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Hi Cath
I am not sure I can place my hand on my heart and say that our Australian / New Zealand Food Safety Standards (http://www.foodstandards.gov.au/) are actually fully based on evidence and supported by evidence, but they are certainly well accepted within the food industry and by the food industry regulators.
Here is an example from NSW about food safe chemicals, which includes ‘hand sanitisers’… http://www.foodauthority.nsw.gov.au/industry/food-business-issues/chemicals-suitability/
Cheers
MichaelMichael 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
w:www.holyspiritnorthside.org.au
Please consider the environment before printing this emailHi Michael
Could you please provide a link of title of those “food safety recommendations” Michael. I’m keen to see what science they are based on.
Cheers
CathCathryn Murphy PhD
Executive Director
Infection Control Plus Pty Ltd
http://www.infectioncontrolplus.com.au
[Description: twitter logo][Description: FB logo] [Description: icp icon]Hi Cath
Food safety recommendations preclude use of non-food safe chemicals in the food processing environment, which precludes use of most alcohol based hand hygiene products and some antiseptic products. I do believe there are some waterless hand hygiene products (not sure if some of these should be considered ‘alcohol’ based, though) that are approved as ‘food safe’, but most of those alcohol based hand hygiene products routinely in use in healthcare have not been approved as ‘food safe’. Thus, the use of alcohol based hand hygiene products within certain parts of food services with healthcare facilities is problematic, which is why I think this is a good question, and I believe the responses have indicated this.
In regard to mentioning of brand names, yes, we generally try to recommend avoiding use of brand names in discussions where possible, but this creates some work for both myself as the moderator and the list subscribers who are replying. Rather than bog the list down in administrative emails and such, I have preferred to weigh up the issue of posting of actual product names with the benefits of open discussion. For example, in this instance, my belief was it was useful to see which actual products are being used in what aspects of food service delivery (eg ward delivery vs food production), as this was conducive to the conversation. This approach had been supported by previous ACIPC / AICA executives, although like all things, this is open to review with further comments from the membership.
It is always useful to examine what we are discussing, how we are discussing it, and what benefit and risk these discussions may have, so I thank you for your comments. More discussion is always welcomed!
Cheers
Michael Wishart
Infexion Connexion AdministratorMichael 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
w:www.holyspiritnorthside.org.au
Please consider the environment before printing this emailHi Marlize
I’m curious about the question and the responses. As I understand it there have been no scientific reports or official Australian public policy directives that suggest differentiating between what is available in public areas, in the wards where staff perform hand hygiene before feeding patients and/or in kitchens or food prep areas. I checked the WHO Guidelines from 2009 and they also appear to be silent on the issue.
Given that one of the basic tenets to improve hand hygiene compliance is standardisation I would think it wise if you introduced or continued to use a neutral liquid soap identical to that used in the settings mentioned above. The key points are making sure kitchen staff understand the importance of HH as part of food hygiene, that they perform it when needed (including when on the ward if potentially exposed) and that their technique and wearing of gloves is performed in such a way that the skin on their hands is maintained. It would be an education rather than a product issue I think.
As always I am surprised to see brand names mentioned here in the forum given its policies and conditions around promotion etc it would be more ethical to stick to using generic terms but perhaps the moderator can advise. Also my experience would indicate that if you raised the issue of HH for kitchen staff your current supplier of HH product would no doubt be able to provide you with data and information regarding suitability of their product in that setting.
Good luck and thanks for making me curious 😉
CathCathryn Murphy PhD
Executive Director
Infection Control Plus Pty Ltd
http://www.infectioncontrolplus.com.au
[Description: twitter logo][Description: FB logo] [Description: icp icon]Dear All,
We are currently looking for a alcohol based hand sanitiser to use in our Food Service Department. I was wondering what the practices are out there, and what product you are using in your Food Service Departments and on your food delivering trolleys?
Thank you and regards
Marlize Senekal
Infection Prevention and Control Coordinator
St. Andrew’s War Memorial Hospital
457 Wickham Terrace, Spring Hill
Brisbane
Ph. 07-3834 4444
Ext. 4328, Pg. 0328_________________________________________________________________
Uniting Care Health Email Disclaimer: http://www.uchealth.com.au/disclaimer
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WARNING : This email contains information, which is CONFIDENTIAL, and that maybe subject to LEGAL PRIVILEGE. This e-mail and any attachments to it (the “Communication”) is confidential and is for the use only of the intended recipient, and may not duplicated or used by any other party without the express consent of the sender. The Communication may contain copyright material of St Vincent’s Health & Aged Care(“SVHAC”), or any of its related entities or of third parties. If you are not the intended recipient of the Communication, please notify the sender immediately by return e-mail, delete the Communication, and do not read, copy, print, retransmit, store or act in reliance on the Communication. Any views expressed in the Communication are those of the individual sender only, unless expressly stated to be those of SVHAC. SVHAC does not guarantee the integrity of the Communication, or that it is free from errors, viruses or interference. Thank-you.
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WARNING : This email contains information, which is CONFIDENTIAL, and that maybe subject to LEGAL PRIVILEGE. This e-mail and any attachments to it (the “Communication”) is confidential and is for the use only of the intended recipient, and may not duplicated or used by any other party without the express consent of the sender. The Communication may contain copyright material of St Vincent’s Health & Aged Care(“SVHAC”), or any of its related entities or of third parties. If you are not the intended recipient of the Communication, please notify the sender immediately by return e-mail, delete the Communication, and do not read, copy, print, retransmit, store or act in reliance on the Communication. Any views expressed in the Communication are those of the individual sender only, unless expressly stated to be those of SVHAC. SVHAC does not guarantee the integrity of the Communication, or that it is free from errors, viruses or interference. Thank-you.Message protected by MailGuard: e-mail anti-virus, anti-spam and content filtering.http://www.mailguard.com.au/mg
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Hi Cath
Food safety recommendations preclude use of non-food safe chemicals in the food processing environment, which precludes use of most alcohol based hand hygiene products and some antiseptic products. I do believe there are some waterless hand hygiene products (not sure if some of these should be considered ‘alcohol’ based, though) that are approved as ‘food safe’, but most of those alcohol based hand hygiene products routinely in use in healthcare have not been approved as ‘food safe’. Thus, the use of alcohol based hand hygiene products within certain parts of food services with healthcare facilities is problematic, which is why I think this is a good question, and I believe the responses have indicated this.
