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We similarly only change the curtains if it’s a CRE, outbreak or novel virus.
Our curtains are recycled thorough our waste provider. The company that supplies the curtains set that up as part of the contract.Kind Regards
Know the infection risks, share the solutions
Marija Juraja |Nurse Unit Manager -CALHN Infection Prevention & Control Unit|
Specialty Medicine 2 RN, GCNS Inf Ctrl, CICP-E)
t: +61 8 7074 2810 (RAH) 8222 7588 (TQEH)| M: 0466 379 821|e:marija.juraja@sa.gov.au |
Adjunct Senior Industry Fellow | University of South Australia | Horizon Hospital and Health Service
[World Hand Hygiene Day]Hi Michael, we change our disposable curtains annually or if they become soiled. Recently I have been contemplating the environment and sustainability impact and would be interested in finding out if there is company the recycles disposable curtains.
Cheers
LeeanneLeeanne Atkinson
Coordinator
Infection Control
East Grampians Health Service
PO Box 155, Ararat, Victoria, 3377
Phone : (03) 5352 9332
Email : leeanne.atkinson@eghs.net.au
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I would like some discussion around what facilities are doing in regard to replacing disposable antimicrobial curtains, if you use them, and specifically why you do this. Or even if you don’t use them, why you chose that approach.We have used disposable antimicrobial curtains in our hospitals for some time now, and only replace then annually or when torn or soiled. We do not routinely replace then after use in a room with Transmission Based Precautions (which is the main basis for their cost effectiveness, actually),
Our hotel services staff recently started dating disposable antimicrobial bed curtains for 2 years instead of 1, based on manufacturer recommendations, although our policy still officially says replace annually. We had a recent external compliance audit that noted this, and recommended we standardise to changing all disposable antimicrobial bed curtains annually.
But that got me thinking: what is the optimum routine replacement strategy for disposable antimicrobial bed curtains? I can see guidelines in various jurisdictions that say things like ‘follow local policy’ but no-one seems to make a bold recommendation of how long. This is understandable given not all antimicrobial curtains have the same antimicrobial action, etc. But it doesn’t help facilities decide what they should be doing.
This might be a good topic for another Infection Control Matters podcast (hint, hint, Brett, Phil and Martin!), but I would be interested to know what the current practice is in facilities within Australia, and if possible, to hear why they have chosen that approach.
Thanks for any discussion.
Cheers
MichaelMichael 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
E michael.wishart@svha.org.au |
W https://www.svphn.org.auSt Vincent’s Private Hospital Brisbane | 411 Main Street KANGAROO POINT QLD 4169
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E michael.wishart@svha.org.au |
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Hi Samatha,
There are N95 masks that do require a fit clip with fit testing to achieve a seal.
They do come in a variety of sizes and they are TGA approved and made in Australia.
Also depends if the mask is a surgical grade N95 mask or a standard mask, as additional PPE may be required like a Faceshield.
I can share this with you off -line.
The most important regardless of the type of mask you wear is that you have been fit -tested to ensure the mask provides a tight seal and is safe for you to wear when exposed to patients.
Its another risk mitigation strategy to support the HCW.Kind Regards
Know the infection risks, share the solutions
Marija Juraja |Nurse Unit Manager CALHN Infection Prevention & Control Unit|
Specialty Medicine 2 RN, GCNS Inf Ctrl, CICP-E)
t: +61 8 7074 2810 (RAH) 8222 7588 (TQEH)| M: 0466 379 821|e:marija.juraja@sa.gov.au |
Adjunct Senior Industry Fellow | University of South Australia | Horizon Hospital and Health Service
[World Hand Hygiene Day]From: ACIPC Infexion Connexion On Behalf Of Samantha Lavender
Sent: Friday, 12 August 2022 6:42 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: [ACIPC_Infexion_Connexion] Mask extender use for P2sHi all,
My apologies if this question has already come up, I didn’t see it in the archives.
