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Thanks Phil and team,
I wonder if someone has considered looking at this from outside of the hospital setting? Residential care facilities (Aged, disability, etc.), general practice, dental services, justice health settings, schools, workplaces, sporting codes and others are all venues that members have all been working in and require some discussion regarding future planning.
Cheers MattLecturer
Program Co-ordinator: Nursing
School of Nursing, Midwifery & Paramedicine
USC
Ph +61 7 5456 5191
mmason1@usc.edu.auMembers of ACIPC are invited to participate in the study: Exploring the experience and perspectives of infection prevention in managing COVID-19 to inform future pandemic planning.
We aim to inform future pandemic planning by documenting the experiences of infection prevention and control teams dealing with COVID-19 in a hospital setting.
This survey is anonymous and will take approximately 10 minutes of your time.
We will be covering the following areas:
Working during a pandemic
PPE
Education & training
Outbreak &response
Staffing and redeployment
Guidelines
Leadership &teamwork
CommunicationIf you wish to participate please click on the link: https://monash.az1.qualtrics.com/jfe/form/SV_7WmcYqcJ3N61Gsd
This work is being undertaken as part of Alisha Baswa’s enrolment in a Bachelor of Medical Science (Honours) degree at Monash University, under the supervision of Andrew Stewardson, Darshini Ayton, Joe Doyle and Phil Russo. This project has been approved by the Alfred Ethics Committee.
Declaring conflict, this study has been reviewed, and recruitment approved, by members of ACIPC Executive (excluding myself)
Philip Russo PhD MClinEpid BN, FACIPC
ACIPC President
P +61 3 6281 9239
E admin@acipc.org.au
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Thanks Michael,
Yes, steam under pressure.
Cheers MattLecturer
Program Co-ordinator: Nursing
School of Nursing, Midwifery & Paramedicine
USC
Ph +61 7 5456 5191
mmason1@usc.edu.auHi 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-ESt 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
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Hi Pam,
Wouldn’t meal trays/water jugs would be managed as per your usual transmission based precautions procedures? If there is an issue with SARS-CoV-2 wouldn’t you have an issue with other microorganisms that are spread on fomites? Have I missed something in your question?
Cheers MattLecturer
Program Co-ordinator: Nursing
School of Nursing, Midwifery & Paramedicine
USC
Ph +61 7 5456 5191
mmason1@usc.edu.auGood morning,
I would appreciate any feedback on how meal trays/water jugs etc are being managed for coronavirus patients.
Are any additional precautions being put in place during transportation of contaminated trays from the room to the industrial dishwasher?
Are facilities using disposable plates/cutlery etc.Thank you in advance.
Kind regards,
PamPamela Boon | Clinical Nurse Manager
Infection Prevention and Management Unit
Royal Darwin Palmerston Hospitals | Top End Health ServiceNorthern Territory Government
2nd Floor, Royal Darwin Hospital, Rocklands Drive, Tiwi
GPO Box 41326, Casuarina, NT 0811p …08 892 28045
f … 08 892 28889
e … Pamela.Boon@nt.gov.au
w… http://www.nt.gov.au/healthOur Vision: Building Better Care | Better Health | Better Communities Together
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Hi Sharon,
That sounds like fit checking not fit testing. Fit testing requires the use of the equipment previously mentioned and is a requirement of the respiratory protective equipment standards.
Cheers MattLecturer,
School of Nursing, Midwifery & Paramedicine.
University of the Sunshine Coast——– Original message ——–
Hi Meredith
We do not use any special equipment. We do undertake fit testing with new staff and it is a yearly competency for our ED staff. We talk them through the whole process of putting it on, blowing in and out, checking the seal for air leakage and removing safely. We advise on the correct size and discuss issues with beards etc.
Hope this helps.
