[Manager (Fitzgerald Aged Care Facility)]

Hi Vanessa, ,

Im sure there is a document somewhere but that is what we have been told to do via our PHU and that is how we train staff now.

Kind regards,

| Anna Whitney | Executive Manager

| t. (02) 4577 2800 | m. 0406 574 042 | f. (02) 4577 2627

| 1 Rum Corp Lane WINDSOR NSW 2756

| w. http://www.fitzgeraldacf.com.au

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Hello All You Clever People

I am trying to provide a rationale re doffing mask after you have exited a residents room when the resident is in isolation.

The person insists that you remove ALL PPE whilst in the infectious room. In aged care there is no ante room for doffing so you are either in an infectious environment or outside the room.

I have tried to explain that you doff all PPE except for mask in the residents room and remove mask when outside their room.

Can anyone point me to a document that says this – or am I wrong?

Many thanks

Vanessa Watkins

RN, Quality Manager, IPC Lead

Donwood Aged Care

Croydon, Victoria

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[Manager (Fitzgerald Aged Care Facility)]

At our facility it is mandatory for staff to have flu vaccine unless they
have an allergy of course.

Kind regards,

| Anna Whitney | Executive Manager

| t. (02) 4577 2800 | m. 0406 574 042 | f. (02) 4577 2627

| 1 Rum Corp Lane WINDSOR NSW 2756

| w. http://www.fitzgeraldacf.com.au

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Meredith Southon (Northern NSW LHD)

Hi all

Not mandatory in NSW!

Residential care facilities and influenza – Influenza (nsw.gov.au)

Meredith Southon

Meredith Southon RN MIPC QualNursImm CertIV TAE

Clinical Nurse Consultant | Infection Prevention & Control | Staff Health |
Murwillumbah District Hospital

PO Box 821, Murwillumbah NSW 2484
Tel 02 6672 0232 | Mob 0447 154 265 | Fax 02 6672 0226 |
Meredith.Southon@health.nsw.gov.au

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

Jill O’Brien

Hi everyone,

Yes I just spoke to Vicniss not mandatory in Victoria

Thank you

Jill

> On Behalf Of Michael Wishart

Hi all

I think this might currently be state specific? Cannot see a Commonwealth
mandate at this stage. Can anyone confirm if Victoria is following this
requirement?

Thanks

Michael

Michael Wishart | Infection Control Coordinator, CICP-E

St Vincent’s Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032

M +61 448 954 282 | T +61 7 3326 3068 | F +61 7 3607 2226

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> On Behalf Of Justine Baker

Hi Jill

It would appear flu vax is mandatory from 3 May – see Health Direction 26
(https://www.health.qld.gov.au/system-governance/legislation/cho-public-heal
th-directions-under-expanded-public-health-act-powers/aged-care
)

Justine Baker
Compliance Support Officer

07 5453 6744
0436 807 363
Justine.Baker@sundale.org.au
P.O. Box 5202 SCMC Nambour QLD 4560

> On Behalf Of Michael Wishart

[Posted on behalf of member – Moderator]

Hi

Re aged care influenza vaccination does anyone know if this mandatory for
2021

If so are you able to please provide a link

Thank you

Jill

Jill O’Brien

Infection Control Coordinator

Terang & Mortlake Health Service

03 55920222

jwobrien@tmhs.vic.gov.au

Our vision – “To be a leader in the development of a vibrant, healthier
community”

I respectfully acknowledge the traditional owners of the land on which I
work, the Kirrae Whurrong people, and their Elders past and present.

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[Manager (Fitzgerald Aged Care Facility)]

Hi Helen, I have been told its general waste unless visibly contaminated with something.

However depending on who talk eg Accreditation auditors it can be clinical.

Kind regards,

| Anna Whitney | Executive Manager

| t. (02) 4577 2800 | m. 0406 574 042 | f. (02) 4577 2627

| 1 Rum Corp Lane WINDSOR NSW 2756

| w. http://www.fitzgeraldacf.com.au

| Follow us on Facebook

Good afternoon everyone,

Just enquiring in which waste bin (general or clinical) do staff put their PPE after being in a precautions room (MRSA, VRE, CDiff etc).

Currently, we put all our PPE in to clinical waste.

I cannot see a clear directive in the Guild line for Prevention and control of infection in healthcare.

