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Michael Wishart

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  • in reply to: List problem #78051
    Michael Wishart
    Participant

    Author:
    Michael Wishart

    Email:
    Michael.Wishart@svha.org.au

    Organisation:

    State:
    NSW

    Hi 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 (don’t reply to acipclist@acipc.org.au, it won’t 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 Moderator

    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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    Hi 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 Moderator

    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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    in reply to: Re: HEPA filters in OR complex corridors #77991
    Michael Wishart
    Participant

    Author:
    Michael Wishart

    Email:
    Michael.Wishart@svha.org.au

    Organisation:

    State:
    NSW

    Hi Michelle

    This is an area I am far too aware of! The grubby tubs! We use lots of these here, and we are so lucky in that we have a separate loan set room near the loading dock that unpacks all of the loan equipment and scans it in before sending to OT. None of the grubby tubs get anywhere near a clinical area here. But you are indeed correct, the management of loan sets by some of the companies leaves me lost for words sometimes! One of the reasons we scan everything in (the main one is for billing purposes) is that too often sets are incomplete when we receive them, and we like to know that before we send them to CSSD for reprocessing.

    A bit off track from corridor air filtration, but a very important topic nonetheless.

    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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    From: ACIPC Infexion Connexion On Behalf Of Terry
    Sent: Friday, 14 May 2021 1:15 PM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: Re: [ACIPC_Infexion_Connexion] HEPA filters in OR complex corridors

    Ah, ok Michelle, different issue again!

    Kind Regards
    Terry McAuley
    Director
    MSc Medical Device Decontamination

    PO BOX 2249, Greenvale, VIC Australia 3059
    Mobile: +61 (0)438 109 692
    Email: terry@steamconsulting.com.au
    Website: http://www.steamconsulting.com.au

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    I endeavour to achieve a sensible work-life balance: There is no need to reply to this email from you outside of your normal working hours. Please expect the same from me.

    CONFIDENTIAL COMMUNICATION: The information contained in this message may contain confidential information intended only for the use of the individual or entity named above. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution or duplication of this transmission is strictly prohibited. If you have received this communication in error, please notify us by telephone or email immediately and return the original message to us or destroy all printed and electronic copies. Nothing in this transmission constitutes an agreement of any kind unless otherwise expressly indicated.

    From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> On Behalf Of Michelle Kennedy (Hunter New England LHD)
    Sent: Friday, May 14, 2021 1:05 PM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: Re: [ACIPC_Infexion_Connexion] HEPA filters in OR complex corridors

    HI Terry, the picture I attached had a brand on it so not published by the moderator, but I am referring to the rigid plastic tubs that house loan equipment that have freight stickers over them and travel from facility to facility without being cleaned and are often left in or near our CSSDs. I have been to other facilities both public and private and have found them near CSSDs, even new builds that have designated loan equipment rooms still have them all over corridors in the clean zones.

    Thank you

    Michelle Kennedy

    CNC | Hunter New England Infection Prevention Service
    Maitland/Kurri Kurri Hospitals
    550-560 High Street
    Maitland NSW 2320
    Tel 02 4939 2467 or 0437919767 |
    michelle.kennedy@health.nsw.gov.au

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    Visit the NSW Health website for the latest information on COVID-19.

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    THIS E-MAIL AND ANY ATTACHMENTS ARE CONFIDENTIAL AND MAY BE PRIVILEGED. If you have received this e-mail in error, please notify the sender immediately and delete the e-mail and any attachments from your system. If you are not the intended recipient, any use or dissemination, interference with, disclosure or copying of this e-mail, including attachments is unauthorised and expressly prohibited.

    From: ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] On Behalf Of Terry
    Sent: Friday, 14 May 2021 12:36 PM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: Re: [ACIPC_Infexion_Connexion] HEPA filters in OR complex corridors

    Hi Michelle,

    Thanks for bringing this point up.

    I think we need to be quite clear about what cardboard is allowed or not allowed to come into our clean or sterile storage areas.

    Not all cardboard is bad and some cardboard, i.e. in the form of dispenser boxes has actually been sterilised, along with its contents, so technically the dispenser box itself is sterile or at least has been sterilised when it comes to you in an intact outer shipper carton. If you have ever been to an industrial/commercial sterilising facility that uses Gamma irradiation or Ethylene Oxide sterilisation, you will see boxes [shipper cartons] of the products going through the sterilisation process. Obviously, during transport and handling, the outer shipper cartons become contaminated and thus the reason why we remove these cartons prior to bringing in the contents into our clean or sterile storage areas.

    Of course, this is a different scenario if you receive a box containing sterile products inside, that looks like a dispenser box but clearly has shipping forms on the exterior. The products from these boxes need to be removed before placing them into the storage areas. Similarly if you see cardboard boxes being topped up, being repurposed and used as dividers between sterile items or are being reused as storage containers, then they should be removed, as cardboard cannot be cleaned.

