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Michael Wishart

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  • in reply to: Goggles vs protective eyewear #76656
    Michael Wishart
    Participant

    Author:
    Michael Wishart

    Email:
    Michael.Wishart@svha.org.au

    Organisation:

    State:
    NSW

    Hi Kylie

    As a point of fact your CAN be exposed to SARS-CoV-2 through your eyeballs (they are mucous membrane surfaces, after all), but just what role that plays in developing disease if not yet certain. I believe the best way to get COVID-19 is to inoculate the virus directly into your nose.

    BUT, and it is quite a big but, SARS-CoV-2 would need to be present inside the tight fitting sealed goggles to get anywhere near the eyeball. Unless you are purposefully inoculating the inside of your sealed goggles with patient secretions before you don them, I can’t see the risk. Provided you are wearing your PPE appropriately, when anticipating secretion exposure.

    I will say, however, that I am not a dentist, and thus probably do not understand all of the concerns a dentist might have about secretion exposure, so am happy to stand corrected about my assumption of no inoculation of the inside of the google with patient secretions prior to donning.

    In my experience in both occupational safety and infection prevention and control, sealed safety goggles are a much better protective barrier that other forms of eye protection, such as face shields which are not sealed at the sides.

    Cheers
    Michael

    Michael Wishart | Infection Control Coordinator, CICP-E .
    B App Sc Nur, Grad Dip Occ Safety Nur, M Hlth Sc Inf Con

    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 everyone,

    I’m getting a lot of questions from dentists under Level 3 restrictions with regards to wearing eye sealing goggles instead of your routine safety glasses aka protective eyewear. I think this has stemmed from social media posts of HCWs in Italy having bruised faces after wearing P2s and goggles all day and night.

    It appears the terms of goggles/protective eyewear is sometimes used interchangeably. I’d like to ask the group for guidance (please) to reassure dentists that you can’t contract COVID-19 through your eyeballs – and to carry on with your safety glasses.

    I know a lot of dentists don’t have goggles and I don’t want to encourage them unnecessarily to try and get them when other healthcare workers may need them more!

    FYI – L3 restrictions include performing only urgent and emergency dental care for the community and applying (when necessary) appropriate transmission based precautions for suspected/confirmed COVID-19 cases. This also includes limiting AGPs

    Regards,

    Kylie Robb
    Practice Services Manager

    Australian Dental Association NSW Branch
    Level 1, 1 Atchison Street, St Leonards, New South Wales 2065
    t: 02 8436 9936 m: 0438 628 664
    E: kylie.robb@adansw.com.au | W: https://www.adansw.com.au

    [cid:image001.png@01D60833.315EA990] [cid:image002.png@01D60833.315EA990] [cid:image003.png@01D60833.315EA990]

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    in reply to: Re: Fluvax in RACF #76643
    Michael Wishart
    Participant

    Author:
    Michael Wishart

    Email:
    Michael.Wishart@svha.org.au

    Organisation:

    State:
    NSW

    Hi Debbie

    Each state and territory has it’s own legislation regarding prescribing and nurse authorisation of vaccines, so my advice would be to check with your state vaccination authority or your department of health.

    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]

    Hello brains trust

    Further information sought on who can give staff the flu vaccination – our nurse immuniser is home isolating and I have the vaccinations to give. Can I appoint a registered nurse to give – or do we need to source a nurse immuniser?

    Thanks in advance for your advice.

    Debbie McQueen

    Debbie McQueen
    Assistant Director of Nursing

    [cid:Nexus-EmailSig-Hobart-Logo_9dfe30fb-944e-4eea-aefe-0bdffa402873.png]
    10 Warneford Street
    South Hobart TAS 7004
    P: 03 6220 7021
    M: 0419320211
    E:
    W:
    Dmcqueen@hobartdaysurgery.com
    nexushospitals.com.au

    Hi Sarah
    As far as I am aware the attached is the only info on this so far. I have asked for some more clarification from VICNISS around staff who have had serious reactions to the flu vaccination in the past etc. The advice I have had back is that it is under review by DHHS currently and there is more info to follow.

    Hope this helps
    Penny

    Penny Geyle (RN)

    Infection Prevention and Control
    Omeo District Health
    12 Easton Street Omeo
    Victoria AUSTRALIA 3898

    Ph:03.5159 0100
    Penny.Geyle@omeohs.com.au

    Hi Team,

    Is anyone aware of any written/documented material to enforce the mandatory influenza vaccinations for health care workers in residential aged care facilities in Victoria?
    Any help would be much appreciated.

