[Louisa Sasko]

Hi All,

I’ve noted a typo in my response. It is 65 degrees for 10 minutes.

Kind Regards,

Louisa Sasko

Clinical Nurse Consultant Infection Prevention & Control Physical Health | Mental Health Drug & Alcohol
G/F, Cameron Building, Macquarie Hospital
Tel (02) 9887 5479 | Fax (02) 9887 5678 | Mob 0422 005 640 | Louisa.sasko@health.nsw.gov.au
http://www.health.nsw.gov.au

Master of Philosophy Candidate | School of Nursing & Midwifery | Western Sydney University

Conjoint Associate Lecturer | Blacktown Clinical School | School of Medicine | Western Sydney University

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

Hi All,

We are currently reviewing our processes onsite.

The NHMRC recommendation about using ‘hot water’ is interesting. The Australian Standards AS4146:200 Laundry Practice state that fabric items need to be thermally disinfected for minimum 10 minutes at 66 degrees. A domestic machine won’t meet this requirement for ‘mixed’ patient loads. Hence the washing of patients clothing should be on individual loads.

Hope this helps.

Cheers
Lou
Kind Regards,

Louisa Sasko

Clinical Nurse Consultant Infection Prevention & Control Physical Health | Mental Health Drug & Alcohol
G/F, Cameron Building, Macquarie Hospital
Tel (02) 9887 5479 | Fax (02) 9887 5678 | Mob 0422 005 640 | Louisa.sasko@health.nsw.gov.au
http://www.health.nsw.gov.au

Master of Philosophy Candidate | School of Nursing & Midwifery | Western Sydney University

Conjoint Associate Lecturer | Blacktown Clinical School | School of Medicine | Western Sydney University

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

Hi All,

I don’t believe there is any evidence or requirement to use a detergent that provides chemical disinfection at low temperatures for individual patient loads in a Domestic-type washing machine for patient personal use.

In addition from the NHMRC recommendation below individual patients loads could be washed on either a hot or cold cycle.

Regards

Glenys

Glenys Harrington
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
E: infexion@ozemail.com.au

Even if you are doing individual patient loads, a complication can also occur if the washing machine is plugged into water attached via a thermostatic mixing valve (TMV) that restricts the temperature the wash will reach. Unless the machine has its own heat cycle you may need to use a detergent that provides chemical disinfection at low temperatures. These are usually available through your normal chemical supplier.

Regards

Pene Dobell-Brown
Healthcare Certification – Key Client Manager
DNV GL Business Assurance
Level 7, 124 Walker Street
North Sydney NSW 2060
http://www.dnvgl.com

________________________________

Hi Jenny,

We don’t have a particular procedure – however as stated in the NHMRC Australian Guidelines for the Prevention and Control of Infection in HealthCare:

* Domestic-type washing machines must only be used for a patient’s personal items (not other linen). Washing must involve the use of an appropriate detergent and hot water. If hot water is not available, only individual patient loads can be washed at one time. Clothes dryers should be used for drying.
* Used linen must not be rinsed or sorted in patient-care areas or washed in domestic washing machines

I’m sure you have already seen this but just in case!

Regards

Janine Egart
Clinical Nurse Consultant – DDHHS
Clinical Governance Unit
p: 07 46166206 | m: 0400704118 (SD: 1947)
a: Pechy Street, Toowoomba, Qld 4350
e: Janine.egart@health.qld.gov.au | w: Darling Downs Hospital and Health Service

[DDHHS]

Hi

I am looking for information form an infection control point of view for domestic washing/dryer machine being installed on an acute medical ward
This is for patients own use for personal clothing as our laundry is now being sourced from outside and personal clothing will no longer be washed on site
I am looking for any information that will help with the smooth running of this potential implementation of washer /dryer on the ward
I was wondering if anyone had any protocols or policy they are willing to share
Thank you
regards jenny

Jenny Garland
Quality Risk &Infection Control Officer
Mater Health Services North Queensland

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[Louisa Sasko]

Hi All,

We are currently reviewing our processes onsite.

