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Hi Louisa
I have been involved with reviewing purchase of a dishwasher in a rehab setting. The main issue relating to infection control is the problem of appropriate reprocessing control of items used for multiple patients. If the idea is for patients to use the dishwasher as part of their rehabilitation program, then having a commercial dishwasher may defeat the purpose. What then becomes the issue is reprocessing items which will be used for multiple patients, specifically in a way that will comply with food safety standards. A compromise may need to be considered where patients use the domestic dishwasher only as part of their rehab program (ie no staff use of dishwasher), and items that will then be used for other patients may need to be sent on to the commercial dishwashing facility in the kitchen for further processing (to ensure they are processed at the correct temperature, etc).
If the dishwasher is to be used by staff for processing items used by patients, then it must be a commercial-type dishwasher (ie monitored temps, etc), as it would be in any other ward pantry. The value of such a dishwasher for patient rehabilitation programs must be questioned, though.
I don’t have any real references for this, except food safety standards relating to dishwashing in hospitals (food safety standards for ‘vulnerable’ people).
Hope these thoughts help.
Cheers
MichaelMichael Wishart
CNC Infection Control
Holy Spirit Northside Private Hospital
627 Rode Road, Chermside,Qld4032
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—–Original Message—–
Hi all,
Currently we are involved in the development and building of a new rehab facility.
The issue surrounding placing domestic dishwashers in the patients dining room/pantry area has arisen. I have expressed concerns around this.
I was wondering if anyone had any experience, info, supporting documentation that they could share with me.
Many thanks in advance
Louisa
Regards
Louisa
CNC Infection Control
Ryde Hospital Sydney
Ph 985 87664
M 0434323266
Pager 54581Views 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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Rita
I would be asking the state health department about product purchasing guidance, to see if there is any reference to ‘stitching’ as an infection control issue. I don’t really think you can actually put all kinds of stitching in the same category, really. The manufacturer may have provided data on organism and soil removal which includes the actual ‘stitching’, which to me would provide some evidence that that specific product ‘stitching’ is not a problem if you follow their cleaning instructions. I would be asking your supplier of the product this question as well as checking if the state health department had any guidance on product approval in regard to cleaning reusable items such as this.
Interesting question, though. Would still be interesting to find where the other company had found this particular citation. Has anyone else seen this anywhere?
Cheers
MichaelMichael Wishart
CNC Infection Control
Holy Spirit Northside Private Hospital
627 Rode Road, Chermside,Qld4032
t: (07) 3326 3068 | f: (07) 3326 3523
e:Michael.Wishart@hsn.org.au
w:www.holyspiritnorthside.org.au
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It was given to the ICU CNC by the Statina rep John Hayes. Statina is the company we have purchased disposable curtains from as well as are looking to buy hovermats. Thanks for your help.
Rita>>> Michael Wishart 19/10/2012 10:47 am >>>
Hi RitaCan you tell us where that quote was taken from? That may give us some context around this.
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 email—–Original Message—–
Dear All,
Does anyone have any policy or documentation to support the fact that ” equipment that has stitching is classed as an infection control risk”. For example, some of the hovermats used in our hospital have stitching on them. The CNEs are trying to put forward a business case to purchase new ones. Supporting documentation would be of great help.
Many thanks,
RitaCNC 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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Hi Rita
Can you tell us where that quote was taken from? That may give us some context around this.
Thanks
MichaelMichael Wishart
CNC Infection Control
Holy Spirit Northside Private Hospital
627 Rode Road, Chermside,Qld4032
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—–Original Message—–
Dear All,
Does anyone have any policy or documentation to support the fact that ” equipment that has stitching is classed as an infection control risk”. For example, some of the hovermats used in our hospital have stitching on them. The CNEs are trying to put forward a business case to purchase new ones. Supporting documentation would be of great help.
Many thanks,
RitaCNC 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
Views 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 Mary-Rose
I would contact GENCA and see if they have any information regarding these types of cabinets.
http://genca.org/GENCA/ContactUs/Core/ContactUs/ContactUs.aspx?