    Kind regards,

    Sarah Bulzomi
    Infection Control Officer (Wednesdays)
    [cid:image001.png@01D56E25.E2C982C0]
    Robinvale District Health Services
    PO Box 376, Robinvale VIC 3549
    Mobile:
    [cid:image002.png@01D56E25.E2C982C0]
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    in reply to: Reuse of plastic goggles #76633
    Michael Wishart
    Participant

    Author:
    Michael Wishart

    Email:
    Michael.Wishart@svha.org.au

    Organisation:

    State:
    NSW

    Hi Dianne

    Feels a bit strange answering my own email….

    You should perform a risk assessment on how you might reuses your disposable plastic goggles.

    Queensland Health have a useful document on conserving PPE which I have attached, which suggests protective eyewear is a relatively low risk item, and cleaning and reuse could be considered where other options are unavailable.

    I would urge you to get the support of your facility management for whatever process you decide, as you always have to consider the fact that you are using a product outside of the guidelines for use from the product manufacturers, and thereby potentially increase the facility liability.

    We have decided to clean and reuse disposable protective visors here by wiping with detergent wipes and then drying with a disposable cloth or alcohol wipe to ensure the visor remains clear. Thus far this is working well for us. You will need to consider how the visors can be cleaned after use in a manner that does not contaminate the surrounding environment or contaminate the staff cleaning them. Remember that used protective equipment is considered contaminated until reprocessed appropriately.

    Hope this helps.

    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]

    [Posted on behalf of member – Moderator]

    Resources are limited in aged care, are we able to safely clean and disinfect plastic goggles?
    Kind regards
    Diane Flannigan .
    Registered Nurse
    Mayshaw Health Centre
    Swansea Tasmania 0427578540.

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    Michael Wishart
    Participant

    Author:
    Michael Wishart

    Email:
    Michael.Wishart@svha.org.au

    Organisation:

    State:
    NSW

    Hi Dianne

    Protective visors and face shields are non-critical items that do not come in contact with the patient. They can be appropriately cleaned with detergent and water, or detergent wipes.

    Where staff are specially concerned about these items being decontaminated after contact with SAR-CoV-2 (the virus that causes COVID-19), remember that this virus is an enveloped virus and quite easy to disrupt. As long as all of the body fluid is removed and an appropriate detergent and physical action is used for cleaning, the virus will not remain viable.

    My tip is that you can remove any remaining streaks on the visors by wiping with a clean dry cloth after using detergent wipes, or even use alcohol wipes AFTER cleaning.

    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

    —–Original Message—–

    Hi I am seeking advice on plastic goggles over spectacles ,I work in an aged care facility with lots of staff ..We have plastic goggles for eye protection .Due to limited supply and the possibility of not being able to purchase more due to shortages .I was wondering in the event of a COVID 19 issue with a resident how would we disinfect the googles .Bleach ?not viable I think .We do not have thermal chemical disinfector in the facility .Except for the kitchen dishwasher .Any thoughts on two in one wipes that contain detergent and a disinfectant .Currently we only have detergent wipes .regards Diane Flannigan Mayshaw Health Centre Swansea .Registered Nurse .

    Sent from my iPhone
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    in reply to: Re-using PPE #76593
    Michael Wishart
    Participant

    Author:
    Michael Wishart

    Email:
    Michael.Wishart@svha.org.au

    Organisation:

    State:
    NSW

    Hi Jenny

    Not sure about cellulose components of mask filtration material, and compatibility with the low temp plasma. Would need some discussion with the steriliser manufacturer and the masks manufacturer to guarantee appropriate processing, evening if you were not aimi8ng at terminal sterilisation.

    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 Fiona – I have just heard that a group in the US is suggesting putting the N95 mask through a sterrad cycle- thoughts anyone?
    Jenny McCarthy
    Sent from my iPhone

    Maryvale Private Hospital acknowledges the traditional owners of country, the Gunaikurnai nation, and recognises their continuing connection to land, waters and culture.
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    On 27 Mar 2020, at 4:04 pm, Infection Control <infectioncontrol@arcadiapittwater.com.au> wrote:
    Hi Fiona,

    The CDC has the following information:

    Strategies for Optimizing the Supply of Facemasks
    https://www.cdc.gov/coronavirus/2019-ncov/hcp/ppe-strategy/face-masks.html

    Strategies for Optimizing the Supply of N95 Respirators
    https://www.cdc.gov/coronavirus/2019-ncov/hcp/respirators-strategy/index.html

    Checklist for Healthcare Facilities: Strategies for Optimizing the Supply of N95 Respirators during the COVID-19 Response https://www.cdc.gov/coronavirus/2019-ncov/hcp/checklist-n95-strategy.html

    There are links regarding isolation gowns & protective eyewear as well.
    There are strategies for conventional, contingency & crisis capacity.

