[Michael Wishart]

Hi Nitti

This is a jurisdictional question. Who licences the facility? In the case of private aged care, probably the Commonwealth Aged Care Standards Agency (or whatever they are called now).

I doubt it is a condition of your licensing to display such signs. There may be a licensing requirement to have a hand hygiene program, which could include displayed signage, but it is not likely you would be required to.

I suggest you contact whoever licences your facilities for an answer.

Cheers
Michael

PS I am NOT saying hand hygiene signage is not a good idea. It definitely is to promote hand hygiene amongst your staff and residents.. But is a legal requirement? I doubt it.

Michael Wishart
Infection Control Coordinator

A 627 Rode Road, Chermside QLD 4032
P (07) 3326 3068 | F (07) 3607 2226 | E michael.wishart@svha.org.au | W http://www.hsnph.org.au
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From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Nitti
Sent: Tuesday, 4 April 2017 1:02 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Signage

Dear all

Having Hand hygiene/washing signage in health care especially private aged care, is it a legal requirement?
Any advise will be appreciated
Thanks
Nitti
—

Kind Regards

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Newnit Madan
Infection Prevention Control Coordinator
Sir Moses Montefiore Jewish Home
120 High Street, Hunters Hill NSW 2110
Tel: 02 9879 2756 | Mobile: 0467 505 539
Email: nmadan@montefiorehome.com.au | Web: http://www.montefiorehome.com.au

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[Michael Wishart]

It seems some surgeons have a different view from infection preventionists and sterilisation technicians on this issue. I once had to stop a surgeon from making a device with hardware store PVC and using in it a surgical procedure. He couldnt see the problem!

You cant just get any object and sterile it and hope the item can be sterilised by the process you use. It has to be validated. You would have to demonstrate the bolt cutters were able to be subjected to the sterilisation process without any of the components being altered or leaching toxic substances, as well as the sterilant penetrating all parts of the item.

If the bolt cutters were exactly the same brand as the medical device, and from the same manufacturer using exactly the same materials, it might be feasible. But most hardware store bolt cutters would not be, so the sterilisation manager should have appropriately refused a request to sterilise them.

Sterilisation services can often be put under enormous pressure to sterilise inappropriate items.

My thoughts, anyway.

Cheers
Michael

Michael Wishart
Infection Control Coordinator

A 627 Rode Road, Chermside QLD 4032
P (07) 3326 3068 | F (07) 3607 2226 | E michael.wishart@svha.org.au | W http://www.hsnph.org.au
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From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Matthew Mason
Sent: Friday, 3 March 2017 4:58 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Surgical equipment.

Hi All,
Just wondering if I’m in the wrong here thinking that sterilising equipment bought from the local hardware actually isn’t appropriate? http://www.abc.net.au/news/2017-03-03/bega-hospital-left-with-one-orthopaedic-surgeon/8322442 Sure I wouldn’t want to transfer the patient, but I see this as a very slippery slope.
Cheers Matt

Matt Mason
Lecturer, School of Nursing & Midwifery,
University of the Sunshine Coast.
USC, Locked Bag 4, Maroochydore DC, Queensland, 4558 Australia.
CRICOS Provider No: 01595D
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[Michael Wishart]

Hi Nitti

There is a NSW Health fact sheet available.

http://www.health.nsw.gov.au/Infectious/factsheets/Pages/blastocystis-hominis.aspx

Cheers
Michael

Michael Wishart
Infection Control Coordinator

A 627 Rode Road, Chermside QLD 4032
P (07) 3326 3068 | F (07) 3607 2226 | E michael.wishart@svha.org.au | W http://www.hsnph.org.au
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From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Nitti
Sent: Thursday, 16 February 2017 10:36 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Blastocystis hominis infection

Dear all,

Is there any information on management of blastocystis hominis in health care facilities? particularly on isolation.