In regard to mentioning of brand names, yes, we generally try to recommend avoiding use of brand names in discussions where possible, but this creates some work for both myself as the moderator and the list subscribers who are replying. Rather than bog the list down in administrative emails and such, I have preferred to weigh up the issue of posting of actual product names with the benefits of open discussion. For example, in this instance, my belief was it was useful to see which actual products are being used in what aspects of food service delivery (eg ward delivery vs food production), as this was conducive to the conversation. This approach had been supported by previous ACIPC / AICA executives, although like all things, this is open to review with further comments from the membership.
It is always useful to examine what we are discussing, how we are discussing it, and what benefit and risk these discussions may have, so I thank you for your comments. More discussion is always welcomed!
Cheers
Michael Wishart
Infexion Connexion AdministratorMichael 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
w:www.holyspiritnorthside.org.au
Please consider the environment before printing this emailHi Marlize
I’m curious about the question and the responses. As I understand it there have been no scientific reports or official Australian public policy directives that suggest differentiating between what is available in public areas, in the wards where staff perform hand hygiene before feeding patients and/or in kitchens or food prep areas. I checked the WHO Guidelines from 2009 and they also appear to be silent on the issue.
Given that one of the basic tenets to improve hand hygiene compliance is standardisation I would think it wise if you introduced or continued to use a neutral liquid soap identical to that used in the settings mentioned above. The key points are making sure kitchen staff understand the importance of HH as part of food hygiene, that they perform it when needed (including when on the ward if potentially exposed) and that their technique and wearing of gloves is performed in such a way that the skin on their hands is maintained. It would be an education rather than a product issue I think.
As always I am surprised to see brand names mentioned here in the forum given its policies and conditions around promotion etc it would be more ethical to stick to using generic terms but perhaps the moderator can advise. Also my experience would indicate that if you raised the issue of HH for kitchen staff your current supplier of HH product would no doubt be able to provide you with data and information regarding suitability of their product in that setting.
Good luck and thanks for making me curious 😉
CathCathryn Murphy PhD
Executive Director
Infection Control Plus Pty Ltd
http://www.infectioncontrolplus.com.au
[Description: twitter logo][Description: FB logo] [Description: icp icon]Dear All,
We are currently looking for a alcohol based hand sanitiser to use in our Food Service Department. I was wondering what the practices are out there, and what product you are using in your Food Service Departments and on your food delivering trolleys?
Thank you and regards
Marlize Senekal
Infection Prevention and Control Coordinator
St. Andrew’s War Memorial Hospital
457 Wickham Terrace, Spring Hill
Brisbane
Ph. 07-3834 4444
Ext. 4328, Pg. 0328_________________________________________________________________
Uniting Care Health Email Disclaimer: http://www.uchealth.com.au/disclaimer
Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
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WARNING : This email contains information, which is CONFIDENTIAL, and that maybe subject to LEGAL PRIVILEGE. This e-mail and any attachments to it (the “Communication”) is confidential and is for the use only of the intended recipient, and may not duplicated or used by any other party without the express consent of the sender. The Communication may contain copyright material of St Vincent’s Health & Aged Care(“SVHAC”), or any of its related entities or of third parties. If you are not the intended recipient of the Communication, please notify the sender immediately by return e-mail, delete the Communication, and do not read, copy, print, retransmit, store or act in reliance on the Communication. Any views expressed in the Communication are those of the individual sender only, unless expressly stated to be those of SVHAC. SVHAC does not guarantee the integrity of the Communication, or that it is free from errors, viruses or interference. Thank-you.Message protected by MailGuard: e-mail anti-virus, anti-spam and content filtering.http://www.mailguard.com.au/mg
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Hi Julie
I can’t see anything in Cantonese, but this Canadian site has one in Chinese. Not sure if that helps.
http://vch.eduhealth.ca/PDFs/FG/FG.500.V279.CN.pdf
The English equivalent is here: http://vch.eduhealth.ca/PDFs/FG/FG.500.V279.pdf
Cheers
MichaelMichael Wishart
CNC Infection Control
Holy Spirit Northside Private Hospital
627 Rode Road, Chermside,Qld4032
t: (07) 3326 3068 | f: (07) 3607 2226
e:Michael.Wishart@hsn.org.au
w:www.holyspiritnorthside.org.au
Please consider the environment before printing this email—–Original Message—–
Can anyone share or direct me to a site that has VRE Fact Sheets for patients in Cantonese.
Regards
Julie
Julie Hunt
Clinical Nurse Consultant | Infection Prevention and Control Royal North Shore Hospital, Reserve Rd, St Leonards 2065 Tel 02 9926 4339 or 992604490 juhunt@nsccahs.health.nsw.gov.auViews expressed in this message are those of the individual sender, and are not necessarily the views of the Local Health District or associated entities.
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Hi Helen
The latest US HICPAC guidance (http://www.cdc.gov/hicpac/pdf/CAUTI/CAUTIguideline2009final.pdf ) has this to say:
C. In the acute care hospital setting, insert urinary catheters using aseptic technique and sterile equipment. (Category IB)
Use sterile gloves, drape, sponges, an appropriate antiseptic or sterile solution for periurethral cleaning, and a single-use packet of lubricant jelly for insertion. (Category IB)
1. Routine use of antiseptic lubricants is not necessary. (Category II) (Key Question 2C)
1. Further research is needed on the use of antiseptic solutions vs. sterile water or saline for periurethral cleaning prior to catheter insertion. (No recommendation/unresolved issue) (Key Question 2C)
D. In the non-acute care setting, clean (i.e., non-sterile) technique for intermittent catheterization is an acceptable and more practical alternative to sterile technique for patients requiring chronic intermittent catheterization. (Category IA) (Key Question 2A)
Further research is needed on optimal cleaning and storage methods for catheters used for clean intermittent catheterization. (No recommendation/unresolved issue) (Key Question 2C)
You may find acute vs community insertion, indwelling vs intermittent and HCW vs self-catheterisation guidelines vary.
