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Hi Jennifer,
Margaret Evans will be away until the 1/12/15.
She will try to get some answers to you when she gets back.
Thanks,
RhiannonMargaret Evans IP&C CNC
Royal Hospital for Women
PO Box 2000
Randwick 2031
T: 9382 6339
E: margaret.evans@sesiahs.health.nsw.gov.au
[cid:image001.png@01D11DF0.F0BBEFA0]Senior Clinical lecturer,
Sydney universityHi all,
Can anyone direct me to the guidelines/ regulations that refer to disposable bedpans and if they can only be used with a macerated system ( as opposed to a waste stream).Jennifer Benjamin
Infection Control Consulant
Melbourne Pathology
M: 0402000590
Quality is in our DNA
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Hi Janet,
Our MRO policy is on the SESLHD (NSW health) website. Clinical policies and procedures. Infection control. Prevention & Management of Multi-Resistant Organisms (MRO). Clearing the organism can be found on page 22.
Thanks,
RhiannonMargaret Evans IP&C CNC
Royal Hospital for Women
PO Box 2000
Randwick 2031
T: 9382 6339
E: margaret.evans@sesiahs.health.nsw.gov.au
[cid:image001.png@01D11DE7.A4C48B10]Senior Clinical lecturer,
Sydney universityHi all
We are reviewing our management of multi-resistant organisms and in particular the process to determine someone is cleared (organism not expected to return) or de-activated (organism may return, particularly with antibiotic pressure).
We would be interested to know what other facilities have in place, particularly paediatrics.
Do you have any useful references which guide your practice?
Regards
Janet
Janet Wallace
Clinical Nurse Consultant
Infection Control – Infection Management and Prevention Service (IMPS)Children’s Health Queensland Hospital and Health Service
Level 12, Lady Cilento Children’s Hospital
Children’s Health Queensland
South Brisbane QLD 4101T: 07 3068 3989 / mobile 0408 236 266
E: janet.wallace@health.qld.gov.au
W: http://www.childrens.health.qld.gov.au[cid:image001.png@01D11D2E.593917B0][cid:image002.png@01D11D2E.593917B0][cid:image003.png@01D11D2E.593917B0][cid:image004.png@01D11D2E.593917B0]
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Please see added signature.
Hi Sue,
My name is Rhiannon and I am covering for our Infection Control CNC Margaret Evans.
To get an exact idea on our guidelines and policy have a look at our policy for SESLHD,Occupational Exposure: Health Care Workers Potentially Exposed to Human Immunodeficiency Virus, Hepatitis B and/or Hepatitis C- Management of.
It is accessible through the SESLHD website, policies and guidelines, A-Z, Infection Control procedures.
Hope this helps.
Thanks,
RhiannonMargaret Evans IP&C CNC
Royal Hospital for Women
PO Box 2000
Randwick 2031
T: 9382 6339
E: margaret.evans@sesiahs.health.nsw.gov.auSenior Clinical lecturer,
Sydney university—–Original Message—–
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Sue Flockhart
Sent: Wednesday, 11 November 2015 2:17 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Occupational ExposuresHi all,
I am hoping that you might be able to assist me. We are currently revising the model in which my health service currently manages occupaitonal exposures. The current model involves the recipient of an exposure visiting the emergency department for assessment. Infection prevention and control (IPAC) will then complete all followup. The model we are considering is a ‘nurse led’ occupational exposure management program based within IPAC.
I am wondering what models other health facilities currently work (success of same) with to manage occupational exposures and if you would be willing to share that information.Thank you in advance.
Sue Flockhart
Manager, IPAC & Staff health
Ballarat Health ServicesMESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
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We care for our environment. Please only print this e-mail if necessary.
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RHW uses a trolley for all larger procedures and a blue tray (like the ones used in the UK ANTT videos) for all other aseptic procedures.
