Course Access
Forum Replies Created
-
Posts
-
Hello everyone
Really Interesting, relevant & important – can I put my thoughts into this very worthy discussion !!
I have had experience in my time as an ICP with similar issue as Cath W with the confusion with CHG and ETOH swabs looking so so similar and did have one area have an adverse event whereby a CHG swab was accidently selected and used to wipe a bung for IV access on Pt with severe known CHG allergy – requiring a MET call & ICU admission
So as result staff an management became anxious about having any opportunity for leaving any pt safety error margin given the swabs looked so similar & mistakes do / did happen and CHG allergy although touted as rare is real & scary for all concerned particular the pt and needs to be considered as part of what we direct staff to do / use
I agree with everyone that BSI’s linked to devices is a problem that we really need to tackle and keep actions relevant, timely ,simple & accountable for our staff / colleagues who can often deal with devices multiple times in a day in amongst many things when providing their pt care
So in reading up about what should be made available (one or the other – yes ,Eliminate!! ) so we had a look at information
currently NSW the update 2017 ACI CVAD policy and current NSW PIVC Guidelines 2017 -013 indicate that either
Chlorhexidine with alcohol or alcohol or povidine iodine.http://www1.health.nsw.gov.au/pds/ActivePDSDocuments/GL2013_013.pdf
some recent publications I came across are also interesting
I full heartedly agree with both Cathryn’s that the actual effectiveness of cleaning and drying times before staff accesses is often missed but really is so important so In reading a few articles they reiterate this seems to also be the greatest risk, i.e not what you use but how you use it.I have attached a recent letter to the editor in which the summary reiterates that these thoughts and that studies on CHG/ ETOH vs ETOH needed more research to really prove superiority
The other article I found really useful/ interesting in looking at how we support staff to best reduce risk of device related BSI and that was to provide hub cleaning & drying time . Interestingly the hub which required the least drying tie after cleaning was the ETOH swab
After the 15-second scrub was completed with 70% isopropyl alcohol, the NC was consistently dry after 5 seconds (Table 2); with 70% isopropyl and 2% CHG scrub, the NC was consistently dry after 20 seconds. The NC scrubbed with 10% povidone-iodine did not have a drying time established: it remained wet at 6 minutes
so we figured the empathise really needed to be on cleaning and drying times and given nurses are often running to catch up with their workload…. it was interesting to see that if we focused on education, training & information around effectively clean and drying that this was likely more in keeping with their work flow practices and priorities (work smarter not harder)
Given the risks to exposing patients to additional chlorhexidine after the adverse event , the literature re cleaning and drying times being the priority etc we made the decision to go with alcohol swabs & more information education re bung cleaning.
The product has been changed over (CGH swabs are available in a stick form for skin prep such as PIVC insertions & BC collections etc …so there can be no mix up ) the education is still filtering through & perhaps need more emphasis but the recent information attached has been most helpful to forward onto our educators and end users who still think it about what you use not how you use …
I leave the floor open for any interesting comments or useful feedback on what others may be finding that is different …… as I indicated devices related BSI are not OK
Have a great day everyone – happy Monday
Regards
Lindy
Lindy Ryan
District Infection Prevention & Control CNC | Clinical Governance Unit MNCLHD
Level 1 Coffs Specialist Centre, Pacific Hwy, Coffs Harbour
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 All,
Agree with Cath.Historically we stocked both 70% alcohol & the alcohol 2% CHG swabs / solution in clinical areas
After reviewing & auditing accessing devices it became quite clear that staff were confused about what to scrub the hub with or for insertion of a PIVC etc.
There was a lack of standardisation amongst staff about what product to use on which vascular access device when asked,
More frighteningly, staff also often referred to swabs according to the colour of the packet not the antiseptic solution – ‘use the blue swabs’ / ‘use the pink swabs’ / ‘use the orange swabs’.
To further complicate things – the colours of the swab packets can change depending on the supplier of the product. & at one point the alcohol swabs were virtually the same colour as the CHG swabs.
Chinese whispers were also a problem as some staff had heard about CHG sensitivity either in a journal, TV, Dr Google or at a conference & were taking it upon themselves & influencing others to use alcohol only which was not procedure.Using a risk management approach – 1st rule of thumb Eliminate!
The decision was made by the LHF to remove the alcohol swabs from all patient units & only stock alcohol CHG unless the clinical area identified a specific need for just alcohol swabs.
The risk of infection due to staff not using the correct antisepsis solution to scrub the hub or insertion far out-weighs the sensitivity issue for CHG.Cheers
Catherine WadeClinical Nurse Consultant | Infection Prevention & Control (IPAC)
Level 1 / 67 Holden Street, GOSFORD NSW 2250
Fax:(02) 4320 2874 | Internal Fax: 92874
Catherine.Wade@health.nsw.gov.au or CCLHD-IPAC@health.nsw.gov.au[http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Central-Coast-LHD.jpg]
Dear Daniella
I recently reviewed evidence and guidelines for best practice with vascular access devices. Below are the recommendations I made on based on the review and the supporting references.
I have never understood Australia’s reluctance to adopt scrub the hub campaigns and lack of interest in routine use of protective IV caps. As a recently hospitalised and immunosuppressed patient I worried every time my line was accessed as there was nothing uniform in any of the accesses. There are now good Australian research papers showing risk with even simple peripheral vascular catheters. IVs are inserted very commonly making them one of the most frequent infection risks in acute care settings.
With regard to CHG I also note a general reluctance to its use in Australia as evidenced by poor recommendations in the draft NHMRC IC Guidelines, questions raised previously on this discussion forum and at ACIPC meetings. Personally I disagree with Michael’s earlier comment given that it is often a long time between accesses of IV lines and if oncovered they can easily become contaminated hence an agent containing alcohol and CHG is safe to use in non CHG-sensitive populations and it gives immediacy plus residual. As you would appreciate CHG has been used extensively in healthcare and domestic settings for decades. True CHG sensitivity is extremely rare. Anaphylaxis reports typically demonstrate multi-site simultaneous exposure to CHG ie surgical skin prep + use of CHG lubricant jelly + CHG impregnated CVC insertion. The NHMRC’s recommendation that we keep risk registries of CHG containing products is salient as is the recommendation to take adequate histories from patients regarding sensitivities.
In a recent report where he considered “resistance” Kampf argued that we should use CHG cautiously and perhaps even in a stewardship way. He was smart to recognise that there is no universal agreed definition of CHG-resistance and that the mechanisms are very different to antimicrobial resistance.
I expect many will disagree with my views but I am very happy that CHG was used extensively to help prevent infection in my recent surgery and hospitalisation. I would have warmly welcomed the use of routine CHG & alcohol hub disinfection.
Recommendations based on literature and guideline review.
