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Hi Vanessa
For us, it would depend on what type of isolation you are exiting the room from. If it is droplet precautions, then as long as you are 2+ metres away from the patient, you can safely doff the mask inside the room as you leave it.
If it is airborne precautions, you cannot doff the mask until you have left the room and closed the door (even if there is a anteroom).
In the case of COVID-19 or suspected COVID-19, we are utilising airborne precautions currently, so you would only doff a mask outside the room, after the door had been closed.
It is all about risk of exposure to the respiratory pathogens you are isolating for.
Hope that helps.
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 Vanessa Davis
Sent: Thursday, 7 October 2021 12:15 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: [ACIPC_Infexion_Connexion] Mask doffing (in or out of room)Hello All You Clever People
I am trying to provide a rationale re doffing mask after you have exited a residents room when the resident is in isolation.The person insists that you remove ALL PPE whilst in the infectious room. In aged care there is no ante room for doffing so you are either in an infectious environment or outside the room.
I have tried to explain that you doff all PPE except for mask in the residents room and remove mask when outside their room.
Can anyone point me to a document that says this – or am I wrong?
Many thanks
Vanessa Watkins
RN, Quality Manager, IPC Lead
Donwood Aged Care
Croydon, VictoriaMESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
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Thanks to everyone who replied to my request for help with this issue.
I must admit I was surprised the surveyor took this approach, as she has a background in infection control, but when I further discussed it she did note it was ACHS’s interpretation, not hers.
She was also very happy with my risk assessment and plan to manage sterile stock in ward store rooms, so we won’t have to change our shelving order, which was a relief!
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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living through accreditation this week (my nightmare) same issues!!!
We have scopes that are stored in a vented cupboard that have high level disinfection, yet the surveyor states we have to have them in a airdrying cupboard. The standard doesn’t state that for endoscopes, the GENCA guidelines do though (but they are a guide). We are in the start of major rebuild and in 3 years they will be in a pass through cupboard that meets all of GENCA guidelines! We test our scopes, and we also place an alcohol rinse through them before airdrying and storage hanging. We have a plan and have risk mitigated…I don’t think there is anything more we can spend our $$$ until we move.
I can’t wait until we actually have accredited Standard 3 credentialled ICP ( who truly understand the standard and all it entails) auditing the standard… my dream as a previous president and something I did try and follow through with ACHs.
Kind Regards
Marija Juraja
Nurse Consultant-CALHN Infection Prevention & Control Unit
Division of Acute Medicine (RN, GCNS Inf Ctrl, CICP)
m: 0410 567 385 |e:marija.juraja@sa.gov.au
________________________________Hi Michael
The auditor is correct in that sterile storage for commercial sterile items has always been covered by ASNZS 4187 in the past but it seems to have got lost in the new 2014 edition .
ASNZS 4187 2003 Section 9.1.1 Sterile items states… “Sterile items shall be stored and handled in a manner that maintains the integrity of packs and prevents contamination from any source. This requirement applies equally to items sterilised in the health care facility AND to sterile items procured from commercial suppliers ”We also know that sterile items need to be stored in a ‘designated’ area so that rules out storage with unsterile items.
Sterile items can so easily be compromised if not in a DESIGNATED and restricted area
( so reduced traffic) with the correct ventilation and humidity etc. So as you know different storage is required for sterile items.
Unsterile items are so often not handled with care and are easily compromised. So we don’t want them stored with sterile items.Thanks
Robyn Lawson
OR Consulting Australia
roblily49@gmail.com
0408871624Get Outlook for iOS
________________________________I’ve just had my mind blown by an auditor who tells me I cannot store any ‘sterile stock’ on a shelf with non-sterile stock. I reply by saying that no sterile RMDs are stored on shelves with non-sterile stock, and they say, no ANYTHING that comes sterile should not be on the same shelf with something non-sterile.
Have I missed something? I have always understand that the very specific storage requirements for RMDs did not apply to most commercially sterilised single use items. Sure, there are commercially sterilised disposables that have very specific storage requirements, but the majority of high volume disposable sterile goods can be safely stored on a shelf with non-sterile stock in an appropriately air-conditioned storage room. AS4187 does not cover storage of non-RMDs, correct?
Can someone either tell me I am wrong, and I missed this big time, or that I did not miss anything, and the auditor is incorrect. Or some variation of these.
