[Lincoln Fowler]

OFFICIAL

Hello Erin
Yes in a previous role I’ve had this problem. Wipes were blocking the pipe although it was not certain whether it was disinfectant wipes or bed-bath wipes causing the blockage.
Removing wipes from patient access points seemed to resolve the problem mostly.
Improved bin placement was another proposal but space limitations due to building design constraints made that too difficult.

Kind regards

Lincoln Fowler

Infection Prevention and Control Officer
ACT Ambulance Service
P. | M.0435 329 378 | E. Lincoln.Fowler@act.gov.au
9 Amberley Avenue Fairbairn (Majura) ACT 2609| PO Box 158 Canberra City ACT 2601
[Celebrating World Hand Hygiene Day, 2022 – Surewash]

Has anyone had any experiences with disinfectant cleaning wipes entering and blocking the sewage systems in their facilities? If so how have you combated this problem (removing wipes from bathroom spaces? changing to alterative products that are less inclined to cause blockages etc.?)

Erin O’Brien
Infection Prevention Support
Terang Mortlake Health Service
Austin Avenue
Terang Vic 3264
Ph 55920222

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To be a leader in the development of a vibrant, healthier community

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[Lincoln Fowler]

OFFICIAL

I agree that it would be good to have a better understanding of the way expiration dates are estimated.
There are probably tables somewhere that provide information about the deterioration rate of latex and plastics based on exposure to UV, heat and chemicals. It would probably be worthwhile asking manufacturers what data they use to support their claims, especially for non-controversial items which don’t require aseptic packaging.

Kind regards

Lincoln Fowler

Infection Prevention and Control Officer
ACT Ambulance Service
P. | M.0435 329 378 | E. Lincoln.Fowler@act.gov.au
9 Amberley Avenue Fairbairn (Majura) ACT 2609| PO Box 158 Canberra City ACT 2601
[Celebrating World Hand Hygiene Day, 2022 – Surewash]

Great topic Kareen and something that the ACIPC might be able to get behind.
I’ve often wondered about the science that sits behind the expiry date on consumables used in various health care settings – from ED curtains and pillows through to masks etc.

Does such research exist to support dating of consumables?
Cheers
Sue

Sue Walker
The Nurses for Nurses Network | Director
P: (07) 4151 3884 M: 0428 756 673 E: suew@nursesfornurses.com.au

Important Note: I work Monday to Thursday, excluding public and regional holidays. I will respond to your email on the next regular business day.
[Text Description automatically generated]

Hi Jay
A very topical subject to raise and something that has been brought to my attention numerous times over the last 8 years whilst volunteering in Cambodia. In resource poor countries I advised early on in the pandemic, that they were better to use expired N95 masks than not at all, but just to make sure that the head strap had no sign of perishing and still gives a really good fit (got them to double stretch the bands vigorously). As for face shields, I truly cannot see how they can expire, other than the actual straps if they are rubber and could perish over time.

I see a lot of waste in healthcare due to the expiry date of consumables such as TED stockings that simply can’t expire. We used to be able to ship these to 3rd world countries but can no longer do this.

I’d love to see the “expiry” date challenged on products where the integrity and usefulness of the product determines that is should not have an expiry date. Sure I am opening up a can of worms! Maybe it is something we should discuss at ACPIC and I’m sure Martin could wade in on this. All the best.
kind regards

Kareen Dunlop
RN.ND. Dip Herbal Med. Grad Dip Acupuncture
Grad Cert Nursing Education. Cert Infection Control

51 Lemon Gum Drive, Baldivis, Western Australia 6171

Ph 041 99 456 91

On Friday, 13 May 2022, 12:32:02 pm AWST, Jay Kaur <kaurjay321@gmail.com> wrote:

Hello Brain trusts

I was seeking informatio on dealing with expired N95 masks and face shields. Interested to hear if you had extension grantedby supplier and process?

kind regards

Jay kaur
CNC
BC
Vic
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[Lincoln Fowler]

OFFICIAL

Hello Vanessa

The Aged Care Quality and Safety Commission has a checklist in which it asks: Is there prepared signage to communicate lockdown/facility closure and to identify areas that are active COVID-19 consumers zone/cohorts?

https://www.agedcarequality.gov.au/media/88322

So identification of the PPE requirements outside a residents room would be considered a requirement so that staff can identify what is required.
In my opinion osmosis rarely works when information sharing is required.

Kind regards

Lincoln Fowler

Infection Prevention and Control Officer
ACT Ambulance Service
P. | M.0435 329 378 | E. Lincoln.Fowler@act.gov.au
9 Amberley Avenue Fairbairn (Majura) ACT 2609| PO Box 158 Canberra City ACT 2601
[cid:image002.png@01D81F40.43CFA7C0]

Dear Clever People
I work in a residential aged care and am trying to convince my boss that having clear signage outside a potentially infectious or confirmed infectious residents room (ie on the door) is best practice.

All I can find is SHOULD on page 120 of the Aust Guidelines for Prevention & Control of Infection in Healthcare.

