[Liza Smith (Elizabeth BellardSmith)]

Hi Matt
We use a procedure trolley for dressings in our residential aged care facilities. The trolleys are stored in the treatment room, cleaned and set up for a procedure as needed. The registered nurse usually does the procedures in the Drs room.
We completed our accreditation earlier this year with no issues highlighted regarding this practice.
Kind regards

Liza Smith
Infection Control Consultant
Kingston Centre
Monash Medical Centre
Clayton
liza.smith@southernhealth.org.au

Hi Matt,
I find this quite odd. We use procedure trolleys with sharps containers and ABHR attached in our residential aged care facilities. These procedure trolleys are stored in utility rooms when not in use. They are not stored in the resident’s rooms. This has never been raised at accreditation as being an issue. Indeed I would have concerns if the facility did not use procedure trolleys.

Kind regards.

John Greenough | Infection Control Consultant
St Vincent’s | 41 Victoria Parade Fitzroy VIC 3065
t: +61 3 9288 4704 | f: +61 3 9288 4068 | http://www.svhm.org.au

[cid:image001.jpg@01CDB81C.D72E6730]

Hi All,
It has been suggested to me that dressing trolleys should not be used in aged care facilities as this reduces the homely nature of the facility and can put the facility at risk in relation to their accreditation. Instead the facility wants to use the bedside table or bed to lay out the sterile field. I have a number of concerns about this, both from an OH&S and infection prevention point of view. Has anyone else come across this argument before?
Cheers Matt

Matt Mason
RN, BNSci, Grad Dip (Remote Health), M Rural Health, M Adv Prac (Inf Cont), CICP

Lecturer/Campus Co-ordinator
School of Nursing, Midwifery & Nutrition
James Cook University
Thursday Island
Qld, 4875
Australia

P: (07) 4069 2670
I: +61 7 4069 2670
F: (07) 4069 2627
E: matt.mason@jcu.edu.au
W: http://www.jcu.edu.au/nursing/

JCU CRICOS Provider Code: 00117J

______________________________________________________________________
This email has been scanned by the Symantec Email Security.cloud service.
For more information please visit http://www.symanteccloud.com
______________________________________________________________________
Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

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

Disclaimer : The contents of this e-mail including any attachments are intended only for the person or entity to which this e-mail is addressed and may contain confidential, privileged and/or commercially sensitive material. If you are not, or believe you may not be, the intended recipient, please advise the sender immediately by return e-mail, delete this e-mail and destroy any copies.
______________________________________________________________________
This email has been scanned by the Symantec Email Security.cloud service.
For more information please visit http://www.symanteccloud.com
______________________________________________________________________
Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

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 E-MAIL IS CONFIDENTIAL. If you have received this e-mail in error, please notify us by return e-mail and delete the document. If you are not the intended recipient you are hereby notified that any disclosure, copying, distribution or taking any action in reliance on the contents of this information is strictly prohibited and may be unlawful. Southern Health are not liable for the proper and complete transmission of the information contained in this communication or for any delay in its receipt.

Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

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

[Liza Smith (Elizabeth BellardSmith)]

Hi
We are auditing both the operating theatre and the recovery room. Two years ago we commenced a HH project in the OR and PACU to address poor HH compliance observed in the department. The implementation of our HH project was published this year in Healthcare Infection, March 2012: 17: 33-37.
We have re defined the patient environment in the operating theatre to suit high care areas such as the patient in ICU. The HHA observation & code classification tool has been updated to reflect this. Posters with the 5 moments of HH and hand hygiene product have been put strategically around the operating theatre complex. An education program and regular HH auditing of the unit began and low compliance rates have improved.
Theatre staff have Hand Hygiene as their portfolio and are now trained to do HH auditing. They submit data to the quality department monthly on HH compliance rates in categories of staff and HH moments in the OR and PACU. This project has also improved issues such as incorrect use of gloves and cleaning equipment between each patient.
We identified the departments with low HH compliance, provided education to visiting staff such as perfusionists, medical students, sales reps. The project has continued to evolve and some small changes have been made along the way. The anaesthetists have recently commenced a project to improve awareness of the 5 moments of hand hygiene and correct use of gloves.
I would be happy to share information to implement HH strategies in your Operating Theatres and PACU
Kind regards
Liza Smith
Infection Control Consultant
Monash Medical Centre
Clayton