Care must be taken not to contaminate the lines when accessing lines and their administration sets.1,65,72
A single patient use application of 70% alcohol alone1,73 or >0.5% chlorhexidine in 70% alcohol1,10,29,72 should be used70 for 529- 15 seconds1,10,73 and allowed to dry when decontaminating the catheter hub or injection ports prior to every access of the circuit. This includes every time an infusion set is added or removed, as well as administration of medication.10,65 Supplies for disinfecting should be kept at the bedside.1
Use of disinfection caps on peripheral and central catheters should be considered.1,72
1. Gorski LA, Hadaway L, Hagle ME, McGoldrick M, Orr M, Doellman D. Infusion therapy standards of practice. J Infus Nurs. 2016;39(1S):1-256.
10. Loveday HP, Wilson JA, Pratt RJ, et al. epic3: national evidence-based guidelines for preventing healthcare-associated infections in NHS hospitals in England. J Hosp Infect. 2014;86 Suppl 1:S1-70.
29. Marschall J, Mermel LA, Fakih M, et al. Strategies to prevent central line-associated bloodstream infections in acute care hospitals: 2014 update. Infect Control Hosp Epidemiol. 2014;35(7):753-771.
65. Society. AaNZIC. Central Line Insertion and Maintenance Guideline. 2012; http://www.anzics.com.au/Downloads/ANZICS_Insertion%26maintenance_guideline2012_04.pdf, 2017.
70. Ling ML, Apisarnthanarak A, Jaggi N, et al. APSIC guide for prevention of Central Line Associated Bloodstream Infections (CLABSI). Antimicrob Resist Infect Control Antimicrobial Resistance & Infection Control. 2016;5(1).
72. Nursing. RCo. Standards for infusion therapy. London.: Royal College of Nursing.; 2016.
73. (INICC). INICC. International Nosocomial Infection Control Consortium (INICC) Bundle to Prevent Central Line Associated Bloodstream Infections (CLAB) in Intensive Care Units (ICU): An International Perspective. Argentina.2017.
Cath
Cathryn Murphy RN B. Photog MPH CIC FAPIC FSHEA CICP-E PhD
Chief Executive Officer & Creative Director
Infection Control Plus Pty Ltd
Adjunct Associate Professor
Faculty of Health Sciences and Medicine, Bond University
QLD, AustraliaE: Cath@infectioncontrolplus.com.au
M: +61 428 154154
W:http://www.infectioncontrolplus.com.auDear colleagues,
I am interested to know if Australian hospitals are routinely using wipes containing chlorhexidine 2% with alcohol 70% to disinfect vascular access hubs (i.e. to ‘scrub the hub’). In particular, is this practised on general wards when accessing a PIVC?
Many thanks,
DanielaDaniela Karanfilovska
Clinical Nurse Consultant
Infection Prevention & Healthcare Epidemiologyt 03 90762819 m 0427 703 769
e D.Karanfilovska@alfred.org.auAlfred Health
55 Commercial Road
Melbourne VIC 3004
PO Box 315 Prahran
VIC 3181 Australia
[cid:image001.jpg@01D40F93.50FEC4F0]
Alfred Health incorporates The Alfred, Caulfield Hospital, Sandringham Hospital and Melbourne Sexual Health Centre
http://www.alfredhealth.org.auCONFIDENTIALITY NOTICE: This email and any files transmitted with it are confidential and are to be used solely by the individual or entity to whom it is addressed. If you have received this email in error, please be aware that any disclosure, copying or distribution of the information it contains; or taking any action in reliance on the contents of this information, is strictly prohibited and may be unlawful. Please notify us by return email that you have received the email and delete all copies in your system.
Please consider the environment before printing this email.
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
This message is intended for the addressee named and may contain confidential information. If you are not the intended recipient, please delete it and notify the sender.
Views expressed in this message are those of the individual sender, and are not necessarily the views of NSW Health or any of its entities.
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
________________________________
This message is intended for the addressee(s) named and may contain confidential information. If you are not the intended recipient, please delete the message and any attachments and notify the sender. Views expressed in this message are those of the individual sender, and are not necessarily the views of NSW Health or any of its entities.
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
Hello
I have attached the NSW health Central line insertion form used by all NSW health facilities for when CVADs are inserted.
Hoping this may be a useful resource in your endeavours
Wishing you have a lovely day in the beautiful Alice – Sunny blue skies today on the beautiful Coffs Coast 🙂
Kind regards
Lindy
Lindy Ryan
District Infection Prevention & Control CNC | Clinical Governance Unit MNCLHD
Level 1 Coffs Specialist Centre, Pacific Hwy, Coffs Harbour
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 Brain Trust,
We are reviewing our invasive line documentation process and like to standardise our care sheets/forms throughout our hospital.
I was wondering if anybody is happy to share their vascular access and management forms (central line and/or PIVC).Kind Regards
SonjaSonja Wegert | Infection Control Practitioner (ICP)
Infection Prevention and Control Unit | Central Australia Health Service
Northern Territory Government
Alice Springs Hospital, Gap Rd, Alice Springs
GPO Box 2234, Suburb, NT Postcode
p … 08 89517977
e … sonja.wegert@nt.gov.au http://www.nt.gov.au/healthMESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
________________________________
This message is intended for the addressee(s) named and may contain confidential information. If you are not the intended recipient, please delete the message and any attachments and notify the sender. Views expressed in this message are those of the individual sender, and are not necessarily the views of NSW Health or any of its entities.
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
Hello Helen
Like Michael NSW have some guidelines that may help as well as they indicate similar to what QLDs documents
NSW PIVC GL2013_013 document (which I believe are under review but these do remain current at this time)may hopefully also provide you with some direction in section 9.3 Care of admin sets pg 7
9.3 Care of administration sets
9.3.1 Label all administration sets attached to the PIVC with an intravenous line label in accordance with NSW Policy User applied labelling of Injectable Medicines, Fluids and Lines 139.3.2 IV tubing sets should not be disconnected for routine care, but may be disconnected for transient, controlled disconnections such as changing IV infusions, removing a sling or sleeve, or access in Operating Theatres, Medical Imaging or Radiology Departments
9.3.3 Except for transient controlled disconnections as above, if the IV giving set is disconnected, replace the entire IV tubing
Kind regards
Lindy Ryan
District Infection Prevention & Control CNC | Clinical Governance Unit MNCLHD
Level 1 Coffs Specialist Centre, Pacific Hwy, Coffs Harbour
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:AICALIST@AICALIST.ORG.AU] On Behalf Of Michael Wishart
Sent: Wednesday, 21 February 2018 12:41 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Discouraging disconnection of IV fluids for showering patients ad going to X-ray etc.Hi Helen
We have this statement in our IV infusion care policy:
Intermittent disconnection of administration sets used for continuous infusions, is not recommended due to the increased risk of infection through manipulation of the hub and occlusion due to reflux of blood into the cannula tip when the line is disconnected; Intermittent administration sets should be discarded after each use if disconnected
This is based on the QLD iCARE guidelines (https://www.health.qld.gov.au/__data/assets/pdf_file/0025/444490/icare-pivc-guideline.pdf ).
Hope this helps.
