[Lyndall Finn]

Maree
Burnside Hospital introduced microfibre cloths after a lot of research, education and trialing. Since the introduction there has been no issues and the housekeeping staff really like using them.
Give me a call if you would like more info.
Regards

Wash, Wipe, Cover…
Don’t Infect Another
Lyndall Finn RN/RM Grad Dip Infectious Disease / Population Health
Infection Control Consultant
The Burnside War Memorial Hospital Inc.
120 Kensington Road
Toorak Gardens
South Australia 5065
T: +61 8 8202 7222 ext 385/mical 550
F: +61 8 8364 0038
E: lfinn@burnsidehospital.asn.au
W: http://www.burnsidehospital.asn.au
Work days: Tuesday, Wednesday & Thursday

[cid:image001.png@01CCFAC2.06ACA940]

From: AICA Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Maree Sommerville
Sent: Monday, 5 March 2012 11:04 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Microfibre cleaning cloth

The Environmental Services Team at MHW is keen to trial Microfibre cleaning cloths in clinical areas.
Do any other services use these cloths and if so how were they implemented?

Maree Sommerville
Infection Control Nurse Consultant
Mercy Hospital for Women
163 Studley Road
Heidelberg, Victoria, 3084

Email: msommerville@mercy.com.au
Phone: 8458 4759

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[Lyndall Finn]

Jane
I would really appreciate you sending me the tool also. We have done a lot of work recently in regard to VIP scores etc so it would be great to review your tool.
Thanks
Wash, Wipe, Cover…
Don’t Infect Another
Lyndall Finn RN/RM Grad Dip Infectious Disease / Population Health
Infection Control Consultant
The Burnside War Memorial Hospital Inc.
120 Kensington Road
Toorak Gardens
South Australia 5065
T: +61 8 8202 7222 ext 385/mical 550
F: +61 8 8364 0038
E: lfinn@burnsidehospital.asn.au
W: http://www.burnsidehospital.asn.au
Work days: Tuesday, Wednesday & Thursday

[cid:image001.png@01CCBB08.E13681C0]

From: AICA Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Helen Scott
Sent: Wednesday, 14 December 2011 12:48 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Audits

We don’t have a tool and I’d be very interested, thank you.
Helen.

Helen Scott
Infection Control Co-ordinator &
Acute Pain Service Co-ordinator
Nepean Private Hospital
Penrith, NSW.
0247 327333
Helen.Scott@healthscope.com.au

Please consider the environment before printing this message

>>> On 14/12/2011 at 12:10 pm, in message <4D473945D2CCF843A3CBB7D9F8A4FB38036EAC2825@exmbx01-svr.int.bendigohealth.org.au>, Jane Hellsten <JHellsten@BENDIGOHEALTH.ORG.AU> wrote:
Happy to share our audit tools for insertion of peripheral IV cannulae and also management of peripheral IVs.
If anyone is interested please email me. Our tools are based on our in-house protocols which are referenced to CDC guidelines.
14.12.11

Jane Hellsten, CICP
Manager, Infection Prevention Control
Infectious Diseases Service
Loddon Mallee Infection Control Resource Centre
Bendigo Health
Tel: 03 5454 8417 Mobile: 0428630004

From: AICA Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Tribe, Ingrid (Health)
Sent: Tuesday, 13 December 2011 5:02 PM
To: AICALIST@AICALIST.ORG.AU
Subject: [AICA_Infexion_Connexion] Audits

We are currently reviewing our audit tool for monitoring compliance with guidelines for the management of peripheral venous catheters.

Are there any gold standard examples available for review? In anticipation of your response, thank you.

Kind regards

Ingrid Tribe
Infection Control Service
Flinders Medical Centre
Bedford Park SA 5152
Australia

T: (08) 82045051
F: (08) 82044733
E: ingrid.tribe@health.sa.gov.au

Infection prevention is everybody’s business

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[Lyndall Finn]

Raelene

That is what we have done at our hospital and it seems to be working well.