Kind regardsMargaret Evans IP&C CNC
Royal Hospital for Women
PO Box 2000
Randwick 2031
T: 9382 6339
E: margaret.evans@sesiahs.health.nsw.gov.au
[cid:image001.png@01CF9B63.9BFED330]Senior Clinical lectures,
Sydney universitySure Fiona,
Using the patient’s chest/abdo (covered by a blanket) to place equipment on instead of using a trolley. I know this is not best practice and I am trying to get an indication on how common this practice is elsewhere.
Regards,
Jane Bryant, RN
Acting Infection Control Consultant
Royal Victorian Eye & Ear Hospital
32 Gisborne Street, East Melbourne, 3002, VIC
[cid:image001.png@01CF9B62.6E4F3A20]Hi Jane,
I don’t quite understand what you mean by using the patient as a ‘workbench’, can you please clarify?
Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
Fiona.Desousa@sah.org.au
185 Fox Valley Road, Wahroonga, NSW, 2076Hi,
I’m interested to hear what practices are occurring in other organisations in regard to anaesthetists cannulating patients pre op. I’ve heard arguments for and against using the patient as ‘the workbench’ vs using a trolley. The appeal of using the patients is that there is no cross over. I believe this can be achieved positioning a trolley correctly, but would like to hear what other places are doing.
Regards,
Jane Bryant, RN
Acting Infection Control Consultant
Royal Victorian Eye & Ear Hospital
32 Gisborne Street, East Melbourne, 3002, VIC
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If you have received this message in error, please contact the sender.
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The Royal Victorian Eye and Ear Hospital however does not warrant the message is free of viruses.
It is recommended as a prudent business practice the recipient perform a virus scan of any message received.
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Hi Fiona
I always have problems with this; some midwives want to act as if all blood is infectious except on neonates! I have always pushed and educated that all blood is potentially infectious and must be cleaned as soon as practicable. This allows for all medical situations.
I also changed them terminology when talking to them and do not used the word bathed but emphasise the removal of blood and body substances (a quick wash with soap and water). For many midwives a bath a slow relaxation bath which becomes a problem for maintaining temperature etc.
I have attached our policy with is currently under review.Kind regards
MargieMargaret Evans IP&C CNC
Royal Hospital for Women
PO Box 2000
Randwick 2031
T: 9382 6339
E: margaret.evans@sesiahs.health.nsw.gov.au
[cid:image001.png@01CF8B92.2368CAB0]Senior Clinical lectures,
Sydney universityHi All,
We are currently having a discussion regarding the need to wash a baby born to a HBV positive mother prior to giving their injections. I am interested in what other facilities are doing and if there is any research to back up your process.
Kind regards,
Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
Fiona.Desousa@sah.org.au
185 Fox Valley Road, Wahroonga, NSW, 2076If you are not the intended recipient you are hereby notified that any dissemination, distribution or reproduction of this message
is prohibited. If you have received this message in error please notify the sender immediately, then destroy the original message.
Any views expressed in this message are solely those of the individual sender, except where the sender is specifically authorised
by Adventist HealthCare Limited to state that they are the views of Adventist HealthCare Limited.
_____________________________________________________________________
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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.
We care for our environment. Please only print this e-mail if necessary.
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Hi ALL,
Here at RHW in birthing services we have single use CTG belts thought are bought in a role and cut to size. They are then sent to the cleaners after each use, apparently we only get about 3 washes before they start to fray and stretch a bit, but still useable for a bit longer, cant tell you exactly the life of each belt. The antenatal ward will give the ladies a couple of belts for the length of their admission and wipe in between use antenatal wash their own and bS send out.
Beverley Swanson
Acting CNC I/CFrom: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Maree Sommerville
Sent: Friday, 2 May 2014 12:38 PM
To: AICALIST@AICALIST.ORG.AU
Subject: CTG BeltsDear Members,
I would be interested to know how other obstetric services manage the CTG (cardiotocography) belts from an infection control perspective.
Issues:
Reusable vs. single patient use???