I work for a service which includes aged care homes.
They have received P2 masks (regular) that aren’t great achieving a good fit for most of the staff (the masks do meet standards. The masks are ear loops).
The manufacturer advised, and supplied, plastic mask extenders. When used, these extenders do increase fit and seal on the face.Currently they service doesn’t fit test, but has a PPE and fit check program.
May I ask the current advice on the use of mask extenders with P2s?Kind regards,
Samantha LavenderInfection Prevention and Control Advisor
Wesley Mission QLDMESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
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I know that we had a batch of our N95masks that were due to expire in July 2020. We had them independently tested by the university to check for integrity etc (as we were going to run out of this particular brand of masks before the alternative arrived).
They passed the test and based on this we sought an extension (which was granted by the company) on the masks I believe upto another 6 months beyond the initial expiry date.I agree there are things that could be used beyond the expiration date, and sometimes it requires some discussions with the manufacturers.
Kind Regards
Know the infection risks, share the solutions
Marija Juraja |Nurse Unit Manager -CALHN Infection Prevention & Control Unit|
Specialty Medicine 2 RN, GCNS Inf Ctrl, CICP-E)
t: +61 8 7074 2810 (RAH) 8222 7588 (TQEH)| M: 0466 379 821|e:marija.juraja@sa.gov.au |
Adjunct Senior Industry Fellow | University of South Australia | Horizon Hospital and Health Service
[World Hand Hygiene Day]OFFICIAL
I agree that it would be good to have a better understanding of the way expiration dates are estimated.
There are probably tables somewhere that provide information about the deterioration rate of latex and plastics based on exposure to UV, heat and chemicals. It would probably be worthwhile asking manufacturers what data they use to support their claims, especially for non-controversial items which don’t require aseptic packaging.Kind regards
Lincoln Fowler
Infection Prevention and Control Officer
ACT Ambulance Service
P. | M.0435 329 378 | E. Lincoln.Fowler@act.gov.au
9 Amberley Avenue Fairbairn (Majura) ACT 2609| PO Box 158 Canberra City ACT 2601
[Celebrating World Hand Hygiene Day, 2022 – Surewash]Great topic Kareen and something that the ACIPC might be able to get behind.
I’ve often wondered about the science that sits behind the expiry date on consumables used in various health care settings – from ED curtains and pillows through to masks etc.Does such research exist to support dating of consumables?
Cheers
SueSue Walker
The Nurses for Nurses Network | Director
P: (07) 4151 3884 M: 0428 756 673 E: suew@nursesfornurses.com.auImportant Note: I work Monday to Thursday, excluding public and regional holidays. I will respond to your email on the next regular business day.
[Text Description automatically generated]
Hi Jay
A very topical subject to raise and something that has been brought to my attention numerous times over the last 8 years whilst volunteering in Cambodia. In resource poor countries I advised early on in the pandemic, that they were better to use expired N95 masks than not at all, but just to make sure that the head strap had no sign of perishing and still gives a really good fit (got them to double stretch the bands vigorously). As for face shields, I truly cannot see how they can expire, other than the actual straps if they are rubber and could perish over time.I see a lot of waste in healthcare due to the expiry date of consumables such as TED stockings that simply can’t expire. We used to be able to ship these to 3rd world countries but can no longer do this.
I’d love to see the “expiry” date challenged on products where the integrity and usefulness of the product determines that is should not have an expiry date. Sure I am opening up a can of worms! Maybe it is something we should discuss at ACPIC and I’m sure Martin could wade in on this. All the best.
kind regardsKareen Dunlop
RN.ND. Dip Herbal Med. Grad Dip Acupuncture
Grad Cert Nursing Education. Cert Infection Control51 Lemon Gum Drive, Baldivis, Western Australia 6171
Ph 041 99 456 91
On Friday, 13 May 2022, 12:32:02 pm AWST, Jay Kaur <kaurjay321@gmail.com> wrote:
Hello Brain trusts
I was seeking informatio on dealing with expired N95 masks and face shields. Interested to hear if you had extension grantedby supplier and process?
kind regards
Jay kaur
CNC
BC
Vic
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Hi Phillipa,
We have a similar issue here in our organisation, as no one is tasked with cleaning it internally, something I raised with our S&Q unit and pharmacy.
