[Lesley Alway]

Michael , Totally agree this is an interpretation- issue are principle
around storage of at risk sterile stock so if the room meets the higher
requirement for Sterile stock storage, commercial sterile stock should be
in this area in principle

Consumable stock can be stored in this room, and perhaps separated for
convenience not IFC reasons

Regards

Lesley Alway

Director

Strategic Health Resources.

Post Graduate Education Services.

0408 324 727

03 94390534

lesley.alway@strategichealth.com.au

Director Australian Health Design Council

*From:* ACIPC Infexion Connexion *On Behalf
Of *Michael
Wishart
*Sent:* Wednesday, 22 September 2021 3:31 PM
*To:* ACIPCLIST@ACIPC.ORG.AU
*Subject:* Re: [ACIPC_Infexion_Connexion] ‘Sterile stock’ storage??

Thanks Sally

That document is exactly what we are talking about, but nobody can show me
where in AS4187 or the current NHMRC guidelines it says commercially
sterilised stock cannot be on the same shelf as non-sterile stock.
Obviously we dont store sterile items on a shelf (or even in a room!) with
food products (or cleaning products), but there is no real risk in storing
a sterile disposable item like a disposable urinary catheter (that is
appropriately packaged) on a shelf with non-sterile gauze swabs that is
also appropriately packaged.

Maybe my issue is I havent fully outlined why we are commutable with this
as a full risk assessment, although to me it is common sense. I spent way
more time on ensuring we are compliant with the storage of sterile RMDs
and the water testing requirements parts of this document!

Cheers

Michael

*Michael Wishart *| Infection Control Coordinator, CICP-E

St Vincents 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 Vincents 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

*From:* ACIPC Infexion Connexion *On Behalf Of *Sally
Holmes
*Sent:* Wednesday, 22 September 2021 3:10 PM
*To:* ACIPCLIST@ACIPC.ORG.AU
*Subject:* Re: [ACIPC_Infexion_Connexion] ‘Sterile stock’ storage??

Michael,

See the Advisory above re segregation of sterile & non sterile stock from
the CEC. You have until DEC 2 to comply fully after risk assessment &
review .

Good luck

Sally

*Sally Holmes*

Quality Manager and Infection Control & Prevention Coordinator

*Lakeview Private Hospital*|17-19 Solent Circuit Norwest NSW 2153

http://www.lakeviewprivate.com.au

*From:* ACIPC Infexion Connexion *On Behalf Of *Glenys
Harrington
*Sent:* Wednesday, 22 September 2021 1:49 PM
*To:* ACIPCLIST@ACIPC.ORG.AU
*Subject:* Re: [ACIPC_Infexion_Connexion] ‘Sterile stock’ storage??

Can you tells us a bit more?

What area was the storage room/area in?

What was the sterile and non-sterile stock?

Regards

Glenys

Glenys Harrington

Consultant

Infection Control Consultancy (ICC)

P.O. Box 6385

Melbourne

Australia, 3004

M: +61 404816434

E: infexion@ozemail.com.au

*[image: Description: ICC Diagram ICCversion]*

*From:* ACIPC Infexion Connexion *On Behalf
Of *Michael
Wishart
*Sent:* Wednesday, 22 September 2021 12:59 PM
*To:* ACIPCLIST@ACIPC.ORG.AU
*Subject:* [ACIPC_Infexion_Connexion] ‘Sterile stock’ storage??

Ive just had my mind blown by an auditor who tells me I cannot store any
sterile stock on a shelf with non-sterile stock. I reply by saying that
no sterile RMDs are stored on shelves with non-sterile stock, and they say,
no ANYTHING that comes sterile should not be on the same shelf with
something non-sterile.

Have I missed something? I have always understand that the very specific
storage requirements for RMDs did not apply to most commercially sterilised
single use items. Sure, there are commercially sterilised disposables that
have very specific storage requirements, but the majority of high volume
disposable sterile goods can be safely stored on a shelf with non-sterile
stock in an appropriately air-conditioned storage room. AS4187 does not
cover storage of non-RMDs, correct?

Can someone either tell me I am wrong, and I missed this big time, or that
I did not miss anything, and the auditor is incorrect. Or some variation of
these.

Help?

Thanks

Michael

*Michael Wishart *| Infection Control Coordinator, CICP-E

St Vincents 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 Vincents 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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[Lesley Alway]

Crystal, Please review the relevant existing Aust Standard as a starting
point for you query-
https://www.saiglobal.com/pdftemp/previews/osh/as/as3000/3700/37892.pdf

Textiles for health care facilities and institutions Part 2: Theatre linen
and pre-packs AS 3789.2

Regards

Lesley Alway

Director

Strategic Health Resources.

Post Graduate Education Services.

0408 324 727

03 94390534

lesley.alway@strategichealth.com.au

Director Australian Health Design Council

*From:* ACIPC Infexion Connexion *On Behalf
Of *Crystal
Polson
*Sent:* Wednesday, 23 June 2021 2:19 PM
*To:* ACIPCLIST@ACIPC.ORG.AU
*Subject:* [ACIPC_Infexion_Connexion] Infection control and surgical drapes

Hi all,

I hope everyone is doing well.

A bit of an odd request, but wondering if anyone who works in operating
theatres (or manages IPC for theatres) has general thoughts on infection
control related to surgical drapes.

I am working with medical supply company that is redesigning its surgical
drapes and gowns.

