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Lindy Ryan

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  • in reply to: Fit Testing #78710
    Lindy Ryan
    Participant

    Author:
    Lindy Ryan

    Email:
    Lindy.Ryan@HEALTH.NSW.GOV.AU

    Organisation:

    State:

    Hello Cate

    Our RPP team sits under our People and culture directorate within our Health, safety and wellbeing Service across our Local health district
    IPaC has really strong links and works very closely with them but they dont come under the Directorate IPaC Services sits under so no we don’t manage them (they are such a great small team, flat out & doing great guns!!!)

    Hope all doing Ok in our beautiful NT

    Cheers

    Lindy

    Lindy Ryan

    District Infection Prevention & Control CNC | Clinical Governance & Information Services MNCLHD
    Level 1 Coffs Specialist Centre, Pacific Hwy, Coffs Harbour
    Office 66911984 or Mob 0419 990 693 | lindy.ryan@health.nsw.gov.au
    http://www.health.nsw.gov.au

    General email enquires please use this email MNCLHD-InfectionControl@health.nsw.gov.au

    [http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Mid-North-Coast-LHD.jpg]

    “Wise and humane management of the patient is the best safeguard against infection”
    (Florence Nightingale Circa 1860)

    [cid:image005.png@01D6CF16.A659C720]

    HI everyone
    Could you advise if Respiratory Protection – Fit Testing programs are managed by the Infection Prevention and Control team in your organisation.
    Regards

    Cate Coffey
    RN BaAScN MPH&TM Grad Cert Infection Control Nursing
    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
    cate.coffey@nt.gov.au

    t. 08 8951 7737
    http://www.health.nt.gov.au

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    in reply to: Orthopaedic pre-op skin prep on wards pre theatre #77827
    Lindy Ryan
    Participant

    Author:
    Lindy Ryan

    Email:
    Lindy.Ryan@HEALTH.NSW.GOV.AU

    Organisation:

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    Hello Liz

    I will send you the summary of responses I kindly received when I asked the same question of this group back in 2018

    In short the answer was yes most places the orthopods had discarded this practice except for a few places like Coffs Harbour Hospital where a few of the orthopods still like it done…??
    Preop screening (MSSA /MRSA), preop shower & skin prep (Betadine/ CHG in 70% ETOH ) also largely being done in line with WHO SSI reduction bundles

    Hope this useful

    Kind regards

    Lindy

    Ps plenty of rain but our IPaC team doing Ok here in Mid North Coast so far ….yups lots of flooding up this way for our weary but hardworking wonderful communities here…. many who haven’t been so lucky …can you believe it was bushfires last year in between COVID!!??…

    Lindy Ryan

    District Infection Prevention & Control CNC | Clinical Governance & Information Services MNCLHD
    Level 1 Coffs Specialist Centre, Pacific Hwy, Coffs Harbour
    Office 66911984 or Mob 0419 990 693 | lindy.ryan@health.nsw.gov.au
    http://www.health.nsw.gov.au

    [http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Mid-North-Coast-LHD.jpg]

    “Wise and humane management of the patient is the best safeguard against infection”
    (Florence Nightingale Circa 1860)

    [cid:image005.png@01D6CF16.A659C720]

    Hello Everyone

    Can those who undertake orthopaedic surgery tell me whether you currently undertake Orthopaedic pre-op skin prep on wards pre theatre. Apparently our sterile drape supplies are restricted.
    I was under the impression that this an older discarded practice other than pre-op shower and that skin prep is only conducted immediately pre-op.
    Would appreciate your input

    With Thanks
    Liz Vanderlinde
    Infection Prevention Control Co-ordinator
    North West Private Hospital
    [Description: hca_luye_logo]
    Brickport Road, Burnie TAS 7320, Australia
    T +61 3 6432 6005 F +61 3 6431 5766
    E liz.vanderlinde@healthecare.com.au W healthecare.com.au
    Healthe Care Hospitals are accredited by ACHS NSQHS Standards or ACHS EQuIP National
    [Description: achs][Description: equip]
    QIC Standards
    [Description: qic]
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    in reply to: COVID-19 Management in Hydrotherapy Pools #77287
    Lindy Ryan
    Participant

    Author:
    Lindy Ryan

    Email:
    Lindy.Ryan@HEALTH.NSW.GOV.AU

    Organisation:

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    Hello Kirsty

    Not sure if this is what you were after but we undertook a project several years ago which was led by our Public health environmental team, our LHD pool management (allied health) our LHD engineer/maintenance and environmental cleaning management & IPaC to workshop/brain storm to undertake a review and then develop a risk based action plan for all our of facility hydro pools …… I believe it has all been actioned & we likely need to go again……………

    Hope this useful ???