Is there a big cost differential, factoring the laundry issues, damage to integrity of reusable belt
If reusable:
How are these processed external laundry or internal laundry
Does reprocessing affect the integrity of the belt? i.e. what is the life of the belt
Do they get changed between EVERY patient use?
Including fetal monitoring units (FMU) where the belt is on for 10-30 minutes and there are no body fluid issues.
o FMU do not routinely change between patient use (from my understanding) and I would be interested to know other ICP views on this in relation to clean between.If single use:
Is each woman issued with a CTG belt for her pregnancy
How is it managed:
o Placed in zip lock bag and sent home with them
o Placed in zip lock bag in medical records
Do they remember to bring them to each visit?Looking forward to all responses
MareeMaree Sommerville
Infection Control Coordinator
Mercy Hospital for Women[cid:image001.jpg@01CF6603.4DFFAB90]
163 Studley Road
Heidelberg 3084
Phone: 8458 4759
Mob: 0408 789 798
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Hi Karen
We do continuous surveillance of SSI for LSCS C/S inpatients but we count any SSI that occur during their hospital stay or if the patient is readmitted as an inpatient up to 30 days.
We only do telephone post surveillance discharge every 2 years for approx. 300 patients (3 months’ worth of C/S operations).For surveillance I use a number of avenues
* Surgical Site surveillance chart (as attached) this has a carbon copy which come to me on discharge.
* I review all positive isolates from the labs
* On ward round / hand over staff always chat to me or leave messages
* We also use ‘Obstetrix’ data base, & once a month the data analysis person runs a report looking where midwives report infections of any kind and all readmissions.
Hope this helps
Kind regards
MargieMargaret Evans IP&C CNC
Royal Hospital for Women
Locked Mail Bag 2000
Randwick 2031
Phone 02 93826339Senior Clinical lectures,
Sydney universityHi All,
We are seeking information on what other regional size (250+ beds) acute hospitals are doing that works well for SSI surveillance. We don’t do CABGs, nor 100 THRs/TKRs in a calendar year, nor participate in the ACHS clinical indicators program for BSI & LUSCS,
What we have done for many years is a ‘day-5 survey’: anyone who has a surgical wound and is still an inpatient on day 5 (DOS day 0) undergoes chart review against the SSI definitions. Although this has provided valuable data over the years, I suspect times have changed and the validity of someone being here on day 5 (although consistent) might not be sensitive to ever-shorter LOS. One of the obvious catches is if you go home on antibiotics on day 4 or present with infection on/after day 6 – you don’t count. This is a labour intensive spreadsheet based process with manual theatre list entry, (fairly reliable) electronic report for patient matching for day 5 (that is a step up in our world!), and trips to the wards as no electronic medical record.
We also do an annual telephone follow-up at 30 days of selected 100+ (annual total, not the quarter we do the survey for) procedures (e.g. LUSCS, lap chole, etc.) for a 3-month period.
Any suggestions, protocols, ideas most welcome
Thanks
Karen Turnbull
Acting Nurse Manager
Infection Prevention & Control Unit
Level 2, Launceston General Hospital
Charles Street 7250________________________________
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Hi
We have made August for “Intravenous Access Assessment”. The nurses & midwives will be doing a competency on aseptic non touch technique and giving IV medication. The medical staff and those nurses & midwives who cannulate will be doing a competency on aseptic non touch technique & cannulation.
We started education a year ago on asepsis from the National Standard. For this part of the program I very much wanted to work with doctors leading doctors & have targeted and educated the leaders only
Steps now:* have Identified medial, nursing & midwifery leadership in each division (I have also been able to use some medical staff who have experienced this process in the UK)
* these leaders are currently doing the pre-reading of policies & watching the videos on ANTT & peripheral cannulation etc ( LDH has purchased the ANTT program from the UK as a resource)
* medical competency assessed by an expert (committed anaesthetist)
* In August we will have simulation stations where staff can practice against the competencies (after the pre learning from videos)
* The leader of the medical staff will then assess other doctors in their division as will the nurses and midwives
Current culture in the place is very positive, I have spent a lot of time explaining why these changes need to be made.