Does anyone here make decisions about the choice of drapes your facility
uses? If so, what qualities or features are most important? Any issues with
the drapes you currently use (strikethrough, tearing, etc.)? Any specific
complaints?

Sorry for the vague questions but we’re starting broad!

Cheers

Crystal Polson

Infection Control Coordinator

University of Melbourne

crystal.polson@unimelb.edu.au

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[Lesley Alway]

Hi Janine, See the AHFG- https://healthfacilityguidelines.com.au/

Regards

Lesley Alway

Director

Strategic Health Resources.

Post Graduate Education Services.

0408 324 727

03 94390534

Director Australian Health Design Council

*From:* ACIPC Infexion Connexion *On Behalf Of *Janine
Egart
*Sent:* Thursday, 22 October 2020 10:19 AM
*To:* ACIPCLIST@ACIPC.ORG.AU
*Subject:* [ACIPC_Infexion_Connexion] New Builds – What’s required

Hi,

Im looking for information relating to new builds and what is required re:
validation testing, clinical cleans, water testing etc

Which sections of the hospital require microbiology testing, we have:

– Theatre x 2
– Pathology Department
– CSD
– Endoscopy
– Renal
– Negative pressure rooms x 2

I know I have seen information on this site previously so sorry about the
reposting.

Would appreciate anyones input?

Thanks

*Janine Egart*
*Clinical Nurse Consultant*
Infection Prevention & Control
*p: *07 46166206 | m: 0400704118
*a:* Level 2 Cossart House, Toowoomba Hospital
*e:* janine.egart@health.qld.gov.au | *w: *Darling Downs Health

[image: Darling Downs Health]
[image: Hand Hygiene]

[image: Think before you print]

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[Lesley Alway]

Hi Cate, I can also help having written the brief for hybrid OR , benefits
and lessons learned.

Regards

Lesley Alway

Director

Strategic Health Resources.

Post Graduate Education Services.

0408 324 727

03 94390534

Director Australian Health Design Council

*From:* ACIPC Infexion Connexion *On Behalf Of *Cate
Coffey
*Sent:* Thursday, 30 July 2020 11:26 AM
*To:* ACIPCLIST@ACIPC.ORG.AU
*Subject:* [ACIPC_Infexion_Connexion] Hybrid Operating Theatre

HI Team

Looking for advice on developing and commissioning a hybrid operating
theatre.

Does anyone have experience in this and provide me with advice?

Thanks very much

Cate Coffey

Clinical Nurse Manager

Central Australia Health Service

Department of Health

Northern Territory Government

Infection Prevention and Control Unit

Alice Springs Hospital
PO Box 2234, Alice Springs, NT 0871

*t.* 08 8951 7737

*www.health.nt.gov.au*

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[Lesley Alway]

Hi Kerrin, There are spacers designed for multiple use , which can be
reprocessed.

Regards

Lesley Alway

Director

Strategic Health Resources.

Post Graduate Education Services.

0408 324 727

03 94390534

Director Australian Health Design Council

*From:* ACIPC Infexion Connexion *On Behalf Of *kerrin
Maher
*Sent:* Monday, 30 March 2020 9:53 AM
*To:* ACIPCLIST@ACIPC.ORG.AU
*Subject:* Re: [ACIPC_Infexion_Connexion] Reusable patient equipment

Hi,

If the manufacturers instructions deems them to be reusable and the
instructions are given for the cleaning and reprocessing they can be
reprocessed. However, CSD cannot reprocess single use items. Spacers are
considered single patient use therefore cannot be reprocessed.

Regards

*Kerrin Maher RN BN*Nurse Unit Manager | Central Sterilising Department
QEll Jubilee Hospital | *Metro South Health*
Kessels Road QLD 4108
t. 07 31826151

e. kerrin.maher@health.qld.gov.au

*From:* ACIPC Infexion Connexion *On Behalf Of *Lesley
Alway
*Sent:* Saturday, 28 March 2020 1:07 PM
*To:* ACIPCLIST@ACIPC.ORG.AU
*Subject:* Re: [ACIPC_Infexion_Connexion] Reusable patient equipment

Emily send to CSSD for high level disinfection in instrument washers.

Cheers

Les Alway

Strategic Health Resources

Lesley Alway

Strategic Health Resources

0408324727

On 28 Mar 2020, at 11:22 am, Emily Stewart wrote:

Hi

I am a very fresh Infection Control Coordinator. Only 18 months into the
role from a Surgical Nursing Background.

I have had such a huge learning experience in this last two months!!

I was not sure how to word this question, and am a little shy to post on
the ACIPCLIST.

Our ED NUM has asked if there are any products to disinfect spacers , so
they can become shared equipment within our facility.

As there is such a shortage and people still have asthma attacks.

I have discussed with our pharmacist, regarding the cleaning process, but
alas he only gave me information on how to clean them for continued one
person use.

Your guidance or help in the matter would be greatly appreciated.

