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Leeanne Atkinson

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  • Leeanne Atkinson
    Participant

    Author:
    Leeanne Atkinson

    Position:
    Anum

    Organisation:
    East Grampians Health Service

    State:
    VIC

    Hi Michael, we change our disposable curtains annually or if they become soiled. Recently I have been contemplating the environment and sustainability impact and would be interested in finding out if there is company the recycles disposable curtains.
    Cheers
    Leeanne

    Leeanne Atkinson
    Coordinator
    Infection Control
    East Grampians Health Service
    PO Box 155, Ararat, Victoria, 3377
    Phone : (03) 5352 9332
    Email : leeanne.atkinson@eghs.net.au
    Web : http://www.eghs.net.au

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    I would like some discussion around what facilities are doing in regard to replacing disposable antimicrobial curtains, if you use them, and specifically why you do this. Or even if you don’t use them, why you chose that approach.

    We have used disposable antimicrobial curtains in our hospitals for some time now, and only replace then annually or when torn or soiled. We do not routinely replace then after use in a room with Transmission Based Precautions (which is the main basis for their cost effectiveness, actually),

    Our hotel services staff recently started dating disposable antimicrobial bed curtains for 2 years instead of 1, based on manufacturer recommendations, although our policy still officially says replace annually. We had a recent external compliance audit that noted this, and recommended we standardise to changing all disposable antimicrobial bed curtains annually.

    But that got me thinking: what is the optimum routine replacement strategy for disposable antimicrobial bed curtains? I can see guidelines in various jurisdictions that say things like ‘follow local policy’ but no-one seems to make a bold recommendation of how long. This is understandable given not all antimicrobial curtains have the same antimicrobial action, etc. But it doesn’t help facilities decide what they should be doing.

    This might be a good topic for another Infection Control Matters podcast (hint, hint, Brett, Phil and Martin!), but I would be interested to know what the current practice is in facilities within Australia, and if possible, to hear why they have chosen that approach.

    Thanks for any discussion.

    Cheers
    Michael

    Michael Wishart | Infection Control Coordinator, CICP-E

    St Vincent’s Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
    M +61 448 954 282 | T +61 7 3326 3068 | F +61 7 3607 2226
    E michael.wishart@svha.org.au |
    W https://www.svphn.org.au

    St Vincent’s Private Hospital Brisbane | 411 Main Street KANGAROO POINT QLD 4169
    M +61 448 954 282 | T +61 7 3240 1208 | F +61 7 3240 1166
    E michael.wishart@svha.org.au |
    W https://www.svphb.org.au

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    in reply to: Question for the ACIPC #81256
    Leeanne Atkinson
    Participant

    Author:
    Leeanne Atkinson

    Position:
    Anum

    Organisation:
    East Grampians Health Service

    State:
    VIC

    Hi Marsha, our aged care staff wear N95 masks all the time regardless of whether we have an outbreak.
    Cheers
    Leeanne

    Leeanne Atkinson
    Coordinator
    Infection Control
    East Grampians Health Service
    PO Box 155, Ararat, Victoria, 3377
    Phone : (03) 5352 9332
    Email : leeanne.atkinson@eghs.net.au
    Web : http://www.eghs.net.au

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    Hi All,

    I am the Facility Manager of an Aged Care Facility in Port Macquarie.
    The Department of Health have recently had a webinar in which they have recommended staff wear the P2/N95 mask for 28 day after a COVID outbreak ends.
    I would like to know form the experts among us what you would recommend.
    As you can imagine this seems extreme and would be a considerable burden on our staff.

    Marsha Blackbell
    Facility Manager & IPC Lead

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    in reply to: help #78351
    Leeanne Atkinson
    Participant

    Author:
    Leeanne Atkinson

    Position:
    Anum

    Organisation:
    East Grampians Health Service

    State:
    VIC

    Hi Jude, I do all our aged care reporting regarding COVID 19 vaccination in aged care and apart from the de-identified reporting that we do on a weekly basis I have not heard of a requirement to report on a residents passing. The only thing I can think of is if there is an inquest into the death and the COVID 19 vaccination status of the resident is requested as part of this process. Can you approach your manager and ask for more specifics about what they are requesting you to do?
    Leeanne

    Leeanne Atkinson
    Coordinator
    Infection Control
    East Grampians Health Service
    PO Box 155, Ararat, Victoria, 3377
    Phone : (03) 5352 9332
    Email : leeanne.atkinson@eghs.net.au
    Web : http://www.eghs.net.au

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    We proudly acknowledge the Traditional Custodians of the land on which our services are located and pay our respects to Elders, past, present and any future leaders.[cid:Flags_1c58afbb-0bc5-492a-a750-7debb41ecf6a.jpg]

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    Please inform us of the erroneous delivery by return email. East Grampians Health Service provides no guarantee that this communication is free of viruses or that it has not been intercepted or interfered with.
    Thank you for your cooperation.
    From: ACIPC Infexion Connexion On Behalf Of Sarah Gaines Hill
    Sent: Thursday, 26 August 2021 12:01 PM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: Re: [ACIPC_Infexion_Connexion] help

    *** Please Note – This email has come from an email source external to EGHS ***
    Hi Jude
    I am also in Aged Care and this is the first I have heard of this request so am interested to know the answer as well.
    Is there anyone in this forum from DoH, Victoria?