any kind of information will be helpful

Thank you
Newnit Madan
Infection Prevention Control Coordinator
Sir Moses Montefiore Jewish Home
120 High Street, Hunters Hill NSW 2110
Tel: 02 9879 2756 | Mobile: 0467 505 539
Email: nmadan@montefiorehome.com.au | Web: http://www.montefiorehome.com.au
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Kind Regards

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Newnit Madan
Infection Prevention Control Coordinator
Sir Moses Montefiore Jewish Home
120 High Street, Hunters Hill NSW 2110
Tel: 02 9879 2756 | Mobile: 0467 505 539
Email: nmadan@montefiorehome.com.au | Web: http://www.montefiorehome.com.au

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[Michael Wishart]

I’d like to repeat something Matthias posted earlier on this topic, as I think it remains very relevant:

‘(1) Much of it is based on a short 2001 article in the MJA, examining a few hundred s.c. injections and venipunctures, and concluding that swabbing for ANY type of injection is not necessary, including i.m. injections. There are two fatal flaws with this assumption. (a) The article did not examine even a single i.m. injection and made conclusions pertaining to these (which is inconsistent with the principles of evidence-based medicine, which the article purported to adhere to), and (b) the natural infection rate after i.m. injections is very low, estimated to be in the range of 1:5000 to 1:10000 or less (which is reassuring), but if you study a smaller population than is needed to capture the natural incidence of an event, then you cannot make conclusions that the intervention has no effect on the occurrence of the event.’ (Dr M Maiwald, 25/3/2013, Infexion Connexion)

Not sure what other evidence is now available. Can anyone comment?

My thoughts are that it is probably not harmful to swab the skin pre any type of injection, but it is probably more useful to swab the skin prior to IM or deeper injections, as the consequences of infection (although low) are potentially more catastrophic.

Cheers
Michael

Michael Wishart
Infection Control Coordinator

A 627 Rode Road, Chermside QLD 4032
P (07) 3326 3068 | F (07) 3607 2226 | E michael.wishart@svha.org.au | W http://www.hsnph.org.au
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Dear Amanda, dear Julie,

I refer to a few prior postings that I made on this forum on this topic. I don’t want to repeat this in detail (but certainly can do so if this is required), but the evidence assessments (both in the Immunisation Handbook and of the WHO – have not seen the Joanna Briggs one) leading to the recommendation to NOT swab before ANY type of infections (including deep intramuscular, intraarticular, etc., etc.) are seriously flawed. Just as a small example, there is no factual or evidence-based or microbiological basis for the distinction between visibly clean and dirty skin. Visibly clean skin can harbour very high microorganism numbers.

What needs to be recognised is that the physiology of (and pathophysiology of infections caused by) the different types of injections is fundamentally different. The decision to not swab before very superficial (subcutaneous or intracutaneous) infections may be justifiable on the basis that these are anatomically very superficial and any infections easily treatable, but this cannot be generalized to any types of injections.

Best regards, Matthias.

—
Matthias Maiwald, MD, FRCPA
Senior 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 1387

Hi Amanda

We don’t clean with an alcohol wipe prior to any injections, including immunisations unless the area of skin is visibly dirty. You could have a look at The Australian Immunisation Handbook which confirms this for vaccinations. You might also want to look at the WHO Best Practices for Injections policy & the Joanna Briggs Institute website.

Kind regards

Julie

Julie Baile I Clinical Nurse Infection Prevention & Management

South Metropolitan Health Service Fiona Stanley Hospital
Level Ground, Block B, 11 Robin Warren Drive, MURDOCH WA 6150
Postal Address: Locked Bag 100, PALMYRA DC WA 6961
T: 6152 8915
E: julie.baile@health.wa.gov.au
http://www.southmetropolitan.health.wa.gov.au
http://www.fsh.health.wa.gov.au

Hi All,

I am just looking at what everybody’s current practice is when giving insulin or clexane injections.

Do you swab prior to injection or not? And does anybody have any of the latest evidence regarding this?

Thanks

Amanda

Amanda Hill
Staff Development Nurse – Palliative Care
Clinical Nurse – Infection Prevention & Control

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[Michael Wishart]

Thank Giulietta

I wonder what evidence those who drafted this policy change have used? Or have they relied on existing position papers such as the 2010 SHEA one?

