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Hi Lindy
CCLHD Screen MROs in our ICUs (on admission, weekly and on discharge).
Mind you compliance is a bit underwhelming.
🙂
Cheers
KirstyKirsty Graham
Nurse Manager | CCLHD Infection Prevention and Control Unit
Clinical Safety, Quality and Governance Directorate
F4 Administration Office, Gosford Hospital
Tel (02) 4320 3382 (Internal 93382)|Mobile 0407 749 034|Fax (02) 4320 2874 |Pager 18028 |
kirsty.graham@health.nsw.gov.au or CCLHD-IPAC@health.nsw.gov.au
[cid:image001.jpg@01D5583D.2E441200] [cid:image003.png@01D5583D.2E441200] Click on the hand for direct access to CCLHD IPAC Intranet Site
[cid:image001.png@01D6804D.564751C0]Hello
Just hoping for quick survey for those site who have an ICU and the advice from the ACSQHC Table 2 – high risk units re MRO screening on admission , weekly and on discharge (especially VRE)
as I am getting mixed messages from one of our ICUs that other units no longer undertake weekly MRO screening despite the national guide so I am trying to get an understanding of what others unit may be doingQuestion – Do you currently screen ICU patients for MROs on weekly as well as on discharge and admission
Many thanks for your useful feedback
Kind regards
Lindy
Lindy Ryan
District Infection Prevention & Control CNC | Clinical Governance & Information Services MNCLHD
Level 1 Coffs Specialist Centre, Pacific Hwy, Coffs Harbour
Office 66911984 or Mob 0419 990 693 | lindy.ryan@health.nsw.gov.au
http://www.health.nsw.gov.au[http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Mid-North-Coast-LHD.jpg]
“Wise and humane management of the patient is the best safeguard against infection”
(Florence Nightingale Circa 1860)[cid:image005.png@01D6CF16.A659C720]
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Thanks Donna
That’s great, I was looking for anything around risk assessments you may use during COVID.
Cheers
KirstyKirsty Graham
Nurse Manager | CCLHD Infection Prevention and Control Unit
Clinical Safety, Quality and Governance Directorate
Level 4 (J4 POD D), Gosford, New South Wales 2250
Tel (02) 4320 3382 (Internal 93382)|Mobile 0407 749 034|Fax (02) 4320 2874 |Pager 18028 |
kirsty.graham@health.nsw.gov.au or CCLHD-IPAC@health.nsw.gov.au
[http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Central-Coast-LHD.jpg] [cid:image002.png@01D5583C.918481C0] Click on the hand for direct access to CCLHD IPAC Intranet Site
[cid:image001.png@01D6804D.564751C0]Hi Kirsty,
There are the Australian Physiotherapy Association Australian guidelines for aquatic physiotherapists working in and/or managing hydrotherapy pools (which provides some infection control guidance). Found here: https://australian.physio/sites/default/files/tools/Aquatic_Physiotherapy_Guidelines.pdf
I would also contact your local public health unit or council to see if there are specific state regulations for the management of such facilities as well.
Regards,
DonnaDonna Cameron
Infection Control Consultant
donna.cameron@unimelb.edu.auMicrobiological Diagnostic Unit Public Health Laboratory
The Peter Doherty Institute for Infection and Immunity
792 Elizabeth Street | Melbourne | Victoria | Australia | 3000
doherty.edu.au________________________________
Hi all
We are reviewing our management of our Hydrotherapy Pools and wondering if there is any IPC expert guidance in this area.
Would welcome any risk assessments from any of our colleagues.