Thank you

Kind Regards

*Emily Stewart * *Infection Control Coordinator RN*

*[image: image]*

*Tel:* 07 43311168 *Fax:* 07 41512180

*Email:* estewart@fsph.org.au

*______________________________________________*

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[Lesley Alway]

Emily send to CSSD for high level disinfection in instrument washers.
Cheers
Les Alway
Strategic Health Resources

Lesley Alway
Strategic Health Resources
0408324727

> On 28 Mar 2020, at 11:22 am, Emily Stewart wrote:
>
> Hi
> I am a very fresh Infection Control Coordinator. Only 18 months into the role from a Surgical Nursing Background.
> I have had such a huge learning experience in this last two months!!
> I was not sure how to word this question, and am a little shy to post on the ACIPCLIST.
> Our ED NUM has asked if there are any products to disinfect spacers , so they can become shared equipment within our facility.
> As there is such a shortage and people still have asthma attacks.
>
> I have discussed with our pharmacist, regarding the cleaning process, but alas he only gave me information on how to clean them for continued one person use.
> Your guidance or help in the matter would be greatly appreciated.
>
> Thank you
> Kind Regards
>
>
> Emily Stewart Infection Control Coordinator RN
>
> Tel: 07 43311168 Fax: 07 41512180
> Email: estewart@fsph.org.au
> ______________________________________________
> The contents of this email are strictly confidential. If you are not the intended recipient, any use, disclosure or copying of this email (including any attachments) is unauthorised and prohibited. If you have received this email in error, please notify the Friendly Society Private Hospital immediately by return email and then delete the message from your system.
>
>
> MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
> The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
>
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>
> Replies to this message will be directed back to the list. To create a new message send an email to acipclist@acipc.org.au
>
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>
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[Lesley Alway]

Fiona see the AHFG guidelines for design and air handling requirements
Les Alway
AHDC

Lesley Alway
Strategic Health Resources
0408324727

> On 21 Jan 2020, at 4:13 pm, De Sousa, Fiona M wrote:
>
> Hi All,
>
> We are currently reviewing the function/ layout of our Radiology procedure room and looking at what diagnostic / interventional procedures could be done in here. Concerns have been raised regarding using the room for both dirty and clean procedures and how this should be managed safely.
>
> The types of procedures being considered include:
> Barium swallows,
> Tubigrams including via stoma,
> ERCP,
> Therapeutics e.g Line insertion, PEG insertion, Nephrostomy.
>
> I would be interested to hear from other sites with this type of facility about how they manage this mix of procedures in the one room. And also what type of air handling system they have in place.
> Happy to be contacted directly if you prefer.
>
> Kind regards,
>
> Fiona De Sousa CICP-E| Nurse Manager | Infection Prevention & Control Unit
> Launceston General Hospital, Level 2, Launceston TAS 7250
> phone: 6777 6715 | mobile: 0408 487 197 | fax: 6777 5170 | email: fiona.de.sousa@ths.tas.gov.au |
> intranet: http://www.dhhs.tas.gov.au/intranet/thon/infection_control
>
> IPCU By working together we promote a culture of safety to reduce preventable infections and transmission of multi-resistant organisms
>
>
>
> CONFIDENTIALITY NOTICE AND DISCLAIMER
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[Lesley Alway]

Dear John, issue of importance and being reviewed in many domains I know Terry Mcauley has conducted considerable research and presented papers on this unacceptable practice. Perhaps ask Terry to provide feedback
Regards
Lesley Alway
SHR

Lesley Alway
Strategic Health Resources
0408324727

> On 14 Jan 2020, at 10:42 am, John Ferguson (Hunter New England LHD) wrote:
>
> Can I learn from others about how you have managed these please? Has anyone got data on screw breakages?
>
>
> [ We have a large number of screw banks in use. These get replenished with new screws to replace those used. And so most of these screws go through an undocumented series of sterilisation cycles.
>
> Clear concerns include:
> a) The new screws have instructions for use that preclude resterilisation
> b) The AS4187 says we should track all reprocessed material like this and not reprocess ad infinitum
> c) That structural integrity of the screw is compromised (might be associated with breakages in patient ) There may be other deleterious changes to the material as well.
>
> The alternative to banks is dispensing individual screws as required by each case. Other countries have mandated such. More expensive we are getting resistance to change!
>
> Thanks
> John
> Dr John Ferguson MBBS DTM&H FRACP FRCPA
> Director, Infection Prevention Service | Hunter New England Local Health District
> John Hunter Hospital, Locked Bag 1, Newcastle Mail Centre, NSW 2310, Australia
> T: 61 2 49214444 | F: 61 2 49214440 | M: +61(0)428 885573 (Speed Dial 67607) | Tw @mdjkf
> Mon
> Tues
> Wed
> Thurs
> Fri
>
>
> x
>
>
>
>
>
>
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[Lesley Alway]

Hi Glenys, It was some time ago ( not that the issues or results have
changed) I will locate and am happy to share.

I think we look at the wrong end of the staff ! their feet and not the
upper body, need to concentrate on the area above the neck of sterile
gown which is above the exposed patient wound ie – use and type
Headcovers, jewellery , exposed hair including facial head, and correct
waring of these items. My personal gripe is the incorrect wearing of
masks, ( around the neck) unfortunately we need to change the media photos
used constantly portraying this poor practice.

Kind Regards

Lesley Alway

Director

Strategic Health Resources.

Post Graduate Education Services.

0408 324 727

03 94390534

Director Australian Health Design Council

[image: Logowithtxt_AHDC]

*From:* ACIPC Infexion Connexion *On Behalf Of *Glenys
Harrington
*Sent:* Wednesday, 17 July 2019 3:20 PM
*To:* ACIPCLIST@ACIPC.ORG.AU
*Subject:* Re: [ACIPC_Infexion_Connexion] Cleaning floors in operating
suites

Hi Lesley,

Your research projects sounds very interesting.

Are you able to share the publication or the reference for the publication?