Help?
Thanks
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 |
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
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Thanks Sally
That document is exactly what we are talking about, but nobody can show me where in AS4187 or the current NHMRC guidelines it says commercially sterilised stock cannot be on the same shelf as non-sterile stock. Obviously we don’t store sterile items on a shelf (or even in a room!) with food products (or cleaning products), but there is no real risk in storing a sterile disposable item like a disposable urinary catheter (that is appropriately packaged) on a shelf with non-sterile gauze swabs that is also appropriately packaged.
Maybe my issue is I haven’t fully outlined why we are commutable with this as a full risk assessment, although to me it is common sense. I spent way more time on ensuring we are compliant with the storage of sterile RMD’s and the water testing requirements parts of this document!
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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Michael,
See the Advisory above re segregation of sterile & non sterile stock from the CEC. You have until DEC 2 to comply fully after risk assessment & review .
Good luck
Sally[X]Sally Holmes
Quality Manager and Infection Control & Prevention Coordinator
Lakeview Private Hospital|17-19 Solent Circuit Norwest NSW 2153
http://www.lakeviewprivate.com.auCan you tells us a bit more?
What area was the storage room/area in?
What was the sterile and non-sterile stock?
Regards
Glenys
Glenys Harrington
Consultant
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
E: infexion@ozemail.com.au
[Description: ICC Diagram ICCversion]I’ve just had my mind blown by an auditor who tells me I cannot store any ‘sterile stock’ on a shelf with non-sterile stock. I reply by saying that no sterile RMDs are stored on shelves with non-sterile stock, and they say, no ANYTHING that comes sterile should not be on the same shelf with something non-sterile.
Have I missed something? I have always understand that the very specific storage requirements for RMDs did not apply to most commercially sterilised single use items. Sure, there are commercially sterilised disposables that have very specific storage requirements, but the majority of high volume disposable sterile goods can be safely stored on a shelf with non-sterile stock in an appropriately air-conditioned storage room. AS4187 does not cover storage of non-RMDs, correct?
Can someone either tell me I am wrong, and I missed this big time, or that I did not miss anything, and the auditor is incorrect. Or some variation of these.
Help?
Thanks
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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Hi Glenys
It was a ward store room, and the items commented on where things like disposable sterile urinary catheters on the same shelf as unsterile gauze packs.
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]
Can you tells us a bit more?
What area was the storage room/area in?
What was the sterile and non-sterile stock?
Regards
Glenys
Glenys Harrington
Consultant
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
E: infexion@ozemail.com.au
[Description: ICC Diagram ICCversion]I’ve just had my mind blown by an auditor who tells me I cannot store any ‘sterile stock’ on a shelf with non-sterile stock. I reply by saying that no sterile RMDs are stored on shelves with non-sterile stock, and they say, no ANYTHING that comes sterile should not be on the same shelf with something non-sterile.
Have I missed something? I have always understand that the very specific storage requirements for RMDs did not apply to most commercially sterilised single use items. Sure, there are commercially sterilised disposables that have very specific storage requirements, but the majority of high volume disposable sterile goods can be safely stored on a shelf with non-sterile stock in an appropriately air-conditioned storage room. AS4187 does not cover storage of non-RMDs, correct?
Can someone either tell me I am wrong, and I missed this big time, or that I did not miss anything, and the auditor is incorrect. Or some variation of these.
Help?
Thanks
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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This email and any attachments to it (the “Email”) is confidential and is for the use only of the intended recipient, and may not be duplicated or used by any other party without the express consent of the sender. If you are not the intended recipient of the Email, please notify the sender immediately by return email, delete the Email, and do not copy, print, retransmit, store or act in reliance on the Email. St Vincent’s Health Australia (“SVHA”) does not guarantee that the Email is free from errors, viruses or interference. Emails to and from SVHA or its related entities may be scanned and filtered in locations outside Australia
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
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Hi Helen
All CSSD staff should be wearing appropriate PPE when receiving and processing all used items. There should be no need for additional alerting or labelling of items used on patients with MROs.
