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Michael WishartParticipant
Author:
Michael WishartEmail:
Michael.Wishart@svha.org.auOrganisation:
State:
NSWI think we need to be careful when we make decisions about using stock that has passed a manufacturers expiry date. Products are often tested, eg in regard to deterioration in specific storage conditions, to see if the item will remain fit-for-purpose.
If we decide to use items that have passed manufacturer recommendations, we need to have some assurance that the items still remain fit-for-purpose. Otherwise we could find ourselves facing questions about why we allowed something if any concerns are raised, which can result in problems for an organisation.
Its not just about sterility concerns when thinking about expiry dates. Its very important that items remain fit-for-purpose, and continue to meet appropriate standards.
Cheers
MichaelMichael Wishart | Infection Control Coordinator, CICP-E
St Vincents Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
M +61 448 954 282 | T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
W https://www.svphn.org.au
[http://i2.cmail19.com/ei/t/C6/84D/FB1/102841/csfinal/StaticEmailFooter-SVPHN-Blank-650×150-V4-9900000000079e3c.png]St Vincents Private Hospital Brisbane | 411 Main Street KANGAROO POINT QLD 4169
M +61 448 954 282 | T +61 7 3240 1208 | F +61 7 3240 1166
E michael.wishart@svha.org.au |
W https://www.svphb.org.au
[cid:image001.jpg@01D8EE90.492173A0][cid:image002.png@01D8EE90.492173A0]
From: ACIPC Infexion Connexion On Behalf Of Sarah Gaines Hill
Sent: Wednesday, 2 November 2022 6:03 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] expired isolation gownsHi Karen
I had asked our LPHU the same question and was informed that providing they remain fit for purpose, we can use them.
I found it highly unusual for them to have expiration dates as opposed to packaging dates.
I am interested to see other IPC perspectives on this.Sarah
[BlueCross]
Sarah
Gaines Hill
Infection Prevention Manager
P: +61 3 9828 1705
|
M: +61 429 480 183
Wurundjeri Country
Level 1, 117 Camberwell Road,
Hawthorn East,
VIC
3123
[BlueCross]
From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> On Behalf Of Karen Kemp
Sent: Monday, 31 October 2022 10:26 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] expired isolation gownsGood morning everyone
A few months ago, there was a conversation on here regarding expiration dates for isolation gowns and whether they can be used. I cant remember the outcome of the conversation.We have a large supply from the Commonwealth stockpile that were very close to their expiration date at the time they were sent to us. Now there are some that are 4 months over the date.
Can they still be safely used in a covid or any other outbreak?
I appreciate any information that you can give me.
Regards
Karen Kemp OAM
Infection Control and Staff Health CNC[cid:logo_a4fe3091-450f-4d0e-b594-635f37aad37c.jpg].
.
08 8080 1850
KKemp@sccbh.com.au
https://www.sccbh.com.au.
.
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Michael WishartParticipantAuthor:
Michael WishartEmail:
Michael.Wishart@svha.org.auOrganisation:
State:
NSWHi Aspasia
Blood cultures drawn through central device lumens can be very informative in regard to potential sources of infection. If you have positive growth in lumen collected blood cultures, and negative peripheral blood cultures, this can help determine the need for treatment, including the need to remove or replace lines. Blood cultures from lumens that return positive growth more rapidly than peripheral collections can also help guide appropriate treatment and potentially indicate a source.
Cheers
MichaelMichael Wishart | Infection Control Coordinator, CICP-E
St Vincents Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
M +61 448 954 282 | T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
W https://www.svphn.org.auSt Vincents Private Hospital Brisbane | 411 Main Street KANGAROO POINT QLD 4169
M +61 448 954 282 | T +61 7 3240 1208 | F +61 7 3240 1166
E michael.wishart@svha.org.au |
W https://www.svphb.org.au—–Original Message—–
From: ACIPC Infexion Connexion On Behalf Of Aspasia Kordanouli
Sent: Tuesday, 25 October 2022 3:56 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: [ACIPC_Infexion_Connexion] 3 lumen Picc line Blood cultureHi all,
Febrile neutropenia patient that has 3 lumen Picc- line insitu, what is the rationale of taking blood cultures of EACH lumen please?as per eviQ on management febrile neutropenia, 1 set blood cultures (aerobic and anaerobic bottles) from each lumen of central venous access device (CVAD) (if in situ)
What about the blood loss?