Would be very useful to share with clinical staff as this topic seems to be
raised on a routine, regular basis.

Regards

Glenys

Glenys Harrington

Consultant

Infection Control Consultancy (ICC)

P.O. Box 6385

Melbourne

Australia, 3004

M: +61 404816434

E: infexion@ozemail.com.au

*From:* ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU
] *On Behalf Of *Lesley Alway
*Sent:* Wednesday, 17 July 2019 9:06 AM
*To:* ACIPCLIST@ACIPC.ORG.AU
*Subject:* Re: [ACIPC_Infexion_Connexion] Cleaning floors in operating
suites

Hi Mandy, Support your recommendation I did a research project on show
covers many years ago, and found no value in use, as per your comments,
What is on the floor stays there unless we provide a vector to carry
contaminates ( ie pillows table attachments placed on the floor)

Change is slow and old practices entrenched without evidence.

Kind Regards

Lesley Alway

Director

Strategic Health Resources.

Post Graduate Education Services.

0408 324 727

03 94390534

Director Australian Health Design Council

[image: Logowithtxt_AHDC]

*From:* ACIPC Infexion Connexion *On Behalf Of *Mandy
DAVIDSON
*Sent:* Wednesday, 17 July 2019 7:44 AM
*To:* ACIPCLIST@ACIPC.ORG.AU
*Subject:* Re: [ACIPC_Infexion_Connexion] Cleaning floors in operating
suites

Hi all

We have mostly removed shoe covers in our operating theatres and procedural
areas. The reasons for this are:

1. No-one washes their hands after they put them on! .. then they touch
EVERYTHING!
2. There was no hand hygiene sink located adjacent to the change room so
they could wash their hands either!. We did eventually put ABHR up in this
location, but it had become a habit!
3. The floor is dirty any-how, leaving the only real purpose of the shoe
cover to protect the individuals shoes from contamination during the case.
This is a reasonable reason to wear shoe covers, but staff are encouraged
to have dedicated shoes.
4. We have a dress codes for the operating theatres, including dedicated
shoes or compliant with WHS requirements (enclosed, non-slip) plus able to
be wiped over in the event blood or body fluid contamination
5. For the most part, most procedures are low risk of gross
contamination to shoes, with a couple of notable exceptions (trauma etc).
It is better to contain the blood/fluid before it makes it to the floor!
This is better from an infection control perspective plus will reduce
theatre turn around.

Reference information can be sourced from Standard Statement 5 Of the
Perioperative attire standard in the current ACORN Standards (Ed 15)

By reducing the number of staff who wear the shoe covers, will hopefully
result in a reduction of this problem.

Re the slips, is the correct product being used on the floors and is it the
correct floor covering? We found an issue with product compatibly for the
type of flooring we used- the cleaning agent left a film which created a
hazard when wet. However, after we investigated further it was discovered
that the laminate used in the new build was not to the correct standard. I
am unsure of the full details, but it eventually got rectified!

Kind regards

*Mandy Davidson*

*RN; GCert Inf Pre & Cont; MPHTM; Cert III Sterilisation; Cert IV TAE;
Immunisation cred; CICP-A*

Clinical Nurse Consultant 4187 Implementation project

Infection Prevention & Control

[image: cid:image001.png@01D3A192.E1513890]

*T*

*07 4433 1873* | *0402 987 432*

*E*

Mandy.Davidson@health.qld.gov.au

*W*

http://www.health.qld.gov.au/townsville

*Townsville Hospital and Health Service*

100 Angus Smith Drive, Douglas, QLD 4814

*[image: Facebook-Icon]* *[image:
Twitter-Icon]* *[image:
Linkedin-Icon]*

*Townsville Hospital and Health Service acknowledges the Traditional Owners
of the land, and pays respect to Elders past, present and future.*

*From:* ACIPC Infexion Connexion *On Behalf Of *Cathy
Mowat
*Sent:* Tuesday, 16 July 2019 2:58 PM
*To:* ACIPCLIST@ACIPC.ORG.AU
*Subject:* Re: [ACIPC_Infexion_Connexion] Cleaning floors in operating
suites

We are currently having problems with shoe covers in theatre too. The
cleaners are sweeping up pieces of white plastic type material which are
coming from the shoe covers. The type we are using are obviously not
designed for all day wear and bits are wearing off over the course of the
day. We are looking at other products that may be a bit stronger and can
last a full day of wear intact

[image: cid:image003.jpg@01D2E9BF.C675F410]

*Cathy Mowat*

*Clinical Nurse Consultant*

*Infection Prevention and Control*

Central Gippsland Health

T. 03 5143 8518

E. cathy.mowat@cghs.com.au

Central Gippsland Health is located on the traditional land of the Gunai
Kurnai people

The information contained in this email and any attached files, including
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distribute this email without the author’s permission.

*From:* ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU
] *On Behalf Of *Emma Trippe
*Sent:* Tuesday, 16 July 2019 2:10 PM
*To:* ACIPCLIST@ACIPC.ORG.AU
*Subject:* Re: [ACIPC_Infexion_Connexion] Cleaning floors in operating
suites

Are the shoe covers leaving behind a film? as we had a similar issue &
subsequently changed our shoe covers ect

*Emma Trippe*
Infection Control Consultant

Calvary Riverina Hospital
Hardy Avenue Wagga Wagga NSW 2650
*P: *02 6932 1628
*E:* Emma.Trippe@calvarycare.org.au
http://www.calvary-wagga.com.au

Hospitality | Healing | Stewardship | Respect

Continuing the Mission of the Sisters of the Little Company of Mary

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http://www.calvarycare.org.au.