    Susan

    Susan Farrugia
    Infection Control Coordinator
    Arcadia Pittwater Private Hospital
    4 Daydream Street
    Warriewood NSW
    Infectioncontrol@arcadiapittwater.com.au

    [cid:image001.jpg@01D6044D.B744F170]

    Hi Fiona,

    The Dutch are investigating this:

    https://www.linkedin.com/posts/timhoreman_rivm-rdgg-lumc-activity-6647000197740142592-L_rT

    Kind Regards
    Terry McAuley
    Director
    MSc Medical Device Decontamination

    PO BOX 2249, Greenvale, VIC Australia 3059

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    Hi all,

    It has been suggested to me that with PPE shortages associated with Coronavirus that we may need to decontaminate and re-use PPE.

    Although this goes against all my infection control experience and training, I am interested to hear from any site that may be investigating this.

    What method of decontamination is being considered / investigated?

    How do you know it has been effective in decontamination?

    How do you know the PPE item is still effective for protecting staff?

    Kind regards,

    Fiona De Sousa CICP-E| Nurse Manager | Infection Prevention & Control Unit

    Launceston General Hospital, Level 2, Launceston TAS 7250

    phone: 6777 6715 | mobile: 0408 487 197 | fax: 6777 5170 | email: fiona.de.sousa@ths.tas.gov.au |

    intranet: http://www.dhhs.tas.gov.au/intranet/thon/infection_control

    IPCU – ‘By working together we promote a culture of safety to reduce preventable infections and transmission of multi-resistant organisms’

    Sent from my iPhone

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    in reply to: Paper Medical Records #76589
    Michael Wishart
    Participant

    Author:
    Michael Wishart

    Email:
    Michael.Wishart@svha.org.au

    Organisation:

    State:
    NSW

    Hi Sara and Fiona

    We have paper records that then get scanned at this stage.

    My view has always been that we should remind staff that it is not what they touch that is important, but what they then do with their hands. So, wash your hands people!

    We know there is MRSA and VRE on lots of surfaces within healthcare environments. But the only way that will cause problems is if we let them by not performing hand hygiene.

    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 Sara Lewis
    Sent: Friday, 27 March 2020 2:22 PM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: Re: [ACIPC_Infexion_Connexion] Paper Medical Records

    My hospital is the same.

    All of our patient records are paper based. I encourage all patient files to stay in the discharge lounge and obs taken in patient rooms, then hand hygiene prior to touching the file.

    However, many hands do touch the file along the patient pathway through surgery. It is hard to track. I would also welcome any input from the brains trust!

    Sara Lewis
    Lady Bjelke-Petersen Community Hospital

    On Thu, 26 Mar 2020, 9:39 am De Sousa, Fiona M, <fiona.de.sousa@ths.tas.gov.au> wrote:
    Hi All,

    We are a facility that still uses paper based medical records our concern is that these may become widely contaminated and pose a risk to the medical records staff when they are reviewed / coded.

    Whilst we only have minimal patient numbers we are able to manage the records outside the patient room, however in the event of a full ward of patients we are concerned contamination is likely to occur.

    Are you able to share with me how your facility is managing paper records from COVID positive wards?

    Kind regards,

    Fiona De Sousa CICP-E| Nurse Manager | Infection Prevention & Control Unit
    Launceston General Hospital, Level 2, Launceston TAS 7250
    phone: 6777 6715 | mobile: 0408 487 197 | fax: 6777 5170 | email: fiona.de.sousa@ths.tas.gov.au |
    intranet: http://www.dhhs.tas.gov.au/intranet/thon/infection_control

    IPCU By working together we promote a culture of safety to reduce preventable infections and transmission of multi-resistant organisms

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    in reply to: Overseas #76566
    Michael Wishart
    Participant

    Author:
    Michael Wishart

    Email:
    Michael.Wishart@svha.org.au

    Organisation:

    State:
    NSW

    Hi Emma

    We have had lots of staff and patients in this situation, and our advice from our local public health unit is that unless they were exposed to symptomatic person why then has confirmed disease, or unless the person developed symptoms within 24 hours of the contact and then has confirmed disease, it is not considered exposure.

    So, my rule is if they have not been contacted by public health about being a known close contact there is no considered risk to them.

