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Hi Stacey,
I work in Residential Aged Care and we have the same issue with Residents unable to accurately report their symptoms, we use the McGeer criteria which is widely used and accepted in the Residential sector.
You might find some useful information here: https://apic.org/Professional-Practice/Definitions-Surveillance/Kind regards
Kim Testi
Infection Control Coordinator
T: 8336 0488 | E: ktesti@lhi.org.au | W: http://www.lhi.org.au
[LHI Retirement Services]
Good Morning All,
We are currently reviewing the surveillance tool that we use to identify hospital / catheter associated urinary tract infections. Our tool is currently based on criteria described in:
NHSN CDC’s: Urinary Tract Infection (Catheter-Associated Urinary Tract Infection [CAUTI] and Non-Catheter-Associated Urinary Tract Infection [UTI]) and Other Urinary System Infection [USI]) Events.Often patients in the Psycho-Geriatric setting do not meet the criteria set out in the guidelines as they may not be able to communicate pain effectively, often wear incontinence aids and are of the age group that do not always spike temperatures.
Is anyone using a tool or guideline other than the one mentioned above or is happy to share one that they have developed?
Kind regards,
Stacey
Stacey FitzGerald |A/-Clinical Nurse Specialist – Infection Prevention and Control
NMHS Mental Health, Public Health and Dental Services
Mon, Tues, Thurs & Fri: Shaw House, Graylands Campus, Mt Claremont, WA 6010
T: (08) 9347 6305 | F: (08) 9347 6351
T: (08) 6383 1104
E: Stacey.Fitzgerald@health.wa.gov.au
Group Email: NMHSMH.InfectionControl@health.wa.gov.au
“Winter Is Coming”
Get your flu vaccine from 20th of May 2019 with NMHS Mental Health, Public Health and Dental Services
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Hi Cate,
We recently had a similar situation with a staff member who was allergic to Alcohol in ABHR, Kathon’s & was advised to keep hands dry (could not perform hand washing more than 20 times per day), we tried to source alternatives & treatments but unfortunately they were unsuccessful.
I would suggest getting a thorough assessment from an occupational dermatologist.
Kind regardsKim Testi
Infection Control Coordinator
T: 8337 0488 | M: 0488 257 174 | E: ktesti@lhi.org.au | W: http://www.lhi.org.au
[LHI Retirement Services]
Hi there
Hoping to get your advice on staff with an allergy to Alcohol in ABHR . ICU would like to employee a nurse form NZ who has an allergy to ABHR and Latex gloves. The gloves are no problem as we use latex free gloves however I am not aware of non alcohol hand rub that meets EN1500 testing standard. The person is currently using Alcohol Free Hand Sanitising Foam By Reynard Health Services which is TGA approved as a cosmetic product. It is not TGA approved as a hand hygiene product.
ICU are insistent on employing the nurse as they believe handwashing is a viable option for 5 moment of hand Hygiene which Infection Prevention and Control unit do not endorse , Alice Springs has very hard water and hand issues are a problem from time to time .
There has been no assessment by dermatologist or formal report provided regarding this sensitivity.
Can you if you have experience with clinical staff who are unable to use AHBR and what are the options?
RegardsCate Coffey | Clinical Nurse Consultant
Infection Prevention and Control Unit | Central Australia Health Service
Northern Territory Government
Alice Springs Hopsital, Gap Rd, Alice Springs
GPO Box 2234, Suburb, NT Postcode
p … 08 89517737
e … cate.coffey@nt.gov.au http://www.nt.gov.au/healthOur Vision: Better health outcomes for all Central Australians
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Hi Donna,
In addition to some of the suggestions already mentioned I also reinforce that the skin under gloves quickly becomes sweaty and moist, making it an ideal breeding ground for pathogens (coupled with the gloves are not 100% effective and glow germ lotion over gloves demonstrating penetration), by which time they’re usually running to wash their hands – mind you I find all sessions although initially effective do not always result in longer term efficacy (some staff still revert to old habits).
Good luck!
Kind regardsKim Testi
Infection Control Coordinator
T: 8337 0488 | M: 0488 257 174 | E: ktesti@lhi.org.au | W: http://www.lhi.org.au
[LHI Retirement Services]
Winner of five Better Practice Awards,
Aged Care Standards & Accreditation AgencyThank you all for some interesting ideas. I will try them out and see how I go 🙂
Kind Regards,
Donna Schmidt
Clinical Nurse Consultant Infection Control – Primary & Community Health
Rosemeadow Community Health Centre
5 Thomas Rose Drive, Rosemeadow, NSW, 2560
Tel (02) 4633 4113 | Fax (02) 4633 4111 | Mob 0438 925 816
donnamarie.schmidt@health.nsw.gov.au[http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-South-Western-Sydney-LHD.jpg]
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[cid:image004.jpg@01D2A16E.34EC46A0]Great ideas Michael.
Another similar activity get them to place their gloves on and apply a 20cm dollop of acrylic paint onto the gloves to simulate soap.
Ask them to pretend to wash their hands for 15 seconds then try and remove their gloves without cross contaminating themselves.
They soon learn that its difficult and always one person has a potential hole or tears their gloves when removing.
Its very visual and they see
a) areas they have missed when washing with the paint and
b) how a small hole can allow germs to remain behind even though they have worn gloves.Kind Regards
Marija Juraja |Nurse Unit Manager -CALHN Infection Prevention & Control Unit|
Division of Acute Medicine (RN, GCNS Inf Ctrl, CICP-E)
t: +61 8 7074 2810 (RAH) 8222 7588 (TQEH)| M: 0466 379 821|e:marija.juraja@sa.gov.au |
Adjunct Clinical Lecturer | University of South Australia | Division of Health Sciences
[Conumers]Hi Donna
A couple of simple things spring to mind.
1. Have users wear disposable gloves for a while, simulating normal usage. Plate hands prior to glove wearing, then after. Note how much more growth you get from gloved hands. Washing after glove use is important.
2. Get users to don gloves and flex their fingers, pick up objects, etc. Then dip gloved hands in coloured dye (and flex fingers in the dye) and see how much gets through onto the skin. Gloves develop holes very rapidly in use.
These simple activities are designed to show way it is important not to trust gloves alone, and the effect glove use can have on the active flora on your hands.
You might find a hand care product provider or glove manufacturer will have similar activities they will do with your staff.
Cheers
MichaelMichael Wishart | Infection Control Coordinator, CICP-E
St Vincent’s 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]
[2019 conference email signature]Hello all, the biggest challenge I face is trying to get staff to believe in the risk.
My latest trial is to find an innovative and practical way to make staff realise that gloves do not provide adequate protection. We all know they don’t, but how do we prove it?
Has anyone got tips or suggestions on practical demonstrations or even simple and clear evidence I could use to convince staff that gloves are not the be all and end all?
Kind Regards,
Donna Schmidt
Clinical Nurse Consultant Infection Control – Primary & Community Health
Rosemeadow Community Health Centre
5 Thomas Rose Drive, Rosemeadow, NSW, 2560
Tel (02) 4633 4113 | Fax (02) 4633 4111 | Mob 0438 925 816
donnamarie.schmidt@health.nsw.gov.au[http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-South-Western-Sydney-LHD.jpg]
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