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://i8.cmail19.com/ei/t/6C/F77/A00/141133/csfinal/StaticEmailFooter-SVPHN-Celebrating20Years-650×150-9900000000079e3c.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.png@01D7641B.978242F0][cid:image005.jpg@01D76380.8ECE2FC0]
From: ACIPC Infexion Connexion On Behalf Of Helen Roberts
Sent: Friday, 10 September 2021 11:55 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: [ACIPC_Infexion_Connexion] CSSD – MRSA/ VRE precautionsIt has been brought to my attention that I don’t have a procedure for CSSD staff when they are handling equipment from a patient with MRSA, VRE or potential COVID case.
Can anyone share some light on how the instrumentation should arrive to CSSD?
Currently, it arrives in a tub, but should we have a sign on to say contact precautions required?
Do staff need to wear PPE?Any help would be appreciated .
Thanks
HelenHelen Roberts
Infection Control
P:
07 4646 3106
|
F:
07 4633 7602
E:
|
W:
Post:
PO Box 263, Toowoomba, QLD 4350
Address:
280 North St, Toowoomba, QLD 4350
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Good question Emma
I think it refers to this type of product: Breathe Easy Reusable Plastic Face Mask Bracket – Set of 2 – Weddingstar
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.au
[http://i8.cmail19.com/ei/t/6C/F77/A00/141133/csfinal/StaticEmailFooter-SVPHN-Celebrating20Years-650×150-9900000000079e3c.png]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]
What is a mask bracket?
Emma Trippe
Infection Control Consultant
[cid:image001.png@01D7A634.CB35CD50]
Calvary Riverina Hospital
Hardy Avenue, Wagga Wagga, NSW, 2650
P: 02 6932 1628
E: Emma.Trippe@calvarycare.org.au
http://www.calvary-wagga.com.auCalvary acknowledges the Traditional Custodians and Owners of the lands on which all our services operate, commits to Closing the Gap and to the ongoing journey of Reconciliation.
Hospitality | Healing | Stewardship | Respect
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Hi Glenys,No one is using them with N95 masks, just the surgical mask.
Kind regards,
Fiona De Sousa CICP-E| Nurse Manager | Infection Prevention & Control Unit
Launceston General Hospital, Level 2, Launceston TAS 7250
phone: 6777 6715 | mobile: 0408 487 197 | fax: 6777 5170 | email: fiona.de.sousa@ths.tas.gov.au |
intranet: http://www.dhhs.tas.gov.au/intranet/thon/infection_controlIPCU – ‘By working together we promote a culture of safety to reduce preventable infections and transmission of multi-resistant organisms’
Hi Fiona,
Interesting!
Are they being used with N95 masks in addition to surgical masks?
If so, have you done any fit testing with the Mask Bracket/Face Mask Inner Support Frame in situ?
Regards
Glenys
Glenys Harrington
Consultant
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
E: infexion@ozemail.com.au
[Description: ICC Diagram ICCversion]Dear Brains Trust,
We have recently started to see the use of face mask brackets / inserts creep into use in our facility with staff wearing surgical face masks.
We have been unable to find any specific literature but from an infection prevention and control point of view we have a number of concerns including:
* Does it create a gap in the seal between mask and face?
* Does it potentially pose a risk as a pressure causing agent?
* Is removal of the mask in a manner that won’t contaminate still possible with the bracket in place?
* Is the bracket stored in a clean space?
* Is the bracket cleaned after use and before storage?
Does anyone have any references regarding these products or has anyone investigated and / or authorised the use of these products within their facility.
Kind regards,
Fiona De Sousa CICP-E| Nurse Manager | Infection Prevention & Control Unit
Launceston General Hospital, Level 2, Launceston TAS 7250
phone: 6777 6715 | mobile: 0408 487 197 | fax: 6777 5170 | email: fiona.de.sousa@ths.tas.gov.au |
intranet: http://www.dhhs.tas.gov.au/intranet/thon/infection_controlIPCU – ‘By working together we promote a culture of safety to reduce preventable infections and transmission of multi-resistant organisms’
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Hi Kavitha
This module was created by QLD Health but now sits within GENCA.
Endoscope reprocessing modules (genca.org)
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]
OFFICIAL
Dear All,
I’m after credentialing checklist/procedure for duodenoscopes and other scopes used in the Gastro procedure.
Would someone able to share your credentialing package with us. This is for Gastro nurses and sterilising technician who process flexiblescope.
