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Michael Wishart

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  • Avatar photoMichael Wishart
    Participant

    Author:
    Michael Wishart

    Position:
    Infection Control Coordinator

    Organisation:
    St Vincent's Private Hospital Northside

    State:
    QLD

    [Cross-posting from Infexion Connexion – Moderator]

    Hello all,

    I am also interested in this for ALL STAFF as I am working on a Quality improvement project for cleaning in our Hospital which has Aged Care and a Medical Clinic attached.

    Kind regards,

    Judith Penman

    Infection Control Coordinator
    Phone: 0260763296

    Email: Judith.Penman@corryonghealth.org.au

    20 Kiell Street

    Corryong
    VIC

    “Together, Strengthening the Health of Our Community”

    Corryong Health acknowledges the traditional owners of this land on which we stand and pay our respects to the elders, past, present and future, for
    they hold the memories, the traditions and the culture of all Aboriginal and Torres Strait Islander people.

    .

    This communication is intended only to be read or used by the addressee. The information contained in this communication may be confidential information. If you are not the intended recipient, any use, interference with, distribution,
    disclosure or copying of this material is unauthorised and prohibited. The confidentiality attached to this communication is not waived or lost by reason of the mistaken delivery to you. If you have received this communication in error,
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    Michael Wishart
    Infection Control Coordinator
    St Vincent's Private Hospital Northside & St Vincent's Private Hospital Brisbane
    Brisbane, QLD
    michael.wishart@svha.org.au

    in reply to: Out of Date PPE Items #92103
    Avatar photoMichael Wishart
    Participant

    Author:
    Michael Wishart

    Position:
    Infection Control Coordinator

    Organisation:
    St Vincent's Private Hospital Northside

    State:
    QLD

    [Cross-posting from Infexion Connexion – Moderator]

    Agree with Vanessa, Risk assessed and used if the risk of transfer of infection is low , however not using expired or damaged RATs

    Rhonda Schatz
    National Infection Prevention & Control Advisor
    P +61293248720 | F 02 8241 1690 | M +61418118943
    W http://www.opalhealthcare.com.au

    Michael Wishart
    Infection Control Coordinator
    St Vincent's Private Hospital Northside & St Vincent's Private Hospital Brisbane
    Brisbane, QLD
    michael.wishart@svha.org.au

    in reply to: Out of Date PPE Items #92095
    Avatar photoMichael Wishart
    Participant

    Author:
    Michael Wishart

    Position:
    Infection Control Coordinator

    Organisation:
    St Vincent's Private Hospital Northside

    State:
    QLD

    [Cross-posting form Infexion Connexion – Moderator]

    Hi Vanessa,

    Thank you so much for sharing your inputs on how you managed your expired PPEs and all that. This is of much help. I agree it may not be the best practice but this is better than not doing anything and dealing with too much unwanted wastage. The management of all expired PPE and how you approach it now lies to the organisation itself, I believed.

    Thank you again. Much appreciated 🙂

    Best regards,
    Wadin Caneda
    RN Div 1
    IPC Nurse Lead / ANUM

    Euroa Health, 36 Kennedy Street Euroa VIC 3666
    PO Box 126 Euroa VIC 3666
    T +61 3 5795 0200  ❘ wadin.caneda@euroahealth.com.au

    Michael Wishart
    Infection Control Coordinator
    St Vincent's Private Hospital Northside & St Vincent's Private Hospital Brisbane
    Brisbane, QLD
    michael.wishart@svha.org.au

    in reply to: Out of Date PPE Items #92069
    Avatar photoMichael Wishart
    Participant

    Author:
    Michael Wishart

    Position:
    Infection Control Coordinator

    Organisation:
    St Vincent's Private Hospital Northside

    State:
    QLD

    [Cross-posting from Infexion Connexion – Moderator]

    Hi Wandin
    We have applied a risk-based approach to expired PPE.

    For example:
    1) Nitrile gloves
     have been put into general circulation for use when vinyl gloves would normally have been used.
     Risk = same as using vinyl gloves for standard precautions.
     Rationale = stock is in good condition (ie: not water or heat damaged, packaging is intact), and reduces environmental impact (not discarding just because of an expiry date).
    2) Shields
     Still in use for outbreaks despite any potential expiry date.
     Risk = what impact would an expiry date have on the quality of the product?
     Rationale = stock is in good condition (ie: not water or heat damaged, packaging is intact). Suspect impact to staff is low if used out of date but remains in good (new) condition. Consideration to environmental impact (not just discarding because of an expiry date).
    3) Gowns
     Still in use for any type of outbreak despite any potential expiry date.
     Risk = What is the actual percentage of transmission of a microorganism via clothing which has become contaminated due to an out of date gown? OR are we just talking a theoretical possibility.
     Rationale = stock is in good condition (ie: not water or heat damaged, packaging is intact), and impact to staff low if used out of date but remain in good (new) condition. Staff are going home, changing, and washing clothes at end of each shift. Reduction of environmental impact (not just discarding because of an expiry date).
     This one is probably the most controversial, however the risk of transference would be low versus negligible if new and in date.
    4) N95 masks
     Not an issue, ours are all in date.
    5) RATs
     We have discarded cartons and cartons of test kits.
     Risk = if an out-of-date RAT is used and incorrectly gives a negative result, thus the person enters the facility, spread and subsequently infect residents and staff resulting in an outbreak.
     Rationale = they have a preservative which will wane in effectiveness over time and strict storage requirements cannot have been guaranteed (ie: power failure etc) they have been discarded.