Sharon Deen
Infection Control Nurse
Phone:08 9531 8570Hi John
The 2019 Australian Guidelines p. 116 recommends fit testing as follows:
on commencement of employment for HCWs in clinical areas where there is a significant risk of exposure via airborne route
when there is significant change to the wearers facial characteristics (eg. weight loss or gain, etc)
annually thereafter (AS/NZS 1715:2009)
There are two types of fit testing:
Qualitative – inexpensive equipment (approximately $400 per kit) requires hood and sprays, company rep can provide training to staff to perform fit testing, human resources required to perform fit testing on staff
Quantitative – expensive equipment, generally performed by mask company reps where a good seal cannot be obtained via a qualitative approach
It is my understanding that all HCFs are recommended to undertake fit testing for staff, however my observation is that very few do. I am aware of two HCFs that participate in fit testing (1 x major public hospital and 1 private hospital).
It would be interesting to know how many other HCFs participate in fit testing.
Kind regards
Meredith Southon
Meredith Southon RN MIPC QualNursImm
Clinical Nurse Consultant | Infection Prevention & Control | Staff Health | Murwillumbah District Hospital
PO Box 821, Murwillumbah NSW 2484
Tel 02 6672 0232 | Fax 02 6672 0226 | Meredith.Southon@health.nsw.gov.au
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Hi all,
Is anyone concerned that this (and other statements) ignores the requirement for fit testing of staff who are going to rely on airborne mask protection?
Btw, CEC NSW have developed nice combined Contact/Droplet signage for those with geographical signage space deficiency (GSSD). Kathy D am sure will share it.
Regards
John[We are being directed to this commonwealth site btw which does have a nice video on methods etc
https://www1.health.gov.au/internet/main/publishing.nsf/Content/safe-use-dvd
[cid:image003.png@01D5E5D3.7A05FA90]Dr John Ferguson MBBS DTM&H FRACP FRCPA
Director, Infection Prevention Service | Hunter New England Local Health District
John Hunter Hospital, Locked Bag 1, Newcastle Mail Centre, NSW 2310, Australia
T: 61 2 49214444 | F: 61 2 49214440 | M: +61(0)428 885573 (Speed Dial 67607) | Tw @mdjkf
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[cid:image002.png@01D5E5D2.A3686B80]An information sheet with interim recommendations for the use of personal protective equipment (PPE) during hospital care of people with Coronavirus Disease 2019 (COVID-19).
Available here
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Hi All,
Sorry to revive an oldish thread, I was on leave and pondering this while there.The National Audit data for period 2 2019 has overall compliance at 85.7%. This is an improvement from where we started and a lot of resources, locally and nationally, have been used to get to this point. While there are arguments as to the value for money this represents what this data and initiative does do is set an expectation for practice. This is internally at the local level, and externally both nationally (from government) and professionally (through health care worker registration standards).
If a health care worker does not meet the standard of practice expected why shouldn’t they be called out on it? What Coralie presents below is a form of doing this. If that worker continues to not meet the standard required what are the next steps? If we consider hand hygiene important for patient safety why shouldn’t we “name and shame” those that continue to not meet these professional expectations by reporting them to their registering body?
There are systematic barriers to hand hygiene so this reporting of individuals is not palatable. What are we doing to overcome these? Are we setting evidence based expectations (compliance rates) if we can’t overcome all obstacles to being compliant? Should these vary between settings, hospitals, wards etc.? At what point to we name and shame organisations for putting patients at risk for not responding requests to enable better hand hygiene?
One of the criticisms of Infection Prevention is that we are often seen to enforce arbitrary and non-evidenced based policy and procedures (no water bottles for staff, you can have a therapy pony in ICU but not reusable theatre caps). I personally think that hand hygiene risks falling into that area. We know it is important but we are not really sure how important enough to set hard limits. We have a lot of compliance data but we can’t use that to really set a benchmark for practice because of systematic differences and barriers. This is why we can’t name and shame health care workers/organisations. If we were so sure that a repeatedly poorly compliant health care worker was putting patients at risk we would have to report them to their registering body, just like we would if we saw them risking patients by practising poorly in another way and not responding to other interventions.
I certainly don’t have answers for this but given the importance placed on hand hygiene, and the resources used, I think we as a specialisation need to work on setting hard benchmarks that can be used to call out individuals/organisations. If we can’t do that then maybe we should be rethinking what we are doing with hand hygiene.