Regards, Kavitha
Kavitha Kugathas | Director, Sterilising
Tel:512 43583 and Mobile: 0423 296 689 | Email: kavitha.kugathas@act.gov.au
Food and Sterilising Services
Canberra Health Services | ACT Government[Canberra Health Services_RGB]
RELIABLE | PROGRESSIVE | RESPECTFUL | KIND
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Hi Holly
Not sure if this is what you are looking for, but it may contain some useful information.
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]
Dear Brains trust,
I was wondering if anyone has a Skin assessment tool for mask wears that they are happy to share?
Thank you in advance,
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, Thursdayintranet: 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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Hi Cate
We are fairly tight on space at our Northside facility. We have dedicated shelves or wire racks for most bags of fluids in wards, and the supply department decants out of outer cartons in supply, then into transport tubs, then onto shelves/racks in ward store rooms.
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]
Hi Everyone
We have very limited storage space in our facility to store sterile stock. Can you tell me how you manage to store IV Fluids without the cardboard boxes?
Do your staff decant into another container and if so who is responsible to decant ?
RegardsCate Coffey
RN BaAScN MPH&TM Grad Cert Infection Control Nursing
Clinical Nurse ManagerCentral Australia Health Service
Department of Health
Northern Territory GovernmentInfection Prevention and Control Unit
Alice Springs Hospital
PO Box 2234, Alice Springs, NT 0871
cate.coffey@nt.gov.aut. 08 8951 7737
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Hi Kelly
The issue here is one of validation of storage conditions. A commercially available single use item has packaging that has been validated under certain conditions, which will include things like transport. Reusable items reprocessed and packaged within a facility are only validated for ideal storage (eg idea temp/humidity and minimal handling/movement on fixed shelving), so you cannot assume it will be still be sterile unless you encase it in something that protects it (like your transporter of your commercial reusable trays does. And presumably has validated).
I am old enough to remember the days loan sets for orthopaedic procedures used to be sent from facility to facility without being reprocessed again, and I can remember opening some trays in theatre with a patient prepped and almost vomiting due to the dried crud still on the instruments that had supposed been cleaned and resterilised at the last facility used at!
There is a major difference between validation of commercially packaged goods and validation of facility packaged goods as far as storage conditions go. AS/NZS:4187:2014 quite rightly requires facility reprocessed goods to be reprocessed and resterilised on arrival to a different facility, unless there has been validation of storage and transport conditions for the items in 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[http://i8.cmail19.com/ei/t/6C/F77/A00/141133/csfinal/StaticEmailFooter-SVPHN-Celebrating20Years-650×150-9900000000079e3c.png]
[cid:image001.png@01D72F93.FCA8FC30]
Hi Brigid,
We outsource all our sterilising to another healthcare facility. We are a small rural health care facility that does minor day procedures. It was not possible to do sterilising onsite due to staff and other issues. We have contracts in place, and all our equipment is shipped an hard walled plastic containers. Part of the contract is the facility we outsource through must show us annual compliance to AS4187. Most of our products are single use though, and there is not large amounts of instruments going back and forth. I am not sure why you would resterilise when it gets to a destination if the packaging is intact and not damaged in anyway. I don’t know of any service that resterilises single use trays or sterile gloves??Kind regards,
Kelly
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
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.Thanks Jenny,
That is ours too, I am looking for evidence to back up my argument. I thought there may have been a standard out there I haven’t found yet ? 🙂
Brigid .
Hi Brigid – our policy is to resterilise anything that comes from another facility – even if its sealed in plastic
JennyJenny McCarthy
Infection Prevention and Control Coordinator[cid:image001.png@01D783CA.D5DEA650]
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,
and recognises their continuing connection to land, waters and culture.
We pay our respects to their Elders past, present and emerging.Hello Brains truss,
Could someone please point me in the right direction for standards for transporting instrument trays and RMD’s between hospitals? I understand they must be reprocessed prior to use in the next hospital as sterility cannot be guaranteed. Though some staff members are saying if transported in sealed plastic dust covers it is ok to use. I disagree, though the 4187 standards are a bit generic in this aspect.
My belief was that if to be transported from one hospital to another, many factors needed to be taken into account including , transport vehicle, humidity etc. The hospitals are about 30mins apart.