    Cheers

    Lindy

    Lindy Ryan

    District Infection Prevention & Control CNC | Clinical Governance & Information Services MNCLHD
    Level 1 Coffs Specialist Centre, Pacific Hwy, Coffs Harbour
    Office 66911984 or Mob 0419 990 693 | lindy.ryan@health.nsw.gov.au
    http://www.health.nsw.gov.au

    [http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Mid-North-Coast-LHD.jpg]

    “Wise and humane management of the patient is the best safeguard against infection”
    (Florence Nightingale Circa 1860)

    [COVID-19 Email signature banner – V2]

    Hi all
    We are reviewing our management of our Hydrotherapy Pools and wondering if there is any IPC expert guidance in this area.
    Would welcome any risk assessments from any of our colleagues.
    Cheers
    Kirsty

    Kirsty Graham

    Nurse Manager | CCLHD Infection Prevention and Control Unit
    Clinical Safety, Quality and Governance Directorate
    Level 4 (J4 POD D), Gosford, New South Wales 2250
    Tel (02) 4320 3382 (Internal 93382)|Mobile 0407 749 034|Fax (02) 4320 2874 |Pager 18028 |
    kirsty.graham@health.nsw.gov.au or CCLHD-IPAC@health.nsw.gov.au
    [cid:image001.jpg@01D5583D.2E441200] [cid:6CDE292337D5024BA9C1C52005DA0365@health.nsw.gov.au] [cid:image003.png@01D5583D.2E441200] [cid:FEE1E3EB9CCB5D44B3D411AC66A77CEB@health.nsw.gov.au] Click on the hand for direct access to CCLHD IPAC Intranet Site
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    in reply to: Masks and Hydrotherapy #77086
    Lindy Ryan
    Participant

    Author:
    Lindy Ryan

    Email:
    Lindy.Ryan@HEALTH.NSW.GOV.AU

    Organisation:

    State:

    Hello

    Agree with Trish response, all our hydrotherapy pools remain closed in our LHD as part of our COVID 19 plans during the pandemic given the risk is still unacceptable in our community here, as all pools are located within our public hospital sites

    Regards

    Lindy

    Lindy Ryan

    District Infection Prevention & Control CNC | Clinical Governance & Information Services MNCLHD
    Level 1 Coffs Specialist Centre, Pacific Hwy, Coffs Harbour
    Office 66911984 or Mob 0419 990 693 | lindy.ryan@health.nsw.gov.au
    http://www.health.nsw.gov.au

    [http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Mid-North-Coast-LHD.jpg]

    “Wise and humane management of the patient is the best safeguard against infection”
    (Florence Nightingale Circa 1860)

    [COVID-19 Email signature banner – V2]

    Betty,

    Our hydrotherapy pool has been and is closed for the duration of the Pandemic.
    Trish Karbowiak
    CNC JHH
    NSW

    Hello,
    I work at a rehab facility where hydrotherapy is offered for inpatients and outpatient rehabilitation.
    I would like to know what are the recommendations now with patients attending hydrotherapy and mask wearing?
    All of our patients coming into the hydro area will be wearing masks and as they are not putting their heads under water should they wear them while in the pool?
    There will be other patients in the pool at the same time but will be distant from each other.
    Regards,
    Betty Vokolos
    Hospital Coordinator
    Brunswick Private Hospital
    [Description: hca_luye_logo]
    82 Moreland Road, Brunswick VIC 3056, Australia
    T +61 3 9385 1111 M +61 4 2183 8866 F +61 3 9385 1199
    E Betty.Vokolos@healthecare.com.au W healthecare.com.au
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    in reply to: Environmental Cleaning #76979
    Lindy Ryan
    Participant

    Author:
    Lindy Ryan

    Email:
    Lindy.Ryan@HEALTH.NSW.GOV.AU

    Organisation:

    State:

    Hello Derrick

    Yes There is a lots out there is can spin your head ..I know ,not sure if this is what you are particularly after with these areas but forwarding just fyi ……hoping you will find what you are after via these links

    https://www.health.gov.au/resources/collections/coronavirus-covid-19-resources-for-health-professionals-including-aged-care-providers-pathology-providers-and-health-care-managers

    https://www.health.gov.au/resources/publications/coronavirus-covid-19-environmental-cleaning-and-disinfection-principles-for-health-and-residential-care-facilities

    https://www.health.gov.au/resources/publications/coronavirus-covid-19-information-about-routine-environmental-cleaning-and-disinfection-in-the-community

    https://www1.health.gov.au/internet/publications/publishing.nsf/Content/cda-cdna-norovirus.htm-l~cda-cdna-norovirus.htm-l-app4

    https://www.safeworkaustralia.gov.au/covid-19-information-workplaces/industry-information/general-industry-information/cleaning

    I have also attached some NSW health links but figure you should already have local state docs like we seem to have

    https://www.health.nsw.gov.au/Infectious/covid-19/Pages/community-outpatient.aspx

    http://cec.health.nsw.gov.au/__data/assets/pdf_file/0004/587164/COVID-19-Infection-Prevention-and-Control-Advice-on-Cleaning-and-Disinfection-in-the-Workplace.pdf

    keep up the great work in Armadale…we all need to stick together and support each other hey!?

