[Michael Wishart]

Hi Cate

We are in the middle of building one right now. Happy to discuss, and offer some other experts to contact if you would like. Just contact me off list.

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

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

[Stop the Flu before it stops you]

HI Team
Looking for advice on developing and commissioning a hybrid operating theatre.
Does anyone have experience in this and provide me with advice?
Thanks very much
Cate Coffey
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

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

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[Michael Wishart]

Hi Betty

We don’t allow paper records into Transmission Based Precaution rooms anymore, so generally notes are not considered contaminated.

If a paper record has to enter a room (eg MMSE which the patient has to write on), we get the paper sheet placed into a plastic sleeve, the plastic sleeve is wiped over with a detergent/disinfectant wipe, sealed with tape on removal from the room, and then placed in the medical record.

All our paper records are now scanned on discharge, so the scanners will wear gloves to remove from the sleeve, and then scan and place back into the sleeve for storage.

I think the principles of how we do this should work for you.

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]

[Stop the Flu before it stops you]

Dear All,
Staff are having issues with handling medical records that have been in covid positive patient rooms, does anyone have advice about the time covid fomites live on paper?
How are you dealing with paper based medical records?
Regards,
Betty Vokolos
Hospital Coordinator
Brunswick Private Hospital
[Description: hca_luye_logo]
82 Moreland Road, Brunswick VIC 3056, Australia
T +61 3 9385 1111 M +61 4 2183 8866 F +61 3 9385 1199
E Betty.Vokolos@healthecare.com.au W healthecare.com.au

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[Michael Wishart]

Hi Elizabeth

The technique itself looks OK, particularly with that specific brand and type of mask. You would have to test it on other brands and types to see if the same technique could be used.

BUT… I’m not convinced that using this technique is a good idea or even necessary, for a number of reasons, including:

1. It assumes that a loose fitting mask is a risk. If you are using a level 2 or 3 surgical mask appropriately to prevent droplet transmission, there is no evidence to suggest the seal at the sides is so important.

2. You are, in my opinion, fanning the flames for the aerosol route of transmission being important with routine contact, not just droplet spread.

3. Using a level 2 or 3 surgical mask with a seal is sending a false assurance about spread from aerosols, as these masks are not designed to prevent inhalation of aerosols like a correctly fitted P2/N95 masks.

I will be quite interested in other members’ view on 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

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

[Stop the Flu before it stops you]

https://youtu.be/2TTg53aAP8Q

Hello all: I have seen this video on utube which shows how to modify a surgical mask by folding it to achieve a tighter fit.
Is there any benefit in modifying the masks in this way?

Is there any problem with doing this – assuming of course that it’s a fresh mas), and also ensuring that that doffing is as per normal infection control procedure?

I was considering sharing this with my Managers and incorporating into our procedures (in residential and home aged care).

Any thoughts?

Elizabeth Carroll | Executive Manager Residential & Chief Clinical Officer
p 07 3223 4444 d 07 3223 4491 f 07 3223 4411 m 0468 522 131
Level 3, 19 Lang Parade, Milton Q 4064 | PO Box 771, Toowong BC Q 4066

[PresCare]

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[Michael Wishart]

Hi Deb

I think this is one of those areas with lack of evidence, and we need to rely on first principles rather than assume it’s a problem

How are false eyelashes going to cause a problem during a procedure? Even if there has been some lab study showing false eyelashes can be colonised with higher levels of bacteria, what is your transmission route? Unless the false eyelashes are a danger of falling into a surgical field, I cannot see a transmission route appropriate hand hygiene would not negate. Support and endorse appropriate hand hygiene, not banning fashion because it is not perceived as OK for HCWs.

I think this issue should be sent back to the policy table as not being supported by infection control as a risk, and they can come up with what they want to do.

Too often policy makers look to ‘blame’ infection control for their actions (eg lanyards, shoe and sock colours, tattoos). We need to be clear where the risks are and enforce those, not support cultural or fashion dislikes.

Cheers
Michael (who, as you can see, is sick of getting blamed for every policy change!)