Thanks
Brigid Robertson
Brigid Robertson | Clinical Nurse Educator Perioperative Services
Palmerston Regional Hospital | Top End Health ServicePh: (08) 7979 9619
e … brigid.robertson@nt.gov.au
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Reply to my own post as a member of the supply industry to laundries has provided this response to be posted anonymously.
Whilst not familiar with this type of bag, if it has been through the wash process and they achieved the 4146:2000 standard they should be able to remove the bag safely from the machine.
I don’t see any additional PPE required than they would be normally wearing when transferring the clean linen from the washers to the dryers.
Thanks
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@01D72F93.FCA8FC30]
[This has been posted for a member in NSW who did not want the organisation identified – Moderator]
Dear brainstorm,
I am not too sure of laundry related IPC measures so, would like to seek your guidance.
Is it okay to use “Soluble Seam Laundry bags” for soiled or contaminated laundry instead of complete dissolvable bag in the in-house laundry?
These bags are not compatible with dryer therefore, laundry staff needs to remove the bag manually after completion of wash or before placing clothes/linen into the dryer.
If it is, then what is the PPE requirement for the laundry staff?
I would love to receive any advice.
Michael Wishart
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Hi Charlaine
We follow the clearance requirements advised by Queensland Health here:
The following criteria should be satisfied prior to certifying that a client has cleared an MRO:
MRSA, MRGN and ESBL producing organisms (other than CPE)
More than three months elapsed time from the last positive specimen
All wounds are healed, no indwelling medical devices present
No exposure to any antibiotic or antiseptic body wash for at least two weeks prior to screening
In the case of MRSA, no exposure to specific anti-MRSA antibiotic therapy in the past three months
Consecutive negative screens from screening sites (refer to Table 1 for required screening sites) on two
separate occasions. The screening swabs must be separated by a minimum period of one week. The
period over which these swabs are collected should not be less than a week, but may be over a period
of months
Health services may consider using the evaluation of a single set of screening swabs with a broth
amplification technique for clearance of clients. This process should be based on local factors and
agreements with local laboratories
Management of multi-resistant organisms guideline (health.qld.gov.au)Your state health department may have similar advice, and it would be worth discussing with whichever pathology provider you use as to an agreed process, as they should advise on collection on specimens for clearance.
Hope this helps.
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 Charlaine Havlin
Sent: Monday, 12 July 2021 11:42 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: [ACIPC_Infexion_Connexion] MRSA clearanceGood Morning
If a residents at RACF had an MRSA infected wound which has now healed, what are the is requirements for getting MRSA clearance. Confirmation that the use of standard precautions is sufficient as the source site has now healed .
regards
Charlaine Havlin
National Infection Prevention Control Advisor
P tel: | F 03 9559 4099 | M 0407 550 353
W http://www.opalhealthcare.com.auCoronavirus (COVID-19) Precautions
At Opal, supporting the health and wellness of our residents and team is core to our care. To help
keep our care communities safe we are following the Residential Care Visitor Access Code at our
care homes. Further information is available on our Opal Website[cid:image002.jpg@01D77712.EF68F9F0]
From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> On Behalf Of Michael Wishart
Sent: Thursday, 17 June 2021 2:06 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] List problemHi fellow ACIPC members
Just noting that Infexion Connexion is still having issues with the ACIPC email address, so please send any messages for the list directly to me at this email address (dont reply to acipclist@acipc.org.au, it wont work at the moment!).
The admin team is trying to find a solution for this still.
Thanks for your patience and understanding.
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 |
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 <ACIPCLIST@ACIPC.ORG.AU> On Behalf Of Michael Wishart
Sent: Friday, 11 June 2021 2:44 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: [ACIPC_Infexion_Connexion] List problemHi ACIPC members
Just flagging that ACIPC has had a change of email platforms, and that may be affecting emails to acipclist@acipc.org.au over the last few days. If you had sent an email to the list but have not seen it published, you can forward the email you send to the list and I can send it to the list on your behalf until we get this fixed (hopefully quickly!). Another option is to use the web interface to send messages to the list, although if you do this please remember to add a signature block with your details.
Thanks for your patience and understanding as we seek to sort this out.
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 |
W https://www.svphb.org.au[cid:image002.jpg@01D639A0.5B5D4C80]
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Hi Michelle
Not at my desk, but I believe this is covered in AS4187 and the European standard referred to for endoscopy drying cabinets. Don’t have that reference number at hand, though, sorry.