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
[Description: ACIPC_2012_web_banner_300x100.jpg]Dear All,
In relation to planning the development of a new endoscope unit, the idea of installing an endoscope storage cabinet with a pass-through style has been proposed.This means the cabinet is opened to put in a clean scope with the other clean scopes in the cabinet, it is locked and can be opened into the procedure room and one of the clean endoscopes is removed for use.
Does anyone have supporting literature to ensure there is no contamination risk for the endoscopes in the cabinet? As endoscopy procedures require good process indicators governance for Infection Prevention I am looking for some evidence to support this new system.
Kind regards
Mary-Rose Godsell
RGON, AFAAQHC, GDipHSM, CICP, MAdvPrac(Hons) Infection Prevention & Control
South West Infection Control Nurse Consultant
Southern Country Health Service – South West‘Hand hygiene reduces the
spread of infection’ph:08) 9781 2314
mobile 04 3996 1015
e-mail: Mary-Rose.Godsell@health.wa.gov.auThe contents of this email, including any attachments sent with it, are confidential. The contents are intended only for the named recipient of this email. If the reader of this email is not the intended recipient, please note that any use, reproduction, disclosure or distribution of the information contained in this email must not occur with the express permission of the sender If you have received this email in error, please notify the sender.
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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 Joe
I have rarely seen HCWs who use alcohol hand rub / gel on their gloved hands, similar to HCWs who wash gloved hands with soap and water. Obviously both are practices to be strongly discouraged, as per the Australian Guidelines for Prevention and Control of Infection in Healthcare B1.2.5.
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
[Description: ACIPC_2012_web_banner_300x100.jpg]From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Joe-Anne Bendall
Sent: Thursday, 4 October 2012 1:15 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Alcohol Hand Gel and GlovesHi
Has anyone else noticed staff wearing gloves and then cleaning the gloves with alcohol hand rub rather than removing the gloves and performing hand hygiene?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: 21552joeanne.bendall@sesiahs.health.nsw.gov.au
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Hi Bec
The national infection control guidelines list these screening recommendations:
Patients at high risk of carriage:
— those who are known to have been previously infected or colonised with MRSA
— frequent re-admissions to any healthcare facility
— transfers from other acute care facility
— residence in long term care facilities
— patients with chronic wounds
— recent inpatients at hospitals known or likely to have a high prevalence of MRSA
— locales or populations where community-acquired strains of MRSA are prevalent
Patients in high-risk units
— ICU/high dependency unit (admission and discharge)
— Spinal unit
— Burns unit
— Pre-operative clinics
— Patients with planned prosthetic surgery (joint replacement, cardiothoracic surgery)The AICA / ACSQHC guidelines suggest:
MRSA Recommended:
Patients with chronic wounds or indwelling medical device (not previously known to have MRSA)
Optional:
Dependent on locally demonstrated epidemiology of MRSA:
– Transfers from other acute or long term care facilities or readmission after recent prolonged hospital inpatient
care*
– Admission screening in locales or populations where community-acquired strains of MRSA are prevalent.
Specialised units including intensive care units
All patients on admission; then weekly or twice weekly dependent on demonstrated acquisition rates
Optional:
Selected preoperative patientsI would not be including patients just because they were long term in my facility unless they met one of the above criteria, or unless there was clear epidemiological evidence of local increased risk within your facility over a certain time frame.
As far as long term care facilities is concerned, my interpretation is actually any residential care with assisted care facilities. Not retirement villages with independent living. We do have residential care in our screening policy, but I am not sure how well it is followed currently. If you have any local epidemiological data on local residential care MRSA colonisation / infection rates, this could also be used to guide screening policy.
Good luck, always hard to know who to screen without wasting a lot of time and resources for little gain.
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
[Description: ACIPC_2012_web_banner_300x100.jpg]Good morning all,
I would love some feedback regarding the following:
1. What time frame does your facility define a patient as “long term” e.g. MRO risk
2. And with the Long term classification does your facility screen for MRO’s as part of surveillance??
Thanks, have a great day.
