[Michael Wishart]

Hi all

Along the lines of Matthias’ post, has anyone yet seen any standardised protocols for Australian HCW’s from any Australian college or association? I think that ACORN was working on something, and possibly RACS, but I have not yet seen anything. Has any other Australian professional entity produced some usage protocols for surgical antisepsis with waterless agents yet?

I am not asking about protocols developed by manufacturers or suppliers.

Thanks
Michael

Michael Wishart

Public Health Nurse,Communicable Disease Control
Logan West Moreton PHU
Ph 34131200 Fax 34131221

To contact Nursing team:
LWM_PHN@health.qld.gov.au

>>> “Matthias Maiwald (KKH)” 15/06/2012 11:05 am >>>

Dear Prue, dear Colleagues,

Just wanted to add one aspect to the discussion on alcohol-based surgical hand antisepsis: this is the importance of technique.

I realise there are differences between countries/settings where this is newly introduced versus those where this has been standard practice in operating theatres for many decades.

An example where this has been newly introduced and apparently failed due to non-adherence to proper technique is here:

http://www.ncbi.nlm.nih.gov/pubmed/20103542

In settings where this has been practiced for a long time such procedures become highly ritualised and are being watched by a number of (sometimes fierce) operating theatre nurses and surgeons, to make sure that every new person adheres to this.

A fundamental difference between simple ward-based hand antisepsis (such as for the 5 Moments) and surgical hand antisepsis is that for the former, a single volume of hand rub of about 3 mL is applied. For surgical hand antisepsis, the WHO 2009 Guideline recommends repeated application of about 15 mL to hands and forearms, but also states that one study demonstrated that keeping the hands and forearms literally wet with alcohol for the entire duration of the procedure is more important than the actual volume applied.

The latter would require re-thinking for those who are only used to the 5-Moments-type hand rub with about 3 mL, and is one reason why I do not recommend gels (but instead liquids) for surgical hand antisepsis — gels would just build up too much sludge when applied as required for surgical hand antisepsis.

As already mentioned, another article is here:

http://www.ncbi.nlm.nih.gov/pubmed/19716627

Best regards, Matthias.

—
Matthias Maiwald, MD, FRCPA
Consultant in Microbiology
Adj. Assoc. Prof., Natl. Univ. Singapore
Department of Pathology and Laboratory Medicine
KK Women’s and Children’s Hospital
100 Bukit Timah Road
Singapore 229899
Tel. +65 6394 8725 (Office)
Tel. +65 6394 1389 (Laboratory)
Fax +65 6394 1387

From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Prue Wright
Sent: Friday, 15 June, 2012 5:28 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Surgical hand scrub

Hi All,
We have introduced Skinman which is an alcoholic based surgical scrub. It is very popular with the surgeons and scrub staff. Many of us have problems with dermatitis from traditional water based scrubbing, these have been resolved with the Skinman.

Prue Wright
Infection Control Coordinator
Hurstville Private Hospital
37 Gloucester Rd, Hurstville, NSW 2220, Australia
T +61 2 9579 7780 F +61 2 9579 7466
E Infection.Control@hurstvilleprivate.com.au W healthecare.com.au

From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Tracy Sloane
Sent: Wednesday, 13 June 2012 9:19 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Surgical hand scrub

Hi All,
If you check out the latest edition of Healthcare Infections you will find an article about a study I did prior to TGA approval of a surgical hand rub (SHR) looking at HCW current scrub practices and their knowledge and attitudes about SHR. You might find the reference list helpful.
Cheers,
Tracy
Tracy Sloane
Senior Infection Control Consultant
Dandenong Hospital, Southern Health
T (03) 95548173 F (03) 95541905
E tracy.sloane@southernhealth.org.au

From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Helen Scott
Sent: Tuesday, 12 June 2012 2:36 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Surgical hand scrub

Hi Jane,

The CDC have got a good article on this. It’s their MMWR and in October 2002, Vol 51, page 17 it discusses exactly this. I’m sure there’s a more up to date report somewhere. You could also try Skinman Soft, made by Orion.

Cheers,
Helen.

Helen Scott
Infection Control Co-ordinator
Nepean Private Hospital
Penrith, NSW.
0247 327333
Helen.Scott@healthscope.com.au

Please consider the environment before printing this message

>>> On 11/06/2012 at 5:50 am, in message , Jane Barnett wrote:
Hi
Weve got some staff who can only use the PCMX scrub product as they are sensitive to both chlorhex and betadine but BD have advised that they are withdrawing this product. Can I ask what other centres are doing for staff with allergies would plain soap and water washed followed by plain alcohol (without antiseptic additive) be sufficient for surgical procedures? Thoughts/ideas welcome.
Thanks

Jane Barnett
Clinical Nurse Specialist
Infection Prevention & Control
Christchurch Women’s Hospital
Private Bag 4711, Christchurch
Tel: 03 364 4510 (int 85510)
Fax: 03 364 4607

Infection Prevention and Control is Everyone’s Business

Attention:
The information contained in this message and or attachments is intended only for the person or entity to which it is addressed and may contain confidential and/or privileged material. Any review, retransmission, dissemination or other use of, or taking of any action in reliance upon, this information by persons or entities other than the intended recipient is prohibited. If you received this in error, please contact the sender and delete the material from any system and destroy any copies.
Thank You.

Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

kkh

The information contained in this e-mail and the attachments (if any) may be privileged and confidential and is intended solely for the named addressee. If you are not the intended recipient, please do not print, retain copy, disseminate, distribute, or use this e-mail or any part thereof. Please notify the sender immediately by replying to this e-mail and delete all copies of this e-mail and the attachments.

Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
********************************************************************************
This email, including any attachments sent with it, is confidential and for the sole use of the intended recipient(s). This confidentiality is not waived or lost, if you receive it and you are not the intended recipient(s), or if it is transmitted/received in error.
Any unauthorised use, alteration, disclosure, distribution or review of this email is strictly prohibited. The information contained in this email, including any attachment sent with it, may be subject to a statutory duty of confidentiality if it relates to health service matters.
If you are not the intended recipient(s), or if you have received this email in error, you are asked to immediately notify the sender by telephone collect on Australia +61 1800 198 175 or by return email. You should also delete this email, and any copies, from your computer system network and destroy any hard copies produced.
If not an intended recipient of this email, you must not copy, distribute or take any action(s) that relies on it; any form of disclosure, modification, distribution and/or publication of this email is also prohibited.
Although Queensland Health takes all reasonable steps to ensure this email does not contain malicious software, Queensland Health does not accept responsibility for the consequences if any person’s computer inadvertently suffers any disruption to services, loss of information, harm or is infected with a virus, other malicious computer programme or code that may occur as a consequence of receiving this email.
Unless stated otherwise, this email represents only the views of the sender and not the views of the Queensland Government.
**********************************************************************************

Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

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

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

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quote

[Michael Wishart]

Hi Matthias

I think the HH guideline is what she is referring to.

http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5116a1.htm

Cheers
Michael

Michael Wishart

Public Health Nurse,Communicable Disease Control
Logan West Moreton PHU
Ph 34131200 Fax 34131221

To contact Nursing team:
LWM_PHN@health.qld.gov.au

>>> “Matthias Maiwald (KKH)” 12/06/2012
3:39 pm >>>

Dear Helen,
Yes, Skinman Soft N (Ecolab, formerly Henkel, distributed in Australia
by Orion) is one of the formulations that are suitable for surgical hand
antisepsis and it fulfils EN 12791.
Sorry, which article in MMWR do you mean? I could not find it in the
2002 list of articles:
http://www.cdc.gov/mmwr/index2002.htm
Note, there is also another article from a US perspective in the AORN
Journal in 2004:
http://www.sciencedirect.com/science/article/pii/S0001209206606194
Best regards, Matthias.

—
Matthias Maiwald, MD, FRCPA
Consultant in Microbiology
Adj. Assoc. Prof., Natl. Univ. Singapore
Department of Pathology and Laboratory Medicine
KK Women’s and Children’s Hospital
100 Bukit Timah Road
Singapore 229899
Tel. +65 6394 8725 (Office)
Tel. +65 6394 1389 (Laboratory)
Fax +65 6394 1387

From:ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On
Behalf Of Helen Scott

Hi Jane,

The CDC have got a good article on this. It’s their MMWR and in October
2002, Vol 51, page 17 it discusses exactly this. I’m sure there’s a more
up to date report somewhere. You could also try Skinman Soft, made by
Orion.

Cheers,

Helen.

Helen Scott

Infection Control Co-ordinator

Nepean Private Hospital

Penrith, NSW.

0247 327333

Helen.Scott@healthscope.com.au

Please consider the environment before printing this message

>>> On 11/06/2012 at 5:50 am, in message
, Jane
Barnett wrote:

Hi
Weve got some staff who can only use the PCMX scrub product as they
are sensitive to both chlorhex and betadine but BD have advised that
they are withdrawing this product. Can I ask what other centres are
doing for staff with allergies would plain soap and water washed
followed by plain alcohol (without antiseptic additive) be sufficient
for surgical procedures? Thoughts/ideas welcome.
Thanks

Jane Barnett
Clinical Nurse Specialist
Infection Prevention & Control
Christchurch Women’s Hospital
Private Bag 4711, Christchurch

Infection Prevention and Control is Everyone’s Business

Attention:
The information contained in this message and or attachments is
intended only for the person or entity to which it is addressed and may
contain confidential and/or privileged material. Any review,
retransmission, dissemination or other use of, or taking of any action
in reliance upon, this information by persons or entities other than the
intended recipient is prohibited. If you received this in error, please
contact the sender and delete the material from any system and destroy
any copies.

Thank You.

Messages posted to this list are solely the opinion of the authors, and
do not represent the opinion of ACIPC.
Archive of all messages are available at
http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a
new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’
(without the quotes) to listserv@aicalist.org.au
Messages posted to this list are solely the opinion of the authors, and
do not represent the opinion of ACIPC.
Archive of all messages are available at
http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a
new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’
(without the quotes) to listserv@aicalist.org.au

kkh

The information contained in this e-mail and the attachments (if any)
may be privileged and confidential and is intended solely for the named
addressee. If you are not the intended recipient, please do not print,
retain copy, disseminate, distribute, or use this e-mail or any part
thereof. Please notify the sender immediately by replying to this e-mail
and delete all copies of this e-mail and the attachments.

Messages posted to this list are solely the opinion of the authors, and
do not represent the opinion of ACIPC.
Archive of all messages are available at
http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a
new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’
(without the quotes) to listserv@aicalist.org.au

********************************************************************************
This email, including any attachments sent with it, is confidential and for the sole use of the intended recipient(s). This confidentiality is not waived or lost, if you receive it and you are not the intended recipient(s), or if it is transmitted/received in error.
Any unauthorised use, alteration, disclosure, distribution or review of this email is strictly prohibited. The information contained in this email, including any attachment sent with it, may be subject to a statutory duty of confidentiality if it relates to health service matters.
If you are not the intended recipient(s), or if you have received this email in error, you are asked to immediately notify the sender by telephone collect on Australia +61 1800 198 175 or by return email. You should also delete this email, and any copies, from your computer system network and destroy any hard copies produced.
If not an intended recipient of this email, you must not copy, distribute or take any action(s) that relies on it; any form of disclosure, modification, distribution and/or publication of this email is also prohibited.
Although Queensland Health takes all reasonable steps to ensure this email does not contain malicious software, Queensland Health does not accept responsibility for the consequences if any person’s computer inadvertently suffers any disruption to services, loss of information, harm or is infected with a virus, other malicious computer programme or code that may occur as a consequence of receiving this email.
Unless stated otherwise, this email represents only the views of the sender and not the views of the Queensland Government.
**********************************************************************************

Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

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

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

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

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

[Michael Wishart]

Matthew

The original discussion is concerning port disinfection, and the same CDC HICPAC guidelines you refer to state:

‘Minimize contamination risk by scrubbing the access port with an appropriate antiseptic (chlorhexidine, povidone iodine, an iodophor, or 70% alcohol) and accessing the port only with sterile devices [189, 192, 194196]. Category IA’

Guidelines for the Prevention of Intravascular Catheter-Related Infections, 2011
http://www.cdc.gov/hicpac/pdf/guidelines/bsi-guidelines-2011.pdf

Cheers
Michael

Michael Wishart

Public Health Nurse,Communicable Disease Control
Logan West Moreton PHU
Ph 34131200 Fax 34131221

To contact Nursing team:
LWM_PHN@health.qld.gov.au

>>> “Richards, Matthew” 25/05/2012 8:30 am >>>

Tim
just a point of reference
The CDC 2011 guidelines recommendation for skin prep prior to the insertion of a CVC is “>0.5% CHG with alcohol….if there is a contraindication to CHG, tincture of iodine, an iodophor, or 70% alcohol can be used as an alternative”. The reality is 2% CHG in 70% alcohol is most commonly available and used.
The recommended CDC guidleiens for peripheral skin prep is with an antiseptic “70% alcohol….or alcoholic CHG gluconate solution”

regards

Matthew Richards
Clinical Nurse Consultant
Infection Prevention and Surveillance Service
Melbourne Health
T: 9342 8325 F: 9342 8484
http://info2.mh.org.au/IPSS/NewWEB/default.htm

From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Tim Spencer
Sent: Thursday, 24 May, 2012 4:39 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] cvc & other IV device bung/port cleaning protocol

Hi Jayne,
Currently, the CDC Guidelines, along with NICE (UK), SHEA (USA), INS (USA) and AVA (USA), ESPEN (Europe) and IVNNZ (New Zealand) all recommend 2% CHG with 70% IPA.
It’s is pretty much the worldwide standard for skin antisepsis prior to inserion of a IV device (peripheral or central), as well as hub/cap/valve decontamination on any IV device.

Never heard of it being injected into the patient! I would be interested to see your ID physicians supportive evidence to show any accidental injection of CHG & IPA into the patient and any detriments it may have.

The evidence speaks correctly. I would base your policy from “evidence-based research and practices’, not speculation from various individuals.

There is plenty of supportive literature.
Regards,
Tim..

Timothy R. Spencer, RN, APN, DipAppSci, Bach.Health, ICCert.
Clinical Nurse Consultant | Central Venous Access & Parenteral Nutrition Service
Conjoint Lecturer, University of NSW
Dept of Critical Care, Level 2, Clinical Building, Liverpool Hospital, Elizabeth Street, Liverpool, 2170, NSW, Australia
Tel 02 8738 3603 | Fax 02 8738 3551 | Mob 0409 463 428 | Tim.Spencer@sswahs.nsw.gov.au | Timothy.Spencer@unsw.edu.au

From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Jayne OConnor
Sent: Thursday, May 24, 2012 4:15 PM
To: AICALIST@AICALIST.ORG.AU
Subject: cvc & other IV device bung/port cleaning protocol

Dear All,

We are currently revising our CVC policy and just wondering what everyone used for cleaning the ports? All evidence points to 2% Chlorhexidine in 70% alcohol, but we have had conflicting advice from our ID physicians due to safety issues of injecting chlorhexidine into lines?

Look forward to responses.

Kind Regards

Jayne

Jayne O’Connor RN, BSc.in Infection Control
Clinical Nurse Consultant- Infection Prevention & Control
Sydney Adventist Hospital,
185 Fox Valley Rd,.
Wahroonga,
NSW 2076.

Tel: (02) 9487 9433
Mobile: 0406 752 685
Email: jayne.oconnor@sah.org.au

CAUTION: This message may contain both confidential and privileged information intended for the addressee named above.
If you are not the intended recipient you are hereby notified that any dissemination, distribution or reproduction of this message
is prohibited. If you have received this message in error please notify the sender immediately, then destroy the original message.
Any views expressed in this message are solely those of the individual sender, except where the sender is specifically authorised
by Sydney Adventist Hospital to state that they are the views of Sydney Adventist Hospital.
_____________________________________________________________________
This e-mail has been scanned for viruses by Symantec Hosted Services
Scanning Services – powered by MessageLabs. For further information
visit http://www.messagelabs.com

_____________________________________________________________________
This email has been scanned for the Sydney & South Western Sydney Local Health Districts by the MessageLabs Email Security System.
Sydney & South Western Sydney Local Health Districts regularly monitor email and attachments to ensure compliance with the NSW Ministry of Health’s Electronic Messaging Policy.
Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

WARNING: This message originated from outside the Northern/Melbourne/Western Health e-mail network. The sender cannot be validated. Caution is advised. Contact IT Services (+61 3 ) 9342 8888 for more information.
Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
********************************************************************************
This email, including any attachments sent with it, is confidential and for the sole use of the intended recipient(s). This confidentiality is not waived or lost, if you receive it and you are not the intended recipient(s), or if it is transmitted/received in error.
Any unauthorised use, alteration, disclosure, distribution or review of this email is strictly prohibited. The information contained in this email, including any attachment sent with it, may be subject to a statutory duty of confidentiality if it relates to health service matters.
If you are not the intended recipient(s), or if you have received this email in error, you are asked to immediately notify the sender by telephone collect on Australia +61 1800 198 175 or by return email. You should also delete this email, and any copies, from your computer system network and destroy any hard copies produced.
If not an intended recipient of this email, you must not copy, distribute or take any action(s) that relies on it; any form of disclosure, modification, distribution and/or publication of this email is also prohibited.
Although Queensland Health takes all reasonable steps to ensure this email does not contain malicious software, Queensland Health does not accept responsibility for the consequences if any person’s computer inadvertently suffers any disruption to services, loss of information, harm or is infected with a virus, other malicious computer programme or code that may occur as a consequence of receiving this email.
Unless stated otherwise, this email represents only the views of the sender and not the views of the Queensland Government.
**********************************************************************************

Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

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

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

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to list

[Michael Wishart]

Hi Jayne

I recall an anecdotal report of a patient with a chlorhexidine allergy who had a chlorhexidine containing wipe used prior to venepunture and suffered anaphylaxis. The swab used did not clearly identify chlorhexidine content and looked like a alcohol only swab, apparently. Not sure if this incident was every documented publicly.

This clearly highlights the dangers of chlorhexidine, but anaphylaxis due to chlorhexidine is rare, and the potential for blood-stream infection is much higher. It would be appropriate to ensure all chlorhexidine containing swabs and solutions are clearly unidentified as containing chlorhexidine, and that there is a process (similar to latex allergy I would suggest) of identifying patients with chlorhexidine allergy and managing them appropriately.

I would not support a blanket ban of chlorhexidine containing products in line management, given the good evidence of their efficacy in reducing blood-stream infection risks associated with intravascular lines.

You also may want to consider an audit of line management which includes the appropriate drying of solutions used prior to manipulating lines.

Cheers
Michael Wishart
Infection Control Professional

Michael Wishart

Public Health Nurse,Communicable Disease Control
Logan West Moreton PHU
Ph 34131200 Fax 34131221

To contact Nursing team:
LWM_PHN@health.qld.gov.au

>>> Jayne OConnor 24/05/2012 4:15 pm >>>

Dear All,

We are currently revising our CVC policy and just wondering what everyone used for cleaning the ports? All evidence points to 2% Chlorhexidine in 70% alcohol, but we have had conflicting advice from our ID physicians due to safety issues of injecting chlorhexidine into lines?

Look forward to responses.

Kind Regards

Jayne

Jayne O’Connor RN, BSc.in Infection Control
Clinical Nurse Consultant- Infection Prevention & Control
Sydney Adventist Hospital,
185 Fox Valley Rd,.
Wahroonga,
NSW 2076.

Tel: (02) 9487 9433
Mobile: 0406 752 685
Email: jayne.oconnor@sah.org.au

CAUTION: This message may contain both confidential and privileged information intended for the addressee named above.
If you are not the intended recipient you are hereby notified that any dissemination, distribution or reproduction of this message
is prohibited. If you have received this message in error please notify the sender immediately, then destroy the original message.
Any views expressed in this message are solely those of the individual sender, except where the sender is specifically authorised
by Sydney Adventist Hospital to state that they are the views of Sydney Adventist Hospital.
_____________________________________________________________________
This e-mail has been scanned for viruses by Symantec Hosted Services
Scanning Services – powered by MessageLabs. For further information
visit http://www.messagelabs.com
Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
********************************************************************************
This email, including any attachments sent with it, is confidential and for the sole use of the intended recipient(s). This confidentiality is not waived or lost, if you receive it and you are not the intended recipient(s), or if it is transmitted/received in error.
Any unauthorised use, alteration, disclosure, distribution or review of this email is strictly prohibited. The information contained in this email, including any attachment sent with it, may be subject to a statutory duty of confidentiality if it relates to health service matters.
If you are not the intended recipient(s), or if you have received this email in error, you are asked to immediately notify the sender by telephone collect on Australia +61 1800 198 175 or by return email. You should also delete this email, and any copies, from your computer system network and destroy any hard copies produced.
If not an intended recipient of this email, you must not copy, distribute or take any action(s) that relies on it; any form of disclosure, modification, distribution and/or publication of this email is also prohibited.
Although Queensland Health takes all reasonable steps to ensure this email does not contain malicious software, Queensland Health does not accept responsibility for the consequences if any person’s computer inadvertently suffers any disruption to services, loss of information, harm or is infected with a virus, other malicious computer programme or code that may occur as a consequence of receiving this email.
Unless stated otherwise, this email represents only the views of the sender and not the views of the Queensland Government.
**********************************************************************************

Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

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

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

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aica

[Michael Wishart]

Fiona

I can’t verify the current status of this information, but there has
been a previous discussion about this product on this list (November
2011). This is one of the more comprehensive messages in that group.

From:AICA Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On
Behalf Of Glenys.Harrington@HEALTH.VIC.GOV.AU

Maree and Robert,

Further to my comments earlier today. I have contacted the TGA for
further clarification.

The particular product under discussion in this thread is categorised
as a “medical device” as it is “intended to be used on medical devices”.

Such products must be included on the Australian Register of
Therapeutic Goods Devices (ARTG) before they can be supplied in
Australia.

The ARTG form will state the following:

“Product type: Medical Device – Class …… – Included”

The key word is “included” which confirms that the product is suitable
for the ” intended purpose” which is also included on the ARTG form.
For this particular products the intended purpose on the ARTG form is as
follows:

“Intended purpose: The Tristel disinfecting wipes system is intended to
decontaminate and disinfect non-lumened medical devices that cannot be
fully immersed in liquid disinfectant or sterilant and cannot be
sterilised by heat. It allows high level disinfection of instruments
where automated dishwashers, sinks and water supplies are unavailable.
The system provides high-level disinfection in less than two minutes.
The Tristel system is not intended for high level disinfection of
critical medical devices which must be sterilised prior to use on
patients”.

