemented this at our sites and as it is an official document staff have complied.

    See link below from Vic Health, Table 4 of when to doff Mask and Goggles

    https://www.dhhs.vic.gov.au/standard-sequence-putting-on-taking-off-ppe-covid-19-doc
    P2/N95 respirators

    P2/N95 respirators (particulate filter respirators) must be worn in the following circumstances:

    performing or assisting with an AGP on a person who is a low-risk or high-risk suspected or confirmed COVID-19 case

    caring for high-risk patients suspected or confirmed to have COVID-19 regardless of the amount of time in contact

    caring for low-risk suspected cases of COVID-19 in RACFs where there is a risk of community transmission in line with the VHSGR

    providing care to a person suspected to have COVID-19 and there is a risk of AGBs (including screaming, shouting, crying out and vomiting).

    P2/N95 respirators should be:

    fit-tested to each user to ensure that the respirator is able to fit and provide a secure seal

    fit-checked each time a respirator is put on to ensure that a good seal is achieved and applied properly

    discarded and replaced if contaminated with blood or bodily fluids

    replaced if it becomes hard to breathe through or if the mask no longer conforms to the face or loses its shape

    removed outside of patient care areas (for example, between wards, break room, reception area) and before proceeding to care for patients who are not isolated for COVID-19.

    Hope this helps.

    Kathleen

    Kathleen Felstead
    Clinical Quality & Education Consultant
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    Corporate Services
    70 Dale St Port Adelaide, SA 5015
    M. 0436 619 720
    E. kfelstead@unitingsa.com.au
    W. unitingsa.com.au
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    From: ACIPC Infexion Connexion On Behalf Of Vanessa Davis
    Sent: Thursday, 7 October 2021 12:45 PM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: [ACIPC_Infexion_Connexion] Mask doffing (in or out of room)

    Hello All You Clever People
    I am trying to provide a rationale re doffing mask after you have exited a residents room when the resident is in isolation.

    The person insists that you remove ALL PPE whilst in the infectious room. In aged care there is no ante room for doffing so you are either in an infectious environment or outside the room.

    I have tried to explain that you doff all PPE except for mask in the residents room and remove mask when outside their room.

    Can anyone point me to a document that says this – or am I wrong?

    Many thanks
    Vanessa Watkins
    RN, Quality Manager, IPC Lead
    Donwood Aged Care
    Croydon, Victoria

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    in reply to: cleaning #78446
    kfelstead@unitingsa.com.au
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    kfelstead@unitingsa.com.au

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    Hi,

    I would think that in the current climate with COVID, I would be hesitate to use such a device. I have never heard of anything in Acute care or Aged care being used.

    Kind Regards

    Kathleen Felstead
    Clinical Quality & Education Consultant
    [cid:UNDERLINE_68327c9b-3c07-4c4d-9eea-964ffe1b0063.jpg]
    Corporate Services
    70 Dale St * Port Adelaide, SA 5015
    M. 0436 619 720
    E. kfelstead@unitingsa.com.au
    W. unitingsa.com.au
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    Hi Folks
    I have just been asked by one of our cleaners about the possibility of getting a ‘bomb’ to clean our infectious rooms. What she described was something akin to a flea bomb that you set off and then close the door. Does anyone know if this is a thing and how much they cost?

    Cheers

    Jude Searles RN
    Infection Prevention & Control
    Co-ordinator Undergraduate Education
    Dialysis Clinical Lead
    Cohuna District Hospital
    Committed to Excellence in Rural Healthcare
    148-155 King George Street, Cohuna, Victoria, 3568
    T: Wk: (03) 54565300, Mob: +61409235654, Fax: (03) 5456 2627
    E: jsearles@cdh.vic.gov.au W: http://www.cdh.vic.gov.au
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    in reply to: Question #78229
    kfelstead@unitingsa.com.au
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    kfelstead@unitingsa.com.au

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    Hi Lalith,

    Thanks for the information. Our sites vary with the air conditioning units and types due to ages of the buildings. Appreciate the prompt information

    Kind Regards
    Kathleen

    Sent from my iPhone

    Kathleen Felstead
    Clinical Quality & Education Consultant
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    Corporate Services
    70 Dale St Port Adelaide, SA 5015
    M. 0436 619 720
    E. kfelstead@unitingsa.com.au
    W. unitingsa.com.au
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    UnitingSA acknowledges the traditional owners of country throughout South Australia, their spiritual heritage, living culture and our walk together towards reconciliation.

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    On 24 Jul 2021, at 6:57 am, Alan mclean wrote:

    Hi,

    The attached doc from The Federation of European Heating, Ventilation and Air Conditioning associations is a good resource. It is specifically looking at air conditioning during COVID. This is a version from last year so check to see if it have been update.

    Kurnitski J BA, Franchimon F, Mazzarella L, Hogeling J, Hovorka F, et al,
    REHVA COVID-19 guidance document. Brussels: The Federation of European Heating, Ventilation and Air Conditioning associations; 2020. p. 1-17.