Aspasia Kordanouli
Infection Control NurseCalvary North Adelaide Hospital
89 Strangways Terrace North Adelaide SA 5006E: Aspasia.Kordanouli@calvarycare.org.au
https://urldefense.com/v3/__http://www.calvarynorthadelaide.org.au__;!!LUsMDrd6!mzAOsp0GAmG-vWMDsVxHCjEJ-Q3ri5dt7CyWcr9htC9LPxkeAcf910hj0mlArWZSEn-2C4jmNl9x78QxtPffQfYJXRDWDSLppASVO8CG$MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
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Michael WishartParticipantAuthor:
Michael WishartEmail:
Michael.Wishart@svha.org.auOrganisation:
State:
NSWI personally think we need to be clear about what the risks are, and why they should not be used.
Many people say because they are contaminated with bacteria, they should be banned. But is there evidence of transmission from lanyards?
We have seen studies show the pens we carry in our pockets are also contaminated with bacteria. Is there a huge cry to ban pens from an infection control perspective? Not that I have heard (although I do recall one company had a antibacterial pen for a while, but it never really took off)
To me, its all about hand hygiene (surprise, surprise). Not about what is contaminated. We know there is bacteria in the environment, on our clothes, on things we carry. So perform hand hygiene before you touch that patient!
I dont think lanyards are a good idea, but from a safety perspective, not an infection control one. So when people ask me if they should ban lanyards, I say there is no definitive evidence about an infection control risk, but you might want to think about safety concerns as suggested.
My two cents worth.
Cheers
MichaelMichael Wishart | Infection Control Coordinator, CICP-E
St Vincents Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
M +61 448 954 282 | T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
W https://www.svphn.org.auSt Vincents Private Hospital Brisbane | 411 Main Street KANGAROO POINT QLD 4169
M +61 448 954 282 | T +61 7 3240 1208 | F +61 7 3240 1166
E michael.wishart@svha.org.au |
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From: ACIPC Infexion Connexion On Behalf Of Kareen Dunlop
Sent: Thursday, 20 October 2022 9:56 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] LanyardsI would be concerned they could be used as a strangling agent too. As well as dangling onto clients in close work such as turning a patient.
Kind regards
Kareen Dunlop
Consultant Nurse Educator
Sent from my iPhoneOn 20 Oct 2022, at 12:05, Royston Barns <royston@freschegroup.com> wrote:
Hi Jenny,
This may be of interest.
https://pubmed.ncbi.nlm.nih.gov/26300101/
Kind Regards
Royston Barns
Research, Development and Innovations Manager
[Logo Description automatically generated]
Fresche Bioscience
Unit 84, 1470 Ferntree Gully Road, Knoxfield, Victoria 3180 Australia
T: +61 3 9763 4500 I +61 458 770 437
E: royston@freschegroup.com
W: freschegroup.comCreators of SIQURA and Gearlock.
From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> on behalf of Jenny McCarthy <jenny@MARYVALEPH.COM.AU>
Reply to: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU>
Date: Thursday, 20 October 2022 at 8:34 am
To: “ACIPCLIST@ACIPC.ORG.AU” <ACIPCLIST@ACIPC.ORG.AU>
Subject: [ACIPC_Infexion_Connexion] LanyardsYou don’t often get email from jenny@maryvaleph.com.au. Learn why this is important
Good morning all
Just after some advice on lanyards yes or no?
We have not used them here in years, but our relatively new exec team want to reintroduce them.
They have said they will be of a silicone material and can be wiped down regularly (not sure how that will go!!!)
Does anyone have any recent articles/research regarding this that I could use?
Thanks
JennyJenny McCarthy
Infection Prevention and Control Coordinator[cid:image001.png@01D8E45D.7546DF20]
p | 5132 1200
e | jenny@maryvaleph.com.au
a | 286 Maryvale Road, Morwell, VIC 3840http://www.maryvaleph.com.au
Maryvale Private Hospital acknowledges the traditional owners of country, the Gunaikurnai nation,
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Michael WishartParticipantAuthor:
Michael WishartEmail:
Michael.Wishart@svha.org.auOrganisation:
State:
NSWHi Yana
A great example of a good PIVC documentation tool can be found on AVATAR’s website.
