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Elizabeth Orr

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  • Elizabeth Orr
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    Author:
    Elizabeth Orr

    Position:
    Manager Infection Prevention

    Organisation:
    Melbourne Health

    State:
    VIC

    Hi Sue,

    Our Victorian DHHS guidelines states to leave the room vacant for 30 minutes post aerosol generating procedure. It does not specify if the room type or if negative pressure is used. This is from page 22 of the attached guidelines.

    Steps for disinfection and cleaning of a patient consultation room or inpatient room

    The patient consultation room should be cleaned at least once daily and following any AGPs or other potential contamination.

    There is no need to leave a room to enable the air to clear after a patient has left the room unless there was an AGP performed. Nose and throat swabs are not considered AGPs unless performed on a patient who has pneumonia. If an AGP was performed, leave the room to clear for 30 minutes.

    Regards,

    Liz Orr | Manager Infection Prevention and Surveillance Service
    Melbourne Health | Royal Melbourne Hospital – City Campus | Level 9 Royal Melbourne Hospital
    Grattan Street, Parkville Victoria 3052
    T: + 61 3 934 28328 | F: + 61 3 934 27277 | e: liz.orr2@mh.org.au

    From: ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] On Behalf Of King, Sue
    Sent: Thursday, 30 April 2020 3:04 PM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: [BULK] [ACIPC_Infexion_Connexion] Guidelines for length of time to leave Cardiac Procedure Lab vacant after Covid Pos patient

    Hi all
    Can anyone help me with the above issue?
    The Lab is NOT Hepa filtered.

    Kind Regards,
    Sue

    From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> On Behalf Of karenbooth1@BIGPOND.COM
    Sent: Wednesday, 29 April 2020 9:22 PM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: Re: [ACIPC_Infexion_Connexion] Screening questionnaire for patients for elective surgery or investigations

    HI Sue,
    I have been to several public hospitals in NSW in the last 2 weeks. The nurses were only in masks and gloves. What is your state Gov policy? Given you are only asking questions & temp checking, not swabbing, you should not need full kit.
    Cheers
    Karen

    Karen Booth
    RN BHSCN GAICD
    President APNA
    Australian Primary Health Care Nurses Association
    M: 0411 898 884
    karenbooth1@bigpond.com

    Australian Primary Health Care Nurses Association (APNA)
    Level 17/350 Queen Street, Melbourne VIC 3000
    p: 1300 303 184 f: (03) 9322 9599
    president@apna.asn.au | http://www.apna.asn.au
    [cid:image001.png@01D61E6B.4D2172E0]

    From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> On Behalf Of King, Sue
    Sent: Tuesday, 28 April 2020 2:29 PM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: Re: [ACIPC_Infexion_Connexion] Screening questionnaire for patients for elective surgery or investigations

    Hi Michael and all,
    Thank you for the information this morning.
    Do you know where I can find information in any guidelines regarding the minimal requirement of PPE for staff screening other staff entering a hospital?
    Our staff are currently wearing gowns, gloves, goggles and a surgical mask at the entry points to the hospital.
    This is seriously depleting PPE stock.
    If anyone can help it would be most appreciated.

    Regards,
    Sue King
    Nurse Unit Manager/ICp warringal private and donvale rehabilitation hospitals

    [http://www.ramsayhealth.com/~/media/Images/email/email-RHC-logo]

    Donvale Rehabilitation Hospital
    Tully Ward
    Phone:

    03 9841 1272

    Fax:

    03 9842 7276

    Email:

    KingS@ramsayhealth.com.au

    Web:

    http://www.ramsayhealth.com

    Address:

    1119 Doncaster Road, Donvale Vic 3111

    [http://www.ramsayhealth.com/~/media/Images/email/email-social-mediaPCP.jpg]

    [https://www.ramsayhealth.com/~/media/Images/email/Email-COVID-19.jpg]
    From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> On Behalf Of Michael Wishart
    Sent: Tuesday, 28 April 2020 10:48 AM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: Re: [ACIPC_Infexion_Connexion] Screening questionnaire for patients for elective surgery or investigations

    For those who are looking for the advice from the Commission mentioned here, it is attached.

    Cheers
    Michael

    Michael Wishart | Infection Control Coordinator, CICP-E

    St Vincents Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
    T +61 7 3326 3068 | F +61 7 3607 2226
    E michael.wishart@svha.org.au |
    W https://www.svphn.org.au

    [cid:image001.jpg@01D61D4A.89A86BF0]

    From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> On Behalf Of Teresa Lewis
    Sent: Tuesday, 28 April 2020 8:44 AM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: [ACIPC_Infexion_Connexion] Screening questionnaire for patients for elective surgery or investigations

    Subject: Screening questionnaire for patients for elective surgery or investigations
    Hi team
    Weve all no doubt implemented screening of patients since the beginning of this ride we find ourselves on, and now NSQHS has put out a questionnaire for patients presenting for elective surgery or investigations.

    Can I please ask for some clarity on one of the questions, as we are the ones screening the patient pre-procedure at our facility?

    Have you been told that you had COVID19? Should we not then ask how long ago was that notification and have you had two negative swabs since the initial diagnosis? If they are negative then I see no reason to prevent them from having the procedure/investigation.

    Were you a close contact of a person who is known to have COVID19? Should we then ask, has this person returned a negative swab? Do we need to be concerned how long ago that negative swab was taken? (If only 2 days ago, should we wait at least 14days post this before the patient can then be re-screened again to check if any transmission has taken place)?

    I appreciate your help and guidance with this query.

    Kind Regards
    Teresa Lewis
    Infection Prevention & Control CNC
    Tuesday 08:00 16:30
    Infection Prevention is everybodys business, and it only takes 5 Moments

    [cid:image002.png@01D61D37.CE6460E0]
    Newcastle Endoscopy Centre
    Ph. 02 4947 6007
    Fax: 02 4947 6010
    Email: tlewis@newcastleendoscopy.com.au
    http://www.curagroup.com.au/newcastle-endoscopy-centre

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