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As a Microbiologist, I miss comments about the results of the urine
analyses during the acute episode. If the infecting organism is
susceptible to the prescribed antibiotic, there is an expectation the
treatment is successful, especially if the patient is asymptomatic
post-treatment. Hence no further analyses are required. I always felt that
it was unreasonable not to check that the correct antibiotic had been
prescribed. The comments have not touched on the difference in recurrent
episodes, age and other possible complicating factors.
Mona Schousboe
FRCPA (Microbiology), MPH, New Zealand
RetiredOn Tue, May 18, 2021 at 3:01 PM Bennett, Noleen
wrote:> Hi Nicole
>
>
>
> Aligned with Sarahs response, the National Centre for Antimicrobial
> Stewardship notes
>
>
>
> Dipstick urinalysis is not recommended as a routine screening tool in
> asymptomatic people or post antibiotic therapy. Up to half of older
> adults will have bacteria present in the bladder/urine without an
> infection. This asymptomatic bacteriuria is not harmful, although it will
> cause a positive urine dipstick. Most people with a urinary catheter will
> have bacteria and /or leucocytes in their urine, but if they dont have
> symptoms this doesnt require antibiotic therapy.
>
>
>
> Kind regards
>
> Noleen
>
>
>
> Associate Professor Noleen Bennett
>
> Infection Control Consultant
>
> 1.VICNISS Coordinating Centre/ National Centre for Antimicrobial
> Stewardship
>
> Peter Doherty Institute for Infections and Immunity
>
> 792 Elizabeth St Melbourne VIC 3000 T: + 61 3 93429333
>
> 2. Department of Nursing, Melbourne School of Health Sciences
>
> The University of Melbourne
>
>
>
> *From:* ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] *On
> Behalf Of *Sarah Lynar
> *Sent:* Monday, 17 May 2021 6:34 PM
> *To:* ACIPCLIST@ACIPC.ORG.AU
> *Subject:* Re: [ACIPC_Infexion_Connexion] Post antibiotic urinalysis
> [WARNING: Failed Authentication]
>
>
>
> Hi Nicole,
>
>
>
> No, not in Australia. The current antibiotic therapeutic guidelines says:
>
>
>
> *Do not* perform post-treatment urine culture to confirm resolution of
> infection for asymptomatic nonpregnant women
>
> And for men:
>
> *Do not* perform post-treatment urine culture to confirm resolution of
> infection for asymptomatic men with acute cystitis
>
>
>
> Im not sure if thats helpful – apologies if you were already aware of
> this guidance.
>
>
>
> Kind regards,
>
>
>
> Sarah Lynar
>
> Infectious Diseases Specialist
>
> Royal Darwin and Palmerston Hospitals
>
>
>
> 17 May 2021 at 4:48 pm, Nicole Maguire 0000003a8ec9ba1d-dmarc-request@aicalist.org.au> wrote:
>
> Hi all,
>
> Is it currently best practice to complete a urinalysis post antibiotic
> therapy for a diagnosed UTI?
>
> Kind regards
>
> Nicole
>
> *Nicole Maguire*
> Acting Site Manager
>
> 07 5455 1111
>
> Nicole.Maguire@sundale.org.au
> 4 Wembley Rd Coolum
>
> QLD
>
> 4560
>
> [image: Sundale Logo Wave]
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Unfortunately, in my experience, many acute hospital wards want a washing
machine to wash some patients nightgowns and other personal clothing items
when their family are unable to provide help. They do not always consult
IP&C.service. They often have little spare housekeeping staff so these
washing machines are risky. It is important to be sure there is dedicated
staff to perform the service.
In the Spinal Injury Unit, I visited regularly, patients might be in
different stages of rehabilitation and therefore want personal clothing. We
instituted one patient one load of washing. Contaminated clothes or if
patients were colonised with resistant bacteria we soaked the inner body
clothes in a bleach solution formulated for clothing. The washing machine
had to be wiped down between patients and receive disinfection run daily.
Mona Schousboe
FRCPA, MPH
Medical Microbiologist ( retired)
Christchurch, New ZealandOn Thu, Oct 29, 2020 at 10:38 AM Derrick H wrote:
> Hi all
>
> Just wondering if anyone has a policy/procedure/guidelines for washing
> machines in their facilities?
>
> We have a few domestic machines in our mental health wards for patient
> use. It has been brought to our attention that there are concerns of cross
> infections as these are domestic machines and the requirements for cleaning
> of machines in between patient uses.