Cheers Matt
Lecturer
School of Nursing, Midwifery & Paramedicine
USC
Ph +61 7 5456 5191
mmason1@usc.edu.auOur organization has continued to use the LOCAL Audit within the Audit program in parallel with our National schedule. When undertaking a “local” audit we will step in as appropriate and with discretion (rather than name and shame) immediately the issue has been identified. We will discuss the missed opportunity and perhaps troubleshoot the clinical practice issue at the time.
These audits are not counted in our National data and allow us to give instant feed back to the individual when a missed opportunity has been observed. This has been well received across the range of health professional and as feedback is given in real time appears to have had an impact on compliance.
Regards
CoralieCoralie Tyrrell | Manager Infection Prevention & Control Monday-Thursday| P: 03 56230625 | E: coralie.tyrrell@wghg.com.au
West Gippsland Healthcare Group | 41 Landsborough Street | Warragul Vic 3820 | http://www.wghg.com.au”WGHG strives to attract and retain a highly talented learning workforce that engages with a level of pride and passion in improving the health and wellbeing of its community”
[cid:image001.jpg@01CEB51E.65D9EC30]
WGHG is committed to achieving culturally safe health practices for Aboriginal and Torres Strait Islander people.
We acknowledge the traditional owners of the land on which our services are located, and we pay our respects to Elders past, present and future.
Please consider the environment before printing this email[Posted on behalf of a member who prefers to remain anonymous, for obvious reasons – reply to the list and they will see the responses. If anyone would like to provide a response direct to the member can do so by emailing me directly at michael.wishart@svha.org.au.
Thanks, Moderator]One of our leadership group, has directed this office to develop a tool for the HH auditors to collect the names of staff that do not adhere to correct HH moments. The staff names are then to be provided to the Nurse managers for the follow-up to be done by them. We have expressed our dismay at this tone of management and in a word we were dismissed with our concerns.
This is in response to ongoing low HH compliance rates, and instead of supporting the program this will completely obliterate it and encourage incorrect data entry and we will lose the auditors.
I am asking for some suggestions on how to manage this suggestion and also key suggestions how we can gain traction.
I am at a loss for change in this facility because no matter what we have implemented it lacks sustained support and is ultimately ends up being used as a punitive tool .
Concerned experienced Infection Prevention and Control Professional.
______________________________________________________________________
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CRICOS Provider No: 01595D
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Hi Helen,
I think this would be a good question for your Aboriginal Liaison team. A traditional Didgeridoo is very difficult (virtually impossible) to clean and reprocess given the nature of the wood and wax materials used. However there are other options available such as Didgeridoos made of plastic that can easily be washed and dried. The problem then becomes are they culturally appropriate? There are also issues around who is allowed (culturally) to play a Didgeridoo and when, regardless to what they are made from. Having approval from your local Elders to use these (whatever they are made of) is vital and they might be able to point you in the direction of a culturally appropriate supplier.
Cheers MattLecturer
School of Nursing, Midwifery & Paramedicine
USC
Ph +61 7 5456 5191
mmason1@usc.edu.auHello all,
As part of a larger project, several units in our hospital have been given funding to purchase new diversional equipment. One of the items requested for Aboriginal Resources is a Didgeridoo for each of the units to be used by the patients.
The infection prevention part of me screamed NO… , but in the interests of being as fair as possible, can anyone provide any information on reprocessing didgeridoos between use in health care.
Kind regards
HelenHelen Newman
Infection Prevention and Control CNC CICP| Infection Management and Control Service
Shellharbour and Kiama Hospitals
Tel 02 4295 2416 | Mobile 0475823959 | Fax 02 4295 2497 | Helen.Newman@health.nsw.gov.au
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USC, Locked Bag 4, Maroochydore DC, Queensland, 4558 Australia.
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Hi Lindy,
I have no literature to back this up (but I will go and look), I too am internally screaming no don’t! I can’t see how you can effectively clean wall paper and given the harsh environment that a health service is, no matter how homely it feels, it is going to peel, rip and look bad very quickly. Unless there is some super wall paper that I am not aware of (probably anti-microbial as well…).
Cheers MattLecturer
School of Nursing, Midwifery & Paramedicine
USC
Ph +61 7 5456 5191
mmason1@usc.edu.au
USC, Locked Bag 4, Maroochydore DC, Queensland, 4558 Australia.