Cheers
MichaelMichael 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
w:www.holyspiritnorthside.org.au
Please consider the environment before printing this emailHi all,
Can someone please give me the current guidelines (preferably evidence based) on the correct skin (area) prep prior to insertion of an IDC.
We’ve received some new competencies and part of this one states washing the area with warm soapy water.
I’m trying to think how you’d perform this aseptically with warm soapy water…A few hospital policies I’ve read from various states say the same, and some say there is no evidence to say cleansing the peri anal area with eg. chlorhex is beneficial.
I don’t need paragraphs of evidence, just the facts and current guidelines if anyone has them please.
Thank you,
Helen.Helen Scott
Infection Control Co-ordinator |
Hospital Education Co-ordinator |
Nepean Private Hospital
Kingswood, NSW.
Tel 02 4725 8758 | helen.scott@healthscope.com.auPlease consider the environment before printing this message
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WARNING : This email contains information, which is CONFIDENTIAL, and that maybe subject to LEGAL PRIVILEGE. This e-mail and any attachments to it (the “Communication”) is confidential and is for the use only of the intended recipient, and may not duplicated or used by any other party without the express consent of the sender. The Communication may contain copyright material of St Vincent’s Health & Aged Care(“SVHAC”), or any of its related entities or of third parties. If you are not the intended recipient of the Communication, please notify the sender immediately by return e-mail, delete the Communication, and do not read, copy, print, retransmit, store or act in reliance on the Communication. Any views expressed in the Communication are those of the individual sender only, unless expressly stated to be those of SVHAC. SVHAC does not guarantee the integrity of the Communication, or that it is free from errors, viruses or interference. Thank-you.Message protected by MailGuard: e-mail anti-virus, anti-spam and content filtering.http://www.mailguard.com.au/mg
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Apologies to list subscribers for the previous message, it was sent in error.
You’d think I could get this right by now! 🙂
Cheers
Michael Wishart
ACIPC Infexion Connexion AdministratorMichael Wishart
CNC Infection Control
Holy Spirit Northside Private Hospital
627 Rode Road, Chermside, Qld 4032
t: (07) 3326 3068 | f: (07) 3326 3523
e: Michael.Wishart@hsn.org.au
w:www.holyspiritnorthside.org.au
Please consider the environment before printing this emailHi Annette
ACIPC requires that each message identifies the name, professional designation and organisational / corporate associations for each message.
Since your message was more of a personal nature to Matthias I have copied to him, and not posted to the list.
Thank you for your understanding, and support of Infexion Connexion.
Cheers
Michael Wishart
ACIPC Infexion Connexion AdministratorMichael Wishart
CNC Infection Control
Holy Spirit Northside Private Hospital
627 Rode Road, Chermside, Qld 4032
t: (07) 3326 3068 | f: (07) 3326 3523
e: Michael.Wishart@hsn.org.au
w:www.holyspiritnorthside.org.au
Please consider the environment before printing this emailMatthias, thank you so much for all the trouble you went to for us, your reply was exceptional. We are most grateful.
Have a great xmas Matthias and a wonderful New Year!
Kind regards,
Annette.
P.S. Sorry, I meant “choose” and “EN 12791” (instead of 81). Typed too quickly.
—
Matthias Maiwald, MD, FRCPA
Consultant in Microbiology
Adj. Assoc. Prof., Natl. Univ. Singapore
Department of Pathology and Laboratory Medicine
KK Women’s and Children’s Hospital
100 Bukit Timah Road
Singapore 229899
Tel. +65 6394 8725 (Office)
Tel. +65 6394 1389 (Laboratory)
Fax +65 6394 1387Dear Annette,
I assume you are referring to alcohol hand rub in terms of surgical hand antisepsis (“surgical scrubbing”), not to alcohol hand rub beteen patients, such as in the 5 Moments. Correct?
There is no requirement for a surgical hand wash between alcohol-based surgical hand antisepsis procedures. The only requirement for a soap/detergent (plus water) based hand wash in terms of surgical hand antisepsis is when the hands are dirty/soiled before alcohol-based surgical hand antisepsis. (See WHO Hand Hygiene Guidelines 2009, pages 54-60). Such a situation may arise, for example, before alcohol hand antisepsis for the first procedure of the day when staff come into OT from outside. In some institutions it is therefore standard practice (in terms of unifying/standardising OT procedures) to do a hand wash (followed by towel drying) — including cleaning under fingernails — before doing alcohol hand antisepsis for the first procedure.
The film/residue left after alcohol hand rubbing depends very much on the product that is used, and on user preference as to when they feel it gets too sticky for them. Some products leave a lot of sticky residue on hands, and the very good, top products leave very little to no sticky residue (film) and can be used for hand antisepsis consecutively for quite a number of procedures. Because there is no Australian standard for alcohol-based surgical hand antisepsis, and because US standards have not been specifically tailored towards alcohol-based surgical hand rubs, it is probably a good move to hoose a product that fulfills European standard EN 12781 (see also WHO guideline).
Best regards, Matthias.
—
Matthias Maiwald, MD, FRCPA
Consultant in Microbiology
Adj. Assoc. Prof., Natl. Univ. Singapore
Department of Pathology and Laboratory Medicine
KK Women’s and Children’s Hospital
100 Bukit Timah Road
Singapore 229899
Tel. +65 6394 8725 (Office)
Tel. +65 6394 1389 (Laboratory)
Fax +65 6394 1387Dear all,
We would like to know if anyone can inform us please, on the recommended number of alcohol hand rubs you can utilise, before another full surgical hand wash is required when working in theatres.We have previously been informed for the alcohol rubs to be fully effective, that they cannot be utilised all day as they eventually leave a film on the skin. The intermittent washing of hands with soap and water is therefore deemed necessary to remove the film before continuing with the use of the alcohol hand rub.
We look forward to your response and thank you for your time.
Kind regards,
Annette Kennedy
DDON
Skin & Cancer Foundation Australia Day Care Procedure Centre
7 Ashley Lane Westmead NSW 2145Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.
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kkh
________________________________
The information contained in this e-mail and the attachments (if any) may be privileged and confidential and is intended solely for the named addressee. If you are not the intended recipient, please do not print, retain copy, disseminate, distribute, or use this e-mail or any part thereof. Please notify the sender immediately by replying to this e-mail and delete all copies of this e-mail and the attachments.Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.
