[Trnovsky, Lana (Health)]

Hi,

I am in this staff members situation regarding compression sleeves. I also understand the limitations that ensue in the clinical setting. A change of role to non-clinical would be my advice. A tricky scary and emotional time, I empathise with both sides.

Regards,
Lana Trnovsky

Infection Prevention and Control Consultant
Grad Dip Nursing Science – Perioperative
Mount Gambier and Districts Health Service
Ph (08) 8721 1400
M 0434 940 879

From: ACIPC Infexion Connexion On Behalf Of Melissa Ostrouhoff
Sent: Wednesday, 28 September 2022 7:42 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] Lymphoedema sleeves, splints and hand hygiene

Good morning all,

I would concur that any staff member who cannot adequately perform ICP measures cannot meet the basic tenets of their role (specific to their role).

I would advise HR communications as needed.

Kind regards,

Melissa Ostrouhoff
Clinical Governance Manager

Palm Lake Care
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From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> On Behalf Of Sally Broadhurst
Sent: Tuesday, 27 September 2022 2:47 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] Lymphoedema sleeves, splints and hand hygiene

Hi Michael

I agree with you and this is the advise I have given to staff in the past.

Kind regards
Sally

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From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> On Behalf Of Michael Wishart
Sent: Monday, 19 September 2022 2:43 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: [ACIPC_Infexion_Connexion] Lymphoedema sleeves, splints and hand hygiene

This email originated from outside Queensland Health. DO NOT click on any links or open attachments unless you recognise the sender and know the content is safe.

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Hi all

I wonder how everyone manages healthcare workers who are required to wear lymphoedema sleeves, or braces/splints that cover the wrist and hand? My recommendations for these have always in the past been to advise that any device or garment worm below the wrist means no patient contact tasks can be performed.

That usual recommendation is being challenged currently by staff who are required to wear (long term) lymphoedema sleeves that cover the wrist and part of the hand. I am being told I am discriminating against them.

In the spirit of fairness, I have always been tolerate of garments worn below the elbow when there is a genuine reason to do so, as long as the wrists and hands are uncovered. But I draw the line at garments covering the wrist or below, due to the inability for that staff member to satisfactorily perform hand hygiene.

So, what are the thoughts of the communal infection control mind? Would you allow a lymphoedema sleeve to be worn over the wrist and hand during patient care in an acute setting? Would you limit types of patient contact (eg no open wounds, no invasive devices)? Any other approaches?

Thanks
Michael

Michael Wishart | Infection Control Coordinator, CICP-E

St Vincents Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
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[Trnovsky, Lana (Health)]

Hi,

Mount Gambier Hospital is screening all patients and RAT if symptomatic and or meet epidemiological risk factors in ED. All patients to be admitted have a RAT in ED prior to going to the ward and have a PCR 24hrs after admission and every 72 hours until discharge. We have picked up a number of asymptomatic Covid+ infections during screening.

Regards,
Lana Trnovsky

Infection Prevention and Control Consultant
Mount Gambier and Districts Health Service
Ph (08) 8721 1400
M 0434 940 879

Hi Lynette

We are still RAT and PCR testing all admissions and have picked up a number of patients this way. We are the only tertiary facility in the top end with a very vulnerable patient cohort so our approach is generally conservative. This is done routinely in the emergency department for patients being admitted rather than via screeners.

Cheers

Kind regards

Yana Albrey
RN, BNurs, PGCert Clinical Nursing,
PGCert Infection Prevention & Control
CICP-A

Clinical Nurse Manager
Infection Prevention & Control
Royal Darwin and Palmerston Hospitals| Top End Region

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Hi Lynette,

We are continuing with RAT and Screening for anyone entering the residential aged care facility.

Kind Regards
Christine

Christine Valencius
Director Community Services
Uralla Shire Council | PO Box 106 Uralla NSW 2358
p 02 6778 6358 | m 0487 785 139 | e cvalencius@uralla.nsw.gov.au
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Afternoon,

Just wanting to find out how the various private and public sectors are managing RAT testing patients if at all on admissions, we are trying to figure out whether or not to continue with this as it is resource draining and staff are needed elsewhere.

Any information would be greatly appreciated.

Thanks

With kind regards

Lynette Spence

Lynette Spence

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St Andrew’s War Memorial Hospital

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