>
> Is there any guidelines on this? Any standard that dictate that we need to
> use commercial machines instead with a specific heat setting to avoid cross
> infections?
>
> And cleaning in between patients? This will include the dryers.
>
> We have been asked to produce a guideline for our wards to address this
> and any help will be greatly appreciated. Thank you in advance.
>
> Best regards,
>
> Derrick Hor
> A/CN
> Armadale Health Service
> WA
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Hi Michael
I cannot see any reply to your question regarding P2/N95 mask and BCG
instillation for bladder cancer. I have not got any reference to your
specific question but I have plenty of experience with BCG as a BCG
vaccinator and laboratory reception of urine from treated patients.
Bladder installation might be using a closed system, however, that is not
the only risk of exposure. If a cystoscope is used it will be contaminated.
The Urine from the BCG infected bladder will be positive for mycobacteria
for some time ( laboratory experience) and staff might be handling the
urine, if the patient is catheterised, and can get exposed from that
source. As a BCG vaccinator, I never used masks of any kind as I found eye
protection and protection from needle sticks most important, and in your
scenario handling contaminated equipment and BCG colonised urine.
Regarding the choice of mask, in my opinion, P2 would suffice as droplet
exposure is the most like risk.
Best wishes
Mona
Mona Schousboe
FRCPA, MPHOn Thu, Jul 9, 2020 at 4:26 PM Michael Wishart
wrote:> Hi all
>
>
>
> Does anyone have any evidence or advise about the need to use P2 N/95
> masks for intravesicular instillation of BCG? My understanding is that the
> current product comes in a closed system for instillation, so in my view an
> N95 masks need not be worn during the instillation process. Does anyone
> have any evidence or advice on this?
>
>
>
> Thanks
>
> Michael
>
>
>
>
>
> *Michael Wishart *| Infection Control Coordinator, CICP-E
>
>
> St Vincents Private Hospital Northside | 627 Rode Road CHERMSIDE QLD
> 4032
>
> *T *+61 7 3326 3068 |* F* +61 7 3607 2226
>
> *E* michael.wishart@svha.org.au |
>
> *W *https://www.svphn.org.au
>
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Hi Marija,
Australian Waste Standards are very comprehensive. I have dealt with the
infectious waste issue both from our laboratories as the Microbiologist
dealing with the challenge and from hospitals as involved with Infection
Control since 1990. I operated with the philosophy that the infection
controlling officers being pathologists or Infection Control Service was
responsible for advising about the safety of waste processes ranging from
the generation of the infectious waste (anything containing body fluid or
tissue) to the ultimate destruction. That meant that our concerns for save
handling included the workers and facility dealing with the pickup,
transport and final process of the waste. Therefore, if the
binliners cannot tolerate the handling until the final destruction
without bursting open, they are too full and or not closed safely. Also,
the bags or containers must not be able to cause injuries with sharp
contents penetrating the containers. Infection Control would be in contact
with those handling the waste from clinical areas being the orderlies
transporting the waste in the healthcare facilities and, the facility or
private companies processing it further. This included feedback if waste
was received, unsafe but also having the opportunity to check on the
cleaning of the hardshell containers and advise on safe handling and
protective clothing. Our Infection Control Service organise a visit the
waste destruction sites for our Infection Control Liason staff at least
once during their introduction. They are subsequently able to give
feedback to their clinical areas regarding any issues regarding waste
handling in their areas.Kinds Regards
Mona Schousboe
FRCPA, MPH
Clinical Director Infection Prevention and Control (retired)
CDHBOn Thu, May 28, 2020 at 5:20 PM Juraja, Marija (Health) wrote:
> Hi all,
>
>
>
> I am asking a question. AS3816 attached for reference.
>
> Are your clinical waste bins or medical waste bins (240 liters yellow
> mobile garbage bins) and cytotoxic bins lined with a bin liner?
>
> If so what type of bin liner is used, who supplies them and who is
> responsible for tying off the bag when it 2/3 full?
>
> Any help would be appreciated.