    I trust this assists in clarifying issues around cardboard in clean or sterile storage areas.
    Kind Regards
    Terry McAuley
    Director
    MSc Medical Device Decontamination

    PO BOX 2249, Greenvale, VIC Australia 3059
    Mobile: +61 (0)438 109 692
    Email: terry@steamconsulting.com.au
    Website: http://secure-web.cisco.com/1wb0_ML2CIlfV76XzYScWpsoWqO5eLqeQhePqc5ILWe1j2Nb9UpQZxc8aE4j7Am5EkLqWmR9IMetkZj8Hso_5-yrYgolbD0b1Elve9p23YyHss8mLY2rn5BAafuPbjjrtCAAIgNq0_3Rs7IKhfh8JfvKaT6cr9EnWM9NqQWdwfzYEqCx7mNv4SkkDRUQXbYgIsRoi7uTFrIm3Tpm7KvGtZaZjHG4uvJdCeXWRpumVup8dsTXieq8tZqoqb_itzRHxBmCjta-cKnWG6qXPc_EI5L0J2Kq-1JE67K8LPdsRmaIKeEX-aOJf_xQwRZfEG7C9ulrjxccqr82UtdYpQtJzfHiJrHTVMm0JJKS9W38rzfr8kEQlWQbrPAGj2i5mzHXfKAaENwUV-ZdZB_i_02zKaWosiFeMokfVlYvss_FcEf52YCtHAyZjyxg429i1xlfn1-i7KhU7nJa0A-Jbjwt3iN-q6L0Ikgr8VxL3iZzziSQJkUxQAtJTcKqqZZ2GD7o9/http%3A%2F%2Fwww.steamconsulting.com.au

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    I endeavour to achieve a sensible work-life balance: There is no need to reply to this email from you outside of your normal working hours. Please expect the same from me.

    CONFIDENTIAL COMMUNICATION: The information contained in this message may contain confidential information intended only for the use of the individual or entity named above. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution or duplication of this transmission is strictly prohibited. If you have received this communication in error, please notify us by telephone or email immediately and return the original message to us or destroy all printed and electronic copies. Nothing in this transmission constitutes an agreement of any kind unless otherwise expressly indicated.

    From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> On Behalf Of Michelle Kennedy (Hunter New England LHD)
    Sent: Friday, May 14, 2021 10:31 AM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: Re: [ACIPC_Infexion_Connexion] HEPA filters in OR complex corridors

    HI Terry, thanks for bringing up shipping containers-I know your mean the big ones but the smaller containers are everywhere . I am disgusted that these containers are allowed in any healthcare facility and have wondered for some time now that we are auditing our OTs and CSSDs every month on cleaning, maintenance etc. but stepping around and ignoring these dirty cartons in our clean spaces. Has there been any discussion around this? Has anyone from the ACSQHC commented during accreditation?
    [cid:image005.jpg@01D748AC.2DEB9E70]

    Thank you

    Michelle Kennedy

    CNC | Hunter New England Infection Prevention Service
    Maitland/Kurri Kurri Hospitals
    550-560 High Street
    Maitland NSW 2320
    Tel 02 4939 2467 or 0437919767 |
    michelle.kennedy@health.nsw.gov.au

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    Visit the NSW Health website for the latest information on COVID-19.

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    THIS E-MAIL AND ANY ATTACHMENTS ARE CONFIDENTIAL AND MAY BE PRIVILEGED. If you have received this e-mail in error, please notify the sender immediately and delete the e-mail and any attachments from your system. If you are not the intended recipient, any use or dissemination, interference with, disclosure or copying of this e-mail, including attachments is unauthorised and expressly prohibited.

    From: ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] On Behalf Of Terry
    Sent: Friday, 14 May 2021 10:14 AM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: Re: [ACIPC_Infexion_Connexion] HEPA filters in OR complex corridors

    Hi Mary,

    My opinion is that requiring HEPA filtration in ALL sterile storage areas [as often interpreted by people reading AS1668.2] is not reasonable or necessary and I really wish could be at least clarified by Standards Australia. Perhaps an email to them for clarification of the requirements around AS1668.2. might be warranted?

    We need to remember that commercially produced sterile medical devices are transported in shipping containers, aircraft and trucks and none of these have HEPA filtration. Whilst the products are protected by shipper cartons during these movements, I am yet to find any IFU from any manufacturer of these sterile products, or even from the manufacturers of sterile barrier systems used for CSSD produced sterile RMDs, that contain a requirement that their products be stored in a HEPA filtered environment.

    Now Im hearing that this non-existent requirement for HEPA filtration for storage of sterile medical devices has been taken even further by requiring HEPA filtration in OR corridors!

    The only time HEPA filtration makes sense for a sterile storage area is when this is also a set up room between two operating rooms or a central sterile core that operating rooms open onto. In these cases, if the sterile store is HEPA filtered, then we can make this room more positive than the operating rooms and blow air from the sterile store into the operating room without compromising patient safety, unlike the opposite situation where the operating room is more positive to the sterile store, potentially blowing patient soiled air into this space.

    It also makes some sense for a CSSD Sterile store to be HEPA filtered, as this then protects cooling sterile products that are potentially vulnerable from exposure to contaminated air.

    Our European colleagues think we are nuts because we required HEPA filtration in sterile storage areas but not specifically in the packaging areas where the medical devices are at the most risk of compromise prior to packaging and sterilisation.

    If you need any international evidence that HEPA filtration is not required in a sterile storage environment, a UK Guidance document HBN13 mentions Class 8 cleanroom requirements for the packing area [IAP] but has no mention of specific ventilation for the processed products store, other than it be at a positive pressure to the dispatch area and negative pressure to the cooling area.