*From:* ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU
] *On Behalf Of *Michael Wishart
*Sent:* Tuesday, 16 July 2019 12:52 PM
*To:* ACIPCLIST@ACIPC.ORG.AU
*Subject:* [ACIPC_Infexion_Connexion] Cleaning floors in operating suites

[Posted on behalf of member Moderator]

Hi everyone

We seem to have an issue within our operating theatre regarding the product
we use on the floors VMOs complaining they slip easily and the manager wants
to try something else instead

Any help would be appreciated

Regards, Jenny

Jenny Garland

Acting Quality Risk and Safety Manager

Infection control officer

Mater Health Service North Queensland

E mail:Jenny.garland@matertsv.org.au

Phone 47274173

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[Lesley Alway]

Hi Mandy, Support your recommendation I did a research project on show
covers many years ago, and found no value in use, as per your comments,
What is on the floor stays there unless we provide a vector to carry
contaminates ( ie pillows table attachments placed on the floor)

Change is slow and old practices entrenched without evidence.

Kind Regards

Lesley Alway

Director

Strategic Health Resources.

Post Graduate Education Services.

0408 324 727

03 94390534

Director Australian Health Design Council

[image: Logowithtxt_AHDC]

*From:* ACIPC Infexion Connexion *On Behalf Of *Mandy
DAVIDSON
*Sent:* Wednesday, 17 July 2019 7:44 AM
*To:* ACIPCLIST@ACIPC.ORG.AU
*Subject:* Re: [ACIPC_Infexion_Connexion] Cleaning floors in operating
suites

Hi all

We have mostly removed shoe covers in our operating theatres and procedural
areas. The reasons for this are:

1. No-one washes their hands after they put them on! .. then they touch
EVERYTHING!
2. There was no hand hygiene sink located adjacent to the change room so
they could wash their hands either!. We did eventually put ABHR up in this
location, but it had become a habit!
3. The floor is dirty any-how, leaving the only real purpose of the shoe
cover to protect the individuals shoes from contamination during the case.
This is a reasonable reason to wear shoe covers, but staff are encouraged
to have dedicated shoes.
4. We have a dress codes for the operating theatres, including dedicated
shoes or compliant with WHS requirements (enclosed, non-slip) plus able to
be wiped over in the event blood or body fluid contamination
5. For the most part, most procedures are low risk of gross
contamination to shoes, with a couple of notable exceptions (trauma etc).
It is better to contain the blood/fluid before it makes it to the floor!
This is better from an infection control perspective plus will reduce
theatre turn around.

Reference information can be sourced from Standard Statement 5 Of the
Perioperative attire standard in the current ACORN Standards (Ed 15)

By reducing the number of staff who wear the shoe covers, will hopefully
result in a reduction of this problem.

Re the slips, is the correct product being used on the floors and is it the
correct floor covering? We found an issue with product compatibly for the
type of flooring we used- the cleaning agent left a film which created a
hazard when wet. However, after we investigated further it was discovered
that the laminate used in the new build was not to the correct standard. I
am unsure of the full details, but it eventually got rectified!

Kind regards

*Mandy Davidson*

*RN; GCert Inf Pre & Cont; MPHTM; Cert III Sterilisation; Cert IV TAE;
Immunisation cred; CICP-A*

Clinical Nurse Consultant 4187 Implementation project

Infection Prevention & Control

[image: cid:image001.png@01D3A192.E1513890]

*T*

*07 4433 1873* | *0402 987 432*

*E*

Mandy.Davidson@health.qld.gov.au

*W*

http://www.health.qld.gov.au/townsville

*Townsville Hospital and Health Service*

100 Angus Smith Drive, Douglas, QLD 4814

*[image: Facebook-Icon]* *[image:
Twitter-Icon]* *[image:
Linkedin-Icon]*

*Townsville Hospital and Health Service acknowledges the Traditional Owners
of the land, and pays respect to Elders past, present and future.*

*From:* ACIPC Infexion Connexion *On Behalf Of *Cathy
Mowat
*Sent:* Tuesday, 16 July 2019 2:58 PM
*To:* ACIPCLIST@ACIPC.ORG.AU
*Subject:* Re: [ACIPC_Infexion_Connexion] Cleaning floors in operating
suites

We are currently having problems with shoe covers in theatre too. The
cleaners are sweeping up pieces of white plastic type material which are
coming from the shoe covers. The type we are using are obviously not
designed for all day wear and bits are wearing off over the course of the
day. We are looking at other products that may be a bit stronger and can
last a full day of wear intact

[image: cid:image003.jpg@01D2E9BF.C675F410]

*Cathy Mowat*

*Clinical Nurse Consultant*

*Infection Prevention and Control*

Central Gippsland Health

T. 03 5143 8518

E. cathy.mowat@cghs.com.au

Central Gippsland Health is located on the traditional land of the Gunai
Kurnai people

The information contained in this email and any attached files, including
replies and forwarded copies is confidential and intended solely for the
addressee(s) and may be legally privileged or prohibited from disclosure
and unauthorised use. If you are not the intended recipient, please delete
this email and notify us promptly. You may not use, disclose or
distribute this email without the author’s permission.