>
>
>
> *Kind Regards*
>
>
>
> *Marija Juraja* *|Nurse Unit Manager CALHN Infection Prevention &
> Control Unit| *
>
> *Division of Acute Medicine **(RN, GCNS Inf Ctrl, CICP-E)*
>
> The Royal Adelaide Hospital| Central Adelaide Local Health Network
>
> 8E Rm256 Port Road, ADELAIDE 5000
>
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>
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> e:marija.juraja@sa.gov.au |web: IPCU Intranet Site and Resources
>
>
> Adjunct Clinical Lecturer | University of South Australia | Division of
> Health Sciences
>
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>
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I agree with Jenny Robson that the issue of environmental testing is not
black or white. For testing of endoscopes, there are good and regularly
updated guidelines. What was the history behind the requirements for
endotoxin testing, and what was the research into the general availability
of the test? While mycobacterial testing already is concentrated in
specialist TB laboratories, atypical mycobacteria like *M marinum *is
isolated on the general microbiology benches. Research into new pathogens
like was required for Heater-Cooler Units water analyses was performed in
TB laboratories, not in environmental laboratories. We have not even
touched on the problems of organisms resistant to metals such as copper. We
found the M chimaera was isolated from a Heater-Cooler Unit sample with a
very high concentration of copper. We started environment testing for
legionella pneumophila in hospital hot water systems in the 1980es- and
published results many times. The requirements for environmental testing
accreditation, with the associated high cost, was not because we could not
culture for environmental * Legionella, *but because of IANZ (the NZ
equivalent of NATA) require different programmes for water testing than the
direct human specimen. They have no plan for swabs from showerheads. I
wonder if the accreditation authorities should be more conscious of the
cost of accreditation and become more versatile in the programmes they
offer to Microbiology Laboratories.
Kind regards
Mona Schousboe
FRCPA, MPH
ChristchurchOn Mon, Jan 6, 2020 at 12:55 PM Michael Wishart
wrote:> [Posted on behalf of Dr Robson, with thanks Moderator]
>
>
>
> Hi Michael et al
>
> Thought I would pass on that there is limited NATA accreditation available
> for Human Pathology labs in the environmental testing arena (see page 10 of
> 15 in the SoA).
>
> For example our lab has NATA accreditation for environmental testing as
> below. It does not however fulfil all the requirements of AS/NZS4187:2014
> (endotoxin testing).
>
>
>
>
>
> Additionally the ACQSHC and MTAC recommendations for Heater Cooler Unit
> mycobacterial testing (but not hetertrophic bacterial counts) can only be
> performed in Human Pathology Clinical Lab. The culture requirements for
> non-rapidly growing mycobacteria (e.g chimera) cannot usually be performed
> in environmental testing laboratories.
>
>
>
> Currently there is an RCPAQAP module available for Human pathology
> laboratory laboratories to perform endoscope testing and moves afoot to
> also possibly introduce a QAP for Mycobacterial testing to satisfy heater
> cooler unit requirements. To have NATA accreditation for a particular test
> the laboratory is required to be enrolled in a formal QAP programme or if
> not available a laboratory exchange programme.
>
>
>
> Kind regards
>
> Dr Jenny Robson
>
> Sullivan Nicolaides Pathology
>
> *From:* ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU
> ] *On Behalf Of *Mandy Davidson
> *Sent:* Monday, 6 January 2020 8:14 AM
> *To:* ACIPCLIST@ACIPC.ORG.AU
> *Subject:* [External] Re: [ACIPC_Infexion_Connexion] Lab accreditation
> for water testing?
>
>
>
> Michael,
>
>
>
> I agree, I dont think you are being pedantic at all. Normally everything
> is fine until there is a problem, i.e., you get an unexpected result. Then
> starts the usual cascade of events where you try to figure out why you have
> the result that you do. Is it a collection error, a testing error or and
> is it real?
>
>
>
> If you are not dealing with an accredited lab, this is going to make it
> challenging to progress. Another issue that I have recently come across, is
> that it is not only an accredited lab that matters, but also that the test
> performed is NATA accredited as well AND to the standard specified.
>
>
>
> My recent experience is with the requirement for Atypical mycobacteria
> testing or NTM. There are not many labs that actually perform this test as
> per the recommended methodology set out in ISO 15883-4 (see Annex E for
> detail). The water samples were sent to an accredited Environmental
> Laboratory, however as I was reviewing the results, I happened to read the
> fine print of the report and discovered that this was not a NATA accredited
> test. Then when we got a positive result, it became challenging to know
> what action to take, as there is always pressure to continue to use the
> equipment.
>
>
>
> As a side point, because the decision usually on which lab to use is often
> a financial one, I recently received some great advice. If you are going to
> use a lab that is not accredited, then ensure that it is documented in your
> organisations risk register. I would also include actions to take when you
> do have a positive result.
>
>
>
> Have a great day and good-luck.