    Sarah

    [BlueCross]

    Sarah

    Gaines Hill

    Infection Prevention Manager

    P: +61 3 9828 1705

    |

    M: +61 429 480 183

    Level 1, 117 Camberwell Road,

    Hawthorn East,

    VIC

    3123

    [BlueCross]

    From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> On Behalf Of Jude Searles
    Sent: Thursday, 26 August 2021 9:36 AM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: [ACIPC_Infexion_Connexion] help

    Hi Folks
    We recently had a resident in our RACF unexpectedly pass away, not COVID related, and I have been asked by my managers to report the residents COVID vaccination status. My problem is I have no idea who this needs to be reported to. Does anyone have any ideas?

    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: cleaning the obs machine #77529
    Leeanne Atkinson
    Participant

    Author:
    Leeanne Atkinson

    Position:
    Anum

    Organisation:
    East Grampians Health Service

    State:
    VIC

    Hi Carla,
    We have designated blood pressure cuffs that are assigned to patients on admission and they do not move around with the machine from patient to patient. When the patient is discharged then the cuff is cleaned with disinfectant/detergent wipes. In regards to the observation machine itself staff clean this with disinfectant/detergent wipes between patients but I guess we have never thought about how to do this in a step by step process.
    Leeanne

    Leeanne Atkinson
    Coordinator
    Infection Control
    East Grampians Health Service
    PO Box 155, Ararat, Victoria, 3377
    Phone : (03) 5352 9332
    Email : leeanne.atkinson@eghs.net.au
    Web : http://www.eghs.net.au
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    We proudly acknowledge the Traditional Owners of the land on which our services are located and pay our respects to Elders, past, present and future.[cid:Flags_1c58afbb-0bc5-492a-a750-7debb41ecf6a.jpg]

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    From: ACIPC Infexion Connexion On Behalf Of Carla De Marco
    Sent: Thursday, 19 November 2020 9:50 AM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: **SPAM** [ACIPC_Infexion_Connexion] cleaning the obs machine

    *** Please Note – This email has come from an email source external to EGHS ***

    Hi All

    In my travels around many Australian hospitals, I have found that clinical staff (myself included) really struggle to clean an obs machine i.e.: the BP cuff / sats probe / thermometer and the whole machine itself.

    The conversations I have had and the trials and errors we have gone through, still concludes there isnt an acceptable way to clean the obs machine that does not re-contaminate a part or is practical and easy enough for staff to comply.

    I would like to ask the IP group, if anyone has a step-by-step procedure they wouldnt mind sharing or if anyone could think of practical way to clean the obs machine (in particular the re-usable cuff) in between patient use?

    Would love to hear your thoughts on this.
    Thanks for your help!

    Kind Regards,
    Carla De Marco
    Senior Infection Prevention Nurse Specialist | Australia & New Zealand
    RN, BN, GCertNurs (CriticalCare), GCertNurs (InfectionPrevention).
    Empowering each other to reduce infections through education, knowledge and support.

    GAMA Healthcare Australia Pty Ltd
    A wholly owned subsidiary of GAMA Healthcare Ltd.
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    in reply to: Guidelines for washing machines in hospital setting #77468
    Leeanne Atkinson
    Participant

    Author:
    Leeanne Atkinson

    Position:
    Anum

    Organisation:
    East Grampians Health Service

    State:
    VIC

    Hi Derrick, AS/NZS 4146:2000 Laundry Practice contains all the information you require to answer your questions. Have a read of the guideline, I also think you will find that you are going to need to have a commercial washer and commercial dryer.
    Cheers
    Leeanne

    Leeanne Atkinson
    Coordinator
    Infection Control
    East Grampians Health Service
    PO Box 155, Ararat, Victoria, 3377
    Phone : (03) 5352 9332
    Email :leeanne.atkinson@eghs.net.au
    Web : http://www.eghs.net.au

    We proudly acknowledge the Traditional Owners of the land on which our services are located and pay our respects to Elders, past, present and future.
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    —–Original Message—–
    From: ACIPC Infexion Connexion On Behalf Of Derrick H
    Sent: Wednesday, 28 October 2020 8:11 PM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: [ACIPC_Infexion_Connexion] Guidelines for washing machines in hospital setting

    *** Please Note – This email has come from an email source external to EGHS ***

    Hi all

    Just wondering if anyone has a policy/procedure/guidelines for washing machines in their facilities?

