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Hi Fiona,
We have had a VAS Team for the past 6 months and are now waiting on our new CEO to see if we can have the team permanently .
We partially modelled it on the Princess Alexander Hospital in Queensland but with the some changes.
Happy to share resources, J&P etc just email me off line and will get back to you on Monday.Merry Christmas and Happy New Year to everyone 🙂
Kind Regards
Marija Juraja |Nurse Unit Manager -CALHN Infection Prevention & Control Unit|
Division of Acute Medicine (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 | Division of Health Sciences
[cid:image001.jpg@01D4988C.FCB94270] [cid:image003.png@01D492DB.015F8F80]Hi All,
We are exploring the concept of a nurse led Vascular Access Team. I was hoping there may be some wise people out there who are willing to share their experience with the setting up of such a team or else to provide contact details of someone we can speak with.
Happy for you to email me personally with details.
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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Hi Janine,
The Centers for Disease Control. Guidelines for Preventing the Transmission of Mycobacterium tuberculosis in Health-Care Settings, MMWR Recommendations and Reports. 2005; 54 (17):1-141 has a good table.
It depends on the air exchanges as to when its free of 99.9% of contaminants.
With 12 to 15 air exchanges we say 30 minutes before its safe for staff to enter and clean without wearing a mask.[cid:image001.gif@01D3A1C1.C6529FA0]
Kind Regards
Marija Juraja |Nurse Unit Manager -CALHN Infection Prevention & Control Unit|
Division of Acute Medicine (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 | Division of Health Sciences
[cid:image002.jpg@01D3A1C1.C6529FA0]Hi,
Just a Friday afternoon question:
Can anyone provide me with evidence in regards to how long we should leave a room prior to cleaning an airborne precaution room
o In our local procedure we have 2 hours
However, I thought that had been decreased to 30minutes
o I’m aware of the airchanges etc in our negative pressure rooms but this query has come from our Emergency Department.
Any help greatly appreciatedRegards
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]
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Apologies please find attached the trolley picture.
Kind Regards
Marija Juraja |Nurse Unit Manager -CALHN Infection Prevention & Control Unit|
Division of Acute Medicine (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 | Division of Health Sciences
[cid:image001.jpg@01D38AB3.EF211C60]Hi Lindy,
We have built 40 Technical Suites at the new RAH which can adapt to any type of surgery.
Specific suites have had certain technical equipment built in to them accommodate their complex surgeries.
With regard to sterile stock equipment the suites are divided into 10 and there is a shared surgical sterile stores between each 10 Tech Suites.
The specialities i.e. Vascular, Cardiology etc have movable case carts as per below. The same with storage of sterilised scopes as they are in portable trolleys.
They have a cleaning schedule and are the responsibility of the team to manage.
This has removed any issues with regard to cabinetry and made the suites larger. It also means workflows have had to change and it limits hoarding of equipment.
I hope that helps Lindy.[cid:image003.jpg@01D2B9BC.B7CA14B0]
Kind RegardsMarija Juraja |Nurse Unit Manager -CALHN Infection Prevention & Control Unit|
Division of Acute Medicine (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 | Division of Health Sciences
[cid:image003.jpg@01D38AB3.EF211C60]Hello to you all & Happy 2018 !!!!
Just reaching out for some thoughts / experience others who may have built new Operating theatres (we are building 4 new ones to add to our existing 8) and one of these 4 new theatres will also have capacity be an interventional suite for vascular surgery (it will not be a dedicated room though)
In previous times when building new operating theatres I have not been in support for the inclusion of the installation of additional permanent cabinets with horizontal and vertical dust collecting surfaces etc for the storage of catheters / vascular access devices to be permanently stored within this room with Interventional capacity that will be located within the operating suite…………
My interest is around considerations that due the nature of our operating rooms needing to be multi purposed (especially in regional areas where we can be limited with our OT room availability and not have the luxury of spare rooms) & given the need for all of our operating rooms to be able to be used for all types of surgery & they must be able ready , easy to clean & adaptable for all types of surgery …not just dedicated to one type (interventional).