    Best of luck & kind regards

    Lindy

    Lindy Ryan

    District Infection Prevention & Control CNC | Clinical Governance & Information Services MNCLHD
    Level 1 Coffs Specialist Centre, Pacific Hwy, Coffs Harbour
    Office 66911984 or Mob 0419 990 693 | lindy.ryan@health.nsw.gov.au
    http://www.health.nsw.gov.au

    “Wise and humane management of the patient is the best safeguard against infection”
    (Florence Nightingale Circa 1860)

    —–Original Message—–

    Hi all

    Just wanted to know if anyone has policy or knows of any journals for environmental cleaning in communal living facilities like aged care or mental health facilities.

    Thank you.

    Best regards,

    Derrick Hor
    RN
    Armadale Health Service.
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    in reply to: Chemo Gowns #76977
    Lindy Ryan
    Participant

    Author:
    Lindy Ryan

    Email:
    Lindy.Ryan@HEALTH.NSW.GOV.AU

    Organisation:

    State:

    Hello Cate

    This link may provide some insight that we have set up for NSW health.
    eviQ is part of NSW Cancer Institute of NSW which is my go to site for all things cancer – They do provide specifics for what are chemo gown requirements as yes we have struggled too here in NSW

    https://www.eviq.org.au/clinical-resources/covid-19/3808-covid-19-resources#personal-protective-equipment-ppe-resources

    hope this helps and that all travelling well for you in the NT

    kind regards

    Lindy

    Lindy Ryan

    District Infection Prevention & Control CNC | Clinical Governance & Information Services MNCLHD
    Level 1 Coffs Specialist Centre, Pacific Hwy, Coffs Harbour
    Office 66911984 or Mob 0419 990 693 | lindy.ryan@health.nsw.gov.au
    http://www.health.nsw.gov.au

    [http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Mid-North-Coast-LHD.jpg]

    “Wise and humane management of the patient is the best safeguard against infection”
    (Florence Nightingale Circa 1860)

    [COVID-19 Email signature banner – V2]

    Hi everyone
    I know this is not an infection Prevention and Control topic , however can anyone point me in the right direction to find information on specifications for Chemo gowns? Unfortunately we are no longer being supplied Chemo gowns and current PPE gowns are not suitable due to no cuff.
    Regards

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

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    in reply to: Wax Baths #75978
    Lindy Ryan
    Participant

    Author:
    Lindy Ryan

    Email:
    Lindy.Ryan@HEALTH.NSW.GOV.AU

    Organisation:

    State:

    Hello Kristin

    Possibly is may be related to the information around waxing and cross infection risks that was put out by NSW health some time ago (in conjunction with Skin Penetrating guidelines etc ) ?

    Here is the link for info and link to other guidelines

    https://www.health.nsw.gov.au/environment/factsheets/Pages/waxing.aspx

    Hope you day goes well & Happy Friday everyone!!

    Lindy

    Lindy Ryan

    District Infection Prevention & Control CNC | Clinical Governance & Information Services MNCLHD
    Level 1 Coffs Specialist Centre, Pacific Hwy, Coffs Harbour
    Office 66911984 or Mob 0419 990 693 | lindy.ryan@ncahs.health.nsw.gov.au
    http://www.health.nsw.gov.au

    [http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Mid-North-Coast-LHD.jpg]

    “Wise and humane management of the patient is the best safeguard against infection”
    (Florence Nightingale Circa 1860)

    Good morning,
    I’ve been asked to review guidelines for a wax bath to be utilised in the hand clinic by our OT’s.
    They tell me, we did have a wax bath years ago, but no one can say why they stopped using this aid.
    Can anyone share any IP&C implications associated with wax baths?
    I have no experience with this product and would appreciate any assistance.
    Kind regards
    Kristin

    Kristin Ryan-Agnew
    Kristin Ryan-Agnew (MPH/Grad Cert IP&C)
    Infection Prevention & Control Clinical Nurse Consultant
    The Tweed Hospital

    [cid:image001.png@01D36E89.D6B88C30] National Standard 3 : Preventing and Controlling Healthcare Associated Infections

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    Lindy Ryan
    Participant

    Author:
    Lindy Ryan

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    Lindy.Ryan@HEALTH.NSW.GOV.AU

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    Hello colleagues

    Suggestion re improving vendor in periop environment question

    Just one idea I thought to share that is already occurring internally at hospitals that some of you may already be aware of that perhaps could be adapted?

    There has been a lot of twitter discussion & momentum around patient safety in the Operating room and communication called #TheatreCapChallenge
    it involves staff identifying themselves on their headwear. Some are doing this with their name & roles embroidered on their caps (much like some have on their scrubs in wards or wear as their staff ID ) …others write their name & role on tape and attach it to their caps (so it meets the policy / procedure of the health service around headwear if they can only wear disposable )

    anyhow Just thought this may be a concept that could also work for external providers to be identified with their name and company rather than need various sets of scrubs as the vendors could have a few clean cloth ones on hand to wear if going to various sites …..or even just have personalised stickers made on a role to place on disposable caps as per the vimeo link attached mentions?