Cheers

Wash, Wipe, Cover…
Don’t Infect Another
Lyndall Finn RN/RM Grad Dip Infectious Disease / Population Health
Infection Control Consultant
The Burnside War Memorial Hospital Inc.
120 Kensington Road
Toorak Gardens
South Australia 5065
T: +61 8 8202 7222 ext 385/mical 550
F: +61 8 8364 0038
E: lfinn@burnsidehospital.asn.au
W: http://www.burnsidehospital.asn.au
Work days: Tuesday, Wednesday & Thursday

—–Original Message—–
From: AICA Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Raelene Vine
Sent: Thursday, 16 June 2011 12:25 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Infection Control Policy

Hi,

We’re looking for some advice on updating our policy and procedure infection control manual. Instead of re-writing the majority of our policies we are looking at hyperlinking the NHMRC guidelines where they directly reflect our own policy. We will only make addendums for policies that differ from the guidelines.
Is there any reason why we cannot do this? Is anyone else doing something similar or is everyone re-writing?
Any suggstions gratefully received!

Cheers
Raelene Vine
Clinical Nurse Consultant
Infection Prevention & Control Unit
Bendigo Health

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[Lyndall Finn]

Dear Fiona/group

It is good to follow the discussion so far and I agree that water/hot drinks etc should not be in a sterile/medication room. We are having an interesting discussion at the moment re the individually packed sweet and dry biscuits. Due to cost issues it has been suggested that the biscuits be placed under lock and key in the sterile supply/medication area. It is one of those things which when initially discussed seems inappropriate but it is hard to convince management due to lack of written evidence etc. I would be interested to hear other people’s views.

Lyndall Finn
Infection Control Consultant
BWMH

—–Original Message—–

Dear Fiona,

I have also been confronted with a similar issue recently about the use of medication rooms and extra inclusions in them. Our hospital is building a new building and there have been many discussions about the use of rooms and their functionality. One of the wards wanted to combine the medication room with the handover room and have the room as a dual purpose room to save on space. I objected to this on the grounds of medication safety in regards to distractions whilst drawing up medications and the risk of giving incorrect doses or incorrect medications. Considering that this ward gives post-operative medications and also any premeds as well I felt it was important for the staff to have an environment which would be conducive to the least amount of medication errors possible. I also argued that handover rooms often were rooms where people socialised with food and drink. My objections to having food and drink in a room where medications and equipment were present, and where things are stored and kept as clean as possible, so as not to induce infections to our patients was paramount.

I totally agree with Mattias, common sense and sound reasoning in this situation should be applied. If you need evidence, then the contributions of all who have replied to your email today should be contribution enough.

I did win the battle and the medication room is a sole room dedicated to medication activity only. The staff now also have a nice room to handover and meet in separate from the rest of the ward.

Good luck with your quest.

Terri Cripps | CNC Infection Control | Sydney Children’s Hospital
‘: (02) 9382 1876 | fax: (02) 9382 2084 |* : terri.cripps@sesiahs.health.nsw.gov.au| “:www.sch.edu.au| page: 47140

—–Original Message—–

Dear Fiona, dear Group,

This is yet another example where the call for “Where is the evidence?” is totally misguided and convenience-driven.

This is an issue of workplace safety and very basic hygiene in healthcare and in the workplace. This is a universal rule and applies to any patient treatment area, biomedical laboratory and pharmaceutical preparation area.
It also applies in any first-world healthcare setting that I am aware of.
It is supposed to keep apart items for human consumption (which can be subject to decay or spoilage) and for human medication, which require sterile or aseptic practices.

While it is necessary that our actions are underpinned by evidence, it is also necessary that any call for evidence needs to be underpinned by (a) application of common sense and sound reasoning, and (b) by applying the principles of biological plausibility (i.e. is what the evidence suggests consistent with what is known about the biological principles, e.g.
physiology or pathophysiology, of a situation?).

Let us bring up a totally hypothetical example. Please note that this is really totally hypothetical and I am not aware of a real incident. Suppose there is a medical director of an intensive care unit. This person wants to have goats and chickens running around the unit, to provide patients with a comfortable surrounding. Would you find real good published evidence (from original research work) that this is — what we are all convinced of — not a good idea? Would you find randomised double-blinded trials providing evidence in this example?