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WARNING : This email contains information, which is CONFIDENTIAL, and that maybe subject to LEGAL PRIVILEGE. This e-mail and any attachments to it (the “Communication”) is confidential and is for the use only of the intended recipient, and may not duplicated or used by any other party without the express consent of the sender. The Communication may contain copyright material of St Vincent’s Health & Aged Care(“SVHAC”), or any of its related entities or of third parties. If you are not the intended recipient of the Communication, please notify the sender immediately by return e-mail, delete the Communication, and do not read, copy, print, retransmit, store or act in reliance on the Communication. Any views expressed in the Communication are those of the individual sender only, unless expressly stated to be those of SVHAC. SVHAC does not guarantee the integrity of the Communication, or that it is free from errors, viruses or interference. Thank-you.Message protected by MailGuard: e-mail anti-virus, anti-spam and content filtering.http://www.mailguard.com.au/mg
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Hi all
Steve Burke, the Operations Manager for ACIPC, has said he is happy to host files on the ACIPC website if there are no copyright or intellectual property issues.
Until a better process has been developed, I would suggest that anyone that has files to share should contact Steve directly (opsmanager@acipc.org.au), and then once uploaded to the ACIPC website, can post information to the list regarding where members can access them.
ACIPC may also be able to provide the broader ACIPC membership with information on what files and tools are available via their regular e-Bulletins.
Would suggest Rachel still contact ACIPC Board formally to ensure a correct process is established for sharing such tools, but in the interim this may be one option.
Cheers
Michael Wishart
ACIPC Infexion Connexion AdministratorMichael Wishart
CNC Infection Control
Holy Spirit Northside Private Hospital
627 Rode Road, Chermside, Qld 4032
t: (07) 3326 3068 | f: (07) 3326 3523
e: Michael.Wishart@hsn.org.au
w:www.holyspiritnorthside.org.au
Please consider the environment before printing this emailFrom: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Thomson, Rachel EA (DHHS)
Sent: Thursday, 15 November 2012 9:58 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Observational Audit Tools for IV CannulationThanks Michael (and Matt),
I will happily approach ACIPC and bring this idea forward!
Cheers
RachelRachel Thomson
Nurse Unit Manager
Infection Prevention & Control Unit
Royal Hobart Hospital
Ph: 03 62227882/8658
E: rachel.thomson@dhhs.tas.gov.au[cid:image001.png@01CDC320.02F087A0]
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Michael Wishart
Sent: Thursday, 15 November 2012 10:42 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Observational Audit Tools for IV CannulationHi Rachel
I really think sharing such tools is a great idea!
Unfortunately Infexion Connexion does not support attachments, so unless any files are hosted elsewhere, we cannot share them through this list.
Maybe ACIPC could be approached to develop a portal that resources could be uploaded to, and then links could be posted on the list?
Cheers
Michael Wishart
ACPCI Infexion Connexion AdministratorFrom: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Thomson, Rachel EA (DHHS)
Sent: Thursday, 15 November 2012 8:31 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Observational Audit Tools for IV CannulationHi Rhea and others,
So here is a thingit seems to me that quite a number of people may have a genuine interest in looking at your tool as discussed in a number of forums including the recent IC day in Melbourne. I wonder if you would be willing to post the tool through the Infexion Connexion list? Maybe others might like to do a similar thing so that people can build on their resources, share etc. Just a thought!!
Cheers for now
RachelRachel Thomson
Nurse Unit Manager
Infection Prevention & Control Unit
Royal Hobart Hospital
Ph: 03 62227882/8658
E: rachel.thomson@dhhs.tas.gov.au[cid:image001.png@01CDC313.CF515020]
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Helen Scott
Sent: Thursday, 15 November 2012 8:34 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Observational Audit Tools for IV CannulationHi, Can I also please have a look,
Thanks,Helen Scott
Infection Control Co-ordinator |
Nurse Educator |
Nepean Private Hospital
Kingswood, NSW.
Tel 02 4725 8758 | helen.scott@healthscope.com.auPlease consider the environment before printing this message
>>> On 14/11/2012 at 5:08 pm, in message <0C876A281769DB4A91C9CFC6E68C65E80B704FCCA2@EMSCM006.sagemsmrd01.sa.gov.au>, “Moore, Genevieve (Health)” <Genevieve.Moore@HEALTH.SA.GOV.AU> wrote:
Hi Rhea
Can you please share these audit tools with me also as I have looking for an audit tool for IV for a while
Thanks
GenevieveGenevieve Moore
Diabetes Educator
Clinical Placement Coordinator
Infection Control Link Nurse
Southern Flinders Health – Crystal Brook Campus
Country Health SA Local Health Network
Edmund Terrace
Crystal Brook SA 5523Tel: (08) 8636 1164
Fax: (08) 8636 2077
Email: Genevieve.moore@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 recipients responsibility to check the email and any attached files for viruses.
________________________________
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of MARTIN, Rhea
Sent: Wednesday, 14 November 2012 16:19
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Observational Audit Tools for IV CannulationHi Craig,
Would be happy to share audit tool with you. We use two, one audits insertion (use this in ED where there is plenty of action) and the other is a ward based audit tool which looks at management of IVs on the ward
RheaRhea Martin
Manager Infection Control Team
Austin Health
Studley Rd., Heidelberg
Victoria, Australia 3084
Phone 9496 5801
Page 2556
Mobile 0407 806 299From: Craig Boutlis [mailto:Craig.Boutlis@SESIAHS.HEALTH.NSW.GOV.AU]
Sent: Wednesday, 14 November 2012 16:37
To: MARTIN, Rhea
Subject: FW: Observational Audit Tools for IV CannulationHi Rhea,
I’m pretty sure that you would be on this email list but I thought I should forward this to you just in case. Would you be happy to share the audit tool that you presented at the recent Melbourne Infection Control education day? If so, would you mind cc’ing me in too?
The NSW policy is out for review at the moment and I’m going to make sure that I contribute that we should be moving to credentialling statewide along the lines of your program (thanks for making me aware of it).