In previous times when I have worked elsewhere we have been able to provide the additional vascular equipment on specialized covered mobile trolleys so they can be moved in & out of the Operating room as may be required when the room is required for other types of surgery
Anyhow I am getting a bit of a pushback from some of our surgeons who are insisting that it is the norm to build interventional rooms within the OT complex with the additional cabinetry built in on the walls for vascular equipment and that they MUST have this layout and not having this will disadvantage them and potentially the patient. Also this will help with storage of sterile stock issues for this new build given there is not much
So I am wondering what others may have done / considered in building their new operating theaters which may have included capacity for interventional technology and if I am being too restrictive / old school / behind the times etc in not feeling OK / comfortable Infection control wise that we would be doing what best to reduce cross infection transmission risks with supporting the building in of permanent cabinets & creating additional surfaces etc etc into a new operating theatre design as part of the instillation of the interventional technology …….. When we have no consideration for increasing cleaning staff , cleaning times or cleaning processes at this time ?
Its just not sitting right with me at this time…but I am torn …hence your thoughts/ advice most welcome…. Where is & what is the risk in 2018 and beyond in this instance??
Many thanks
Lindy
Below advice from HI AHFG team regarding storage within 75m2 theatre
Wires/catheters are usually stored within hanging cabinets (FF-73931 Specialist Catheter Cabinets) within the theatre however the preferred model needs to be confirmed with Users. The AusHFG Standard Component for cath labs also includes hanging storage for catheters within the room as below.[cid:image001.png@01D3895A.B3560F60]
Lindy Ryan
District Infection Prevention & Control CNC | Clinical Governance Unit MNCLHD
Level 1 Coffs Specialist Centre, Pacific Hwy, Coffs Harbour
Mob 0419 990 693 | lindy.ryan@ncahs.health.nsw.gov.au
http://www.health.nsw.gov.au[http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Mid-North-Coast-LHD.jpg]
“Wise and humane management of the patient is the best safeguard against infection”
(Florence Nightingale Circa 1860)________________________________
This message is intended for the addressee(s) named and may contain confidential information. If you are not the intended recipient, please delete the message and any attachments and notify the sender. Views expressed in this message are those of the individual sender, and are not necessarily the views of NSW Health or any of its entities.
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
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Hi Lindy,
We have built 40 Technical Suites at the new RAH which can adapt to any type of surgery.
Specific suites have had certain technical equipment built in to them accommodate their complex surgeries.
With regard to sterile stock equipment the suites are divided into 10 and there is a shared surgical sterile stores between each 10 Tech Suites.
The specialities i.e. Vascular, Cardiology etc have movable case carts as per below. The same with storage of sterilised scopes as they are in portable trolleys.
They have a cleaning schedule and are the responsibility of the team to manage.
This has removed any issues with regard to cabinetry and made the suites larger. It also means workflows have had to change and it limits hoarding of equipment.
I hope that helps Lindy.[cid:image003.jpg@01D2B9BC.B7CA14B0]
Kind RegardsMarija Juraja |Nurse Unit Manager -CALHN Infection Prevention & Control Unit|
Division of Acute Medicine (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 | Division of Health Sciences
[cid:image004.jpg@01D38A01.ABF84010]Hello to you all & Happy 2018 !!!!
Just reaching out for some thoughts / experience others who may have built new Operating theatres (we are building 4 new ones to add to our existing 8) and one of these 4 new theatres will also have capacity be an interventional suite for vascular surgery (it will not be a dedicated room though)
In previous times when building new operating theatres I have not been in support for the inclusion of the installation of additional permanent cabinets with horizontal and vertical dust collecting surfaces etc for the storage of catheters / vascular access devices to be permanently stored within this room with Interventional capacity that will be located within the operating suite…………
My interest is around considerations that due the nature of our operating rooms needing to be multi purposed (especially in regional areas where we can be limited with our OT room availability and not have the luxury of spare rooms) & given the need for all of our operating rooms to be able to be used for all types of surgery & they must be able ready , easy to clean & adaptable for all types of surgery …not just dedicated to one type (interventional).
In previous times when I have worked elsewhere we have been able to provide the additional vascular equipment on specialized covered mobile trolleys so they can be moved in & out of the Operating room as may be required when the room is required for other types of surgery
Anyhow I am getting a bit of a pushback from some of our surgeons who are insisting that it is the norm to build interventional rooms within the OT complex with the additional cabinetry built in on the walls for vascular equipment and that they MUST have this layout and not having this will disadvantage them and potentially the patient. Also this will help with storage of sterile stock issues for this new build given there is not much
So I am wondering what others may have done / considered in building their new operating theaters which may have included capacity for interventional technology and if I am being too restrictive / old school / behind the times etc in not feeling OK / comfortable Infection control wise that we would be doing what best to reduce cross infection transmission risks with supporting the building in of permanent cabinets & creating additional surfaces etc etc into a new operating theatre design as part of the instillation of the interventional technology …….. When we have no consideration for increasing cleaning staff , cleaning times or cleaning processes at this time ?