Cheers
KirstyKirsty Graham
Nurse Manager | CCLHD Infection Prevention and Control Unit
Clinical Safety, Quality and Governance Directorate
Level 4 (J4 POD D), Gosford, New South Wales 2250
Tel (02) 4320 3382 (Internal 93382)|Mobile 0407 749 034|Fax (02) 4320 2874 |Pager 18028 |
kirsty.graham@health.nsw.gov.au or CCLHD-IPAC@health.nsw.gov.au
[cid:image001.jpg@01D5583D.2E441200] [cid:6CDE292337D5024BA9C1C52005DA0365@health.nsw.gov.au] [cid:image003.png@01D5583D.2E441200] [cid:FEE1E3EB9CCB5D44B3D411AC66A77CEB@health.nsw.gov.au] Click on the hand for direct access to CCLHD IPAC Intranet Site
[cid:image001.png@01D6804D.564751C0][cid:3EFCA3771A6175469D3360EC982EF58A@health.nsw.gov.au]This message is intended for the addressee named and may contain confidential information. If you are not the intended recipient, please delete it and notify the sender.
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Thanks for your reply have developed a flow chart for our LHD now.
Cheers
KirstyKirsty Graham
Nurse Manager | CCLHD Infection Prevention and Control Unit
Clinical Safety, Quality and Governance Directorate
Level 6 (K6-COB), Gosford, New South Wales 2250
Tel (02) 4320 3382 (Internal 93382)| Fax (02) 4320 2874 |Pager 18028 |
kirsty.graham@health.nsw.gov.au or CCLHD-IPAC@health.nsw.gov.au
[http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Central-Coast-LHD.jpg] [cid:image002.png@01D5583C.918481C0] Click on the hand for direct access to CCLHD IPAC Intranet SiteFrom: ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] On Behalf Of kathryn catterick
Sent: Friday, 3 April 2020 12:14 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] Contact Tracing guides for response to Positive COVID-19 inpatients and HCWsHi Kirsty, your public health unit should have a process / form for contact tracing which you could likely adapt for inpatients as well? In that regard you would be capturing the same data.
RegardsKathryn Catterick.
Clinical Nurse Consultant Internal Audit. | Internal Audit Branch – Dept of Health & Dept of Communities Tasmania
Level 1, 22 Elizabeth St, Hobart TAS 7000
Phone: 6166 1600
We acknowledge the traditional owners of the land on which we work and live and respect their ongoing custodianship of the land. We pay respect to Tasmanian Aboriginal people, and Elders past and present
On Mon, Mar 30, 2020 at 1:49 PM Kirsty Graham (Central Coast LHD) <Kirsty.Graham@health.nsw.gov.au> wrote:
Hi
I’m sure everybody is extrodinarily busy and possibly creating many new tools and resources to assist in managing the COVID-19 in our LHDs.
My question is does anyone have tools and/or resources that they are currently using for the folllow up of inpatients and HCWs with positive SARS-CoV-2 results? Contact tracing flow charts would be ideal. Hate to reinvent the wheel…..
We are trying to develop these resources and would appreciate any that have already been developed and tested and proven useful.
Cheers
Kirsty
Nurse Manager | CCLHD Infection Prevention and Control (IPAC)
Level 6, K6 (COB) Gosford Hospital
Tel 02 4320 3382 (Internal 93382)| Fax 02 4320 2874 (Internal 92874) | Pager – 18028
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Hi
I received this response from our CSSD Managers…..hope it helps!
CART WASHER for Trolleys
We have a pass through cart washer and on unloading of the trolleys they do have some excess water on completion even though our cycle times have been increased. The trolleys after they are removed from the washer ramp they sit to the side until we wipe the excess water off with low lint cloths before taking them past out packing tables and out the door down to the corridor to trolley room.
When passing the tables they are to one side and we have some space that assists with this. As long as staff wipe excess water off and they come out dry there is no issue.
Dirty room
Our trolleys go through the cart washer and loaded in the dirty room however sometimes if the unit is out for servicing then we hand wipe them in dirty room and take them out of the room and down the corridor to the trolley room. Also once you have a cart washer you realise that the trolleys bank up or theatres require one therefore you need to wipe them over, many SSD unit do not have more than one cart washer. This is a contingency plan for when the unit is not available or is in use, we are still compliant to the standard as we have clean / dirty work flows however than you need to look at operationally how you manage this.