How will they tackle an informed infectious diseases physician or an emergency physician who refuses annual influenza vaccination? How could you redeploy them without financial penalty??

And to be clear, I do not disagree with recommending annual influenza vaccination for HCWs. It is penalising HCWs are for not partaking of the offer that I disagree with. Do they really pose such a risk to others that we must penalise them? That is the question.

Cheers
Michael

Michael Wishart
Infection Control Coordinator

A 627 Rode Road, Chermside QLD 4032
P (07) 3326 3068 | F (07) 3607 2226 | E michael.wishart@svha.org.au | W http://www.hsnph.org.au
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[Posted on behalf of Giulietta Pontivivo – Moderator]

Hi Michael

The draft update of the MoH NSW Occupational Assessment, Screening and Vaccination Against Specific Infectious Diseases PD stipulates “HCW’s in Category A high risk groups will be mandated to be vaccinate before 31st may each year. If unvaccinated the HCW maybe deployed permanently to other low risk working environments”.

Personally I would have liked to see all HCW’s in category A be mandated to have a seasonal flu vaccine. Given that in NSW there were over 270 HC facilities that experienced influenza outbreaks last year with low rates of HCW influenza vaccination in such facilities then mandatory vaccination must be seen as a patient safety requirement.

Regards Giulietta

Giulietta Pontivivo CICP RN/RM/MPH| NM Infection Prevention Management and Staff Health Services- St Vincent’s Hospital (Unit Level 6, DeLacy Building), 390 Victoria Street Darlinghurst NSW 2010
Contact Details: t: 61 2 8382 3284 | f: 61 2 8382 3892 |M-0457 533 452 e: Giulietta.Pontivivo@svha.org.au

There has been an interesting discussion of the 2010 SHEA position paper on mandated influenza vaccination in the US on the Controversies in Hospital Infection Control blog (http://haicontroversies.blogspot.com.au/). The key blog posts are from Jan 29th, Feb 5th and Feb 6th.

For those who do not regularly follow this blog, it is an interesting debate. It is a discussion on evidence vs opinion for prescription of practice.

I agree with the original blog author: it is fine to state opinion and plausibility to recommend something, but if we want to mandate something, there needs to be clear evidence.

Would be interested to hear other ICP’s opinion on this topic.

Cheers
Michael

Michael Wishart
Infection Control Coordinator

A 627 Rode Road, Chermside QLD 4032
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[Michael Wishart]

Hi Jenny

Do you mean within CSSD’s or within dental practices or medical clinics or something? I think CSSD’s are required to pass through form dirty to clean via the washer/disinfectors (not sure if it is a requirement rather than a ‘nice-to-have’).

Not surer about pass through for dental surgeries of clinics that have sterilising areas.

Cheers
Michael

Michael Wishart
Infection Control Coordinator

A 627 Rode Road, Chermside QLD 4032
P (07) 3326 3068 | F (07) 3607 2226 | E michael.wishart@svha.org.au | W http://www.hsnph.org.au
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Hi Brains trust
I’m looking for a reference to pass through windows for sterilising areas
Im wondering if its working as a one way flow if it is acceptable working with very tight spaces this would assist immensely for Clean equipment doing off tor disinfection sterilisation
In the back of my mind I though this may have been obsolete?
Thanks for assistance

Jennifer Benjamin
Infection Control Consulant
Melbourne Pathology
M: 0402000590
Quality is in our DNA
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[Michael Wishart]

Hi Ruth

Queensland Health has some patient and GP information sheets. They also have template letters you could request copies of if you want to do a look back.

https://www.health.qld.gov.au/news-alerts/news/160823-mycobacterium-chimaera

Cheers
Michael

Michael Wishart
Infection Control Coordinator

A 627 Rode Road, Chermside QLD 4032
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Sent by Outlook for Android on a Galaxy S5

On Sat, Dec 17, 2016 at 8:28 AM +1000, “Ruth Barratt” <Ruth.Barratt@CDHB.HEALTH.NZ> wrote:

Hi all,
Has anyone got a resource or information where I can find a patient information leaflet or similar advising them of the risks of the cardiac water cooler unit issue? Our quality and safety team were wanting something in place in case the local media picks up on this story and we get enquiries from them or past cardiac patients, or in the event we have to do a look back. We would of course reference any source but mainly we would just like to see how this has been approached for the public.