The information above is unclear and ideally should have included
information about semi critical devices (ie contacts mucous membranes,
non-intact skin) in addition to critical devices (ie enters normally
sterile tissue or vascular system). It is also unclear in the intended
purpose statement reference to the use of the product “where ….sinks
and water supplies are unavailable” as such devices would before high
level disinfection need to be meticulously pre-cleaned?

I am providing TGA with additional information (ie Methods of
sterilization and disinfection, [Modified Spaulding classification
system]).

All ARTG forms can be found by searching the ARTG database available on
the TGA web page.

https://www.ebs.tga.gov.au/ebs/ANZTPAR/PublicWeb.nsf/cuDevices?OpenView

For disinfectants not used on medical devices (ie for general, outbreak
or isolation cleaning and disinfecting purposes) there are 3 categories:

1. Hospital grade and commercial/household grade disinfectants with
specific claims
2. Hospital grade disinfectants without specific claims
3. Household or commercial grade disinfectant without specific claims
(that do not make disinfectant claims)

1 & 2 must be either “listed” or “registered” on the ARTG.

The ARTG form will include an “ARTG identifier” with either “Aust L”
or Aust R” (listed or registered with the TGA). Generally products need
to be registered to make fungicidal, sporicidal, tuberculocidal and
viricidal claims (ie with specific claims).

If a product is not registered in Australia and the
manufacturer/supplier is making fungicidal, sporicidal, tuberculocidal
and viricidal claims TGA have asked that you let them know via their
on-line “Report a perceived breach or questionable practices” at the
following link and they will follow-up.

http://www.tga.gov.au/about/form-breach-tgact.htm

The manufacturer/supplier may not be fully aware of the TGA
requirements as outlined in the TGA “Guidelines for the Evaluation of
Sterilants and Disinfectants”.

Find below additional information provide by the TGA this morning:

Disinfectants are regulated in a variety of ways in Australia,
depending on the claims made in the instructions for use, labelling and
promotional material.

Type of disinfectant
How is it regulated?
Comments

Sterilants and instrument grade disinfectants (all levels) – intended
to be used on medical devices
An accessory to a medical device – Class IIb Must be included on the
ARTG before they can be supplied in Australia.
In Europe are regulated as Class IIa. Sponsors importing these products
need to ensure that the Australian regulatory requirements have been met
by the manufacturer.
Undergo a mandatory Level 2 Application Audit.

Cleaners intended to be used on medical devices

An accessory to a medical device – Class I
Must be included on the ARTG before they can be supplied in
Australia.

Hospital grade and commercial/household grade disinfectants with
specific claims*
‘Other Therapeutic Goods’ – registered
Must be registered on the ARTG before they can be supplied in
Australia.
Must comply with TGO 54 (
http://www.tga.gov.au/docs/html/tgo/tgo54.htm ).
Information to be submitted for review includes instructions for
use, promotional material, labels, product specifications, and efficacy,
stability and quality control data.

Hospital grade disinfectants without specific claims*
‘Other Therapeutic Goods’ – listed Must be listed on the ARTG before
they can be supplied in Australia.
Must comply with TGO 54 ( http://www.tga.gov.au/docs/html/tgo/tgo54.htm
).
Information to be submitted for review includes instructions for use,
promotional material and labels.

Household or commercial grade disinfectant without specific claims*
‘Other Therapeutic Goods’ – exempt from listing or registration
Exempt disinfectants are not required to be entered on the ARTG
however they still must comply with certain parts of TGO 54 (
http://www.tga.gov.au/docs/html/tgo/tgo54.htm ), including the
labelling requirements, and are expected to comply with performance
requirements.

Antibacterial cleaning wipes
Sanitisers
Sanitary fluids/powders
(that do not make disinfectant claims)
Exempt or excluded depending on claims
Claims determine if exempt from entry on the ARTG or excluded from
the Therapeutic Goods Act 1989.

* ‘specific claims’ cover virucidal, sporicidal, tuberculocidal,
fungicidal or other biocidal activity. Except where claims of activity
against fungi (yeast and mould) for excluded products are concerned,
these claims mean a product is registered.
http://www.tga.gov.au/industry/disinfectants-regulation.htmhttp://www.tga.gov.au/industry/disinfectants-hard-surface.htm

A hospital grade disinfectant with non-specific claims is a listable
product
A hospital grade disinfectant with specific claims is a registerable
product
A “non-specific claim” is a claim which includes general antibacterial
action or activity against bacteria covered by the battery of test
organisms included in the specified test, or bacteria of the same
family. Claims for bacteria other than these are allowable and do not
cause the product to become registerable, but the specific organism
against which activity is claimed must be included as an extra organism
in the test battery e.g. E. coli O157, Salmonella spp, Streptococcus
spp, etc.
A “specific claim” is one which covers virucidal, sporicidal,
tuberculocidal, fungicidal or other biocidal activity. Except where
claims of activity against fungi (yeast and mould) for excluded products
are concerned, such claims lift a product into the registerable category
of goods.

For information on disinfectants:

Please see TGO 54/54A/54B, which can be accessed at
http://www.comlaw.gov.au/Details/F2009C00327
Please see the “Guidelines for evaluation of sterilants and
disinfectants”, which can be accessed at
http://www.tga.gov.au/industry/disinfectants-evaluation-guidelines.htm.
These guidelines describe the information to be supplied to the TGA for
the registration or listing of disinfectants on the ARTG.

Yours sincerely,

Medical Devices Information Line

Information http://www.tga.gov.au/devices/devices.htm (
http://aicalist.org.au/scripts/www.tga.gov.au/devices/devices.htm )
e-Business http://www.ebs.tga.gov.au (
http://aicalist.org.au/scripts/www.ebs.tga.gov.au )

Hope this clarifies further.

regards

Glenys
Glenys Harrington, Infection Control Consultant |Communicable Disease
Prevention and Control | Public Health
Department of Health | Level 14 50 Lonsdale Street Melbourne Victoria
3000 Australia
t. 03 909 65094 | f. 1300 651 170 | e.
glenys.harrington@health.vic.gov.au | http://www.health.vic.gov.au/ (
http://aicalist.org.au/scripts/www.health.vic.gov.au/ideas )

Based on the above, it may be prudent to contact TGA to discuses the
status of this product prior to approving it’s use within your
facility.