>
>
>
> *Mandy Davidson*
>
> *RN; GCert Inf Pre & Cont; MPHTM; Cert III Sterilisation; Cert IV TAE;
> Immunisation cred; CICP-A*
>
> Clinical Nurse Consultant 4187 Implementation project
>
> Infection Prevention & Control
>
>
>
> [image: cid:image001.png@01D3A192.E1513890]
>
> *T*
>
> *07 4433 1873* | *0402 987 432*
>
> *E*
>
> Mandy.Davidson@health.qld.gov.au
>
> *W*
>
> http://www.health.qld.gov.au/townsville
>
>
>
>
>
> *Townsville Hospital and Health Service*
>
> 100 Angus Smith Drive, Douglas, QLD 4814
>
> *[image: Facebook-Icon]*
>
> *[image: Twitter-Icon]*
>
> *[image: Linkedin-Icon]*
>
>
> *Townsville Hospital and Health Service acknowledges the Traditional
> Owners of the land, and pays respect to Elders past, present and future.*
>
>
>
>
>
> *From:* ACIPC Infexion Connexion *On Behalf Of *Michael
> Wishart
> *Sent:* Thursday, 19 December 2019 11:51 AM
> *To:* ACIPCLIST@ACIPC.ORG.AU
> *Subject:* [ACIPC_Infexion_Connexion] Lab accreditation for water testing?
>
>
>
> Hi all
>
>
>
> Have a question. Like many of us, we have been microbiologically testing
> rinse waters from endoscopes and automated endoscope reprocesors (AERs) as
> per the GENCA/GESA guidelines for many years, via our human pathology
> testing lab. The lab has always maintained that it does these tests for us
> as a favour (although we do pay J ), as they are not NATA accredited
> to perform environmental testing, and that is what these tests actually are.
>
>
>
> Now that the final advisory for AS/NZS4187:2014 has been released from the
> ASCQHC, and there is a definite requirement to perform water testing for
> these AERs by December 2021, we also have to consider endotoxin testing
> (which our human pathology lab does not do), and possibly some chemical
> purity tests (dependent upon AER manufacturer advice). Now we should
> probably consider whether all of the final rinse water testing should be
> done by a lab accredited by NATA for this purpose (eg an environmental
> testing lab), despite some of the components of testing are already being
> done by our human pathology lab.
>
>
>
> AS/NZS4187: 2014 amendment 2:2019 has the following tests required for
> final rinse water in AERs:
>
>
>
> Total viable count 10 cfu/100 mL
>
> Pseudomonas aeruginosa Not detected/100 mL
>
> (Atypical) Mycobacterium sp Not detected/ 100 mL
>
> Chemical purity (as per manufacturer)
>
> Endotoxin 30 EU/mL
>
>
>
> Of those, we already routinely perform the first three with our human
> pathology testing accredited lab. Not sure what methods they currently use
> (the standard is very specific), so would need to check that as well.
>
>
>
> So, the question becomes: should we send ALL of our final rinse water
> specimens to an environmental testing accredited lab? Does anyone know if
> the NSQHS Standards accreditors will care which lab does what test, or they
> will look at the specific of the accreditation of the lab doing the
> testing, to measure compliance to this requirement of AS/NZS4187:2014?
>
>
>
> This is not an issue in CSSD as our human pathology lab has always
> declined to process those water samples, so we already have an
> environmental lab processing those specimens.
>
>
>
> Any thoughts or discussion would be valued. Am I being too pedantic about
> this, and no-one will care provided we get water tested?
>
>
>
> Thanks
>
> Michael
>
>
>
>
>
> *Michael Wishart *| Infection Control Coordinator, CICP-E
>
>
> St Vincents Private Hospital Northside | 627 Rode Road CHERMSIDE QLD
> 4032
>
> *T *+61 7 3326 3068 |* F* +61 7 3607 2226
>
> *E* michael.wishart@svha.org.au |
>
> *W *https://www.svphn.org.au
>
>
>
>
> [image: cid:image001.jpg@01D46C86.4CDB6090]
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>
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Hi ACIPC list
The Canterbury District Health Board hospitals (NZ) had to address the
issue of safe disposal of human tissue when we stopped being able to
operate incinerators more than 10 years ago and changed to commercial
autoclaving of infectious waste. We also had to address cultural issues
regarding the return of tissues, placentas, aborted fetuses, and
recognisable anatomic parts such as fingers and limps when requested. We
had two disposals streams. One was a controlled system for requested
returns of the tissues. the second was sensitive disposals. The Contractor
for the disposal of infectious waste was required to have a contract with a
funeral service for the cremation of tissues not claimed. Anything greater
than biopsies and other minor not anatomical identifiable tissue was
collected and kept frozen as mixed to agreed box sizes. Tissues requested
to be returned was kept with relevant documentation in the morgue for
bigger items or frozen. Placentas usually went home with the women on
discharge. Placentas were the major issue and second amputated limps.