Michael Wishart | Infection Control Coordinator, CICP-E

St Vincent’s Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
M +61 448 954285 | 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 +61 448 954 285 | 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]

Dear Brains Trust

I have become aware of some nurses are wearing eyelash extensions,
Can anyone point me in the right direction for managing this concern- especially in the theatre environment,

I suspect it will become a policy issue however I would like to have some form of evidence or advice as to what other hospitals are doing

Thanks in advance

Deb

Deborah Vos
Infection Control Coordinator
[cid:image001.png@01D66188.D2E248E0]
Calvary Central Districts Hospital
25-37 Jarvis Road Elizabeth Vale SA 5112
P: 08 8282 5393
E: Deborah.Vos@calvarycare.org.au
http://www.calvarycentraldistricts.org.au

Calvary 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.

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[Michael Wishart]

Thanks Terry

There are a number of guidelines in Australia as well that specify N95 ask as part of PPE for these procedures, but none of them give a rationale.

What route of aerosolization is there for the BCG during these procedures? I cannot recall any recommendations for using N95 masks when doing BCG injections.

This question has been asked as we wish to rationalize N95 mask use.

Thanks
Michael

Michael Wishart
Infection Control Coordinator
St Vincent’s Private Hospital Northside
627 Rode Road, Chermside, Qld 4032
t: (07) 3326 3068 | f: (07) 3326 3523
e: Michael.Wishart@svha.org.au
w: http://www.svphn.org.au
Please consider the environment before printing this email
________________________________

Hi Michael,

These guidelines are a little old now (2012), however they do reference wearing an N95 mask.

https://anzuns.org/wp-content/uploads/2011/12/ANZUNS-Clinical-Guidelines-Intravesical-Instillations-20121.pdf

Kind Regards

Terry McAuley

Director

MSc Medical Device Decontamination

PO BOX 2249, Greenvale, VIC Australia 3059

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Hi Michael

I cannot see any reply to your question regarding P2/N95 mask and BCG instillation for bladder cancer. I have not got any reference to your specific question but I have plenty of experience with BCG as a BCG vaccinator and laboratory reception of urine from treated patients.

Bladder installation might be using a closed system, however, that is not the only risk of exposure. If a cystoscope is used it will be contaminated. The Urine from the BCG infected bladder will be positive for mycobacteria for some time ( laboratory experience) and staff might be handling the urine, if the patient is catheterised, and can get exposed from that source. As a BCG vaccinator, I never used masks of any kind as I found eye protection and protection from needle sticks most important, and in your scenario handling contaminated equipment and BCG colonised urine. Regarding the choice of mask, in my opinion, P2 would suffice as droplet exposure is the most like risk.

Best wishes

Mona

Mona Schousboe

FRCPA, MPH

On Thu, Jul 9, 2020 at 4:26 PM Michael Wishart <Michael.Wishart@svha.org.au> wrote:

Hi all

Does anyone have any evidence or advise about the need to use P2 N/95 masks for intravesicular instillation of BCG? My understanding is that the current product comes in a closed system for instillation, so in my view an N95 masks need not be worn during the instillation process. Does anyone have any evidence or advice on this?

Thanks

Michael

Michael Wishart | Infection Control Coordinator, CICP-E

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

T +61 7 3326 3068 | F +61 7 3607 2226

E michael.wishart@svha.org.au |

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[Michael Wishart]

Hi Elizabeth

Anyone interested in the ‘droplet vs airborne’ debate about SARS-CoV-2 transmission should read this blog: https://haicontroversies.blogspot.com/2020/07/a-tiresome-spat.html?spreftw&m1&fbclidIwAR38FYt_TVruTnDugyPy_sjlGumOGWdii3aSWsbQ1lhFvX9jfsTMvdy4SNc

Cheers
Michael

Michael Wishart | Infection Control Coordinator, CICP-E

St Vincent’s Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
W https://www.svphn.org.au

[cid:image001.jpg@01D46C86.4CDB6090]
[Stop the Flu before it stops you]

Hello all I’m following the recent developments re-the letter to the world health organisation flagging that COVID-19 may be transmitted by the airborne route. Is anyone else watching this and if so what do you think the implications will be for ICP if COVID-19 does turn out to be airborne as well as droplet and contact? What if anything are you doing to prepare for this possibility? I work in residential and community aged care so would particularly be interested in your feedback if you are also involved in these fields. Thanks very much in advance.