Cheers
MichaelMichael Wishart, CICP-E
Infection Control CoordinatorA 627 Rode Road, Chermside QLD 4032
P (07) 3326 3068 | F (07) 3607 2226 | E michael.wishart@svha.org.au | W http://www.hsnph.org.au
[cid:image001.png@01D01926.61F1C2B0]
P Please consider the environment before printing this emailFrom: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Helen Scott
Sent: Wednesday, 21 February 2018 11:31 AM
To: AICALIST@AICALIST.ORG.AU
Subject: [ACIPC_Infexion_Connexion] Discouraging disconnection of IV fluids for showering patients ad going to X-ray etc.Hi all,
Does anyone have any evidence or best practice guidelines for the above please?
Where I am currently working, this happens all the time, both with PIVCs and CVADs (rather worrisome).
Sometimes these giving sets are hanging around, disconnected for several hours. And theres the risk of them being forgotten.
But the biggest problem is the staff capping the end and thinking this is ok. Im not seeing good hand hygiene for a start but surely theres a risk of contamination once the giving set is disconnected from the the cannula? And does anyone have anything around how long IV fluids can sit in the giving set for once disconnected?
I have found a guideline from 2009 from the Royal Hospital for Women, but its not quite specific enough.Thanks in advance,
Helen Scott, ICP.
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
______________________________________________________________________
This email and any attachments to it (the “Email”) is confidential and is for the use only of the intended recipient, and may not be duplicated or used by any other party without the express consent of the sender. If you are not the intended recipient of the Email, please notify the sender immediately by return email, delete the Email, and do not copy, print, retransmit, store or act in reliance on the Email. St Vincent’s Health Australia (“SVHA”) does not guarantee that the Email is free from errors, viruses or interference. Emails to and from SVHA or its related entities may be scanned and filtered in locations outside Australia.______________________________________________________________________
This email and any attachments to it (the “Email”) is confidential and is for the use only of the intended recipient, and may not be duplicated or used by any other party without the express consent of the sender. If you are not the intended recipient of the Email, please notify the sender immediately by return email, delete the Email, and do not copy, print, retransmit, store or act in reliance on the Email. St Vincent’s Health Australia (“SVHA”) does not guarantee that the Email is free from errors, viruses or interference. Emails to and from SVHA or its related entities may be scanned and filtered in locations outside Australia.
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
________________________________
This message is intended for the addressee(s) named and may contain confidential information. If you are not the intended recipient, please delete the message and any attachments and notify the sender. Views expressed in this message are those of the individual sender, and are not necessarily the views of NSW Health or any of its entities.
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
Hello Fiona
Hope all well, thanks for your help with my last posting!! ……….Everyone was brilliant !!
Anyhow we have two CMH networks in our LHD and they both kindly feedback to me below
1. The GCN trialled and are now using a new style of bag that I believe is a bowls bag, heavy duty (can send order details if required)
2. The GCN take a hard plastic basket into the home with just the basic requirements and the clients needs for dressing change / catheter etc.
Dressing stock is in a hard plastic tool / tackle box which stays in the car. Other items ate stored in the boot.Hope this of help
Cheers
Lindy
Lindy Ryan
District Infection Prevention & Control CNC | Clinical Governance Unit MNCLHD
Level 1 Coffs Specialist Centre, Pacific Hwy, Coffs Harbour
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 List Members,
I am currently reviewing the type of bag that the our allied health staff take into a patients home when doing assessments. Many products on the market are non-impervious and unable to be cleaned. We are looking for something, preferably in backpack style, that can be cleaned.
What are other facilities using for their community teams to take into patient homes?
Kind regards,
Fiona De Sousa
Acting CNC | Infection Prevention Services
The Maitland Hospital
Mob 0434 602 283 | Fiona.DeSousa@hnehealth.nsw.gov.au
http://www.health.nsw.gov.au[http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Master.jpg]
Unless explicitly attributed, the opinions expressed in this email are those of the author only and do not represent the official view of Hunter New England Local Health District nor the New South Wales Government..
________________________________
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
Unless explicitly attributed, the opinions expressed in this email are those of the author only and do not represent the official view of Hunter New England Local Health District nor the New South Wales Government..
________________________________________________________________
This message is intended for the addressee(s) named and may contain confidential information. If you are not the intended recipient, please delete the message and any attachments and notify the sender. Views expressed in this message are those of the individual sender, and are not necessarily the views of NSW Health or any of its entities.
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
Hello Mary
Yup we have been through this recently and with the help of this discussion group who provided me with similar information when I posted a very similar question recently
Since then we have managed to develop (& are still in development as we are not perfect ) of a site specific SOPs for our all facilities to action if the humidification alarm goes off as being ‘out of threshold’we have established the capacity to monitor them centrally via our physical resources (maintenance /asset Management ) dept. who have a process in place for notification of delegated staff for messaging (similar to vaccine fridges) this was the starting point to investigate for all our sites and was a feat to get standardised centralised temp & humidity monitoring that was a NATA validated calibration process (not something stuck on a wall that had been purchased …not sure how it was calibrated) …I am forever grateful and indebted to this fabulous, knowledgeable vital dept in our health service
Looks like it been a warm humid year and many of us !!!
I would support the need for a contemporary Australian document guiding action in a high humidity event……Just not sure who would develop this and where it would be ratified / validated by?
Kind regards
Lindy
Lindy Ryan
District Infection Prevention & Control CNC | Clinical Governance Unit MNCLHD
Level 1 Coffs Specialist Centre, Pacific Hwy, Coffs Harbour
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 List Members,
Does anyone have guidelines for managing high humidity events in CSSD sterile store areas?
We have found that there seems to be have been an increased number of extreme heat and humidity weather events experienced in Victoria over the last two summers causing issues in sterile store areas and operating rooms in some of our health services.
There seems to be a lack of clear advice on what to do should the readings exceed the acceptable humidity levels in healthcare sterile storage areas. How long can items be exposed to humidity levels outside the recommended range and at what point should action be taken? That is, reprocessing of reusable sterile stock or disposal of commercially processed single-use medical devices exposed to high humidity.
Given the high cost of reprocessing reusable medical devices or disposal of single use medical devices it would be very useful to have a consensus document to guide actions in such an event.
1. Are other health services experiencing high humidity events?
1. Is the humidity level in your CSSD sterile store area monitored and recorded daily?
1. Do you have an existing policy/procedure for managing high humidity events in CSSD sterile store areas?
1. Do you think there is a need for a contemporary Australian document guiding action in a high humidity event?
I look forward to hearing your thoughts on this issue.