There are issues with who cleans it as well as access is another problem and storage of medications whilst being cleaned as they come in various sizes (we have around 7 different ones).
I have pointed them to the SA Health Cleaning Standard and the schedule is the reference point used for cleaning the fridges. On page 3 number 44 references to the fridge (it does say usually performed by nursing staff – but not must).
It states monthly and defrost as required, with daily spot check.
The standard does say that we can review the frequency but we cannot decrease the frequency only increase it.Kind Regards
Know the infection risks, share the solutions
Marija Juraja |Nurse Unit Manager -CALHN Infection Prevention & Control Unit|
Specialty Medicine 2 RN, GCNS Inf Ctrl, CICP-E)
t: +61 8 7074 2810 (RAH) 8222 7588 (TQEH)| M: 0466 379 821|e:marija.juraja@sa.gov.au |
Adjunct Clinical Lecturer | University of South Australia | Horizon Hospital and Health Service
[cid:image001.png@01D84A69.4A734740]Dear colleagues
We have a large number of them throughout our organisation and we are in the process of determining the cleaning requirements.
They are prone to spillages and dust accumulation on the bottom, and have separate storage units.
I would keen to hear from colleagues who are familiar with these medication units and have guidelines around the frequency, how to and who is responsible for the cleaning of these units?
Thankyou.Kind regards
Phillipa Parsons
Infection Prevention and Control
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Hi John,
SA has run a mandatory fit testing program for N95 masks for many years and also donning and doffing auditing.
CALHN developed with Adelaide University training material on donning and doffing which is accessible through the CALHN COVID internet page as well as the SA Health page (links below).
https://www.rah.sa.gov.au/covid19-information-for-calhn-staff/personal-protective-equipment (under extra resources)
https://www.sahealth.sa.gov.au/wps/wcm/connect/public+content/sa+health+internet/conditions/infectious+diseases/covid-19/health+professionals/infection+control+and+ppe (under PPE and infection control education resources)
Across the organisation we have developed a validation process with accredited validators that are multidisciplinary and assess the staff for their donning and doffing technique.
We are happy to share this offline if you email me.Kind Regards
Know the infection risks, share the solutions
Marija Juraja |Nurse Unit Manager CALHN Infection Prevention & Control Unit|
Specialty Medicine 2 RN, GCNS Inf Ctrl, CICP-E)
t: +61 8 7074 2810 (RAH) 8222 7588 (TQEH)| M: 0466 379 821|e:marija.juraja@sa.gov.au |
Adjunct Clinical Lecturer | University of South Australia | Horizon Hospital and Health Service
[cid:image003.jpg@01D82323.ECA7D840]Nurses: A Voice to Lead. A Vision for Future Healthcare.
From: ACIPC Infexion Connexion On Behalf Of John Gemmell
Sent: Wednesday, 16 February 2022 6:57 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: [ACIPC_Infexion_Connexion] resources and training material – donning / doffing PPE and mask fit testingDear Brains Trust,
We are looking to conduct additional staff training on donning / doffing PPE and fit testing p2/ n95 masks. I would appreciate any assistance about resources and training material.
I am aware WA health has initiated a state run training and checking programme with nursing and medical staff. I understand that they are fit testing masks with an attached hose to masks, measuring air flow gradients. I would love to find out more about the methodology being used and what research it is based upon.
Just email me and thank you in advance for your advice.