    I have attached some links re discussion about this should this be a of interest

    https://www.mdmag.com/medical-news/can-the-theatre-cap-challenge-solve-patient-safety

    https://vimeo.com/242437507

    good luck

    kind regards

    Lindy

    Lindy Ryan

    District Infection Prevention & Control CNC | Clinical Governance & Information Services MNCLHD
    Level 1 Coffs Specialist Centre, Pacific Hwy, Coffs Harbour
    Office 66911984 or Mob 0419 990 693 | lindy.ryan@ncahs.health.nsw.gov.au
    http://www.health.nsw.gov.au

    [http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Mid-North-Coast-LHD.jpg]

    “Wise and humane management of the patient is the best safeguard against infection”
    (Florence Nightingale Circa 1860)

    We ask our Reps to change whilst in the facility/operating change room into our scrubs that have been adequately laundered and stored as per Laundry Standard 4146
    We have an visitor registration book in theatres with associated name badges for identification & security purposes
    Thanks Emma

    Emma Trippe
    Infection Control Consultant
    [cid:image001.png@01D58E4E.5562CFB0]
    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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    Apologies, Steven, I forgot to ask you to fully identify yourself before I approved this post, although I am sure you are an employee of Draeger…

    My response to this idea would be that it would not fit neatly into out scrub uniform policy. We require any person entering the OR suite to change out of clothes that are worn outside the hospital buildings into freshly laundered scrubs. Company reps would need to bring their freshly laundered scrubs with them to change into, and if they visited many hospital in a day this would be problematic.

    It is a good idea for identification of company reps, but maybe not with specific scrubs.

    Will be interested in further comments, though.

    Cheers
    Michael

    Michael Wishart | Infection Control Coordinator, CICP-E

    St Vincent’s Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
    T +61 7 3326 3068 | F +61 7 3607 2226
    E michael.wishart@svha.org.au |
    W https://www.svphn.org.au

    [cid:image001.jpg@01D46C86.4CDB6090]
    [2019 conference email signature]

    Afternoon All

    We are considering “company scrubs” , branded, to help identify company reps who often work in direct clinical areas where scrubs are worn , especially in the OR.
    We would like the group verdict on this proposal.
    Issues already considered

    Clean and correctly fitted scrubs

    Regular laundry , with several sets per rep.

    Disposable scrubs? …

    Best regards / Mit freundlichen Gren

    Steven Doak

    Steven.Doak@draeger.com

    Hi Marija

    Yes, an old chestnut, still causing issues. I have to say upfront, though, that the evidence that scrubs make any difference (in any setting) to reduce infection risk is pretty non-existent. So I consider more an staff aesthetics and protection of clothing issue than an infection n prevention one.

    1. Wearing of scrubs in endo and for bronchs is not universal, but staff have the option, when they are done outside the main theatre suite.

    2. Bone marrow often biopsied in the ward, and no one has scrubs on. Some are done in Cath lab procedure room, but even then the proceduralists (who is not a cath lab staff member) wears scrubs – they may have a cover gown on rather than scrubs.

    3. We have a policy that scrubs are only changed if visibly soiled, or after leaving and re-entering the building (eg walking between hospitals). No cover gowns required when visiting wards, etc, but we try and stop them visiting wards with visibly soiled scrubs!

    4. We have designated tea rooms in all procedural areas, so not food outside of these. Staff may have a designated, labelled water bottle (we prefer the non-spill type) within the theatre suite, but not in the actual theatres (difficult to stop our visiting anaesthetists from bringing their drinks in their case and tipping then under their masks during procedures, though… ).

    I think because of lack of ‘evidence’ to support any position this will always remain a controversial topic!

    Cheers
    Michael

    Michael Wishart | Infection Control Coordinator, CICP-E

    St Vincent’s Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
    T +61 7 3326 3068 | F +61 7 3607 2226
    E michael.wishart@svha.org.au |
    W https://www.svphn.org.au

    [cid:image001.jpg@01D46C86.4CDB6090]
    [2019 conference email signature]

    Good afternoon all,

    This might be the chestnut that keeps giving but I am just wondering what practices are in place at your healthcare facilities with regard to:

    1. The wearing of surgical scrubs for endoscopy, bone marrow biopsy, interventional radiology, thoracic procedure areas which may be co-located within general surgical suite/ zone?

    2. Staff changing their scrubs when leaving and re-entering the theatre?

    3. Staff consumption of food and beverages within the theatre areas including recovery nurses station?

    I know it seems common sense and standards are available, but we are constantly informed to provide the evidence. Just wanting to benchmark with other HCF.

    Any feedback/comments greatly appreciated.