    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]

    Dear Brainstrust ,

    Firstly I hope you’re all surviving out there!!

    This has happened twice in my organisation where family members (staff) have picked up their family member from the airport after being overseas ( & the travellers are expected to be in isolation for 14 days)
    And the staff member has had close contact with them

    I’ve asked the staff member not to come to work – but there doesn’t seem to be much in our govt literature about this?
    Has anyone been in the same circumstance ,

    Much appreciated Emma

    Emma Trippe
    Infection Control Consultant
    [cid:image001.png@01D60419.DA834DA0]
    Calvary Riverina Hospital
    Hardy Avenue Wagga Wagga NSW 2650
    P: 02 6932 1628
    E: Emma.Trippe@calvarycare.org.au
    http://www.calvary-wagga.com.au

    Hospitality | Healing | Stewardship | Respect
    Continuing the Mission of the Sisters of the Little Company of Mary

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    in reply to: Re-using PPE #76532
    Michael Wishart
    Participant

    Author:
    Michael Wishart

    Email:
    Michael.Wishart@svha.org.au

    Organisation:

    State:
    NSW

    Hi Fiona

    We are reusing disposable visors by cleaning between uses. In some instances we are allowing staff to wear the same masks for extended periods as well. QLD Health has issued an interesting guideline on this you may find useful.

    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 [mailto:ACIPCLIST@ACIPC.ORG.AU] On Behalf Of De Sousa, Fiona M
    Sent: Sunday, 22 March 2020 3:21 PM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: [ACIPC_Infexion_Connexion] Re-using PPE

    Hi all,

    It has been suggested to me that with PPE shortages associated with Coronavirus that we may need to decontaminate and re-use PPE.

    Although this goes against all my infection control experience and training, I am interested to hear from any site that may be investigating this.

    What method of decontamination is being considered / investigated?

    How do you know it has been effective in decontamination?

    How do you know the PPE item is still effective for protecting staff?

    Kind regards,

    Fiona De Sousa CICP-E| Nurse Manager | Infection Prevention & Control Unit

    Launceston General Hospital, Level 2, Launceston TAS 7250

    phone: 6777 6715 | mobile: 0408 487 197 | fax: 6777 5170 | email: fiona.de.sousa@ths.tas.gov.au |

    intranet: http://www.dhhs.tas.gov.au/intranet/thon/infection_control

    IPCU By working together we promote a culture of safety to reduce preventable infections and transmission of multi-resistant organisms

    Sent from my iPhone

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    in reply to: COVID-19 & Ultrasound #76526
    Michael Wishart
    Participant

    Author:
    Michael Wishart

    Email:
    Michael.Wishart@svha.org.au

    Organisation:

    State:
    NSW

    Apologies, all, we had a bit of a glitch there.

    Jocelyne’s full details are:

    Dr Jocelyne Basseal

    BSc (Hons), PhD

    E: jbasseal@gmail.com

    Managing Editor, Research & Policy Manager, Australasian Society for Ultrasound in Medicine

    Honorary Associate, Discipline of Infectious Diseases & Immunology,

    Faculty of Medicine and Health, The University of Sydney

    Consultant, Research & Academic Services

    Vice President, Australasian Medical Writers Association (AMWA)

    Thanks
    Michael Wishart
    ACIPCList Moderator

    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

    Get Outlook for Android

    ________________________________
    From: ACIPC Infexion Connexion on behalf of Jocelyne Basseal
    Sent: Saturday, March 21, 2020 7:13:29 PM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: [ACIPC_Infexion_Connexion] COVID-19 & Ultrasound

    Dear ACIPC brains trust,

    I am in the midst of collating all COVID-19 resources specific for ultrasound practitioners.
    Is there anything out there that hospitals are currently using that would be of use?

    I’ve put together some basic protocols incorporating PPE, hand hygiene, reprocessing the probe based on the Spaulding classification, cleaning the entire ultrasound unit etc but before I finalise this document, wondering if there was anything else of use from your connections?

    I’d love to support our doctors and sonographers out there diagnosing the disease using lung ultrasound.
    Thanks in advance everyone,

    Be safe and well,
    Kind regards
    Jocelyne

    Affiliations:
    Managing Editor, Research & Policy Manager, Australasian Society for Ultrasound in Medicine
    Honorary Associate, Discipline of Infectious Diseases & Immunology, Faculty of Medicine and Health, The University of Sydney
    Consultant, Research & Academic Services
    Vice President, Australasian Medical Writers Association (AMWA)

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    in reply to: COVID19 Cancer care services Screening questions #76520
    Michael Wishart
    Participant

    Author:
    Michael Wishart

    Email:
    Michael.Wishart@svha.org.au

    Organisation:

    State:
    NSW

    Hi Lindy

    Yes, we have a dedicated day oncology treatment centre within our facility.