Its just not sitting right with me at this time…but I am torn …hence your thoughts/ advice most welcome…. Where is & what is the risk in 2018 and beyond in this instance??
Many thanks
Lindy
Below advice from HI AHFG team regarding storage within 75m2 theatre
Wires/catheters are usually stored within hanging cabinets (FF-73931 Specialist Catheter Cabinets) within the theatre however the preferred model needs to be confirmed with Users. The AusHFG Standard Component for cath labs also includes hanging storage for catheters within the room as below.[cid:image001.png@01D3895A.B3560F60]
Lindy Ryan
District Infection Prevention & Control CNC | Clinical Governance Unit MNCLHD
Level 1 Coffs Specialist Centre, Pacific Hwy, Coffs Harbour
Mob 0419 990 693 | lindy.ryan@ncahs.health.nsw.gov.au
http://www.health.nsw.gov.au[http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Mid-North-Coast-LHD.jpg]
“Wise and humane management of the patient is the best safeguard against infection”
(Florence Nightingale Circa 1860)________________________________
This message is intended for the addressee(s) named and may contain confidential information. If you are not the intended recipient, please delete the message and any attachments and notify the sender. Views expressed in this message are those of the individual sender, and are not necessarily the views of NSW Health or any of its entities.
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
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Refer to the latest joint guidelines from ACIPC and ASUM with regard to the use of disposable high level disinfectant wipes.
Kind Regards
Marija Juraja |Clinical Service Coordinator -CALHN Infection Prevention & Control Unit|
Division of Acute Medicine (RN, GCNS Inf Ctrl, CICP-E)
t: +61 8 8222 4527(RAH) 8222 7588 (TQEH)| m: 0466 379 821|e:marija.juraja@sa.gov.au |web: IPCU Intranet Site and Resources
Adjunct Clinical Lecturer | University of South Australia | Division of Health Sciences
[cid:image002.png@01D230F7.D4B2D1F0] [cid:image001.jpg@01CF74C9.73C91440]Hi Glenys,
I was meaning for an unltrasound probe,
Cheers Christine
Christine Taylor,
Network Manager,
Sterilising Services,
Coffs Clinical Network,
Coffs Harbour Base Hospital[Description: Description: Copy of MNCLHD logo no background colour – Copy]
Hi Christine,
Do you mean for disinfection of devices or disinfection of the environment?
Regards
Glenys
Glenys Harrington
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
E: infexion@ozemail.com.auHello Everyone,
Does anyone have any information or evidence to say that wipes used for disinfection are effective? I had thought they were unreliable for several reasons, including operator actions which could be insufficient. I will be interested to hear comments ,as there has been a small suggestion they might be used here,
Regards, Christine
Regards, Christine
Christine Taylor,
Network Manager,
Sterilising Services,
Coffs Clinical Network,
Coffs Harbour Base Hospital[Description: Description: Copy of MNCLHD logo no background colour – Copy]
________________________________
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________________________________
This message is intended for the addressee(s) named and may contain confidential information. If you are not the intended recipient, please delete the message and any attachments and notify the sender. Views expressed in this message are those of the individual sender, and are not necessarily the views of NSW Health or any of its entities.
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Hi all,
I do agree, but we also have to be open to new products on the market that may actually far exceed and meet the needs of the build.
I would be asking for the technical data, independent evidence regarding the antimicrobial performance.
Take into account that if the product can tolerate the harshest chemicals like bleach and you can use a vaporised product to disinfect, why would you need the antimicrobial plaster.
Possibility- for additional insurance/reassurance if the cleaning wasn’t being done as you would have expected or that it has an ongoing residual effect on the bioburden in the room.
These types of products also have a prolonged kill time of up to 72 hours, so it’s not instant.
The guidelines are a great resource for ICPs ( I know I use them all the time) but we also need to be mindful that things change and they are a guide.
Just my thoughts….Kind Regards
Marija Juraja |Clinical Service Coordinator -CALHN Infection Prevention & Control Unit|
Division of Acute Medicine (RN, GCNS Inf Ctrl, CICP-E)
t: +61 8 8222 4527(RAH) 8222 7588 (TQEH)| m: 0466 379 821|e:marija.juraja@sa.gov.au |web: IPCU Intranet Site and Resources
Adjunct Clinical Lecturer | University of South Australia | Division of Health Sciences
[cid:image002.png@01D230F7.D4B2D1F0] [cid:image001.jpg@01CF74C9.73C91440]No point having a National standard that we have all waited for for so long, and not use it. If we let architects dictate the terms we are not in a good place.