    Dr Alan McLean
    BHlthSc, MHlthAdmin, DrPH, FCHSM,CHE

    Principal Consultant
    AMAC-Consulting
    Health Systems and Business Consultants
    Ph: 0417 833 405
    AMAC-consulting@outlook.com

    From: ACIPC Infexion Connexion On Behalf Of Kathleen Felstead
    Sent: Friday, 23 July 2021 14:27
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: [ACIPC_Infexion_Connexion] Question

    HI All,

    Can anyone give me any direction in regards to what to do with air-conditioning/ heating systems at a Residential Aged Care site in the event of a COVID outbreak.

    Given that COVID has been spread at some of the medi hotels via air-conditioning systems and in particular the Delta strain.

    Is the thought that the air-conditioning would be turned off in zones affected?

    Your thoughts and guidance greatly appreciated.

    Kind Regards

    Kathleen

    Kathleen Felstead
    Clinical Quality & Education Consultant
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    Corporate Services
    70 Dale St Port Adelaide, SA 5015
    M. 0436 619 720
    E. kfelstead@unitingsa.com.au
    W. unitingsa.com.au
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    in reply to: sterilizing instruments #78009
    kfelstead@unitingsa.com.au
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    kfelstead@unitingsa.com.au

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    Hi Jude,

    We have six RAC facilities and looked into the practice for scissor usage for our residents for dressings and also cutting of nails etc.

    The most cost effective way for us was to move to single use disposable scissors.

    We could not prove that sterilising on site was done correctly, nor were staff trained in the process and sending these off site was more expensive and as you have alerted to the fact, you don’t receive back your stock.

    The use of isowipes does not sterilise equipment. I would move to the single use method.

    Hope this helps.

    Kind Regards

    Kathleen Felstead
    Clinical Quality & Education Consultant
    [cid:UNDERLINE_68327c9b-3c07-4c4d-9eea-964ffe1b0063.jpg]
    Corporate Services
    70 Dale St * Port Adelaide, SA 5015
    M. 0436 619 720
    E. kfelstead@unitingsa.com.au
    W. unitingsa.com.au
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    Hi Folks

    I need the hive mind again. Our RACF is attached to the hospital and previously we have sent instruments like scissors to the hospital theatre for sterilization. In practice this has meant that often the instruments never come back to us. Does anyone know if there is a solution that will sterilize instruments without damaging them. Would a product like Isowipes be acceptable to clean scissors prior to cutting fingernails?

    Cheers
    Jude Searles RN
    Infection Prevention & Control
    Co-ordinator Undergraduate Education
    Dialysis Clinical Lead
    Cohuna District Hospital
    Committed to Excellence in Rural Healthcare
    148-155 King George Street, Cohuna, Victoria, 3568
    T: Wk: (03) 54565300, Mob: +61409235654, Fax: (03) 5456 2627
    E: jsearles@cdh.vic.gov.au W: http://www.cdh.vic.gov.au

    I am an LGBTQIA+ ally

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    kfelstead@unitingsa.com.au
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    kfelstead@unitingsa.com.au

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    kfelstead@unitingsa.com.au

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    Hi Marija,

    We have just completed a new build, sneeze guards have been installed in our main reception/screening area. We have gone with glass, as Perspex has the tendency to scratch and not as easily cleaned.

    Kind Regards

    Kathleen

    Kathleen Felstead
    Clinical Quality & Education Consultant
    [cid:UNDERLINE_68327c9b-3c07-4c4d-9eea-964ffe1b0063.jpg]
    Corporate Services
    70 Dale St * Port Adelaide, SA 5015
    M. 0436 619 720
    E. kfelstead@unitingsa.com.au
    W. unitingsa.com.au
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    UnitingSA acknowledges the traditional owners of country throughout South Australia, their spiritual heritage, living culture and our walk together towards reconciliation.

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    Good morning all,

    As we are currently in the planning stages of a new build, we have the opportunity to install sneeze guards.
    I am wondering if anyone has installed these within their buildings and what you have installed.
    Happy for you to email me off-line with your comments, as I know products/company names are not appropriate to be listed on here.

    Kind Regards

    Marija Juraja |Nurse Unit Manager -CALHN Infection Prevention & Control Unit|
    Specialty Medicine 2 (RN, GCNS Inf Ctrl, CICP-E)
    The Royal Adelaide Hospital| Central Adelaide Local Health Network
    8E Rm256 Port Road, ADELAIDE 5000
    The Queen Elizabeth Hospital | Central Adelaide Local Health Network
    Level 8 Tower Building | 28 Woodville Road, WOODVILLE SOUTH 5011
    t: +61 8 7074 2810 (RAH) 8222 7588 (TQEH)| f: +61 8 7074 6228 (RAH) +61 8 8222 6461 (TQEH) | m: 0466 379 821|DX: 465432 (TQEH) |e:marija.juraja@sa.gov.au |web: IPCU Intranet Site and Resources
    Adjunct Clinical Lecturer | University of South Australia | Horizon Hospital and Health Service
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    “Nurses and midwives: clean care is in your hands”
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    in reply to: Re: Managing staff with post COVID vaccine symptoms #77735
    kfelstead@unitingsa.com.au
    Participant

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    kfelstead@unitingsa.com.au

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    kfelstead@unitingsa.com.au

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    Hi Karen,

    We are yet to have a clinic. One of the issues is consent. It is out of the scope of practice of an RN to assess a residents suitability for a vaccination. This is the recommendation from our state government. Usually the person vaccinating is the one gaining consent. We are also assuming that a GP can come in short notice to consent many clients.