    I hope this feedback on my take on requirements for sterile storage is of some use.
    Kind Regards
    Terry McAuley
    Director
    MSc Medical Device Decontamination

    PO BOX 2249, Greenvale, VIC Australia 3059
    Mobile: +61 (0)438 109 692
    Email: terry@steamconsulting.com.au
    Website: http://secure-web.cisco.com/1wb0_ML2CIlfV76XzYScWpsoWqO5eLqeQhePqc5ILWe1j2Nb9UpQZxc8aE4j7Am5EkLqWmR9IMetkZj8Hso_5-yrYgolbD0b1Elve9p23YyHss8mLY2rn5BAafuPbjjrtCAAIgNq0_3Rs7IKhfh8JfvKaT6cr9EnWM9NqQWdwfzYEqCx7mNv4SkkDRUQXbYgIsRoi7uTFrIm3Tpm7KvGtZaZjHG4uvJdCeXWRpumVup8dsTXieq8tZqoqb_itzRHxBmCjta-cKnWG6qXPc_EI5L0J2Kq-1JE67K8LPdsRmaIKeEX-aOJf_xQwRZfEG7C9ulrjxccqr82UtdYpQtJzfHiJrHTVMm0JJKS9W38rzfr8kEQlWQbrPAGj2i5mzHXfKAaENwUV-ZdZB_i_02zKaWosiFeMokfVlYvss_FcEf52YCtHAyZjyxg429i1xlfn1-i7KhU7nJa0A-Jbjwt3iN-q6L0Ikgr8VxL3iZzziSQJkUxQAtJTcKqqZZ2GD7o9/http%3A%2F%2Fwww.steamconsulting.com.au

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    I endeavour to achieve a sensible work-life balance: There is no need to reply to this email from you outside of your normal working hours. Please expect the same from me.

    CONFIDENTIAL COMMUNICATION: The information contained in this message may contain confidential information intended only for the use of the individual or entity named above. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution or duplication of this transmission is strictly prohibited. If you have received this communication in error, please notify us by telephone or email immediately and return the original message to us or destroy all printed and electronic copies. Nothing in this transmission constitutes an agreement of any kind unless otherwise expressly indicated.

    From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> On Behalf Of Mary Willimann (Subiaco)
    Sent: Monday, May 10, 2021 3:59 PM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: [ACIPC_Infexion_Connexion] HEPA filters in OR complex corridors

    Dear Brains trust

    I was wondering if anyone has information/references relating to having HEPA filters installed in OR complex corridors. This is something that has been raised here as being required to ensure compliance with AS: 4187 but I have been unable to find anything to support it. We do have covered case carts to transport our RMDs so we are a bit confused about the need for all of the corridors to be HEPA filtered as well.

    Any help would be gratefully received!

    Kind regards
    Mary

    Mary Willimann CICP-E | Manager Infection Control
    St John of God Subiaco Hospital
    T: (08) 9382 6871 | M: 0439993772 | F: (08) 9382 6785 | E: Mary.Willimann@sjog.org.au
    12 Salvado Road Subiaco WA 6008 | PO Box 14, Subiaco WA 6904
    http://www.sjog.org.au/subiaco | Twitter | LinkedIn | Facebook

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    in reply to: Re: HEPA filters in OR complex corridors #77986
    Michael Wishart
    Participant

    Author:
    Michael Wishart

    Email:
    Michael.Wishart@svha.org.au

    Organisation:

    State:
    NSW

    Hi Michelle

    My understanding has always been that shipping (outer) cartons should not make it beyond the loading dock /supply dpt. All contents should be decanted from outer cartons before they are provided to clinical areas.

    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 Michelle Kennedy (Hunter New England LHD)
    Sent: Friday, 14 May 2021 10:31 AM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: Re: [ACIPC_Infexion_Connexion] HEPA filters in OR complex corridors

    HI Terry, thanks for bringing up shipping containers-I know your mean the big ones but the smaller containers are everywhere . I am disgusted that these containers are allowed in any healthcare facility and have wondered for some time now that we are auditing our OTs and CSSDs every month on cleaning, maintenance etc. but stepping around and ignoring these dirty cartons in our clean spaces. Has there been any discussion around this? Has anyone from the ACSQHC commented during accreditation?
    [cid:image005.jpg@01D748AC.2DEB9E70]

    Thank you

    Michelle Kennedy

    CNC | Hunter New England Infection Prevention Service
    Maitland/Kurri Kurri Hospitals
    550-560 High Street
    Maitland NSW 2320
    Tel 02 4939 2467 or 0437919767 |
    michelle.kennedy@health.nsw.gov.au

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    Visit the NSW Health website for the latest information on COVID-19.

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    From: ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] On Behalf Of Terry
    Sent: Friday, 14 May 2021 10:14 AM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: Re: [ACIPC_Infexion_Connexion] HEPA filters in OR complex corridors

    Hi Mary,

    My opinion is that requiring HEPA filtration in ALL sterile storage areas [as often interpreted by people reading AS1668.2] is not reasonable or necessary and I really wish could be at least clarified by Standards Australia. Perhaps an email to them for clarification of the requirements around AS1668.2. might be warranted?

    We need to remember that commercially produced sterile medical devices are transported in shipping containers, aircraft and trucks and none of these have HEPA filtration. Whilst the products are protected by shipper cartons during these movements, I am yet to find any IFU from any manufacturer of these sterile products, or even from the manufacturers of sterile barrier systems used for CSSD produced sterile RMDs, that contain a requirement that their products be stored in a HEPA filtered environment.

    Now Im hearing that this non-existent requirement for HEPA filtration for storage of sterile medical devices has been taken even further by requiring HEPA filtration in OR corridors!

    The only time HEPA filtration makes sense for a sterile storage area is when this is also a set up room between two operating rooms or a central sterile core that operating rooms open onto. In these cases, if the sterile store is HEPA filtered, then we can make this room more positive than the operating rooms and blow air from the sterile store into the operating room without compromising patient safety, unlike the opposite situation where the operating room is more positive to the sterile store, potentially blowing patient soiled air into this space.

    It also makes some sense for a CSSD Sterile store to be HEPA filtered, as this then protects cooling sterile products that are potentially vulnerable from exposure to contaminated air.

    Our European colleagues think we are nuts because we required HEPA filtration in sterile storage areas but not specifically in the packaging areas where the medical devices are at the most risk of compromise prior to packaging and sterilisation.