Elizabeth Carroll | Executive Manager Residential & Chief Clinical Officer
p 07 3223 4444 d 07 3223 4491 f 07 3223 4411 m 0468 522 131
Level 3, 19 Lang Parade, Milton Q 4064 | PO Box 771, Toowong BC Q 4066

[PresCare]

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[Michael Wishart]

Hi Cate

What is the purpose of the face mask in renal dialysis? Is it to prevent mucous membrane exposure from direct blood splashes to the face?

If that is the reason, then a Level 2 surgical mask plus a full face face-shield is appropriate protection if Level 3 surgical masks are not available. Obviously, if Level 3 masks become available, they are the preferred level of protection against blood exposures.

I would, however, caution staff to report failure of face shields to protect against major blood splashes, and where significant blood splash has occurred directly to a Level 2 mask, I would be assessing that exposure risk from a BBV exposure risk perspective, with the understanding that renal dialysis patients may have a higher risk of BBV carriage.

Cheers
Michael

Michael Wishart | Infection Control Coordinator, CICP-E
St Vincent’s Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
W https://www.svphn.org.au

[SVPHN sig]

[Stop the Flu before it stops you]

Hi everyone
We have been notified by a supplier that they are unable to confirm supply level 3 surgical masks from the end of this month. Our dialysis unit staff wear Level 3 mask and faceshield as PPE. We have suggested that staff use level 2 surgical mask with full faceshield for dialysis patients until supply resumes. Can you let me know your thoughts on this?
Regards

Cate Coffey
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

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

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[Michael Wishart]

Hi Jenny

We considered this, but decided against it, as there are no current QLD or Commonwealth recommendations regarding specific exclusions for those who attended a mass rally, apart from reporting symptoms and getting tested. So we just continue to ask questions about symptoms, travel and exposures. As well as current testing.

“There is no current recommendation that people who attended those mass gatherings should do anything different, in fact, do exactly the same thing – which is get tested if they become unwell,” he said.

Cheers
Michael

Michael Wishart | Infection Control Coordinator, CICP-E
St Vincent’s Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
W https://www.svphn.org.au

[SVPHN sig]

[Stop the Flu before it stops you]

Hi all – just wondering if anyone has included “attendance at a mass gathering” in their COVID-19 questions when screening patients for admission – and if so what are they doing about a positive answer?
Thanks
Jenny

Jenny McCarthy | Infection Prevention and Control Coordinator
Maryvale Private Hospital
286 Maryvale Rd, Morwell VIC 3840
P.O. Box 348, Morwell, VIC, 3840
t +61 (0)3 51321235 f +61 (0)3 51339505
e jenny@maryvaleph.com.au

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[Michael Wishart]

HI Marija

We don’t have bin liners in clinical waste MGBs, but do have purple bin liners in cytotoxic waste MBGs. The liners are NOT tied off prior to transport, the bins are locked prior to being taken to the holding area for transport.

Our full clinical waste bins are sent to a processing plant with an automated emptying and cleaning process. No liners involved.

Cytotoxic waste bins are managed separately, with a partially automated system. The cytotoxic MGB liners are provided by the waste company, and cleaned bins come back to the facility with new liners in them.

I think you might find that some states have specific legislation about how specific waste is handled that may or may not follow the Australian Standard.

Cheers
Michael

Michael Wishart | Infection Control Coordinator, CICP-E

St Vincent’s Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
W https://www.svphn.org.au

[cid:image001.jpg@01D46C86.4CDB6090]
[Stop the Flu before it stops you]

Hi all,

I am asking a question. AS3816 attached for reference.
Are your clinical waste bins or medical waste bins (240 liters yellow mobile garbage bins) and cytotoxic bins lined with a bin liner?
If so what type of bin liner is used, who supplies them and who is responsible for tying off the bag when it 2/3 full?
Any help would be appreciated.

