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Marija Juraja

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  • Marija Juraja
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    Author:
    Marija Juraja

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    marija.juraja@HEALTH.SA.GOV.AU

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    Hi Cath,

    Thank you for your post re the workshop that was held in Adelaide on March 1st. The success of these educational opportunities is in part to the organisation behind the scenes, the facilitator on the day but more importantly, it is due mostly to the enthusiastic attendance of members who want to gain new knowledge, skills and network.

    I would encourage anyone who would be interested in attending/holding a workshop in their state to please contact the college secretary in the first instance directly (admin@acipc.org.au) who will forward your requests onto the chairs of the Education and Research Committee. If anyone is interested (like Cath) in leading or supporting the workshop on the day, please let us know as per above.

    Thank you again Cath for starting the ball rolling through the discussion list and providing such positive feedback to the college and your support.

    Kind Regards

    Marija Juraja
    President ACIPC

    ________________________________

    Hi All,
    I recently flew down to Adelaide to attend the 1 day Workshop by Glenys Harrington.
    The workshop came highly recommended & was excellent.
    On speaking with Glenys & the coordinator of the workshop, if there is enough interest for the Sydney region, a workshop could possibly be arranged.
    I would be happy to do the liaising with ACIPC to help arrange a workshop.
    If people are interested & could let me know I will start the ball rolling.
    I have quite a few clients who would be interested not only from healthcare but also from the building industry.
    Many Thanks

    Cath Wade
    Director
    Healthcare & Infection Prevention

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    in reply to: Hand Hygiene Audio Seminar from IHI #69757
    Marija Juraja
    Participant

    Author:
    Marija Juraja

    Email:
    marija.juraja@HEALTH.SA.GOV.AU

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    To clarify the time reference to Eastern Times this is in reference to US Eastern time:

    The conversion would be 7/3/13, 2pm EST USA is equivalent to 8/3/13 6am EDT Australia.
    I hope that clarifies the error and that you do take an opportunity to listen with an early breakfast!

    Kind Regards

    Marija Juraja |Clinical Service Coordinator (CICP) – Infection Prevention & Control Unit|
    t: +61 8 8222 7588| p:47757| f: +61 8 8222 6461 | DX: 465432 |e:marija.juraja@health.sa.gov.au

    Care Excellence Collaboration Integrity
    GERMS CAN KILL…

    If anyone is interested there is a free audio seminar by the IHI on hand hygiene.

    WIHI is an exciting “talk show” program from the Institute for Healthcare Improvement (IHI). It’s free, it’s timely, and it’s designed to help dedicated legions of health care improvers worldwide keep up with some of the freshest and most robust thinking and strategies for improving patient care.

    Next on WIHI: IHI’s Free Audio Program

    March 7, 2013, 2:00 – 3:00 PM Eastern Time: No Excuses, No Slack! The Latest from the Front Lines on Hand Hygiene

    Featuring:

    Gene H. Burke, MD, Vice President and Executive Medical Director for Clinical Effectiveness, Sentara Healthcare
    Michael Howell, MD, Director of Healthcare Delivery Science, Director of Critical Care Quality, Beth Israel Deaconess Medical Center
    Lisa L. Maragakis, MD, MPH, FSHEA, Director of Hospital Epidemiology and Infection Control, Johns Hopkins Hospital
    Scott A. Miller, MD, FACP, Vice President, Medical Affairs, Sentara Leigh Hospital
    Tom Talbot, MD, MPH, Chief Hospital Epidemiologist, Vanderbilt University Medical Center

    http://www.ihi.org/offerings/VirtualPrograms/WIHI/7March2013HandHygiene/Pages/default.aspx

    ENROLLMENT
    There is no fee for participating in a WIHI program, however registration at http://www.IHI.org is required.