    If you need any international evidence that HEPA filtration is not required in a sterile storage environment, a UK Guidance document HBN13 mentions Class 8 cleanroom requirements for the packing area [IAP] but has no mention of specific ventilation for the processed products store, other than it be at a positive pressure to the dispatch area and negative pressure to the cooling area.

    I hope this feedback on my take on requirements for sterile storage is of some use.
    Kind Regards
    Terry McAuley
    Director
    MSc Medical Device Decontamination

    PO BOX 2249, Greenvale, VIC Australia 3059
    Mobile: +61 (0)438 109 692
    Email: terry@steamconsulting.com.au
    Website: http://www.steamconsulting.com.au

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    CONFIDENTIAL COMMUNICATION: The information contained in this message may contain confidential information intended only for the use of the individual or entity named above. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution or duplication of this transmission is strictly prohibited. If you have received this communication in error, please notify us by telephone or email immediately and return the original message to us or destroy all printed and electronic copies. Nothing in this transmission constitutes an agreement of any kind unless otherwise expressly indicated.

    From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> On Behalf Of Mary Willimann (Subiaco)
    Sent: Monday, May 10, 2021 3:59 PM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: [ACIPC_Infexion_Connexion] HEPA filters in OR complex corridors

    Dear Brains trust

    I was wondering if anyone has information/references relating to having HEPA filters installed in OR complex corridors. This is something that has been raised here as being required to ensure compliance with AS: 4187 but I have been unable to find anything to support it. We do have covered case carts to transport our RMDs so we are a bit confused about the need for all of the corridors to be HEPA filtered as well.

    Any help would be gratefully received!

    Kind regards
    Mary

    Mary Willimann CICP-E | Manager Infection Control
    St John of God Subiaco Hospital
    T: (08) 9382 6871 | M: 0439993772 | F: (08) 9382 6785 | E: Mary.Willimann@sjog.org.au
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    in reply to: Home cooked food #77977
    Michael Wishart
    Participant

    Author:
    Michael Wishart

    Email:
    Michael.Wishart@svha.org.au

    Organisation:

    State:
    NSW

    Hi Lynne

    One of our facilities is long term rehab and palliative care, and we do allow families to bring in cooked meals in both facilities, but only for immediate consumption. We do not allow them to store food within the facility for later consumption.

    We actually removed in-room bar fridges from inpatient rooms at our acute facility for this very reason, as we had no way of ensuring foods were kept at the correct temperature for the correct time. With many of our patients being elderly or immunocompromised, the risk of Listeria and other food borne diseases was just too great to allow food to be stored in patient rooms, or even in our pantry fridges as we were unaware of how food was stored prior to coming into the facility.

    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]

    Hoping for some feedback on visitors bringing in home cooked food for patients/residents.
    We are a residential mental health facility (mainly long-term) and have been asked to allow patient’s family/friends permission to bring in home cooked food. This includes anything from casseroles to cakes and the like. Just wondering what other facilities allow??
    Thanks

    Regards,

    Lynne Nicholas

    Infection Prevention & Control Nurse Consultant

    For urgent issues, please contact Clinical Administration.

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    Michael Wishart
    Participant

    Author:
    Michael Wishart

    Email:
    Michael.Wishart@svha.org.au

    Organisation:

    State:
    NSW

    Hi Lindy

    We only screen weekly in ICU for MRSA / VRE / CPE / ESBL. We stopped screening on admission and discharge because it wasn’t being done (too many things happening on admission and discharge for anyone to remember!). We currently screen every Sunday night at midnight and it works very well. We tend to have a lot of short stay patients in ICU post cardiac surgery, and that cohort are screened for MROs prior to surgery anyway.

    We have an overall very low rate of positive MROs (both CAI and HAI), and this just helps us confirm that ICU is not adding to our burden.

    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

    [cid:image002.jpg@01D639A0.5B5D4C80]

    Hello

    Just hoping for quick survey for those site who have an ICU and the advice from the ACSQHC Table 2 – high risk units re MRO screening on admission , weekly and on discharge (especially VRE)
    as I am getting mixed messages from one of our ICUs that other units no longer undertake weekly MRO screening despite the national guide so I am trying to get an understanding of what others unit may be doing

    Question – Do you currently screen ICU patients for MROs on weekly as well as on discharge and admission

    Many thanks for your useful feedback

    Kind regards

    Lindy

    Lindy Ryan

    District Infection Prevention & Control CNC | Clinical Governance & Information Services MNCLHD
    Level 1 Coffs Specialist Centre, Pacific Hwy, Coffs Harbour
    Office 66911984 or Mob 0419 990 693 | lindy.ryan@health.nsw.gov.au
    http://www.health.nsw.gov.au

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    in reply to: Hand Hygiene Display #77929
    Michael Wishart
    Participant

    Author:
    Michael Wishart

    Email:
    Michael.Wishart@svha.org.au

    Organisation:

    State:
    NSW

    Hi Cate

    We use the Poster Report that the NHHI HCApp has in the standard report list. We have ‘blue boards’ mounted near each ward entrance, which has a hand gel and a hand hygiene brochure holder, and the Poster Report which is ward specific and changed each period.

    We did try and display hospital wide data continually in the main foyer, but progress happened and we lost a place to display this.

    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]

    Wondering if you would hare how you display you Hand Hygiene results for consumers?

    Kind 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: Re: influenza 2021 #77897
    Michael Wishart
    Participant

    Author:
    Michael Wishart

    Email:
    Michael.Wishart@svha.org.au

    Organisation:

    State:
    NSW

    Hi all

    I think this might currently be state specific? Cannot see a Commonwealth mandate at this stage. Can anyone confirm if Victoria is following this requirement?