Hi Joe,

We also do recovery, but also when HCWs come out of the operating theatre into the main complex and remove gloves (ie. wardspersons after helping position patients), then we see if they practice moments 3 or 4.

With regards education, we have posters explaining what the 5 moments are and we incorporate the moments into our mandatory hand hygiene practical competencies which everyone has to do every year.

Auditing is the same as everywhere else, same forms, same principle.
Barriers – none, except we don’t go into the actual operating room, same as with Bronwyn.

As for engagement with medical staff, we tell them that we are auditing everyone for hand hygiene compliance and we tell them that they are included. With all staff, we let them know that we capture data for all personnel.
As I work in theatres as well as the rest of the hospital, they all know who I am and why I’m holding a clipboard! One of our regular CMOs actually comes to tell me how often he’s washed/cleaned his hands so far every day!

Improvements have been that we have now got more standard auditors, and that all the doctors/patients/visitors (the persons who are the hardest to get to comply) and regular hospital staff, all use the new products. This is because a.) they like putting their hands underneath and having it do it for them! and b.) most people like the new products.

Hope that helps!
Helen.

Helen Scott
Clinical Nurse Specialist |
Infection Control |
Anaesthetics & Recovery
Nepean Private Hospital
Kingswood, NSW.
Tel 02 4732 7333 | helen.scott@healthscope.com.au

Please consider the environment before printing this message

>>> On 20/07/2012 at 3:57 pm, in message <56C15FBCF9C1F248A4A43E6717D8B30228CAA9@alexex01.gvhealth.local>, Bronwyn Pyke <pykeb@HUMEHEALTH.ORG.AU> wrote:
Hi
Only in recovery and preop with the anaesthetists, not in the actual operating theatre.

Bronwyn Pyke
Infection Control Coordinator
Alexandra District Hospital
PO Box 21
Alexandra, 3714
p: 0357720905
f: 0357720920

Hi

Is anyone doing the National Hand Hygiene 5 Moments audit in an operating theatre? If you are, I would be interested in finding out about your education program, process of auditing, barriers, engagement with medical staff and the improvements you have made.

Our operating theatre is very keen to be involved in participating in the audit

Thanks

Joe

Joe-anne Bendall
Infection Prevention and Control CNC
Sydney Hospital and Sydney Eye Hospital
8 Macquarie St
Sydney 2000

joeanne.bendall@sesiahs.health.nsw.gov.au

———————————————————————————————

Illawarra Shoalhaven Local Health District, South East Sydney Local Health District and Sydney Children’s Hospital Network (Randwick Campus) Confidentiality Notice

This email, and the files transmitted with it, are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you are not the intended recipient, you are not permitted to distribute or use this email or any of its attachments in any way. We also request that you advise the sender of the incorrect addressing.

This email message has been virus-scanned. Although no computer viruses were detected, Illawarra Shoalhaven Local Health District, South East Sydney Local Health District and Sydney Children’s Hospital Network (Randwick Campus) accept no liability for any consequential damage resulting from email containing any computer viruses.

Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

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 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 the sender by return email.
Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

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 authors, and do not represent the opinion of ACIPC.

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 E-MAIL IS CONFIDENTIAL. If you have received this e-mail in error, please notify us by return e-mail and delete the document. If you are not the intended recipient you are hereby notified that any disclosure, copying, distribution or taking any action in reliance on the contents of this information is strictly prohibited and may be unlawful. Southern Health are not liable for the proper and complete transmission of the information contained in this communication or for any delay in its receipt.

Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

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

[Author]

Posts