    Kind Regards

    Marija Juraja |Clinical Service Coordinator (CICP) -Infection Prevention & Control Unit|
    Division of Critical Care and Clinical Support
    The Queen Elizabeth Hospital | Central Adelaide Local Health Network
    Level 8 Tower Building | 28 Woodville Road, WOODVILLE SOUTH 5011
    t: +61 8 8222 7588| p: 47757| f: +61 8 8222 6461 | DX: 465432 |e:marija.juraja@health.sa.gov.au
    Care Excellence Collaboration Integrity
    GERMS CAN KILL…

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    in reply to: Fans in clinical areas #69709
    Marija Juraja
    Participant

    Author:
    Marija Juraja

    Email:
    marija.juraja@HEALTH.SA.GOV.AU

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    Hi Michael,

    We have slowly been replacing our blade fans for the bladeless ones.

    Yes they are more expensive but the airflow works differently. They appear to create minimal dust collection and are a much easier system for cleaning. They also are a reduced hazard risk with fingers and hands, etc trying to poke the rotating blades as there are none!. The switch is lower to the ground so again less risk with tampering on the device.

    In areas where large beautiful glass windows from an architect’s point looks great, they can actually create a heat trap where even commercial air-conditioning can’t always work in sustained hot days, hence the use of the bladeless fan!

    Kind Regards

    Marija Juraja |Clinical Service Coordinator (CICP) – Infection Prevention & Control Unit|
    t: +61 8 8222 7588| p:47757| f: +61 8 8222 6461 | DX: 465432 |e:marija.juraja@health.sa.gov.au

    Care Excellence Collaboration Integrity
    GERMS CAN KILL…

    Hi all

    The question of whether we should ban portable fans from clinical areas has raised it head again here. Conventional portable fans have blades enclosed in a cage, which makes it difficult to routinely clean the blades between uses, and dust can build up significantly on the blades themselves.

    A suggestion has been to change our portable conventional fans for ‘air multiplier’ type devices, which are bladeless, and much easier to clean between uses. These are considerable more expensive, so I want to ensure they would be appropriate in clinical settings, especially ICU and oncology, before recommending their purchase.

    Has anyone used these devices (or looked at using) in clinical areas instead of conventional fans yet? If so, were there any clinical issues we need to note?

    Thanks
    Michael

    Michael Wishart
    CNC Infection Control
    Holy Spirit Northside Private Hospital
    627 Rode Road, Chermside, Qld 4032
    t: (07) 3326 3068 | f: (07) 3607 2226
    e: Michael.Wishart@hsn.org.au
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    Marija Juraja
    Participant

    Author:
    Marija Juraja

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    marija.juraja@HEALTH.SA.GOV.AU

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    Hi Lindy,

    I have a procedure which we helped to develop for our urology nurses who use Mitomycin therapy and BCG therapy. Happy to post this via your work email.

    Kind Regards

    Marija Juraja |Clinical Service Coordinator (CICP) – Infection Prevention & Control Unit|
    t: +61 8 8222 7588| p:47757| f: +61 8 8222 6461 | DX: 465432 |e:marija.juraja@health.sa.gov.au

    Care Excellence Collaboration Integrity
    GERMS CAN KILL…

    Dear Colleagues

    we currently perform bladder BCG administration irrigation (using a closed system) as part of therapy for bladder Ca in our cancer care centre here & i am wondering if anyone else out there does this and if so are would you be happy to share with us your cleaning & decontamination process post pt discharge after treatment & any references you may have for this.
    I am just wanting to review out process here (in discussion with our cancer CNC here) as its been a while and we are actually increasing our numbers of pts undergoing this treatment & so just wanted to see if or what may have changed & wondering if anyone out there can help

    Kind regards

    Lindy

    Lindy Ryan

    Clinical Nurse Consultant | Infection Control Services, Nepean Hospital. Nepean Blue Mountains Local Health District PO Box 63 Penrith NSW 2751Tel 02 4734 2228 | Fax 02 4734 2517 | lindy.ryan@swahs.health.nsw.gov.au
    http://www.health.nsw.gov.au

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    Infection prevention & control is everyone’s business

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    01/22/13 – 15:58:17
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    in reply to: Disposable curtains #69627
    Marija Juraja
    Participant

    Author:
    Marija Juraja

    Email:
    marija.juraja@HEALTH.SA.GOV.AU

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    Hi Rita,

    I have had disposable curtains in place across the whole of hospital for over 1-2 years. I have a procedure for disposable curtains also. If you would like to contact me via my email address, I will send it through to you.

