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Michael Wishart

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  • in reply to: Closure of consultancy services #79458
    Michael Wishart
    Participant

    Author:
    Michael Wishart

    Position:

    Organisation:

    State:
    NSW

    Congratulations on your retirement, Joe! I for one will be sorry to see you not around as much, but don’t be a complete stranger as we all could use some more wise words from you in the future still.

    Cheers
    Michael

    Michael Wishart | Infection Control Coordinator, CICP-E

    St Vincents Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032

    M +61 448 954 282 | T +61 7 3326 3068 | F +61 7 3607 2226

    E michael.wishart@svha.org.au|

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

    St Vincents Private Hospital Brisbane | 411 Main Street KANGAROO POINT QLD 4169
    M +61 448 954 282 | T +61 7 3240 1208 | F +61 7 3240 1166
    E michael.wishart@svha.org.au|

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

    [http://i8.cmail19.com/ei/t/6C/F77/A00/141133/csfinal/StaticEmailFooter-SVPHN-Celebrating20Years-650×150-9900000000079e3c.png]

    [cid:78af00cb-04de-474a-9a45-5b296dded8ec]

    ________________________________
    From: ACIPC Infexion Connexion on behalf of joe.bendall@BIGPOND.COM
    Sent: Friday, 10 June 2022 8:10 AM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: [ACIPC_Infexion_Connexion] Closure of consultancy services

    Good morning

    I would like to thank ACIPC for their ongoing support of IPAC over the years.

    This is my last year as a member as I will be closing my consultancy services and finally retiring!

    I am very excited and looking forward to this next phase of my life.

    Thanks

    Joe

    Joe-Anne Bendall

    Director, Infection Control Review

    ABN 98630512284

    Phone: 0419638342

    [cid:image001.png@01D87CA1.8B992CC0]

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

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    in reply to: Monkey Pox #79428
    Michael Wishart
    Participant

    Author:
    Michael Wishart

    Position:

    Organisation:

    State:
    NSW

    According to CDC information, smallpox vaccines are likely to beat least 85% effective in preventing monkeypox infection if given prior to exposure. Data is still being collected about value of smallpox vaccination post exposure to reduce risk of infection.

    Because monkeypox virus is closely related to the virus that causes smallpox, the smallpox vaccine can protect people from getting monkeypox. Past data from Africa suggests that the smallpox vaccine is at least 85% effective in preventing monkeypox.
    Monkeypox and Smallpox Vaccine Guidance | Monkeypox | Poxvirus | CDC

    Cheers
    Michael

    Michael 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.au

    St 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,

    It was wonderful to see so many of my colleagues, face to face at the IPC tour in Brisbane yesterday.

    I may have misunderstood the information I was given over a conversation at lunch regarding Monkey Pox.
    I would appreciate any updates and information regarding this, as I may have misunderstood that those who were vaccinated against Small Pox would be immune to the Monkey Pox virus, however my GP dismissed this today. I look forward to your feedback.

    Thanks In advance,

    Kind regards,

    Chris

    Christine Morrison
    Practice Facilitator – Infection Control
    Practice Facilitation Team
    [cid:image001.jpg@01D87011.A80192E0]

    Level 3, Webber House,
    439 Ann St, Brisbane Q 4000
    PO Box 10556, Brisbane Adelaide St Q 4000

    M: 0499526913
    E: cmorrison2@anglicaresq.org.au
    E: pft@anglicaresq.org.au
    W: anglicaresq.org.au

    [list-SM]
    [cid:image003.jpg@01D87011.A80192E0]

    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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    in reply to: State/Territory flu vaccination mandates #79421
    Michael Wishart
    Participant

    Author:
    Michael Wishart

    Position:

    Organisation:

    State:
    NSW

    Hi Kelly

    The way I read this, ALL (public and private) influenza vaccines administered need to entered into AIR. As do ALL vaccines under the NIP, not just publicly funded, and all COVID-19 vaccines as well, of course.