CRICOS Provider No: 01595D
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Hi All,
This non-systematic literature review has some interesting discussion on what is worn in the operating theatre and why. It led to this media article which claims that operating naked can reduce infections http://www.dailymail.co.uk/health/article-4698416/Surgeons-stop-spread-germs-operating-NAKED.html The study didn’t actually say that but why spoil a good headline and the chance to say to some surgeon/scrub nurse, sure, if you don’t want to wear a mask, evidence suggests that if you really want to limit infections you should operate naked….
Cheers Matt
Lecturer
School of Nursing, Midwifery & Paramedicine
USC
Ph +61 7 5456 5191
mmason1@usc.edu.auUSC, Locked Bag 4, Maroochydore DC, Queensland, 4558 Australia.
CRICOS Provider No: 01595D
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Hmm,
Not sure I would drink it. As essentially a food preparation area does it need to meet HACCP requirements?
Cheers MattMatt Mason
Lecturer, School of Nursing & Midwifery,
University of the Sunshine Coast.On 24 Feb 2017, at 10:46, Sarah Bailey <SBailey@QED.NET.AU> wrote:
Hi everyone,
I just wondered what peoples thoughts were on the suitability of having the fresh orange juice vending machines in a hospital?
The ones I mean are the type where fresh fruit is cut in half and freshly squeezed into the cup for consumption.
The cleaning mechanism in these is a 15l on board water tank with disinfectant, that is changed a few times a week. The cutting and squeezing unit is cleaned every few times it is used with high pressure water jets fed from this tank (the frequency of cleaning can be set by the owner of the machine).
Obviously there is no microbial control over the dispensed juice, which may become contaminated If the squeezing unit/cleaning water is contaminated, or if the cleaning water isnt changed often enough or doesnt have sufficient disinfectant.
Would you drink juice from one of these?
Regards,
Sarah Bailey MSc PGDip Med Myc
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Hi Maree,
I wouldnt wait if it was clearly a reaction requiring adrenaline quickly. That said I am ALS/PALS trained and work in ED/ICU so may be more comfortable than another who has only done BLS and the immunisation training. It would also very much depend on local policy/procedure and how the immunisation program is set up. I think, and this may vary in jurisdictions, the nurse would also have to be able to prescribe adrenaline as per some hospital policy in order to cover the nurse should something go wrong as I dont think just being a nurse immuniser would cover them in that setting. Could be wrong though.
Cheers MattMatt Mason
Lecturer
School of Nursing & Midwifery
Faculty of Science, Health, Education and Engineering
University of the Sunshine Coast
Ph: +61 7 5456 5191 | Fax: +61 7 5456 5940 | Email: mmason1@usc.edu.au | Web:www.usc.edu.auFrom: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Maree Sommerville
Sent: Friday, 1 May 2015 11:40 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Administering adrenaline for anaphylaxis following ‘flu vaccinationDear all.
This is a question relevant to nurse immunisers
We are now in the middle of our employee flu vaccination campaign and the question has arisen about administering adrenaline.
If an employee has a reaction following administration of the vaccine and the health service has a 24 hour anaesthetic service and a code blue team, should the nurse immuniser wait to administer adrenaline until the team arrives?Thanks in anticipation
MareeMaree Sommerville
Infection Control Coordinator
Mercy Hospital for Women[cid:image001.jpg@01CF7A4D.FAAAC600]
163 Studley Road
Heidelberg 3084
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Hi Rachel,
Michelle has it all covered. Unfortunately the option is really only hood as all PAPR with masks that fit around the mouth/nose have the same problems. The only other option is to enforce being clean shaven, which is what industries such as fire & rescue, mining etc do or excluding the worker from that environment.
Cheers MattMatt Mason
Lecturer
School of Nursing & Midwifery
Faculty of Science, Health, Education and Engineering
University of the Sunshine Coast
Ph: +61 7 5456 5191 | Fax: +61 7 5456 5940 | Email: mmason1@usc.edu.au | Web:www.usc.edu.au—–Original Message—–
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Thomson, Rachel EA (DHHS)
Sent: Thursday, 4 September 2014 12:34 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Fit-testing P2 masks with beardsThanks Michelle,
Does this mean that all hospitals in Australia offer/ provide PAPR to all these staff?