    No, all entering are asked questions at the reception desk and taken straight through (not left in waiting room) if any risk.

    No, not temp screened before entry to the unit.

    Screened as above.

    Cheers
    Michael Wishart
    Infection Control Coordinator
    St Vincent’s Private Hospital Northside
    ________________________________

    Hello Brains trust

    Quick questions

    1.Do you have day cancer services day treatment (chemo & Radiation centres) yes or No

    If no thanks very much, if yes 4 more questions please

    2. Do you have standard alone screening stations outside your cancer services day treatment (chemo & Radiation centres) Yes or No

    If no thanks very much if yes 3 more questions please

    2. Do your cancer services screening stations take everyone entering the building temperature with a thermometer Yes or No

    3.If yes what type of thermometer are you using (i.e. tympanic, oral etc)

    4 If no how are they screening patients and visitors ?

    Happy for any further info or links if y have a moment and wish to share

    Thanks for your time during this very busy time & wishing you all he best in health safety and happiness

    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

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

    Wise and humane management of the patient is the best safeguard against infection

    (Florence Nightingale Circa 1860)

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    Michael Wishart | Infection Control Coordinator, CICP-E

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

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    E michael.wishart@svha.org.au |

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    ________________________________

    Hello Brains trust

    Quick questions

    1.Do you have day cancer services day treatment (chemo & Radiation centres) yes or No

    If no thanks very much, if yes 4 more questions please

    2. Do you have standard alone screening stations outside your cancer services day treatment (chemo & Radiation centres) Yes or No

    If no thanks very much if yes 3 more questions please

    2. Do your cancer services screening stations take everyone entering the building temperature with a thermometer Yes or No

    3.If yes what type of thermometer are you using (i.e. tympanic, oral etc)

    4 If no how are they screening patients and visitors ?

    Happy for any further info or links if y have a moment and wish to share

    Thanks for your time during this very busy time & wishing you all he best in health safety and happiness

    Kind regards

    Lindy

    Lindy Ryan

    District Infection Prevention & Control CNC | Clinical Governance & Information Services MNCLHD

    Level 1 Coffs Specialist Centre, Pacific Hwy, Coffs Harbour
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    in reply to: Validation of sterilisation processes #76489
    Michael Wishart
    Participant

    Author:
    Michael Wishart

    Email:
    Michael.Wishart@svha.org.au

    Organisation:

    State:
    NSW

    Hi Matt

    I’m not really a sterilizing expert anymore, but I assume you are asking about sterilization using steam under pressure?

    If that is the case, process validation would be the most approriate solution. Temperature and pressure monitoring over time.

    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

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    ________________________________

    Hi All,

    What is the most basic level of validation that could be used for sterilisation processes? I am looking for advice for a low resource setting not in Australia. Access to many of the things we take for granted in Australia is limited. Materials need to be stable in hot and humid conditions and able to be air freighted. Access to power is intermittent. Any thoughts and suggestions gratefully received.

    Cheers Matt

    Matt Mason RN, CICP-E, FCRANAplus, BN, M Rural Health, M Advanced Practice (Inf Cont)

    Lecturer, Program Co-ordinator for Nursing Programs
    School of Nursing, Midwifery & Paramedicine
    USC

    Ph +61 7 5456 5191

    mmason1@usc.edu.au

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    Michael Wishart
    Participant

    Author:
    Michael Wishart

    Email:
    Michael.Wishart@svha.org.au

    Organisation:

    State:
    NSW

    Thanks Donna, those are some excellent links.

    If you want to see a media presentation but a sleep-deprived Dr Aylward on his return from China. It does contain very interesting information, but it is quite long and rambling at times.

    https://www.youtube.com/watch?v-o0q1XMRKYM

    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 ACIPC Members,

    Below is a link to an interesting webinar that was held last week “How to Control Coronavirus in Australia with Dr Bruce Aylward”. Dr Aylward is the team lead of the WHO-China Joint Mission on Coronavirus in China. Links to his report and other short interviews are below:

    Interview (short read): https://www.vox.com/2020/3/2/21161067/coronavirus-covid19-china
    The report: https://www.who.int/docs/default-source/coronaviruse/who-china-joint-mission-on-covid-19-final-report.pdf
    Short video presentations(5 min): https://www.youtube.com/watch?vtzrNs83wRTE