Craig
________________________________
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Joe-Anne Bendall
Sent: Wednesday, 14 November 2012 4:12 PM
To: AICALIST@AICALIST.ORG.AU
Subject: [ACIPC_Infexion_Connexion] Observational Audit Tools for IV Cannulation
Hi everyoneI have a very keen medical officer who wants to be a champion for improving IV cannula insertion. Does anyone have an observational audit tool they would like to share?
I have an observational audit tool for aseptic technique wound dressing I would be willing to swap for IV cannula insertion!
Thanks
Joe
Joe-anne Bendall
Infection Prevention and Control CNC
Sydney Hospital and Sydney Eye Hospital
8 Macquarie St
Sydney 2000Phone: 93827199
Mobile: 0418984255
Fax: 93827510
Page: 21552Joe-Anne.Bendall@sesiahs.health.nsw.gov.au
———————————————————————————————
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This email, and the files transmitted with it, are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you are not the intended recipient, you are not permitted to distribute or use this email or any of its attachments in any way. We also request that you advise the sender of the incorrect addressing.
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.
*****************************************************************
This email contains confidential information intended
only for the person named above and may be subject to
legal privilege and confidentiality obligations imposed
by legislation or be subject to intellectual property
protection or copyright. If you are not the intended recipient,
any use, disclosure, copying or distribution of this transmission
is prohibited. If you have received this message in error,
please notify us immediately by return email and delete the
original email and any attachments.
Austin Health provides no guarantee that this transmission
is free of virus or that it has not been intercepted or altered.*****************************************************************
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________________________________
CONFIDENTIALITY NOTICE AND DISCLAIMER
The information in this transmission may be confidential and/or protected by legal professional privilege, and is intended only for the person or persons to whom it is addressed. If you are not such a person, you are warned that any disclosure, copying or dissemination of the information is unauthorised. If you have received the transmission in error, please immediately contact this office by telephone, fax or email, to inform us of the error and to enable arrangements to be made for the destruction of the transmission, or its return at our cost. No liability is accepted for any unauthorised use of the information contained in this transmission.
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WARNING : This email contains information, which is CONFIDENTIAL, and that maybe subject to LEGAL PRIVILEGE. This e-mail and any attachments to it (the “Communication”) is confidential and is for the use only of the intended recipient, and may not duplicated or used by any other party without the express consent of the sender. The Communication may contain copyright material of St Vincent’s Health & Aged Care(“SVHAC”), or any of its related entities or of third parties. If you are not the intended recipient of the Communication, please notify the sender immediately by return e-mail, delete the Communication, and do not read, copy, print, retransmit, store or act in reliance on the Communication. Any views expressed in the Communication are those of the individual sender only, unless expressly stated to be those of SVHAC. SVHAC does not guarantee the integrity of the Communication, or that it is free from errors, viruses or interference. Thank-you.
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WARNING : This email contains information, which is CONFIDENTIAL, and that maybe subject to LEGAL PRIVILEGE. This e-mail and any attachments to it (the “Communication”) is confidential and is for the use only of the intended recipient, and may not duplicated or used by any other party without the express consent of the sender. The Communication may contain copyright material of St Vincent’s Health & Aged Care(“SVHAC”), or any of its related entities or of third parties. If you are not the intended recipient of the Communication, please notify the sender immediately by return e-mail, delete the Communication, and do not read, copy, print, retransmit, store or act in reliance on the Communication. Any views expressed in the Communication are those of the individual sender only, unless expressly stated to be those of SVHAC. SVHAC does not guarantee the integrity of the Communication, or that it is free from errors, viruses or interference. Thank-you.Message protected by MailGuard: e-mail anti-virus, anti-spam and content filtering.http://www.mailguard.com.au/mg
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Hi Rachel
I really think sharing such tools is a great idea!
Unfortunately Infexion Connexion does not support attachments, so unless any files are hosted elsewhere, we cannot share them through this list.
Maybe ACIPC could be approached to develop a portal that resources could be uploaded to, and then links could be posted on the list?
Cheers
Michael Wishart
ACPCI Infexion Connexion AdministratorFrom: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Thomson, Rachel EA (DHHS)
Sent: Thursday, 15 November 2012 8:31 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Observational Audit Tools for IV CannulationHi Rhea and others,
So here is a thingit seems to me that quite a number of people may have a genuine interest in looking at your tool as discussed in a number of forums including the recent IC day in Melbourne. I wonder if you would be willing to post the tool through the Infexion Connexion list? Maybe others might like to do a similar thing so that people can build on their resources, share etc. Just a thought!!
Cheers for now
RachelRachel Thomson
Nurse Unit Manager
Infection Prevention & Control Unit
Royal Hobart Hospital
Ph: 03 62227882/8658
E: rachel.thomson@dhhs.tas.gov.au[cid:image001.png@01CDC313.CF515020]
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Helen Scott
Sent: Thursday, 15 November 2012 8:34 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Observational Audit Tools for IV CannulationHi, Can I also please have a look,
Thanks,Helen Scott
Infection Control Co-ordinator |
Nurse Educator |
Nepean Private Hospital
Kingswood, NSW.
Tel 02 4725 8758 | helen.scott@healthscope.com.auPlease consider the environment before printing this message
>>> On 14/11/2012 at 5:08 pm, in message , “Moore, Genevieve (Health)” wrote:
Hi Rhea
Can you please share these audit tools with me also as I have looking for an audit tool for IV for a while
Thanks
GenevieveGenevieve Moore
Diabetes Educator
Clinical Placement Coordinator
Infection Control Link Nurse
Southern Flinders Health – Crystal Brook Campus
Country Health SA Local Health Network
Edmund Terrace
Crystal Brook SA 5523Tel: (08) 8636 1164
Fax: (08) 8636 2077
Email: Genevieve.moore@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 recipients responsibility to check the email and any attached files for viruses.