    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 |
    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
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    Hi Jill

    It would appear flu vax is mandatory from 3 May – see Health Direction 26 (https://www.health.qld.gov.au/system-governance/legislation/cho-public-health-directions-under-expanded-public-health-act-powers/aged-care)

    Justine Baker
    Compliance Support Officer

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    [Posted on behalf of member – Moderator]
    Hi

    Re aged care influenza vaccination does anyone know if this mandatory for 2021
    If so are you able to please provide a link

    Thank you

    Jill

    Jill O’Brien
    Infection Control Coordinator
    Terang & Mortlake Health Service
    03 55920222
    jwobrien@tmhs.vic.gov.au
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    in reply to: Orthopaedic pre-op skin prep on wards pre theatre #77825
    Michael Wishart
    Participant

    Author:
    Michael Wishart

    Email:
    Michael.Wishart@svha.org.au

    Organisation:

    State:
    NSW

    Hi Liz

    We do lots of ortho joint replacements (hips, knees, shoulders), and none of them have pre-op skin prep, only pre-op antiseptic washes (the night before and the morning of as a minimum). No sterile drapes are required.

    The only time they *might* use a pre-op skin prep with sterile wrap for an elective procedure is for removal of external hardware (cages, wires, etc). Not all orthopods require this, though.

    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 |
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    [cid:image001.png@01D71EF8.FC46CCA0]

    Hello Everyone

    Can those who undertake orthopaedic surgery tell me whether you currently undertake Orthopaedic pre-op skin prep on wards pre theatre. Apparently our sterile drape supplies are restricted.
    I was under the impression that this an older discarded practice other than pre-op shower and that skin prep is only conducted immediately pre-op.
    Would appreciate your input

    With Thanks
    Liz Vanderlinde
    Infection Prevention Control Co-ordinator
    North West Private Hospital
    [Description: hca_luye_logo]
    Brickport Road, Burnie TAS 7320, Australia
    T +61 3 6432 6005 F +61 3 6431 5766
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    Healthe Care Hospitals are accredited by ACHS NSQHS Standards or ACHS EQuIP National
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    QIC Standards
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    in reply to: Re: SABSI reduction #77803
    Michael Wishart
    Participant

    Author:
    Michael Wishart

    Email:
    Michael.Wishart@svha.org.au

    Organisation:

    State:
    NSW

    Hi Kelly

    Ah, we live in a world of acronyms!

    PIVC = peripheral intravascular cannula
    SAB = Staph aureus bacteraemia.
    SABSI = Staph aureus blood stream infection

    We often forget that people outside of infection control (and even those outside acute clinical care provision) may not be familiar with our acronyms.

    Thanks for the reminder!

    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
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    From: ACIPC Infexion Connexion On Behalf Of Christensen, Kelly
    Sent: Monday, 15 March 2021 9:59 AM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: Re: [ACIPC_Infexion_Connexion] SABSI reduction

    UNOFFICIAL

    Hi everyone,

    I wish I new what you were all talking about as it sounds really interesting!

    I currently work as at teacher in the TAFE system so Im a bit lost with SABs, PIVCs etc Ill follow along and hopefully I might learn some great information to make me look smarter at work

    Regards,

    Kelly Christensen
    Teacher
    CIT Wellbeing
    Canberra Institute of Technology
    Tel: +(61) 02 62051339 | Email: kelly.christensen@cit.edu.au
    Address: CIT Bruce, Room A07 , 35 Vowels crescent, Canberra | GPO 826, Canberra 2601
    CRICOS No. 00001K | RTO 0101

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    Please consider the environment before printing this email.

    From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> On Behalf Of Emily Stewart
    Sent: Monday, 15 March 2021 10:17 AM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: Re: [ACIPC_Infexion_Connexion] SABSI reduction

    Hi Kirsty,

    I am very interested in this topic also.
    In the last 6 months I have noticed an increase in SAB relating to PIVCs within the organization I work in.
    We are about to review our PIVC documents and care bundles and would be very appreciative of any research, guidelines and best practice to improve patient care and reduce HAIs.

    Thank you
    Kind Regards,
    Emily Stewart Infection Control Coordinator RN
    [image]
    Tel: 07 43311168 Fax: 07 41512180
    Email: estewart@fsph.org.au
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    The contents of this email are strictly confidential. If you are not the intended recipient, any use, disclosure or copying of this email (including any attachments) is unauthorised and prohibited. If you have received this email in error, please notify the Friendly Society Private Hospital immediately by return email and then delete the message from your system.

    From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> On Behalf Of Kirsty Graham (Central Coast LHD)
    Sent: Monday, 15 March 2021 8:16 AM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: [ACIPC_Infexion_Connexion] SABSI reduction

    Good morning
    On the Central Coast we are undertaking a SABSI Improvement plan and keen to learn from others and any strategies used to reduce the incidence of SAB particularly those related to PIVCs.
    We have developed a comprehensive local action plan but also keen to consider any initiatives used by other LHDs.
    Thanks in advance for any support.
    Cheers
    Kirsty

    Kirsty Graham

    Nurse Manager | CCLHD Infection Prevention and Control Unit
    Clinical Safety, Quality and Governance Directorate
    F4 Administration Office, Gosford Hospital
    Tel (02) 4320 3382 (Internal 93382)|Mobile 0407 749 034|Fax (02) 4320 2874 |Pager 18028 |
    kirsty.graham@health.nsw.gov.au or CCLHD-IPAC@health.nsw.gov.au
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    in reply to: Urine sample storage #77791
    Michael Wishart
    Participant

    Author:
    Michael Wishart

    Email:
    Michael.Wishart@svha.org.au

    Organisation:

    State:
    NSW

    Hi Sarah

    I don’t have any absolute guidelines for you, but would suggest your contact the microbiology lab that these specimens would be sent to. And if it is more than one lab, contact each one and then you will need to come up with a protocol that works for them all.