    The recording has now been made available for anyone to listen to. Link here: https://youtu.be/reVadDRwy_A

    Regards,
    Donna

    Donna Cameron
    Infection Control Consultant
    T +61 (0) 3 8344 3574 (Monday, Wednesday & Friday); +61 (0) 3 9096 5233 (Tuesday & Thursday)
    donna.cameron@unimelb.edu.au

    Microbiological Diagnostic Unit Public Health Laboratory

    The Peter Doherty Institute for Infection and Immunity
    792 Elizabeth Street | Melbourne | Victoria | Australia | 3000
    doherty.edu.au

    ________________________________

    Hello everyone,

    This email is going to everyone who registered for the 6th March webinar with Dr Bruce Aylward. https://youtu.be/reVadDRwy_A

    There has been a huge demand for a link to the recording for those who missed it, and those who wanted to share it with their colleagues.

    The facts and the sentiment expressed in this webinar, if acted upon, will save tens of thousands of Australian lives.

    We are at a critical point in the response in Australia, luckily we have limited community transmission.

    Intensive case detection, isolation and contact tracing can still work as it has in China – they reported only 20 cases on the 10th March.

    Please share with your colleagues, with your friends and family. We need whole of community and whole of government response to control this virus over the ensuing months.

    I will be forwarding some summary notes from the webinar soon. https://youtu.be/reVadDRwy_A Please share on facebook, twitter, Linkedin, Instagram, Pinterest, Reddit etc

    Regards, Craig.

    Flutracking.net – tracking 50,000+ people online every week

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    Public Health Physician, Hunter New England Population Health
    Conjoint Associate Professor School of Medicine and Public Health,University of Newcastle.
    +61249246345 +61249246 477 (switch)

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    in reply to: Eye protection COVID-19 #76446
    Michael Wishart
    Participant

    Author:
    Michael Wishart

    Email:
    Michael.Wishart@svha.org.au

    Organisation:

    State:
    NSW

    Hi Cate

    Two things.

    1. PPE required is about risk. So, wearing of eye protection is about what is anticipated, and what is known about transmission of the pathogen. For most respiratory viruses, including as I currently understand what we know about SARS-Cov-2, routine patient contact does not require protection of eyes. It will depend on what activities and procedures are being performed when providing care as to whether or not eye protection is required. You could argue that you dont always know what you are going to do or be exposed to when entering a room (I could also argue I dont know if a plane will fall onto my desk right now), so you should always wear eye protection, but I would argue its a clinical determination, and I will maintain my flame-resistant suit whilst awaiting responses on that.

    2. The current interim SoNG for COVID-19 was developed directly from the Ebola guidelines. For Ebola, the level of protection required for even casual contact was extreme, and thus eye protection was always worn. It may be that has just remained from that guideline. Im surmising here, and its my own opinion, but its possible that its not actually there as a mandatory requirement for COVID-19.

    Also, as an aside, most hospital staff will care for milder cases of COVID-19 on general wards, where droplet rather than airborne precautions is required. For critically ill patients in ICU, the need for eye protection routinely may be much higher, based on procedures and treatments undertaken.

    My thoughts, anyway.

    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]

    HI everyone
    Just wanting some clarity regarding the use of eye protection PP for COVID-19. Do housekeeping and catering staff required eye protection when they enter a room with COVID-19 transmission based precautions? Should t be the following :

    * Airborne TBC for COVID-19 PPE includes;
    * Long sleeved gown
    * P2/N95 respirator (duck bill mask) must be fit checked with each use
    * Face shield or goggles if

    -Taking respiratory specimens

    -Patient has excessive coughing

    -Patient has pneumonia

    * Gloves (Hand hygiene before donning and after removing gloves)

    See below from SoNg.

    Coronavirus Disease 2019 (COVID-19)
    CDNA National Guidelines for Public Health Units
    States

    For most inpatient contacts between healthcare staff and patients the following PPE is safe and appropriate and should be put on before entering the patients room:

    o long-sleeved gown

    o surgical mask

    o face shield or goggles

    o disposable nonsterile gloves when in contact with patient (hand hygiene before donning and after removing gloves)

    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 Australias First People and Traditional Custodians. We pay our respects to Elders past, present and emerging.

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    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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    in reply to: Re: Oral thermometer question #76423
    Michael Wishart
    Participant

    Author:
    Michael Wishart

    Email:
    Michael.Wishart@svha.org.au

    Organisation:

    State:
    NSW

    Hi Sue

    We looked at contactless infrared contactless thermometers, but the actual temperature measurements provided were not considered accurate enough by our physicians.