I-DECIDED assessment and decision tool (avatargroup.org.au)
We were part of the original trial of this tool (soon to be published study results), and while it is more paperwork for staff to complete, the results in improvement in outcomes for patients is well worth it.
Cheers
MichaelMichael Wishart | Infection Control Coordinator, CICP-E
St Vincent’s Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
M +61 448 954 282 | T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
W https://www.svphn.org.auSt Vincent’s Private Hospital Brisbane | 411 Main Street KANGAROO POINT QLD 4169
M +61 448 954 282 | T +61 7 3240 1208 | F +61 7 3240 1166
E michael.wishart@svha.org.au |
W https://www.svphb.org.au[http://i8.cmail19.com/ei/t/6C/F77/A00/141133/csfinal/StaticEmailFooter-SVPHN-Celebrating20Years-650×150-9900000000079e3c.png]
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Good Morning All
I am interested in examples of forms in use at other sites to document PIVC care. I am looking for ways to improve compliance with recording of daily device assessment and insertion and removal details. Currently this is recorded on the back of the observation chart however there are some barriers to compliance with this.
Happy to be contacted directly.
Cheers
Kind regards
Yana Albrey
RN, BNurs, PGCert Clinical Nursing,
PGCert Infection Prevention & Control
CICP-AClinical Nurse Manager
Infection Prevention & Control
Royal Darwin and Palmerston Hospitals| Top End RegionNorthern Territory Government
Floor 1, Building 1, 105 Rocklands Drive, Tiwi
GPO Box 41326, Casuarina, NT PostcodeT. 08 892 28428
Mob. 0459 899 037
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Michael WishartParticipantAuthor:
Michael WishartEmail:
Michael.Wishart@svha.org.auOrganisation:
State:
NSW{Posted on behalf of a member – Moderator]
We managed to purchase our own fit testing machine and had 3 RNs trained to complete the fit testing for our organisation.
Most of our staff have been fit tested.
Ariella Gwitima
Manager
Embracia Reservoir
Reservoir, VicHi Christine,
Our facility has not conducted the credentialled Fit testing program, only in house.
If your able to send me some information I will get my educator to either touch base with you or certainly call you
Regards
Sandy
Sandy Miller
Facility Manager | Registered Nurse
smiller@standrew.com.au[cid:image001.jpg@01D8C908.FA446FA0]
59 Bentinck Street
BALLINA NSW 2478
02 6620 5800
0428 490 773This email and any 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 addressee you should not disseminate, distribute or copy this e-mail. Please notify the sender immediately if you have received this e-mail by mistake and delete this e-mail from your system. If you are not the intended recipient you are notified that disclosing, copying, distributing or taking any action in reliance on the contents of this information is strictly prohibited.
Good afternoon everyone,
My organisation is organising a Fit-testing program for our residential facilities and I would be interested to know how many of you in Aged care have developed your own program or if you have outsourced this please?
We also have Residential Homelessness shelters and Foster Care homes, so quite broad services to reach with such a program.
Any advice or tips appreciated.
Thanks in advance.
Kind regards,
Chris
Christine Morrison
Practice Facilitator – Infection Control
Practice Facilitation Team
[cid:image001.jpg@01D8C904.A5578C60]Level 3, Webber House,
439 Ann St, Brisbane Q 4000
PO Box 10556, Brisbane Adelaide St Q 4000M: 0499526913
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E: pft@anglicaresq.org.au
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Michael WishartParticipantAuthor:
Michael WishartEmail:
Michael.Wishart@svha.org.auOrganisation:
State:
NSWHi Jenny
We still have both on our surgical consent form currently, but we had previously received legal advice that suggested the consent for BBV testing was not valid unless it was appropriately explained (which we know it’s not as the surgeon will only focus on the procedural consent). So we do not utilise that consent in the case of a needlestick, which means we need to await the patient awakening post surgery and giving consent (or in the case of post op ventilated ICU patients, get the intensive care team to obtain or authorise consent).
That’s within the private sector in Queensland.
