[Lauren Cullen]

Hi Terry
All of our waste for suspected/confirmed cases of COVID-19 is being managed as clinical waste
Thanks Lauren

Lauren Cullen
Infection Control Manager
Knox Private Hospital & Bellbird Private Hospital
03 9210 7485

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From: ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] On Behalf Of Terry Grimmond
Sent: Thursday, 2 April 2020 3:32 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: [ACIPC_Infexion_Connexion] PPE disposal – what’s your policy?

Hi all,
With volume of PPE with COVID suspected/confirmed cases, is ALL your PPE placed in Clinical Waste bin, or to general waste if no soiling visible? Qld Guide says AllCOVID-19 wasteshould be managed as clinical waste.; VIC Guide says, If gown is disposable and soileddispose of it with clinical waste

Kind regards, Terry

Terry Grimmond FASM, BAgrSc, GrDpAdEd
Consultant Microbiologist
Grimmond and Associates
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[Lauren Cullen]

Hi Linda
At Knox & Bellbird hospitals we teach IM/SC administration in line with the immunisation guidelines
The exception to this is if a person is immunocompromised – we would probably swab then, as they are more susceptible to infections from their own organisms
On reading some articles there was evidence to suggest inoculation with your own organisms did not pose a risk and that a side effect from injections given prior to the alcohol drying could cause thickening or hardening of the skin tissue with no actual benefit to the person being injected
I find when speaking to students – that universities are now starting to teach not to swab inmajority of cases (based in Melbourne)
Cheers Lauren

Lauren Cullen
Infection Control Manager
Knox Private Hospital & Bellbird Private Hospital
03 9210 7485

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Hi, there has been discussion here in the recommendations of whether there is a need to swab skin prior to injections.
The universities seem to be teaching that yes you do swab.
Immunisation guidelines suggest: The skin at the injection site should be visibly clean prior to administering a vaccine. The swabbing of clean skin before giving an injection is not necessary. If the skin is visibly dirty, clean the site with a single use alcohol swab and allow the site to dry completely before administering the injection.
Insulin administration: I believe it is recommended not to swab but I cannot find guidelines on this.

That leaves other medications via subcutaneous and intramuscular routes, Australian guidelines are scarce

The WHO 2010 recommends in their “WHO best practices for injections and related procedures toolkit” available at https://apps.who.int/iris/bitstream/handle/10665/44298/9789241599252_eng.pdf;jsessionidCD16B9C3F48A46E6F10DEA429F8E7CA4?sequence1 accessed 20/11/19
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What are other places recommending to their staff?
Regards Lyn

Lyn Golden
Infection Prevention and Control Manager
Staff Health
Echuca Regional Health
226 Service Street
Echuca 3564
P 54855340
E lgolden@erh.org.au

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[Lauren Cullen]

Hi Kathy
We complete a terminal/infectious room clean – same process for anyone in precautions
Given the risk of coughing onto items, I wouldn’t do a lesser clean
Cheers lauren

Lauren Cullen
Infection Control Manager
Knox Private Hospital & Bellbird Private Hospital
03 9210 7485

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Dear ACIPC members,
I have a query about what room cleaning is required for patients in droplet precautions. What does everyone use for daily room cleaning when the patient is in the room? Do you have a different process for post-discharge room cleaning for droplet precautions?

Regards
Kathy

Kathy Taylor- Infection Control Manager | The Wesley Hospital | 451 Coronation Drive, Auchenflower QLD 4066
t: 07 3232 7558 | f: 07 3232 6043 |e: katherine.taylor@uchealth.com.au
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[Lauren Cullen]

Hi Chelsea
I’ve seen this one used before Australian Commission on Safety and Quality in Health Care – https://infectionprevention.kineoportal.com.au/

I personally wouldn’t use the content on the infection control module via HHA
Thanks Lauren

Lauren Cullen
Infection Control Coordinator
Knox Private Hospital & Bellbird Private Hospital
03 9210 7485

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Hello,

Currently all new employees complete written infection control education packages. Does anyone know of any online learning modules (other than the Hand Hygiene Australia module) that I can direct staff to complete that is free for our hospital to utilise and perhaps offers a certificate of completion afterwards as proof of compliance? We are trying to move from paper to online learning where possible.

Kind Regards,

Chelsea Kop
Quality & Infection Control Manager
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58 Quirk St
Dee Why, NSW 2099
T: +612 9982 5351
M: 0456 170 099
F: +612 9982 6843
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