    This part of the rollout needs to be considered.

    Kind Regards
    Kathleen

    Kathleen Felstead
    Clinical Quality & Education Consultant
    [cid:UNDERLINE_68327c9b-3c07-4c4d-9eea-964ffe1b0063.jpg]
    Corporate Services
    70 Dale St Port Adelaide, SA 5015
    M. 0436 619 720
    E. kfelstead@unitingsa.com.au
    W. unitingsa.com.au
    Follow us on: Facebook LinkedIn Instagram Twitter

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    UnitingSA acknowledges the traditional owners of country throughout South Australia, their spiritual heritage, living culture and our walk together towards reconciliation.

    This email is for the intended recipient(s) only. It may be confidential and contain information that is legally privileged and subject to copyright. Acceptance of the email is at the recipient’s risk, including any computer or data virus or corruption. Any views or opinions presented are solely those of the author. If you are not the intended recipient please notify the sender immediately and delete/destroy all copies including attachments.
    From: ACIPC Infexion Connexion On Behalf Of karenbooth1@BIGPOND.COM
    Sent: Sunday, 21 February 2021 12:50 PM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: Re: [ACIPC_Infexion_Connexion] Managing staff with post COVID vaccine symptoms

    Hi All,
    Some RACFs have only had a less than 5 days notice to discuss vax and gain consent from frail elderly residents or get family consent for vaccines. They will need extra staff to help move residents to the vaccination station and monitor the patients. Some facilities do not have an RN overnight. The notice period had been very short.

    Does makes ones eyes roll re need for haste in our current COVID disease situation vs well planned, calm roll-out. This will not be pop in / pop out clinic in aged care.

    Regards
    Karen

    Karen Booth
    RN BHSCN GAICD
    President APNA
    Australian Primary Health Care Nurses Association
    M: 0411 898 884
    karenbooth1@bigpond.com

    Australian Primary Health Care Nurses Association (APNA)
    Level 17/350 Queen Street, Melbourne VIC 3000
    p: 1300 303 184 f: (03) 9322 9599
    president@apna.asn.au | http://www.apna.asn.au
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    From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> On Behalf Of Megan Graham
    Sent: Friday, 19 February 2021 10:47 AM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: Re: [ACIPC_Infexion_Connexion] Managing staff with post COVID vaccine symptoms

    Hi all,

    This is something that needs to be considered for us all. With limited ability for rotating larger numbers of staff out, one suggestion could be that the immunisation delivery be completed over an extended period rather than a few days. Dependant on the size of facility of course.

    Thank you for conversation , its thought provoking and something we all need to consider for the facility we work in and our teams.

    Megan Graham
    Clinical Nurse

    [cid:PhoneIcon_b6b00ff7-46ac-4c9b-9fac-999360b08a03.png] 07 4975 2999
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    [cid:MailIcon_fa9171d6-3b86-4ac5-96f3-d54b58775fec.png] Megan.Graham@sundale.org.au
    [cid:AddressIcon_c178bbd7-58cd-4b09-a12a-89a18a157036.png] 1 Beacon Avenue Bindaree Lodge – Boyne Island QLD 4680

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    From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> On Behalf Of Sarah Gaines Hill
    Sent: Friday, 19 February 2021 7:03 AM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: Re: [ACIPC_Infexion_Connexion] Managing staff with post COVID vaccine symptoms

    Hi Lisa and Michael,
    I also work in aged care and we are trying to figure out how we will manage this.
    It is very difficult to plan as we do not know the schedule for each residence.
    Any ideas would be greatly appreciated.
    Sarah

    [cid:image435541.png@43B0FB5D.FF5BBDDB]

    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

    [cid:image277841.jpg@50377171.09F5E2DB]

    From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU>On Behalf Of Lisa Campbell
    Sent: Thursday, 18 February 2021 6:09 PM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: Re: [ACIPC_Infexion_Connexion] Managing staff with post COVID vaccine symptoms

    Hi Michael,

    I was thinking the same thing; however, Residential Care facilities will not be able to stagger departments. We will have short facility notification time and set days.

    So I am also curious what others are considering in this space.