Kind regards,
John
John Gemmell | IPC Lead | Department Manager
Infection Professionals, Suite 12/531 Hay St, Subiaco WA 6060
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Hi Fiona,
In our Red zone we have full PPE for clinical care with P2/N95, eye protection (add Faceshield if AGB or AGP), gown and gloves.
All other areas its P2/N95 and eye protection. Gown and gloves if MRO or other infectious disease.
All patients are required to wear a surgical mask where possible.
This has significantly decreased our contact tracing in ED from both staff and patients.Kind Regards
Know the infection risks, share the solutions
Marija Juraja |Nurse Unit Manager -CALHN Infection Prevention & Control Unit|
Specialty Medicine 2 RN, GCNS Inf Ctrl, CICP-E)
t: +61 8 7074 2810 (RAH) 8222 7588 (TQEH)| M: 0466 379 821|e:marija.juraja@sa.gov.au |
Adjunct Clinical Lecturer | University of South Australia | Horizon Hospital and Health Service
[cid:image001.jpg@01D81121.13E86560]Hi All,
we are currently reviewing our PPE usage in the Emergency department.
In our COVID / SCOVID area staff are in N95, Protective eyewear, gowns and gloves. In our low risk area staff are also in the same level of PPE but we are reviewing this to determine if the routine PPE should remain at N95 and Protective eyewear with additional gown / gloves for standard / transmission precautions as required.
What are you doing in your facilities?
Kind regards,
Fiona De Sousa CICP-E| Nurse Manager | Infection Prevention & Control Unit
Launceston General Hospital, Level 2, Launceston TAS 7250
phone: 6777 6715 | mobile: 0408 487 197 | fax: 6777 5170 | email: fiona.de.sousa@ths.tas.gov.au |
intranet: http://www.dhhs.tas.gov.au/intranet/thon/infection_controlIPCU – ‘By working together we promote a culture of safety to reduce preventable infections and transmission of multi-resistant organisms’
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living through accreditation this week (my nightmare) same issues!!!
We have scopes that are stored in a vented cupboard that have high level disinfection, yet the surveyor states we have to have them in a airdrying cupboard. The standard doesn’t state that for endoscopes, the GENCA guidelines do though (but they are a guide). We are in the start of major rebuild and in 3 years they will be in a pass through cupboard that meets all of GENCA guidelines! We test our scopes, and we also place an alcohol rinse through them before airdrying and storage hanging. We have a plan and have risk mitigated…I don’t think there is anything more we can spend our $$$ until we move.
I can’t wait until we actually have accredited Standard 3 credentialled ICP ( who truly understand the standard and all it entails) auditing the standard… my dream as a previous president and something I did try and follow through with ACHs.
Kind Regards
Marija Juraja
Nurse ConsultantCALHN Infection Prevention & Control Unit
Division of Acute Medicine (RN, GCNS Inf Ctrl, CICP)
m: 0410 567 385 |e:marija.juraja@sa.gov.au
________________________________Hi Michael
The auditor is correct in that sterile storage for commercial sterile items has always been covered by ASNZS 4187 in the past but it seems to have got lost in the new 2014 edition .
ASNZS 4187 2003 Section 9.1.1 Sterile items states Sterile items shall be stored and handled in a manner that maintains the integrity of packs and prevents contamination from any source. This requirement applies equally to items sterilised in the health care facility AND to sterile items procured from commercial suppliersWe also know that sterile items need to be stored in a designated area so that rules out storage with unsterile items.
Sterile items can so easily be compromised if not in a DESIGNATED and restricted area
( so reduced traffic) with the correct ventilation and humidity etc. So as you know different storage is required for sterile items.
Unsterile items are so often not handled with care and are easily compromised. So we dont want them stored with sterile items.Thanks
Robyn Lawson
OR Consulting Australia
roblily49@gmail.com
0408871624Get Outlook for iOS
________________________________Ive just had my mind blown by an auditor who tells me I cannot store any sterile stock on a shelf with non-sterile stock. I reply by saying that no sterile RMDs are stored on shelves with non-sterile stock, and they say, no ANYTHING that comes sterile should not be on the same shelf with something non-sterile.