Documentation was designed by quality, but I was closely involved as the
representative for Infection Prevention and Control.
Regards
Mona Schousboe FRCPA, MPH
Christchurch, New ZealandOn Tue, Dec 3, 2019 at 7:25 PM Helen Scott
wrote:> Hi all,
>
> Human tissue (including placentas and pathology specimens) is considered
> anatomical waste and needs to be disposed of as that. Some areas dont
> incinerate their clinical waste, therefore anatomical waste shouldnt be
> put in there. You should be able to find the details in each states Waste
> Mx policy.
>
> Cheers,
> Helen Scott,
> CNC IPC Far West LHD, NSW.
>
> On Mon, 2 Dec 2019 at 18:12, Deen, Sharon
> wrote:
>
>> Hi Helen
>>
>>
>>
>> I have liaised with my CSSD manager and she states The nurses should be
>> disposing of all human tissue the same as they do with their sharps and
>> rubbish. The only thing left on the trolley for CSSD technicians to deal
>> with is the instruments. All human tissue should be disposed of in the
>> yellow bags as it is contaminated waste.
>>
>>
>>
>> Hope this helps.
>>
>> *Sharon Deen*
>> Infection Control Nurse
>> Phone:08 9531 8570
>>
>>
>>
>> *From:* ACIPC Infexion Connexion *On Behalf Of *Helen
>> Roberts
>> *Sent:* Monday, 2 December 2019 11:44 AM
>> *To:* ACIPCLIST@ACIPC.ORG.AU
>> *Subject:* [ACIPC_Infexion_Connexion] Body fluids
>>
>>
>>
>> Afternoon everyone,
>>
>>
>>
>> My CSSD staff have come to me with some concerns in regards to disposing
>> of human tissues.
>>
>>
>>
>> Can anyone tell me what standards there are around the disposal of human
>> tissue in theatre or CSSD.
>>
>> Liquid form or solid form.
>>
>>
>>
>> Should it be disposed of in theatre prior to the equipment being sent to
>> CSSD?
>>
>>
>>
>> Any help would be appreciate.
>>
>> Kind regards,
>>
>> Helen
>>
>>
>>
>> *Helen Roberts***
>>
>> *Infection Control*
>>
>> *P: *
>>
>> *07 4646 3106*
>>
>> |
>>
>> *F: *
>>
>> *07 4633 7602*
>>
>> *E: *
>>
>> *robertsh@sath.org.au*
>>
>> |
>>
>> *W: *
>>
>> *www.sath.org.au*
>>
>> *Post: *
>>
>> PO Box 263, Toowoomba, QLD 4350
>>
>> *Address: *
>>
>> 280
>>
>> North
>>
>> St,
>>
>> Toowoomba,
>>
>> QLD
>>
>> 4350
>>
>>
>>
>>
>>
>>
>>
>>
>>
>>
>>
>>
>>
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Hello All
I can remember our burns unit at Burwood Hospital in the 1970es and maybe
80es used warm wax for exercising damaged hands. Of course, the wounds on
the hands were healed before it was used. However, the wax was used on
several patients. It was in my early days of Infection control, and I
addressed the need to decontaminate the wax, between patients, by heating
it to a temperature which the wax could tolerate and high enough to kill
bacteria.
Mona Schousboe
FRCPA, MPH.On Fri, Nov 8, 2019 at 1:13 PM Lindy Ryan (Mid North Coast LHD) wrote:
> Hello Kristin
>
>
>
> Possibly is may be related to the information around waxing and cross
> infection risks that was put out by NSW health some time ago (in
> conjunction with Skin Penetrating guidelines etc ) ?
>
>
>
> Here is the link for info and link to other guidelines
>
>
>
> https://www.health.nsw.gov.au/environment/factsheets/Pages/waxing.aspx
>
>
>
>
>
> Hope you day goes well & Happy Friday everyone!!