    Kind Regards

    Marija Juraja |Nurse Unit Manager -CALHN Infection Prevention & Control Unit|
    Division of Acute Medicine (RN, GCNS Inf Ctrl, CICP-E)
    The Royal Adelaide Hospital| Central Adelaide Local Health Network
    8E Rm256 Port Road, ADELAIDE 5000
    The Queen Elizabeth Hospital | Central Adelaide Local Health Network
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    in reply to: Customer Satisfaction #75759
    Lindy Ryan
    Participant

    Author:
    Lindy Ryan

    Email:
    Lindy.Ryan@HEALTH.NSW.GOV.AU

    Organisation:

    State:

    Hello Sarah

    I find data from NSW BHI most useful as it provides a snap shot of broad information in a variety of settings about the consumers perceptions of us in these setting re Hand Hygiene , cleanliness of wards and bathrooms etc …(it is a bit dated currently so waiting for update)

    I can at least benchmark externally and with our selves re data we already collect on the floor ie HHA audit data, cleaning audit results etc

    I am not sure what you have set up in Vic but reckon you would have something similar down your way to what we have in NSW re consumer survey / feedback ?

    http://bhi.nsw.gov.au/Healthcare_Observer

    good luck & hope this info helpful

    cheers

    Lindy

    Lindy Ryan

    District Infection Prevention & Control CNC | Clinical Governance & Information Services MNCLHD
    Level 1 Coffs Specialist Centre, Pacific Hwy, Coffs Harbour
    Office 66911984 or Mob 0419 990 693 | lindy.ryan@ncahs.health.nsw.gov.au
    http://www.health.nsw.gov.au

    [http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Mid-North-Coast-LHD.jpg]

    “Wise and humane management of the patient is the best safeguard against infection”
    (Florence Nightingale Circa 1860)

    Hi team,

    We are in the process of updating out customer satisfaction survey and consumer response, specific to Infection Control.
    I was wondering what other organisations have in place around this.
    We are currently struggling to find a model that is able to;

    a) gain enough interest for consumers to participate in and

    b) obtain enough information that we as an organisation can utilise/improve on

    Any ideas would be much appreciated!

    Kind regards,

    Sarah Bulzomi
    Infection Control Officer
    [http://www.rdhs.com.au/wp-content/uploads/2015/07/rdhs-logo.jpg]

    Robinvale District Health Services
    PO Box 376, Robinvale VIC 3549
    Mobile:

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    in reply to: re volunteers and vaccination requirements #75523
    Lindy Ryan
    Participant

    Author:
    Lindy Ryan

    Email:
    Lindy.Ryan@HEALTH.NSW.GOV.AU

    Organisation:

    State:

    Hello Jenny

    As a NSW Health Service we are required to comply with our state policy (as attached)

    They are afforded the same services and rights as employees as they are considered in

    Key definitions :
    Volunteer – a person who works for a NSW health Agency without being paid

    2.1 Each NSW Health agency must ensure that appropriately trained assessors are identified and their details made available to the relevant personnel so that all workers, other clinical personnel, volunteers and students are assessed, screened and vaccinated as required before they attend a NSW Health agency.

    Flu vaccine is provided to them for free by the health service (or they can see their GP if they prefer )

    An annual influenza vaccination program must be implemented and made available for all workers and all Category A High Risk workers must receive the annual influenza vaccine as specified in Section 4 Annual Influenza Vaccination Program

    Hope this information useful for your benchmarking

    Kind regards

    Lindy

    Lindy Ryan

    District Infection Prevention & Control CNC | Clinical Governance & Information Services MNCLHD
    Level 1 Coffs Specialist Centre, Pacific Hwy, Coffs Harbour
    Office 66911984 or Mob 0419 990 693 | lindy.ryan@ncahs.health.nsw.gov.au
    http://www.health.nsw.gov.au

    [http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Mid-North-Coast-LHD.jpg]

    “Wise and humane management of the patient is the best safeguard against infection”
    (Florence Nightingale Circa 1860)

    Good morning all
    Can any one assist please
    I have been asked to benchmark what other facilities do regarding vaccinations and volunteers
    We are a private not for profit organisation and currently ask our volunteers to attend their Gp surgery for any vaccinations they require

    Looking forward to your reply and interested to see what other organisations do
    Regards Jenny
    Jenny Garland RN CIPC-P
    Acting Quality Risk & Safety Manager
    Quality, Risk & Infection Control Officer
    Mater Health Services North Queensland

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    in reply to: wall paper in clinical areas – any advice #75154
    Lindy Ryan
    Participant

    Author:
    Lindy Ryan

    Email:
    Lindy.Ryan@HEALTH.NSW.GOV.AU

    Organisation:

    State:

    Hello & thanks Glenys, Sylvia & Matt

    We have made both the planners & architects aware of the Healthcare guidelines re this section & they have indicated that they are already aware of this information but that NSW Health infrastructure (who have final say over all approvals from NSW health building ) are apparently supportive of this being used hence me looking for more as they are not concerned about this being an significant risk vs what the risk to achieving their model of care and so are not at this point listening so we continue to debate as Infection prevention advocates