The NHMRC recommendation about using ‘hot water’ is interesting. The Australian Standards AS4146:200 Laundry Practice state that fabric items need to be thermally disinfected for minimum 10 minutes at 66 degrees. A domestic machine won’t meet this requirement for ‘mixed’ patient loads. Hence the washing of patients clothing should be on individual loads.

Hope this helps.

Cheers
Lou
Kind Regards,

Louisa Sasko

Clinical Nurse Consultant Infection Prevention & Control Physical Health | Mental Health Drug & Alcohol
G/F, Cameron Building, Macquarie Hospital
Tel (02) 9887 5479 | Fax (02) 9887 5678 | Mob 0422 005 640 | Louisa.sasko@health.nsw.gov.au
http://www.health.nsw.gov.au

Master of Philosophy Candidate | School of Nursing & Midwifery | Western Sydney University

Conjoint Associate Lecturer | Blacktown Clinical School | School of Medicine | Western Sydney University

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

Hi All,

I don’t believe there is any evidence or requirement to use a detergent that provides chemical disinfection at low temperatures for individual patient loads in a Domestic-type washing machine for patient personal use.

In addition from the NHMRC recommendation below individual patients loads could be washed on either a hot or cold cycle.

Regards

Glenys

Glenys Harrington
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
E: infexion@ozemail.com.au

Even if you are doing individual patient loads, a complication can also occur if the washing machine is plugged into water attached via a thermostatic mixing valve (TMV) that restricts the temperature the wash will reach. Unless the machine has its own heat cycle you may need to use a detergent that provides chemical disinfection at low temperatures. These are usually available through your normal chemical supplier.

Regards

Pene Dobell-Brown
Healthcare Certification – Key Client Manager
DNV GL Business Assurance
Level 7, 124 Walker Street
North Sydney NSW 2060
http://www.dnvgl.com

________________________________

Hi Jenny,

We don’t have a particular procedure – however as stated in the NHMRC Australian Guidelines for the Prevention and Control of Infection in HealthCare:

* Domestic-type washing machines must only be used for a patient’s personal items (not other linen). Washing must involve the use of an appropriate detergent and hot water. If hot water is not available, only individual patient loads can be washed at one time. Clothes dryers should be used for drying.
* Used linen must not be rinsed or sorted in patient-care areas or washed in domestic washing machines

I’m sure you have already seen this but just in case!

Regards

Janine Egart
Clinical Nurse Consultant – DDHHS
Clinical Governance Unit
p: 07 46166206 | m: 0400704118 (SD: 1947)
a: Pechy Street, Toowoomba, Qld 4350
e: Janine.egart@health.qld.gov.au | w: Darling Downs Hospital and Health Service

[DDHHS]

Hi

I am looking for information form an infection control point of view for domestic washing/dryer machine being installed on an acute medical ward
This is for patients own use for personal clothing as our laundry is now being sourced from outside and personal clothing will no longer be washed on site
I am looking for any information that will help with the smooth running of this potential implementation of washer /dryer on the ward
I was wondering if anyone had any protocols or policy they are willing to share
Thank you
regards jenny

Jenny Garland
Quality Risk &Infection Control Officer
Mater Health Services North Queensland

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[Louisa Sasko]

Hi John,

Happy to have a discussion off line if you wish.

Kind Regards
Louisa Sasko

Clinical Nurse Consultant | Infection Control & Physical Health Care
Mental Health Drug & Alcohol NSLHD
Macquarie Hospital
Tel (02) 9887 5479 | Fax (02) 9887 5678 | Mob 0422 005 640

Masters Candidate | Western Sydney University | School of Nursing

Conjoint Associate Lecturer | Western Sydney University | School of Medicine

Louisa.sasko@health.nsw.gov.au
________________________________

Dear All

The College of Anaesthetists avoids specifying in their infection control guideline as to whether PPE should be worn by staff who are intubating a patient. Most anaesthetists dont wear a mask or eye protection though some have been sensitised by undisclosed meningococcal sepsis cases etc.