________________________________
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of MARTIN, Rhea
Sent: Wednesday, 14 November 2012 16:19
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Observational Audit Tools for IV CannulationHi Craig,
Would be happy to share audit tool with you. We use two, one audits insertion (use this in ED where there is plenty of action) and the other is a ward based audit tool which looks at management of IVs on the ward
RheaRhea Martin
Manager Infection Control Team
Austin Health
Studley Rd., Heidelberg
Victoria, Australia 3084
Phone 9496 5801
Page 2556
Mobile 0407 806 299From: Craig Boutlis [mailto:Craig.Boutlis@SESIAHS.HEALTH.NSW.GOV.AU]
Sent: Wednesday, 14 November 2012 16:37
To: MARTIN, Rhea
Subject: FW: Observational Audit Tools for IV CannulationHi Rhea,
I’m pretty sure that you would be on this email list but I thought I should forward this to you just in case. Would you be happy to share the audit tool that you presented at the recent Melbourne Infection Control education day? If so, would you mind cc’ing me in too?
The NSW policy is out for review at the moment and I’m going to make sure that I contribute that we should be moving to credentialling statewide along the lines of your program (thanks for making me aware of it).
Craig
________________________________
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Joe-Anne Bendall
Sent: Wednesday, 14 November 2012 4:12 PM
To: AICALIST@AICALIST.ORG.AU
Subject: [ACIPC_Infexion_Connexion] Observational Audit Tools for IV Cannulation
Hi everyoneI have a very keen medical officer who wants to be a champion for improving IV cannula insertion. Does anyone have an observational audit tool they would like to share?
I have an observational audit tool for aseptic technique wound dressing I would be willing to swap for IV cannula insertion!
Thanks
Joe
Joe-anne Bendall
Infection Prevention and Control CNC
Sydney Hospital and Sydney Eye Hospital
8 Macquarie St
Sydney 2000Phone: 93827199
Mobile: 0418984255
Fax: 93827510
Page: 21552Joe-Anne.Bendall@sesiahs.health.nsw.gov.au
———————————————————————————————
Illawarra Shoalhaven Local Health District, South East Sydney Local Health District and Sydney Children’s Hospital Network (Randwick Campus) Confidentiality Notice
This email, and the files transmitted with it, are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you are not the intended recipient, you are not permitted to distribute or use this email or any of its attachments in any way. We also request that you advise the sender of the incorrect addressing.
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.
Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
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———————————————————————————————
Illawarra Shoalhaven Local Health District, South East Sydney Local Health District and Sydney Children’s Hospital Network (Randwick Campus) Confidentiality Notice
This email, and the files transmitted with it, are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you are not the intended recipient, you are not permitted to distribute or use this email or any of its attachments in any way. We also request that you advise the sender of the incorrect addressing.
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.
*****************************************************************
This email contains confidential information intended
only for the person named above and may be subject to
legal privilege and confidentiality obligations imposed
by legislation or be subject to intellectual property
protection or copyright. If you are not the intended recipient,
any use, disclosure, copying or distribution of this transmission
is prohibited. If you have received this message in error,
please notify us immediately by return email and delete the
original email and any attachments.
Austin Health provides no guarantee that this transmission
is free of virus or that it has not been intercepted or altered.*****************************************************************
Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
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________________________________
CONFIDENTIALITY NOTICE AND DISCLAIMER
The information in this transmission may be confidential and/or protected by legal professional privilege, and is intended only for the person or persons to whom it is addressed. If you are not such a person, you are warned that any disclosure, copying or dissemination of the information is unauthorised. If you have received the transmission in error, please immediately contact this office by telephone, fax or email, to inform us of the error and to enable arrangements to be made for the destruction of the transmission, or its return at our cost. No liability is accepted for any unauthorised use of the information contained in this transmission.
Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
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Hi Melissa
A good example of acronyms being used without reference! 🙂
INS Infusion Nurses Society, and in this case Tim is referring to some guidelines / standards they produce.
http://www.ins1.orgCheers
MichaelMichael Wishart
CNC Infection Control
Holy Spirit Northside Private Hospital
627 Rode Road, Chermside, Qld 4032
t: (07) 3326 3068 | f: (07) 3326 3523
e: Michael.Wishart@hsn.org.au
w:www.holyspiritnorthside.org.au
Please consider the environment before printing this emailUNCLASSIFIED
Just wondering what is INS?Melissa McEwan RN, BN, Grad Cert Infect Control
Quality Manager
Kapooka Health Centre
Contractor to Defence
02 69338338
Private mobile 0428 753783
melissa.mcewan@defence.gov.au________________________________
INS 2012 Guidelines recommend;
Practice Criteria
III. Primary Intermittent Infusions
A. Primary intermittent administration sets should be changed every 24 hours. When an intermittent infusion is repeatedly disconnected and reconnected for the infusion, there is increased risk of contamination at the catheter hub, needleless connector, and the male luer end of the administration set, potentially increasing risk for catheter-related bloodstream infection. There is an absence of studies addressing administration set changes for intermittent infusions. In a meta-analysis of 12 randomized, controlled trials that supported increasing the time interval for administration set changes to 96 hours, at least 2 of the studies excluded administration sets used for heparin locked catheters and in sets disconnected for more than 4 hours. In several others, exclusions were not stated.1,5 (V)
B. A new, sterile, compatible covering device should be aseptically attached to the end of the administration set after each intermittent use. The practice of attaching the exposed end of the administration set to a port on the same set (“looping”) should be avoided.1,5 (V)
REFERENCES
1. Hadaway L. Infusion therapy equipment. In: Alexander M, Corrigan A, Gorski L, Hankins J, Perucca R, eds. Infusion Nursing: An Evidence-Based Approach. 3rd ed. St Louis, MO: Saunders/Elsevier; 2010:391-436.
2. Gillies D, O’Riordan L, Wallen M, Morrison A, Rankin K, Nagy S. Optimal timing for intravenous administration set replacement. Cochrane Database Syst Rev. 2005;(4):CD003588.
3. Rickard CM, Lipman J, Courtney M, et al. Routine changing of intravenous administration sets does not reduce colonization or infection in central venous catheters. Infect Control Hosp Epidemiol. 2004;25;650-655.
4. Raad I, Hanna HA, Awas A, et al. Optimal changing of intravenous administration sets: is it safe to prolong use beyond 72 hours? Infect Control Hosp Epidemiol. 2001;22(3):136-139.
5. Institute for Safe Medication Practices. Failure to cap IV tubing and disconnect IV ports place patients at risk for infections. Medication Safety Alert! Published July 26, 2007. Accessed June 17, 2010.
Timothy R. Spencer, RN, APN, DipAppSci, Bach.Health, ICCert.