    There are some labs that will not even process specimens that have been stored outside their recommendations, so it would be important to check with the labs themselves.

    Hope that 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@01D7167B.AC543FF0]

    Good Morning,

    Would anyone be able to advise me where I can find information on best practice with regards to the maximum length of time a urine sample can be stored in a facility sample fridge before it should be discarded?

    I have read a few articles that state that 24hrs is ‘ recommended’ however there is some online information quoting 24-72hrs.

    Please would someone advise where I can obtain an official guideline with which to work.

    Many thanks in advance.

    Kind regards,

    Sarah Willson. RN, IPC Lead.

    [cid:image001.png@01D661B4.40CC32A0]

    Retirement Living | Connect | Residential Care | Clear Skies
    [cid:image003.png@01D7165E.AA924AD0]

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    in reply to: Scabies treatment #77763
    Michael Wishart
    Participant

    Author:
    Michael Wishart

    Email:
    Michael.Wishart@svha.org.au

    Organisation:

    State:
    NSW

    Hi all

    I have a story for you. Many, many years ago when I was a fresh and young infection controller, I worked in a facility that had an attached nursing home. We had a prolonged scabies outbreak over many, many months, that appeared to be fully contained for a month or so then suddenly flared up again. This cycle repeated about five times, and was really frustrating for residents families and staff. We had concerted efforts to include everyone in prophylactic treatment, involved entomologists who taught us about scabies mite lifestyles and how they were transmitted (did you know you needed gravid female mites to transmit infestation?). We cleaned, crobbex, bagged, and cleaned nd scrubbed more.

    Anyway, to bring my story to a close, the cycles stopped when one of our semi-regular respites died. His autopsy showed he had Norwegian (crusted) scabies, which had remained undiagnosed for a long time, due to other long term pre-existing skin conditions he also had. He just kept coming back in, shedding many gravid females onto staff and into the environment. He often had been discharged a while before the first cases started itching in each cycle.

    Just thought this was a nice opportunity to share my story. I hope you enjoyed it. It was a pretty unpleasant experience at the time, for all concerned. Good luck managing your outbreak. Don’t forget those with skin conditions that can ‘hide’ Norwegian scabies.

    Cheers
    Michael

    Michael Wishart, CICP-E
    Infection Control Coordinator
    St Vincent’s Private Hospital Northside

    ________________________________
    From: ACIPC Infexion Connexion on behalf of Lisa Campbell
    Sent: Wednesday, March 3, 2021 7:52:02 PM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: Re: [ACIPC_Infexion_Connexion] Scabies treatment

    Good evening,

    There are a few questions I would ask.

    Are residents sharing slings for lifting equipment or other equipment that may be in direct contact with their skin?
    ( Our residents each have their own and there are back ups for when those are being laundered).
    Have any skin scrapings identified scabies on any of your residents?( Keeping in mind it may be difficult to get a conclusive result).
    Is this in a memory support unit or a particular part of the facility?
    Have any family members of residents been diagnosed with scabies?
    Have any staff members been diagnosed with scabies?

    Whilst I was working at Eastern Health in Victoria, our Infectious Disease Consultants would treat all Residents with Ivermectin instead of using Ivermectin.This way residents are treated systematically. This is dosed individually by weight.

    The issue with Lyclear is often staff do not apply enough or apply it correctly. Some residents due to behaviour issues make it impossible to do so. Also, if they do not leave it on the prescribed amount of time before showering, it may not be effective.

    If it is Norwegian crusted scabies, Lyclear may also be ineffective.

    24 hours after treatment, we would do a terminal clean.

    We bagged fomites for 7-10 days.

    We laundered all clothes and linen in a hot wash cycled then dried.

    This was repeated in 7-10 days.

    We did not prophylactically treat staff. Lyclear can have toxic side effects and you can build resistance. You need to generally have prolonged skin to skin contact to be at risk of acquiring scabies.

    Soft furnishings were vacuumed and steam cleaned.

    We did not generally use insecticide. Though in large clusters it was considered.

    Kind regards,
    Lisa Campbell
    Infection Prevention & Control Manager
    Bolton Clarke

    Sent from my iPhone

    On 3 Mar 2021, at 6:50 pm, Sarah Gaines Hill wrote:

    Good Afternoon Aged Care colleagues,

    We have a very perplexing situation at one of our sites where we seem to get a regular visit from scabies mites. The occurrence is too far apart for it to be an ongoing infestation.

    We have implemented multiple changes as follows:

    1. Treat any undiagnosed rash as potentially infectious until proven otherwise using contact precautions and isolation
    2. Treat suspected or confirmed cases with lyclear including all staff who have had prolonged skin-to-skin contact or with laundry and linen
    3. Simultaneously treat environment remove and launder bed clothes, clothes, towels, vacuum carpet and mattress, steam clean same.
    4. Bag up other fomites for 72 hours post treatment
    5. Educate staff on scabies rash identification

    Do any of you treat the environment with insecticides? I have never done this and what I have read is not indicated.

    Any other ideas??? I am at a loss for how to eradicate this from this particular home.

    Any pearls of wisdom would be greatly appreciated.