Rebecca O’Donnell | Infection Control Co-ordinator
St Vincent’s Hospital Toowoomba | 22-36 Scott Street TOOWOOMBA 4350
T 07 4690 4042 | F 07 46904400
E rebecca.o’donnell@stvincents.org.au | W http://www.stvincents.org.auP Please consider the environment before printing this email.
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 be 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.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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[Posted on behalf of Claire Boardman, Past President ACIPC – Moderator]
As per my last posting – full terms and conditions and the Terms of Reference for the CAPS are available on the AICA website via the following link:
http://www.aica.org.au/default.asp?PageID=138&n=CAPS+CommitteePlease feel free to contact me for further information.
Regards,
ClaireMichael Wishart
CNC Infection Control
Holy Spirit Northside Private Hospital
627 Rode Road, Chermside,Qld4032
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—–Original Message—–
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Claire Boardman
Sent: Friday, 31 August 2012 1:12 PM
To: AICALIST@AICALIST.ORG.AU
Subject: APPLICATIONS SOUGHT – CREDENTIALLING & PROFESSIONAL STANDARDS COMMITTEEApplications are invited for the Credntialling & Professional Standards Committee (CAPS). Applications from non-nurses and from the broader Austrlasian Infection Control Community are strongly encouraged. Closing date 10th September 2012.
Background:
For several years the AICA Credentialing Committee (CC) has been in operation under the auspices of the former AICA Executive. This work will continue under the direction of the Credentailling and Professional Standards (CAPS) Committee which is subject to annual revision by the Executive Council of the Australasian College for Infection Prevention and Control Ltd (ACIPC, hereafter referred to as the College).
Title: ACIPC Credentialling and Professions Standards Committee (CAPS)
Purpose: The role of the Committee will be to:
Establish and promulgate professional standards for the practice of infection prevention and control across Australasia
Carry out credentialing of its members. (Review of applications, recommendations to the EC for endorsement and awarding of CICP)
Provide direction and input into position papers relating to professional issues
Facilitate education programs targeted at improving professional standards of practice
Determine the scope, role and function of the ICP
Recommendation minimum criteria for inclusion in the ICP role
Provide input into the curriculum of infection prevention and control courses by developing and implementing a course accreditation process congruent with professional standards of practice and the RCNA Endorsement criteria (CNE & 3LP)
Provide leadership and direction on professional standards to the membership, employers and the Australian Commission on Safety and Quality in Health Care (ACSQHC)SELECTION CRITERIA for APPOINTMENT TO THE COMMITTEE
Committee members:
must have a minimum 5 years relevant experience in the field of IPC
be a current financial member of ACIPC
must hold a current practicing license
must reside in Australasia
must be currently employed (full or part time) or self-employed in the field of infection control in Australasia.
KNOWLEDGE & SKILLS
High level written and oral communication skills;
Previous experience on committees;
Capacity to think and act strategically;
Previous experience in leadership roles.
Understanding of and an ability to work and liaise with committee members across ACIPC;
Excellent interpersonal and communication skills;
Willingness to work cohesively with ACIPC Executive Council.
DESIRABLE CRITERIA
That the applicant:
is actively engaged in the promotion of ACIPC credentialing;
has provided assistance to another ACIPC member to undertake the credentialling process;
is a member of an Australian accredited tertiary education provider, either in a full time, part time or sessional capacity.
has experience in the development of professional standards (in health related disciplines)
has experience in the review of competency based standards/scope of practice
HOW TO APPLY
Applicants must apply in writing and include the following:
oA current CV which illustrates you meet the essential criteria;
oA letter outlining why you would be a suitable candidate for appointment of Committee member. The letter should be no more than 500 words and highlight your skills and experience relating to the essential criteria;
oOne photo (headshot), a brief bio and a statement about why you believe you are a suitable applicant. By submitting this information with your application you have given your permission for the use of this material, if appointed to the Committee, for promotion of the ACIPC and the HCI journal.