Regards,
Mary
Mary Smith
Regional Infection Control Advisor
(Working days – Monday to Thursday)Rural and Regional Health Branch / Grampians
Department of Health and Human Services21 McLachlan Street, Horsham, Victoria, 3400
t. 03 5381 9703 | m. 0419 447 491
e. mary.smith@dhhs.vic.gov.au
w. http://www.dhhs.vic.gov.au
_________________________________________________________________________________This email contains confidential information intended only for the person named above and may be subject to legal privilege. If you are not the intended recipient, any disclosure, copying or use of this information is prohibited. The Department provides no guarantee that this communication is free of virus or that it has not been intercepted or interfered with. If you have received this email in error or have any other concerns regarding its transmission, please notify Postmaster@dhhs.vic.gov.au
_________________________________________________________________________________
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
________________________________
This message is intended for the addressee(s) named and may contain confidential information. If you are not the intended recipient, please delete the message and any attachments and notify the sender. Views expressed in this message are those of the individual sender, and are not necessarily the views of NSW Health or any of its entities.
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
Hello Vicky
The NSW CEC 2016 interim IP&C practice hand book pg 59
4.11.2 Flowers and plants
For the vast majority of patients in hospitals and other healthcare facilities, fresh flowers or potted plants do not represent a risk of infection [110]. Cut flowers left standing in water and soil from plants and dried arrangements can be heavily contaminated with microorganisms that are pathogenic to immunocompromised patients, such as Aspergillus sp. [111]. While there is limited evidence that links the presence of these organisms to infection in these patients [110], it is strongly recommended that plants and dried or fresh flowers are not allowed in the hospital rooms of haematopoietic stem cell transplant recipients given the potential for severe infection in these patients [3, 112, 113].You may like to check the references attached to this statement to value add to your decision .
Interestingly enough the literature reflected less on infection risk but more on allergenic pollens etc from plants as the riskHappy to be corrected is anyone else has anything more recant than this info
Hoe this helpful
Cheers
Lindy
Lindy Ryan
Infection Prevention & Control A/CNC | Clinical Governance Unit MNCLHD
Level 1 Coffs Specialist Centre, Pacific Hwy, Coffs Harbour
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 Vicki,
We would be hesitant about allowing potting mix indoors in our new paeds build as we have a high rate of Legionella from potting mix in this region. As it happens the wards didn’t want that type of play area. However I believe you can buy screened soil which has eliminated this type of infectious hazard.Cheers
Ruth[IPC logo for email signature]
Ruth Barratt RN, BSc, MAdvPrac (Hons)
Clinical NurseSpecialist Infection Prevention and Control
Community Liaison Infection Prevention
*: ruth.barratt@cdhb.health.nz
*: + 64 3 3640 083 or ext.80083
[1098272744j4O36h]: 0275 263175
Level 5, Riverside Building
Christchurch Hospital | Private Bag 4710, Christchurch
Clean Hands Save Lives!Hi All,
Need some expert advice on the following please
We are opening a new paediatric ward with a play area outside. ( the ward is situated on the 11th floor of a new building)
I have just been informed that there will be 4 large pots area with appropriately 2080 litres of potting mixture within being placed in the outdoor area ( appropriately 2080 litres of potting mixture within)
Is there is a NSW PD or other Ministry correspondence that states that we cannot have soil in an outdoor supervised area
Thanks
Vicki
Vicki Denyer
Infection Prevention & Control Clinical Nurse Consultant
Lismore Base HospitalInfection Prevention & Control is Everyone’s Business
________________________________
This message is intended for the addressee(s) named and may contain confidential information. If you are not the intended recipient, please delete the message and any attachments and notify the sender. Views expressed in this message are those of the individual sender, and are not necessarily the views of NSW Health or any of its entities.
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
________________________________
This message is intended for the addressee(s) named and may contain confidential information. If you are not the intended recipient, please delete the message and any attachments and notify the sender. Views expressed in this message are those of the individual sender, and are not necessarily the views of NSW Health or any of its entities.
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
Many thanks Belinda…I am hedging my bets towards this approach
Appreciate your response
Hope all well for you and yours
Kind regards
Lindy
Lindy Ryan
Infection Prevention & Control A/CNC | Clinical Governance Unit MNCLHD
Level 1 Coffs Specialist Centre, Pacific Hwy, Coffs Harbour
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 all
We have made a PowerPoint with voice over that goes through our hospital television channel using a USB stickIt was quite a lot of work but worthwhile
Please let me know if you want any more information
BelindaBelinda Boston
Infection Prevention and Control CNC | Nursing
St George Public Hospital
1st Floor James Laws House
Gray Street Kogarah NSW
Tel (02) 9113 1575 | Fax (02) 9113 1575 | Mob 0429 890 544 | belinda.boston@health.nsw.gov.au
http://www.seslhd.health.nsw.gov.au/Hi Lindy
We haven’t got any further in place than you but I have been suggesting that we run all these things on a dedicated TV channel through all the TV’s in patient areas.
Both wards and waiting areas.
No luck getting it to happen as yet but working on it.
The other one for staff that I have considered is changing the screen savers to different standards info on a monthly basis.
Not sure if any help but just some thoughts I have had.Heather Gill (cert Inf Control, MRCN)
Infection Prevention and Control Practitioner.
Theatre Nurse Unit Manager
CastertonMemorial Hospital
63-69 Russell St
Casterton
Victoria 3311
Ph. 03 55542555Hello
We are traveling though our accreditation journey again and I was just wondering what other sites were doing in relation to providing consumer information about your services (not just infection control but all other areas such as and their rights etc etc ) as we are supposed to be ensuring we are providing engagement & information to our consumers…& even more that they understand what we are providing them with !!
So I was wondering if anyone’s facility or service were already doing anything perhaps a little more novel rather than be reliant on paper based booklets or pamphlets…that either are not disposable but have a laminate cover (and are required to be wiped down each time a pt is discharged – very onerous and not always possible)…… or are required us to chop down half the world’s trees to ensure all consumers got information to get adequate information to our consumers
Happy to be contacted off line…just hoping for some inspiration of what I think may be possible…. is already be in place by other services.
Thanks in advance for sharing
Best regards
Lindy
Lindy Ryan
Infection Prevention & Control A/CNC | Clinical Governance Unit MNCLHD
Level 1 Coffs Specialist Centre, Pacific Hwy, Coffs Harbour
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)________________________________
This message is intended for the addressee(s) named and may contain confidential information. If you are not the intended recipient, please delete the message and any attachments and notify the sender. Views expressed in this message are those of the individual sender, and are not necessarily the views of NSW Health or any of its entities.
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
This message is intended for the addressee named and may contain confidential information. If you are not the intended recipient, please delete it and notify the sender.
Views expressed in this message are those of the individual sender, and are not necessarily the views of NSW Health or any of its entities.
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
________________________________
This message is intended for the addressee(s) named and may contain confidential information. If you are not the intended recipient, please delete the message and any attachments and notify the sender. Views expressed in this message are those of the individual sender, and are not necessarily the views of NSW Health or any of its entities.
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
Dear Kate
I have attached what NSW CEC HAI developed as a guide for NSW public health sites – hope this can be a helpful start point.
I realise it still not that simple nor is it perfect for us all …… but I think at least it is a great starting point to help guide non infection control folk to make more considered decisions however staff still need to use their noggin and look at the risk factors (thank you to the CEC for developing….. it really wasn’t easy!!)
Would be interested to see what anyone else may have out there to share!!