Cheers
Michael Wishart
ACIPC Infexion Connexion Administrator

Michael Wishart

Public Health Nurse,Communicable Disease Control
Logan West Moreton PHU
Ph 34131200 Fax 34131221

To contact Nursing team:
LWM_PHN@health.qld.gov.au

>>> Fiona de Sousa 17/05/2012 1:09 pm >>>

Hi All,

I have been asked to review a new cleaning and disinfection system for
reprocessing transvaginal ultrasound probes especially those used in IVF
related pregnancies where chemical residues are a high concern.
The system consists of three separate pre-packaged wipes (a cleaner, a
disinfectant and a rinse wipe) which I believe is currently used in he
UK. The active ingredient in the disinfectant wipe is chlorine dioxide
in aqueous solution.

Has anyone got any experience with this type of system that they would
be willing to share with me?

Kind Regards,

Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
( blocked::blocked::mailto:Fiona.Desousa@sah.org.au
)Fiona.Desousa@sah.org.au ( blocked::mailto:Fiona.Desousa@sah.org.au
)
185 Fox Valley Road, Wahroonga, NSW, 2076

information intended for the addressee named above.
If you are not the intended recipient you are hereby notified that any
dissemination, distribution or reproduction of this message
is prohibited. If you have received this message in error please notify
the sender immediately, then destroy the original message.
Any views expressed in this message are solely those of the individual
sender, except where the sender is specifically authorised
by Sydney Adventist Hospital to state that they are the views of Sydney
Adventist Hospital.
_____________________________________________________________________
This e-mail has been scanned for viruses by Symantec Hosted Services
Scanning Services – powered by MessageLabs. For further information
visit http://www.messagelabs.com
Messages posted to this list are solely the opinion of the authors, and
do not represent the opinion of AICA.
Archive of all messages are available at
http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a
new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’
(without the quotes) to listserv@aicalist.org.au

********************************************************************************
This email, including any attachments sent with it, is confidential and for the sole use of the intended recipient(s). This confidentiality is not waived or lost, if you receive it and you are not the intended recipient(s), or if it is transmitted/received in error.
Any unauthorised use, alteration, disclosure, distribution or review of this email is strictly prohibited. The information contained in this email, including any attachment sent with it, may be subject to a statutory duty of confidentiality if it relates to health service matters.
If you are not the intended recipient(s), or if you have received this email in error, you are asked to immediately notify the sender by telephone collect on Australia +61 1800 198 175 or by return email. You should also delete this email, and any copies, from your computer system network and destroy any hard copies produced.
If not an intended recipient of this email, you must not copy, distribute or take any action(s) that relies on it; any form of disclosure, modification, distribution and/or publication of this email is also prohibited.
Although Queensland Health takes all reasonable steps to ensure this email does not contain malicious software, Queensland Health does not accept responsibility for the consequences if any person’s computer inadvertently suffers any disruption to services, loss of information, harm or is infected with a virus, other malicious computer programme or code that may occur as a consequence of receiving this email.
Unless stated otherwise, this email represents only the views of the sender and not the views of the Queensland Government.
**********************************************************************************

Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of AICA.

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

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

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

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

[Michael Wishart]

[Michael Wishart]

Hi Fiona

I have not seen this particular system in Australia, but the questions I would be asking are:

1. Is the disinfectant licensed with TGA as an instrument-grade disinfectant (ie high level disinfectant)? If not, you cannot proceed as these devices require high level disinfection with a TGA approved disinfectant.

2. Has the manufacturer / sponsor of the disinfectant provided evidence of materials compatibility with the specific TV probe you use? This preferably would be advice from the probe manufacturer to say the disinfectant is safe to use with the probe.

Since it is unlikely current Australian guidelines will reference a product that was not on the Australian market when the guidelines were written, this is the process I would follow.

If both of the above are provided to your satisfaction, form an IC perspective I would be happy to permit the use of the product in a specific situation.

Cheers

Michael Wishart

Public Health Nurse,Communicable Disease Control
Logan West Moreton PHU
Ph 34131200 Fax 34131221

To contact Nursing team:
LWM_PHN@health.qld.gov.au

>>> Fiona de Sousa 17/05/2012 1:09 pm >>>

Hi All,

I have been asked to review a new cleaning and disinfection system for reprocessing transvaginal ultrasound probes especially those used in IVF related pregnancies where chemical residues are a high concern.
The system consists of three separate pre-packaged wipes (a cleaner, a disinfectant and a rinse wipe) which I believe is currently used in he UK. The active ingredient in the disinfectant wipe is chlorine dioxide in aqueous solution.

Has anyone got any experience with this type of system that they would be willing to share with me?