Kind Regards

Marija Juraja |Nurse Unit Manager -CALHN Infection Prevention & Control Unit|
Division of Acute Medicine (RN, GCNS Inf Ctrl, CICP-E)
The Royal Adelaide Hospital| Central Adelaide Local Health Network
8E Rm256 Port Road, ADELAIDE 5000
The Queen Elizabeth Hospital | Central Adelaide Local Health Network
Level 8 Tower Building | 28 Woodville Road, WOODVILLE SOUTH 5011
t: +61 8 7074 2810 (RAH) 8222 7588 (TQEH)| f: +61 8 7074 6228 (RAH) +61 8 8222 6461 (TQEH) | m: 0466 379 821|DX: 465432 (TQEH) |e:marija.juraja@sa.gov.au |web: IPCU Intranet Site and Resources
Adjunct Clinical Lecturer | University of South Australia | Division of Health Sciences
[cid:image001.jpg@01CF74C9.73C91440]
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[Michael Wishart]

For those who are looking for the advice from the Commission mentioned here, it is attached.

Cheers
Michael

Michael Wishart | Infection Control Coordinator, CICP-E

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

[cid:image001.jpg@01D46C86.4CDB6090]

From: ACIPC Infexion Connexion On Behalf Of Teresa Lewis
Sent: Tuesday, 28 April 2020 8:44 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: [ACIPC_Infexion_Connexion] Screening questionnaire for patients for elective surgery or investigations

Subject: Screening questionnaire for patients for elective surgery or investigations

Hi team
Weve all no doubt implemented screening of patients since the beginning of this ride we find ourselves on, and now NSQHS has put out a questionnaire for patients presenting for elective surgery or investigations.

Can I please ask for some clarity on one of the questions, as we are the ones screening the patient pre-procedure at our facility?

Have you been told that you had COVID19? Should we not then ask how long ago was that notification and have you had two negative swabs since the initial diagnosis? If they are negative then I see no reason to prevent them from having the procedure/investigation.

Were you a close contact of a person who is known to have COVID19? Should we then ask, has this person returned a negative swab? Do we need to be concerned how long ago that negative swab was taken? (If only 2 days ago, should we wait at least 14days post this before the patient can then be re-screened again to check if any transmission has taken place)?

I appreciate your help and guidance with this query.

Kind Regards
Teresa Lewis
Infection Prevention & Control CNC
Tuesday 08:00 16:30
Infection Prevention is everybodys business, and it only takes 5 Moments

[cid:image002.png@01D61D37.CE6460E0]
Newcastle Endoscopy Centre
Ph. 02 4947 6007
Fax: 02 4947 6010
Email: tlewis@newcastleendoscopy.com.au
http://www.curagroup.com.au/newcastle-endoscopy-centre

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[Michael Wishart]

Hi Rachel

We stopped actual fit testing HCWs some years ago, due to all of the issues you had listed. We now rely solely on every HCW fit checking each mask at each use.

With the possibility of HCWs having to use various brands and styles of masks over the coming months when we see a surge in COVID-19 cases, the logistics of fit testing would add an enormous strain to an already stressed health system.

I agree with Terry that there should be a national approach to this issue, to provide reassurance to all HCWs that the masks they are wearing are being used in a safe manner.

Cheers
Michael

Michael Wishart | Infection Control Coordinator, CICP-E

St Vincent’s Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
W https://www.svphn.org.au

[cid:image001.jpg@01D46C86.4CDB6090]

Hi all

We are interested in other states/jurisdictions/facilities approaches to fit-testing, either qualitative or quantitative.

We had a qualitative fit-testing program within our hospital previously and we made the decision to disband this earlier in the year for a number of reasons.

We are now getting significant pressure from a particular clinical group to re-establish fit-testing again.