Regards

Ruth

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Ruth Barratt RN, BSc, MAdvPrac (Hons)
Clinical NurseSpecialist Infection Prevention and Control
Community Liaison Infection Prevention
: ruth.barratt@cdhb.health.nz
: + 64 3 3640 083 or ext.80083
[1098272744j4O36h]: 0275 263175
Level 5, Riverside Building
Christchurch Hospital | Private Bag 4710, Christchurch
Clean Hands Save Lives!

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[Michael Wishart]

Hi Lesley

Just curious: when planning these combined units, are the proposing any specific isolation rooms? Many haemodialysis units have isolation rooms, and this does become important for ‘holiday’ haemodialysis. If they are combining haemodialysis with day oncology treatment, then the likelihood of accepting ‘holiday’ dialysis patients in these units (unknown risks of MRO’s) if there are no isolation rooms will probably be even smaller.

I may have this wrong as they may have ‘fixed’ this issue, but it was topical last time I was involved with a dialysis unit.

Cheers
Michael

Michael Wishart
Infection Control Coordinator

A 627 Rode Road, Chermside QLD 4032
P (07) 3326 3068 | F (07) 3607 2226 | E michael.wishart@svha.org.au | W http://www.hsnph.org.au
[cid:image001.png@01D01926.61F1C2B0] [cid:image002.png@01D240B0.9E3B64C0]
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Yes Rochelle – it seems the combination of the day procedure folk, regardless of risk or vulnerability is occurring in a number of places. I get that this is a convenient and cost effective restructure idea but our concerns lie with a high risk group (haemodialysis) and a very vulnerable group ( oncology) being provided care in this open and close setting. We will be having the conversation around that risk, the MRO situation and will be particularly considering – no shared equipment, Rx chairs or communal and toilet facilities etc. regards Lesley

Lesley Stewart, Kaye Roberts & Carolyn Templeton
Infection Control & Wound Management
Western District Health Service
PO Box 283
Hamilton, Victoria 3300
Infection.wound@wdhs.net | http://www.wdhs.net

[Description: Description: Description: Description: Description: text3126-7-9-4-1]
Excellence in Healthcare – Putting People First

I’d also be interested in this feedback, as our Exec are looking at doing the same!
I believe other facilities do have this set up

Regards
Rochelle Biancotti
WH&S | RTW | IPC Manager
(MON/TUES/WED/THUR 0800-1630. FRI 0800-1330)

Cairns Private Hospital | Cairns Day Surgery | The Cairns Clinic
Support Services
Phone:

07 4052 5274

Fax:

07 4052 5188

Mobile:

0408 019 190

Email:

BiancottiR@ramsayhealth.com.au

Web:

http://www.ramsayhealth.com

Address:

1 Upward St, Cairns QLD 4870

Hi – I am about to have a meeting with our exec and architect to review redevelopment plans that show that haemodialysis and the day oncology unit will be amalgamated. I obviously have concerns about this situation. I would be very interested in hearing thoughts and advice from the group. Thanks Lesley Stewart

Lesley Stewart, Kaye Roberts & Carolyn Templeton
Infection Control & Wound Management
Western District Health Service
PO Box 283
Hamilton, Victoria 3300
Infection.wound@wdhs.net | http://www.wdhs.net

Excellence in Healthcare – Putting People First

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[Michael Wishart]

Hi Sonya

Have you seen the ACIPC Aseptic Technique resources?

https://www.acipc.org.au/Professional-Development/ACIPC-Resources/Aseptic-Technique-Resources