    Mandatory reporting of National Immunisation Program vaccines to the Australian Immunisation Register began on 1 July 2021 | Australian Government Department of Health
    [https://www.health.gov.au/sites/default/files/images/news/2021/07/mandatory-reporting-of-national-immunisation-program-vaccines-to-the-australian-immunisation-register-began-on-1-july-2021.jpg]

    Mandatory reporting of National Immunisation Program vaccines to the Australian Immunisation Register began on 1 July 2021 | Australian Government Department of Health
    Mandatory reporting of National Immunisation Program vaccines to the Australian Immunisation Register began on 1 July 2021 . From 1 July 2021, vaccination providers are required to report all National Immunisation Program (NIP) vaccines administered to the Australian Immunisation Register (AIR).
    http://www.health.gov.au

    Cheers
    Michael

    Michael Wishart | Infection Control Coordinator, CICP-E

    St Vincents Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032

    M +61 448 954 282 | T +61 7 3326 3068 | F +61 7 3607 2226

    E michael.wishart@svha.org.au|

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

    St Vincents Private Hospital Brisbane | 411 Main Street KANGAROO POINT QLD 4169
    M +61 448 954 282 | T +61 7 3240 1208 | F +61 7 3240 1166
    E michael.wishart@svha.org.au|

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

    [http://i8.cmail19.com/ei/t/6C/F77/A00/141133/csfinal/StaticEmailFooter-SVPHN-Celebrating20Years-650×150-9900000000079e3c.png]

    [cid:cabba433-5eeb-469f-93e8-724b237f8029]

    ________________________________

    Hi Lori,

    In Vic we do for public RACF. Dont think it applies to private though.

    Kind regards,

    Kelly

    Please note new mobile number below!

    I acknowledge the traditional owners of the land on which we work and live, and respect their ongoing custodianship of the land. I pay respect to Aboriginal people, and Elders past and present. [cid:image004.png@01D3E2D8.4A07E100]

    [cid:image001.png@01D3593E.B14EC410]

    Kelly Barton

    COVID-19 Coordinator/Infection Prevention & Control Officer

    RN BHSc (Nursing). Grad Cert (Infection Control)(Advanced Acute Care). Nurse Immuniser. Cert IV T&A

    P Reduce, re-use, recycle. Please consider the environment before printing this e-mail.

    Dear Colleagues,

    I am looking for information regarding which states and territories currently have flu vaccination mandates for health care workers including those working in RACFs.

    Please note, I am aware of both Victorian and NSW requirements.

    Kind regards

    Lori

    Lori McLeod-Mills

    Healius WHS Team

    0414 542 483

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

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    in reply to: Developing audit sample sizes #79377
    Michael Wishart
    Participant

    Author:
    Michael Wishart

    Position:

    Organisation:

    State:
    NSW

    Hi Holly

    It would be great to use correct statistical methods to work out a required sample size every time ( eg Basic concepts for sample size calculation: Critical step for any clinical trials! – PMC (nih.gov)), but in reality for many in-house audits we do it ends up being more “what is possible with our current resources?”, rather than what is statistically correct.

    If resources were available, sure, we could aim for appropriately powered sample sizes. And if we wanted to publish our findings, we could seek funding to make sure those resources were available. But for much of what we do on a daily basis, the constraint is “how many can we collect?”.

    In my opinion and experience, anyway.

    Cheers
    Michael

    Michael 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.au

    St 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]

    Dear Brains trust,

    We have been reviewing the numbers of episodes of donning and doffing required for our PPE audit.

    Which made us curious to find out what formula other hospitals and departments use when developing sample sizes for audits, do you take statics into consideration when developing the numerators or use some other method?

    Thanks in advance for your comments

    Kind regards,

    Holly

    Holly Dodd | Clinical Nurse Educator | Infection Prevention & Control Unit
    Launceston General Hospital, Level 2, Launceston TAS 7250
    phone: 6777 6709 | mobile: 0448 401 826 | | fax: 6777 5170 | email: holly.dodd@ths.tas.gov.au |
    Work days
    Week : Tuesday, Wednesday, Thursday, Friday
    Week 2: Monday, Tuesday, Wednesday, Thursday

    intranet: http://www.health.tas.gov.au/intranet/thon/infection_control |
    vision statement: By working together we promote a culture of safety to reduce preventable infections and transmission of multi-resistant organisms.

    ________________________________

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    in reply to: Hand hygiene auditors course #79328
    Michael Wishart
    Participant

    Author:
    Michael Wishart

    Position:

    Organisation:

    State:
    NSW

    Hi Helen

    For those who have replied (without their contact details, so won’t be posted!) and asked if NHHI run such courses, the answer is no.