Kind Regards,

Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
Mobile: 0408 468 470
Office: (02) 9487 9732
Fax: (02) 9472 8053
Fiona.Desousa@sah.org.au
185 Fox Valley Road, Wahroonga, NSW, 2076

CAUTION: This message may contain both confidential and privileged information intended for the addressee named above.
If you are not the intended recipient you are hereby notified that any dissemination, distribution or reproduction of this message
is prohibited. If you have received this message in error please notify the sender immediately, then destroy the original message.
Any views expressed in this message are solely those of the individual sender, except where the sender is specifically authorised
by Sydney Adventist Hospital to state that they are the views of Sydney Adventist Hospital.
_____________________________________________________________________
This e-mail has been scanned for viruses by Symantec Hosted Services
Scanning Services – powered by MessageLabs. For further information
visit http://www.messagelabs.com
Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of AICA.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
********************************************************************************
This email, including any attachments sent with it, is confidential and for the sole use of the intended recipient(s). This confidentiality is not waived or lost, if you receive it and you are not the intended recipient(s), or if it is transmitted/received in error.
Any unauthorised use, alteration, disclosure, distribution or review of this email is strictly prohibited. The information contained in this email, including any attachment sent with it, may be subject to a statutory duty of confidentiality if it relates to health service matters.
If you are not the intended recipient(s), or if you have received this email in error, you are asked to immediately notify the sender by telephone collect on Australia +61 1800 198 175 or by return email. You should also delete this email, and any copies, from your computer system network and destroy any hard copies produced.
If not an intended recipient of this email, you must not copy, distribute or take any action(s) that relies on it; any form of disclosure, modification, distribution and/or publication of this email is also prohibited.
Although Queensland Health takes all reasonable steps to ensure this email does not contain malicious software, Queensland Health does not accept responsibility for the consequences if any person’s computer inadvertently suffers any disruption to services, loss of information, harm or is infected with a virus, other malicious computer programme or code that may occur as a consequence of receiving this email.
Unless stated otherwise, this email represents only the views of the sender and not the views of the Queensland Government.
**********************************************************************************

Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of AICA.

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

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

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the

[Michael Wishart]

Hi Sony

If scabies s the major concern, and the fabrics are heat-labile and
will not survive a hot water wash at 75C or above, then you could simply
quarantine the fabrics in sealed plastic bags for 72 hours as scabies
mites will not survive away from the human body for longer than that.
They could then be washed at a low temperature as normal. Another option
is dry cleaning, where the fabrics are able to withstand the dry
cleaning process.

See the US CDC fact sheet for this information:
http://www.cdc.gov/parasites/scabies/gen_info/faqs.html#clothes

Cheers
Michael

Michael Wishart

Public Health Nurse,Communicable Disease Control
Logan West Moreton PHU
Ph 34131200 Fax 34131221

To contact Nursing team:
LWM_PHN@health.qld.gov.au

>>> “N Y SO, KWH NO(ICN)” 14/05/2012 12:36 pm >>>

Dear Fiona.

Thank for your sharing.

Australian / New Zealand Standards for Laundry Practice AS/NZS
4146:2000, Section 3.5.2, which states:
The minimum time/temperature combinations are therefore
(a) 65C maintained for not less than 10 minutes; minimum cycle time 14
minutes forlow loading or 18 minutes for high loading; or
(b) 71C maintained for not less than 3 minutes; minimum cycle time 7
minutes for lowloading or 11 minutes for high loading.

My raised question is for the heat liable fabricand it is contaminated
with scabies. Because the concerned fabrics laundry label states the
fabric is not suitable for temperature which is greater than 65C.

So, we would like to know the temperature requirements for washing and
ironing process of this heat labile fabric.

Regards,

Sony SO
Nursing Officer, Infection Control Team
Kwong Wah Hospital
Tel:+ 852 3517-2409 Fax: +852 2332-3348 email:sony@ha.org.hk

From:AICA Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On
Behalf Of Fiona de Sousa
fabric

Hi Sony,

Refer to the Australian / New Zealand Standards for Laundry Practice
AS/NZS 4146:2000. Section 3 outlines the requirements for thermal and
chemical disinfection.

Kind Regards,

Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
Fiona.Desousa@sah.org.au ( blocked::mailto:Fiona.Desousa@sah.org.au )
185 Fox Valley Road, Wahroonga, NSW, 2076

From:AICA Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On
Behalf Of Sony SO
process for different fabric

HI All,

I am reviewing our hospitals laundry practices, and I would like to
knowthe temperature for laundry – drying process for different fabric.
(1) for heat liable fabric that is treated by low temperature.
(2) for general fabric that would stand for higher temperature.

Yours sincerely,

Sony SO
Nursing Officer, Infection Control Team
Kwong Wah Hospital
Tel:+ 852 3517-2409 Fax: +852 2332-3348 email:sony@ha.org.hk
Please consider the environment before printing this e-mail

***************************************************************************
Disclaimer

This Email may contain privileged and confidential information and is
solely for the use of the intended recipient. If you are not the
intended recipient, you must not print, copy, distribute or take any
action in reliance on it. If you have received this Email by mistake,
please notify the sender and then delete this Email from your computer.
The Hospital Authority does not accept liability arising from Email
transmitted by mistake.

Although this Email and any attachments are believed to be free of
virus or other defects that might affect any computer system into which
it is received and opened, it is the responsibility of the recipient to
ensure that it is virus free, and no responsibility is accepted by the
Hospital Authority for any loss or damage in any way arising from its
use.

All views or opinions expressed in this Email and its attachments are
those of the sender and do not necessarily reflect the views and
opinions of the Hospital Authority.
**************************************************************************
*

information intended for the addressee named above.
If you are not the intended recipient you are hereby notified that any
dissemination, distribution or reproduction of this message
is prohibited. If you have received this message in error please notify
the sender immediately, then destroy the original message.
Any views expressed in this message are solely those of the individual
sender, except where the sender is specifically authorised
by Sydney Adventist Hospital to state that they are the views of Sydney
Adventist Hospital.
_____________________________________________________________________
This e-mail has been scanned for viruses by Symantec Hosted Services
Scanning Services – powered by MessageLabs. For further information
visit http://www.messagelabs.com
Messages posted to this list are solely the opinion of the authors, and
do not represent the opinion of AICA.
Archive of all messages are available at
http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a
new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’
(without the quotes) to listserv@aicalist.org.au Messages posted to this
list are solely the opinion of the authors, and do not represent the
opinion of AICA.
Archive of all messages are available at
http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a
new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’
(without the quotes) to listserv@aicalist.org.au

***************************************************************************
Disclaimer

This Email may contain privileged and confidential information and is
solely for the use of the intended recipient. If you are not the
intended recipient, you must not print, copy, distribute or take any
action in reliance on it. If you have received this Email by mistake,
please notify the sender and then delete this Email from your computer.
The Hospital Authority does not accept liability arising from Email
transmitted by mistake.