Cheers
Michael

Michael Wishart
Infection Control Coordinator

A627 Rode Road, Chermside QLD 4032
P(07) 3326 3068| F(07) 3607 2226| Emichael.wishart@svha.org.au| W http://www.hsnph.org.au

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—–Original Message—–
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Sonja Wegert
Sent: Wednesday, 16 November 2016 2:00 PM
To: AICALIST@AICALIST.ORG.AU
Subject: ANTT

Hello all,

I’m currently looking into updating our ANTT online learning package. Does anybody has any online tools and happy to share?
Regards Sonja

Sonja Wegert | Infection Prevention Officer Infection Prevention and Control Unit | Central Australia Health Service Northern Territory Government Alice Springs Hospital, Gap Rd, Alice Springs GPO Box 2234, Suburb, NT Postcode
e … sonja.Wegert@nt.gov.au http://www.nt.gov.au/health

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[Michael Wishart]

Hi Cate

I will defer to experts such as Glenys Harrington on this topic, but would just point out that water quality needs to consider more than ‘cooling tower’ testing, which is really only looking for large numbers of organisms (biofilm) or any number of Legionella. And we need to consider the different risks for difference water used for hand washing and water provided to immunocompromised patients to drink. Therefore any testing needs to reflect this.

As per the current enHealth guidelines on water quality, your overall water quality management plan should reflect these risks. (see http://www.sahealth.sa.gov.au/wps/wcm/connect/9584a2804b1cdf74b707ff0b65544981/enHealth+Guideline+Final.pdf?MODAJPERES&CACHEID9584a2804b1cdf74b707ff0b65544981 ) And so any testing should reflect this as well.

Cheers
Michael

Michael Wishart
Infection Control Coordinator

A 627 Rode Road, Chermside QLD 4032
P (07) 3326 3068 | F (07) 3607 2226 | E michael.wishart@svha.org.au | W http://www.hsnph.org.au
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Hi everyone,
Can I get your advice on need for water testing in our new ICU before it is commissioned for use. Is water testing required, if so from which source/s? Should they be managed in the same manner as routine cooling tower testing?
thanks

Cate Coffey | Clinical Nurse Consultant
Infection Prevention and Control Unit | Central Australia Health Service
Northern Territory Government
Alice Springs Hopsital, Gap Rd, Alice Springs
GPO Box 2234, Suburb, NT Postcode
p … 08 89517737
e … cate.coffey@nt.gov.au http://www.nt.gov.au/health

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[Michael Wishart]

Hi Cate

Wherever HEPA filtration is used, some testing can be of use. I have seen air sampling be used to commission a bone marrow transplant unit which had HEPA filtered air delivered to the rooms. What you need to ask yourself, is what is the purpose the air filtration system of the unit in question, and therefore the purpose of the air sampling? If the unit is HEPA filtered for the purpose of providing filtered air, then testing to ensure low counts may be useful.

Hope this helps.

Cheers
Michael

Michael Wishart
Infection Control Coordinator

A627 Rode Road, Chermside QLD 4032
P(07) 3326 3068| F(07) 3607 2226| Emichael.wishart@svha.org.au| W http://www.hsnph.org.au

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—–Original Message—–
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Cate Coffey
Sent: Tuesday, 25 October 2016 10:16 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Air sampling – operating theratre commissioning is it still necessary

Could I ask is air sampling required for commissioning of new ICU or just Opersting Theatre?
Thanks
Cate Coffey__________________________
From: ACIPC Infexion Connexion [AICALIST@AICALIST.ORG.AU] on behalf of Michael Wishart [Michael.Wishart@SVHA.ORG.AU]
Sent: Tuesday, October 25, 2016 5:02 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Air sampling – operating theratre commissioning is it still necessary

Oh boy, where to start?

I agree there is conflicting information about the validity and utility of air sampling for commissioning new (or refurbished) operating rooms. The real commissioning, in my view, is to ensure that all of the mechanicals are working appropriately, and demonstration of appropriate pressure gradients.

There is, as far as I am aware, no definitive requirement in Australia to perform air sampling of this nature. No specific requirement form any regulatory body. Please correct me if you are aware of something.

