[Lindy Ryan]

Dear Sony

We are seeing increasing VRE here in particular Van A (HA & CA) & on
the odd occasion if we do need to cohort our ID / Micro has indicated
we can do this using contact precautions
Their concern was more with us mixing our MRSA strains actually ..this
they thought was the greater risk….mmm interesting..

Sorry to ask the age old infexion connexion again……
Also can I ask is anyone successfully deflagging VRE pts .. here in
NSW our state MRO policy does not currently provide any advice (?due
to lack of evidence) however many sites have developed or shared with me
already their set of guidelines / procedures etc. (especially chronic
renal) which many have indicated to me are more out of out of
frustration, need & pressure from clinicians / management to do so…..
.but what I was after was any good published literature/ research/
evidence around the practice for successfully deflagging VRE pts and
the risks around this that you are happy to share.
There is lots of other documents /policy’s etc sited in others
documents but not a lot of hard scientific data/ evidence so would
appreciate if anyone had some to share to help me out.

thank you in advance for any help

regards

Lindy

Lindy Ryan
Infection control CNC
Nepean Hospital NBMLHD
Phone 4734 2228
Email lindy.ryan@swahs.health.nsw.gov.au

Infection Prevention and control is everyones business
Clean hands – safest care….take a moment & practice the five moments

—–Original Message—–
Behalf Of Sony SO

Dear all,

I would like to know whether patients with VRE VAN A need to be
seperated isolation with VRE VAN B case

Regards,

SONY SO
Nursing Officer Infection Control Team
KWONG WAH HOSPITAL
HONG KONG SAR CHINA
tel. 852-3517-2409

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[Lindy Ryan]

thank you to everyone who was kind enough to respond – I am very
grateful and we are able to complete our review …good to hear we are
all on the same page with our practices for this processes.
regards
Lindy

Lindy Ryan

Clinical Nurse Consultant | Infection Control Services, Nepean Hospital.
Nepean Blue Mountains Local Health District PO Box 63 Penrith NSW
2751Tel 02 4734 2228 | Fax 02 4734 2517 |
lindy.ryan@swahs.health.nsw.gov.au
http://www.health.nsw.gov.au

Infection prevention & control is everyone’s business

________________________________

Behalf Of Lindy Ryan
BCG bladder instillation for CA Rx

Dear Colleagues

we currently perform bladder BCG administration irrigation (using a
closed system) as part of therapy for bladder Ca in our cancer care
centre here & i am wondering if anyone else out there does this and if
so are would you be happy to share with us your cleaning &
decontamination process post pt discharge after treatment & any
references you may have for this.

I am just wanting to review out process here (in discussion with our
cancer CNC here) as its been a while and we are actually increasing our
numbers of pts undergoing this treatment & so just wanted to see if or
what may have changed & wondering if anyone out there can help

Kind regards

Lindy

Lindy Ryan

Clinical Nurse Consultant | Infection Control Services, Nepean Hospital.
Nepean Blue Mountains Local Health District PO Box 63 Penrith NSW
2751Tel 02 4734 2228 | Fax 02 4734 2517 |
lindy.ryan@swahs.health.nsw.gov.au
http://www.health.nsw.gov.au

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Infection prevention & control is everyone’s business

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[Lindy Ryan]

Dear Raylene

Mmmm ……Have neither the time nor inclination to spend hours re write
policy’s already reviewed, widely commented on (and often that includes
myself and my colleagues ) and gone though the various committee
approvals , legal processes required/established for document
publication from national /state bodies .

We have done exactly what you are considering (more than 10 years ago)
and did as an local health district service write an endorsement
document into our IC policy for our NSW health IC policy to be our LHD
IC policy (and its attached /included policy’s referenced within the
document and have hyperlinked the document & its referenced documents
to the policy) we currently have an line system for all our various
policy documents and areas can choose to print them out if they want
hard copies or just access the line versions) – as it’s a high risk
rated document we review it annually (which is easy if nothing has
changed but keeps us on top of things in ensuring we have current
information ) Also we upgrade our living on line document in line with
any changes or review of our state policy’s as needed.

Like you we only added policy’s we felt were not adequately covered or
included that were relevant to our facilities/services needs (after a
gap review of our needs vs the policy ).

We have been through numerous accreditations from various bodies such as
ACHS, community health ,mental health etc over the years and they have
never once been concerned that we were not addressing our policy
appropriately by not rewriting our own local policy on a state policy.

In my experience the only key part of endorsing established /recognised
documents as your policy is how your service/facility will actually
implement them and who will be identified as responsible for the
implementation process (this is the fun bit).

I believe It is more important to work on the development of the
implementation plan of a policy or national guidelines into your service
(rather than re writing policy’s ) with consideration in your plan for
development of KPIs or ways of how you intend to measure policy
compliance and its effectiveness in improving pt outcomes/ reducing
infection in your facility.

I get that Policy’s are great to have for organisational documentation
evidence but if they are not working for your service/facility to reduce
/prevent infection the they are useless documents and time wasters.

Hope you find this feedback helpful in your decision & sounds like you
are similar to most of us and have little time to be reinventing the
wheel.

Kind regards

Lindy

Lindy Ryan
Nepean Hospital
Infection control Clinical Nurse Consultant
Nepean Blue Mountains Local Health Network
ph: 4734 2228
email: lindy.ryan@swahs.health.nsw.gov.au

Infection prevention & control is everyone’s business

—–Original Message—–
Behalf Of Raelene Vine

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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06/16/11 – 13:19:37

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