Cheers
MichaelMichael Wishart | Infection Control Coordinator, CICP-E
St Vincent’s Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
M +61 448 954 282 | T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
W https://www.svphn.org.auSt Vincent’s Private Hospital Brisbane | 411 Main Street KANGAROO POINT QLD 4169
M +61 448 954 282 | T +61 7 3240 1208 | F +61 7 3240 1166
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Good Morning,
We would be interested to know how many healthcare organisations have both consent for blood transfusion and consent for blood borne virus testing included in their consent for surgery documentation and any obstacles they faced when doing this.
I understand this is more common practice in the private health sector but currently am more concerned about the public sector.
Many thanksJenny Breen
Senior Infection Prevention Clinical Nurse Consultant
Infection Prevention & Control Unit
PO Box 52, Frankston Vic 3199
T Direct 03 9784 8239 Fax 9784 2347 Switchboard 03 9784 7777
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Michael WishartParticipantAuthor:
Michael WishartEmail:
Michael.Wishart@svha.org.auOrganisation:
State:
NSWHi Lyn
We stopped routine RAT testing on admission at both facilities some time ago, as there is no QLD Health mandate for this, and we had performed several thousand tests for one single unknown positive! We still ask pertinent pre-admission questions (are you unwell currently, are you a close contact, that sort of thing), but we only test (and from a clinical perspective a PCR or rapid PCR is preferred if we are looking to detect infection) on clinical need (eg patient turned up for routine elective admission and is clearly unwell).
We still RAT test transfers out to other facilities, mainly to prevent delay in transfers rather than anything else.
Hope this helps.
Cheers
MichaelMichael Wishart | Infection Control Coordinator, CICP-E
St Vincent’s Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
M +61 448 954 282 | T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
W https://www.svphn.org.auSt Vincent’s Private Hospital Brisbane | 411 Main Street KANGAROO POINT QLD 4169
M +61 448 954 282 | T +61 7 3240 1208 | F +61 7 3240 1166
E michael.wishart@svha.org.au |
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[cid:image001.png@01D8BC70.B1742E90]
Afternoon,
Just wanting to find out how the various private and public sectors are managing RAT testing patients if at all on admissions, we are trying to figure out whether or not to continue with this as it is resource draining and staff are needed elsewhere.
Any information would be greatly appreciated.
Thanks
With kind regards
Lynette Spence
Lynette Spence
Infection Control Coordinator
St Andrew’s War Memorial Hospital
t (07) 3834 4328 m 0427 141 223 f (07) 3834 4599
e lynette.spence@uchealth.com.au
457 Wickham Terrace, Spring Hill Q 4000
standrewshospital.com.au[cid:0eeca506-6206-4a3f-bc4c-e5bdff1b6b64]
[cid:ed06c8bc-6f18-4315-95cd-90d04d556ae8]
UnitingCare respectfully acknowledge the Traditional Custodians of the lands on which we work and live. We acknowledge Elders both past and present, whose ongoing effort to protect and promote Aboriginal and Torres Strait Islander cultures will leave a lasting legacy for future leaders and reconciliation within Australia.
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19/08/2022 at 3:23 pm in reply to: Infection Prevention and Control committee governance & meeting frequency #81277Michael WishartParticipantAuthor:
Michael WishartEmail:
Michael.Wishart@svha.org.auOrganisation:
State:
NSWHi Cathi
Our main Infection Control Committee, which includes our VMOs (surgeons, intensivists microbiologists, ID physicians), meets every two months, and on the alternate month, we have a non-clinical meeting which looks at water results, cleaning, sterilisation and food services, which reports by exception to the main committee.
We also have a sub committee for AMS. Fit testing is managed by workplace health and safety.
The two monthly meeting schedule gives us enough time between meetings with not too great a burden on surveillance reports for a single meeting (one hour maximum).
We also have the option of out-of-session email discussions, which we have used on occasion for urgent matters.
Cheers
MichaelMichael Wishart | Infection Control Coordinator, CICP-E
St Vincents Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
M +61 448 954 282 | T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
W https://www.svphn.org.auSt Vincents Private Hospital Brisbane | 411 Main Street KANGAROO POINT QLD 4169
M +61 448 954 282 | T +61 7 3240 1208 | F +61 7 3240 1166
E michael.wishart@svha.org.au |
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From: ACIPC Infexion Connexion On Behalf Of Montague, Cathryn (Health)
Sent: Friday, 19 August 2022 12:39 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: [ACIPC_Infexion_Connexion] Infection Prevention and Control committee governance & meeting frequencyOFFICIAL
Hi all,
How often does your IPC Committee meet? Is that frequency appropriate to meet governance needs?