Having said that, some people (aka administrators and surgeons, mainly) like to have scientific evidence that the theatres are safe from things we cant see. So, whilst not mandated, it is sometimes required, and we have to do it.

As far as accredited labs goes, there are a few around the country, I believe but very few. I would have to check what accreditation is required form this apart from being accredited to process environmental samples, but that would be my guess as to what you need to look for.

The trick is to work with the lab about air volumes required to process, and what you are actually looking for (who many of what kind of bugs, basically). You then have to have a plan on what to do if the count is higher than you agreed on something the4 administrators and surgeons are loath to agree to (yet more testing!??!).

I wish you luck, and I also wish someone would give us some clearer direction on where to go with this. Save us all time and money and effort.

Cheers
Michael

Michael Wishart
Infection Control Coordinator

A 627 Rode Road, Chermside QLD 4032
P (07) 3326 3068 | F (07) 3607 2226 | E michael.wishart@svha.org.au | W http://www.hsnph.org.au
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From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Ryan, Lindy
Sent: Tuesday, 25 October 2016 4:10 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Air sampling – operating theratre commissioning is it still necessary

Dear brains trust

I have a Question around the validity of undertaking air sampling as part of infection control QA for commissioning of operating theatres.
I have read around current literature and guidelines attached it being recommended (& I have undertaken air sampling and had the micro lab previously read and report on the results which have been reviewed with the Clinical microbiologist/ID) I have attached a coupe I have looked data and used previously at what I thought were great documents!!

However recently I was asked to undertake this again as we will be undertaking work in OT re our air-conditioning system and was happy to progress as previous with sir sampling . however the health laboratory I am currently working with has declined to accept and undertake the analysis and reporting as they have indicated they are not NATA accredited to undertake this analysis and reporting .

So we have been looking around for an external private laboratory to undertake this analysis and reporting at great cost to us .
However in asking around my colleagues I have also been advised that there is no current NATA credentialing for air sampling (so even the private lab we will need to use wont be accredited accredited?)

Can I clarify with anyone else working elsewhere if this is true, and /or what their experience has been in undertaken air sampling and how they have had it analysed and reported on

I am seriously wondering if I have missed anything new or different in the literature that has changed the concept of air sampling as useful tool for commissioning given if there is no there is no standard (ie NATA) of accreditation around the sample data analysis & reporting methodology and its validity then why would an air sampling need test still be recommended to be done at all if the labs are telling us the info cant be considered accurate or correct without NATA validation

Any thoughts responses or advice greatly appreciated as we look at our next step here around value for money and safety

Kind regards

Lindy

Lindy Ryan

Infection prevention & Control Clinical Nurse Consultant (CNC) | Coffs Harbour Health Campus Pacific Hwy Coffs Harbour NSW 2450 Tel (02) 6656 7770 | lindy.ryan@ncahs.health.nsw.gov.au
http://www.health.nsw.gov.au

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Wise and humane management of the patient is the best safeguard against infection
(Florence Nightingale Circa 1860)

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[Michael Wishart]

Oh boy, where to start? 🙂

I agree there is conflicting information about the validity and utility of air sampling for commissioning new (or refurbished) operating rooms. The real commissioning, in my view, is to ensure that all of the mechanicals are working appropriately, and demonstration of appropriate pressure gradients.

There is, as far as I am aware, no definitive requirement in Australia to perform air sampling of this nature. No specific requirement form any regulatory body. Please correct me if you are aware of something.

Having said that, some people (aka administrators and surgeons, mainly) like to have ‘scientific’ evidence that the theatres are ‘safe’ from things we can’t see. So, whilst not mandated, it is sometimes required, and we have to do it.

As far as accredited labs goes, there are a few around the country, I believe but very few. I would have to check what ‘accreditation’ is required form this apart from being accredited to process environmental samples, but that would be my guess as to what you need to look for.

