[Lincoln Fowler]

Dear Marie

I would view this as an occupational health and safety risk firstly and
present it as such to the managers of the theatre and/or service
executive. The management may not agree with the theatre staff
assessment of practical or practicable.

Clearly there are infection implications for staff too.

Regards

Lincoln Fowler / Infection Control

Child and Adolescent Community Health

Department of Health

E: Lincoln.Fowler@health.wa.gov.au

L3 WASON, 151 Wellington St, PERTH WA 6000

http://www.health.wa.gov.au

Delivering a Healthy WA

________________________________

Behalf Of Marie Daws

Hi

I have been informed that our hospital blood and body fluid exposure
policy has not been followed since 2005, regarding first aid, as it is
impractical for scrubbed theatre staff to rinse the affected site with
soap and water (or normal saline for mucous membrane exposures). Current
practice involves pouring betadine on the site.

Has anyone else encountered a similar problem? And have you any ideas
how I could manage this?

Many thanks

Marie Daws

Infection Control Coordinator

Hospital & Day Surgery

SPORTSMED*SA

32 Payneham Road

Stepney SA 5069

T: (08) 8130 1100

F: (08) 8130 1101

E: marie.daws@sportsmed.com.au

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

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[Lincoln Fowler]

Hi Tara

Our Sharps Management Policy requires:

Transport sharps containers for use in mobile clinics, secured in a
dedicated bracket in the rear of the vehicle.

Regards

Lincoln Fowler / Infection Control

Child and Adolescent Community Health

Department of Health

E: Lincoln.Fowler@health.wa.gov.au

L3 WASON, 151 Wellington St, PERTH WA 6000

http://www.health.wa.gov.au

Delivering a Healthy WA

________________________________

Behalf Of Tara Stanway

Afternoon

I was wondering if anyone was able to share their policy/ procedure of
transporting sharps containers within the community,eg. travel form base
to school and return or home visits.

Your assistance will be greatly appreciated.

Thanks

Tara

Tara Stanway

A/ CN Infection Prevention and Control

Cape York Hospital and Health Service

tara_stanway@health.qld.gov.au

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[Lincoln Fowler]

Hi Cathy

I have developed a pack for the use with Community HCWs.

I can send to you if you wish.

Regards

Lincoln Fowler / Infection Control / CACH

Department of Health

E: Lincoln.Fowler@health.wa.gov.au

L3 WASON, 151 Wellington St, PERTH WA 6000

http://www.health.wa.gov.au

Delivering a Healthy WA

________________________________

Behalf Of Cathy Mowat

Just wondering how other places manage those from the community who
present to the Emergency Department following a blood or body fluid
exposure incident? Often our staff packs are used to manage the incident
which sends the results back to us in infection control. We are
considering that maybe a community exposure management pack should be
developed and used for these people- the number of presentation is
fairly low.

Cathy Mowat

Infection Control

Central Gippsland Health Service

Sale Victoria 3850

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[Lincoln Fowler]

Dear Helen

I believe that a risk-management approach is best applied to this issue.

The intravenous fluids are sterile prior to insertion of the giving set.
At this point there is the possibility of contamination of the fluid.

The longer the hang time the longer there is for any contaminating
bacteria to multiply in the fluid.

In my opinion it would be better to prepare as you need it to minimise
the risk.

I think that it should be up to those who want to pre-prepare to show
why it is OK with evidence.

Regards

Lincoln Fowler / Infection Control / CACH

Department of Health

E: Lincoln.Fowler@health.wa.gov.au

L3 WASON, 151 Wellington St, PERTH WA 6000

http://www.health.wa.gov.au

Delivering a Healthy WA

________________________________

Behalf Of Helen Scott

Hi,

Can anyone give me any evidence or articles that state why we shouldn’t
be preparing intravenous fluids and priming giving sets and then leaving
them for periods of time, in theatres or anywhere else (I’m looking more
at a contamination point of view than a risk of inadvertent use on
another patient).

Or, does anyone have anything that states it is not harmful to leave
intravenous fluids, primed and ready to be connected, for a specified
period of time?

Thank you,

Helen.

Helen Scott

Clinical Nurse Specialist |

Infection Control |

Anaesthetics & Recovery

Nepean Private Hospital

Kingswood, NSW.
Tel 02 4732 7333 | helen.scott@healthscope.com.au

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[Lincoln Fowler]

Hi John

Assuming the acronym is to promote using the correct steps I would suggest: LOCATE

L: Location of procedure

O: Order of procedure

C: Cleaning and disinfection

A: Aseptic field established

T: Technique non-touch

(E: evaluate performace)

The last is to encourage reflective practice.

Perhaps someone can dream up something better based on this.

Cheers

Lincoln Fowler / Infection Control / CACH

Department of Health

Telephone: +61 8 9224 1407 / Fax: +61 8 9224 1612

Mobile: 0467 771 233

E: Lincoln.Fowler@health.wa.gov.au

L3 WASON, 151 Wellington St, PERTH WA 6000

http://www.health.wa.gov.au

Delivering a Healthy WA

________________________________

From: ACIPC Infexion Connexion [mailto:AICALIST@aicalist.org.au] On Behalf Of John Ferguson
Sent: Monday, 4 June 2012 9:46 AM
To: AICALIST@aicalist.org.au
Subject: Aseptic non-touch technique
Importance: High

Dear Aicalist members,

As you will know, the new ACSQHC Safety and Quality Standards include these (stretch) requirements:

3.10 Developing and implementing protocols for aseptic non-touch technique

3.10.1 The clinical workforce is trained in aseptic nontouch technique

3.10.2 Compliance with aseptic non-touch technique is regularly audited

3.10.3 Action is taken to increase compliance with the aseptic non-touch technique protocols

It is quite a challenge to put in place a system that goes across all practitioners as I’m sure you know!