    Yes, there is a section on the NHHI website dedicated to auditor training, but it requires a Gold Standard Auditor to run it (who had previously been trained directly by HHA) to run the course. NHHI have suspended training further Gold Standard auditors – with no date for resumption of this. Current Gold Standard Auditors can access the training material to train general; auditors.

    https://www.safetyandquality.gov.au/our-work/infection-prevention-and-control/national-hand-hygiene-initiative/auditor-training-and-validation/gold-standard-auditor-training-hand-hygiene

    https://www.safetyandquality.gov.au/our-work/infection-prevention-and-control/national-hand-hygiene-initiative/auditor-training-and-validation/general-auditor-training

    And I may be running a general auditor training workshop at Chermside in Brisbane later in the year (?June), but not in the next few months, sorry, Helen. Have you asked the girls at SVPHT?

    Cheers
    Michael

    Michael Wishart | Infection Control Coordinator, CICP-E

    St Vincents Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032

    M +61 448 954 282 | T +61 7 3326 3068 | F +61 7 3607 2226

    E michael.wishart@svha.org.au|

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

    St Vincents Private Hospital Brisbane | 411 Main Street KANGAROO POINT QLD 4169
    M +61 448 954 282 | T +61 7 3240 1208 | F +61 7 3240 1166
    E michael.wishart@svha.org.au|

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

    [http://i8.cmail19.com/ei/t/6C/F77/A00/141133/csfinal/StaticEmailFooter-SVPHN-Celebrating20Years-650×150-9900000000079e3c.png]

    [cid:27778284-fc2e-493f-80fd-6be878c025ac]

    ________________________________
    From: ACIPC Infexion Connexion on behalf of Helen Roberts
    Sent: Friday, 4 March 2022 8:39 AM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: [ACIPC_Infexion_Connexion] Hand hygiene auditors course

    Good morning,

    I am urgently looking for a hand hygiene auditors’ course for the new staff member of Infection control within our facility.

    Does anyone know of anyone running a course?

    Regards
    Helen

    Helen Roberts

    Infection Control

    P: 07 4646 3106 |
    F: 07 4633 7602

    E: robertsh@sath.org.au |
    W: http://www.sath.org.au

    Post: PO Box 263, Toowoomba, QLD 4350

    Address: 280 North St, Toowoomba, QLD 4350

    [cid:image538044.jpg@6CBC4558.1DB3428D]

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    in reply to: TBP signage – evidence of “MUST HAVE”= #79288
    Michael Wishart
    Participant

    Author:
    Michael Wishart

    Position:

    Organisation:

    State:
    NSW

    Hi Vanessa

    This is a difficult one to make a recommendation on that fits all settings, hence the should rather than must.

    It is about risk management in the setting at hand. So, if you have a resident with an infection that can be either transmitted to others directly on entering a room, or others could potentially carry =organisms of concern out of the room to expose others, then there needs to be a way to alert anyone entering the room to take certain steps, either to protect themselves or to protect others.

    In some settings, the patients may have a known infectious disease, but there is no need for door signage because everyone entering will already have the appropriate PPE on. An example of this is a COVID-19 ward, where there may be restrictions for anyone entering the area to don certain PPE, and this a sign on each patient door is not necessary.

    That is one of the reasons why should is used here. In each setting, you need to do a risk assessment to see if a door sign or some type of alert in necessary.

    As an aside, Ive had discussions with administrators in aged care facilities and private hospitals who dont want to label patients with a diagnosis as they feel it could breach privacy requirements. But the safety of others needs to be considered, as it could well become a liability for the organisation if not addressed. So the door signs used in the Commonwealth guidelines do not identify specific infections by name, but rather mechanisms of transmission and how they can be prevented.

    Hope my rambling helps. Stick to promoting best practice, even though it is not mandated. Think about liability for the organisation if you do not have a risk mitigation strategy like door signs in place.

    Cheers
    Michael

    Michael Wishart | Infection Control Coordinator, CICP-E

    St Vincents Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
    M +61 448 954 282 | T +61 7 3326 3068 | F +61 7 3607 2226
    E michael.wishart@svha.org.au |
    W https://www.svphn.org.au

    St Vincents Private Hospital Brisbane | 411 Main Street KANGAROO POINT QLD 4169
    M +61 448 954 282 | T +61 7 3240 1208 | F +61 7 3240 1166
    E michael.wishart@svha.org.au |
    W https://www.svphb.org.au

    [http://i8.cmail19.com/ei/t/6C/F77/A00/141133/csfinal/StaticEmailFooter-SVPHN-Celebrating20Years-650×150-9900000000079e3c.png]

    [cid:image001.png@01D72F93.FCA8FC30]

    From: ACIPC Infexion Connexion On Behalf Of Vanessa Davis
    Sent: Friday, 11 February 2022 10:26 AM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: [ACIPC_Infexion_Connexion] TBP signage – evidence of MUST HAVE

    Dear Clever People
    I work in a residential aged care and am trying to convince my boss that having clear signage outside a potentially infectious or confirmed infectious residents room (ie on the door) is best practice.