Do you have working groups or subcommittees? If so, for what?
Any other IPC governance suggestions / initiatives that might be helpful?
Always looking to improve!
Thanks
Kind regards,
CathiCathi Montague
Nurse Consultant Infection Prevention and Control (Tues-Thurs)
Drug and Alcohol Services South Australia
Email: Cathryn.Montague@sa,gov.au
#GetFullyVaccinated #DontShareTheAir #HandHygiene #StayHomeIfSick #GetTested #BeKind
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Michael WishartParticipantAuthor:
Michael WishartEmail:
Michael.Wishart@svha.org.auOrganisation:
State:
NSWHi Samantha
I didnt think FDA approved ear loop N95 masks for use in clinical settings? Unless they have changed their policy. If you can email me the brand and model of the masks (off-list) Ican check this for you. Just because a mask says it complies with a certain standard does not necessarily make it suitable for use in all settings, either.
Any addition you use to try and improve fit with N95 masks must be validated by appropriate fit testing to ensure a good seal. If you require mask extenders to improve the fit, then the masks are probably not a good fit to start with, and it is possible the mask extenders improve comfort but dont actually improve the seal.
I would strongly encourage you to seek advice for fit testing your clinical workforce, rather than only relying upon fit checking. A single mask type and size will not necessarily fit all people, and so you will likely need a variety of mask sizes and types to be available.
Cheers
MichaelMichael Wishart | Infection Control Coordinator, CICP-E
St Vincents Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
M +61 448 954 282 | T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
W https://www.svphn.org.auSt Vincents Private Hospital Brisbane | 411 Main Street KANGAROO POINT QLD 4169
M +61 448 954 282 | T +61 7 3240 1208 | F +61 7 3240 1166
E michael.wishart@svha.org.au |
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From: ACIPC Infexion Connexion On Behalf Of Samantha Lavender
Sent: Friday, 12 August 2022 7:12 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: [ACIPC_Infexion_Connexion] Mask extender use for P2sHi all,
My apologies if this question has already come up, I didn’t see it in the archives.
I work for a service which includes aged care homes.
They have received P2 masks (regular) that aren’t great achieving a good fit for most of the staff (the masks do meet standards. The masks are ear loops).
The manufacturer advised, and supplied, plastic mask extenders. When used, these extenders do increase fit and seal on the face.Currently they service doesn’t fit test, but has a PPE and fit check program.
May I ask the current advice on the use of mask extenders with P2s?Kind regards,
Samantha LavenderInfection Prevention and Control Advisor
Wesley Mission QLDMESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
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Michael WishartParticipantAuthor:
Michael WishartEmail:
Michael.Wishart@svha.org.auOrganisation:
State:
NSWHi Chris
Not quite sure what you are asking, but we base detection of Legionella infection on culture of pathogenic Legionella from clinical specimens (eg sputum, bronchial washings, tissue).
Probably the best resource for this is the CDNA National Guidelines on Legionellosis.
If I am on the wrong track, could you please clarify your question?
Cheers
MichaelMichael Wishart | Infection Control Coordinator, CICP-E
St Vincent’s Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
M +61 448 954 282 | T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
W https://www.svphn.org.auSt Vincent’s Private Hospital Brisbane | 411 Main Street KANGAROO POINT QLD 4169
M +61 448 954 282 | T +61 7 3240 1208 | F +61 7 3240 1166
E michael.wishart@svha.org.au |
W https://www.svphb.org.au—–Original Message—–
Hi All,
Was wondering if anyone had any information / processes / methods for diagnosing Legionnaires diseases in a hospital environment?
Chris Pollard
Sales Engineer – ANZ
Kenelec Scientific Pty Ltd, 23 Redland Drive, Mitcham VIC 3132 d 0437 007 810 | m 0437 007 810 | e chris.pollard@kenelec.com.au Visit our website | View our Terms and ConditionsMESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
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Michael WishartParticipantAuthor:
Michael WishartEmail:
Michael.Wishart@svha.org.auOrganisation:
State:
NSWAnd here are the pictures.