The trick is to work with the lab about air volumes required to process, and what you are actually looking for (who many of what kind of bugs, basically). You then have to have a plan on what to do if the count is higher than you agreed on – something the4 administrators and surgeons are loath to agree to (yet more testing!??!).

I wish you luck, and I also wish someone would give us some clearer direction on where to go with this. Save us all time and money and effort.

Cheers
Michael

Michael Wishart
Infection Control Coordinator

A 627 Rode Road, Chermside QLD 4032
P (07) 3326 3068 | F (07) 3607 2226 | E michael.wishart@svha.org.au | W http://www.hsnph.org.au
[cid:image001.png@01D01926.61F1C2B0]

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Dear brains trust

I have a Question around the validity of undertaking air sampling as part of infection control QA for commissioning of operating theatres.
I have read around current literature and guidelines attached it being recommended (& I have undertaken air sampling and had the micro lab previously read and report on the results which have been reviewed with the Clinical microbiologist/ID) I have attached a coupe I have looked data and used previously at what I thought were great documents!!

However recently I was asked to undertake this again as we will be undertaking work in OT re our air-conditioning system and was happy to progress as previous with sir sampling . however the health laboratory I am currently working with has declined to accept and undertake the analysis and reporting as they have indicated they are not NATA accredited to undertake this analysis and reporting .

So we have been looking around for an external private laboratory to undertake this analysis and reporting at great cost to us .
However in asking around my colleagues I have also been advised that there is no current NATA credentialing for air sampling (so even the private lab we will need to use won’t be accredited accredited?)

Can I clarify with anyone else working elsewhere if this is true, and /or what their experience has been in undertaken air sampling and how they have had it analysed and reported on

I am seriously wondering if I have missed anything new or different in the literature that has changed the concept of air sampling as useful tool for commissioning given if there is no there is no standard (ie NATA) of accreditation around the sample data analysis & reporting methodology and its validity then why would an air sampling need test still be recommended to be done at all if the labs are telling us the info can’t be considered accurate or correct without NATA validation

Any thoughts responses or advice greatly appreciated as we look at our next step here around value for money and safety

Kind regards

Lindy

Lindy Ryan

Infection prevention & Control Clinical Nurse Consultant (CNC) | Coffs Harbour Health Campus
Pacific Hwy Coffs Harbour NSW 2450
Tel (02) 6656 7770 | lindy.ryan@ncahs.health.nsw.gov.au
http://www.health.nsw.gov.au

[http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Mid-North-Coast-LHD.jpg]

“Wise and humane management of the patient is the best safeguard against infection”
(Florence Nightingale Circa 1860)

________________________________

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[Michael Wishart]

Hi Alison

We had a similar problem, and had to expand our online subscription to include the specific EN and ISO documents (specifically listed as per the AS/NZS 4187:2014 reference list). It did cost us more, but was not exorbitant I don’t think. You dont need access to every EU and ISO standard.

Hope this helps.

Cheers
Michael

Michael Wishart
Infection Control Coordinator

A627 Rode Road, Chermside QLD 4032
P(07) 3326 3068| F(07) 3607 2226| Emichael.wishart@svha.org.au| W http://www.hsnph.org.au

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—–Original Message—–
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Alison Shoobert
Sent: Monday, 17 October 2016 10:13 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Accessing EN & ISO Standards

As a CNC in Infection Prevention I am currently undertaking a project reviewing CSDs across our local health district.

We have experienced difficulty accessing full versions of the EN and ISO standards listed as “Normative References” to read in conjunction with the AS. The information contained in these documents is needed to fully comprehend AS 4187:2014.

We are currently seeking funding to expand our subscription to our current standards provider, enabling us access which has a significant associated fee.

Is there another way…how have others accessed these documents?

I appreciate your input.