Have a great day
Kind regards
Lindy
Lindy Ryan
Infection prevention & Control Clinical Nurse Consultant (CNC) | Coffs Harbour Health Campus
Pacific Hwy Coffs Harbour NSW 2450
Tel (02) 6656 7770 | 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 everyone,
We are currently updating our TBP Policy and was wondering if anyone had an uncomplicated flow chart or decision tree that you would be happy to share, to assist team leaders and ED staff to prioritise patients requiring scarce single rooms of of hours.
Thanks
Cate Coffey | Clinical Nurse Consultant
Infection Prevention and Control Unit | Central Australia Health Service
Northern Territory Government
Alice Springs Hopsital, Gap Rd, Alice Springs
GPO Box 2234, Suburb, NT Postcode
p … 08 89517737
e … cate.coffey@nt.gov.au http://www.nt.gov.au/healthOur Vision: Better health outcomes for all Central Australians
Our Values: Community at the Centre | Equity and Integrity | We are Accountable | We are Relevant Today and Ready for Tomorrow | We are Committed to High Quality Care | We Value our PartnershipsCentral Australia Health Service is a Smoke Free Workplace
The information in this e-mail is intended solely for the addressee named. It may contain legally privileged or confidential information that is subject to copyright. If you are not the intended recipient you must not use, disclose copy or distribute this communication. If you have received this message in error, please delete the e-mail and notify the sender. No representation is made that this e-mail is free of viruses. Virus scanning is recommended and is the responsibility of the recipient.
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
________________________________
This message is intended for the addressee(s) named and may contain confidential information. If you are not the intended recipient, please delete the message and any attachments and notify the sender. Views expressed in this message are those of the individual sender, and are not necessarily the views of NSW Health or any of its entities.
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
Thanks So Much Brains trust!!
WOW, I am overwhelmed with appreciation .
we are looking at the advice and I will work with the renal staff and the pt to see how we can address their needs safely whilst providing best evidence based care,Cath,
I take on board your thoughts about how sensitive are they to CHG (apparently they stopped using the CGH in ETOH as the area became reddened & swollen and skin had broken down quite badly from the pictures they sent me. But it is starting to heal now since they stopped using the CHG but no formal testing has been undertaken I believeAgain thank you all and merriest of Chrissie and safest wishes for new year to you all!!
Kind regards
Lindy
Lindy Ryan
Infection prevention & Control Clinical Nurse Consultant (CNC) | Coffs Harbour Health Campus
Pacific Hwy Coffs Harbour NSW 2450
Tel (02) 6656 7770 | 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:AICALIST@AICALIST.ORG.AU] On Behalf Of Carien Coleman
Sent: Friday, 9 December 2016 1:45 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: skin prep for haemodyalisis – questionHi Lindy,
Octenidine is going to be available in Australia very soon and might be available already. If you contact me directly I can provide you the details of the company, etc. Octenidine is not a chemical agent per say and is used throughout Europe, including on very premature neonates.
Kind regards,
CarienCarien Coleman | Infection Control CNC
The Sunshine Coast Private Hospital
Syd Lingard Drive | BUDERIM QLD 4556
PO Box 5050 | Maroochydore BC QLD 4558
T: (07) 5430 3245 | F: (07) 5430 3154
E: carien.coleman@uchealth.com.auFrom: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Claire Rickard
Sent: Friday, 9 December 2016 9:14 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: skin prep for haemodyalisis – questionHi Lindy, I agree with Tim & Carolyn, you could use 70% alcohol (and of course let it dry :)). If this is going to be a regular patient, there is another good agent (and generally well tolerated e.g. Used in neonates) called octenidine which is used ++ in Europe but not currently registered in Aust, u could get your pharmacist to get Special Access Scheme approval from TGA and order from o/s.
Hope this helps, CClaire Rickard RN PhD FAHMS FACN
Director, Alliance for Vascular Access Teaching and Research (AVATAR), & Professor, National Centre of Research Excellence in Nursing Interventions, Menzies Health Institute QueenslandVisiting Scholar, Princess Alexandra, Prince Charles, and Royal Brisbane & Women’s Hospitals
Honorary Professor, University of Manchester
Assistant: Jo.Wright@griffith.edu.au Tel: +61 7 3735 4886
[https://lh4.googleusercontent.com/i-R5K4-QTijRuqZ6l22XOUNBmPRWrBmS5Oys-Rh6s_Ylb-yfl1RUMDrJDGmfXdRXTJebq3cuuYNVOZkpgkNDzjZIYdTTqkZFmDGbmGfgbuE6Hx0kdMqk4AFuTtAphiCBDpPJ-0E] [https://docs.google.com/uc?export=download&id=0B6EekFFxxg8xazF6bEZQUjB0ZU0&revid=0B6EekFFxxg8xb2tYRDlzeURGdktqelNUSnd1NWFUUkpFUk5BPQ][https://docs.google.com/a/griffith.edu.au/uc?id=0B4oYPXWMHd46aGY4ZUtCSUk4UjA&export=download]
Interested in IV research? http://www.avatargroup.org.au
Follow the AVATAR Group
LinkedIn: http://bit.ly/2btniJ9
Facebook: https://www.facebook.com/avatargroup4111/
Twitter: https://twitter.com/AVATAR_grpInterested in joining AVAS? http://www.avas.org.au
On 9 December 2016 at 08:59, <Carolyn.Chenoweth@fmc-asia.com> wrote:
Hi Lindy,
See below for haemodialysis access cleansing that we recommend for patients in our dialysis clinics across Australia and Asia Pacific.1. Educate patients to wash their fistula with normal liquid hand soap (we do not use antimicrobial hand soap) at dedicated clinical hand basins (no liquids e.g. dialysate emptied into these sinks) on arrival.
If patients have mobility issues and can’t access the clinical hand basins we offer alcohol based hand rubs to clean their hands and fistula.2. We recommend Chlorhexidine (0.5% to 2%) combined with alcohol, swabs for all skin cleansing prior to cannulation.
2% chlorhexidine can cause skin irritation while rarely have issues with 0.5% or 1%chlorhexidine and alcohol.
If chlorhexidine can’t be tolerated at all we either use povidine iodine or plain alcohol swabs.
The very rare patients who are highly sensitive to everything we just ensure very good hand washing and washing fistula with liquid hand soap.With best regards
Carolyn Chenoweth
Quality & Infection Prevention and Control Manager, Australia
Asia Pacific Quality & IPC SME. CICPFresenius Medical Care Australia Pty Ltd
Payneham Dialysis Clinic,
2 Portrush Road
PAYNEHAM 5070
Australia
T: +61 (0) 8 8165 4313
M: +61 (0) 407 810 800
http://www.fmc-ag.comFrom: “EXTERN ACIPC Infexion Connexion” <AICALIST@AICALIST.ORG.AU>
To: AICALIST@AICALIST.ORG.AU
Date: 09/12/2016 07:59 AM
Subject: skin prep for haemodyalisis – question
________________________________Hello
We have a pt with sensitivity to povidine /iodine and CHG who has a fistula & is having regular haemodialysis .