My view is that gloves mask and eye protection are indicated as per std prec. (Not withstanding, an anaesthetic colleague recently disputed this and said that most patients being intubated are apnoeic at the time and therefore not producing aerosols!). What have others put in place re standard requirements? Has anyone got a stomach to take on the college ? Or do people regard this as too low a risk (I dont).

Best wishes

John

Dr John Ferguson MBBS DTM&H FRACP FRCPA
Microbiologist | Pathology North, NSW Pathology
Infectious Diseases Physician | Immunology and Infectious Diseases Unit
Conjoint Assoc. Professor | University of Newcastle
John Hunter Hospital, Locked Bag 1, Newcastle Mail Centre, NSW 2310, Australia
T: 61 2 49214444 | F: 61 2 49214440 | M: +61(0)428 885573 (Speed Dial 67607) | Tw @mdjkf

Follow http://www.idmicnepal.net for microbiology and infectious diseases post graduate resources and discussions.
Follow http://www.biochemcase.wordpress.com for moderated case discussions from a renowned clinical biochemistry expert.
Follow http://www.aimed.net.au, the HNE Health/Pathology North site for practical discussions about antibiotic use.

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[Louisa Sasko]

Hi Sharyn,

Many moons ago I use to work as an RN in Interventional Radiology department of a Tertiary Hospital.

When working in the MRI unit, if a patient required Airborne precautions the patient would wear a surgical mask when leaving their room on the ward until they returned back to their room. This is in line with MoH policy.

The staff would wear the P2/N95 duckbilled mask inside the scanning room with no trouble without altering the mask. The small aluminium strip didn’t pose a problem.

The surgical mask didn’t pose a problem with artefact during brain scans.

Kind Regards

Louisa Sasko

Clinical Nurse Consultant | Infection Control & Physical Health Care
Mental Health Drug & Alcohol NSLHD
Macquarie Hospital
Tel (02) 9887 5479 | Fax (02) 9887 5678 | Mob 0422 005 640

Masters Candidate | Western Sydney University | School of Nursing

Conjoint Associate Lecturer | Western Sydney University | School of Medicine

Louisa.sasko@health.nsw.gov.au

[Description: Description: Description: http://www0.health.nsw.gov.au/images/communications/e-signatures/images/NSW-Health-Northern-Sydney-LHD.jpg%5D

Hi Sharyn,

I’m assuming the MRI procedure room itself had dedicated ventilation that is not shared with other areas?

If so the patient can be managed in airborne precautions during the MRI procedure and the patient does not need to wear a P2/N95 mask (which contains metal).

After entering the room the patient can remove the mask and this can be taken out of the room by staff who would be wearing a P2/N95 mask.

Once the procedure is completed the patient can be given another P2/N95 mask for transfer back to their ward/unit. This is assuming that the patient can tolerate P2/N95 mask.

If not then the same would apply if the patient was only able to wear a surgical mask (which also has metal).

Depending on the ventilation air exchange per hour in the MRI room you would also want to allow time for the ventilation to clear possible airborne contaminates from the room (i.e. TB).

See Appendix B, Table B1 – Air change/hour and time required for airborne contaminant removal efficiencies of 99% and 99.9%.

This table is in the from the USA Centers for Disease Control and Prevention – Guidelines for Environmental Infection Control in Health-Care Facilities – extract attached

Regards

Glenys

Glenys Harrington
Consultant
Infection Control Consultancy (ICC)
PO Box 5202
Middle Park
Victoria, 3206
Australia
M: +61 404 816 434
infexion@ozemail.com.au
ABN 47533508426

Dear All,

I am seeking responses (actual or hypothetical) in relation the possibility of needing to MRI scan a patient on Airborne Precautions

* What processes are in place within your MRI departments for patients on Airborne Precautions that require scanning?