I appreciate any assistance re using any other information to support my argument.

Many thanks in advance

Vanessa Watkins
RN, QM & IPC Lead
Donwood Community Aged Care
Croydon Vic
(03) 9845 8500
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[Lincoln Fowler]

OFFICIAL

Hello Sara
The NSQHS standard https://www.safetyandquality.gov.au/standards/nsqhs-standards/preventing-and-controlling-healthcare-associated-infection-standard/infection-prevention-and-control-systems/action-311 requires a response to environmental risks.
Supplying patients with access to paper brochures might become risky if there are multiple contacts with the brochures by many different hands. To militate against this risk you might introduce actions such as providing hand hygiene stations at entrances or next to brochure stands to encourage the cleansing of hands prior to contact with the brochures.
This risk would need to balanced against the risk of not supplying the brochures or requiring patients to ask for them. Documenting of all this would help determine the way forward.
Kind regards

Lincoln Fowler

Infection Prevention and Control Officer
ACT Ambulance Service
P. | M.0435 329 378 | E. Lincoln.Fowler@act.gov.au
9 Amberley Avenue Fairbairn (Majura) ACT 2609| PO Box 158 Canberra City ACT 2601

—–Original Message—–

Hi everyone,
Our Community Health facility in Melbourne is reviewing the educational material in our waiting areas, after we removed everything last year.
Is anyone able to please point me in the direction of information that advises against having paper brochures/flyers/posters in patient waiting areas?
Thanks
Sara Nannery
OHS, Risk and Infection Control Coordinator Sunbury & Cobaw Community Health

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[Lincoln Fowler]

OFFICIAL

Hi Pam
The evidence for contamination of the scrubs and the transmission of infection from them is limited. Finding a viable viral particle is not the same as having a risk of infection because there is a lack of sufficient viral particles to elicit an infection.
A risk based approach would be best in this setting.
Primary risk is inhalation of aerosols so mask wear continues until exited red zone.
Doffing of gown could occur before exiting red zone as does not really add substantially to the risk.
Removal of mask would occur in the orange zone where the risk of environmental contamination remains low.

I hope this helps.

Kind regards

Lincoln Fowler

Infection Prevention and Control Officer
ACT Ambulance Service
P. | M.0435 329 378 | E. Lincoln.Fowler@act.gov.au
9 Amberley Avenue Fairbairn (Majura) ACT 2609| PO Box 158 Canberra City ACT 2601
[cid:image001.png@01D7C746.B415BA80]

|| Please note this email has come from an EXTERNAL email account. Please double check the sender before opening any links or attachments ||

Good afternoon everyone,

As more patients with COVID are admitted we are required to locate them in rooms that have no built anteroom.
We are creating a virtual anterooms (Orange Zones) outside the patients room (Red Zone).

We are having discussions as to whether doffing should occur;

* outside the patient room (with the door closed behind) – potential of contaminating environment
* inside the patient room, extend the orange zone to inside – potential for staff scrubs to be contaminated

I have spent substantial time reviewing the literature for guidelines or information on the risk of each of these options but haven’t found anything definitive.

I would really appreciate any advice.

Kind regards,
Pam

[image001]
[image002] [image003] [image004]
Pamela Boon
Consultant
Infection Prevention & Control
GV Health | Graham Street, Shepparton, Vic 3630
M: 0428 562 258
E: Pamela.Boon@gvhealth.org.au
[image005]
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[Lincoln Fowler]

OFFICIAL

Hi Trish
In this situation the definitive evidence required should be to demonstrate that reuse is without harm or potential harm.
In my experience foam cannot be laundered (camping disasters!). The foam breaks apart due to the force of water in and around the air pockets, thus polluting the water with foam particles. Also water can carry dirt particles into the foam rather than removing them. The drying process is also very protracted and pockets of water can remain, creating ideal conditions for mould to grow.

The choice of a foam eggshell might appear to be a cheaper option for comfort but really it has long term sustainability issues if It has to be disposed of after use as this creates environmental problems.
A more expensive option that can be safely reused would be better.
Kind regards

Lincoln Fowler

Infection Prevention and Control Officer
ACT Ambulance Service
P. | M.0435 329 378 | E. Lincoln.Fowler@act.gov.au
9 Amberley Avenue Fairbairn (Majura) ACT 2609| PO Box 158 Canberra City ACT 2601
[cid:image001.png@01D6F0AC.E4C07E70]

Hi all,

I would like to use the resources within this group to point me to any definitive evidence of the safe use of an egg shell mattress in the aged care setting, specifically can an egg shell mattress be reused for another resident Once laundered at the appropriate temperature for the appropriate length of time.

This is to settle a dispute with our organisation.

Kind regards

‘Trish Turner
Facility Care Manager
Latrobe Valley Village – Ph: 03 5127 7488 Fax: 03 5126 2156
pturner@lvvillage.com.au

[cid:image002.jpg@01D6EFEF.83424970]

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