We are providing health care not a sound booth…
Thanks
MichelleMichelle Bibby
Infection Prevention Australia
Michelle@infectionprevention.com.au
+429071165
[cid:7815855E-5747-41E2-8873-78E10553939F]Dear All,
At Western Health in Victoria we are building a new Women’s and Children’s hospital. The Australian Health Facility Guidelines recommend for nurseries (we plan for level 2 and 3 NICU) ‘monolithic from wall to wall without fissures, open joints or crevices that may retain or permit the passage of dirt particles.’There seems to be is a move away these guidelines and the use of solid plasterboard in ICUs and NICUs mainly for the sake of acoustics and the architects want to use a flush plasterboard perimeter with antimicrobial performance mineral fibre tiles in the NICU ceiling.
I am a bit sceptical on the antimicrobial claims and don’t like to defer from the current guidelines which are clear about the use of tiles. Does anyone have any information or opinion to share?
Regards,
RichardRichard Bartolo
Manager Infection Prevention
Western Health
Gordon Street, Footscray VIC 3011
Ph. 03 8345 6113
Mob. 0438 560 441
Email. richard.bartolo@wh.org.au
Web. http://www.westernhealth.org.au[2010wh_logo]
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Hi Cate,
We have done various builds and this is a picture of the system we used. It’s a negative pressure double hepa filtered portable system contained within a door cavity with dust mats on exit. It has been used widely in most of our renovation work especially in high risk areas like Operating Theatres and ICU.
Kind Regards
Marija Juraja |Clinical Service Coordinator -CALHN Infection Prevention & Control Unit|
Division of Acute Medicine (RN, GCNS Inf Ctrl, CICP)
t: +61 8 8222 4527(RAH) 8222 7588 (TQEH)| m: 0466 379 821|e:marija.juraja@sa.gov.au |web: IPCU Intranet Site and ResourcesThanks everyone for your advice
Cate Coffey | Clinical Nurse Consultant
Infection Prevention and Control Unit | Central Australia Health Service
Northern Territory Government
Alice Springs Hopsital, Gap Rd, Alice Springs
GPO Box 2234, Suburb, NT Postcode
p … 08 89517737
e … cate.coffey@nt.gov.au http://www.nt.gov.au/healthOur Vision: Better health outcomes for all Central Australians
Our Values: Community at the Centre | Equity and Integrity | We are Accountable | We are Relevant Today and Ready for Tomorrow | We are Committed to High Quality Care | We Value our PartnershipsCentral Australia Health Service is a Smoke Free Workplace
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Hi everyone,
I am trying to manage construction dust from the new ICU build- yes the same one as the jumbo toilet rolls- I am having an issue with dusty footprints in the hallway and lift near the construction zone. The wards close to the zone include Renal Dialysis, Maternity, NICU and ICU The contractors regularly mop the hallway etc but the issue is the dust leaving the zone. In the Zone there is a long piece of carpet leading to door and just before the door is another sticky matt. There is also a rubber matt outside the door. There is a sign about wiping feet etc. It is clear that these are not enough, can anyone give me some ideas on the best way to manage this. We have a good working relationship with the contractors and should be able to resolve this issue. Are there better products the contractors can purchase to prevent this dust be transported
Thanks in advance
Cate Coffey | Clinical Nurse Consultant
Infection Prevention and Control Unit | Central Australia Health Service
Northern Territory Government
Alice Springs Hopsital, Gap Rd, Alice Springs
GPO Box 2234, Suburb, NT Postcode
p … 08 89517737
e … cate.coffey@nt.gov.au http://www.nt.gov.au/healthOur Vision: Better health outcomes for all Central Australians
Our Values: Community at the Centre | Equity and Integrity | We are Accountable | We are Relevant Today and Ready for Tomorrow | We are Committed to High Quality Care | We Value our PartnershipsCentral Australia Health Service is a Smoke Free Workplace
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Yes I do Joe-Ann. See attached.