* Do you know of any manufacturers that have P2/N95 mask that MRI compatible

Looking forward to your responses

Sharyn

Sharyn Hughes
Acting Clinical Nurse Consultant |Infection Prevention & Control
Royal North Shore Hospital
Reserve Rd St Leonards 2065
Tel 02 99264490

Click here Infection Prevention and Control to visit the IPAC webpage

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[Louisa Sasko]

Hi,

Can I ask if it is recommended 1100mm from floor… is that 1100mm to the top of the sharp bin or the bottom of the sharps bin (meaning depending on the size of the sharps bin the opening could be higher than others)??

I was asked something along these lines not long ago.

Kind Regards

Louisa Sasko

Clinical Nurse Consultant | Infection Prevention & Control Service – IPACS
Blacktown and Mt Druitt hospitals
Blacktown Hospital
Louisa.Sasko@health.nsw.gov.au

Conjoint Associate Lecturer
School of Medicine
Blacktown Hospital
UWS

Hi this is an old post but just checking and wasn’t sure if I could ask Terry directly off list?

The height of trolley mounted sharps apertures from Terrys advice below is 900mm.

I wanted to give a little leeway in our audit to account for different trolleys.

Is it reasonable (given the variation in AHFG height guides) to require 800-900mm for audit purposes?

(I can see a plethora of requirements to replace all trolleys etc to meet the 900mm height exactly if we ask for this in an audit!)

With thanks,

Best regards,
Cathi

Cathi Montague, RN,(Midwife), ENB998, MClinNsg, FCENA

High quality, compassionate healthcare | Infection Prevention and Control is everyones’ business
Nurse Management Facilitator | Clinical Care Systems Co-ordination
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Hi all,
Not sure if my first email (below) was distributed but would like to comment on the great replies coming in…

* Although Australia has no regulations on sharps container (SC) heights, there are national guidelines (AHFG; HB260-2003) and these are picked up in some state recommendations.

* I strongly advise against using the NIOSH 1998 Evaluation, Selection and Use of SC – it’s 52″-56″ recommendation is based on USA white 1970’s population and is dangerously high.

* Close scrutiny of individual rooms in the AHFG guide show heights are inconsistent and range from 800mm-1300mm but….the 900mm is (correctly) for trolleys and 1100mm (correctly) for walls. 1300mm for resusc wall is too high.

* The height should accommodate your shortest staff (or at least 95% of them) and given nurse shortages (forgive the pun), immigrant nurses from Asian countries are commonly 10cm shorter than Caucasian Australian nurses.

* I recommend “70% of shoed 5th percentile height” and this means aperture height for shoed 5th percentile Australian females is 1091mm; and for Vietnamese or Filipino nurses is 1015mm.

So, given ethnic mix among Australian females, an aperture height 1.1 – 1.2m above floor appears reasonable.

Best regards, Terry

Terry Grimmond FASM, BAgrSc, GrDpAdEd
Consultant Microbiologist
Grimmond and Associates
Ph/Fx (NZ): +64 7 856 4042
Mob (NZ): +64 274 365 140
E: tg@gandassoc.com
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Dear Kylie,
There are no national or state regulations stipulating Sharps Container (SC) height in Australia (nor elsewhere that I know of) but there are guidelines. At outset we should agree that it is height of SC aperture in Q. Here are my findings on the matter…
The correct height for SC is one at which staff can safely view down in to the aperture to ensure it is clear and to facilitate safe deposit of sharps and correct activation of tray/door (if present).

The Australasian Health infrastructure Alliance shows the aperture of the wall-mounted SC to be approximately 1.3m off the floor in Acute Patient Bays (http://www.healthfacilityguidelines.com.au/standard_components_lz.aspx), however heights above 1.2m are associated with increased sharps injuries (SI) to HCW (Weltman et al ICHE 1995;16:268-274).
My research indicates that a safe, wall-mounted aperture height is 1.1m – 1.2m above floor level. Epidemiological evidence confirms that staff risk far exceeds child injury risk and at this height I have yet to see a child SI cited.

