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Michael WishartParticipant
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Michael WishartEmail:
Michael.Wishart@svha.org.auOrganisation:
State:
NSWHi 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
MichaelMichael Wishart | Infection Control Coordinator, CICP-E .
B App Sc Nur, Grad Dip Occ Safety Nur, M Hlth Sc Inf ConSt 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 ManagerAustralian 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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Michael WishartParticipantAuthor:
Michael WishartEmail:
Michael.Wishart@svha.org.auOrganisation:
State:
NSWHi 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
MichaelMichael 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.auHi 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
PennyPenny Geyle (RN)
Infection Prevention and Control
Omeo District Health
12 Easton Street Omeo
Victoria AUSTRALIA 3898Ph:03.5159 0100
Penny.Geyle@omeohs.com.auHi 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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Michael WishartParticipantAuthor:
Michael WishartEmail:
Michael.Wishart@svha.org.auOrganisation:
State:
NSWHi 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
MichaelMichael 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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29/03/2020 at 7:51 am in reply to: Re plastic goggles Used in the event of a COVID 19-Resident in aged Care #76602Michael WishartParticipantAuthor:
Michael WishartEmail:
Michael.Wishart@svha.org.auOrganisation:
State:
NSWHi 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
MichaelMichael 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 .
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Michael WishartParticipantAuthor:
Michael WishartEmail:
Michael.Wishart@svha.org.auOrganisation:
State:
NSWHi 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
MichaelMichael 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 iPhoneMaryvale 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.htmlStrategies for Optimizing the Supply of N95 Respirators
https://www.cdc.gov/coronavirus/2019-ncov/hcp/respirators-strategy/index.htmlChecklist 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 DecontaminationPO 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’
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Michael WishartParticipantAuthor:
Michael WishartEmail:
Michael.Wishart@svha.org.auOrganisation:
State:
NSWHi 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
MichaelMichael 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 RecordsMy 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 HospitalOn 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_controlIPCU By working together we promote a culture of safety to reduce preventable infections and transmission of multi-resistant organisms
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Michael WishartParticipantAuthor:
Michael WishartEmail:
Michael.Wishart@svha.org.auOrganisation:
State:
NSWHi 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
MichaelMichael 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 themI’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.auHospitality | Healing | Stewardship | Respect
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Michael WishartParticipantAuthor:
Michael WishartEmail:
Michael.Wishart@svha.org.auOrganisation:
State:
NSWHi 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
MichaelMichael 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 PPEHi 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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Michael WishartParticipantAuthor:
Michael WishartEmail:
Michael.Wishart@svha.org.auOrganisation:
State:
NSWApologies, all, we had a bit of a glitch there.
Jocelyne’s full details are:
Dr Jocelyne Basseal
BSc (Hons), PhD
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 ModeratorMichael 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 |
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 & UltrasoundDear 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
JocelyneAffiliations:
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)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 WishartParticipantAuthor:
Michael WishartEmail:
Michael.Wishart@svha.org.auOrganisation:
State:
NSWHi 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)
This message is intended for the addressee named and may contain confidential information. If you are not the intended recipient, please delete it and notify the sender.
Views expressed in this message are those of the individual sender, and are not necessarily the views of NSW Health or any of its entities.
______________________________________________________________________
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MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
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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 |
Get Outlook for Android
________________________________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)
This message is intended for the addressee named and may contain confidential information. If you are not the intended recipient, please delete it and notify the sender.
Views expressed in this message are those of the individual sender, and are not necessarily the views of NSW Health or any of its entities.
______________________________________________________________________
This email and any attachments to it (the “Email”) is confidential and is for the use only of the intended recipient, and may not be duplicated or used by any other party without the express consent of the sender. If you are not the intended recipient of the Email, please notify the sender immediately by return email, delete the Email, and do not copy, print, retransmit, store or act in reliance on the Email. St Vincent’s Health Australia (“SVHA”) does not guarantee that the Email is free from errors, viruses or interference. Emails to and from SVHA or its related entities may be scanned and filtered in locations outside Australia.
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
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______________________________________________________________________
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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Michael WishartParticipantAuthor:
Michael WishartEmail:
Michael.Wishart@svha.org.auOrganisation:
State:
NSWHi 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
E michael.wishart@svha.org.au |
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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
USCPh +61 7 5456 5191
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12/03/2020 at 10:05 am in reply to: Fw: How to Control Coronavirus in Australia with Dr Bruce Aylward – Webinar Recording #76452Michael WishartParticipantAuthor:
Michael WishartEmail:
Michael.Wishart@svha.org.auOrganisation:
State:
NSWThanks 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
MichaelMichael 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?vtzrNs83wRTEThe recording has now been made available for anyone to listen to. Link here: https://youtu.be/reVadDRwy_A
Regards,
DonnaDonna Cameron
Infection Control Consultant
T +61 (0) 3 8344 3574 (Monday, Wednesday & Friday); +61 (0) 3 9096 5233 (Tuesday & Thursday)
donna.cameron@unimelb.edu.auMicrobiological 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
Dr Craig Dalton
Public Health Physician, Hunter New England Population Health
Conjoint Associate Professor School of Medicine and Public Health,University of Newcastle.
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Michael WishartParticipantAuthor:
Michael WishartEmail:
Michael.Wishart@svha.org.auOrganisation:
State:
NSWHi 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
MichaelMichael 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]
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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
StatesFor 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 ManagerCentral Australia Health Service
Department of Health
Northern Territory GovernmentInfection Prevention and Control Unit
Alice Springs Hospital
PO Box 2234, Alice Springs, NT 0871t. 08 8951 7737
http://www.health.nt.gov.auThe 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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Michael WishartParticipantAuthor:
Michael WishartEmail:
Michael.Wishart@svha.org.auOrganisation:
State:
NSWHi 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
MichaelMichael 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]
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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 questionHi 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,
SueSue 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 questionHi 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 ServicesSent 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 questionHi 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 sitesIf 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
metronorth.health.qld.gov.au
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Michael WishartParticipantAuthor:
Michael WishartEmail:
Michael.Wishart@svha.org.auOrganisation:
State:
NSWOh… well, according to this TGA monograph, it has to be alcohol.
I would think non-alcohol based hand sanitiser is a non-TGA product, then.
Cheers
MichaelMichael 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 Serviceswebsite. http://www.marjenes.com.au
email. marjenes@optusnet.com.aumob. 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
MichaelMichael 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 Serviceswebsite. http://www.marjenes.com.au
email. marjenes@optusnet.com.aumob. 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
MichaelMichael 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.auHi 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 ServiceNorthern 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/healthUse 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,
DonnaDonna 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]
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