Cheers
Michael Wishart
ACIPCList ModeratorMichael Wishart | Infection Control Coordinator, CICP-E
St Vincents Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
M +61 448 954 282 | T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
W https://www.svphn.org.auSt Vincents Private Hospital Brisbane | 411 Main Street KANGAROO POINT QLD 4169
M +61 448 954 282 | T +61 7 3240 1208 | F +61 7 3240 1166
E michael.wishart@svha.org.au |
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[cid:image001.png@01D72F93.FCA8FC30]
From: ACIPC Infexion Connexion On Behalf Of Sangeetha Selvarajah
Sent: Tuesday, 26 July 2022 10:28 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: [ACIPC_Infexion_Connexion] PPE Tier 3Hi all
I have a question. I am currently overlooking at a regional campus as a IPCC. Currently, the aged care is in lockdown due to Covid19 outbreak.
I have a question about the PPE gowns that are used. The facility is supplied with surgical gowns as isolation gowns. My question is are the surgical gowns used as isolation gowns if there is no supply?
I have attached the pictures for view.
Regards
GeethaIPC Team
SEYMOUR HEALTH
03 57936193
sangeetha.selvarajah@seymourhealth.org.auSangeetha Selvarajah
Building a healthy Seymour”
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IPC Team
P: 03 5793 6193
E: Sangeetha.Selvarajah@seymourhealth.org.au
My working days are Tuesdays, Wednesdays and Thursdays.
Our Values:
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Accountability and Responsibility
Open and Transparent CommunicationFollow Us
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Visit us at http://www.seymourhealth.org.au
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Michael WishartParticipantAuthor:
Michael WishartEmail:
Michael.Wishart@svha.org.auOrganisation:
State:
NSWHi Ed
Many, many years ago, I had it drummed into me by a wise (well, I thought he was wise at the time!) ID physician NOT to put PFR’s on patients with respiratory compromise because it was hard enough for them to breathe without adding a difficult-to-breathe-through layer. That always stuck with me, so I make sure the policies at facilities I work at don’t mandate patients donning PFRs.
There is also no definitive evidence I have yet seen that would suggest a well fitted surgical mask is any less effective in potentially reducing transmission of respiratory pathogens than a PFR.
So that relates to symptomatic patients, not well visitors, but since we don’t do any form of checking about respiratory compromise I’d be more comfortable in asking visitors as well as non-symptomatic patients to wear surgical masks rather than show them how to don a PFR and hope it didn’t cause an issue.
Just my thoughts.
Cheers
MichaelMichael Wishart | Infection Control Coordinator, CICP-E
St Vincent’s Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
M +61 448 954 282 | T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
W https://www.svphn.org.auSt Vincent’s Private Hospital Brisbane | 411 Main Street KANGAROO POINT QLD 4169
M +61 448 954 282 | T +61 7 3240 1208 | F +61 7 3240 1166
E michael.wishart@svha.org.au |
W https://www.svphb.org.au[http://i8.cmail19.com/ei/t/6C/F77/A00/141133/csfinal/StaticEmailFooter-SVPHN-Celebrating20Years-650×150-9900000000079e3c.png]
[cid:image001.png@01D72F93.FCA8FC30]
Reposting this… Keen to hear if anyone has an opinion or experience of implementing PFR use for source control. I don’t think there’s a right answer.
Thanks
Ed________________________________
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Hello IPC community,
Are you recommending PFRs for source control in your facilities?
We are considering use for
1. COVID positive patients coming into outpatient areas for infusions/assessment
2. All visitors to very high risk areas, eg bone marrow transplant unit, as we reduce stringency of RAT screening and have increasing levels of non-COVID respiratory illness in communityThe available literature seems to provide evidence of only marginal theoretical benefit which needs to be balanced against the cost and confusion of applying this targeted strategy.
Summarised in this systematic review 2022 https://doi.org/10.1007/s00420-021-01775-y which in discussion says: “The results of the present review indicate that the use of a surgical mask by the source of the aerosol reaches a higher level of protection than the use of the N95 respirator by the receiver (Diaz and Smaldone 2010; Mansour and Smaldone 2013; Patel et al 2016). These data suggest that traditional surgical masks are useful in preventing the transmission of respiratory diseases when applied at the source of the infected aerosol, significantly reducing the exposure of pathogens, functioning as an inhalation barrier; however, in regard to respiratory protection equipment, there are still doubts about which is the best type to be used for this purpose (Patel et al. 2016 ). In an environment of 27 m3 occupied by five people, although the N95 respirator promotes greater filtration, surgical masks seemed to be more effective in reducing the release of bioaerosol, a difference mainly due to the adjustment and sealing of the mask to the face of the source (Xu et al. 2017).”