Although this Email and any attachments are believed to be free of
virus or other defects that might affect any computer system into which
it is received and opened, it is the responsibility of the recipient to
ensure that it is virus free, and no responsibility is accepted by the
Hospital Authority for any loss or damage in any way arising from its
use.

All views or opinions expressed in this Email and its attachments are
those of the sender and do not necessarily reflect the views and
opinions of the Hospital Authority.
**************************************************************************
*
Messages posted to this list are solely the opinion of the authors, and
do not represent the opinion of AICA.
Archive of all messages are available at
http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a
new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’
(without the quotes) to listserv@aicalist.org.au

********************************************************************************
This email, including any attachments sent with it, is confidential and for the sole use of the intended recipient(s). This confidentiality is not waived or lost, if you receive it and you are not the intended recipient(s), or if it is transmitted/received in error.
Any unauthorised use, alteration, disclosure, distribution or review of this email is strictly prohibited. The information contained in this email, including any attachment sent with it, may be subject to a statutory duty of confidentiality if it relates to health service matters.
If you are not the intended recipient(s), or if you have received this email in error, you are asked to immediately notify the sender by telephone collect on Australia +61 1800 198 175 or by return email. You should also delete this email, and any copies, from your computer system network and destroy any hard copies produced.
If not an intended recipient of this email, you must not copy, distribute or take any action(s) that relies on it; any form of disclosure, modification, distribution and/or publication of this email is also prohibited.
Although Queensland Health takes all reasonable steps to ensure this email does not contain malicious software, Queensland Health does not accept responsibility for the consequences if any person’s computer inadvertently suffers any disruption to services, loss of information, harm or is infected with a virus, other malicious computer programme or code that may occur as a consequence of receiving this email.
Unless stated otherwise, this email represents only the views of the sender and not the views of the Queensland Government.
**********************************************************************************

Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of AICA.

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

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

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

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

[Michael Wishart]

Hi Nicky

The legislation that surrounds assistance dogs in QLD was updated a couple of years ago. (http://www.legislation.qld.gov.au/LEGISLTN/ACTS/2009/09AC004.pdf) Hospitals can still maintain zones that assistance dogs may not enter (eg kitchens, CSD, theatres, acute wards) as long as they have a clear policy and a process of assisting the person without their animal and somewhere for the animal to be managed.

I don’t have a policy available to me right now, but hopefully someone else will be able to give you an example. If all else fails, ring the Disability Information Service (http://www.communities.qld.gov.au/disability/support-and-services/our-services/disability-information-service) to get details on what should be in such a policy.

Cheers
Michael

Michael Wishart

Public Health Nurse,Communicable Disease Control
Logan & West Moreton PHU
Ph 34131200 Fax 34131221

To contact Nursing team:
LWM_PHN@health.qld.gov.au

>>> Nicola Swindells 20/03/2012 8:04 am >>>

Hi All,

Does anyone have guidelines or a policy they would like to share with me regarding assist/guide dogs in an acute hospital? Also is anyone aware of any discrimination legislation attached to the visits of these dogs in hospitals. Many thanks in advance for any assistance you may be able to offer me.

Kind Regards

Nicky Swindells CNC
Infection Control Coordinator/Wound Management
Mater Hospitals Central Queensland
Rockhampton Yeppoon Gladstone

nswindells@mercycq.com
07 49313420

DISCLAIMER: This email and any attachments is confidential and is intended solely for the use of the named recipient(s). If you are not the intended recipient(s) of this email you must not copy, distribute, disclose, modify or use any of the information contained within. If you have received this email in error please notify us at support@mercycq.com immediately and permanently delete the email and any attachments. Confidentiality and/or privilege in the documents transmitted is not waived or lost by reason of any transmission errors. Personal information in this email must be handled in accordance with the prevailing Privacy legislation in the country of receipt of this email.

This email does not necessarily constitute an official representation of Mercy Health and Aged Care Central Queensland Limited. Any unauthorised use of the email or contents is strictly prohibited. Emails may be interfered with, may contain computer viruses or other defects and may not be successfully replicated on other systems. It is your responsibility to scan this message and any attachments for computer viruses or other defects and Mercy Health and Aged Care Central Queensland Limited gives no warranties in relation to these matters.

Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of AICA.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
********************************************************************************
This email, including any attachments sent with it, is confidential and for the sole use of the intended recipient(s). This confidentiality is not waived or lost, if you receive it and you are not the intended recipient(s), or if it is transmitted/received in error.
Any unauthorised use, alteration, disclosure, distribution or review of this email is strictly prohibited. The information contained in this email, including any attachment sent with it, may be subject to a statutory duty of confidentiality if it relates to health service matters.
If you are not the intended recipient(s), or if you have received this email in error, you are asked to immediately notify the sender by telephone collect on Australia +61 1800 198 175 or by return email. You should also delete this email, and any copies, from your computer system network and destroy any hard copies produced.
If not an intended recipient of this email, you must not copy, distribute or take any action(s) that relies on it; any form of disclosure, modification, distribution and/or publication of this email is also prohibited.
Although Queensland Health takes all reasonable steps to ensure this email does not contain malicious software, Queensland Health does not accept responsibility for the consequences if any person’s computer inadvertently suffers any disruption to services, loss of information, harm or is infected with a virus, other malicious computer programme or code that may occur as a consequence of receiving this email.
Unless stated otherwise, this email represents only the views of the sender and not the views of the Queensland Government.
**********************************************************************************

Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of AICA.

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

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

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to list

[Author]

Posts