We had a number of issues with the fit-testing program previously and our rationale for not re-establishing fit-testing currently include the following:

* Fit-testing has not been proven to provide safer P2 (N95) mask use compared with fit-checking alone
* Despite the presence of the Australian Standard, fit-testing is not mandatory and ‘fit-checking is accepted to be the minimum standard’
* There are a number of practical difficulties to be considered with the re-introduction of a fit-testing program;
* If fit-testing is offered to one craft group, all healthcare workers that require a P2 (N95) mask within their clinical role will expect a similar approach. Equitable approach would need to be considered for all.
* Some individuals will not have a successful ‘fit-test’ e.g. do not taste the fit-testing solution, do not have a successful fit-test with any of the available masks. Does this equate to that healthcare worker being unsafe with an appropriately fit-checked P2 (N95) mask?
* Resources required for fit-testing program is not insignificant i.e. human resources and PPE required, with consideration for annual testing thereafter
* What to do for individuals that have not been fit-tested as yet but they are required to work with the requirement of a P2 (N95) mask?
* What to do if individuals’ fit-tested mask is not available at the point of care, particularly in the setting of the current PPE stock issues?

We would be really keen to understand others’ thoughts and experiences and approaches.

Your urgent advice would be much appreciated. Please feel free to email me off-line or even call me if you can

Thanks in advance
Rachel

……………………………………………………………………………..
Rachel Thomson
Nurse Unit Manager

Infection Prevention & Control Unit
Royal Hobart Hospital
Tasmanian Health Organisation-South

*: 03 6166 7882/ 6166 8658

Level 4, H Block
48 Liverpool Street
Hobart, 7000

________________________________

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[Michael Wishart]

Hi Helen

For the moist part, most users who would normally wear boots for procedures (eg many general surgeons, orthopods and scrub teams for these specialties) would have their own boots. The boots are cleaned with detergent over the outside between uses. But they can also be put through a machine washing process, as they are rubber, not lined.

For the COVID-19 theatre, we are recommending that boots are removed as part of the doffing process post procedure, and placed in a tub for cleaning. They will be cleaned by a detergent/disinfectant process, dried, and then reused.

Cheers
Michael

Michael Wishart | Infection Control Coordinator, CICP-E

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

[cid:image001.jpg@01D46C86.4CDB6090]

From: ACIPC Infexion Connexion On Behalf Of Helen Roberts
Sent: Sunday, 19 April 2020 8:22 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] COVID-19 theatre case

Hi Michael,

I was just wondering if each staff member has their own gumboots or do they share between staff?

And how would they clean them if used in COVID19 theatre?

Regards,
Helen

Helen Roberts
Infection Control
P:
07 4646 3106
|
F:
07 4633 7602
E:
robertsh@sath.org.au
|
W:
http://www.sath.org.au
Post:
PO Box 263, Toowoomba, QLD 4350
Address:
280 North St, Toowoomba, QLD 4350
[cid:image406960.jpg@17BF3B9E.19DFA928]
________________________________
From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> on behalf of Michael Wishart <Michael.Wishart@SVHA.ORG.AU>
Sent: Wednesday, 15 April 2020 11:56 AM
To: ACIPCLIST@ACIPC.ORG.AU <ACIPCLIST@ACIPC.ORG.AU>
Subject: Re: [ACIPC_Infexion_Connexion] COVID-19 theatre case

We have dedicated a specific theatre for COVID-19 cases. There are gumboots for staff to wear as part of the PPE for this theatre, and they put the gum boots on as part of the PPE and remove them as part of removal of PPE.

We thought about overshoes for all, but were concerned about staff forgetting they had them on and not removing/changing them. Gumboots are pretty obvious!

Cheers

Michael

Michael Wishart | Infection Control Coordinator, CICP-E

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

T +61 7 3326 3068 | F +61 7 3607 2226

E michael.wishart@svha.org.au |

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

[cid:image001.jpg@01D46C86.4CDB6090]

[cid:image005.png@01D5C601.F77FEA40]

From: Lynette Cribb <Lynette.Cribb@uchealth.com.au>
Sent: Wednesday, 15 April 2020 10:56 AM
To: acipclist@acipc.org.au
Cc: Katherine Taylor <Katherine.Taylor@uchealth.com.au>; Carien Coleman <Carien.Coleman@uchealth.com.au>; Michael Wishart <Michael.Wishart@svha.org.au>; ‘Scott McDonald’ <Scott.McDonald@healthscope.com.au>
Subject: COVID-19 theatre case
Importance: High

Morning,

Just wanting to find out what hospitals are doing around COVID-19 positive patients and them going to theatre in particular around the theatre staff shoes?