    We use mainly infrared ear thermometers in our adult patients, with a probe cover, and wipe with a detergent wipe between uses.

    One of the advantages of an ear thermometer is that it does not come into contact with mucous membranes, and therefore the question about high level disinfection between patients is avoided.

    But I know there are physicians who will not rely upon infrared ear thermometer readings, although we find they tend to be quite accurate, provided they are taken correctly and the ear used is not inflamed.

    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 King, Sue
    Sent: Wednesday, 4 March 2020 9:15 AM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: Re: [ACIPC_Infexion_Connexion] Oral thermometer question

    Hi all,
    Does anyone use contactless infrared thermometers?
    In the current environment it may seem prudent to use them.
    We use Covidien thermometers and go through 100 probe covers a day on one ward.
    It would be good to reduce the level of plastic discarded too.

    Regards,
    Sue

    Sue King
    Nurse Unit Manager/Infection Prevention and control
    [http://www.ramsayhealth.com/~/media/Images/email/email-RHC-logo]
    Donvale Rehabilitation Hospital
    Tully Ward
    Phone:
    03 9841 1272
    Fax:
    03 9842 7276
    Email:
    KingS@ramsayhealth.com.au
    Web:
    http://www.ramsayhealth.com
    Address:
    1119 Doncaster Road, Donvale Vic 3111
    [http://www.ramsayhealth.com/~/media/Images/email/email-social-mediaPCP.jpg]

    From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> On Behalf Of Angela Carvosso
    Sent: Tuesday, 3 March 2020 2:59 PM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: Re: [ACIPC_Infexion_Connexion] Oral thermometer question

    Hi Debra,

    We use probe covers or the thermometers dont work anyway. I have always wiped them down with the cleaning wipe supplied to wipe down the rest of the obs machine. Its standard practice to clean between each patient. I would of thought if proper cleaning has been used with wipes rated to kill the microorganism and use of covers sufficient for general use with dedicated equipment wherever possible for people in isolation.

    Regards Angela Carvosso
    RN Warwick Health Services

    Sent from Mail for Windows 10

    From: Debra Lee
    Sent: Monday, 2 March 2020 9:50 AM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: [ACIPC_Infexion_Connexion] Oral thermometer question

    Hi all,

    Has anyone else been asked if oral thermometers should undergo HLD to comply with 4187, as the probe comes in contact with a mucous membrane?
    There is heightened awareness around COVID 19 transmission and it was raised that a probe cover is not considered sufficient protection without HLD for other sites

    If you could please let me know what processes do others use for cleaning of oral thermometer probes between each patient?

    Kind regards,

    Debra Lee
    Clinical Nurse Consultant
    Infection Management and Prevention Service
    West Block Ground floor
    Redcliffe Hospital
    Redcliffe, Qld 4020
    Ph: (07) 3883 7300
    debra.lee@health.qld.gov.au
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    in reply to: Re: Non-alcohol based hand sanitisers #76393
    Michael Wishart
    Participant

    Author:
    Michael Wishart

    Email:
    Michael.Wishart@svha.org.au

    Organisation:

    State:
    NSW

    Oh… well, according to this TGA monograph, it has to be alcohol.

    https://www.tga.gov.au/otc-medicine-monograph-hand-sanitisershttps://www.tga.gov.au/otc-medicine-monograph-hand-sanitisers

    I would think non-alcohol based hand sanitiser is a non-TGA product, then.

    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]

    Dear Michael,
    Gosh I certainly wasn’t thinking of the supermarket when I wrote common brand – I meant common HCW brand lol. I think everyone knows which brand I mean?

    Regards,

    Margaret Jennings
    Marjen Education Services

    website. http://www.marjenes.com.au
    email. marjenes@optusnet.com.au

    mob. 0404 088 754

    Hi Margaret

    I just had a quick look at a major supermarket website (nothing better to do, right? 🙂 ), and I get grapefruit, lavender, lemon and myrtle, and cherry blossom as ingredients of some of the hand sanitisers available. Some alcohol (listed a ‘denatured’), but no actual concentration. Claims that ‘99.9% of bacteria are removed’ by the hand sanitiser, which I could probably claim with just soap and water, actually.

    Caveat emptor (buyer beware) is correct, indeed.