    Again many thanks and I am still interested in any feedback / experiences or information however I relieved to note that I am not alone in my gut feelings for no I feel honoured to be in good company

    Happy Friday & safe weekend to you allespecially thinking of our Queensland cousins with the cyclone off the coastwe are getting some cooler winds down here already so take care

    Kind regards

    Lindy

    Lindy Ryan

    District Infection Prevention & Control CNC | Clinical Governance & Information Services MNCLHD
    Level 1 Coffs Specialist Centre, Pacific Hwy, Coffs Harbour
    Office 66911984 or Mob 0419 990 693 | lindy.ryan@ncahs.health.nsw.gov.au
    http://www.health.nsw.gov.au

    [http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Mid-North-Coast-LHD.jpg]

    Wise and humane management of the patient is the best safeguard against infection
    (Florence Nightingale Circa 1860)

    From: ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] On Behalf Of Matthew Mason
    Sent: Thursday, 21 February 2019 5:29 PM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: Re: wall paper in clinical areas – any advice

    Hi Lindy,
    I have no literature to back this up (but I will go and look), I too am internally screaming no dont! I cant see how you can effectively clean wall paper and given the harsh environment that a health service is, no matter how homely it feels, it is going to peel, rip and look bad very quickly. Unless there is some super wall paper that I am not aware of (probably anti-microbial as well).
    Cheers Matt

    Lecturer
    School of Nursing, Midwifery & Paramedicine
    USC
    Ph +61 7 5456 5191
    mmason1@usc.edu.au
    USC, Locked Bag 4, Maroochydore DC, Queensland, 4558 Australia.
    CRICOS Provider No: 01595D
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    in reply to: Advise on bed pan sanitiser, bowl washer s #75078
    Lindy Ryan
    Participant

    Author:
    Lindy Ryan

    Email:
    Lindy.Ryan@HEALTH.NSW.GOV.AU

    Organisation:

    State:

    Hello Jayne

    Our LHD have purchased and installed an electronic water based washer disinfector system that records and monitors the temperature of items placed inside the pan/ bowl washer disinfector each cycle .
    You can visualise the cycle readout as it progresses …as they are pre set cycle selections we set up … If it fails to reach the cycle requirements then it will not pass the cycle (not sure anyone on the wards etc reads this or is interested like me ….. they just put the equipment in and close it up and press the button…it will not open if the cycle has failed without a resetting……& then they complain its is broken if they dont understand why it needs to be reset ….)

    All these machines are connected to our BMS & so are also monitored remotely by our maintenance department and has set ranges to alarm & notify of any failures that need rectification.
    We can run quality control reports anytime we need one as it is continuous remote monitoring program (we have 7 sites where these are installed currently and mostly linked via IT/ Wi-Fi to the large 2 facilities works…but I believe there may still be some issues with the wifi at our smaller sites back to the larger sites due to IT & the intelligence of the system we purchased ……. so not perfect yet but working on it!! …one day!?)…you have reminded me I must review the trends and see how we have progressed with the Wi-Fi issues !!

    The district have also as part of the transition purchased a preventative maintenance program for all sites as well where the machines are services and validated at least annually (? Maybe quarterly …I cant recall) but I have seen the last reports & no major problems with processes at this tie…just need more staff education !! 🙂

    Maceraters ….mmm I had believed that a number of years ago Sydney water had recommend against using macerator machines for large sewerage services such as health due to the risk to the waterways and blockage build up/ risk…given what we try to throw down them I am not surprised at all….. & the age and tenderness of Sydney water infrastructure etc . I don’t think it was in all states that this was an issue I think it was Ok in WA & looks Like QLD from Michaels response….. but I did recall reading something about Sydney when I looked at it a few years back…you may need to check with them again to be sure.

    Hope this feedback useful

    Kind regards

    Lindy

    Lindy Ryan

    District Infection Prevention & Control CNC | Clinical Governance & Information Services MNCLHD
    Level 1 Coffs Specialist Centre, Pacific Hwy, Coffs Harbour
    Office 66911984 or Mob 0419 990 693 | lindy.ryan@ncahs.health.nsw.gov.au
    http://www.health.nsw.gov.au

    [http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Mid-North-Coast-LHD.jpg]

    “Wise and humane management of the patient is the best safeguard against infection”
    (Florence Nightingale Circa 1860)

    Dear Brains trust,

    Could you please advise as to how you monitor temperatures on your bed pan and bowl washers, do you keep a record and how is this monitored, or do you use macerators? If you use macerators in your facility have any you had any major problems with them, do you like or not.