Any information with regards to this would be greatly appreciated.

thanks

With kind regards,

Lynette CribbInfection Control Coordinator

Direct 07 3834 4328 | mobile 0427141223 | Fax 0738344599| Pager: 0328

SAWMH.ICC@uchealth.com.au | standrewshospital.com.au

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[Michael Wishart]

And here is the attachment

Michael Wishart | Infection Control Coordinator, CICP-E

St Vincent’s Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032

T +61 7 3326 3068 | F +61 7 3607 2226

E michael.wishart@svha.org.au |

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

Get Outlook for Android
________________________________

Posted on behalf of Peta-Anne Zimmerman – Moderator

Please see below (and attached) the invitation to the next Western Pacific IPC Network Webinar with links to a registration form, recordings and .ppts from the meeting held on the 15th of April.

The Western Pacific Infection Prevention and Control Network

Webinar Series

The World Health Organization Office of the Western Pacific Region Infection Prevention and Control Team invites you to attend the next Webinar meeting of the Western Pacific Infection Prevention and Control Network.

PLEASE SHARE WITH YOUR NATIONAL AND LOCAL IPC COUNTERPARTS, IPC COLLEAGUES AND PROFESSIONAL ORGANIZATIONS

Register HERE

Join Zoom Meeting:

https://who.zoom.us/j/91341059330?pwdd2tKQ1VxTjNCemd6SFhVZWk5RGZ5QT09

This meeting will be recorded and made available

Meeting ID: 913 4105 9330

The expert panel includes:

* Professor Mary-Louise McLaws (University of New South Wales)
* Mrs Margret Leong (Pacific Community)
* Dr Ling Moi Lin (Asia Pacific Society of Infection Control)
* Professor Seto Wing Hong (University of Hong Kong)

All files related to the meeting held on April 15th, 2020

(slides, video, and audio recordings), can be accessed HERE

Please note that for each webinar any discussions and opinions are those of the speakers and do not necessarily reflect the official guidance of the

World Health Organization.

Please contact Dr Peta-Anne Zimmerman with any future topics or queries regarding the Network or webinar series (arnoldp@who.int).

Kind regards

Peta-Anne

I aspire to achieve a sensible work-life balance: I don’t expect a reply to this email from you outside of your normal working hours. Similarly, please expect the same from me.

Dr Peta-Anne Zimmerman RN CICP-E DPH SFHEA

Senior Lecturer

Graduate Infection Prevention and Control Program | School of Nursing and Midwifery, Griffith University

[cid:0ccea34a-9012-4941-9153-fb03d762e3b2]

Gold Coast Hospital and Health Services

Global Outbreak Alert and Response Network (GOARN) | World Health Organization

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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.

______________________________________________________________________
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.

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________________________________

Posted on behalf of Peta-Anne Zimmerman – Moderator

Please see below (and attached) the invitation to the next Western Pacific IPC Network Webinar with links to a registration form, recordings and .ppts from the meeting held on the 15th of April.

The Western Pacific Infection Prevention and Control Network

Webinar Series

The World Health Organization Office of the Western Pacific Region Infection Prevention and Control Team invites you to attend the next Webinar meeting of the Western Pacific Infection Prevention and Control Network.