    Kind regards,
    Lisa Campbell
    Infection Prevention & Control Manager
    Bolton Clarke
    lcampbell2@boltonclarke.com.au

    On 18 Feb 2021, at 3:05 pm, Michael Wishart <Michael.Wishart@svha.org.au> wrote:

    Hi Lori

    We do not intend to treat these staff any differently from those receiving any other vaccine and developing reactions which may hinder them doing their job. If they are unwell, they are not to come to work.

    One thing we have discussed though, is trying not to send a whole department to have their COVID-19 vaccines on the same day. So, as much as we possibly can, staggering vaccination across a variety of departments so we dont wipe a whole department out for a few days. We have never consciously tried to do this with our annual flu vaccine program, as the vaccine is generally well tolerated. But there is an unknown component of how many will be affected and how severe the reactions will be for the various COVID-19 vaccines, so we are being more cautious.

    Cheers
    Michael

    Michael Wishart| Infection Control Coordinator, CICP-E

    St Vincents Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
    M+61 448 954 282|T +61 7 3326 3068| F +61 7 3607 2226
    Emichael.wishart@svha.org.au|
    Whttps://www.svphn.org.au

    St Vincents Private Hospital Brisbane |411 Main Street KANGAROO POINT QLD4169
    M +61 448 954 282|T +61 7 3240 1208| F +61 7 3240 1166
    Emichael.wishart@svha.org.au|
    Whttps://www.svphb.org.au

    [cid:image001.jpg@01D70606.55DE4740]

    [cid:image002.jpg@01D70606.55DE4740]

    From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU>On Behalf Of Lori McLeod-Mills
    Sent: Thursday, 18 February 2021 2:21 PM
    To:ACIPCLIST@ACIPC.ORG.AU
    Subject: [ACIPC_Infexion_Connexion] Managing staff with post COVID vaccine symptoms

    Dear Colleagues,

    I would like to better understand how other organisations plan to manage staff who experience fever, chills headache and fatigue after receiving the COVID vaccine. These are published common side effects of the Pfizer vaccine as well as symptoms of COVID infection.

    https://www.health.gov.au/sites/default/files/documents/2021/02/covid-19-vaccination-after-your-covid-19-vaccination_1.pdf

    Are organisations planning to allow staff experiencing these side effects post-vaccine to attend work?
    If yes, how will the deviation from current practice be documented to allow them to work?

    Kind regards

    Lori

    Lori McLeod-Mills
    National Quality Governance Officer
    Healthcare Imaging Services
    lori.mcleod@healthcareimaging.com.au
    0414 542 483
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    kfelstead@unitingsa.com.au
    Participant

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    kfelstead@unitingsa.com.au

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    kfelstead@unitingsa.com.au

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    Hi Cindy,

    We have banned these in all our aged care facilities with some resistance, staff have wipe able phone clips that are wiped over before shift and after shift. Staff place keys on a retractable clip on disc which also houses Id badges which have wipe able covers and a pens are placed in their pockets or clipped onto their lapel. Pant pockets are lesser risk as staff wash their uniforms daily.

    Kind Regards

    Kathleen Felstead
    Clinical Quality & Education Consultant
    [cid:UNDERLINE_68327c9b-3c07-4c4d-9eea-964ffe1b0063.jpg]
    Corporate Services
    70 Dale St * Port Adelaide, SA 5015
    M. 0436 619 720
    E. kfelstead@unitingsa.com.au
    W. unitingsa.com.au
    Follow us on: Facebook * LinkedIn * Instagram * Twitter

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    UnitingSA acknowledges the traditional owners of country throughout South Australia, their spiritual heritage, living culture and our walk together towards reconciliation.

    This email is for the intended recipient(s) only. It may be confidential and contain information that is legally privileged and subject to copyright. Acceptance of the email is at the recipient’s risk, including any computer or data virus or corruption. Any views or opinions presented are solely those of the author. If you are not the intended recipient please notify the sender immediately and delete/destroy all copies including attachments.

    Hi,

    Any information or assistance regarding the use of a “nurse pocket” to assist staff with holding pens, keys, phones etc. The broader question, if these are not approved for use right now, is what is the alternative for staff carrying items such as access passes, keys, work phones etc. Not sure we want staff using actual pant pockets, this would be a greater infection risk, would it?

    The ones in question, are pictured below and are not wipeable.

    Any solutions or a different brand that is wipeable would be appreciated.

    Thank you for your assistance.

    Kind Regards,

    Cindy

    Cindy Joffe (she/her/hers)

    General Manager – Quality

    Quality & Innovation

    [cid:StandardJClogo_0785a1be-3a41-43a9-bf53-0fc0997b8c0b.jpg]
    619 St. Kilda Rd, Melbourne, Victoria 3004

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    in reply to: Sluicing of soiled Resident clothes #77702
    kfelstead@unitingsa.com.au
    Participant

    Author:
    kfelstead@unitingsa.com.au

    Email:
    kfelstead@unitingsa.com.au

    Organisation:

    State:

    Hi Helen,

    Thanks for the reply, exactly what line I am going to take at our sites.