Management has given support to this project along with the educators, Infection control link nurses & midwives & ICP have worked together on this project
Not sure if this helps but it appears to be working here
Kind regards
Margie
Margaret Evans IP&C CNC
Royal Hospital for Women
Radwick 2031
Ph 0293826339
*
And can we please share the replies where possible, because I too would like a few ideas on how to approach this, especially considering Advisory No: A13/05.
Thanks,
Helen.Helen Scott
Infection Control Co-ordinator |
Staff Educator |
Nepean Private Hospital
Kingswood, NSW.
Tel 02 4725 8758 | helen.scott@healthscope.com.au>>> On 11/07/2013 at 9:10 am, in message <92B7D70CF7CEBC4892CC9EB61C4E8E71020EAA9C@BM-EX-10.DJWHS.local>, Chris Braden <ChrisB@DJHS.ORG.AU> wrote:
Hi,Just wondering if anyone has any innovative ideas how to engage doctors in taking aseptic technique on board?
Perhaps even getting them to do some education??Regards
ChrisChristine Braden
Manager Infection Control
Djerriwarrh Health Service
Email- chrisb@djhs.org.au
Ph- 53 67 2000
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Thanks Cath
I have listened to this and will promote it, especially among the anaesthetists where I still continue to have a few problems.
Kind regards
MargieIrene
I have embedded it on this website for easier access. http://infectioncontrolplus.com.au/?p961
Please let me know if you have any problems accessing.Also willing to hear comments from others on the issue once they watch the debate. Comments can be left on the site above. There is also a link to The Alliance’s website from http://infectioncontrolplus.com.au/?p961
Thanks
CathCathryn Murphy PhD
Executive Director
Infection Control Plus Pty Ltd
http://www.infectioncontrolplus.com.au
[cid:image001.jpg@01CE71BF.32A63A50][cid:image002.jpg@01CE71BF.32A63A50][cid:image003.jpg@01CE71BF.32A63A50]Thanks Cath,
Can you please provide the info that needs to be entered into the email request for the download?
Cheers,
IreneIrene Wilkinson
Manager, Infection Control Service
SA Health
Irene.wilkinson@health.sa.gov.au
08 7245 7170Thanks Cath,
Great session, great support for a watershed motion. And a great suggestion re all of us writing to each member who spoke – if you track down their email addresses would you mind sharing them with us?
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
“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.”Today in the Federation Chamber sensible bipartisian behaviour and good reason from twelve Members supporting Coalition MP Dr Mal Washer’s last private member motion and the first ever to address needlestick and sharps injuries. This motion has the potential to eliminate up to 30,000 of these potentially life-threatening workplace injuries sustained by Australian healthcare workers each year. As a nurse sustaining multiple sharps and Needlestick injuries over a 30-year plus career and as a long-term researcher and advocate for mandating availability of safety engineered sharps devices that eliminate this risk, my faith in Australian politics has been somewhat restored. Too bad Australia lags at least a decade behind the US and several years behind Canada and Europe until legislation mandating safety engineered sharps devices is promulgated.
If any ACIPC members or others are interested in accessing a recording of the very interesting debate you can follow this link to request a copy. http://www.aph.gov.au/News_and_Events/Watch_Parliament/How_do_I_request_a_copy_of_Parliamentary_proceedings Within 6 hours I had received unique access to a downloadable version of the debate. It was interesting live and compelling watching post event.
The 12 MPs who spoke in support of Dr Washer’s motion are listed below. There would be great merit in the College and individual members writing or contacting these politicians to express our thanks and to request their ongoing support and commitment beyond today and September’s election. If we remain silent on this issue we may well lose this one chance which is the first one I’ve experienced in more than 25 years in the field.