Do you place it in general waste or clinical waste?

Thanks in advance

Helen

Helen Roberts

Infection Control

P:

07 4646 3106

|

F:

07 4633 7602

E:

robertsh@sath.org.au

|

W:

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[Manager (Fitzgerald Aged Care Facility)]

Thankyou Helen,

I don’t understand why Accreditation auditors are going on about pedal bins
then??

| Anna Whitney RN | Executive Manager

| t. (02) 4577 2800 | m. 0406 574 042 | f. (02) 4577 2627

| 1 Rum Corp Lane WINDSOR NSW 2756

| w.
http://www.fitzgeraldacf.com.au

Follow us on: Facebook

From all of the Staff here at Fitzgerald Aged Care, we wish you a Merry
Christmas and a Happy New Year!

Helen Finlay

Hi all

We experienced the exact same dilemma through multiple outbreaks, but
finally settled on the no lid option during outbreaks. This allows for safe
and effective disposal of PPE without having to touch and contaminate the
lid. Pedal bins inevitably break fairly easily and the damaged lid becomes a
source of contamination very quickly and for this reason we have moved away
from them.

We used a variety of garden bins (large/sturdy/easy to clean) from Bunnings!

We were supported and advised by all agencies in Victoria (VACRC, PHU, ADF,
Auzmat and Aspen Medical) to pursue this option.

Kind regards,

Helen Finlay

National Manager Infection Control

t 0427 110 668 | 03 8518 7356

e hfinlay@regis.com.au | w
http://www.regis.com.au

Level 2, 615 Dandenong Road, Armadale VIC 3143

Manager (Fitzgerald Aged Care Facility)

Hi would anyone have any information on the types of bins suitable for
discarding of PPE. I have looked at many infection control guides but none
mention types of bins.

As a small facility with limited resources we have generally used bins with
a swing lid ( then the lids go missing!) though this way rubbish is easier
to discard! and we also have pedal operated bins but I find their life is
short in comparison to the cost!.

Auditors from the Accreditation Agency have said best practice was the use
of pedal bin. Infection control officers who audited my facility from the
local health district told me bins with no lids was better but have not
been able to provide written evidence either. While doing the Foundations
course one of the film clips produced by the Tasmanian Government showed
PPE being discarded into a bin without a lid. Does that mean for training
its ok but in other situations it’s not??

Looking forward to any replies.

| Anna Whitney RN | Executive Manager

| t. (02) 4577 2800 | m. 0406 574 042 | f. (02) 4577 2627

| 1 Rum Corp Lane WINDSOR NSW 2756

| w.

http://www.fitzgeraldacf.com.au

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From all of the Staff here at Fitzgerald Aged Care, we wish you a Merry
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[Manager (Fitzgerald Aged Care Facility)]

Thankyou Kathleen,

How did you get around the assessors? Is having bins with no lids in a
policy or do you know of any official document to support this?

| Anna Whitney RN | Executive Manager

| t. (02) 4577 2800 | m. 0406 574 042 | f. (02) 4577 2627

| 1 Rum Corp Lane WINDSOR NSW 2756

| w.
http://www.fitzgeraldacf.com.au

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From all of the Staff here at Fitzgerald Aged Care, we wish you a Merry
Christmas and a Happy New Year!

Kathleen Felstead

Hi Anna,

We have experienced the same. We have varying opinions by assessors as to
what is required for the disposal of PPE. We have gone on the no lid option
for inside the rooms as per Helen to avoid touching of the contaminated lid.
We did use Pedal bins outside the room to limit accessibility by wandering
residents. Would be great if there was some universal direction across the
board.

Agree no lids is the way to go.

Kind Regards

Kathleen Felstead
Clinical Quality & Education Consultant

Corporate Services
70 Dale St . Port Adelaide, SA 5015
M. 0436 619 720
E. kfelstead@unitingsa.com.au
W. unitingsa.com.au
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> On Behalf Of Helen Finlay

Hi all

We experienced the exact same dilemma through multiple outbreaks, but
finally settled on the no lid option during outbreaks. This allows for safe
and effective disposal of PPE without having to touch and contaminate the
lid. Pedal bins inevitably break fairly easily and the damaged lid becomes a
source of contamination very quickly and for this reason we have moved away
from them.