    Thanks

    Sarah

    [BlueCross]
    Sarah Gaines Hill
    Infection Control Nurse Coordinator
    P: +61 3 9828 1705 | M: +61 429 480 183
    Level 1, 117 Camberwell Road, Hawthorn East, VIC 3123
    [BlueCross]

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    Michael Wishart
    Participant

    Author:
    Michael Wishart

    Email:
    Michael.Wishart@svha.org.au

    Organisation:

    State:
    NSW

    Ok, links for each section as below then:

    Webinar video now available
    Out of the starting blocks: COVID-19 vaccination program in Australia – Part 1

    https://www.ncirs.org.au/ncirs-seminarwebinar-series/12022021-out-starting-blocks-covid-19-vaccination-program-australia?utm_mediumemail&utm_campaignPart%201%20webinar%20video%20and%20latest%20COVID-19%20vaccination%20program%20resources&utm_contentPart%201%20webinar%20video%20and%20latest%20COVID-19%20vaccination%20program%20resources+CID_ffa026d82aa1751e847ea0b0b2a538d3&utm_sourceeDM&utm_termView%20the%20video

    Australian Government Department of Health resources for COVID-19 vaccination providers

    https://www.health.gov.au/initiatives-and-programs/covid-19-vaccines/information-for-covid-19-vaccination-providers

    NCIRS COVID-19 vaccines: Frequently asked questions

    https://www.ncirs.org.au/covid-19/covid-19-vaccines-frequently-asked-questions?utm_mediumemail&utm_campaignPart%201%20webinar%20video%20and%20latest%20COVID-19%20vaccination%20program%20resources&utm_contentPart%201%20webinar%20video%20and%20latest%20COVID-19%20vaccination%20program%20resources+CID_ffa026d82aa1751e847ea0b0b2a538d3&utm_sourceeDM&utm_termAccess%20the%20FAQ

    NCIRS COVID-19 vaccination program in Australia web page

    https://www.ncirs.org.au/covid-19/covid-19-vaccination-program-australia?utm_mediumemail&utm_campaignPart%201%20webinar%20video%20and%20latest%20COVID-19%20vaccination%20program%20resources&utm_contentPart%201%20webinar%20video%20and%20latest%20COVID-19%20vaccination%20program%20resources+CID_ffa026d82aa1751e847ea0b0b2a538d3&utm_sourceeDM&utm_termView%20the%20web%20page

    Register for NCIRS Webinar Part 2 – Out of the starting blocks: COVID-19 vaccination program in Australia

    https://us02web.zoom.us/webinar/register/WN_u2gL37NsQnujP4S3FWr0cg

    Cheers

    Michael Wishart

    Moderator

    Posted on behalf on a member – Moderator Not sure how this will work on the list, as there are images….

    Video now available for Part 1 of the two-part webinar series in preparation for the roll out of COVID-19 vaccines in Australia

    No images? Click here

    [image]

    Latest COVID-19 vaccination program resources

    [image]

    Webinar video now available
    Out of the starting blocks: COVID-19 vaccination program in Australia – Part 1

    Part 1 of the two-part webinar series in preparation for the roll out of COVID-19 vaccines in Australia, focusing on the Pfizer-BioNTech COVID-19 vaccine.

    [Rectangle: Rounded Corners: View the video]

    [image]

    Australian Government Department of Health resources for COVID-19 vaccination providers

    These resources include patient information sheets, consent forms, vaccination training, site preparedness and specific advice for different types of providers.

    [Rectangle: Rounded Corners: Read more]

    [image]

    NCIRS COVID-19 vaccines: Frequently asked questions

    Answers to some of the most frequently asked questions about COVID-19 vaccines. We update this page regularly.

    [Rectangle: Rounded Corners: Access the FAQ]

    NCIRS COVID-19 vaccination program in Australia web page

    This page provides links to ATAGI, Department of Health and state and territory resources on the use of COVID-19 vaccines in Australia. Stay up to date with the latest information – bookmark our frequently updated web page.

    [Rectangle: Rounded Corners: View the web page]

    [image]

    Register for NCIRS Webinar Part 2 – Out of the starting blocks: COVID-19 vaccination program in Australia

    Hear an overview of and update on the Oxford Vaccine Group-Astra Zeneca ChAdOx1 nCoV-19 vaccine from Professor Andrew Pollard, Oxford Vaccine Group.

    Build on understanding of the roll out of COVID-19 vaccines with information from Australia’s leading health authorities including Chief Medical Officer Professor Paul Kelly.

    This webinar will be recorded and available to catch up on the NCIRS website.

    [Rectangle: Rounded Corners: Register here]

    Stay up to date on the latest COVID-19 vaccination program information via our weekly newsletter

    The Weekly Jab newsletter is compiled by NCIRS to provide a summary of the latest resources, news, media, events, publications and career opportunities related to immunisation each week. It aims to keep immunisation professionals up to date with the latest information related to vaccination and vaccine preventable diseases.

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    in reply to: PPE waste #77749
    Michael Wishart
    Participant

    Author:
    Michael Wishart

    Email:
    Michael.Wishart@svha.org.au

    Organisation:

    State:
    NSW

    Hi Helen

    All of the responses you have received thus far are correct for the settings in which they are applied. The important parameter is that you need to follow your local and state regulations in regard to waste segregation and disposal.

    In Queensland, this is governed by the Department of Environment and Science (state), as well as any specific regulations that have been published for local council waste disposal (if you use a local council waste disposal site). The state guidance document is: https://environment.des.qld.gov.au/__data/assets/pdf_file/0029/89147/pr-gl-clinical-and-related-waste.pdf

    In this document it states this:
    Human body fluids such as saliva, mucus, pleural fluid, cerebrospinal fluid, pericardial fluid and any other fluid that is visibly contaminated with blood, and all body fluids generated from circumstances where there is potential for the presence of infectious agents, are included in this category. Urine, faeces and vomitus are not generally included as clinical waste, unless they originate from a person with a known infectious disease or are visibly contaminated with blood.