    We have a few domestic machines in our mental health wards for patient use. It has been brought to our attention that there are concerns of cross infections as these are domestic machines and the requirements for cleaning of machines in between patient uses.

    Is there any guidelines on this? Any standard that dictate that we need to use commercial machines instead with a specific heat setting to avoid cross infections?

    And cleaning in between patients? This will include the dryers.

    We have been asked to produce a guideline for our wards to address this and any help will be greatly appreciated. Thank you in advance.

    Best regards,

    Derrick Hor
    A/CN
    Armadale Health Service
    WA
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    in reply to: re P2 respirators use again #77135
    Leeanne Atkinson
    Participant

    Author:
    Leeanne Atkinson

    Position:
    Anum

    Organisation:
    East Grampians Health Service

    State:
    VIC

    Hi Margaret, this is only my interpretation of the guidelines there may be other opinions on this but my interpretation is that in an aged care facility with a P2/N95 mask would only be required if performing an aerosol generating procedure on a suspected or confirmed case including those who are asymptomatic and in quarantine (ie during an outbreak) or if a suspected or confirmed case is displaying aerosol generating behavious ie vomiting, shouting, screaming or crying out. As GP’s are not directly referred to in the guidelines I would apply the Tier 1 for presentations that are not suspected or confirmed ie prescription, Tier 2 for presentations that are unwell and displaying symptoms of COVID-19 including swabbing, and Tier 3 if there was a very unwell presentation with COVID-19 symptoms where there may be a lot of activity ie trying to assess and treat quickly or where there is an aerosol generating procedure such as nebuliser, or where the patient may be displaying aerosol generating behaviours. This would be when you would need to be wearing a P2/N95 mask in a GP clinic.
    Like I said this is just my interpretation based on the guidelines released on the 31st July and the fact sheet ‘What personal protective equipment to use and when: Residential aged care’ which was updated and circulated yesterday 5th August 2020.
    Kind Regards
    Leeanne

    Leeanne Atkinson
    Coordinator
    Infection Control
    East Grampians Health Service
    PO Box 155, Ararat, Victoria, 3377
    Phone : (03) 5352 9332
    Email : leeanne.atkinson@eghs.net.au
    Web : http://www.eghs.net.au
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    Wed
    Dear Brains trust,
    As a Melbourne based IPC educator to General practice, on viewing the updated and attached July 31st use of conventional PPE for different tiers and different contexts which I presume all Vic knows of, would you agree that GPs do not require a P2 mask but that an aged care facility with a case does – is this what it looks like to you?

    Regards,

    Margaret Jennings
    Marjen Education Services

    website. http://www.marjenes.com.au
    email. marjenes@optusnet.com.au

    mob. 0404 088 754

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    Virus-free. http://www.avg.com

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    in reply to: humidity sterile stock storage parameters #77089
    Leeanne Atkinson
    Participant

    Author:
    Leeanne Atkinson

    Position:
    Anum

    Organisation:
    East Grampians Health Service

    State:
    VIC

    Hi Pam, have you seen the document ‘Response to humidity control events in sterile store and perioperative areas’ https://www.vhhsba.vic.gov.au/sites/default/files/2020-05/VHHSBA-Health-Technical-Advice-HTA-2019-001-Humidity-Control-Event-020200219.pdf . This document has all the information you are looking for. Items processed in CSD and items processed commercially all need to be kept within the 35-70% range.
    Kind regards
    Leeanne

    Leeanne Atkinson
    Coordinator
    Infection Control
    East Grampians Health Service
    PO Box 155, Ararat, Victoria, 3377
    Phone : (03) 5352 9332
    Email : leeanne.atkinson@eghs.net.au
    Web : http://www.eghs.net.au
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    Hi everyone, hope you are all going ok.

    Does anyone know if there a difference in acceptable humidity parameters when storing:

    * Items processed in CSD – ie in kimgard and paper packs

    * Items processed commercially

    I know AS4187 states 35% to 70% for sterile stock storage areas.