The form is currently being modified slightly to work across our network and sites.Kind Regards
Marija Juraja |Clinical Service Coordinator CALHN Infection Prevention & Control Unit|
Division of Acute Medicine (RN, GCNS Inf Ctrl, CICP)
t: +61 8 8222 7588| p: 47757| m: 0410 567 385 |e:marija.juraja@health.sa.gov.auThis email may contain confidential information, which also may be legally privileged. Only the intended recipient(s) may access , use, distribute or copy this email. If this email is received in error, please inform the sender by return email and delete the original. If there are doubts about the validity of this message, please contact the sender by telephone. It is the recipient’s responsibility to check the email and any attached files for viruses.
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Joe-Anne Bendall
Sent: Monday, 21 September 2015 8:06 AM
To: AICALIST@AICALIST.ORG.AU
Subject: [ACIPC_Infexion_Connexion] IV Cannula Insertion, checking, removal and VIP Score FormGood morning everyone
Does anyone have a form they use for insertion of IV cannula(s), shift checking sign off, recording of VIP score and removal dates? Are you will to share the form?
Thanks
Joe-Anne Bendall
Joe-Anne Bendall
Clinical Nurse Consultant Infection Prevention and Control
Monday Friday 0730 – 1600
Sydney Hospital and Sydney Eye Hospital
8 Macquarie St
SYDNEY NSW 2000
| ph +61 2 9382 7199 |page 22070 via switch 9382 7111| 7 Fax 93827510 |
Mobile 0418984255 | Joe-anne.Bendall@SESIAHS.HEALTH.NSW.GOV.AU———————————————————————————————
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Hi John,
The NHMRC released a pocket booklet in 2014 including some practical posters and fact sheets for residents and families.
https://www.nhmrc.gov.au/guidelines-publications/d1034
We use this and our current state guidelines.Kind Regards
Marija Juraja |Clinical Service Coordinator CALHN Infection Prevention & Control Unit|
Division of Acute Medicine (RN, GCNS Inf Ctrl, CICP)
t: +61 8 8222 7588| p: 47757| m: 0410 567 385 |e:marija.juraja@health.sa.gov.auThis email may contain confidential information, which also may be legally privileged. Only the intended recipient(s) may access , use, distribute or copy this email. If this email is received in error, please inform the sender by return email and delete the original. If there are doubts about the validity of this message, please contact the sender by telephone. It is the recipient’s responsibility to check the email and any attached files for viruses.
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of John Ferguson
Sent: Friday, 24 July 2015 2:09 PM
To: AICALIST@AICALIST.ORG.AU
Subject: [ACIPC_Infexion_Connexion] Inf control guidelines and resources for RACFDear All
Wed be interested to know what people are using ! Our existing resource was developed > 10 years ago
Thanks
John
Dr John Ferguson MBBS DTM&H FRACP FRCPA
Director, Infection Prevention Service | Hunter New England Health
Microbiologist | Hunter Area Pathology, Pathology North, NSW Pathology
Infectious Diseases Physician | Immunology and Infectious Diseases Unit
John Hunter Hospital, Locked Bag 1, Newcastle Mail Centre, NSW 2310, Australia
Tel 61 2 49214444 | Fax 61 2 49214440 | Mobile +61428 885573 (Speed Dial 67607) | Tw @mdjkfFollow http://www.aimed.net.au, a new HNE Health/Pathology North discussion site for continuously updated important information about antibiotics and their use.
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Hi Rita,
We do and I am happy to share this with you off line.
Kind Regards
Marija Juraja |Clinical Service Coordinator -CALHN Infection Prevention & Control Unit|
Division of Acute Medicine (RN, GCNS Inf Ctrl, CICP)
t: +61 8 8222 7588| p: 47757| m: 0410 567 385 |e:marija.juraja@health.sa.gov.auThis email may contain confidential information, which also may be legally privileged. Only the intended recipient(s) may access , use, distribute or copy this email. If this email is received in error, please inform the sender by return email and delete the original. If there are doubts about the validity of this message, please contact the sender by telephone. It is the recipient’s responsibility to check the email and any attached files for viruses.
Dear All,
If this procedure is carried out in your facilities, what sort of Infection Control meadsures do you institute? Do you have any policies or documents to support it and are willing to share?
Many thanks in advance,
Rita
Rita RoyClinical Nurse Consultant | Infection Control
Hornsby Ku ring gai Health Service, Palmerston Road, Hornsby NSW 2076
Tel (02) 9477 9232 | Fax (02) 9477 9013 Rita.Roy@health.nsw.gov.au
http://www.health.nsw.gov.auClick here to visit the Infection Prevention and Control page on the Intranet
[cid:image001.jpg@01D0B997.8D877750][cid:image002.jpg@01D0B997.8D877750]
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