Kim
Kind Regards,
Kim Beard
Manager | Gosford Sterilising Services
Holden Street Gosford NSW 2250
Tel (02) 4320 2341 | Mob 0433 165 969 | Kim.beard@health.nsw.gov.au
http://www.health.nsw.gov.auNurse Manager | CCLHD Infection Prevention and Control (IPAC)
Level 6, K6 (COB) Gosford Hospital
Tel 02 4320 3382 (Internal 93382)| Fax 02 4320 2874 (Internal 92874) | Pager – 18028
kirsty.graham@health.nsw.gov.au________________________________
From: ACIPC Infexion Connexion on behalf of Ellis, Andrew (Health)
Sent: Tuesday, 4 February 2020 18:29
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] AS4187 and CSSD trolley/cart washerHi Michelle,
Apologies if it sounds obvious, but prior to procurement, do check any proposed carts/trolleys for design elements which may be prone to water retention. Its also good to consider the thermal load incurred by the design and material. This applies especially to bespoke designs and modifications, which should be accompanied by a full engineering risk assessment before being altered further.
I have had some experiences with a bespoke case cart design an subsequent modifications which retained rinse water in an internal structure and therefore risked re-contaminating sterile packs during transport. This caused rework and expensive interim controls until it was resolved. Also the very heavy, closed design means that washer cycle time and energy are increased in order to reach the required surface temperatures.
Regards,
Andrew Ellis
Senior Project Officer, CSSD
Central Adelaide Local Health Network
L5, Royal Adelaide Hospital
Tel: (08) 7074 1848
Fax: (08)7074 6205
Email: andrew.ellis@sa.gov.auWe are here to provide a quality Sterile Supply service that is patient-focused, reliable and personally accountable.
From: ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] On Behalf Of Michelle Kennedy (Hunter New England LHD)
Sent: Friday, 31 January 2020 3:49 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: [ACIPC_Infexion_Connexion] AS4187 and CSSD trolley/cart washerHi All, just hoping for a little advice on the plans for our new CSSD. Of course we do not have enough space for a clear dirty to clean flow round trip so we are trying to prioritise so we as compliant with AS4187. One member of our team does not like the plan of the trolley washer in the decon zone going in and out in the same zone before going back down the corridor to the packing zone (not ideal!) as the wheels will be contaminated. The other option is to have a flow through cart washer that flows through from decon to the packing zone but this poses the risk of excess water as the carts are wheeled past the packing benches. We have tried all possible different spaces for the cart washer but we are really limited with the design! Any advice would be greatly appreciated.
Thank you
Michelle Kennedy
CNC | Infection Prevention Service
Maitland/Kurri Kurri Hospitals
550-560 High Street
Maitland NSW 2320
Tel 02 4939 2467 or 0437919767 |
michelle.kennedy@health.nsw.gov.au[cid:image001.png@01D3B0A1.DB49DAB0]
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Hi Charlaine
Have attached some from Central Coast.
Cheers
Kirsty GrahamNurse Manager | CCLHD Infection Prevention and Control Unit
Level 1, 67 Holden Street, Gosford, New South Wales 2060
Tel (02) 4320 3382 (Internal 93382)| Fax (02) 4320 2874 |Pager 18028 |
kirsty.graham@health.nsw.gov.au or CCLHD-IPAC@health.nsw.gov.au
[CCLHD Logo] [cid:image004.png@01D45AF8.4D1184D0]Good Afternoon
Does anyone have a poster they are willing to share, to prompt visitors and staff to use Hand rub before entering facility ?Thank you
Charlaine Havlin | WHS, RTW & IPC Manager
The Victoria Clinic
P: 92700394 | 95260200 | 0425742940 | Fax 95260222
E: Charlaine.Havlin@healthscope.com.au[cid:image002.jpg@01D341CD.70399780]
[cid:image003.png@01D341CD.70399780] [cid:image001.jpg@01D3A0DC.17E50290]
[http://elephantintheroom.org.au/resources/2018/APHA_MHW_Footer_2018.jpg] [cid:image004.png@01D45A23.B1F49B60]MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
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