For the above (medication) example, I am not convinced you will find published evidence from original work. If anything, it will be in workplace standards, as was suggested.

This also shows that for well-established pro-safety measures with a long-standing track record, one really needs a reversal of this call for evidence. If a safety measure such as this is in place, and you remove it, it can have (a) either a negative effect, or (b) no effect, i.e. be neutral. If one applies logical reasoning, then the abandoning of such a safety measure cannot have a positive effect on patient and staff safety (think it through yourself). The logical consequence is that people who want to abandon this should come up with good evidence that it is really safe to do so. This is not only a logical requirement, but also one of medical ethics.

Best regards, Matthias.

—
Matthias Maiwald, MD, FRCPA
Consultant in Microbiology
Department of Pathology and Laboratory Medicine KK Women’s and Children’s Hospital 100 Bukit Timah Road Singapore 229899 Tel. +65 6394 1389 Fax +65 6394 1387

Glenys.Harrington
@HEALTH.VIC.GOV.A
U To
Sent by: AICA AICALIST@AICALIST.ORG.AU
Infexion cc
Connexion
Re: Medication Rooms

29/09/2010 07:27
AM

Please respond to
AICA Infexion
Connexion

Fiona,

A pharmacy area is primarily a designated area for the storage of sterile pharmacy stock. The rationale for not having anything “wet” in these areas is to protect the integrity of the stock from becoming wet and hence contaminated.

Facilities for tea and coffee making in a designated pharmacy storage area is likely to result in staff consuming fluids/drinks in the area increasing the risk of hand/ face/mouth contact and the possibility of hand contamination with oral organisms.

Urns should be confined to designated nutrition stations or staff tea room facilities to minimising the risk of contaminating sterile stock.

Regards

Glenys

Glenys Harrington, Infection Control Consultant |Communicable Disease Prevention and Control | Public Health Department of Health | Level 14 50 Lonsdale Street Melbourne Victoria 3000 Australia t. 1300 651 160 (03 909 65123) | f. 03 909 69174 | e.
glenys.harrington@dhs.vic.gov.au | http://www.health.vic.gov.au/ideas

From: Terry Grimmond

To: AICALIST@AICALIST.ORG.AU

Date: 29/09/2010 08:23 AM

Subject: Re: Medication Rooms

Sent by: AICA Infexion Connexion

Hi Fiona,

I agree with Brenda. However, you are correct – I know of no studies and no citations of incidents or disease transmissions with tea-making. It would be a CDC “Category II – theoretical rationale”.

Terry Grimmond FASM, BAgrSc, GrDpAdEd
Consultant Microbiologist
Grimmond and Associates
Ph/Fx (NZ): +64 7 856 4042
Mob (NZ): +64 274 365 140
E: tg@gandassoc.com
“This email (including any attachments) is intended only for the use of the individual or entity named above and may contain information that is confidential and privileged. If you are not the intended recipient, you are reminded that any dissemination, distribution or copying of this email or attachments is prohibited. If you have received this email in error, please notify me immediately by return email or telephone and destroy the original message. Thank you.”

Hi Fiona,
I would be inclined to disagree with this option. Places where Tea and coffee are made traditionally are not kept in a pristine condition and the medication room should be maintained in a clean environment. I see OH&S issues as well. It would encourage more through put of staff and therefore more distractions whilst medications are drawn up. (therefore increased risk of error) Also hot drinks in an area where people are working is a risk for accidental burn injuries.

Brenda Anderson
Infection Control Coordinator
Goulburn Valley Health
Shepparton
—– Original Message —–

Hi All,

I have been asked to consider placing a zip urn for hot water access in a medication room. My initial response was it is not appropriate to make tea and coffee in the same room where staff are drawing up medications.
However when I have looked for the evidence to back this up I have had trouble finding any.

What do others think about this issue from an infection prevention and control point of view?

Kind Regards,

Fiona De Sousa
Infection Prevention & Control Coordinator Sydney Adventist Hospital
Fiona.Desousa@sah.org.au
185 Fox Valley Road, Wahroonga, NSW, 2076

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