Clinical Nurse Consultant, Central Venous Access & Parenteral Nutrition Service
Conjoint Lecturer, South West Sydney Clinical School | Faculty of Medicine | University of NSW
Dept of Intensive Care, Level 2, Clinical Building, Liverpool Hospital, Elizabeth Street, Liverpool, 2170, NSW, Australia
Tel (+61) 2 8738 3603 | Fax (+61) 2 8738 3551 | Mob +61 (0)409 463 428 | Tim.Spencer@sswahs.nsw.gov.au | Timothy.Spencer@unsw.edu.auDear all,
I would be interested in knowing how other organisations manage the issue surrounding the frequency of replacement for IV administration sets when they are used intermittently. The 2011 CDC ‘Guidelines for Prevention of Intravascular Catheter Infections’ mark this as an unresolved issue.
My experience has been that many organisations discard after 24 hours (ritual or evidence based??).
Our packaging is marked with [symbol meaning DO NOT REUSE] indicating it is intended to be used on an individual patient during a single procedure and then discarded.
I would be interested in your views.
ThanksMaree Sommerville
Infection Control Coordinator
Mercy Hospital for Women
163 Studley Road
Heidelberg, Victoria, 3084_____________________________________________________________________
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Hi Sony
There are many useful guidelines that cover infection control issues of ice machines, including:
http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5210a1.htm
The last one from the UK simply suggests some thoughts along the appropriate use of ice machines.
Hope these help.
Cheers
MichaelMichael Wishart
CNC Infection Control
Holy Spirit Northside Private Hospital
627 Rode Road, Chermside, Qld 4032
t: (07) 3326 3068 | f: (07) 3326 3523
e: Michael.Wishart@hsn.org.au
w:www.holyspiritnorthside.org.au
Please consider the environment before printing this emailFrom: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Sony SO
Sent: Monday, 5 November 2012 6:30 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Hospital Accreditation – infection control measures for ice machinesHi All,
My hospital is preparing for hospital accreditation, and I would like to have information related to infection control measures for ice machines. If so, would you please send to me for reference.
Regards,
Sony SO
Nursing Officer, Infection Control Team
Kwong Wah Hospital
Hong Kong SAR. CHINA
Tel:+ 852 3517-2409 Fax: +852 2332-3348 email: sony@ha.org.hk
Please consider the environment before printing this e-mail
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Hi Matt
My only concern about procedure trolleys would be the management of them between patients. If they do not get cleaned between each patient and are travelling from room to room, that is an issue. As long as there is good evidence that trolleys were being cleaned between patients, it should not be an issue. Maybe including this in a routine audit would satisfy the surveyors.
In a facility that has trouble cleaning the trolley between patient uses I would also have serious questions about the appropriate cleaning of overways before procedures! That would not be a suitable solution, in my view.
I do think this question raises questions about accreditation processes in regard to infection control in aged care facilities, though.
Cheers
MichaelMichael Wishart
CNC Infection Control
Holy Spirit Northside Private Hospital
627 Rode Road, Chermside, Qld 4032
t: (07) 3326 3068 | f: (07) 3326 3523
e: Michael.Wishart@hsn.org.au
w:www.holyspiritnorthside.org.au
Please consider the environment before printing this emailHi All,
It has been suggested to me that dressing trolleys should not be used in aged care facilities as this reduces the homely nature of the facility and can put the facility at risk in relation to their accreditation. Instead the facility wants to use the bedside table or bed to lay out the sterile field. I have a number of concerns about this, both from an OH&S and infection prevention point of view. Has anyone else come across this argument before?
Cheers MattMatt Mason
RN, BNSci, Grad Dip (Remote Health), M Rural Health, M Adv Prac (Inf Cont), CICPLecturer/Campus Co-ordinator
School of Nursing, Midwifery & Nutrition
James Cook University
Thursday Island
Qld, 4875
AustraliaP: (07) 4069 2670
I: +61 7 4069 2670
F: (07) 4069 2627
E: matt.mason@jcu.edu.au
W: http://www.jcu.edu.au/nursing/JCU CRICOS Provider Code: 00117J
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Hi Jenny
Interesting they actually are asking this! We do have lockable storage sections on the cleaners trolleys for chemicals, but no-one actually locks them (not even sure they would know where the keys are!!). The cleaners all store their trolleys in the locked cleaners rooms at the end of the day. I do see ‘abandoned’ trolleys in the ward corridors at times (ie unattended whilst the cleaner is elsewhere temporarily), so I suppose this could constitute a risk. I cannot imagine the cleaners locking their storage lockers on the trolleys every time they go to the loo, though! Not in the wards, at least, where there are many other staff around; it may be something that should be checked for public access areas without other staff routinely present though.
Good luck with finding a solution to that one. Maybe you need to seek clarification from your assessors to see exactly what they require.
Cheers
MichaelMichael Wishart
CNC Infection Control
Holy Spirit Northside Private Hospital
627 Rode Road, Chermside, Qld 4032
t: (07) 3326 3068 | f: (07) 3326 3523
e: Michael.Wishart@hsn.org.au
w:www.holyspiritnorthside.org.au
Please consider the environment before printing this emailHi
I have a query for the group. Recently in a tier 1 audit with ISO the surveyor queried why we did not have lockable cleaning trolleys .
The trolleys are used for general ward cleaning and have minimal amount of chemicals on them in very small amounts.
Although this is more an OH&S issue is does impact on ICC’s who are involved in environmental services.
I was wondering if anyone else had been asked the same question or have been required to lock chemicals up on the cleaning trolleys.
Our main chemical storage is locked as are all designated cleaners rooms .
Regards
JennyJenny Stubbings| Infection Control Coordinator , Launceston | Calvary Health Care Tasmania |
p: 03 6335 3253 | f. 03 6335 3383| e.jenny.stubbings@calvarycare.org.au| http://www.calvarystlukes.org.au | 24 Lyttleton Street, Launceston 7250
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Hi Fiona
My suggestion would be to look at removable drain outlet covers that can be removed and cleaned separately, if possible, if this is the major concern. I am not a big fan of using regular hypochlorite when it is not needed, both from an OH&S perspective and a surface maintenance perspective.