Historically, SC were placed at “ergonomic height for staff to safely use” – there was no ‘recommended height from floor’. However, the fear of child access caused SC to be raised to non-ergonomic heights to the point where numerous SI to HCW have been reported because they could not see that:

* a tray/door had activated correctly

* the aperture was clear

* the SC was not overfilled;

* a sharp was not retained in the vestibule (throat) of a tray/door SC;

* or that a sharp was protruding from the aperture
NB. Karen Daley the President of American Nurses Association said she acquired HIV and HCV through an SI because the SC was mounted too high.
I have written to CDC’s NIOSH to inform them their 1998 guideline on Evaluation, Selection and Use of SC (http://www.cdc.gov/niosh/docs/97-111/ ) needs updating as they recommend a height of “52-56 inches” (1.32 – 1.42m). They will discuss this at the next, yet to be scheduled review.
SC height is compounded in countries with short-stature staff and also compounded in developed countries where nurse shortages have been filled with staff emigrating from Asia, Phillipines, Mexico, etc – all short-stature countries.

Finally, sharps containers need be mounted to accommodate an institution’s shortest staff, not their average staff.

I hope this is helpful to you.

Terry Grimmond FASM, BAgrSc, GrDpAdEd
Consultant Microbiologist
Grimmond and Associates
Ph/Fx (NZ): +64 7 856 4042
Mob (NZ): +64 274 365 140
E: tg@gandassoc.com
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UNCLASSIFIED
Good Afternoon,

I was wondering where it is actually written that wall mounted sharps containers should be below eye level and minimum height 1.1m so as out of reach of young children, can anyone advise?

Much appreciated.

Regards,

Kylie Long

Flight Lieutenant
Infection Prevention and Control
Clinical Governance & Projects
Garrison Health Operations Branch
Joint Health Command
Department of Defence

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[Louisa Sasko]

Hi Beth,

I concur

Lou
Kind Regards
Louisa Sasko

Clinical Nurse Consultant (Manager) | IPACS – Infection Prevention & Control Service

Conjoint Associate Lecturer | School of Medicine | UWS

Blacktown Mt Druitt Health
Tel (02) 9851 6102 | Fax (02) 9881 7408 | Mob 0408 923 789 |
Admin Officer | Kristy Cuthbert | Tel (02) 9881 8994 |
Louisa.Sasko@health.nsw.gov.au
http://www.health.nsw.gov.au/

________________________________________
From: ACIPC Infexion Connexion [AICALIST@AICALIST.ORG.AU] on behalf of Beth Bint [Beth.Bint@SESIAHS.HEALTH.NSW.GOV.AU]
Sent: Saturday, 2 August 2014 10:22 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: AJIC Handshake vs Bump & Bright Lights

Sorry for the late arrival to the discussion but I have only two thoughts I would like to share.

Let’s not focus on whether to shake hands or not, rather lets just remain consistent with the message “clean your hands before and after” (if caught on the hop – both clean hands after!

Lets not become so paranoid about infection risk that we forget that we are human and touch is a natural human response and it is healing. It is this fear that is driving HCWs to be obsessed with glove use just to touch a patient.

Here ends my soapbox rant …. apologies to all.

Beth
Beth Bint

Infection Prevention and Control Clinical Nurse Consultant | Infection Management and Control Service
Level 1 Lawson House Wollongong Hospital
Tel 02 4222 5898 |beth.bint@SESIAHS.HEALTH.NSW.GOV.AU
http://www.health.nsw.gov.au
________________________________________
From: ACIPC Infexion Connexion [AICALIST@AICALIST.ORG.AU] On Behalf Of Cath Murphy [cath@INFECTIONCONTROLPLUS.COM.AU]
Sent: Friday, 1 August 2014 8:53 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: AJIC Handshake vs Bump & Bright Lights

Rather than Infection Control Todays non-peer reviewed report on this study here is the reference, abstract and link to the brief report published today in AJIC. The forum responses here have been interesting my take is we have to keep open minds and be more innovative as we are a long long long way from solving problems, reducing, controlling and all the other words that are part of our everyday lexicon.