Have I missed something? I have always understand that the very specific storage requirements for RMDs did not apply to most commercially sterilised single use items. Sure, there are commercially sterilised disposables that have very specific storage requirements, but the majority of high volume disposable sterile goods can be safely stored on a shelf with non-sterile stock in an appropriately air-conditioned storage room. AS4187 does not cover storage of non-RMDs, correct?
Can someone either tell me I am wrong, and I missed this big time, or that I did not miss anything, and the auditor is incorrect. Or some variation of these.
Help?
Thanks
Michael
Michael Wishart | Infection Control Coordinator, CICP-E
St Vincents Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
M +61 448 954 282 | T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
St Vincents Private Hospital Brisbane | 411 Main Street KANGAROO POINT QLD 4169
M +61 448 954 282 | T +61 7 3240 1208 | F +61 7 3240 1166
E michael.wishart@svha.org.au |[http://i8.cmail19.com/ei/t/6C/F77/A00/141133/csfinal/StaticEmailFooter-SVPHN-Celebrating20Years-650×150-9900000000079e3c.png]
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Hi Liz,
We only undertake perioperative antiseptic body wash the day before and the day of surgery.
Skin prep is undertaken in theatre with 2% chlorhexidine and 70% alcohol at the time of surgery.Kind Regards
Marija Juraja |Nurse Unit Manager -CALHN Infection Prevention & Control Unit|
Specialty Medicine 2 RN, GCNS Inf Ctrl, CICP-E)
t: +61 8 7074 2810 (RAH) 8222 7588 (TQEH)| M: 0466 379 821|e:marija.juraja@sa.gov.au |
Adjunct Clinical Lecturer | University of South Australia | Horizon Hospital and Health Service
[78E5EA10]Hello Everyone
Can those who undertake orthopaedic surgery tell me whether you currently undertake Orthopaedic pre-op skin prep on wards pre theatre. Apparently our sterile drape supplies are restricted.
I was under the impression that this an older discarded practice other than pre-op shower and that skin prep is only conducted immediately pre-op.
Would appreciate your inputWith Thanks
Liz Vanderlinde
Infection Prevention Control Co-ordinator
North West Private Hospital
[Description: hca_luye_logo]
Brickport Road, Burnie TAS 7320, Australia
T +61 3 6432 6005 F +61 3 6431 5766
E liz.vanderlinde@healthecare.com.au W healthecare.com.au
Healthe Care Hospitals are accredited by ACHS NSQHS Standards or ACHS EQuIP National
[Description: achs][Description: equip]
QIC Standards
[Description: qic]
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Hi Cate,
If they drive with ac on fresh air, have their surgical mask on and just roll the window down for the test and back up when finished and go.
I know we have told patients to sit in the back of the car, surgical mask on with the window open, driver side window open and the AC on fresh air (which works okay on normal days, chilly for winter and not tolerable on a hot day). Allows for airflow through the car when driving.
It’s more important that the staff are wearing the correct PPE and distance when undertaking the testing. Plus their exposure time is significantly short.Kind Regards
Marija Juraja |Nurse Unit Manager -CALHN Infection Prevention & Control Unit|
Specialty Medicine 2 RN, GCNS Inf Ctrl, CICP-E)
t: +61 8 7074 2810 (RAH) 8222 7588 (TQEH)| M: 0466 379 821|e:marija.juraja@sa.gov.au |
Adjunct Clinical Lecturer | University of South Australia | Horizon Hospital and Health Service
[cid:image002.jpg@01D653A8.0B7A8BC0]
“Nurses and midwives: clean care is in your hands”HI everyone
Could you let me know what advice you give to members of the public waiting in their car for a COVID-19 test? Do you advise them to have windows up with A/C on fresh air or recycled air? The temp has been in the 40’s here so A/C is essential.