Alison Shoobert
CNC Infection Prevention

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[Michael Wishart]

Hi Cath

This may help you understand the term ‘hybrid theatre”. Its from Europe, but reflects what is starting to happen in Australia.

http://www.healthcare-in-europe.com/en/article/7209-Hybrid_operating_theatres.html

Cheers
Michael

Michael Wishart
Infection Control Coordinator

A627 Rode Road, Chermside QLD 4032
P(07) 3326 3068| F(07) 3607 2226| Emichael.wishart@svha.org.au| W http://www.hsnph.org.au

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—–Original Message—–
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Dr Cathryn Murphy
Sent: Friday, 30 September 2016 9:10 AM
To: AICALIST@AICALIST.ORG.AU
Subject: FW: Hybrid theatres

Hi Jayne

Could you please define what you mean by the term “hybrid” theatre? I would imagine that there are v. specific guidleines and probably Australian Standards around what areas can be termed operating theatres and also what procedures can be performed in what types of spaces (other than in the event of life-saving emergency conditions).

There is an Australian Facility Building Code or the like. Others will be able to point you to that. There may also be an ACORN Stadnard on the issue. I suggest you contact Jed Duff, ACORN President.

There are also likely to be N. American guidelines on this which whilst not directly translatable they may give you insight.

Good luck with it, an interesting idea…I wonder what has promoted the need for a “hybrid”. FYI – standardisation is much safer than hybridisation, any day.

Cheers
Cath

Cathryn Murphy MPH PhD CIC
Chief Executive Officer & Creative Director Infection Control Plus Pty Ltd PO Box 3079 Burleigh Town 4220 OLD, Australia

E: Cath@infectioncontrolplus.com.au
M: +61 428 154154
W: infectioncontrolplus.com.au

—–Original Message—–
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Jayne OConnor
Sent: Friday, 30 September 2016 8:00 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Hybrid theatres

Morning Brains trust 🙂

Our facility are in the process of planning for a hybrid theatre, I would like to know if there are any standards written for them? Also has anyone been involved in the planning and completion of a hybrid theatre? If so do you have open ceiling control rooms?

Our team are requesting that a 2.1 meter wall (with glass)door free is built for the control room instead of floor to ceiling wall. There reason being it’s easier to communicate with the surgeon!!

Thus far I have said NO to the 2.1 meter wall hence my question here today. I’d be happy for any advice.

Many thanks

Jayne

Jayne O’Connor RN,BSc.Inf.Cont.
IPC Co-Ordinator
Sydney Adventist Hospital
185 Fox Valley Rd.,
Wahroonga 2076

Tel DD: (02) 9487 9732
Mobile: 0406752685

Email: jayne.oconnor@sah.org.au
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[Michael Wishart]

[Posted on behalf of Whiteley Moderator]

At this point in time the seminar is not available in webinar format. If we decide to offer this option in future we will post the details on Infexion Connexion.

Jean Delany | National Marketing Manager
Address > 19-23 Laverick Ave Tomago NSW 2322
Phone > 02 4961 9305
Mobile > 0417 423 440
Website > http://www.whiteley.com.au

From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of yvonne inguz
Sent: Thursday, 29 September 2016 7:50 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Educational Seminar Dry Surface Biofilms and their Role in Cross Infection 19th October Carlton, Vic

Will this seminar be available by video link up? It would be very interesting however I am in the center of the NT.
Yvonne Inguz IPC
Tennant Creek Hospital
Northern Territory NT

On Thu, Sep 29, 2016 at 1:33 PM, Michael Wishart <Michael.Wishart@svha.org.au> wrote:
[Posted on behalf of Whiteley Moderator]

On the 19th October a range of high calibre speakers, all experts in their field, will inform and enhance your understanding
of the ever expanding realm of biofilms and their role in cross infection.

Venue:
The Woodward Centre
Level 10, Melbourne Law School
185 Pelham Street, Carlton, 3010

Time: 9.30am to 12.40pm, lunch 12.40-2pm.

Closing date for Registration is 14th October, 2016, no registration fee required.

Click here for more info: http://www.whiteley.com.au/seminar-series
************

Kind Regards

Jean Delany | National Marketing Manager
Address > 19-23 Laverick Ave Tomago NSW 2322
Phone > 02 4961 9305
Mobile > 0417 423 440
Website > http://www.whiteley.com.au

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