Also, the risk of protein material left in the drain being introduced into a clean filled bath should also be checked. How is the drain outlet blocked before filling? Is there a risk from backflow of water / material into the bath from the drain outlet? Enlisting the advice of an engineer of even a plumber may be of use, as there may be other solutions.
Cheers
MichaelMichael Wishart
CNC Infection Control
Holy Spirit Northside Private Hospital
627 Rode Road, Chermside, Qld 4032
t: (07) 3326 3068 | f: (07) 3326 3523
e: Michael.Wishart@hsn.org.au
w:www.holyspiritnorthside.org.au
Please consider the environment before printing this emailThanks Michael,
The baths are smooth surface. And the biggest area of concern is the waste outlet and potential proteinaceous contamination of it.
Kind regards,
Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
Fiona.Desousa@sah.org.au
185 Fox Valley Road, Wahroonga, NSW, 2076
________________________________Hi Fiona
Is there any reason why these baths would not be easy to physically remove proteins with detergent and water after each use? Are they tiled, have below bath plumbing, or any other non-continuous smooth surfaces? Do they have non-removable drain strainers which can retain proteinaceous material which you are concerned about? Are you concerned about the cleaning process between each patient use?
It would only be for those reasons I would suggest a hypochlorite product would be required in the cleaning process.
My thoughts, anyway.
Cheers
MichaelMichael Wishart
CNC Infection Control
Holy Spirit Northside Private Hospital
627 Rode Road, Chermside, Qld 4032
t: (07) 3326 3068 | f: (07) 3326 3523
e: Michael.Wishart@hsn.org.au
w:www.holyspiritnorthside.org.au
Please consider the environment before printing this emailHi List members,
We are currently reviewing our cleaning policy for baths in the labour and delivery suite of maternity. At present bleach is used (in a three step process) in case of blood contamination. This has been questioned with a suggestion that our standard bathroom product is sufficient. I would appreciate hearing from other facilities about the type of products they use to clean / disinfect their baths.
Kind regards
Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
Fiona.Desousa@sah.org.au
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Oops, let me clarify one point I made. I meant below bath plumbing that returns water to the bath (eg spa jets). I didn’t mean just a normal one-way drain!
Thanks
MichaelMichael Wishart
CNC Infection Control
Holy Spirit Northside Private Hospital
627 Rode Road, Chermside, Qld 4032
t: (07) 3326 3068 | f: (07) 3326 3523
e: Michael.Wishart@hsn.org.au
w:www.holyspiritnorthside.org.au
Please consider the environment before printing this emailHi Fiona
Is there any reason why these baths would not be easy to physically remove proteins with detergent and water after each use? Are they tiled, have below bath plumbing, or any other non-continuous smooth surfaces? Do they have non-removable drain strainers which can retain proteinaceous material which you are concerned about? Are you concerned about the cleaning process between each patient use?
It would only be for those reasons I would suggest a hypochlorite product would be required in the cleaning process.
My thoughts, anyway.
Cheers
MichaelMichael Wishart
CNC Infection Control
Holy Spirit Northside Private Hospital
627 Rode Road, Chermside, Qld 4032
t: (07) 3326 3068 | f: (07) 3326 3523
e: Michael.Wishart@hsn.org.au
w:www.holyspiritnorthside.org.au
Please consider the environment before printing this emailHi List members,
We are currently reviewing our cleaning policy for baths in the labour and delivery suite of maternity. At present bleach is used (in a three step process) in case of blood contamination. This has been questioned with a suggestion that our standard bathroom product is sufficient. I would appreciate hearing from other facilities about the type of products they use to clean / disinfect their baths.
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
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Hi Fiona
Is there any reason why these baths would not be easy to physically remove proteins with detergent and water after each use? Are they tiled, have below bath plumbing, or any other non-continuous smooth surfaces? Do they have non-removable drain strainers which can retain proteinaceous material which you are concerned about? Are you concerned about the cleaning process between each patient use?
It would only be for those reasons I would suggest a hypochlorite product would be required in the cleaning process.
My thoughts, anyway.
Cheers
MichaelMichael Wishart
CNC Infection Control
Holy Spirit Northside Private Hospital
627 Rode Road, Chermside, Qld 4032
t: (07) 3326 3068 | f: (07) 3326 3523
e: Michael.Wishart@hsn.org.au
w:www.holyspiritnorthside.org.au
Please consider the environment before printing this emailHi List members,
We are currently reviewing our cleaning policy for baths in the labour and delivery suite of maternity. At present bleach is used (in a three step process) in case of blood contamination. This has been questioned with a suggestion that our standard bathroom product is sufficient. I would appreciate hearing from other facilities about the type of products they use to clean / disinfect their baths.
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 Sydney Adventist Hospital to state that they are the views of Sydney Adventist Hospital.
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Hi Gerard
I recall seeing a study years ago, I think UK based so maybe in JHI, that showed MRSA in dust on portable fans. Never have seen anything that linked increase in MRSA or HAI directly to portable fans, though; that would be epidemiologically difficult to show, I think. Too many other variables.
Doesn’t mean fans are not bad, though. 🙂 Especially when not maintained well. Ask if they cleaned thoroughly (meaning the fan blades) between each patient use. I suspect not!
Cheers
MichaelMichael Wishart
CNC Infection Control
Holy Spirit Northside Private Hospital
627 Rode Road, Chermside, Qld 4032
t: (07) 3326 3068 | f: (07) 3326 3523
e: Michael.Wishart@hsn.org.au
w:www.holyspiritnorthside.org.au
Please consider the environment before printing this email________________________________
Dear all,
I’m looking for evidence to back us up on not having fans in patient rooms (especially seeing that summer is around the corner).
I can’t seem to locate any supportive articles on this.
Has there been any studies done that demonstrate an increased rate of infection/colonisation (MRSA, MSSA, etc.) through fan usage in a healthcare setting?
Cheers,
GeraldGerald Chan
Coordinator Infection ControlSt John of God Murdoch Hospital
100 Murdoch Drive
MURDOCH. WA 6150P: 9366 1552
M: 0405 495 906 (7804)
F: 9311 4685E: Gerald.Chan@sjog.org.au
W: http://www.sjog.org.au/murdochfacebook.com/stjohnofgodmurdoch
twitter.com/sjgh_murdoch
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