Exclusions: NilCLOSING DATE
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Hi Gerard
If you are including negative pressure you should really have HEPA filters on the EXHAUST side of the room air handling, before circulation through the rest of the building. Not on air inlets. This is to minimise risk of dispersal of TB through the air handling system, which is a real possibility. The engineers may be factoring this in as part of negative pressure, but you should probably check.
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
[Description: ACIPC_2012_web_banner_300x100.jpg]From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Gerald Chan
Sent: Friday, 31 August 2012 1:22 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Endoscopy and HEPA filtrationOh yes, Michael…
We’ve factored in negative pressure for the new room as we’ve seen a rise in potential TB cases coming in for bronchoscopies in recent times.
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/murdoch[cid:TUVOUZTXCQNC.IMAGE_14.BMP]
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>>> Michael Wishart <Michael.Wishart@hsn.org.au> 31/08/2012 11:13 AM >>>
Hi GerardDont forget to factor in the usages of the room, both now and in the foreseeable future. I think the facilities guidelines are assuming upper and lower gastrointestinal endoscopy for the air handling recommendation. If bronchoscopy is being performed, you should consider the need for negative ventilation and HEPA filtration, as per Lesley Lewis reply.
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
[Description: ACIPC_2012_web_banner_300x100.jpg]From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Gerald Chan
Sent: Friday, 31 August 2012 12:34 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Endoscopy and HEPA filtrationThanks, Glenys.
The links you’d forwarded have been most helpful.
We’re looking to build a new endoscopy room and HEPA filtration was something that we didn’t see a need for, but we were informed by the architects that new endoscopy rooms built these days factor that in and they were convinced that it was a requirement.
Good to know that the filter efficiency requirements are “G4 – F8”, so our stand remains.
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/murdoch[cid:YHIHMKRMOBHZ.IMAGE_8.BMP]
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>>> Glenys Harrington <infexion@OZEMAIL.COM.AU> 30/08/2012 9:10 PM >>>
Hi Gerald,
Heap filters for the ventilation system in Endoscopy Units is not a requirement in the Department of Human Services Victoria, Design guidelines for hospitals and day procedure centres
http://www.healthdesign.com.au/vic.dghdp/
In the full version of the Guidelines see the table VENTILATION REQUIREMENTS FOR AREAS AFFECTING PATIENT CARE HOSPITALS AND OUTPATIENT FACILITIES in Part E – Building Services and Environmental Design Enclosure E1a on page 47 and 48 link belowhttp://www.healthdesign.com.au/vic.dghdp/dghdp_content/guidelines/dghdp_design_guidelines_complete.pdf
Table states the following:Endoscopy Unit – Filter efficiency – G4 – F8 2
Table Foot notes2. Filtration Efficiency: First filter listed is the prefilter if two filters are listed, second is the main filter and the HEPA if listed is the final terminal filter
Is the concern or query related to laser plume?regards
Glenys
Glenys Harrington
Consultant
Infection Control Consultancy (ICC)PO Box 5202
Middle Park
Victoria, 3206
Australia
H: +61 3 96902216
M: +61 404 816 434
infexion@ozemail.com.au
ABN 47533508426From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Gerald Chan
Sent: Thursday, 30 August 2012 7:50 PM
To: AICALIST@AICALIST.ORG.AU
Subject: [ACIPC_Infexion_Connexion] Endoscopy and HEPA filtrationDear all,
Are there any IC guidelines referring to the need for HEPA filtration in Endoscopy procedure rooms?
Kind regards,
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/murdoch[cid:WXPFAJEDVIDF.IMAGE_13.BMP]
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IMPORTANT: This email and any attachments are for the sole use of the intended recipient. They may contain confidential or privileged information. This information may not necessarily be the view of St John of God Health Care Inc (SJGHC). SJGHC does not warrant, represent or guarantee the accuracy or completeness of the information. SJGHC does not accept liability for any loss or damage in connection with the information. If you are not the intended recipient then any use, reliance, interference with, disclosure, distribution or copying of this information by you is unauthorised and prohibited. If you have received this email in error then please notify the sender by return email and delete all copies. SJGHC does not waive any privilege.