    Kind Regards
    Marija Juraja |Clinical Service Coordinator (CICP) – Infection Prevention & Control Unit|
    t: +61 8 8222 7588| p: 47757| f: +61 8 8222 6461 | DX: 465432 |e:marija.juraja@health.sa.gov.au
    Care Excellence Collaboration Integrity
    GERMS CAN KILL…
    —–Original Message—–

    Dear list members,
    Does any of you use disposable curtains in your facility? Do you have a policy or guideline for their use which you might be willing to share?
    Kind regards,
    Rita

    CNC Infection Control | Hornsby & Ku-ring-gai Health Service
    Palmerston Road,
    Tel 02 9477 9232 | Pager 52533|
    rroy@nsccahs.health.nsw.gov.au
    http://www.health.nsw.gov.au

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    Marija Juraja
    Participant

    Author:
    Marija Juraja

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    marija.juraja@HEALTH.SA.GOV.AU

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    Hi Rosie,

    At TQEH we routinely use 4% Chlorhexidine as either a body wash or disposable body wipes for MRSA. Generally successful but it is always dependent on compliance whilst on the treatment, by the client.

    Kind Regards

    Marija Juraja |Clinical Service Coordinator (CICP) – Infection Prevention & Control Unit|
    t: +61 8 8222 7588| p:47757| f: +61 8 8222 6461 | DX: 465432 |e:marija.juraja@health.sa.gov.au

    Care Excellence Collaboration Integrity
    GERMS CAN KILL…

    ________________________________

    Hello

    We have been using 3% hexachlorophene body wash as part of the topical decolonisation therapy for selected MRSA carriers who meet a specific for over 20 years. The supply is no longer available. Suggested alternatives are 1% Triclosan or Chlorhexidene. I wanted to get a feel on what others are using around Australia so hoping you can share the information. It is difficult to measure success but if you have done so it would be great to hear about it.

    Regards
    Rosie
    Rosie Lee
    RN. BSc. CICP
    Coordinator – Infection Prevention & Management
    SMH Service – Royal Perth Hospital

    Ph + 61 8 9224 2805 Fax + 61 8 9224 1989
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    in reply to: Re: Disposable curtains #68738
    Marija Juraja
    Participant

    Author:
    Marija Juraja

    Email:
    marija.juraja@HEALTH.SA.GOV.AU

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    Hi Marlize,

    There is an Australian company that produces these curtains.
    We have had disposable curtains up in our ED for the past 9 months in our fast track area (which can see anywhere up to 100+ patients per day) with only one small tear and a couple of marks that were cleaned with disposable detergent wipe. The curtains can also be joined and cut to size if required.
    This is their website address; http://www.hainesmedical.com.au/index.php?optioncom_content&viewarticle&id102&Itemid62

    Kind Regards
    Marija
    Mrs Marija Juraja
    Clinical Service Coordinator, CICP

    Infection Prevention and Control Unit
    8th Floor
    T: +61 8 8222 7588
    F: +61 8 8222 6461
    P: 47757
    E: marija juraja@health.sa.gov.au

    ________________________________

    Hi Everyone,

    Thank you to everyone that commented on the use disposable curtains.