*From:* ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU
] *On Behalf Of *Emma Trippe
*Sent:* Tuesday, 16 July 2019 2:10 PM
*To:* ACIPCLIST@ACIPC.ORG.AU
*Subject:* Re: [ACIPC_Infexion_Connexion] Cleaning floors in operating
suites

Are the shoe covers leaving behind a film? as we had a similar issue &
subsequently changed our shoe covers ect

*Emma Trippe*
Infection Control Consultant

Calvary Riverina Hospital
Hardy Avenue Wagga Wagga NSW 2650
*P: *02 6932 1628
*E:* Emma.Trippe@calvarycare.org.au
http://www.calvary-wagga.com.au

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*From:* ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU
] *On Behalf Of *Michael Wishart
*Sent:* Tuesday, 16 July 2019 12:52 PM
*To:* ACIPCLIST@ACIPC.ORG.AU
*Subject:* [ACIPC_Infexion_Connexion] Cleaning floors in operating suites

[Posted on behalf of member Moderator]

Hi everyone

We seem to have an issue within our operating theatre regarding the product
we use on the floors VMOs complaining they slip easily and the manager wants
to try something else instead

Any help would be appreciated

Regards, Jenny

Jenny Garland

Acting Quality Risk and Safety Manager

Infection control officer

Mater Health Service North Queensland

E mail:Jenny.garland@matertsv.org.au

Phone 47274173

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[Lesley Alway]

Excellent response,totally agree ,endoscopy does not sit outside of standards but must be treated in principle as any RMD management
Lesley Alway
SHR

Lesley Alway
Strategic Health Resources
0408324727

> On Feb 27, 2019, at 10:18 AM, Robyn Lawson wrote:
>
> Great response Mandy and I totally agree with your comments. Nothing sits alone. The near future will be sterilisation for scopes.
>
> Robyn Lawson
>
> OR Consulting
> PO Box 465
> Dianella
> Western Australia
>
> 0408871624
> roblily49@gmail.com
> Fellow ACORN
>
>
>
> Sent from my iPhone
>
> On 27 Feb 2019, at 6:22 am, Mandy DAVIDSON wrote:
>
>> Michelle
>>
>> I will attempt to answer some of this for you. I can understand if it does seem like overkill, I am still learning 6 months into a project on helping my organisation become compliant.
>>
>> First you mention that you are only going gastroscopies & colonoscopies I take it to mean that you are looking only? The challenge comes further if you are doing biopsies, injections, polyp removals etc, as these procedures then become critical procedures under Spauldings Classification. This changes the ball game with how we look at endoscopy. At the FSRACA conference last year, Alberto Csap from Vancouver spoke about how they have moved to sterilisation (low temperature) of all endoscopes. While slightly different from your question, he did pose the very interesting question of – if biopsy forceps are considered to be critical devise and need to be sterile, how can we then thread them down a HLD only device and expect that they remain sterile? (a copy of his presentation is available on the FRSACA site).
>>
>> As to the use of a WD, I can understand some of your frustration, but it is not until you start to look at some of the literature, that we begin to understand. There are a number of studies that explain why automated cleaning is better than manual cleaning. I have attached a couple of references. While they are not specific to endoscopy, the concepts can be extrapolated. Manual cleaning involves the human element, which is difficult to control. People invariably take short cuts, or forget all steps required, and endoscopy cleaning is very complex!. Your validation processes will either support continued manual washing, or identify that automated processes are better. Plus has the manufacturers provided you with validated cleaning instructions, and is manual cleaning acceptable in these instructions?
>>
>> Alfa, M. J., & Nemes, R. (2004). Manual versus automated methods for cleaning reusable accessory devices used for minimally invasive surgical procedures. Journal of Hospital Infection, 58(1), 50-58. doi:https://doi.org/10.1016/j.jhin.2004.04.025
>> Lopes, L. K. O., Costa, D. M., Tipple, A. F. V., Watanabe, E., Castillo, R. B., Hu, H., . . . Vickery, K. (2018). Complex design of surgical instruments as barrier for cleaning effectiveness, favouring biofilm formation. The Journal Of Hospital Infection. doi:10.1016/j.jhin.2018.11.001
>>
>> Finally water quality, we are all eagerly awaiting an update to the water quality component (table 7.2) in the Standards. As the is variability in water quality from site to site, you wont know unless if you test. The purpose of the testing is to:
>> ensure that the process does not add to the contamination of the reusable medical devices (RMD) you need to know if your final rinse water has microbial contamination
>> water quality will affect your cleaning process including chemical consumption, temperature and overall cleaning time
>> That the water is not causing damage to the RMD or the reprocessing equipment
>>
>> Sorry about the length response. I agree it is all about patient safety, I hope this helps.
>>
>>
>> Kind regards,
>>
>> Mandy Davidson
>> RN; GCert Inf Pre & Cont; MPHTM; Cert III Sterilisation; Cert IV TAE; Immunisation cred; CICP-A
>> Clinical Nurse Consultant 4187 Implementation project
>> Infection Prevention & Control
>>
>>
>> T
>> 07 4433 1873 | 0402 987 432
>> E
>> Mandy.Davidson@health.qld.gov.au
>> W
>> http://www.health.qld.gov.au/townsville
>>
>> Townsville Hospital and Health Service
>> 100 Angus Smith Drive, Douglas, QLD 4814
>>
>>
>> Townsville Hospital and Health Service acknowledges the Traditional Owners of the land, and pays respect to Elders past, present and future
>>
>>
>>
>>
>> From: ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] On Behalf Of Michelle Bibby
>> Sent: Tuesday, 26 February 2019 11:44 AM
>> To: ACIPCLIST@ACIPC.ORG.AU
>> Subject: [ACIPC_Infexion_Connexion] seeking clarification on WD versus manual wash for scope accessories in an endoscopy day procedure centre
>>
>> HI Team
>>
>> You may or may not be able to assist but I am seeking some clarification if possible please?
>>
>> I have also posed this question to GENCA and NSQHS as I believe we have some duty of care to support these centres with best practice but not irrational over expenditure on unnecessary equipment and water testing.
>>
>> With regard to a free standing endoscope day procedure centre, only doing gastroscopes and colonoscopes, what is the rationale for installation of a WD when all that is being washed are scope accessories?
>>
>> Whilst I appreciate the push for the implementation of single use, for some centres this is not a cost effective alternative at this point in time, not until the market is held accountable.
>>
>> The scope accessories are a semi critical device and the scope itself is undergoing HLD, so how can we rationalise installation of a WD and associated RO water systems and water quality testing?
>>
>> Currently the accessories are manually washed, then go through an U/S, rinsed with RO water then visually inspected, dried and then sterilized.
>>
>> The WDs can not actually improve the cleaning process, can they, other than the statement in 4187 which says along the lines of automated is more reproduceable
>>
>> Whilst AS/NZS4187:2014 states that the correct cleaning pathway should be chosen, and manufacturers instructions are followed, it also goes on to say that manual cleaning of an RMD shall only be used where the manufacturers validated cleaning instruction requires manual cleaning and as a pre treatment.
>>
>> Many of the man instructions are lacking in detail and open for interpretation.
>>
>> I am providing advise, I would like to be able to provide a sensible rationale as to how installation of a WD will actually improve the cleaning process, but more importantly improve the patient outcome.
>>
>> Any advise/opinions gratefully accepted
>>
>> Michelle
>>
>> Michelle Bibby
>> Infection Prevention Australia
>> +61 429 071 165
>> Michelle@infectionprevention.com.au
>> http://www.infectionprevention.com.au
>>
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[Lesley Alway]