    Many thanks in advance

    Jayne O’Connor RN ,BSc.,Inf.Cont
    IPC Co-Ordinator
    Sydney Adventist Hospital | 185 Fox Valley Road, Wahroonga, NSW 2076

    p: +61 2 9487 9732 | f: +61 2 9473 8052 | m: +61 0406 752685 | e: jayne.oconnor@sah.org.au
    http://www.sah.org.au

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    Lindy Ryan
    Participant

    Author:
    Lindy Ryan

    Email:
    Lindy.Ryan@HEALTH.NSW.GOV.AU

    Organisation:

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    Hello & Good morning

    Like everyone that has commented so far Beth was truly committed passionate and tiresome in her role as an advocate for all things around pt. safety. I really enjoyed her dry wit her fearlessness & curiosity …but mostly I enjoyed her kind heartedness, generosity and warmth …I always looked forward to an opportunity to catch up with her for her latest adventures and updates as I knew it would be filled with lots of banter & always laughter for both of us .

    Thank you Joe for letting us know and your beautiful words about our friend & colleague – Vale Beth – you did touch so many lives both professional & personal – our loss is heavens gain

    Wishing everyone a kind & productive day

    Regards

    Lindy

    Lindy Ryan

    District Infection Prevention & Control CNC | Clinical Governance & Information Services MNCLHD
    Level 1 Coffs Specialist Centre, Pacific Hwy, Coffs Harbour
    Office 66911984 or Mob 0419 990 693 | lindy.ryan@ncahs.health.nsw.gov.au
    http://www.health.nsw.gov.au

    [http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Mid-North-Coast-LHD.jpg]

    “Wise and humane management of the patient is the best safeguard against infection”
    (Florence Nightingale Circa 1860)

    [Forwarded on behalf of Joanna Harris – Moderator]

    Dear valued colleagues and friends,
    It is with great sadness that I write to tell you that Beth Bint, who many of you will remember with fondness as she never failed to make an impression, has passed away this morning. Beth was diagnosed with leukaemia last July, and sadly her condition did not respond to treatment.
    Beth passed away peacefully at home, with her family and her closest friend at her side.
    Beth had worked in the field of infection prevention and control for many years, starting her journey in the field when she nursed HIV patients in the 1980s. Originally from the Newcastle area, this is where she began work as an infection prevention and control nurse. After a short time working with the Department of Health in South Australia, she returned to NSW to take up the position of Clinical Nurse Consultant with the Infection Management and Control Service (IMACS) in the Illawarra Shoalhaven Local Health District, based at Wollongong Hospital.
    Starting with us in June 2009, she had a baptism of fire as the H1N1 influenza arrived at the same time. Beth took this in her stride, and over the ensuing years her influence on the work of IMACS can be easily identified. She had a very strong belief in the importance of putting the patient at the centre of our work, rather than the pathogen. Beth also used her extensive knowledge and skills in contributing to statewide policies and guidelines including the NSW Health Infection Prevention and Control policy and the Australasian Health Service Facility Guidelines.
    One of the highlights of Beth’s recent career was winning the scientific panels’ award for best poster at the ACIPC conference in 2016.

    We wish Beth’s family and the many friends and colleagues that she touched on a personal and a professional level, our very best thoughts at this sad time.

    With my very best wishes to you all

    Joanna Harris

    Nurse Manager, ISLHD Infection Management and Control Service (IMACS)

    Telephone – mobile 0475 943494 / Wollongong office 4222 5898 / Warrawong office 4221 6820
    Joanna.Harris@health.nsw.gov.au
    http://www.health.nsw.gov.au

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    in reply to: cleaning of clinical equipment #74761
    Lindy Ryan
    Participant

    Author:
    Lindy Ryan

    Email:
    Lindy.Ryan@HEALTH.NSW.GOV.AU

    Organisation:

    State:

    Hello Jayne

    Ditto Ditto to absolutely everything Michael just said…having been through this few times now …………albeit still learning !!!

    NSW ACI BMT Network ran an environmental cleaning audit and QI program a few years ago you may be interested in scanning their reports
    https://www.aci.health.nsw.gov.au/resources/blood-and-marrow-transplant

    All decisions were agreed to by local parties and signed off my senior management not Infection control (we even had some union involvement in some cases) to ensure that the process was workable and reasonable and always about staying focused around pt safety .. staff are really great in the whole as we all want the best for our pts it needs to be worked through , agreed to, planned & supported .

    I will send you an email with some of the templates etc I have worked with various groups to help them establish processes if thats a helpful start .

    Kind regards

    Lindy

    Lindy Ryan

    District Infection Prevention & Control CNC | Clinical Governance and Information Services MNCLHD
    Level 1 Coffs Specialist Centre, Pacific Hwy, Coffs Harbour
    Mob 0419 990 693 | lindy.ryan@health.nsw.gov.au
    http://www.health.nsw.gov.au

    Wise and humane management of the patient is the best safeguard against infection
    (Florence Nightingale Circa 1860)

    —–Original Message—–
    From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Michael Wishart
    Sent: Wednesday, 22 August 2018 1:37 PM
    To: AICALIST@AICALIST.ORG.AU
    Subject: Re: cleaning of clinical equipment

    Hi Jayne

    Our facility recently reviewed cleaning clinical items, and have agreed on a shared process between a number of different groups of staff. This is identified with a chart that specifies whose responsibility to clean various pieces of equipment. These charts are placed in ward pan rooms as well as in ward cleaners’ cupboards. I’m not at liberty to share these, but hope you understand what I mean.