>
>
>
> 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@ncahs.health.nsw.gov.au
> http://www.health.nsw.gov.au
>
>
> [image:
> http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Mid-North-Coast-LHD.jpg%5D
>
>
>
> Wise and humane management of the patient is the best safeguard against
> infection
>
> (Florence Nightingale Circa 1860)
>
>
>
>
>
> *From:* ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] *On
> Behalf Of *Kristin Ryan-Agnew (Northern NSW LHD)
> *Sent:* Friday, 8 November 2019 6:52 AM
> *To:* ACIPCLIST@ACIPC.ORG.AU
> *Subject:* [ACIPC_Infexion_Connexion] Wax Baths
>
>
>
> Good morning,
>
> Ive been asked to review guidelines for a wax bath to be utilised in the
> hand clinic by our OTs.
>
> They tell me, we did have a wax bath years ago, but no one can say why
> they stopped using this aid.
>
> Can anyone share any IP&C implications associated with wax baths?
>
> I have no experience with this product and would appreciate any assistance.
>
> Kind regards
>
> Kristin
>
>
>
> *Kristin Ryan-Agnew*
>
> *Kristin Ryan-Agnew (MPH/Grad Cert IP&C)*
>
> *Infection Prevention & Control Clinical Nurse Consultant*
>
> *The Tweed Hospital*
>
> *Ph: 0755067406*
>
> *Mobile: 0427112213*
>
>
>
> [image: cid:image001.png@01D36E89.D6B88C30] *National Standard 3 :
> Preventing and Controlling Healthcare Associated Infections*
>
>
>
> [image: Description: Description: Description: Description:
> cid:image001.png@01CC899A.70FE88C0]
>
> I acknowledge the Bundjalung people as traditional owners of the land on
> which I work and live.
>
> ‘Bulla Yana Yabur’ Standing Together As One
>
>
>
>
>
>
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> confidential information. If you are not the intended recipient, please
> delete it and notify the sender.
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Hi Brain Trust
Are you asking for suggestions for a cover of damage to equipment and/or
biological cover? Laboratories are trained in sending biological specimens
and these specimens require 3 layers with the outer layer being a rigid
container. I would suggest cover in a plastic bag ( sorry did I say
plastic?) an intermediate layer of bubble wrap and a reasonably sturdy
cardboard box for the outer layer.
Kind regards
Mona Schousboe
FRCPA, MPHOn Wed, Oct 2, 2019 at 7:18 PM helen truscott
wrote:> Dear Brains Trust,
>
> Does anyone have experience in packaging and transporting RMDS including
> podiatry equipment in small fixed wing aircraft? The items are used in
> remote Aboriginal PHCCS and sent via small 4-6 seater aircraft to the Base
> Hospitals.
>
>
>
> I am looking into some risk mitigation processes and have been requested
> to consider and advise on the most appropriate container which would need
> to be rigid, but fairly light and compact, as anything over 10kgs would
> incur additional costs.
>
>
>
>
>
> Any assistance greatly appreciated.
>
>
>
> Kind regards
>
>
>
>
>
>
>
> Helen Truscott RN, RM, MPH, DipTropMed&Hyg.
>
> Ph:0410 011983
>
> E:Helentruscott@hotmail.com
>
>
>
>
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When staff are providing clinical care they need more than a handbasin and
paper towel. Some of our facilities use clinical trolleys with supply and
a receptacle for waste. Such a trolley can have paper towels, alcohol
hand-sanitiser and gloves as required. Clinical staff can wash their hand
in the patients ensuite, but use their own paper supply for drying their
hands. Then take the paper with them to be discarded when they strip the
trolley and prepare it for the next clinical contact. The client residence
is thus not turned into clinical space.
Mona Schousboe, FRCPA, MPH
Christchurch, New ZealandOn Fri, Sep 20, 2019 at 1:07 AM Lisa Campbell wrote:
> Hello Everyone,
>
> I am an ICP working fir a large metropolitan health service in Victoria.
> We currently have as part of our health service, 4 residential aged care
> facilities.
>
> We are currently in the planning stages with architects of a new public
> residential aged care facility. The question around hand towels in ensuites
> has been raised.
>
> The concern by planners is that not having paper towels in ensuites, will
> avail them with more space for storage for residents in this space. They
> state you would not have paper towels in your home ensuite.
>
> Our concern is , though a home, this is also a clinical space and for safe
> and best practice, staff require access to a wash basin and paper towels to
> perform hand hygiene if their hands are soiled.
>
> I would like to know how others are managing in this space.
>
> Kind regards,
> Lisa
>
> Lisa Mathieu Campbell
> Acting Associate Director
> Infection Prevention & Control Services
> Eastern Health
> Victoria
>
> Email: Lisa.Mathieu@ easternhealth.org.au
>
> Sent from my iPhone
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