Other than cleaning her skin with sterile normal saline prior to cannulating them for their dialysis is there any other skin antisepsis that could be used.
I have looked at referenced from CDC and APIC but there is nothing useful re any other skin antisepsis just wondering if anyone out there was using anything else in these pts with success or is sterile normal saline the only best option to stick with ?
Many thanks
Kind regards
Lindy
Lindy Ryan
Infection prevention & Control Clinical Nurse Consultant (CNC) | Coffs Harbour Health Campus
Pacific Hwy Coffs Harbour NSW 2450
Tel (02) 6656 7770 | lindy.ryan@ncahs.health.nsw.gov.au
http://www.health.nsw.gov.auWise and humane management of the patient is the best safeguard against infection
(Florence Nightingale Circa 1860)________________________________
This message is intended for the addressee(s) named and may contain confidential information. If you are not the intended recipient, please delete the message and any attachments and notify the sender. Views expressed in this message are those of the individual sender, and are not necessarily the views of NSW Health or any of its entities.
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
—
Claire Rickard RN PhD FAHMS FACN
Director, Alliance for Vascular Access Teaching and Research (AVATAR), & Professor, National Centre of Research Excellence in Nursing Interventions, Menzies Health Institute QueenslandVisiting Scholar, Princess Alexandra, Prince Charles, and Royal Brisbane & Women’s Hospitals
Honorary Professor, University of Manchester
Assistant: Jo.Wright@griffith.edu.au Tel: +61 7 3735 4886
[https://lh4.googleusercontent.com/i-R5K4-QTijRuqZ6l22XOUNBmPRWrBmS5Oys-Rh6s_Ylb-yfl1RUMDrJDGmfXdRXTJebq3cuuYNVOZkpgkNDzjZIYdTTqkZFmDGbmGfgbuE6Hx0kdMqk4AFuTtAphiCBDpPJ-0E] [https://docs.google.com/uc?export=download&id=0B6EekFFxxg8xazF6bEZQUjB0ZU0&revid=0B6EekFFxxg8xb2tYRDlzeURGdktqelNUSnd1NWFUUkpFUk5BPQ][https://docs.google.com/a/griffith.edu.au/uc?id=0B4oYPXWMHd46aGY4ZUtCSUk4UjA&export=download]
Interested in IV research? http://www.avatargroup.org.au
Follow the AVATAR Group
LinkedIn: http://bit.ly/2btniJ9
Facebook: https://www.facebook.com/avatargroup4111/
Twitter: https://twitter.com/AVATAR_grpInterested in joining AVAS? http://www.avas.org.au
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
________________________________
This message is intended for the addressee(s) named and may contain confidential information. If you are not the intended recipient, please delete the message and any attachments and notify the sender. Views expressed in this message are those of the individual sender, and are not necessarily the views of NSW Health or any of its entities.
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aica
Hello Kelly
NSW has a set of guidelines that you may find useful as a baseline/ reference point too
Good luck – being an animal/dog lover myself I think it useful to have some guidelines/ framework that can allow us to be emphatic in meeting the needs of our precious patients but still respect the needs of others similarly also within the same setting (ie be kind, practical and keep everyone safe and happy) !! not always easy – but I have found the attached useful myself as an ICP being asked the same question around much loved pets
Kind regards
Lindy
Lindy Ryan
Infection prevention & Control Clinical Nurse Consultant (CNC) | Coffs Harbour Health Campus
Pacific Hwy Coffs Harbour NSW 2450
Tel (02) 6656 7770 | 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 Kelly
ACIPC has a position statement on this so check it out on the website and see if it helps.
CheersLincoln Fowler
Infection Prevention ConsultantBairnsdale Regional Health Service
http://www.brhs.com.auThink Green, read it from the screen.
Bairnsdale Regional Health Service acknowledges the Gunaikurnai people as the traditional owners of the land on which the health service is located.
We recognise and respect their cultural heritage, beliefs and relationship with the lands. We pay our respects to elders both past and present and thank them for their contribution to the health service.This communication is intended only to be read or used by the addressee. Information contained in this communication may be confidential information. If you are not the intended recipient, any use, interference with, distribution, disclosure or copying of this material is unauthorised and prohibited. The confidentiality attached to this communication is not waived or lost by reason of the mistaken delivery to you. If you have received this communication in error, please destroy it and send a reply message to the author.
Hello Brains trust,
Wondering if anyone has procedures re having pets in an acute area. We recently were palliating a patient who requesting to have their dog visit. I am interested to hear what other services have experienced and how they dealt with the request.
Cheers,Kelly
Kelly Barton
Infection Prevention & Control Officer
Monday- Friday.
Staff Immunisation Clinics:
1000-1400, 4th Monday of the Month -Mount Beauty
1000-1400, 4th Tuesday of the Month – Bright
1000-1400, 4th Wednesday of the Month – Myrtleford.
Please book an appointment with main reception at the hospital.[vaccination pear]
P Reduce, re-use, recycle. Please consider the environment before printing this e-mail.[Description: Alpine Health Logo 1]
30 O’Donnell Ave
Myrtleford, 3737.Alpine Health, 30 O’Donnell Av, Myrtleford, Victoria, Australia, 3737 | ph (administration): 03 5751 9300 | fax (administration): 03 5751 9396 |
http://www.alpinehealth.org.au
________________________________
This communication is intended only to be read or used by the addressee. The information contained in this communication may be confidential information. If you are not the intended recipient, any use, interference with, distribution, disclosure or copying of this material is unauthorised and prohibited. The confidentiality attached to this communication is not waived or lost by reason of the mistaken delivery to you. If you have received this communication in error, please destroy it and notify Alpine Health ICT Department – (03) 5751 9388.
________________________________
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
________________________________
This message is intended for the addressee(s) named and may contain confidential information. If you are not the intended recipient, please delete the message and any attachments and notify the sender. Views expressed in this message are those of the individual sender, and are not necessarily the views of NSW Health or any of its entities.
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
Dear Sam
Australasian health care facilities may provide advice / a guide on hand dryers as being OK but not in clinical areas (pg 4 attached ) that may help ?
I am actually trying to get high speed HEPA filter hand dryers installed in our public toilets here to counteract the risk to our cleaners for needle stick injuries from emptying the bins (which we have had) and reduce the cost (financially and work wise in time utilised) of paper towel product purchase, refill frequency , removal from toilet areas and disposal off campus
However still have hand towels in all clinical areas
Not sure what other ICPs are doing or think….
Regards
Lindy
Lindy Ryan
Infection prevention & Control Clinical Nurse Consultant (CNC) | Coffs Harbour Health Campus
Pacific Hwy Coffs Harbour NSW 2450
Tel (02) 6656 7770 | 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]
Good Afternoon,
I am seeking information about the use of air blowing hand driers in ACF. A local ACF has approached me for assistance is having them removed due to the aerosols generated. I understand that paper towel is the preferred drying option, however there is nowhere i can find anything that states air blown hand driers are inappropriate.