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IMPORTANT: This email and any attachments are for the sole use of the intended recipient. They may contain confidential or privileged information. This information may not necessarily be the view of St John of God Health Care Inc (SJGHC). SJGHC does not warrant, represent or guarantee the accuracy or completeness of the information. SJGHC does not accept liability for any loss or damage in connection with the information. If you are not the intended recipient then any use, reliance, interference with, disclosure, distribution or copying of this information by you is unauthorised and prohibited. If you have received this email in error then please notify the sender by return email and delete all copies. SJGHC does not waive any privilege.
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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 Gerard
Dont forget to factor in the usages of the room, both now and in the foreseeable future. I think the facilities guidelines are assuming upper and lower gastrointestinal endoscopy for the air handling recommendation. If bronchoscopy is being performed, you should consider the need for negative ventilation and HEPA filtration, as per Lesley Lewis reply.
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
[Description: ACIPC_2012_web_banner_300x100.jpg]From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Gerald Chan
Sent: Friday, 31 August 2012 12:34 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Endoscopy and HEPA filtrationThanks, Glenys.
The links you’d forwarded have been most helpful.
We’re looking to build a new endoscopy room and HEPA filtration was something that we didn’t see a need for, but we were informed by the architects that new endoscopy rooms built these days factor that in and they were convinced that it was a requirement.
Good to know that the filter efficiency requirements are “G4 – F8”, so our stand remains.
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/murdoch[cid:YHIHMKRMOBHZ.IMAGE_8.BMP]
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>>> Glenys Harrington <infexion@OZEMAIL.COM.AU> 30/08/2012 9:10 PM >>>
Hi Gerald,
Heap filters for the ventilation system in Endoscopy Units is not a requirement in the Department of Human Services Victoria, Design guidelines for hospitals and day procedure centres
http://www.healthdesign.com.au/vic.dghdp/
In the full version of the Guidelines see the table VENTILATION REQUIREMENTS FOR AREAS AFFECTING PATIENT CARE HOSPITALS AND OUTPATIENT FACILITIES in Part E – Building Services and Environmental Design Enclosure E1a on page 47 and 48 link belowhttp://www.healthdesign.com.au/vic.dghdp/dghdp_content/guidelines/dghdp_design_guidelines_complete.pdf
Table states the following:Endoscopy Unit – Filter efficiency – G4 – F8 2
Table Foot notes2. Filtration Efficiency: First filter listed is the prefilter if two filters are listed, second is the main filter and the HEPA if listed is the final terminal filter
Is the concern or query related to laser plume?regards
Glenys
Glenys Harrington
Consultant
Infection Control Consultancy (ICC)PO Box 5202
Middle Park
Victoria, 3206
Australia
H: +61 3 96902216
M: +61 404 816 434
infexion@ozemail.com.au
ABN 47533508426From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Gerald Chan
Sent: Thursday, 30 August 2012 7:50 PM
To: AICALIST@AICALIST.ORG.AU
Subject: [ACIPC_Infexion_Connexion] Endoscopy and HEPA filtrationDear all,
Are there any IC guidelines referring to the need for HEPA filtration in Endoscopy procedure rooms?
Kind regards,
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/murdoch[cid:WXPFAJEDVIDF.IMAGE_13.BMP]
Share facebook.com/stjohnofgodmurdochtwitter.com/sjgh_murdoch
IMPORTANT: This email and any attachments are for the sole use of the intended recipient. They may contain confidential or privileged information. This information may not necessarily be the view of St John of God Health Care Inc (SJGHC). SJGHC does not warrant, represent or guarantee the accuracy or completeness of the information. SJGHC does not accept liability for any loss or damage in connection with the information. If you are not the intended recipient then any use, reliance, interference with, disclosure, distribution or copying of this information by you is unauthorised and prohibited. If you have received this email in error then please notify the sender by return email and delete all copies. SJGHC does not waive any privilege.