    Kind Regards

    Kathleen Felstead
    Clinical Quality & Education Consultant
    [cid:UNDERLINE_68327c9b-3c07-4c4d-9eea-964ffe1b0063.jpg]
    Corporate Services
    70 Dale St * Port Adelaide, SA 5015
    M. 0436 619 720
    E. kfelstead@unitingsa.com.au
    W. unitingsa.com.au
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    Hi Kathleen

    I would not advise soiled items to be manually sluiced.
    Our practice is that where possible, large lumps of faecal matter is removed by the carer at the point of care.
    Soiled items are then placed in red alginate bags and transported to the laundry, where they are washed without being removed form the alginate bags. Many of the commercial washing machines have a built in sluice function, which removes large particles from clothing.

    Manual Sluicing is a great IPC risk for both contact and aerosol transmission of pathogens and often laundry staff (untrained in IPC practices) inadvertently contaminate themselves and the environment through this.

    This is all I can find in guidelines

    http://laundryanddrycleaning.com.au/wp-content/uploads/2015/05/Laundry-Standards-Codes-of-Practice-2012.pdf

    [cid:image004.jpg@01D6FA15.AF4E4D90]

    Kind regards,

    Helen Finlay
    National Manager Infection Control
    t 0427 110 668 | 03 8518 7356
    e hfinlay@regis.com.au | w http://www.regis.com.au

    Level 2, 615 Dandenong Road, Armadale VIC 3143

    [cid:image001.png@01D6FA14.8563D2D0]

    Hi All,

    I have recently moved into the Aged Care field and looking at the current infection control practices.

    We have a number of sites whereby residents heavily soiled garments are being sluiced to remove large particles of faecal matter prior going to the laundry.

    Can anyone advise what they do at sites, as I have concerns about aerosols being created by staff. (Staff currently wear PPE to perform this task).

    Kind Regards

    Kathleen Felstead

    Kathleen Felstead
    Clinical Quality & Education Consultant
    [cid:UNDERLINE_68327c9b-3c07-4c4d-9eea-964ffe1b0063.jpg]
    Corporate Services
    70 Dale St * Port Adelaide, SA 5015
    M. 0436 619 720
    E. kfelstead@unitingsa.com.au
    W. unitingsa.com.au
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    in reply to: Re: bin #77601
    kfelstead@unitingsa.com.au
    Participant

    Author:
    kfelstead@unitingsa.com.au

    Email:
    kfelstead@unitingsa.com.au

    Organisation:

    State:

    Hi Anna,

    We did advise that the bins during a covid outbreak would be emptied more frequently. They were quite persistant re pedal bins, but I would question with all respect their IC knowledge.
    Safe work Australia as per below has the following: https://www.safeworkaustralia.gov.au/covid-19-information-workplaces/industry-information/accommodation-services/ppe

    How do I dispose of PPE?
    Unless contaminated, disposable PPE can be disposed of with the general waste, preferably a closed bin. A closed bin is a bin with a fitted lid.

    Where the PPE is contaminated it should be disposed of in a closed bin, preferably one that does not need to be touched to place contaminated PPE inside. A bin with a foot pedal or other hands-free mechanism to open the lid would be appropriate.

    The bin for contaminated PPE should contain two bin liners to ensure the waste is double bagged. Double bagging minimises any exposure to the person disposing of the waste.

    PPE would be considered contaminated if:

    it has been worn by a symptomatic worker or visitor to the workplace
    it has been worn by a close contact of a confirmed COVID case
    the PPE has been in contact with a potentially contaminated surface, or
    it is visibly soiled or damp (e.g. face masks).
    Where a closed bin is not available, the contaminated PPE should be placed in a sealed bag before disposal into the bin. The sealed bag and a single bin liner are considered equivalent to double bagging.

    It is important to follow good hand hygiene after removing and disposing of your PPE. Hands should be cleaned thoroughly with soap and water (for a minimum of 20 seconds) or hand sanitiser.

    If you have a case of COVID-19 in the workplace, your state or territory health authority should provide you with advice on what you need to do in your workplace. Follow their instructions.

    Kathleen Felstead
    Clinical Quality & Education Consultant
    [cid:UNDERLINE_68327c9b-3c07-4c4d-9eea-964ffe1b0063.jpg]
    Corporate Services
    70 Dale St * Port Adelaide, SA 5015
    M. 0436 619 720
    E. kfelstead@unitingsa.com.au
    W. unitingsa.com.au [cid:FACEBOOKFOREMAIL_667545a2-7eed-40bc-b4bd-b6bc4ee11c67.jpg] /unitingSA [cid:TWITTERFOREMAIL_1fb0af5c-0c13-4971-9665-c88ed972a86f.jpg] @unitingSA

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    Thankyou Kathleen,

    How did you get around the assessors? Is having bins with no lids in a policy or do you know of any official document to support this?