This is primarily based on the Patel/Smaldone 2016 paper http://dx.doi.org/10.1080/15459624.2015.1043050 which reports findings from an in vitro model that perhaps underrepresents the efficiency and seal achieved in the majority of people with the current generation of soft shell PFRs.
Keen to hear your approach/experience.
Kind regards,
EdDr Ed Raby
Medical Director Infection Prevention and Control
South Metropolitan Health Service, WA
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Michael WishartParticipantAuthor:
Michael WishartEmail:
Michael.Wishart@svha.org.auOrganisation:
State:
NSWThis is the link to that toy ambulance: This item is unavailable | Etsy
This item is unavailable | Etsy
Find the perfect handmade gift, vintage & on-trend clothes, unique jewellery, and more lots more.
http://www.etsy.comCheers
MichaelMichael Wishart | Infection Control Coordinator, CICP-E
St Vincents Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
M +61 448 954 282 | T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au|
St Vincents Private Hospital Brisbane | 411 Main Street KANGAROO POINT QLD 4169
M +61 448 954 282 | T +61 7 3240 1208 | F +61 7 3240 1166
E michael.wishart@svha.org.au|[http://i8.cmail19.com/ei/t/6C/F77/A00/141133/csfinal/StaticEmailFooter-SVPHN-Celebrating20Years-650×150-9900000000079e3c.png]
[cid:c472ce19-ce44-4803-bd7d-1cb6b4eeca6e]
________________________________
[Petit Block Ambulance DIY or We Can Build It for You | Etsy]
Anna Lillas
Clinical Nurse Consultant Infection Prevention Unit[LOGO_PMAC_HORIZONTAL]
Please note: Wednesday to Friday
Phone +61 3 85562789
Email anna.lillas@petermac.org! EXTERNAL EMAIL: Think before you click. If suspicious send to CyberReport@petermac.org
OFFICIAL
Hello Brains trust
Im looking for a picture for a presentation of a toy ambulance in sterile wrap.
Can anyone help?
Kind regards
Lincoln Fowler
Infection Prevention and Control Officer
ACT Ambulance Service
P. | M.0435 329 378 | E. Lincoln.Fowler@act.gov.au
9 Amberley Avenue Fairbairn (Majura) ACT 2609| PO Box 158 Canberra City ACT 2601
[Celebrating World Hand Hygiene Day, 2022 – Surewash]
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Michael WishartParticipantAuthor:
Michael WishartEmail:
Michael.Wishart@svha.org.auOrganisation:
State:
NSWHi Vanessa
The document cited below is based in Queensland, and local epidemiology needs to be considered. But the need for specific, targeted strategies for prevention of transmission of ESBLproducing organisms in residential care settings is not clear, and will also possibly depend upon the species of organism (eg in QLD, ESBL production in E.coli is not considered a trigger for transmission based precautions).
There is conflicting evidence available on the merits of including ESBL-producing organisms
in a targeted resistance mechanism-specific approach. It is recommended that acute and
high-risk health services assess local epidemiology and perform an assessment of risk to
determine the requirements of the local approach for ESBL-producers. An important factor
to consider is that current laboratory procedures utilise the tests for ESBL-producers to
detect carbapenem resistant organisms; this is an important step to determining if CPE are
present.
The assessment of risk should include the expertise of infection prevention and control
practitioners, infectious diseases physicians and medical microbiologists. It is further
recommended that infection prevention and control programs maintain awareness for
increased numbers of infections with ESBL- producers in order to monitor for outbreaks. In
the event of increased numbers, the local approach should be re-assessed.
For other health services that are not usually considered high risk for MRO infection (e.g.
residential aged care, outpatient settings, community-based settings), the decision to
implement an organism- or resistance mechanism-specific program other than for CPE
should be made per health service based on factors including local epidemiology, risk of
transmission and risk of infection.