Can anyone help me please?
Thank you.
Kind regards[X]Sam Kelly
Public Health Officer | Infection Control | Communicable Disease Control
Health Protection Service | Population Health| ACT Health
25 Mulley Street Holder ACT | Locked Bag 5005 Weston Creek ACT 2611
T 02 6205 1376 | M 0409 986 167 | E sam.kelly@act.gov.au | Website |[cid:image012.jpg@01D189B1.F6D7A780]———————————————————————–
This email, and any attachments, may be confidential and also privileged. If you are not the intended recipient, please notify the sender and delete all copies of this transmission along with any attachments immediately. You should not copy or use it for any purpose, nor disclose its contents to any other person.
———————————————————————–
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
________________________________
This message is intended for the addressee(s) named and may contain confidential information. If you are not the intended recipient, please delete the message and any attachments and notify the sender. Views expressed in this message are those of the individual sender, and are not necessarily the views of NSW Health or any of its entities.
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
Dear Andrew
No we have not taken this direct approach at present but other work has been undertaken to address this concern & I largely can only speak for my experience what I also know NSW ambulance are doing which is being driven by Kate Hipsley their Infection prevention & control manager and data I have to hand locally . Other sites within NSW may have a different view
In NSW all PHO (including ambulance ) are guided by our PIVC insertion & post insertion GL (attached) and in feedback from stakeholders such as ambulance it was identified that not ALL PIVCs that are inserted by them are undertaken in an emergency situation and I am assured by Kate Hipsley (NSW Ambulance ICP) that they are assessed to insert using PIVCs using aseptic technique in the first instance and are they are also required to place an big yellow AMBULANCE insertion sticker and date indicating they are inserted using aseptic technique, which I know Kate reviews and audits as she can ( …when she came to my site recently to do some workshops with local command to do VHF training she also spent some time checking pts arriving via ambulance with PIVCs inserted as they came in the ED door ……along with their Hand hygiene & cleaning etc….so although sporadic I saw for myself at the coal face that the message is slowly getting through…. They all knew who she was and what she was looking for …she is a bit of a superwoman …I reckon!!! ).
So If they are inserted in an emergency situation by ambo then they wont be stickered and yes do need to be reviewed re if they are needed and replaced….
Interestingly Additional Feedback from other NSW stakeholders prior to the release of NSW PIVC guideline – particularly rural/ remote / smaller PHO indicated that they may not always have another person available to re sight a PIVC (particularly if the person had difficult / poor access as part of their condition- chronic/acute etc ) that get inserted in an emergency situation or arrive at their service/ clinic with an ambo inserted PIVC to be able to readily change them (even within 24hrs) – so the NSW guidelines considered the feedback and decided to not just target ambulance but to provide advice as per below & the time frame to be a recommendation rather than a mandate to raise (& also to in the first instance to consider if there is even a need to have another inserted – rather than just routinely change as standard)
9.4.4 Remove PIVCs that may have been inserted without full aseptic procedure (e.g. emergency situation) as soon as practical, preferably within 24 hours, and replace if clinically warranted.
I do know that Our NSW Ambulance Infection Prevention & Control manager Kate Hipsely has undertaken a lot of great work and consultation with her ambulance management & staff across NSW in regard to insertion, care, documentation and management of PIVC and she is constantly engaging NSW ICPs/ facilities regarding PIVC/BSIs infections related to ambulance insertions – so she would be best placed to provide feedback on what NSW is seeing in regard to ambulance inserted PIVC related infections/BSI from her end. Perhaps your Victorian ambulance service Infection control officer is doing something similar?
I know from my experience I don’t recall coming across any pts that I have been able to directly link to BSI’s here or in my previous role to ambos in a long time …although not so sure about PIVC site infections (as I don’t believe I can hand on my heart that I get them all reported to me …no matter how much I ask/ push staff to report ..so cant be 100% here!) & I have like many ICP s agreed to provide Kate with data/ feedback if & when we do see any infections from ambo PIVC insertions (so she can follow up to assist with evaluating the work she has been doing) ) .
Also I am unable to clearly define that the PIVCs/BSIs I am seeing are directly related to urgent/ emergency insertions ….in this and my last role its seems I saw more cases related to ?poor compliance with asepsis during standard insertion procedure (+ documentation)… and more markedly post procedure care & monitoring (+documentation again)…often the boxes are ticked on the paperwork but when I speak with the pts there are differences???… again it seems we still insert too many routinely and do not get them out quickly enough given staff now seem to see them as normal part of a pt being in hospital and a safety thing for them to have access & not as a dangerous risk…… (although our insertion/aseptic technique audits say we are doing fine???) …my current data on PIVC infection is low though so I may be a little harsh & picky….
Given we all know that insertion for PIVCs is the highest risk point for an infection we are all hoping to avoid unnecessary PIVC insertion where we can …hence me acknowledging Kate from NSW ambulance ICP has been very proactive & forward thinking with her managements support in promoting and educating around preventing PIVC even needing insertion by Ambos if no access is needed based on pt condition …even if they are needing to be transferred to an acute service (again I think you could contact her re feedback with the success around with reducing this risk and what data she may be getting from other ICPs re PIVC infections related to ambo insertion)
In a former role a decision was made / supported by senior clinicians/ dept. head in one area where they were seeing higher BSI rates related to PIVCs that the medical team would be required to consider / agree to pts ongoing need to have a PIVC institute as part of accepting their admission to the ward (s) & they if they did need to have a PIVC they had to check & document their condition every day as part of their medical daily review standard checklist protocol for the JMO
.
The department head would get a daily base count number of how many pts in each ward had a PIVC & challenge them as to why there was that number) . It was actually amazing to see the number of pts each day in the ward(s) with a PIVC dramatically decrease as a result almost instantly and hence the BSI rate decrease (maybe not a very scientific approach but it worked) ……..perhaps its education/ processes/ joint management- clinician push re getting staff to consider other options & not insert / remove more promptly and alternate therapy considered more rapidly rather than to look to mandating replacement in the first instance? Just a thought …I know there are far more experts in IV insertion, management and data than me who may have more value to add?Anyhow hope this feedback useful
Kind regards
Lindy
Lindy Ryan
Infection prevention & Control Clinical Nurse Consultant (CNC) | Coffs Harbour Health Campus
Pacific Hwy Coffs Harbour NSW 2450
Tel (02) 6656 7770 | lindy.ryan@ncahs.health.nsw.gov.au
http://www.health.nsw.gov.auHi Everyone,
At Western Health currently the procedure for Peripheral IV cannulas (PIVC) inserted by ambulance personnel in the community, and any PIVC that are inserted in a non-sterile manner in hospital (e.g. emergency situation) are resited within 24 hours. Due to an increase in cannula related infections and amongst other actions, which I’m happy to share, we are also considering to resite all PIVCs inserted by ambulance and all those inserted in the Emergency departments immediately after admission to the wards rather than within 24 hours.