    All I can find is SHOULD on page 120 of the Aust Guidelines for Prevention & Control of Infection in Healthcare.

    I appreciate any assistance re using any other information to support my argument.

    Many thanks in advance

    Vanessa Watkins
    RN, QM & IPC Lead
    Donwood Community Aged Care
    Croydon Vic
    (03) 9845 8500
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    in reply to: Double masking #79282
    Michael Wishart
    Participant

    Author:
    Michael Wishart

    Position:

    Organisation:

    State:
    NSW

    Hi Jayne

    Are 2 Masks Better Than 1 at Preventing COVID-19 Spread? (healthline.com)

    This is taken from the popular press, so take it as you will, but this part makes physiological and mechanical sense to me:
    Binghamton University mechanical engineering assistant professor Scott Schiffres, PhD, who’s been working on testing masks since the COVID-19 pandemic began, said that increasing protection isn’t just about adding more layers of filtration.
    If the masks are worn in a way that compromises the fit of the masks on the face, this may allow unfiltered air to leak through gaps.
    For example, wearing two surgical masks won’t be better than one, Schiffres said.
    “It is not the ability of the filter that limits performance,” he said, “but the fit to the face (how much air leaks at the face seal).”
    “The surgical mask material itself is very good (>95 percent at 0.1 um), but in practice about 20 percent of the air will slip between the mask and the seal of the mask, so the efficiency would effectively be about 80 percent,” Schiffres said.
    “If you were to just put two surgical masks one on top of another, more of the air would actually leak around the seal as the resistance through the masks increases, and even less air would be filtered, making this double masking detrimental,” he said.
    “The most important thing,” Schiffres said, “is not to have a false sense of confidence in the filtration of the mask, as it can only be as good as the fit to your face allows.”
    As Kareen has pointed out, CDC does recommend double masking with cloth masks, as filtration is definitely increased, especially if you have two 2-layer masks (many cloth masks commercially sold in the US are 2 layer rather than 3).

    Cheers
    Michael

    Michael 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
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    W https://www.svphn.org.au
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    St 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

    [cid:image001.png@01D7641B.978242F0][cid:image005.jpg@01D76380.8ECE2FC0]

    Hi Brains Trust,

    Have you noticed staff wearing double surgical masks? I have noticed this practice recently and just looking for evidence to refer to when discussing with staff that think it is a good idea?.

    Many Thanks in advance

    Jayne

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

    p: +61 2 9480 9732 | f: +61 2 9470 8052 | m: +61 0406 752685 | e: jayne.oconnor@sah.org.au
    http://www.sah.org.au
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    Michael Wishart
    Participant

    Author:
    Michael Wishart

    Position:

    Organisation:

    State:
    NSW

    Hi Meredith

    I agree the manufacturer data on these antimicrobial curtains is a bit thin, but I understand that St Vincents Hospital Sydney did a 12 month trial including microbiological and virucidal validation on these curtains some years ago (pre-COVID) not sure it was ever published, though. When we originally started using these curtains here, my recommendation was to change them every 12 months or if soiled/torn/damaged, but the bean counters have changed that to routinely changing every two years now.

    From an infection control perspective SARS-CoV-2 is a reasonably fragile virus outside of globs of proteinacaeous matter, so the risk of, say, a gloved hand which contains infective material touching the curtain (and shouldnt we be doing hand hygiene and changing our gloves before handling curtains, surely?) and then virus remaining viable in the presence of the antimicrobial coating is probably fairly small. We dont change curtains used in rooms of patients with any other respiratory viruses, some of which would be more environmentally hardy, and we havent seen any negative impact of this (although you could argue this would be very difficult to detect even with COVID-19 currently).

    Not sure if this helps, but my view is not to change these curtains after use in a room with a COVID-19 patient unless they meet other criteria for being changed (eg soiled/torn/damaged or due for changing).