* Graham Perrett. Member for Moreton, QLD
* Hon. Judi Moylan, Member for Pearce, WA
* Tony Zappia, Member for Makin, SA
* Craig Thomson, Member for Dobell
* Jill Hall, Member for Shortland
* Jane Prentice, Member for Ryan, QLD
* Michael McCormack, Member Riverina
* Hon. Shayne Neumann, Sec For Health and Ageing
* Dr Dennis Jensen, Member for Tangley
* Nick Champion, Member for Wakefield SA
* Darren Chester Member for Gippsland,
* Nola Marino, Member for ForestProfessor Cathryn Murphy RN MPH PhD
Executive Director
Infection Control Plus Pty Ltd
West Burleigh, Queensland
http://www.infectioncontrolplus.com.au
[cid:image001.jpg@01CE7104.995119C0][cid:image002.jpg@01CE7104.995119C0][cid:image003.jpg@01CE7104.995119C0]Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.
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Hi Jane
The public laboratories here refuse to even test for pertussis immunity as the say the test is too unreliable.
We too have posters re pertussis around the hospital and not to visit the hospitals if you have any respiratory illnesses. The sticker put out by NSW Health “Watch out Whooping Cough is about” on the babies personal health book was very effective in alerting and educating new parents to the problem.
Our NICU staff are excellent in educating parents about not visiting if they are sick & preventative measures.Margie Evans
Infection Prevention & Control CNC
Royal Hospital for Women
LMB 2000
Randwick 2031
page 44075 or ph. 02 9382 6339Hi
I was wondering if maternity/paediatric areas have policies in place requesting confirmation of pertussis immunity of all visitors and if so, how this is managed. We are experiencing a significantly high rate of community pertussis and have had issues with visitors to neonatal/paed areas. Any advice/experience of colleagues in Australia would be welcome.
JaneJane Barnett
Clinical Nurse Specialist
Infection Prevention & Control
Christchurch Women’s Hospital
Private Bag 4711, ChristchurchInfection Prevention and Control is Everyone’s Business
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Hi Rebecca
I have included a couple of posters we have had for quite a number of years now. We do allow siblings to visit & do not appear to have a problem. Only once did we have RSV come into the unit but that could have been from staff or other adult visitors (this baby did not have siblings).I believe babies in NICU have more bugs of concern that those in the community. Hand hygiene can never be underestimated and parents, children or staff who are sick should be educated not to come into NICU or SCN.
Margie Evans
Infection Prevention & Control CNC
Royal Hospital for Women
LMB 2000
Randwick 2031
page 44075 or ph. 02 9382 6339Good morning,
I would love some feedback regarding restrictions of visitors to Special care nurseries.
Who do you restrict? Other siblings?
I feel as long as Hand hygiene is performed and the visitor is well I personal feel that there is no real significant risk.
Some of our staff feel that in the case of twins, one goes home and one stays in the nursery then the well twin shouldn’t visit as the baby might pose a threat to the babies in Special care (perhaps from a whooping cough point of view).
Thanks,
Rebecca O’Donnell | Infection Control Co-ordinator
St Vincent’s Hospital Toowoomba | 22-36 Scott Street TOOWOOMBA 4350
T 07 4690 4042 | F 07 46904400
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In NICU if babies are using formula, we use bottles with the formula already in them. Postnatal if supplemented breastfeeding is required, we use spoon or cup feeding. If mothers intend to bottle feed, they bring in whatever equipment they intend to use at home. For the few remaining occasions we use disposable bottles.
Regards to the Advent steriliser; well over a decade ago we looked into them but it is not possible to tell if they reach the required temperature for the correct amount of time to kill bacteria. For this reason they are not appropriate for use in healthcare facilities but are satisfactory for mothers to use at home but it is important to ensure the mums have good cleaning technique prior to using them.
Kind regardsMargie Evans
Infection Prevention & Control CNC
Royal Hospital for Women
Randwick 2031
page 44075 or ph. 9382 6339Hi Carien,
We use disposable bottles in special care nursery. Each baby has a bottle which is washed in warm water and detergent after use and stored in a plastic container with lid, and then disposed of after 24 hours.