Different combinations of strategies may be used for different health services, and the
appropriate strategy may be a risk assessment approach that is applied to each individual
client with an MRO colonisation or infection. For example, in residential aged care, use of
isolation and contact precautions may not be required routinely for management of
residents who are colonised with an MRO, but these measures may be put in place when a
risk assessment indicates they are required. For example, a resident who currently has an
infection with an MRO, or a resident colonised with an MRO who has trouble with hygiene
behaviours.Management of multi-resistant organisms (health.qld.gov.au)
My recommendation would be (based on the understanding that the patient did not have an indwelling urinary catheter, and resided in a single room with their own ensuite) that standard precautions would be sufficient in this setting. Some of your listed options, to me, are actually what should be part of standard precautions (eg good hand hygiene by all carers, gloves when handling contaminated items (eg used continence aids), apron when splashing is likely) and should be used for all client/resident contacts.
Hope this helps you consider the most appreciate approach.
Cheers
MichaelMichael Wishart | Infection Control Coordinator, CICP-E
St Vincents Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
M +61 448 954 282 | T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
W https://www.svphn.org.auSt Vincents Private Hospital Brisbane | 411 Main Street KANGAROO POINT QLD 4169
M +61 448 954 282 | T +61 7 3240 1208 | F +61 7 3240 1166
E michael.wishart@svha.org.au |
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[cid:image001.png@01D72F93.FCA8FC30]
From: ACIPC Infexion Connexion On Behalf Of Vanessa Davis
Sent: Wednesday, 15 June 2022 3:58 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: [ACIPC_Infexion_Connexion] ESBL UTI in RACDear Clever People
We have a resident who has been diagnosed with ESBL UTI. They have been commenced on ABx.What additional precautions should be implemented for this resident who lives in her own room with an ensuite.
Based on what I have read, My guess is:
1) Gloves when changing continence aids / toileting.
2) ? plastic gown (? Long or ? Short sleeve)
3) diligence with Hand hygiene (resident and staff)
4) ? Additional cleaning of bathroom
5) none of the above
6) something elseMany thanks for your guidance
Vanessa WatkinsRN, Quality Manager, IPC Lead
Donwood Community Aged Care
11 Diana Street, Croydon, Vic
(03) 9845 8509
vwatkins@donwood.com.auMESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
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Michael WishartParticipantAuthor:
Michael WishartEmail:
Michael.Wishart@svha.org.auOrganisation:
State:
NSWHi Chris
MSSA stands for Methicillin Sensitive Staphylococcus aureus, so it refers to a bacteria not a disease/infection. It is no considered multi-resistant therefore standard precautions only would apply.
SAB stands for Staphylococcus aureus bacteraemia, which is an infection which can be caused by either MSSA or MRSA. If a SAB is caused by MSSA, standard precautions only applies. If a SAB is caused by MRSA, contact precautions may be required (some facilities for no use contact precautions for non-multiresistant MRSA (nmMRSA)).
Hope this helps.
Cheers
MichaelMichael Wishart | Infection Control Coordinator, CICP-E
St Vincent’s Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
M +61 448 954 282 | T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
W https://www.svphn.org.auSt Vincent’s Private Hospital Brisbane | 411 Main Street KANGAROO POINT QLD 4169
M +61 448 954 282 | T +61 7 3240 1208 | F +61 7 3240 1166
E michael.wishart@svha.org.au |
W https://www.svphb.org.au[http://i8.cmail19.com/ei/t/6C/F77/A00/141133/csfinal/StaticEmailFooter-SVPHN-Celebrating20Years-650×150-9900000000079e3c.png]
[cid:image001.png@01D72F93.FCA8FC30]
Good morning brains trust.
I have a few questions regarding MSSA Bacteraemia,
Is MSSA and a SAB the same thing?
Are there any Transmission based precautions required and if so for how long?Kind regards,
Chris
Christine Morrison
Practice Facilitator – Infection Control
Practice Facilitation Team
[cid:image001.jpg@01D87CAB.71187630]Level 3, Webber House,
439 Ann St, Brisbane Q 4000
PO Box 10556, Brisbane Adelaide St Q 4000M: 0499526913
E: cmorrison2@anglicaresq.org.au
E: pft@anglicaresq.org.au
W: anglicaresq.org.au[list-SM]
[cid:image003.jpg@01D87CAB.71187630]I acknowledge and pay my respects to the traditional owners and custodians of the land in which I work, walk and live.
________________________________
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