There seems to be 2 differing opinions. Our policy when transporting patients with active TB apart from PPE is to drive with windows down if possible and A/C on fresh air. I support windows up with COVID-19 but am confused about the A/C on recycled.
Any thoughts on his big pressing issue- ha ha
Regards
Cate Coffey
RN BaAScN MPH&TM Grad Cert Infection Control Nursing
Clinical Nurse ManagerCentral Australia Health Service
Department of Health
Northern Territory GovernmentInfection Prevention and Control Unit
Alice Springs Hospital
PO Box 2234, Alice Springs, NT 0871
cate.coffey@nt.gov.aut. 08 8951 7737
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Hi Fiona,
When I was an anesthetic nurse in the late 80-early 90s, our circuits were reusable.
They were made from some sort of rubber black material and were changed between each patient.
We reprocessed them on a thermal disinfection cycle in a Miele and then they were placed into the dryer.
After drying each circuit was checked for integrity and then placed into a sealed clear plastic bag ready for use.
When filters came in, with disposable circuits that’s when we crossed over to completely disposable.Kind Regards
Marija Juraja |Nurse Unit Manager -CALHN Infection Prevention & Control Unit|
Specialty Medicine 2 RN, GCNS Inf Ctrl, CICP-E)
t: +61 8 7074 2810 (RAH) 8222 7588 (TQEH)| M: 0466 379 821|e:marija.juraja@sa.gov.au |
Adjunct Clinical Lecturer | University of South Australia | Horizon Hospital and Health Service
[Image result for 2020 year of the nurses]
“Nurses and midwives: clean care is in your hands”Hi All,
I posted this query earlier in the month without a response, if anyone is able to provide some insight I would be happy for you to email me personally.
In our facility we have been using disposable anaesthetic circuits for a number of years. However with COVID / Pandemic demand there has been a shortage of disposable circuits and the alternative option has been a reusable circuit. I would be interested to hear from other facilities who use the reusable circuits regarding any identified IPC issues / risks and how these have been overcome.
Also if you have the choice is which type of circuit would you prefer and why?
Kind regards,
Fiona De Sousa CICP-E| Nurse Manager | Infection Prevention & Control Unit
Launceston General Hospital, Level 2, Launceston TAS 7250
phone: 6777 6715 | mobile: 0408 487 197 | fax: 6777 5170 | email: fiona.de.sousa@ths.tas.gov.au |
intranet: http://www.dhhs.tas.gov.au/intranet/thon/infection_controlIPCU – ‘By working together we promote a culture of safety to reduce preventable infections and transmission of multi-resistant organisms’
________________________________
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I think this may work for you 🙂
Kind Regards
Marija Juraja |Nurse Unit Manager -CALHN Infection Prevention & Control Unit|
Specialty Medicine 2 RN, GCNS Inf Ctrl, CICP-E)
t: +61 8 7074 2810 (RAH) 8222 7588 (TQEH)| M: 0466 379 821|e:marija.juraja@sa.gov.au |
Adjunct Clinical Lecturer | University of South Australia | Horizon Hospital and Health Service
[Image result for 2020 year of the nurses]
“Nurses and midwives: clean care is in your hands”Hello everyone
I need to find a poster that I can display at the front reception of our hospital that includes of the following:Please do not visit this facility if you have any of the following:
Fever
Respiratory symptoms (e.g. cough, sore throat, shortness of breath)
Gastroenteritis (e.g. vomiting, diarrhoea, nausea)The poster needs to have all of the above in one poster.
Does anyone have a similar poster that I can use?Regards,
Betty Vokolos
Hospital Coordinator
Brunswick Private Hospital
[Description: hca_luye_logo]
82 Moreland Road, Brunswick VIC 3056, Australia
T +61 3 9385 1111 M +61 4 2183 8866 F +61 3 9385 1199
E Betty.Vokolos@healthecare.com.au W healthecare.com.au
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