1. Mela S, Whitworth DE. The fist bump: A more hygienic alternative to the handshake. American Journal of Infection Control;42:916-7.

The handshake is a commonplace greeting in many cultures, but it has the potential to transmit infectious organisms directly between individuals. We developed an experimental model to assay transfer of bacteria during greeting exchange, and show that transfer is dramatically reduced when engaging in alternative so-called dap greetings known as the high five and fist bump compared with a traditional handshake. Adoption of the fist bump as a greeting could substantially reduce the transmission of infectious disease between individuals.

http://www.ajicjournal.org/article/S0196-6553(14)00659-2/abstract

For a truly innovative approach also check out the article below in AJIC released today on use of flashing red flights and how they doubled HH compliance (baseline rates were very low though). Hyperlink embedded so you should be able to click on it.

A study of the efficacy of flashing lights to increase the salience of alcohol-gel dispensers for improving hand hygiene compliance

Background
Many interventions have been implemented to improve hand hygiene compliance, each with varying effects and monetary costs. Although some previous studies have addressed the issue of conspicuousness, we found only 1 study that considered improving hand hygiene by using flashing lights.
Method
Our attention theorybased hypothesis tested whether a simple red light flashing at 2-3 Hz affixed to the alcohol gel dispensers, within the main hospital entrance, would increase hand hygiene compliance over the baseline rate. Baseline and intervention observations were completed over five 60-minute periods (Monday-Friday) from 7:30 to 8:30 AM using a covert observation method.
Results
Baseline hand hygiene compliance was 12.4%. Our intervention increased compliance to 23.5% during cold weather and 27.1% during warm weather. Overall, our pooled compliance rate increased to 25.3% (P < .0001).
Conclusions
A simple, inexpensive flashing red light affixed to alcohol gel dispensers was sufficiently salient to approximately double overall hand hygiene compliance within the main hospital entrance. We hypothesize that our intervention drew attention to the dispensers, which then reminded employees and visitors alike to wash their hands. Compliance was worse during cold days, presumably related to more individuals wearing gloves

Regards
Cath

Dr Cathryn Murphy RN MPH PhD CIC
Executive Director
Infection Control Plus Pty Ltd

Adjunct Professor
Griffith University, School of Nursing and Midwifery
Ph: +61 428 154 154
http://www.infectioncontrolplus.com.au
[cid:image001.jpg@01CFAD66.077066B0][cid:image002.jpg@01CFAD66.077066B0][cid:image003.jpg@01CFAD66.077066B0]

From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Michael Wishart
Sent: Wednesday, 30 July 2014 10:09 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Handshake vs ‘fist bump’

I have to comment that I originally posted this study in wonderment: have we all completely now given up on teaching HCWs to practise hand hygiene before touching patients? Have we lost already? And this will be the result?

Cheers
Michael

Michael Wishart
Infection Control Coordinator
Holy Spirit Northside Private Hospital
627 Rode Road, Chermside, Qld 4032
t: (07) 3326 3068 | f: (07) 3607 2226
e: Michael.Wishart@svha.org.au
w:www.holyspiritnorthside.org.au
Please consider the environment before printing this email

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From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Matthew Mason
Sent: Wednesday, 30 July 2014 9:37 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Handshake vs ‘fist bump’

Maybe we should go with the chest bump and keeps hands out of it all together. With a bit of singing along the way we can turn our facilities into an episode of Scrubs! Anyone want to do a research project on it?