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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IMPORTANT: This email and any attachments are for the sole use of the intended recipient. They may contain confidential or privileged information. This information may not necessarily be the view of St John of God Health Care Inc (SJGHC). SJGHC does not warrant, represent or guarantee the accuracy or completeness of the information. SJGHC does not accept liability for any loss or damage in connection with the information. If you are not the intended recipient then any use, reliance, interference with, disclosure, distribution or copying of this information by you is unauthorised and prohibited. If you have received this email in error then please notify the sender by return email and delete all copies. SJGHC does not waive any privilege.
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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 Sony
I can recall this practice from many years ago when I was a trainee nurse, before impervious body bags were readily available. The idea was to prevent fluid from the body leaking on transport to or storage in the morgue, when the body was wrapped in an ordinary cotton sheet.
I suppose you have to look at why it is being done. If your facility does not have access to impervious body bags to place the body into for transport, it may be necessary to plug each orifice to prevent leakage during transport / holding. I would argue that soaking cotton used for plugging orifices in a disinfectant is not necessary, even if you still need to plug the orifices prior to transport. It may be necessary to wet the cotton prior to plugging the orifices to help the cotton be retained, but a disinfectant would not be necessary for this wetting.
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
[Description: ACIPC_2012_web_banner_300x100.jpg]Dear All,
We would like to know your prevailing practices for handling dead body, and whether you the following practices – “All orifices have to be plugged with cotton wool soaked in “1 in 4 diluted household bleach” to prevent leakage of body fluids from the dead bodies. Meanwhile, an absorbent pad can be added for additional safety.”
Regards,
Sony SO
Nursing Officer, Infection Control Team
Kwong Wah Hospital
Hong Kong SAR, CHINA
http://www.ha.org.hk/kwh/default.htm
Tel:+ 852 3517-2409 Fax: +852 2332-3348 email:sony@ha.org.hk
Please consider the environment before printing this e-mail________________________________
***************************************************************************
DisclaimerThis Email may contain privileged and confidential information and is solely for the use of the intended recipient. If you are not the intended recipient, you must not print, copy, distribute or take any action in reliance on it. If you have received this Email by mistake, please notify the sender and then delete this Email from your computer. The Hospital Authority does not accept liability arising from Email transmitted by mistake.
Although this Email and any attachments are believed to be free of virus or other defects that might affect any computer system into which it is received and opened, it is the responsibility of the recipient to ensure that it is virus free, and no responsibility is accepted by the Hospital Authority for any loss or damage in any way arising from its use.
All views or opinions expressed in this Email and its attachments are those of the sender and do not necessarily reflect the views and opinions of the Hospital Authority.
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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
In reference to my original question about ACORN Standards and waterless scrubbing, the latest ACORN Standards (which has been available since May 2012 apparently – I am so behind the times!) definitely addresses the practice of waterless scrubbing, as part of Standard 21 Surgical Scrubbing, Gowning and Gloving.
Just thought I would mention this in case there are still facilities waiting for a professional body within Australia to endorse this practice.
Cheers
MichaelMichael Wishart
CNC Infection Control
Holy Spirit Northside Private Hospital
627 Rode Road, Chermside,Qld4032
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 emailDoes any other facility have a written protocol for use of waterless scrub agents for pre-operative hand disinfection of procedural staff? We do have a protocol from the supplier of the waterless scrub, but would like see what other facilities have developed.
Also, does anyone known the status of the College of Operating Room Nurses development of a policy on waterless scrubbing? Has the College of Surgeons developed anything yet?
Thanks for all assistance. If you wish to send me a protocol, please be aware the list does not support attachments, so send it directly to my email below rather than replying to the list.