    Hope this helps.
    I know my response will be seen as NOT best practice, but this is what is really happening.

    Vanessa Watkins
    RN, Quality Manager & IPC Lead
    Donwood Community & Aged Care Services
    11 Diana Street, Croydon 3136
    9845 8509 (Mon – Thur)
    vwatkins@donwood.com.au
    http://www.donwood.com.au

    Michael Wishart
    Infection Control Coordinator
    St Vincent's Private Hospital Northside & St Vincent's Private Hospital Brisbane
    Brisbane, QLD
    michael.wishart@svha.org.au

    Avatar photoMichael Wishart
    Participant

    Author:
    Michael Wishart

    Position:
    Infection Control Coordinator

    Organisation:
    St Vincent's Private Hospital Northside

    State:
    QLD

    [Cross-posting from Infexion Connexion – Moderator]

    Education for Cleaning Staff in Residential Aged Care

    Hi All

    I would be interested in this both for cleaning staff and for clinical staff.

    Kind regards
    Penny Birchmore
    National Infection Prevention and Control coordinator, garrison health.
    pcbirchmore@GMAIL.COM

    Michael Wishart
    Infection Control Coordinator
    St Vincent's Private Hospital Northside & St Vincent's Private Hospital Brisbane
    Brisbane, QLD
    michael.wishart@svha.org.au

    in reply to: double bagging of instruments #81409
    Avatar photoMichael Wishart
    Participant

    Author:
    Michael Wishart

    Position:
    Infection Control Coordinator

    Organisation:
    St Vincent's Private Hospital Northside

    State:
    QLD

    Michael Wishart
    Infection Control Coordinator
    St Vincent's Private Hospital Northside & St Vincent's Private Hospital Brisbane
    Brisbane, QLD
    michael.wishart@svha.org.au

    in reply to: #20285
    Avatar photoMichael Wishart
    Participant

    Author:
    Michael Wishart

    Position:
    Infection Control Coordinator

    Organisation:
    St Vincent's Private Hospital Northside

    State:
    QLD

    How can I add attachments? Or can’t I?

    Michael Wishart
    Infection Control Coordinator
    St Vincent's Private Hospital Northside & St Vincent's Private Hospital Brisbane
    Brisbane, QLD
    michael.wishart@svha.org.au

    in reply to: To empty or not to empty pans pre sanitizing? #78116
    Avatar photoMichael Wishart
    Participant

    Author:
    Michael Wishart

    Position:
    Infection Control Coordinator

    Organisation:
    St Vincent's Private Hospital Northside

    State:
    QLD

    [Posted in the wrong thread, so I am fixing it – Moderator]

    Actually, I would suggest it depends on the pan flusher / sanitiser used, and the ability of the waste stream to manage soiling. Not necessarily one size fits all. Check with the pan flusher/sanitiser manufacturer and with your local maintenance/engineering team to ensure this will not cause problems. Those facilities using local septic systems may-have more problematic scenarios around this.

    Cheers

    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 |
    W https://www.svphn.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 |
    W https://www.svphb.org.au

    MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

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    Michael Wishart
    Infection Control Coordinator
    St Vincent's Private Hospital Northside & St Vincent's Private Hospital Brisbane
    Brisbane, QLD
    michael.wishart@svha.org.au

    in reply to: masks during gastroscopy #76667
    Avatar photoMichael Wishart
    Participant

    Author:
    Michael Wishart

    Position:
    Infection Control Coordinator

    Organisation:
    St Vincent's Private Hospital Northside

    State:
    QLD

    Michael Wishart
    Infection Control Coordinator
    St Vincent's Private Hospital Northside & St Vincent's Private Hospital Brisbane
    Brisbane, QLD
    michael.wishart@svha.org.au

    Avatar photoMichael Wishart
    Participant

    Author:
    Michael Wishart

    Position:
    Infection Control Coordinator

    Organisation:
    St Vincent's Private Hospital Northside

    State:
    QLD

    Oh and PLEASE DO NOT CLICK THE LINK in the spam email. I doubt it is riches you will get.. .
    Cheers
    Michael Wishart
    ACIPC Infexion Connexion Administrator

    Sent from my Android device with K-9 Mail. Please excuse my brevity.