Vicki,The guidelines identify negative pressure for bronchoscope Rooms, issue is when both GI and Bronchoscopies are performed in the same room It is possible to have a system which can be switched between the two , but this very difficult to manage organizationally.
Regards
Les Alway
SHR
Lesley@ihc.com.au

Lesley Alway
Strategic Health Resources
0408324727

> On Oct 17, 2018, at 4:14 PM, Vicki Denyer (Northern NSW LHD) wrote:
>
> Hi All,
> We are currently in the process of a new build & I have been notified that there is no inclusion of negative pressure air conditioning within the new Endoscopy unit.
>
> I have been informed that Australian Health Facility Guidelines do not require negative pressure within endoscopy units, despite bronchoscopies revealing TB in some cases
>
> Is there any Endoscopy Units that have negative pressure incorporate in either their stand-alone units or those that are attached ( via corridors ) to their theatres
>
>
> Many thanks
>
> Vicki Denyer
>
> Vicki Denyer
> Clinical Nurse Consultant | Infection Prevention and Control
> Infection Control Unit Lismore Base Hospital
> ‘ 02 6620 2385 Fax: 02 66 202287
> * vicki.denyer@health.nsw.gov.au
>
> Infection Prevention & Control is Everyones Business
>
>
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[Lesley Alway]

Dear Cathryn and Michael, agree wholeheartedly have had to fit this fight
for to many years, found it helpful ( and typical not to see the value to
the patient) to focus on the wearer not the patient safety. I use the
example would they do procedures without glove – of course not!!!!! Same
applies to masks and eye protection.

Lesley Alway

Director

Strategic Health Resources.

Post Graduate Education Services.

0408 324 727

03 94390534

Director Australian Health Design Council

[image: Logowithtxt_AHDC]

*From:* ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] *On
Behalf Of *Cathryn Murphy
*Sent:* Wednesday, 9 August 2017 4:17 PM
*To:* AICALIST@AICALIST.ORG.AU
*Subject:* Re: Wearing of Surgical masks in the Operating room

Dear All

I agree with Michaels rationale and agree there are cases of occupational
transmission of serious bloodborne illness from mucousal splashes reported
in the literature. So from an OCH&S obligation the HCW should comply.

This is one of those frustrating issues that come up from time to time and
they drive me crazy. They are like the ? of eating in theatres/
anaesthetists wearing masks/ OT staff changing attire etc. Why IC
professionals continually have to fight these causes is exhausting and sad
but back to the science.whilst Michael provides a meta-analysis it is a
few years old and it is based on very few reports probably because the
issue hasnt been well studied not that the issue isnt important.

I would also draw attention to the increasing use of air-purifying systems
in the US and other countries. Some of the data related to validation
studies are very compelling and show how CFU counts of bacteria rise
(sometimes to extremes) when speaking (behind masks) happens. Obviously
showing causation between high counts/ speaking and actual wound infection
is difficult given to the many confounders (# of people in the room/
traffic/ movement/ +/- measures like laminar flow/ skin prep etc etc) but
surely it just makes sense for people in the OR to wear masks for
everyones sake.

Off track..but I recall being asked this exact question by a group of
anaesthetists at a scientific meeting in the late 1990s and after
responding seriously and scientifically I then added mask wearing depends
on how good looking you are and in your case I wouldas you can imagine it
went down like a lead balloon but it silenced the question asker.