    Thanks so much everyone.
    Cheers from Pam

    Pamela Boon | Infection Prevention Senior Management Consultant
    Top End Health Service | Department of Health

    Northern Territory Government
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    in reply to: recycling disposable instruments #76938
    Leeanne Atkinson
    Participant

    Author:
    Leeanne Atkinson

    Position:
    Anum

    Organisation:
    East Grampians Health Service

    State:
    VIC

    Hi Teresa and Heather
    I am also interested in the recycling of disposable instruments. Teresa what type of cleaning/disinfection of the instruments do you perform prior to sending them to the scrap dealer? Currently our disposable instruments are being discarded as clinical waste (sharps).
    Leeanne

    Leeanne Atkinson
    Coordinator
    Infection Control
    East Grampians Health Service
    PO Box 155, Ararat, Victoria, 3377
    Phone : (03) 5352 9332
    Email : leeanne.atkinson@eghs.net.au
    Web : http://www.eghs.net.au
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    Hi Heather,
    I work at a small rural hospital in Central West NSW and we are currently trialling recycling our disposable instruments. We have an arrangement with the local scrap dealer which so far is working well.
    Teresa

    Teresa Holland
    WHS Coordinator, IP&C and Staff Health Nurse
    Lachlan Health Service – Forbes & Parkes
    Forbes ph: 68507100, fax: 68502245
    Parkes ph: 68612400, fax: 68623921
    Teresa.Holland@health.nsw.gov.au

    Hi all
    I am just wondering how many of your facilities recycle the disposable instruments.
    We are a small rural hospital which h tries to minimise our environmental footprint and I would prefer to be recycling rather than adding to any other waste stream.
    If anyone has any information regarding this please inbox me the details.

    Many thanks
    Heather

    Heather Gill (cert Inf Control, MACN)
    Infection Prevention and Control Practitioner, Nurse Immuniser
    Theatre Nurse Unit Manager
    CastertonMemorial Hospital
    E: heather.gill@cmh.org.au
    T: 03 55542555
    63-69 Russell St
    Casterton 3311
    Victoria
    http://www.castertonmemorialhospital.com.au
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    in reply to: Recycling batteries #76863
    Leeanne Atkinson
    Participant

    Author:
    Leeanne Atkinson

    Position:
    Anum

    Organisation:
    East Grampians Health Service

    State:
    VIC

    Would they be considered E-waste rather than just a battery?
    Leeanne

    Leeanne Atkinson
    Coordinator
    Infection Control
    East Grampians Health Service
    PO Box 155, Ararat, Victoria, 3377
    Phone : (03) 5352 9332
    Email : leeanne.atkinson@eghs.net.au
    Web : http://www.eghs.net.au
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    From: ACIPC Infexion Connexion On Behalf Of Helen Roberts
    Sent: Monday, 25 May 2020 2:31 PM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: [ACIPC_Infexion_Connexion] Recycling batteries

    *** Please Note – This email has come from an email source external to EGHS ***
    Hello Brain trust,

    This is a strange request.
    I have been asked if there was a recycling avenue or a procedure for discarding pacemaker, defib batteries and loop recorders.

    Currently, we throw them out with general waste.

    Thank you for your input.
    Helen

    Helen Roberts

    Infection Control

    P:

    07 4646 3106

    |

    F:

    07 4633 7602

    E:

    robertsh@sath.org.au

    |

    W:

    http://www.sath.org.au

    Post:

    PO Box 263, Toowoomba, QLD 4350

    Address:

    280 North St, Toowoomba, QLD 4350

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    in reply to: COVID testing #76823
    Leeanne Atkinson
    Participant

    Author:
    Leeanne Atkinson

    Position:
    Anum

    Organisation:
    East Grampians Health Service

    State:
    VIC

    Asymptomatic testing does not require staying away from work until the results are back only symptomatic testing has this requirement. That is my understanding of the process. The results are taking longer to be released due to the testing blitz so the timeframe is about right.
    Leeanne

    Leeanne Atkinson
    Coordinator
    Infection Control
    East Grampians Health Service
    PO Box 155, Ararat, Victoria, 3377
    Phone : (03) 5352 9332
    Email : leeanne.atkinson@eghs.net.au
    Web : http://www.eghs.net.au
    [cid:eghs_bottom_banner_7e37c3fa-fd91-4027-b736-dd622809e5f4.JPG]

    We proudly acknowledge the Traditional Owners of the land on which our services are located and pay our respects to Elders, past, present and future.[cid:Flags_1c58afbb-0bc5-492a-a750-7debb41ecf6a.jpg]

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    Hi all
    I have a staff member who is feeling quite well but decided to be tested for COVID-19 at one of the shopping centre testing areas they have set up. She assumed she would have a result within 2 days but has been told it may be up to a week. One of my colleagues has told her she cannot return to work until she has her result – does this sound right to everyone?
    Thanks in advance for your expertise and comments
    Jenny

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