The resources attached are available from UK (we have them on order).

The Commission would be interested to know about programs around the country that have developed ANTT policies and procedures.

Has anyone started regular auditing (other than say for CL insertion)? If so would you please share your audit tool(s)?

What examples of action taken to increase compliance do you have?

Have people had experience with the above UK resources?

In Hunter New England, in addition to central line insertion, we’ve chosen to focus on IV insertion, wound dressing and IV medication preparation as our initial procedures to codify and audit. We already do skills lab training for IV inserters.

We’ve also been throwing around the following guiding principles list for ANTT – would welcome your comments! Could we perhaps come up with a natty acronym for these 5 ‘moments’ of ANTT?

Aseptic non-touch technique (ANTT) : core principles of practice

1.WHERE TO PERFORM the physical environment for the procedure- where should it be performed; what are the situations where it should not be performed?
2.SEQUENCING the most efficient and safest sequencing of procedure preparation and performance needs to be known by the operator and followed closely
3.DISINFECTION- Hands, procedure trolley and the patient procedure site; correct disinfectant, method of application and avoidance of recontamination
4.ESTABLISH AND PROTECT ASEPTIC FIELDS sterile drapes, plastic trays, sterile glove use, correct procedure sequencing and performance
5.NON-TOUCH PROCEDURE TECHNIQUE specific to the procedure

Thanks!

John

Dr John Ferguson
Chair, Healthcare Infection Advisory Committee, Australian Commission on Safety and Quality in Healthcare

Locked Bag 1, Newcastle Mail Centre, NSW 2310
Tel 61 2 4921 4444 | Fax 61 2 4921 4440 | Mob +61 428 885 573 | john.ferguson@hnehealth.nsw.gov.au | http://www.hicsiganz.org

From: Stephen Rowley ANTT [mailto:stephen.rowley@antt.org.uk]
Sent: Monday, 4 June 2012 1:57 AM
To: John Ferguson
Subject: Re: Purchase of ANTT package
Importance: High

Dear John,

Thank you for your email and sorry for the slow response. We will post you the ANTT Guideline CD which includes ANTT Audit Tools and the ANTT Practice Framework to the address provided.

To implement ANTT effectively it is important to blend education with practical training. To support this, The Association for Safe Aseptic Practice (ASAP) provides ANTT Accredited training resources to help support training and implementation. The Implementation Pack includes all the resources required to implement ANTT across a large organisation.

We charge a small amount for these resources to help support the ongoing development of ANTT resources. I have attached the Resource List along with a information sheet.

Please let me know if you have any further questions.

Best regards

Pat

Patricia Fernandes

Administrator and PA to:

Stephen Rowley

Clinical Director ANTT

stephen.rowley@antt.org.uk

http://www.antt.org.uk

+44 (0)7739 000597

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[Lincoln Fowler]

Hi Jan

The school based and community based immunisation nurses for Child and
Adolescent Community Health in Perth don’t wear gloves. They are
required to perform hand hygiene between clients using alcohol based
hand gel.

I hope this helps you.

Cheers

Lincoln Fowler / Infection Control / CACH

Department of Health

E: Lincoln.Fowler@health.wa.gov.au

L3 WASON, 151 Wellington St, PERTH WA 6000

http://www.health.wa.gov.au

Delivering a Healthy WA

________________________________

Behalf Of Roberts, Jan

Hi all

I have a question about the wearing of gloves and the use of hand
hygiene during vaccination clinics, in particular in schools or
community based clinics. The Immunisation guidelines state ‘that gloves
are not routinely recommended for immunisation service providers’ and
that standard precautions should be used.

Would be interested to know what others are doing.

1. Do the immunisation staff wear gloves or not?

2. If wearing gloves do they change them and perform hand hygiene
between each client/ individual?

3. If not wearing gloves do they perform hand hygiene between each
client?

Thanks

Jan

Jan Roberts RN,ICP

Infection Prevention & Control

Community Based Services, ACT Health

(W) 61745352

(M) 0435966792

(E) janL.roberts@act.gov.au

or communityinfectioncontrol@act.gov.au

Care Excellence Collaboration Integrity

CH_Logo_ACT_Health_Lockup_CMYK_HR

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[Lincoln Fowler]

Hello Wendy

I have used the tool on the HHA website and found that it is more of a
survey than an audit.

I am attempting to develop something else and when I have something will
gladly forward it to you.

Cheers

Lincoln Fowler / Infection Control / CACH

Department of Health

E: Lincoln.Fowler@health.wa.gov.au

L3 WASON, 151 Wellington St, PERTH WA 6000

http://www.health.wa.gov.au

Delivering a Healthy WA

________________________________

Behalf Of Beckingham, Wendy

Good afternoon all

Would anyone have such a hand hygiene audit tool that they have found to
be effective. If so would you be happy to share?

Thank you

Wendy Beckingham
CNC Infection Prevention and Control
ph. (02) 6244 3695 or pager 50390
e. wendy.beckingham@act.gov.au

Care Excellence Collaboration Integrity

GERMS CAN KILL…

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