Cheers
MichaelMichael Wishart
CNC Infection Control
Holy Spirit Northside Private Hospital
627 Rode Road, Chermside,Qld4032
t: (07) 3326 3068 | f: (07) 3326 3523
e:Michael.Wishart@hsn.org.au
w:www.holyspiritnorthside.org.au
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Hi Jodie
The problem I have had with staff wearing splints in the past is that most splints will have some form of padding underneath them that is not wipable, and that water or any fluid getting into the padding will ruin it. So, regardless if the outer surface of the splint is wipable or not, I have been very reluctant to allow staff wearing splints to perform patient contact tasks which will require regular hand hygiene. To place a staff member in the position of having to potentially compromise either their splint protection (padding) or their hand hygiene to get through their shift is not what I consider to be fair nor reasonable.
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
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[Description: ACIPC_2012_web_banner_300x100.jpg]Hi All
We are currently undertaking a risk assesment regarding issues related to staff wearing splints whilst they are providing direct patient care.
At this stage we are considering to allow them to work (if medically fit) as long as their splint is made of smooth impervious material that can be easily wiped over with detergent and water and that they remove it to perform hand hygiene as appropriate.
Has anyone had any staff that have had to wear a splint, if so were they allowed to continue having patient care and what safety measures were put in place to ensure that they could appropriately decontaminate their hands and splint.
Thanks for any help you can provide
JodieJodie Burr
Infection Control-Clinical Practice Consultant
Disability Services and Domiciliary Care
Community and Home Support SA
Department for Communities and Social Inclusion
103 Fisher Street, Fullarton 5063Jodie.Burr@dcsi.sa.gov.au
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Hi Marlize
I suppose the question has to be asked: what will they be washing in this washing machine? If it is their own personal clothes, why do you require a disinfecting additive? If it is not a commercial washing machine with automatically dispensed and monitored chemical (which I would think would be unsuitable for a rehabilitation program, unless they were all laundry workers or return to work programs….), and is not used for commercial washing (eg someone pays for the service provided) then it only needs to be similar to domestic standards, not commercial. That is my understanding, anyway. If the patients were using a Laundromat they would not need to use a disinfectant, and someone else’s clothes have been washed in the previous cycle.
Just my thoughts. If you are still wanting a commercial grade chemical disinfectant for laundries, I would be contacting a commercial laundry for some suggestions.
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
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[Description: ACIPC_2012_web_banner_300x100.jpg]Good afternoon Everyone,
Our Rehab Unit has purchased a washing maschine as part of their rehab program for inpatients. I need to find a detergent with disinfecting qualities. Is there anyone that can help me with the name of a product or company that I can contact?
Thank you
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_________________________________________________________________
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Hi Ruth
In my understanding, the use of alginate bags ( plastic bags with dissolvable joins) for linen is really a laundry provider preference. Some laundries find that the bags, which have plastic strips that must be removed after the load they are in is washed, are problematic and get placed into dryers and cause problems. Alginate bag joins can also start to dissolve when fluid in the bag is warm, and thus can leak on transport. Some laundries have adopted fluid soaked linen to be placed in conventional clear plastic bags (either inside the linen bag, or on the outside). These conventional clear plastic bags are then removed as part of the linen sorting process, where sorting staff wear appropriate PPE. Some laundries use special waterproof linen bags to contain fluid soaked linen.
I would be having a discussion with your linen service manager to see what their preference is.
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
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[Description: ACIPC_2012_web_banner_300x100.jpg]From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Ruth Ryburn
Sent: Friday, 20 July 2012 5:43 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Management of MROs in the Operating SuiteHi Rebecca,
Thank you for the excerpt from your MRSA/VRE policy which was interesting.
I did note that you specify using alginate bags for contaminated linen but I was under the impression these were no longer in vogue. Can anyone confirm or otherwise please?
Many thanks,
Ruth Ryburn
Infection Control Coordinator
[cid:image002.jpg@01CD663A.84CFA730]
58 Quirk St
Dee Why, NSW 2099
T: +612 8978 5276
F: +612 9971 7299
M: 0414 801 660
The content of this e-mail is the view of the sender or stated author and does not necessarily reflect the view of Delmar Private Hospital. The content, including attachments, is a confidential communication between of Delmar Private Hospital and the intended recipient. If you are not the intended recipient, any use, interference with, disclosure or copying of this e-mail, including attachments is unauthorised and expressly prohibited. If you have received this e-mail in error please contact the sender immediately and delete the e-mail and any attachments from your system.