    [cid:image001.png@01D6D2FF.37310060]| Anna Whitney RN | Executive Manager
    | t. (02) 4577 2800 | m. 0406 574 042 | f. (02) 4577 2627
    | 1 Rum Corp Lane WINDSOR NSW 2756
    [cid:image003.png@01D6D2FF.37310060]| w. http://www.fitzgeraldacf.com.au

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    From all of the Staff here at Fitzgerald Aged Care, we wish you a Merry Christmas and a Happy New Year!

    Hi Anna,

    We have experienced the same. We have varying opinions by assessors as to what is required for the disposal of PPE. We have gone on the no lid option for inside the rooms as per Helen to avoid touching of the contaminated lid. We did use Pedal bins outside the room to limit accessibility by wandering residents. Would be great if there was some universal direction across the board.
    Agree no lids is the way to go.

    Kind Regards

    Kathleen Felstead
    Clinical Quality & Education Consultant
    [cid:UNDERLINE_68327c9b-3c07-4c4d-9eea-964ffe1b0063.jpg]
    Corporate Services
    70 Dale St * Port Adelaide, SA 5015
    M. 0436 619 720
    E. kfelstead@unitingsa.com.au
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    UnitingSA acknowledges the traditional owners of country throughout South Australia, their spiritual heritage, living culture and our walk together towards reconciliation.

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    Hi all

    We experienced the exact same dilemma through multiple outbreaks, but finally settled on the no lid option during outbreaks. This allows for safe and effective disposal of PPE without having to touch and contaminate the lid. Pedal bins inevitably break fairly easily and the damaged lid becomes a source of contamination very quickly and for this reason we have moved away from them.
    We used a variety of garden bins (large/sturdy/easy to clean) from Bunnings!
    We were supported and advised by all agencies in Victoria (VACRC, PHU, ADF, Auzmat and Aspen Medical) to pursue this option.

    Kind regards,

    Helen Finlay
    National Manager Infection Control
    t 0427 110 668 | 03 8518 7356
    e hfinlay@regis.com.au | w http://www.regis.com.au

    Level 2, 615 Dandenong Road, Armadale VIC 3143

    [cid:image001.png@01D6D2E5.8A695170]

    Hi would anyone have any information on the types of bins suitable for discarding of PPE. I have looked at many infection control guides but none mention types of bins.

    As a small facility with limited resources we have generally used bins with a swing lid ( then the lids go missing!) though this way rubbish is easier to discard! and we also have pedal operated bins but I find their life is short in comparison to the cost!.
    Auditors from the Accreditation Agency have said best practice was the use of pedal bin. Infection control officers who audited my facility from the local health district told me bins with no lids was better but have not been able to provide written evidence either. While doing the Foundations course one of the film clips produced by the Tasmanian Government showed PPE being discarded into a bin without a lid. Does that mean for training its ok but in other situations it’s not??

    Looking forward to any replies.

    [cid:image001.png@01D6D2FF.37310060]| Anna Whitney RN | Executive Manager
    | t. (02) 4577 2800 | m. 0406 574 042 | f. (02) 4577 2627
    | 1 Rum Corp Lane WINDSOR NSW 2756
    [cid:image003.png@01D6D2FF.37310060]| w. http://www.fitzgeraldacf.com.au

    Follow us on: Facebook

    [cid:image005.jpg@01D6D2D6.C2302DE0]
    From all of the Staff here at Fitzgerald Aged Care, we wish you a Merry Christmas and a Happy New Year!

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    in reply to: bin #77594
    kfelstead@unitingsa.com.au
    Participant

    Author:
    kfelstead@unitingsa.com.au

    Email:
    kfelstead@unitingsa.com.au

    Organisation:

    State:

    Hi Anna,

    We have experienced the same. We have varying opinions by assessors as to what is required for the disposal of PPE. We have gone on the no lid option for inside the rooms as per Helen to avoid touching of the contaminated lid. We did use Pedal bins outside the room to limit accessibility by wandering residents. Would be great if there was some universal direction across the board.
    Agree no lids is the way to go.

    Kind Regards

    Kathleen Felstead
    Clinical Quality & Education Consultant
    [cid:UNDERLINE_68327c9b-3c07-4c4d-9eea-964ffe1b0063.jpg]
    Corporate Services
    70 Dale St * Port Adelaide, SA 5015
    M. 0436 619 720
    E. kfelstead@unitingsa.com.au
    W. unitingsa.com.au [cid:FACEBOOKFOREMAIL_667545a2-7eed-40bc-b4bd-b6bc4ee11c67.jpg] /unitingSA [cid:TWITTERFOREMAIL_1fb0af5c-0c13-4971-9665-c88ed972a86f.jpg] @unitingSA

    UnitingSA acknowledges the traditional owners of country throughout South Australia, their spiritual heritage, living culture and our walk together towards reconciliation.