    When we investigated cleaning clinical equipment in wards, we found many staff assumed someone else did it! So nurses assumed cleaners cleaned certain things, and cleaners assumed nurses cleaned certain things. That is why we came up with an agreed chart that shows who cleans what, when. Sometimes it will depend on when in the patient stay as to who cleans it. For example, IV poles and pumps are basically nursing staff responsibility to clean when taking out of an occupied patient room to use for another patient, but on discharge if IV pole and pump is in the room the cleaners will clean them as part of the discharge clean.

    I would recommend you have some type of discussion forum with all the key players to agree on who does what, then make sure it is well communicated to all the relevant staff.

    We also did this in theatres a while ago, and it was surprising who though who cleaned what between cases. Developing charts and flow charts to outline the process really helped make sure things were not missed.

    Cheers
    Michael

    Michael Wishart, CICP-E
    Infection Control Coordinator

    A627 Rode Road, Chermside QLD 4032
    P(07) 3326 3068| F(07) 3607 2226| Emichael.wishart@svha.org.au| W http://www.hsnph.org.au

    Please consider the environment before printing this email

    —–Original Message—–
    From: ACIPC Infexion Connexion On Behalf Of Jayne OConnor
    Sent: Tuesday, 21 August 2018 4:10 PM
    To: AICALIST@AICALIST.ORG.AU
    Subject: [ACIPC_Infexion_Connexion] cleaning of clinical equipment

    Hi All,

    Does anyone have any documents/policies around cleaning of clinical equipment, who’s responsible for the cleaning and how frequently the equipment is cleaned?

    Would appreciate any help :).

    Many thanks in advance.

    Jayne O’Connor RN ,BSc.,Inf.Cont
    IPC Co-Ordinator
    Sydney Adventist Hospital | 185 Fox Valley Road, Wahroonga, NSW 2076

    p: +61 2 9487 9732 | f: +61 2 9473 8052 | m: +61 0406 752685 | e: jayne.oconnor@sah.org.au
    http://www.sah.org.au

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    in reply to: Air sampling – Reading the results #71388
    Lindy Ryan
    Participant

    Author:
    Lindy Ryan

    Email:
    Lindy.Ryan@HEALTH.NSW.GOV.AU

    Organisation:

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    Dear Fiona

    Not sure what others have used but I have found this document I have attached of use and nicely set out and easy to follow and so used it as some of my reference review and basis for the commissioning of our new operating theatres here a couple of years ago that was accepted by our management and micro here as part of Quality control.

    I also still went along with the commissioning team & watched and monitored the pressure & flow readings of the central sterile store room, to OT room to anaesthetic bay to corridors as part of airflow monitoring baseline given they were brand new (they had a wiz bang snake looking device…better than the dry ice smoke test I had used previously ….and actually provide a reading…I did feel modern!!)

    I didn’t check baseline starting humidity & temperature of each room that was sampled…. but would do this now I think of it & given we have had complaints it would have been good to add them to my micro sampling results to provide a better overall understanding on the environment that was being sampled at the time as part of our Quality control for future reference not just cleanliness / appropriateness at opening- As4187 provides guides on acceptable limits for storage of sterile stock which is why I used it as my reference point. I also was present for the witness testing for the HEPA filter installation and commissioning testing. Finally I did a visual inspection / audit at the same time as the air sampling using the OT audit tool we had been using

    Again this is just what we did with the little expertise we had and information I could locate to help …more than happy if any has a more scientific or practical ideas to share – I may have done too much or missed something but I was none the wiser and my management seemed satisfied. So will be interesting to see if anyone else has anything to share that I can perhaps use for next time (we are always building something new here !!)

    Cheers

    Lindy

    Lindy Ryan

    Infection Prevention & Control Clinical Nurse Consultant | Nepean Hospital, NBM LHD
    Infection control Service, PO Box 63 Penrith, 2751, NSW
    Tel (02) 4734 2228 | Fax (02) 4734 2517 | lindy.ryan@health.nsw.gov.au
    http://www.health.nsw.gov.au

    “wise and humane management of the patient is the best safeguard against infection”
    Florence Nightingale circa 1860

    [http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Nepean-Blue-Mountains-LHD.jpg]

    Dear members,

    I know that air sampling in a new building is a contentious issue but we are currently undergoing it as part of the commissioning process for new operating theatres and one of the difficulties I face is people asking for the acceptable limit of certain organisms. Aside from fungal organisms I have been unable to find any references to guide me on specific organisms counts.

    I would like to hear people’s views on the isolation of skin or environmental flora when doing this sampling – how many CFU would be acceptable per air sample ?

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

    If you are not the intended recipient you are hereby notified that any dissemination, distribution or reproduction of this message
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