PLEASE SHARE WITH YOUR NATIONAL AND LOCAL IPC COUNTERPARTS, IPC COLLEAGUES AND PROFESSIONAL ORGANIZATIONS

Register HERE

Join Zoom Meeting:

https://who.zoom.us/j/91341059330?pwdd2tKQ1VxTjNCemd6SFhVZWk5RGZ5QT09

This meeting will be recorded and made available

Meeting ID: 913 4105 9330

The expert panel includes:

* Professor Mary-Louise McLaws (University of New South Wales)
* Mrs Margret Leong (Pacific Community)
* Dr Ling Moi Lin (Asia Pacific Society of Infection Control)
* Professor Seto Wing Hong (University of Hong Kong)

All files related to the meeting held on April 15th, 2020

(slides, video, and audio recordings), can be accessed HERE

Please note that for each webinar any discussions and opinions are those of the speakers and do not necessarily reflect the official guidance of the

World Health Organization.

Please contact Dr Peta-Anne Zimmerman with any future topics or queries regarding the Network or webinar series (arnoldp@who.int).

Kind regards

Peta-Anne

I aspire to achieve a sensible work-life balance: I don’t expect a reply to this email from you outside of your normal working hours. Similarly, please expect the same from me.

Dr Peta-Anne Zimmerman RN CICP-E DPH SFHEA

Senior Lecturer

Graduate Infection Prevention and Control Program | School of Nursing and Midwifery, Griffith University

[cid:0ccea34a-9012-4941-9153-fb03d762e3b2]

Gold Coast Hospital and Health Services

Global Outbreak Alert and Response Network (GOARN) | World Health Organization

______________________________________________________________________
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.

______________________________________________________________________
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.

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

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[Michael Wishart]

Hi Lalith

No, not negative pressure. We were unable to balance the air handling systems on any specific theatre without majorly upsetting the surrounding areas (all our theatres are within one suite).

We felt the risk of a closed theatre disseminating organisms was lower than messing up positive pressure in the rest of the theatre suite. Wherever possible we will be utilising local exhaust ventilation within a procedure to help mitigate the risk even more.

Cheers
Michael

Michael Wishart | Infection Control Coordinator, CICP-E

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

[cid:image001.jpg@01D46C86.4CDB6090]

[cid:image005.png@01D5C601.F77FEA40]

From: ACIPC Infexion Connexion On Behalf Of Lalith Ramachandra
Sent: Wednesday, 15 April 2020 12:00 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] COVID-19 theatre case

G’day

Is that a negative pressure theatre to stop any aerosols getting out to the corridors etc?

We are looking at converting a positive pressure theatre to a -15Pa negative pressure theatre just for Covid19 patients.

Our concern is introducing particles from outside to the sterile zone.

Cheers

Lalith Ramachandra
LR Consulting Engineers
for Top End Health Services
PO Box 40968
Casuarina, NT
p 0401117423
e lalith.ramachandra@gmail.com

[https://www.engineersaustralia.org.au/sites/default/files/logos/EA_ProfEngineer_Member_RGB.jpg]

To Spot the Expert, Pick the One Who Predicts the Job Will Take the Longest and Cost the Most!

On Wed, 15 Apr 2020 at 11:26, Michael Wishart <Michael.Wishart@svha.org.au> wrote:
We have dedicated a specific theatre for COVID-19 cases. There are gumboots for staff to wear as part of the PPE for this theatre, and they put the gum boots on as part of the PPE and remove them as part of removal of PPE.

We thought about overshoes for all, but were concerned about staff forgetting they had them on and not removing/changing them. Gumboots are pretty obvious!

Cheers
Michael

Michael Wishart | Infection Control Coordinator, CICP-E

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

From: Lynette Cribb <Lynette.Cribb@uchealth.com.au>
Sent: Wednesday, 15 April 2020 10:56 AM
To: acipclist@acipc.org.au
Cc: Katherine Taylor <Katherine.Taylor@uchealth.com.au>; Carien Coleman <Carien.Coleman@uchealth.com.au>; Michael Wishart <Michael.Wishart@svha.org.au>; ‘Scott McDonald’ <Scott.McDonald@healthscope.com.au>
Subject: COVID-19 theatre case
Importance: High

Morning,

Just wanting to find out what hospitals are doing around COVID-19 positive patients and them going to theatre in particular around the theatre staff shoes?