Has any other hospital taken this approach?Regards,
RichardRichard Bartolo
Manager Infection Prevention
Western Health
Gordon Street, Footscray VIC 3011
Ph. 03 8345 6113 Pager. 03 8345 6666 No. 506
Mob. 0438 560 441
Email. richard.bartolo@wh.org.au
Web. http://www.westernhealth.org.au[2010wh_logo]
C ompassion, A ccountability, R espect, E xcellence, S afety[cid:image001.png@01CF0875.78B557E0]
Notice:
This email (and any attachment) is for the exclusive use of the addressee and may contain information that is privileged, confidential or protected by copyrights. If you are not the addressee or the person responsible for delivering this email to the addressee, you must not disclose, distribute, print or copy this email and the contents must be kept strictly confidential. If this email has been sent to you in error, kindly notify us immediately on 03 8345 56113 and destroy the original. Electronic mail is not secure and there is also a risk that it may be corrupted in transmission. It is therefore your responsibility to check this email (and any attachment) carefully and if there are any errors to contact us immediately. We do not accept liability for any loss or damage caused by such lack of security or transmission errors.MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
________________________________
This message is intended for the addressee(s) named and may contain confidential information. If you are not the intended recipient, please delete the message and any attachments and notify the sender. Views expressed in this message are those of the individual sender, and are not necessarily the views of NSW Health or any of its entities.
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
Hello all
As a nurse immuniser and someone who gives staff their flu vaccine in mobile clinics to get to our staff to improve access to them to vaccinate (no excuses – they cant run away!!) I have always ensured I carry adrenalin with me in my immunisation kit/ trolley that I check each time I go to run the clinic and I would not hesitate to give it if required (touch wood I have not to had to do this yet)
….. – of course I would also request assistance from the staff on the ward or location to call a MET call/ code blue …whatever it is called in facilities to get support / assistance from our lifesaving expert team ASAP you bet…… (something I have always appreciated being able to do doing vaccination inside a HCF)…..Just like in schools when you may have to give it (still been lucky here too touch wood) you still call for and ambulance and back up support but dont wait for them to give the adrenalin if they are having anaphylaxis .However if there is some uncertainly/ clarity about local policy/ authorisations/ scope of practice in doing this as an accredited nurse immuniser inside a health care facility than I would be clearing this up with my hospital executive/ management / authority before I undertook any more vaccinations as I would hate to have to even think I would have to hesitate with the decision of providing first line treatment in lieu of worrying about my scope of practice- registration / lively hood/ career… very unfair when staff vaccination is such a worthy and proactive infection prevention action. Keep up the great work!!
Kind regards
Lindy
Ps keep well everyone and keep vaccinating!!
Lindy Ryan
Infection prevention & Control Clinical Nurse Consultant (CNC) | Coffs Harbour Health Campus
Pacific Hwy Coffs Harbour NSW 2450
Tel (02) 6656 7770 | lindy.ryan@ncahs.health.nsw.gov.au
http://www.health.nsw.gov.au—–Original Message—–
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Monica McHugh
Sent: Friday, 1 May 2015 12:07 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Administering adrenaline for anaphylaxis following ‘flu vaccinationHi Maree,
Have just finished the immuniser course so this is very fresh in my mind.
“The cornerstone of anaphylaxis treatment is the timely administration of adrenaline IM.” (ATAGI 2013, p89)In my organisation we are similar to yours in that we have code blue and MET teams available 24/7.
Our immunisation clinic has an anaphylaxis kit that we check every week.
According to the Authority for Nurse Immunisers in Victoria we are allowed to stock and administer Adrenaline IM in the event of anaphylaxis so long as we have access to medical assessment or emergency services.
The Immunisation handbook also states that it is more harmful to under-treat anaphylaxis than it is to over-treat mild to moderate allergic reactions.
Personally I’d be administering it very quickly and then calling a code blue (or getting my other staff to be calling it).
Hope this is useful.
Regards Monica.Monica McHugh | Infection Control Nurse | Infection Prevention and Control Old Library Building- TBH | Bendigo Health PO Box 126 Bendigo Victoria 3552 p. 03 5454 8410 | Monday to Friday
e. mmchugh@bendigohealth.org.au
w. http://www.bendigohealth.org.au
w. http://www.bendigohospitalproject.org.auMESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
________________________________
This message is intended for the addressee(s) named and may contain confidential information. If you are not the intended recipient, please delete the message and any attachments and notify the sender. Views expressed in this message are those of the individual sender, and are not necessarily the views of NSW Health or any of its entities.
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
Dear Lincoln
I have attached NSW CEC PIVC guidelines. The development of this document was a very hotly debated & commented on (& still is).
Anyhow our NSW state guidelines recommend as per below
Guideline for PIVC Insertion and Post Insertion Care in Adult Patients
GUIDELINE
GL2013_013 Issue date: December-2013 Page 8 of 169.3.2 IV tubing sets should not be disconnected for routine care, but may be disconnected for transient, controlled disconnections such as changing IV infusions, removing a sling or sleeve, or access in Operating Theatres, Medical Imaging or Radiology Departments.
9.3.3 Except for transient controlled disconnections as above, if the IV giving set is disconnected, replace the entire IV tubing.
Hope this information useful
Regards
Lindy Ryan
Lindy Ryan
Infection prevention & Control Clinical Nurse Consultant (CNC) | Coffs Harbour Health Campus
Pacific Hwy Coffs Harbour NSW 2450
Tel (02) 6656 7770 | lindy.ryan@ncahs.health.nsw.gov.au
http://www.health.nsw.gov.auHi all
In trying to implement a no disconnection policy for our IV lines. I have had some opposition from Medical Imaging:
“IV lines need to be disconnected only for a few reasons. … whilst the patient was in the fluoroscopy machine as there is a risk of getting the line caught in the equipment. For these types of procedures the table rotates vertically and horizontally so that the patient can be standing or lying down to assess the upper GI tract. Other occasions where we need to disconnect the line is when there is no access for CT IV contrast whilst the line is connected.” I believe the last point is that they want to use the in use IV cannula so they disconnect it and attach their device.
I am interested in what guidelines are in place in other organisations to assist in situations like these.
CheersLincoln Fowler
Infection Prevention ConsultantBairnsdale Regional Health Service
http://www.brhs.com.auBairnsdale Regional Health Service is located on the traditional land of the Gunaikurnai people.
This communication is intended only to be read or used by the addressee. Information contained in this communication may be confidential information. If you are not the intended recipient, any use, interference with, distribution, disclosure or copying of this material is unauthorised and prohibited. The confidentiality attached to this communication is not waived or lost by reason of the mistaken delivery to you. If you have received this communication in error, please destroy it and send a reply message to the author.
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
________________________________
This message is intended for the addressee(s) named and may contain confidential information. If you are not the intended recipient, please delete the message and any attachments and notify the sender. Views expressed in this message are those of the individual sender, and are not necessarily the views of NSW Health or any of its entities.
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