    This email is for the intended recipient(s) only. It may be confidential and contain information that is legally privileged and subject to copyright. Acceptance of the email is at the recipient’s risk, including any computer or data virus or corruption. Any views or opinions presented are solely those of the author. If you are not the intended recipient please notify the sender immediately and delete/destroy all copies including attachments.

    [cid:ChristmasAppeal2020EmailSignature_V2_f4eb58d9-0747-4625-8b49-e9c509e280b6.jpg]

    Hi all

    We experienced the exact same dilemma through multiple outbreaks, but finally settled on the no lid option during outbreaks. This allows for safe and effective disposal of PPE without having to touch and contaminate the lid. Pedal bins inevitably break fairly easily and the damaged lid becomes a source of contamination very quickly and for this reason we have moved away from them.
    We used a variety of garden bins (large/sturdy/easy to clean) from Bunnings!
    We were supported and advised by all agencies in Victoria (VACRC, PHU, ADF, Auzmat and Aspen Medical) to pursue this option.

    Kind regards,

    Helen Finlay
    National Manager Infection Control
    t 0427 110 668 | 03 8518 7356
    e hfinlay@regis.com.au | w http://www.regis.com.au

    Level 2, 615 Dandenong Road, Armadale VIC 3143

    [cid:image001.png@01D6D2E5.8A695170]

    Hi would anyone have any information on the types of bins suitable for discarding of PPE. I have looked at many infection control guides but none mention types of bins.

    As a small facility with limited resources we have generally used bins with a swing lid ( then the lids go missing!) though this way rubbish is easier to discard! and we also have pedal operated bins but I find their life is short in comparison to the cost!.
    Auditors from the Accreditation Agency have said best practice was the use of pedal bin. Infection control officers who audited my facility from the local health district told me bins with no lids was better but have not been able to provide written evidence either. While doing the Foundations course one of the film clips produced by the Tasmanian Government showed PPE being discarded into a bin without a lid. Does that mean for training its ok but in other situations it’s not??

    Looking forward to any replies.

    | Anna Whitney RN | Executive Manager
    | t. (02) 4577 2800 | m. 0406 574 042 | f. (02) 4577 2627
    | 1 Rum Corp Lane WINDSOR NSW 2756
    | w. http://www.fitzgeraldacf.com.au

    Follow us on: Facebook

    [cid:image005.jpg@01D6D2D6.C2302DE0]
    From all of the Staff here at Fitzgerald Aged Care, we wish you a Merry Christmas and a Happy New Year!

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    in reply to: Use of ABHR in Dementia Units in Aged Care #77553
    kfelstead@unitingsa.com.au
    Participant

    Author:
    kfelstead@unitingsa.com.au

    Email:
    kfelstead@unitingsa.com.au

    Organisation:

    State:

    Hi Helen,

    We had a resident in our MSU at one site who did approach the wall mounted AHBR wall stations. The staff observed her over a period of time and determined which stations were being used. The gel was removed from those stations.
    Recently we increased the amount of stations in all sites including MSU and have not had any concerns with residents approaching these, we have gone for he push button instead of the automatic (as residents were able to access the AHBR in the automatic stations easier than working out a push button).
    We found the residents were more attracted to the single pump bottles which they collected in their travels around the unit.

    Kind Regards

    Kathleen Felstead
    Clinical Quality & Education Consultant
    [cid:UNDERLINE_68327c9b-3c07-4c4d-9eea-964ffe1b0063.jpg]
    Corporate Services
    70 Dale St * Port Adelaide, SA 5015
    M. 0436 619 720
    E. kfelstead@unitingsa.com.au
    W. unitingsa.com.au [cid:FACEBOOKFOREMAIL_667545a2-7eed-40bc-b4bd-b6bc4ee11c67.jpg] /unitingSA [cid:TWITTERFOREMAIL_1fb0af5c-0c13-4971-9665-c88ed972a86f.jpg] @unitingSA

    UnitingSA acknowledges the traditional owners of country throughout South Australia, their spiritual heritage, living culture and our walk together towards reconciliation.

    This email is for the intended recipient(s) only. It may be confidential and contain information that is legally privileged and subject to copyright. Acceptance of the email is at the recipient’s risk, including any computer or data virus or corruption. Any views or opinions presented are solely those of the author. If you are not the intended recipient please notify the sender immediately and delete/destroy all copies including attachments.

    [cid:ChristmasAppeal2020EmailSignature_V2_f4eb58d9-0747-4625-8b49-e9c509e280b6.jpg]

    Hello all

    I wondered if anyone has specific research into the installation of wall mounted ABHR units in wings for residents with dementia. Much of the research or reported cases of people drinking ABHR relate to individual bottles of solution and not from wall mounted units. W are currently looking the installation across all of our units and wondered if anyone has undertaken a risk assessment of this or had experience/opinions of this. We naturally want to balance the safety risk for the confused resident with the risk of not have suitable hand hygiene methods available from an IPC perspective.