    Cheers
    Michael

    Michael Wishart | Infection Control Coordinator, CICP-E

    St Vincents Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
    M +61 448 954 282 | T +61 7 3326 3068 | F +61 7 3607 2226
    E michael.wishart@svha.org.au |
    W https://www.svphn.org.au

    St Vincents Private Hospital Brisbane | 411 Main Street KANGAROO POINT QLD 4169
    M +61 448 954 282 | T +61 7 3240 1208 | F +61 7 3240 1166
    E michael.wishart@svha.org.au |
    W https://www.svphb.org.au

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    [cid:image001.png@01D72F93.FCA8FC30]

    From: ACIPC Infexion Connexion On Behalf Of Meredith Southon (Northern NSW LHD)
    Sent: Wednesday, 19 January 2022 4:04 PM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: [ACIPC_Infexion_Connexion] QUERY – COVID-19 and disposable curtains (antimicrobial & sporicidal) frequency of changes

    Hello colleagues

    RE: COVID-19 and disposable curtains (antimicrobial & sporicidal) and frequency of changes

    For those who are using antimicrobial & sporicidal disposal curtains:

    What frequency are you changing the curtains post COVID-19 positive patients (if at all)?

    Does your frequency change for:

    o COVID-19 wards

    o ICU (with COVID-19 patients, AGPs and ventilated patients)

    o Emergency Department (with COVID-19 patients)

    o Renal dialysis unit (entire session in open room with COVID-19 patients separated only by disposable curtains (antimicrobial & sporicidal))

    The disposable curtain company claims efficacy for 24 months however the evidence is weak and not specific to any virus (only selected bacteria, fungi & Clostridium difficile), and in particular COVID-19.

    Any feedback as to what other sites are practising would be greatly appreciated

    Kind regards

    Meredith Southon
    (Relieving for CNC Kristin Ryan-Agnew Jan 10th Feb 3rd 2022)
    Meredith Southon RN MIPC QualNursImm CertIV TAE
    Clinical Nurse Consultant | Infection Prevention & Control | Staff Health | The Tweed Hospital
    Tel 07 5506 7406 | Meredith.Southon@health.nsw.gov.au
    http://www.health.nsw.gov.au

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    in reply to: air scrubbers #79263
    Michael Wishart
    Participant

    Author:
    Michael Wishart

    Position:

    Organisation:

    State:
    NSW

    Hi Jude

    Is this what you are after? Posted to the list on the 01/10/2021.

    Hopefully by now your organisation has undertaken a risk assessment of your ventilation system and optimised as necessary (including older buildings). Air purifiers can be used as an adjunct to your HVAC systems along with other strategies you will have in place.

    Find below and attached information that will get you started:

    Australian Research

    * “Use of portable air cleaners to reduce aerosol transmission on a hospital coronavirus disease 2019 (COVID-19) ward”, Infection Control & Hospital Epidemiology (2021), 1-6

    Melbourne University

    WHICH AIR CLEANERS WORK BEST TO REMOVE AEROSOLS THAT CONTAIN VIRUSES?

    * https://pursuit.unimelb.edu.au/articles/which-air-cleaners-work-best-to-remove-aerosols-that-contain-viruses

    * GUIDE TO AIR CLEANER PURCHASING
    https://sgeas.unimelb.edu.au/engage/guide-to-air-cleaner-purchasing

    Victorian guidance

    * Ventilation strategies to reduce COVID-19 transmission in residential aged care facilities Version 1.1 June 2021
    * Ventilation strategies to reduce COVID_19 transmission in residential aged care facilities

    Electronic versions can be found at the following link:

    Infection prevention control resources
    https://www.dhhs.vic.gov.au/infection-prevention-control-resources-covid-19

    regards

    Glenys

    Glenys Harrington
    Consultant
    Infection Control Consultancy (ICC)
    P.O. Box 6385
    Melbourne
    Australia, 3004
    M: +61 404816434
    E: infexion@ozemail.com.au

    Michael 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.au

    St 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

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    [cid:image001.png@01D72F93.FCA8FC30]

    Hi Folks

    A fair few months ago someone posted scholarly articles on the efficiency of air scrubbers. Would anyone have the links for me?

    Cheers
    Jude Searles RN
    Infection Prevention & Control
    Co-ordinator Undergraduate Education
    Dialysis Clinical Lead
    Cohuna District Hospital
    Committed to Excellence in Rural Healthcare
    148-155 King George Street, Cohuna, Victoria, 3568
    T: Wk: (03) 54565300, Mob: +61409235654, Fax: (03) 5456 2627
    E: jsearles@cdh.vic.gov.au W: http://www.cdh.vic.gov.au
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    We acknowledge and pay our respects to the traditional Aboriginal custodians of this land and to the Elders past and present.