We used a variety of garden bins (large/sturdy/easy to clean) from Bunnings!

We were supported and advised by all agencies in Victoria (VACRC, PHU, ADF,
Auzmat and Aspen Medical) to pursue this option.

Kind regards,

Helen Finlay

National Manager Infection Control

t 0427 110 668 | 03 8518 7356

e hfinlay@regis.com.au | w
http://www.regis.com.au

Level 2, 615 Dandenong Road, Armadale VIC 3143

Manager (Fitzgerald Aged Care Facility)

Hi would anyone have any information on the types of bins suitable for
discarding of PPE. I have looked at many infection control guides but none
mention types of bins.

As a small facility with limited resources we have generally used bins with
a swing lid ( then the lids go missing!) though this way rubbish is easier
to discard! and we also have pedal operated bins but I find their life is
short in comparison to the cost!.

Auditors from the Accreditation Agency have said best practice was the use
of pedal bin. Infection control officers who audited my facility from the
local health district told me bins with no lids was better but have not
been able to provide written evidence either. While doing the Foundations
course one of the film clips produced by the Tasmanian Government showed
PPE being discarded into a bin without a lid. Does that mean for training
its ok but in other situations it’s not??

Looking forward to any replies.

| Anna Whitney RN | Executive Manager

| t. (02) 4577 2800 | m. 0406 574 042 | f. (02) 4577 2627

| 1 Rum Corp Lane WINDSOR NSW 2756

| w.

http://www.fitzgeraldacf.com.au

Follow us on: Facebook

From all of the Staff here at Fitzgerald Aged Care, we wish you a Merry
Christmas and a Happy New Year!

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[Manager (Fitzgerald Aged Care Facility)]

Yes it is a government (gazetted ) directive which is due for review on 17
December 2020

Kind regards,

| Anna Whitney | Executive Manager

| t. (02) 4577 2800 | m. 0406 574 042 | f. (02) 4577 2627

| 1 Rum Corp Lane WINDSOR NSW 2756

| w. http://www.fitzgeraldacf.com.au

| Follow us on Facebook

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Jenny Bourne
question

Brains Trust help needed

Everyone entering an Aged Care facility from May 1, 2020 had to have current
Fluvax certificate. It is now more than 6 months since that date and those
people who had 2020 Fluvax in March April May this year would be past the 6
months immunity.

Questions are:-

1. Does everyone now need to have 2020 fluvax again to be able to enter Aged
Care Facilities?

2. Do the people who had been vaccinated in March/April/May have a different
immunity to influenza to the people who have not been vaccinated?

Thanks for your help

Jenny Bourne RN MHSc CICP-E

Education & Environment Coordinator

Canossa Services Oxley Brisbane
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[Manager (Fitzgerald Aged Care Facility)]

Hi, I have worked in a number of aged care facilities and never seen gloves
stored in residents ensuite, always in a corridor near the designated staff
sink. Ensuite sinks should never be used by staff for hand hygiene as u have
no idea what a resident has done in it!

Kind regards,

| Anna Whitney | Executive Manager

| t. (02) 4577 2800 | m. 0406 574 042 | f. (02) 4577 2627

| 1 Rum Corp Lane WINDSOR NSW 2756

| w. http://www.fitzgeraldacf.com.au

| Follow us on Facebook

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sixdunns@OPTUSNET.COM.AU
gloves stored in resident ensuite

Hi Robyn,

I’m looking at the same thing in the Aged Care that I work in, so I’ll be
pleased to see what answers you receive.

I was thinking the opposite to you however, and was looking at getting the
holders for gloves placed on the walls of the ensuites, as at the moment the
gloves are not fixed and end up everywhere. I was also going to have paper
towels dispensers placed next to the gloves, mainly for staff use.

Am I on the wrong track?

Catherine

Catherine Dunn RN1

IPC student

Fairway Bayside Aged Care

Russell
gloves stored in resident ensuite

Hi there

Hoping you can post this question for me

A number of our residential sites store gloves in holders in the resident
ensuite

I am looking for any evidence that identifies the risk of contamination to
the gloves and boxes they are stored in, from toilet flushing (we don’t have
lids in the main to allow for toilet seat raises to be in place)

My other concern is that staff then use the resident hand basin in the
ensuite to undertake hand hygiene before and after glove use

For the same reason of contamination of the environment from toilet flushing
and different levels of personal hygiene of residents I want to remove
gloves from ensuites

I am having difficulties locating the evidence needed to convince managers
that gloves should be located at clinical hand basins or with the wall
mounted ABHR stations in corridor areas

I understand in acute settings gloves are generally wall mounted by the
clinical hand basin in the patient’s room, but we only have hand basins in
the ensuite.