Cheers Matt

Matt Mason RN, CICP, BNSci, M Rural Health, M Advanced Practice (IC)
Lecturer School of Nursing & Midwifery
Faculty of Science, Health, Education and Engineering University of the Sunshine Coast
Ph: +61 7 5456 5191 | Fax: +61 7 5456 5940 | Email:mmason1@usc.edu.au | Web:www.usc.edu.au
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________________________________
From: ACIPC Infexion Connexion <AICALIST@AICALIST.ORG.AU> on behalf of Terry Grimmond <terry@TERRYGRIMMOND.COM>
Sent: 30 July 2014 08:45
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Handshake vs ‘fist bump’

Hi Michael,
I can see consultants fist-bumping if they wear their trousers low! Seriously, the research was well conducted and well-written and actually got space in our NZ newspaper Ive never had press like that with any of my papers!

Best regards, Terry

Terry Grimmond FASM, BAgrSc, GrDpAdEd
Consultant Microbiologist
Grimmond and Associates
Ph/Fx (NZ): +64 7 856 4042
Mob (NZ): +64 274 365 140
E: terry@terrygrimmond.com
[cid:image001.png@01CFABE3.55EAF0A0]: @terrygrimmond
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“This email (including any attachments) is intended only for the use of the individual or entity named above and may contain information that is confidential and privileged. If you are not the intended recipient, you are reminded that any dissemination, distribution or copying of this email or attachments is prohibited. If you have received this email in error, please notify me immediately by return email or telephone and destroy the original message. Thank you.”

From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Michael Wishart
Sent: Wednesday, July 30, 2014 10:17 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Handshake vs ‘fist bump’

We saw a call before to ban handshaking in healthcare as a way to reduce transmission of organisms. Now a study suggest fist bumping is the best greeting to replace a hand shake. Can we all see our consultants fist pumping their patients each morning?

http://www.infectioncontroltoday.com/news/2014/07/fist-bumping-beats-germspreading-handshake-study-reports.aspx

Cheers
Michael

Michael Wishart
Infection Control Coordinator
Holy Spirit Northside Private Hospital
627 Rode Road, Chermside, Qld 4032
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[Louisa Sasko]

Good Morning Cath,

I’m glad you are asking about this. I was thinking of posting something this morning on the list.

I would like to ask anyone out there – do you know of any disposable curtains that can be used in ICU and disposed after the patient is discharged?

Im not necessarily looking for antimicrobial action of the curtain, just disposable and economical.

Would you be able to email me as per below

Thanks in advance

Lou

Kind Regards
Louisa Sasko

Clinical Nurse Consultant (Manager) | IPACS – Infection Prevention & Control Service

Conjoint Associate Lecturer | School of Medicine | UWS

Blacktown Mt Druitt Health
Tel (02) 9851 6102 | Fax (02) 9881 7408 | Mob 0408 923 789 |
Admin Officer | Kristy Cuthbert | Tel (02) 9881 8994 |
Louisa.Sasko@health.nsw.gov.au
http://www.health.nsw.gov.au/

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

________________________________

Hi All,
We are about to consider trialling disposable curtains / bed screens. There are plenty available on the market, all claiming to do marvellous things e.g. waterproof can be wiped clean, antimicrobial impregnated which can last up to 18 months.
The CEC Environmental Cleaning Standards Module 3.2 / 2.3.10 Curtains & Blinds recommendations for frequency of curtain changes are quite challenging to adhere to e.g. weekly in Very high risk area such as ICU & OT.
If the claims the manufacturers are making are true, then these curtains certainly offer a many potential benefits e.g. cost saving, labour saving & possibly improve bed management as terminal cleaning of a patient room / bed space may be reduced.

Obviously these types of curtains would be used and managed according to a risk assessment.
However, I would be very interested in any feedback about any experiences with disposable curtains.
For example;
How strong / durable / easy to use have you found them?
Do the curtains maintain their sharp crisp aesthetic look?
Are the curtains replaced on discharge of every infectious patient?

Any other comments / feedback would be appreciated

Many Thanks
Cath Wade

Clinical Nurse Consultant | Infection Prevention and Control
Level 2 Pathology Building, Gosford Hospital
Tel (02) 4320 2664 | Fax (02) 4320 2874 | Pager 18885
Catherine.Wade@health.nsw.gov.au

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