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    in reply to: Rapid Antigen Testing – Health Care Facilities #79234
    Michael Wishart
    Participant

    Author:
    Michael Wishart

    Position:

    Organisation:

    State:
    NSW

    [Posted on behalf of a member Moderator]

    Hi
    Yes we have used Rapid Antigen Test in our Facility
    ILISAPECI NABOSE
    IPC FOCAL POINT ( Ministry of Health Medical Services) IPC LEAD CWMH
    Clinical GOVERNANCE HUB
    CWMH
    SUVA FIJI ISLANDS

    Michael Wishart | Infection Control Coordinator, CICP-E

    St Vincents Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
    M +61 448 954 282 | T +61 7 3326 3068 | F +61 7 3607 2226
    E michael.wishart@svha.org.au |
    W https://www.svphn.org.au

    St Vincents Private Hospital Brisbane | 411 Main Street KANGAROO POINT QLD 4169
    M +61 448 954 282 | T +61 7 3240 1208 | F +61 7 3240 1166
    E michael.wishart@svha.org.au |
    W https://www.svphb.org.au

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    [cid:image001.png@01D72F93.FCA8FC30]

    From: ACIPC Infexion Connexion On Behalf Of Tiana Bell
    Sent: Tuesday, 14 December 2021 12:11 AM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: [ACIPC_Infexion_Connexion] Rapid Antigen Testing – Health Care Facilities

    Hi all,

    Im wondering if anyone has had experience in using rapid antigen tests in their facility?
    Would be very grateful for any relevant documents / guidelines.

    Kind regards,

    Tiana Bell
    Infection Prevention and Control Coordinator
    Kimberley Aboriginal Medical Services
    E: tiana.bell@kamsc.org.au

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    in reply to: Caring a patient without mask #79042
    Michael Wishart
    Participant

    Author:
    Michael Wishart

    Position:

    Organisation:

    State:
    NSW

    Hi Jay

    We have had patients with anxiety issues who have difficulty with staff wearing masks, and we have mainly managed these using full face shields that cover the mouth as well. These are suitable in low risk situations (eg patient not known to have COVID or any respiratory symptoms).

    This would not be suitable for a high risk respiratory symptom patient, or for a high risk procedure (aerosol generating, if we can still use that term), where appropriate respiratory protection would be necessary for the staff. In that instance if you have PAPRs (systems that filter the air breathed in for the wearer) or the like that might be suitable, depending on the patient anxiety level and triggers (staff wearing a helmet might me more problematic for some of these patients, actually!).

    Good luck finding solutions. We had some discussion about clear facemasks for use around these patients, but there were none with TGA approval for use in hospitals we could find at the time.

    Cheers
    Michael

    Michael Wishart | Infection Control Coordinator, CICP-E

    St Vincents Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
    M +61 448 954 282 | T +61 7 3326 3068 | F +61 7 3607 2226
    E michael.wishart@svha.org.au |
    W https://www.svphn.org.au

    St Vincents Private Hospital Brisbane | 411 Main Street KANGAROO POINT QLD 4169
    M +61 448 954 282 | T +61 7 3240 1208 | F +61 7 3240 1166
    E michael.wishart@svha.org.au |
    W https://www.svphb.org.au

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    [cid:image001.png@01D72F93.FCA8FC30]

    From: ACIPC Infexion Connexion On Behalf Of Jay Kaur
    Sent: Wednesday, 17 November 2021 7:56 AM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: [ACIPC_Infexion_Connexion] Caring a patient without mask

    Hello everyone

    I am seeking your thoughts on caring for patient who is for essential care but due to mental health history would not allow any staff around in mask. Protective eye wear is possible.

    Wondering if anyone had similar situation and what factors were considered for risk assessment. Was WHS involved?

    kind regards

    Jay kaur
    Cnc IPC
    Bolton Clarke
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    Michael Wishart
    Participant

    Author:
    Michael Wishart

    Position:

    Organisation:

    State:
    NSW

    Hi Helene

    We use some locally endorsed clinical guidelines, and where there are none, Guidelines Therapeutic Antibiotic.

    We have access to some very good infectious diseases and clinical microbiology opinions though. I would caution you to allow a group of surgeons only to set up an agreed local guideline with no ID or clinical microbiology input or advice. Local guidelines should be not only good clinical practice, but also take into account costs, possible effects on antimicrobial resistance, and local antibiogram information.

    Im not sure what access you have to ID physicians and clinical microbiologists, but without these any local clinical guidelines developed by a surgical group could be outside of what the ACSQHC requires for local guidelines.