We generally do not have ABHR in each resident room for the safety of
residents living with dementia

We also try our best to provide a home like environment, not cluttered with
clinical equipment.

I hope this makes sense

Kind regards

Robyn

Robyn Russell
Client Safety & Quality Consultant
34 Molesworth Street, North Adelaide SA 5006
T. (08) 8224 7851
M. 0424 167 101
F. (08) 8267 2690
http://www.helpinghand.org.au

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[Manager (Fitzgerald Aged Care Facility)]

Hi Derrick,
Bunzl has a laundry powder satchet that washes the clothes and disinfects
the machine at the same time, thats what we use.

Kind regards,

| Anna Whitney | Executive Manager
| t. (02) 4577 2800 | m. 0406 574 042 | f. (02) 4577 2627
| 1 Rum Corp Lane WINDSOR NSW 2756
| w. http://www.fitzgeraldacf.com.au
| Follow us on Facebook

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—–Original Message—–
David Mallyon-Potter
hospital setting

Hi Derrick

Notwithstanding the relevant Australian Standards applicable to laundry, in
mental health you face similar challenges to those of us working in the Aged
Care sector. In AC its all about choice, that includes having provision for
residents to be able to complete their laundry where they have the capacity
– we simply can’t say “you have no choice, you have to use our service” –
same issue comes to the fore when families decide they are going to do their
relatives laundry – how on earth would we control how ‘clean’ their machine
is, or what they do between loads.

There are products on the market that facilitate the cleaning of washing,
but I am not aware of any Australian standard or documented process that
would address trying to ‘normalise’ things for those who can do them during
a pandemic – the pandemic is something we hope will be a once in a lifetime
experience.

With residents I am lucky enough to care for there have been no issues to
date – but I would hate to think the solution is an institutional one,
thereby taking away more independence, which I believe would equally apply
in a mental health setting.

At the end of the day the approach I take is a risk based one and go from
there. At this point in time, no COVID in the locale – in fact nothing for
the last 5 months, so likelihood is way down on the scale – RESULT – Risk
managed, happy residents.

Hope this helps

Regards

David

David Mallyon-Potter
Clinical and Operational Risk Manager

—–Original Message—–
H
hospital setting

Hi all

Just wondering if anyone has a policy/procedure/guidelines for washing
machines in their facilities?

We have a few domestic machines in our mental health wards for patient use.
It has been brought to our attention that there are concerns of cross
infections as these are domestic machines and the requirements for cleaning
of machines in between patient uses.

Is there any guidelines on this? Any standard that dictate that we need to
use commercial machines instead with a specific heat setting to avoid cross
infections?

And cleaning in between patients? This will include the dryers.

We have been asked to produce a guideline for our wards to address this and
any help will be greatly appreciated. Thank you in advance.

Best regards,

Derrick Hor
A/CN
Armadale Health Service
WA
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[Manager (Fitzgerald Aged Care Facility)]

Hi Vicki,

It’s still a requirement from NSW Health Ministry as per there most recent
update of 15 October.

Kind regards,

| Anna Whitney | Executive Manager

| t. (02) 4577 2800 | m. 0406 574 042 | f. (02) 4577 2627

| 1 Rum Corp Lane WINDSOR NSW 2756

| w. http://www.fitzgeraldacf.com.au

| Follow us on Facebook

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Vicki Denyer (Northern NSW LHD)

Hi All,

Have been asked ( my boss) to inquire if healthcare facilities in NSW are
still attending temperature checks on staff entering the facility before
commencing work

Many thanks

Vicki

Vicki Denyer
Clinical Nurse Consultant | Infection Prevention and Control
Infection Control Unit Lismore Base Hospital
‘ 02 6620 2385 *Fax: 02 66 202287 Mobile: 0428215562

* vicki.denyer@health.nsw.gov.au

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