I seriously wish you good luck in fighting these battles and I wish the
people we served relaised the very serious and very real issues we fight
daily and perhaps then they would stop creating distractions like this.

With respect

Cath

Cathryn Murphy RN B. Photog MPH PhD CIC

Chief Executive Officer & Creative Director

Infection Control Plus Pty Ltd

QLD, Australia

E: Cath@infectioncontrolplus.com.au

M: +61 428 154154

W:http://www.infectioncontrolplus.com.au

*From:* ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU
] *On Behalf Of *Michael Wishart
*Sent:* Wednesday, 9 August 2017 15:29
*To:* AICALIST@AICALIST.ORG.AU
*Subject:* Re: Wearing of Surgical masks in the Operating room

Hi Fran

This topic has received a fair bit of attention over the years, and yes,
your doctors are correct: there is no compelling evidence to suggest
surgical face masks reduce surgical site infection rates. See this
meta-analysis conclusion:
https://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0064347/

Having said that, my own rationale for staff wearing surgical face masks
during procedures is for protection of their mucous membranes from
splashing of potentially infectious material. In my view, the strike
resistance for surgical face masks is of high importance, and has little
to do with preventing contamination of the surgical wound.

To suggest staff in a room during a procedure dont wear masks would in my
opinion be asking for trouble. From a occupational health and safety
perspective, I would always recommend everyone in a room during a surgical
procedure should be wearing a surgical face mask, and eye protection as
well.

In my view, anyway.

Cheers

Michael

*Michael Wishart*

Infection Control Coordinator

*A *627 Rode Road, Chermside QLD 4032
*P *(07) 3326 3068 | *F *(07) 3607 2226 | *E *
michael.wishart@svha.org.au | *W * http://www.hsnph.org.au
[image: cid:image001.png@01D01926.61F1C2B0]

P *Please consider the environment before printing this email *

*From:* ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU
] *On Behalf Of *Franciska Ferreira
*Sent:* Wednesday, 9 August 2017 3:03 PM
*To:* AICALIST@AICALIST.ORG.AU
*Subject:* Re: Wearing of Surgical masks in the Operating room

Afternoon All,

I require some assistance please.

Weve had interesting discussions amongst some of Visiting Medical
Officers regarding the effectiveness of wearing surgical masks in the
operating room to decrease the likelihood of postoperative surgical site
infections. The practice of wearing masks is believed to minimize the
transmission of oro-and nasopharyngeal bacteria from Theatre Operating
staff to patients wounds. However a couple of individuals believe there is
not enough evidence to support this and therefore dont think it is
necessary to wear surgical masks while operating.

Im aware of the requirements as per the ACORN Standards and the National
Infection Control Guidelines (2016 Draft version), which our Staff complies
by, however I cannot find current best practice or evidence to provide to
those two individuals.

Any suggestions please? And if youre willing to share, what is the Policy
in regards this matter at your facilities?

Kind Regards

Franciska Ferreira

*Infection Prevention & Control/Wound Management Consultant*

Burnside War Memorial Hospital

120 Kensington Road, Toorak Gardens, SA 5056

*t:* 08 8202 7231 *f:* 08 8407 8573 e: fferreira@burnsidehospital.asn.au

*[image: technology_to_control_infections] *

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[Lesley Alway]

Dear Matt, The underlying issue is that Medical equipment includint RMD (
reusable Medical Devicess) have to be approved for use suitability ,
cleaning and sterilisation capacity by the TGA, therefore any equipment
which has not been approved is not suitable for use.

Regards

Lesley Alway

Director

Strategic Health Resources.

0408 324 727

03 94390534

Director Australian Health Design Council

[image: Logowithtxt_AHDC]

*From:* ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] *On
Behalf Of *Matthew Mason
*Sent:* Friday, 3 March 2017 5:58 PM
*To:* AICALIST@AICALIST.ORG.AU
*Subject:* Surgical equipment.

Hi All,

Just wondering if I’m in the wrong here thinking that sterilising equipment
bought from the local hardware actually isn’t appropriate?
http://www.abc.net.au/news/2017-03-03/bega-hospital-left-with-one-orthopaedic-surgeon/8322442
Sure
I wouldn’t want to transfer the patient, but I see this as a very slippery
slope.

Cheers Matt

Matt Mason

Lecturer, School of Nursing & Midwifery,

University of the Sunshine Coast.

USC, Locked Bag 4, Maroochydore DC, Queensland, 4558 Australia.
CRICOS Provider No: 01595D
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[Lesley Alway]

Dear Holly See AHFG guidelines , yes doors required on both rooms to ensure correct number of air changes and appropriate pressure requirements Regards

Lesley Alway
Strategic Health Resources
0408324727

> On 1 Sep 2016, at 1:02 PM, Holly Dodd wrote:
>
> Dear Collages,
>
> Does anyone know of a standard or directive that states that cleaning area in endoscopy unit requires to have doors open or closed or even present.
>
> I was ask this question today by staff as initially this room was a store room and they never close the doors and would like to have them removed.
>
> Kind regards,
>
> Holly
>
> Holly Dodd
>
> CNC Infection Prevention and Control
> Sydney Adventist Hospital
>
> M: 0408468470 P: 02 94879433 F: 02 9473 8053
>
> Monday- Friday 8-2.15
>
>
>
>
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[Author]

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