    THE ACSQHC states:

    Organisations using evidence-based locally-endorsed guidelines in addition to or in place of
    Therapeutic Guidelines, are to ensure:
    They comply with the description provided in the AMS Clinical Care Standard
    Can demonstrate local guidelines are based on Therapeutic Guidelines5
    Have documented any deviation from the Therapeutic Guidelines including a clear
    rationale based on published clinical evidence and local epidemiology
    The organisations governing body endorse the guidelines following review of
    information from peer review processes conducted by a drug and therapeutics
    committee, an antimicrobial stewardship committee, a medicines advisory
    committee, or equivalent.
    NSQHS Standards Advisory AS18/01: Advice on not applicable actions, July 2021 (safetyandquality.gov.au)

    There may be very valid reasons why the Therapeutic Guidelines Antibiotic might be different from your surgeons clinical practice, and these should be worked through rather than just overwritten.

    My opinion, anyway.

    Cheers
    Michael

    Michael Wishart | Infection Control Coordinator, CICP-E

    St Vincents Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
    M +61 448 954 282 | T +61 7 3326 3068 | F +61 7 3607 2226
    E michael.wishart@svha.org.au |
    W https://www.svphn.org.au

    St Vincents Private Hospital Brisbane | 411 Main Street KANGAROO POINT QLD 4169
    M +61 448 954 282 | T +61 7 3240 1208 | F +61 7 3240 1166
    E michael.wishart@svha.org.au |
    W https://www.svphb.org.au

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    [cid:image001.png@01D72F93.FCA8FC30]

    From: ACIPC Infexion Connexion On Behalf Of Helen Roberts
    Sent: Monday, 15 November 2021 10:47 AM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: [ACIPC_Infexion_Connexion] Surgical Antimicrobial Prophylaxis Clinical guidelines

    I am after some advice in regards to Surgical Antimicrobial Prophylaxis audit I complete.

    Currently, our hospital has always just used the Australian Therapeutic guidelines to complete the audits.

    One of the surgeons was not happy that his percentage was very low.
    He has requested that I used the Surgical Antimicrobial Prophylaxis Clinical guidelines which would give him a 90% pass rate.

    If reference to the Antimicrobial Stewardship Clinical Care Standard, the Therapeutic Good Association (TGA) or evidence-based, locally endorsed guidelines are appropriate to prescribe and audit against.

    https://www.safetyandquality.gov.au/our-work/clinical-care-standards/antimicrobial-stewardship-clinical-care-standard/health-service-organisations-antimicrobial-stewardship-clinical-care-standard

    [cid:image002.jpg@01D7D9F7.EA828210]

    My question is,

    What do other hospital do?
    Do you just used the Australian Therapeutic Guide or do you use evidenced based locally endorsed guidelines?

    Thanks for your assistance
    Helen

    Helen Roberts

    Infection Control

    P:

    07 4646 3106

    |

    F:

    07 4633 7602

    E:

    robertsh@sath.org.au

    |

    W:

    http://www.sath.org.au

    Post:

    PO Box 263, Toowoomba, QLD 4350

    Address:

    280 North St, Toowoomba, QLD 4350

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    in reply to: Alcohol Disinfection wipes #78906
    Michael Wishart
    Participant

    Author:
    Michael Wishart

    Position:

    Organisation:

    State:
    NSW

    Hi Chris

    I’m just going to note that alcohol is quite a good instantaneous disinfectant, but has no residual action. And little to no action against spores, whereas sodium hypochlorite at a strength of at least 1000 parts per million available chlorine is active against sp[ores..

    It is also very important to note that whilst both of these chemicals can disinfect surfaces, they are not cleaners, and will not remove or reduce soils. Therefore, if you are using them for surface disinfection, you must use a two-step strategy where you clean the surface first with a detergent, then disinfect the surface with the disinfectant, allowing appropriate contact time for the disinfectant to work.

    If you are looking at a simple way to clean and disinfection, you can look at appropriate detergent disinfectant combination wipes, but make sure they have TGA approval for any claims made, and have validation of the disinfection component when used as a wipe.

    There are good resources about now for environmental cleaning in healthcare, and SA Health has recently released their latest Cleaning Standard: Cleaning Standards (sahealth.sa.gov.au)

    Hope this helps.

    Cheers
    Michael

    Michael 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.au

    St 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

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    [cid:image001.png@01D72F93.FCA8FC30]

    Good afternoon,

    I am seeking information on alcohol disinfection wipes and was wondering if anyone can recommend any information on this form of ‘disinfection.’ I understand that sodium hypochlorite is the recommended disinfectant for impregnated wipes but I’ve noticed many of the RACFs I visit have ‘isowipes’ or alcohol wipes. Does anyone have any experience with these?