    Kind regards
    Marlize
    Infection Prevention and Control is Everybody’s Business

    Marlize Senekal
    Infection Prevention and Control Coordinator
    St. Andrew’s War Memorial Hospital
    Wickham Terrace
    Spring Hill, Brisbane
    Ph. (07) 3834 4328
    Ext. 4328, Pager 0328

    ________________________________
    Hi Colette, I have posted this on the list so other may use the info. The ones we trialled were from:
    Biotechnics NZ,
    PO Box 17291;
    Greenlane 1546
    Auckland, NZ Fax +64 9 5248689
    They are called Endurocide. The relevant website is http://www.antimicrobialcurtains.com
    Another company that has a cheaper cost-effective version is the Marlux Disposable Hospital Curtains from (they are also recyclable):
    Global Medics Limited, (Karl Stanner is the person to speak to)
    PO Box 97377,
    42 Andrew Baxter Drive,
    Airport Oaks,
    Auckland 2202, NZ Fax +64 9 9209901
    The relevant information web-site is http://www.marlux.co.uk

    Hope this is useful

    Antony

    “It Just Takes One……….To Make A Difference”
    ________________________________
    Antony M Shannon | CNS | Infection Prevention & Control – Dunedin | Te Tari Arai me te Pupuri Uruta – Otopoti | Southern DHB
    Private Bag 1921, Dunedin 9054, New Zealand | Ext. 9654 | Office: 03 470 9654 | Mob: 027 600 4869 | Fax: 03 470 3876 | antony.shannon@southerndhb.govt.nz

    Hi Anthony,

    Where do you source the supply from was it an Australian or New Zealand company as the ones we were looking at the only rep available was in NZ

    Kind regards

    Colette Chard
    Infection Control Coordinator
    North West Private Hospital
    PO BOX 443
    Everton Park
    QLD 4053

    07 3246 3145 / 3246 3183(Tuesdays)
    email:chardc@ramsayhealth.com.au

    ________________________________

    Hi there, we had these curtains up in our ICU for 12 months with no issues. We replaced them once due to a contact precautions patient being in a side room. As for the antimicrobial factor I am still not sure it works. However they are very good at being able to be sponged clean if a small spillage occurs on them.
    Antony

    “It Just Takes One……….To Make A Difference”
    ________________________________
    Antony M Shannon | CNS | Infection Prevention & Control – Dunedin | Te Tari Arai me te Pupuri Uruta – Otopoti | Southern DHB
    Private Bag 1921, Dunedin 9054, New Zealand | Ext. 9654 | Office: 03 470 9654 | Mob: 027 600 4869 | Fax: 03 470 3876 | antony.shannon@southerndhb.govt.nz

    Good morning Everyone,

    I have a few questions today on disposable curtains and their use in general and Transmission based precaution rooms. The company claims that the curtains in anti-microbial and can hang for up to 12 months, unless contaminated. Does anyone currently uses these curtains in your facilities, and if so:

    1. How often do you change them?
    2. Do you throw them out when a patient gets discharged from a Transmission based precautions room?
    3. If it gets thrown out, do you do it for all organisms, or just for Droplet and Contact spread organisms?

    Thank you
    Marlize
    Infection Prevention and Control is Everybody’s Business

    Marlize Senekal
    Infection Prevention and Control Coordinator
    St. Andrew’s War Memorial Hospital
    Wickham Terrace
    Spring Hill, Brisbane
    Ph. (07) 3834 4328
    Ext. 4328, Pager 0328

    _________________________________________________________________

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    in reply to: Re: Wound Field Concept #68691
    Marija Juraja
    Participant

    Author:
    Marija Juraja

    Email:
    marija.juraja@HEALTH.SA.GOV.AU

    Organisation:

    State:

    Hi Fiona,

    Apologise for taking awhile to respond to this but I needed to get some clarification. I asked my colleagues at University SA what they actually teach students in their course and Terry-Renette Friebe, one of the Uni SA Course lecturers has commented back with this:

    “I have recently been upgrading the literature on the wound program and must be honest didn’t see much about the wound field concept. My understanding of the wound field concept is that the wound and the dressing field are one entity, meaning that the microorganisms on the wound are the same as the dressing tray unless contamination from another source occurs. In regards to Infection control the concept of aseptic technique should still be the same regardless of the wound concept practiced. That is,

    1. good hand washing
    2. if not wearing sterile gloves practicing a non touch technique, and ensuring the part of the forceps and scissors touched by the hands should not be touching the sterile component of the wound field
    3. if wearing sterile gloves than able to touch all components of the wound field but not able to touch non wound field environment
    4. non sterile gloves are treated the same as bare hands.