    In my facility, our Infection Control Committee has determined that ALL waste coming from a transmission-based precautions room will be treated as clinical waste. This decision was made in conjunction with our waste management contractor. It makes it very easy for all staff, at all levels, to identify what should be considered clinical waste when a patient is on precautions. Whist there is a known additional cost for the management of this waste (in comparison to general waste), it was considered reasonable to apply this to reduce the risk of incorrect disposal of potentially infectious material at the local council waste disposal site, which, if detected, has ramifications for both the health facility licencing and the licensing of the waste management contractor.

    So I would suggest your facility have a discussion with your waste contractor, and seek clarifications of any requirements for the site your general waste is being disposed at, and then have a facility level discussion about an agreed process of managing waste for transmission-based precautions rooms.

    Hope this helps.

    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

    [cid:image002.jpg@01D639A0.5B5D4C80]

    [Stop the Flu before it stops you]

    From: ACIPC Infexion Connexion On Behalf Of Helen Roberts
    Sent: Tuesday, 23 February 2021 1:34 PM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: [ACIPC_Infexion_Connexion] PPE waste

    Good afternoon everyone,

    Just enquiring in which waste bin (general or clinical) do staff put their PPE after being in a precautions room (MRSA, VRE, CDiff etc).

    Currently, we put all our PPE in to clinical waste.

    I cannot see a clear directive in the Guild line for Prevention and control of infection in healthcare.

    Do you place it in general waste or clinical waste?

    Thanks in advance
    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:image701766.jpg@6EB0C9B7.277CA05E]

    This e-mail and any attachments to it (the “Communication”) is confidential and is for the use only of the intended recipient. The Communication may contain copyright material of St. Andrew’s Toowoomba Hospital ABN 95 820 855 300, or any of its related entities or of third parties. If you are not the intended recipient of the Communication, please notify the sender immediately by return e-mail, delete the Communication, and do not read, copy, print, retransmit, store or act in reliance on the Communication. Any views expressed in the Communication are those of the individual sender only, unless expressly stated to be those of St Andrew’s Toowoomba Hospital. St. Andrew’s Toowoomba Hospital does not guarantee the integrity of the Communication, or that it is free from errors, viruses or interference.

    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: Managing staff with post COVID vaccine symptoms #77728
    Michael Wishart
    Participant

    Author:
    Michael Wishart

    Email:
    Michael.Wishart@svha.org.au

    Organisation:

    State:
    NSW

    Hi Lori

    We do not intend to treat these staff any differently from those receiving any other vaccine and developing reactions which may hinder them doing their job. If they are unwell, they are not to come to work.

    One thing we have discussed though, is trying not to send a whole department to have their COVID-19 vaccines on the same day. So, as much as we possibly can, staggering vaccination across a variety of departments so we dont wipe a whole department out for a few days. We have never consciously tried to do this with our annual flu vaccine program, as the vaccine is generally well tolerated. But there is an unknown component of how many will be affected and how severe the reactions will be for the various COVID-19 vaccines, so we are being more cautious.

    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

    [cid:image002.jpg@01D639A0.5B5D4C80]

    [Stop the Flu before it stops you]

    From: ACIPC Infexion Connexion On Behalf Of Lori McLeod-Mills
    Sent: Thursday, 18 February 2021 2:21 PM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: [ACIPC_Infexion_Connexion] Managing staff with post COVID vaccine symptoms

    Dear Colleagues,

    I would like to better understand how other organisations plan to manage staff who experience fever, chills headache and fatigue after receiving the COVID vaccine. These are published common side effects of the Pfizer vaccine as well as symptoms of COVID infection.

    https://www.health.gov.au/sites/default/files/documents/2021/02/covid-19-vaccination-after-your-covid-19-vaccination_1.pdf

    Are organisations planning to allow staff experiencing these side effects post-vaccine to attend work?
    If yes, how will the deviation from current practice be documented to allow them to work?

    Kind regards

    Lori

    Lori McLeod-Mills
    National Quality Governance Officer
    Healthcare Imaging Services
    lori.mcleod@healthcareimaging.com.au
    0414 542 483
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    in reply to: Pet/animal Visitation #77711
    Michael Wishart
    Participant

    Author:
    Michael Wishart

    Email:
    Michael.Wishart@svha.org.au

    Organisation:

    State:
    NSW

    Hi Kate

    We reviewed our animal visitation policy across both campuses last year, and the major change was a statement that staff must not handle visitation animals, and a strengthening of the recommendation for patients to perform hand hygiene both pre and post animal handling. Not really COVID-19 specific, but good overall practice,

    We actually didn’t have anything specifically COVID-19 related to add, actually form memory.

    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

    [SVPHN sig]

    [Stop the Flu before it stops you]

    Good morning all, this is a random question but we are interested to hear from anyone who may have made any changes or updates to their pet visitation guidelines post COVID.
    regards Kaye

    Kaye Bellis
    Hand Hygiene Co-ordinator
    Infection Prevention Consultant
    Infection Prevention and Hospital Epidemiology Unit

    Tuesday/Wednesday/Thursday
    e K.Bellis@alfred.org.au

    The Alfred
    55 Commercial Road
    Melbourne VIC 3004
    PO Box 315 Prahran
    VIC 3181 Australia
    [cid:image001.jpg@01D70065.86BDEDD0]
    We acknowledge the people of the Kulin Nation, the traditional custodians and pay our respects to their culture and their Elders past, present and emerging.
    We welcome all cultures, nationalities and religions. Being inclusive and providing equitable healthcare is our commitment.

    Alfred Health incorporates The Alfred, Caulfield Hospital, Sandringham Hospital and Melbourne Sexual Health Centre
    http://www.alfred.org.au

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