    On 17 November 2015 1:32:17 pm AEST, “F.Johnson” wrote:
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    MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

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    Oh and PLEASE DO NOT CLICK THE LINK in the spam email. I doubt it is riches you will get.. .
    Cheers
    Michael Wishart
    ACIPC Infexion Connexion Administrator

    Sent from my Android device with K-9 Mail. Please excuse my brevity.

    On 17 November 2015 1:32:17 pm AEST, "F.Johnson" <Johnson_Amelia@ALLSTARSTATS.COM> wrote:

    Online Bot will bring you wealth and satisfaction.
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    Michael Wishart
    Infection Control Coordinator
    St Vincent's Private Hospital Northside & St Vincent's Private Hospital Brisbane
    Brisbane, QLD
    michael.wishart@svha.org.au

    Avatar photoMichael Wishart
    Participant

    Author:
    Michael Wishart

    Position:
    Infection Control Coordinator

    Organisation:
    St Vincent's Private Hospital Northside

    State:
    QLD

    Apologies for the spam…. first spam message to get through in some time. Operator error – clicked the wrong button! 🙁

    Thanks
    Michael Wishart
    ACIPC Infexion Connexion Administrator

    Sent from my Android device with K-9 Mail. Please excuse my brevity.

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    Apologies for the spam…. first spam message to get through in some time. Operator error – clicked the wrong button! 🙁

    Thanks
    Michael Wishart
    ACIPC Infexion Connexion Administrator

    Sent from my Android device with K-9 Mail. Please excuse my brevity.
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    Michael Wishart
    Infection Control Coordinator
    St Vincent's Private Hospital Northside & St Vincent's Private Hospital Brisbane
    Brisbane, QLD
    michael.wishart@svha.org.au

    in reply to: Infection control professionals – resourcing #72174
    Avatar photoMichael Wishart
    Participant

    Author:
    Michael Wishart

    Position:
    Infection Control Coordinator

    Organisation:
    St Vincent's Private Hospital Northside

    State:
    QLD

    Michael Wishart
    Infection Control Coordinator
    St Vincent's Private Hospital Northside & St Vincent's Private Hospital Brisbane
    Brisbane, QLD
    michael.wishart@svha.org.au

    in reply to: Have you heard about this? #71736
    Avatar photoMichael Wishart
    Participant

    Author:
    Michael Wishart

    Position:
    Infection Control Coordinator

    Organisation:
    St Vincent's Private Hospital Northside

    State:
    QLD

    Michael Wishart
    Infection Control Coordinator
    St Vincent's Private Hospital Northside & St Vincent's Private Hospital Brisbane
    Brisbane, QLD
    michael.wishart@svha.org.au

    in reply to: Ebola #71303
    Avatar photoMichael Wishart
    Participant

    Author:
    Michael Wishart

    Position:
    Infection Control Coordinator

    Organisation:
    St Vincent's Private Hospital Northside

    State:
    QLD

    I came across this great article by Dr Tara C Smith (Epidemiologist) in the US, and thought it was very useful to share. We may not have any direct links to Ebola patients yet in Australia, but the West African outbreak is growing still, and it may only be a matter of time before we hear of possible cases in Australian healthcare workers assisting in control, or in travellers to Australia.

    http://www.slate.com/articles/health_and_science/medical_examiner/2014/08/ebola_in_united_states_research_on_deadly_hemorrhagic_fevers_lassa_marburg.html?wpsrcsh_all_dt_tw_ru

    Dr Smith’s blog has more useful info on Ebola as well, including discussion on risks of airborne transmission. If you in a humorous mood, have a look at the handy diagram at the end of that blog post (warning: strong language)

    http://scienceblogs.com/aetiology/2014/08/03/are-we-sure-ebola-isnt-airborne/

    Cheers
    Michael

    Michael Wishart
    Infection Control Coordinator
    Holy Spirit Northside Private Hospital
    627 Rode Road, Chermside, Qld 4032
    t: (07) 3326 3068 | f: (07) 3607 2226
    e: Michael.Wishart@svha.org.au
    w:www.holyspiritnorthside.org.au
    Please consider the environment before printing this email

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    MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

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    Michael Wishart
    Infection Control Coordinator
    St Vincent's Private Hospital Northside & St Vincent's Private Hospital Brisbane
    Brisbane, QLD
    michael.wishart@svha.org.au

    in reply to: MRO Bundles #70319
    Avatar photoMichael Wishart
    Participant

    Author:
    Michael Wishart

    Position:
    Infection Control Coordinator

    Organisation:
    St Vincent's Private Hospital Northside

    State:
    QLD

    Michael Wishart
    Infection Control Coordinator
    St Vincent's Private Hospital Northside & St Vincent's Private Hospital Brisbane
    Brisbane, QLD
    michael.wishart@svha.org.au

Viewing 15 posts - 1 through 15 (of 21 total)