    To be honest, I would be suggesting the students haven’t understood the concepts and the difference – the wound field concept doesn’t negate the necessity for aseptic technique. I have attached links to a number of sources I found when researching this topic.”

    http://search.informit.com.au/fullText;dn983658278629274;resIELHEA

    http://download.journals.elsevierhealth.com/pdfs/journals/1322-7696/PIIS1322769608604655.pdf

    http://www.sawma.org.au/documents/2007_sawma_wound_cleansing_and_dressing_procedure_nov_07.pdf

    Kind Regards

    Marija
    Mrs Marija Juraja
    Clinical Service Coordinator, CICP

    Infection Prevention and Control Unit
    8th Floor
    T: +61 8 8222 7588
    F: +61 8 8222 6461
    P: 47757
    E: marija juraja@health.sa.gov.au

    —–Original Message—–

    Hi Fiona

    I recall the work of Tal Ellis from the Uni of SA which proposed this concept for the management of long term, chronic wounds. My understanding was that is was not really suited to acute trauma or surgical wounds. I don’t have any sources to cite for this, sorry, just what I recall of previous discussions.

    I must admit I am surprised to hear universities teaching this concept for all wound care. Would be interested to hear if this is a widespread component of university training programs now.

    Cheers
    Michael

    Michael Wishart | GPH – Infection Control Coordinator

    GPH – Quality & Safety Unit (Infection Control) | Greenslopes Private Hospital
    Newdegate Street, Greenslopes QLD 4120
    t: 07 3394 7919 | f: 07 3394 7985
    e: WishartM@ramsayhealth.com.au | w: http://www.ramsayhealth.com.au

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    Hi All,

    I was recently introduced to the wound field concept by a new graduate nurse who had failed her aseptic non touch technique competency as she was using the wound field concept that she was taught at her university.

    Although I can find theoretical information on this concept I have not found any research to show that this is a clinically better practice than using an ANTT. It does not appear to be included in the latest Australian Infection Control Guidelines or the new national standards either.

    Does anyone have any references to support the wound field concept especially in relation to reduction in HAI rates?
    Does anyone use this concept in their facility?

    Kind Regards,

    Fiona De Sousa
    Infection Prevention & Control Coordinator
    Sydney Adventist Hospital
    Fiona.Desousa@sah.org.au
    185 Fox Valley Road, Wahroonga, NSW, 2076

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    in reply to: Theatre,building and the air #68236
    Marija Juraja
    Participant

    Author:
    Marija Juraja

    Email:
    marija.juraja@HEALTH.SA.GOV.AU

    Organisation:

    State:

    Hi Melinda

    We do a similar approach to what Michael has taken with regards to using settle plates to verify the air quality, except we did this post remodelling (cost factor). We also ensure the area being remodelled is completely sealed, staff working in the environment wear theatre blues and we used a portable double HEPA filter machine that ensures as much as possible, the air coming into the theatre environment is as clean as possible.

    We also had our ICLN in theatre do daily cleaning checks and we had enhanced cleaning with a detergent/disinfectant combined solution to reduce the risk of any further environmental contamination. If any issues were identified we discussed this immediately with the theatre staff and the builders.

    Our theatres were still running while the work was going on. Our post whole of theatre cleaning and settle plates returned a clean slate and reassured the staff that the environment was clean.

    Hope this helps.

    Marija
    Mrs Marija Juraja
    Clinical Service Coordinator (CICP)

    Infection Prevention and Control Unit

    —–Original Message—–

    My Facility is currently planning to close a part of the Operating Theatre down to do some renovations. The hospital executive have asked me to devise an “air quality” program. Can anyone share their experience or steer me in the right direction.

    Melinda Griffiths
    CNC Infection Control
    Alice Springs Hospital
    08 89517737

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