    Kind regards,

    Helen Finlay
    National Manager Infection Control
    t 0427 110 668 | 03 8518 7356
    e hfinlay@regis.com.au | w http://www.regis.com.au

    Level 2, 615 Dandenong Road, Armadale VIC 3143

    [cid:image001.png@01D6C30E.0D158180]

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    in reply to: FW: P2N95 masks fit testing – Victoria #77396
    kfelstead@unitingsa.com.au
    Participant

    Author:
    kfelstead@unitingsa.com.au

    Email:
    kfelstead@unitingsa.com.au

    Organisation:

    State:

    Hi Glenys,

    Very interesting statistics.

    Kind Regards

    Kathleen Felstead
    Clinical Quality & Education Consultant
    [cid:UNDERLINE_68327c9b-3c07-4c4d-9eea-964ffe1b0063.jpg]
    Corporate Services
    70 Dale St * Port Adelaide, SA 5015
    M. 0436 619 720
    E. kfelstead@unitingsa.com.au
    W. unitingsa.com.au [cid:FACEBOOKFOREMAIL_667545a2-7eed-40bc-b4bd-b6bc4ee11c67.jpg] /unitingSA [cid:TWITTERFOREMAIL_1fb0af5c-0c13-4971-9665-c88ed972a86f.jpg] @unitingSA

    UnitingSA acknowledges the traditional owners of country throughout South Australia, their spiritual heritage, living culture and our walk together towards reconciliation.

    This email is for the intended recipient(s) only. It may be confidential and contain information that is legally privileged and subject to copyright. Acceptance of the email is at the recipient’s risk, including any computer or data virus or corruption. Any views or opinions presented are solely those of the author. If you are not the intended recipient please notify the sender immediately and delete/destroy all copies including attachments.

    [cid:UNITINGSACOVID-19EmailSignatureApril2020V2_8bad8bad-8aea-4e34-bbd0-a7ebdf862d8b.jpg]

    Hi All,

    As a infection control colleagues I would like to share the attached fit testing results that were undertake in Victoria HCFs and with Vic HCWs between March 2020 – 25 September 2020.

    No. of Hospitals: 6 Hospitals plus private clinicians from various private and public

    This will be useful for to yourself and your colleagues/peers when selecting/reviewing P2N95 masks.

    Regards

    Glenys

    Glenys Harrington
    Consultant
    Infection Control Consultancy (ICC)
    P.O. Box 6385
    Melbourne
    Australia, 3004
    M: +61 404816434
    E: infexion@ozemail.com.au
    [cid:image001.jpg@01D6A144.59B41330]

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    kfelstead@unitingsa.com.au
    Participant

    Author:
    kfelstead@unitingsa.com.au

    Email:
    kfelstead@unitingsa.com.au

    Organisation:

    State:

    Hi Vanessa,

    We don’t allow staff to drink while on the floor as you have to look at where the drink bottles are kept, who has access to them, they are another portal for infection.

    If you are in full PPE and touch a drink bottle you would have to change your PPE, just like you would if you went into individual rooms.
    Our staff are only allowed to have drink bottles etc in the lunch room where PPE is not allowed.

    You would have to think of all the risks.

    Kind Regard

    Kathleen Felstead

    Kathleen Felstead
    Clinical Quality & Education Consultant
    [cid:UNDERLINE_68327c9b-3c07-4c4d-9eea-964ffe1b0063.jpg]
    Corporate Services
    70 Dale St * Port Adelaide, SA 5015
    M. 0436 619 720
    E. kfelstead@unitingsa.com.au
    W. unitingsa.com.au [cid:FACEBOOKFOREMAIL_667545a2-7eed-40bc-b4bd-b6bc4ee11c67.jpg] /unitingSA [cid:TWITTERFOREMAIL_1fb0af5c-0c13-4971-9665-c88ed972a86f.jpg] @unitingSA

    UnitingSA acknowledges the traditional owners of country throughout South Australia, their spiritual heritage, living culture and our walk together towards reconciliation.

    This email is for the intended recipient(s) only. It may be confidential and contain information that is legally privileged and subject to copyright. Acceptance of the email is at the recipient’s risk, including any computer or data virus or corruption. Any views or opinions presented are solely those of the author. If you are not the intended recipient please notify the sender immediately and delete/destroy all copies including attachments.

    [cid:UNITINGSACOVID-19EmailSignatureApril2020V2_8bad8bad-8aea-4e34-bbd0-a7ebdf862d8b.jpg]

    Dear All
    Wondering if there are any guidelines re: staff who are working in full PPE and having a drink bottle (? Type) on hand to sip whilst working in a clinical (residential) care setting.
    I am aware of the need for increased breaks whilst wearing PPE, but is there any guidance about drinking from a drink bottle (and ? a specific type) whilst on shift and running around or not to drink?
    What about when there is no outbreak and staff are not wearing PPE?
    Many thanks for your feedback.

    Vanessa Watkins
    Quality Manager
    Donwood Community & Aged Care
    Croydon Victoria 3136

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