    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]

    Wed
    Dear Michael,
    I think you’ll find that the pump mechanism has been altered on the liquid dispensers of one common brand of ABHR and they now spray into the hand and don’t drip. I would question why any facility is still using the old pump type as it has been around for a year at least.

    Apart from the TGA issue, I am interested in what product is in a non alcohol handrub?

    Regards,

    Margaret Jennings
    Marjen Education Services

    website. http://www.marjenes.com.au
    email. marjenes@optusnet.com.au

    mob. 0404 088 754

    Hi Elena

    Obviously carpeted floors are not the preferred floor coverings in acute care areas, but they are seen to be more attractive floor coverings for public and waiting areas.

    But my understanding is that the requirement for not placing ABHR over carpet was because hand *rubs* are very liquid, and will drip when used onto the floor. I once worked in a hospital that had carpet in its ICU, and we trialled a hand *rub* and the drips stained the carpet very badly! So we switched to a hand *gel* product that did not drip, and the problem went away. You might also find some hand *foam* products are almost non-drip in use as well, so carpeted areas are not an issue.

    I would encourage you to look at various alcohol based hand sanitiser products in different formulations, and test them in your carpeted areas to see if they do, indeed, create a stain issue or not. But I would also encourage you to also pursue use of a TGA approved product for use in healthcare, rather than an unregulated ‘supermarket’ product, for the reasons outlined by a previous poster.

    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 Donna,
    I am very interested in non – alcohol based hand rubs as we have a hand hygiene station within our foyer. The flooring is carpet and I am aware Hand hygiene Australia recommend ABHR dispensers should not be located over carpeted areas, unless the area is protected by active sprinklers. Sprinklers have not been installed.
    We would like to encourage hand hygiene upon entering the building.
    Any advice would be appreciated.

    Elena Donaghy
    Manager of Clinical Education & Infection Control
    e: Elena.Donaghy@shq.org.au | ph: 08 9227 6177 | f: 08 9227 6871
    shq.org.au

    Hi Donna,
    Thank you for this. I am also interested to find a supplier of non-alcohol based hand rub, (brand names would be useful) to use within the correctional facility as alcohol based hand rubs are not permitted.

    Regards

    Rebecca Curr | Clinical Nurse Specialist Immunisation
    Public Health Unit | Central Australia Health Service

    Northern Territory Government
    Demountable Buiding, 6 Gap Rd, Alice Springs
    GPO Box 721 Alice Springs, NT 0871.

    p … 08 8951 9505
    f … 08 8951 7900
    e … rebecca.curr@nt.gov.au
    w… http://www.nt.gov.au/health

    Use or transmittal of the information in this email other than for authorised NT Government business purposes may constitute misconduct under the NT Public Sector Code of Conduct and could potentially be an offence under the NT Criminal Code. If you are not the intended recipient, any use, disclosure or copying of this message or any attachments is unauthorised. If you have received this document in error, please advise the sender. No representation is given that attached files are free from viruses or other defects. Scanning for viruses is recommended.

    Hi Everyone,

    I have been asked by two different groups this week about non-alcohol based hand sanitisers. My initial thoughts were that, in accordance with all hand hygiene guidance for healthcare settings that I can find, alcohol-based hand rubs are the only acceptable products available. That non-alcohol based hand rubs haven’t undergone EN1500 testing and therefore shouldn’t be used.

    I have subsequently been advised by one of the groups asking me about the product they current use (a non-alcohol based hand rub) that the product has achieved EN1500 certification. They will be providing me with this product information next week.

    In the interim, I was interested to know if any other ICPs etc have either experience or knowledge of non-alcohol based hand rubs, their use (in a healthcare setting) and efficacy.

    I realise we can’t use product names (I am happy for you to contact me directly (email below) if you wish to), but I am very interested to hear people’s thoughts/advice/experience on this topic. One of the groups was particularly keen to know about appropriateness in relation to coronavirus so your thoughts on that would also be appreciated.

    Regards,
    Donna

    Donna Cameron
    Infection Control Consultant
    T +61 (0) 3 8344 3574 (Monday, Wednesday & Friday); +61 (0) 3 9096 5233 (Tuesday & Thursday)
    donna.cameron@unimelb.edu.au
    Microbiological Diagnostic Unit Public Health Laboratory
    The Peter Doherty Institute for Infection and Immunity
    792 Elizabeth Street | Melbourne | Victoria | Australia | 3000
    doherty.edu.au
    [cid:image001.gif@01D589CC.0CFE8C40][cid:image002.gif@01D589CC.0CFE8C40]
    [cid:image003.gif@01D589CC.0CFE8C40]

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