    Thank you in advance,

    Kind regards,

    Chris

    Christine Morrison
    Practice Facilitator – Infection Control
    Practice Facilitation Team
    [cid:image001.jpg@01D7CFF4.0CE568D0]

    Level 3, Webber House,
    439 Ann St, Brisbane Q 4000
    PO Box 10556, Brisbane Adelaide St Q 4000

    M: 0499526913
    E: cmorrison2@anglicaresq.org.au
    E: pft@anglicaresq.org.au
    W: anglicaresq.org.au

    [list-SM]
    [cid:image003.jpg@01D7CFF4.0CE568D0]

    I acknowledge and pay my respects to the traditional owners and custodians of the land in which I work, walk and live.

    ________________________________

    If you are not the intended recipient please do not read, save, forward, disclose, or copy the contents of this email. If this email has been sent to you in error, please delete this email immediately from your system. Views expressed in this message are those of the individual sender and are not necessarily the views of Anglicare Southern Queensland.
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    in reply to: Fit testing #78690
    Michael Wishart
    Participant

    Author:
    Michael Wishart

    Position:

    Organisation:

    State:
    NSW

    Hi Kate

    In my two private hospitals, the respiratory protection program is managed by workplace health and safety. The infection prevention and control team do assist with fit testing sessions, but we do not manage the program.

    Cheers
    Michael

    Michael 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.au

    St 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

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    [cid:image001.png@01D72F93.FCA8FC30]

    HI everyone
    Could you advise if Respiratory Protection – Fit Testing programs are managed by the Infection Prevention and Control team in your organisation.
    Regards

    Cate Coffey
    RN BaAScN MPH&TM Grad Cert Infection Control Nursing
    Clinical Nurse Manager

    Central Australia Health Service
    Department of Health
    Northern Territory Government

    Infection Prevention and Control Unit
    Alice Springs Hospital
    PO Box 2234, Alice Springs, NT 0871
    cate.coffey@nt.gov.au

    t. 08 8951 7737
    http://www.health.nt.gov.au

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    in reply to: Handling dirty linen tranporation during an outbreak #78622
    Michael Wishart
    Participant

    Author:
    Michael Wishart

    Position:

    Organisation:

    State:
    NSW

    Hi Sandra

    How was the soiled linen transported? Was it is a covered container? Were the staff transporting the linen wearing appropriate PPE? Did they transport the soiled linen from the outbreak area directly to the soiled linen storage area, or did they stop and pick up further soiled linen wearing the same PPE they had on in the outbreak area?

    Soiled linen that is adequately contained is unlikely to spread infection. The most likely source of infection spread would be the staff transporting the linen. It may not always be possible to avoid transporting soiled waste through other areas, but it is important to ensure staff coming out of an outbreak area either change their PPE on exiting the outbreak area, and perform hand hygiene before donning fresh PPE to then further transport the soiled waste, or, if they do not come into contact with any other surfaces (eg elevator buttons, door handles, swipe cards) until they have disposed of the soiled linen in the storage area, they keep the same PPE on to transport the soiled waste out of the outbreak area then remove PPE and perform hand hygiene.

    Hope that makes sense.

    Cheers
    Michael

    Michael Wishart | Infection Control Coordinator, CICP-E

    St Vincents Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032

    M +61 448 954 282 | T +61 7 3326 3068 | F +61 7 3607 2226

    E michael.wishart@svha.org.au |

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

    St Vincents Private Hospital Brisbane | 411 Main Street KANGAROO POINT QLD 4169
    M +61 448 954 282 | T +61 7 3240 1208 | F +61 7 3240 1166
    E michael.wishart@svha.org.au |

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

    ________________________________

    We recently experienced an outbreak of Parainfluenza 1,2,3 and Human Pneuovirus. It spread to 10 of our residents. It wasn’t till near the end of our lockdown that I learned that the dirty/soiled linen was being transported from the initially infected wing to the laundry straight through another wing instead of being detoured to the outside of the building from the contaminated wing. I feel this resulted in a further 2 residents became infected due to this process. I am correct in thinking that this should not happen. If there is a means of getting dirty linen to the laundry without transporting it through another wing shouldn’t that be how it should be transported during an outbreak? I have been unable to find any definitive information in this regard so any expert help would be much appreciated.

    Sandra Chick
    EEN/IPC Lead
    Ridgehaven Retirement Complex
    32 Stuart Street
    Monto Qld 4630

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