As an aside, there may be reference to this in the upcoming update for the GESA/GENCA guidelines due for release later this year.
Cheers
MichaelGet Outlook for Android
________________________________HI All
Hope our colleagues interstate are going ok if in lockdown
Just wondering if anybody can provide me with the actual reference that states that endoscope drying cabinets SHALL be forced air please?
Im needing some firm evidence to progress this and having a brain fart and cant find it
Many thanks in advance
Michelle
Michelle Bibby
Infection Prevention Australia
0429071165
michelle@infectionprevention.com.au
http://www.infectionprevention.com.au
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Hi Helen
We use a commercial ATP test swab on all of our TOE probes, which is read in-house on a reader. This is a surrogate for micro testing, but helps us identify remaining proteins on the probes after initial cleaning, which gives us an indication of the need to re-clean them prior to disinfection. What we have found, anecdotally, is that TOE probes used in routine elective TOEs in Cath Lab are rarely heavily contaminated, but TOE probes used during cardiac surgery in OT are often heaving contaminated.
I can provide more information on this if you wish. Just email me directly.
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.au
[http://i8.cmail19.com/ei/t/6C/F77/A00/141133/csfinal/StaticEmailFooter-SVPHN-Celebrating20Years-650×150-9900000000079e3c.png]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]
{Posted on behalf of member – Moderator. Please remember to reply directly to me, rather than the list email, as this is still not working correctly. Thanks}
Hi brains trust,
I’m wondering if any hospitals perform TransOesphageal Echocardiogram (TOE) scope swabs and what specific tests are you requesting please.
I have encountered difficulties with getting any of our pathology testing departments to run these tests, as they say that they are not NATA accredited to do so and cannot find any clear process or working processes.
If you are currently performing these tests, please can you tell me about the specific standard and methodology for running said test.
Your assistance is greatly appreciated.
Kind regards
Helen
Helen Truscott
RN.,RM.,DipWHS.,GradDipTMH.,MPH.
Infection Control Coordinator CICP-AGold Coast Private Hospital
14 Hill Street, Southport QLD 4215
T (07) 5530 0389| F (07) 5530 0646
E helen.truscott@healthscope.com.au
Website http://www.goldcoastprivate.com.au | http://www.gcpmaternity.com.au
[cid:image004.png@01D48C81.DC7A7630]Follow us: Gold Coast Private Hospital [cid:image006.png@01D48C81.DC7A7630] [cid:image007.png@01D48C81.DC7A7630] Gold Coast Private Maternity [cid:image006.png@01D48C81.DC7A7630] [cid:image007.png@01D48C81.DC7A7630]
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Oops, I omitted the date and time of this webinar, sorry:
Tuesday 29th June 2021, 1000 hours (NZST).
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://i8.cmail19.com/ei/t/6C/F77/A00/141133/csfinal/StaticEmailFooter-SVPHN-Celebrating20Years-650×150-9900000000079e3c.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.png@01D7641B.978242F0][cid:image005.jpg@01D76380.8ECE2FC0]
From: ACIPC Infexion Connexion On Behalf Of michael.wishart
Sent: Friday, 18 June 2021 10:22 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: [ACIPC_Infexion_Connexion] A seminar demonstrating the effectiveness of an implementing an IPC electronic auditing system.[Posted on behalf of a member – Moderator]
How Waitemata DHB revolutionised their IV audit process
Understand how IPC teams can quickly and effectively identify compliance issues and provide real-time feedback, enable high staff engagement and rapidly develop effective quality improvement strategies at the ward level.During this live webinar, well hear from Sandi Gamon, the Quality Lead & IPC CNS at Waitemata DHB.
By proactively managing their IV compliance audits using a digital audit management system, the Waitemata team were able to reduce data collection times and reporting times.
Real-time reporting enabled significant issues to be addressed immediately and common issues identified for further project work.
Sandi will outline the challenges she initially faced getting buy-in for the digital system, how she overcame those, the results she and her team achieved and how she plans to build on those successes.
To register please follow this link:
https://www.megsupporttools.com/waitemata-webinar-lpSandi Gamon I Team Leader – IPC
Infection Prevention & Control Waitemata DHB
Ph: 45760 I m: 021828047
http://www.waitematadhb.govt.nzLegal Disclaimer
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