Cheers
Rachel..
Rachel Thomson
Nurse Unit ManagerInfection Prevention & Control Unit
Royal Hobart Hospital
Tasmanian Health Organisation-South
T: 03 62227882/8658
Mobile: 0400 718 574
Email: rachel.thomson@dhhs.tas.gov.auLevel 4, H Block
48 Liverpool Street
Hobart, 7000—–Original Message—–
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Michele.Cullen@HEALTH.VIC.GOV.AU
Sent: Thursday, 4 September 2014 12:26 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Fit-testing P2 masks with beardsDear Rachel
It is simple really.
You cannot fit test or fit check a single use or reusable (rubber) RPD on anyone with a beard. The same applies to most moustaches.
They must wear a Hood/PAPR.Regards
(Embedded (Embedded image moved to file: pic13343.jpg)
image moved
to file:
pic19053.jpg)Michele Cullen
Infection Control Consultant | Communicable Disease Prevention and
Control | Public Health
Department of Health | 50 Lonsdale Street, Melbourne, Victoria,
3000
p. 03 9096 5094 | f. 1300 651 170
e. michele.cullen@health.vic.gov.au
and
MDU PHL 03 8344 4575
e. mccullen@unimelb.edu.au|————>
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|04/09/2014 12:08 PM |
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>————————————————————————————————————————————————–|Hi all,
We have not really addressed the challenge associated with fit-testing
people with beards in our organisation, but with the increasing tendency for beards amongst male nursing and medical staff this is leading us to have to address this matter. Can I ask how others who have staff who have beards for cultural or personal reasons have addressed this?Thanks
Rachel..
Rachel Thomson
Nurse Unit ManagerInfection Prevention & Control Unit
Royal Hobart Hospital
Tasmanian Health Organisation-South
(: 03 62227882/8658
Mobile: 0400 718 574
Email: rachel.thomson@dhhs.tas.gov.auLevel 4, H Block
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Hi Marija and list members,
My experience is that the more complicated you make something the more risk there is of mistakes being made. I have some experience in working in full HAZMAT suits. It takes lots of training and continual practice to get right and be comfortable/safe working in. This is not something that can be rolled out quickly. Using PPE to allay fears is not the right way to protect healthcare workers and is likely to do the opposite. It is quite clear that the risk of Ebola is not so much related to how easily it spreads, it is not airborne primarily, but more to the poor health infrastructure (resources, training, workloads and environment) in the areas where we are seeing the outbreak grow. In a health system such as Australia’s, good infection prevention practices at the contact/droplet level in conjunction with appropriate environmental cleaning is what is required.
Cheers Matt
Matt Mason RN, CICP, BNSci, M Rural Health, M Advanced Practice (IC)
Lecturer
School of Nursing & Midwifery
Faculty of Science, Health, Education and Engineering
University of the Sunshine Coast
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Maybe we should go with the chest bump and keeps hands out of it all together. With a bit of singing along the way we can turn our facilities into an episode of Scrubs! Anyone want to do a research project on it?
Cheers Matt
Matt Mason RN, CICP, BNSci, M Rural Health, M Advanced Practice (IC)
Lecturer School of Nursing & Midwifery
Faculty of Science, Health, Education and Engineering University of the Sunshine Coast
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Hi Michael,
I can see consultants fist-bumping if they wear their trousers low! Seriously, the research was well conducted and well-written and actually got space in our NZ newspaper Ive never had press like that with any of my papers!Best regards, Terry
Terry Grimmond FASM, BAgrSc, GrDpAdEd
Consultant Microbiologist
Grimmond and Associates
Ph/Fx (NZ): +64 7 856 4042
Mob (NZ): +64 274 365 140
E: terry@terrygrimmond.com
[Twitter_logo_blue]: @terrygrimmond
W: http://terrygrimmond.com
[cid:image002.gif@01CFABE3.55EAF0A0]
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Cheers
MichaelMichael Wishart
Infection Control Coordinator
Holy Spirit Northside Private Hospital
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