Some years ago, after being donated some Advent sterilisers, we looked into using them and from memory the Advent sterilising units are suitable for a single baby only for home use, but are not TGA listed for use in hospital settings.regards
KathyKathy Taylor CICP
Infection Control Manager
The Wesley Hospital
PO Box 499,
Toowong, Qld 4066
07 3232 7558
katherine.taylor@uchealth.com.au________________________________
Hi,We are expanding our current Maternal Health Unit, including our Special Care Nursery. I would like to know what product/method other facilities use to sterilise baby bottles that are for general use in the Special Care Nursery. We are currently using the Advent Steam Steriliser unit.
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 3436
E: carien.coleman@uchealth.com.au_________________________________________________________________
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Hi Cathy
In NSW it depends, if the equipment is to be use by different patients then it must be thermally disinfected before reuse by another baby. It is the same requirement for all feeding equipment.
If it is to be used for the same patient this is not a requirement.
Regards
MargieMargie Evans
Infection Prevention & Control CNC
Royal Hospital for Women
Randwick 2031
page 44075 or ph. 9382 6339We are currently reviewing our policy/protocols for infant feeding equipment and there appears to be a difference of opinion when it comes to the cleaning/sterilisation process, especially with formula feeding equipment. My question is do you advise mothers to;
1. wash equipment in warm soapy water, rinse in hot water, and air dry and store in a clean container, or
2. wash equipment in warm soapy water, rinse in hot water, air dry and store in a clean container, and sterilise once every 24 hours, or
3. wash equipment as above and sterilise after each use.
Regards
Catherine Jones & Liesl Sibma
CNC’s Infection Control
King Edward Memorial Hospital
Womens and Newborn Health ServiceMessages posted to this list are solely the opinion of the authors, and do not represent the opinion of AICA.
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Hi Edith
At Royal Hospital for Woman in Sydney we have had an Infection Control Link Nurse/Midwife (ICLN/M) system running since mid 1990s. There is one (often more in the speciality areas) volunteer from every ward / unit.
There are meetings monthly (which are never cancelled) where there is education, reviewing audits and discussion on problems they experience. I regularly send them interesting articles I come across. Many asked to be rostered on for the day of the meetings however people from small units, it often doesn’t work so I make a point of catching up with them keeping them in the loop & work with them individually on any issues they may have.In a couple of the larger speciality areas they are given dedicated time but this is not a common practice.
Each month they are given an audit to do & majority have also chosen to be hand hygiene auditors as well.
Audits done are sharp safety, environmental Infection Control Risk assessments, IV audits, waste audits & latex risk assessment
Education given by all ICLN/M: annual infection prevention & control quiz, , glutaraldehyde safe management & risk assessment. According to their skills many choose to do regular in-services in their ward re issues or problems they are concerned about e.g. Reducing central line associated blood stream infections, hand hygiene, management of multi-resistant organisms, sharps management & compliance with appropriate PPE. Majority of the times they run their talks past me because they want to make sure they are on the right path or the want evidence for the problem. I have found this local ownership of IC issues has had a positive impact on reducing HAIs hereI found that once their managers realised having this good ward based data was a great benefit for accreditation & OH&S reviews they supported the role of ICLN/M
This system has also proved to be great for succession planning, they relieve me when on leave & some have moved on to become ICP or work in Public Health units. It is a lot of work to have ICLN/M but the gains are certainly worth it.
Kind regards
MargieMargie Evans
Infection Prevention & Control CNC
Royal Hospital for Women
Randwick 2031
page 44075 or ph. 9382 6339Dear All
I want to know if you have infection control link workers in your areas? If you do have:
* Do they get protected time to undertake their roles?
* How much time do they get and is it funded for?
* What roles are they expected to do?
* How often do you meet with them?
* If you meet with them what do you discuss with them?
All your contributions will be greatly appreciated.Regards
Edith Mahachi
Infection Prevention and Control Nurse specialist
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