Any information with regards to this would be greatly appreciated.

thanks

With kind regards,
Lynette CribbInfection Control Coordinator
Direct 07 3834 4328 | mobile 0427141223 | Fax 0738344599| Pager: 0328
SAWMH.ICC@uchealth.com.au | standrewshospital.com.au

______________________________________________________________________
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.

______________________________________________________________________
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.

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______________________________________________________________________
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[Michael Wishart]

And here is the picture of the cabinet…

Cheers
Michael

Michael Wishart | Infection Control Coordinator, CICP-E

St Vincent’s Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
W https://www.svphn.org.au

[cid:image001.jpg@01D46C86.4CDB6090]

[cid:image005.png@01D5C601.F77FEA40]

Hi Kerrin,

It is not uncommon for a CSSD to have an air gun in the clean area. With change comes unexpected issues. Air guns were usually in the manual cleaning section of CSSD to enable flushing of cleaned cannulated items and assisted drying of anaesthetic items, even those that came out of washers.

With the move to segregated areas through the use of pass through washers many facilities have put an air gun in the clean area as close as possible to where instruments are removed from dryers or washers as you are right they are often not well dried.

There is a small risk of aerosol spray so in SA we have encouraged facilities to have a cabinet of for use of air guns. The air gun is passed through the back of the cabinet and the cabinet has sufficient room to lift the lid to put the RMD inside and handle the RMD and air gun. The short lid gives some user protection. There are commercial lab type cabinets that can be purchased as well although these often take a lot of room and are expensive.

It is also recommended that a low lint wipe is on the floor of the cabinet to catch any contents flushed out. I haven’t seen staff wearing PPE in the clean area but this could be considered.

I don’t know if there is an extra risk with Covid-19 but this cabinet protects staff from flushing body fluids in to the environment, although it is hoped that the RMD is cleaned well enough not to have any body fluid remnants, just water.

If you can use your dryer and it works that is fine but it is not always easy to get droplets of water out of cannulated items.

I shall try and find out if the Infectious Disease people have an opinion on Covid-19 and use fo air guns.

Best wishes

Sylvia

________________________________

Good morning,
I don’t understand how they are using the air gun post washer/disinfector. I have never seen an air gun in the packing area. Our washers do not totally dry some cannulated instruments however they are placed in the dryer in an upright position for 15 mins then retested to see if they are dry.
We have decided that for any cases with confirmed Covid-19 the instrument trays will go through the washer/disinfector for thermal disinfection, prior to any other cleaning. The cycle will be manually aborted at the drying stage to enable them to be taken back out in the receive area. Then any brushing, flushing, ultrasonic etc as per manufacturers instructions will be carried out prior to them being put back through an entire cycle.

Regards Kerrin

Kerrin Maher RN BN
Nurse Unit Manager | Central Sterilising Department
QEll Jubilee Hospital | Metro South Health
Kessels Road QLD 4108
t. 07 31826151
e. kerrin.maher@health.qld.gov.au

HI there

I was asked by CSSD this morning regarding the use of our air dryer gun on cannulated instruments. Staff are still using this to dry cannulated instruments as the new washers drying cycle does not completely dry these instruments.

I’m just wondering whether there is any advice on the use of this with covid19. They stated they had read one paper that did mention this but now find it.

Any advice would be appreciated.

Cate Coffey
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

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

The Central Australia Health Service would like to acknowledge Aboriginal and Torres Strait Islander peoples as Australia’s First People and Traditional Custodians. We pay our respects to Elders past, present and emerging.

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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.

Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

Replies to this message will be directed back to the list. To create a new message send an email to acipclist@acipc.org.au

To send a message to the list administrator send an email to admin@acipc.org.au

You can unsubscribe manually from this list by sending ‘signoff acipclist’ (without the quotes) to listserv@aicalist.org.au

______________________________________________________________________
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.

Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

Replies to this message will be directed back to the list. To create a new message send an email to acipclist@acipc.org.au

To send a message to the list administrator send an email to admin@acipc.org.au

You can unsubscribe manually from this list by sending ‘signoff acipclist’ (without the quotes) to listserv@aicalist.org.au

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