P Please consider the environment before printing this email________________________________
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Rebecca O’Donnell
Sent: Tuesday, 17 July 2012 12:32 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Management of MROs in the Operating SuiteHi Sue,
Here is an excerpt from our MRSA / VRE policy. Hope it helps?
Management of MRSA Positive Patients in the Operating Suite
Ensure the Infection Control Coordinator is notified
Ensure MRSA positive patients be admitted directly to the ward, and then transferred to directly theatre. This will avoid unnecessary travel throughout day surgery unit and other areas of theatre department
For ease of management and cleaning purposes, patients who are known to be colonised or infected with MRSA must be placed last on the theatre list
Ensure patients with MRSA be recovered in the operating room where possible then transferred directly back to the ward
If this is not possible, then the patient will be cared for by designated nurse in recovery area
The operating room and/or recovery area must be thoroughly cleaned with hospital approved cleaning solution for MRSA (see General Cleaning Procedure). This includes the anaesthetic machine, trolley. All horizontal surfaces must be cleaned and walls should be spot cleaned
Ensure non disposable equipment is wiped down with hospital approved cleaning solution for MRSA (see General Cleaning Procedure) before being returned to general use
Ensure all linen is discarded in alginate bags then placed in white linen bags
Ensure all clinical waste e.g. dressings, sputum, blood soaked items be discarded in yellow clinical waste bags/bins
Kind regards,
Rebecca ODonnell | Infection Control Co-ordinator
St Vincent’s Hospital Toowoomba | 22-36 Scott Street TOOWOOMBA 4350
T 07 4690 4042 | F 07 46904400
E rebecca.odonnell@stvincents.org.au | W http://www.stvincents.org.au
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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 be 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.
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From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Sue Flockhart
Sent: Monday, 16 July 2012 5:41 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Management of MROs in the Operating SuiteHi All,
We are loking at standardising our approach to the management of patients with known MROs in our operating suite. I am interested to know what other facilites are doing and would you share guidelines/policies etc.
kind Regards
Sue Flockhart
Manager, Infection Prevention & Control Unit Staff Immunisation Clinic Ballarat Health Services Victoria
0437856349
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Hi Barbara
My thoughts are that any changes in standard practice should have evidence to show the change will NOT increase infection risks. Maybe they would be willing to enter into a long term study (would need to be long term, as to show a rise in overall infection rate would take quite a sample size). Good luck in them getting ethics approval for such a study though! I also doubt the majority of orthopods and cardiothoracic surgeons would support such a study….
There was an old document published in the UK about rituals in theatres, it has some interesting thoughts about some of these things. It is mainly opinion based, but might be worth sending to the questioning surgeons as the basis for some further discussion!
http://www.his.org.uk/_db/_documents/Rituals-02.doc
This document suggests overshoes are actually more problematic than they are worth, but we still need to keep operating room floors clean.
I won’t comment much on the wearing of theatre clothes except to say think there is so little evidence to support this from an surgical site infection prevention perspective. It is mainly about controlling the risk of BBF exposures to other parts of the hospital as far as I am concerned.
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,
I have been asked to provide evidence regarding the wearing of outside footwear in the operating theatres. A couple of surgeons at our facility have expressed concern that outside footwear is a risk and I am unable find very little evidence to convince them otherwise. Most references do recommend closed in footwear that can be easily cleaned, but this seems to be more OS&E related, rather than infection prevention and control.The same surgeons don’t seem to think that wearing scrubs outside the complex or the hospital is a risk though!
Does anyone have any thoughts on this one?
Thanks
BarbaraBarbara Elliott I Coordinator Infection Prevention & Control I St John of God Subiaco Hospital
Level 3, 12 Salvado Road SUBIACO WA 6008
P: 08 9382 6871 F: 08 9382 6785 M: 0413706384 E: barbara.elliott@sjog.org.au
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