[Maree Sommerville]

Hello Sony,
We use Sterrad (low temperature plasma sterilisation) for all our scopes including intubating bronchoscopes

Maree Sommerville
Infection Control Coordinator
Mercy Hospital for Women
163 Studley Road
Heidelberg, 3084
Phone: (03) 8458 4759
Fax: (03) 8458 4751

—–Original Message—–
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Sony SO
Sent: Saturday, 26 March 2016 7:47 PM
To: AICALIST@AICALIST.ORG.AU
Subject: disinfection of bronchoscopes

Dear ALL,

I would like to know the prevailing disinfection of bronchoscopes practices in AUS, whether all used bronchoscopes are disinfected by AER, or you would use manual disinfection methods for example using Cidex OPA.

Yours sincerely,

Sony SO
Nursing Officer, Infection Control Team CND WTSH office phone: +852 3517-3676; fax: +852 3517-3520 HA email sony@ha.org.hk

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[Maree Sommerville]

Dear all,
I am really enjoying these responses. Thank you.
All of our nurse immunisers are aware of the process and are accredited nurse immunisers.
The question has come from the chair of the resuscitation committee.
I will discuss this at a meeting I have scheduled next week.

Maree Sommerville
Infection Control Coordinator
Mercy Hospital for Women
(03) 8458 4759

From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Makejev, Delma
Sent: Friday, 1 May 2015 1:10 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Administering adrenaline for anaphylaxis following ‘flu vaccination

For the Nurse Immunisers in NSW

Kind regards
Delma

Delma Makejev
Clinical Nurse Specialist | Staff Clinic,
Infection Control Unit Lismore Base Hospital
‘ 02 6620 2516 | Delma.Makejev@ncahs.health.nsw.gov.au

Staff Clinic held on Monday, Tuesday afternoons and Thursday, Friday mornings. Please phone 6620 2516 to book appointment.

[Description: Description: Description: http://www.health.nsw.gov.au/images/communications/e-signatures/images/NSW-Health-Northern-NSW-LHD.jpg%5D

From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Michael Wishart
Sent: Friday, 1 May 2015 1:02 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] Administering adrenaline for anaphylaxis following ‘flu vaccination

Hmmm.. no attachment trying again. It is available via the link, if this doesnt work

Cheers
Michael

Michael Wishart
Infection Control Coordinator

A 627 Rode Road, Chermside QLD 4032
P (07) 3326 3068 | F (07) 3607 2226 | E michael.wishart@svha.org.au | W http://www.hsnph.org.au
[cid:image001.png@01D01926.61F1C2B0]
P Please consider the environment before printing this email

From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Michael Wishart
Sent: Friday, 1 May 2015 12:58 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Administering adrenaline for anaphylaxis following ‘flu vaccination

[Posted on behalf of Sue Atkins Moderator]

Maree,
I would not wait.
The attached secretary approval document covers the administration of adrenaline by the nurse immuniser in Victoria, and who can and can not administer.

This is the link to the other relevant documents relevant to Victoria

Cheers
Sue

Sue Atkins
Regional Infection Control Consultant | CICP | Service & Workforce Development | Grampians Region
Department of Health & Human Services
35 Armstrong Street South, Ballarat, Victoria, 3350
p. 03 5333 6023 | f. 03 5333 6093 | m. 0438 227 989
e. sue.e.atkins@dhhs.vic.gov.au | http://www.grhc.org.au

From:

Maree Sommerville <MSommerville@MERCY.COM.AU>

To:

AICALIST@AICALIST.ORG.AU

Date:

01/05/2015 11:50 AM

Subject:

Administering adrenaline for anaphylaxis following ‘flu vaccination

Sent by:

ACIPC Infexion Connexion <AICALIST@AICALIST.ORG.AU>

________________________________

Dear 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
Maree

Maree Sommerville
Infection Control Coordinator
Mercy Hospital for Women

163 Studley Road
Heidelberg 3084
Phone: 8458 4759
Mob: 0408 789 798
Fax: 8458 4751

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[Maree Sommerville]

Hello Jane,
There is no ‘good way’ to get the information from existing employees. Many of my organisations staff have worked here so long don’t remember anything about their immunisation status.
For us it will be a matter of contacting them one by one.
We did it this way:

* Briefing paper (for the executive) showing the risk of not knowing staff immunisation status.

o Outlining the process required to get this up to date and included pathology and immunisation costs and the cost to employ an immunisation nurse.

* The commission’s work force immunisation risk matrix to determine which areas to target first.

o This resulted in funding for an employee health nurse.

* 5 year plan for our new Employee Health Nurse to work towards (based on the risk matrix).

o The employee health nurse will target those high risk areas by contacting each staff member, arranging for path testing as required.

* The data is recorded in the our HR system.

If you have not already got the matrix, you will find it in this link
http://www.safetyandquality.gov.au/our-work/accreditation-and-the-nsqhs-standards/resources-to-implement-the-nsqhs-standards/

Maree Sommerville
Infection Control Coordinator
Mercy Hospital for Women
(03) 8458 4759

Hi all,

I am trying to get an understanding how other organisations are capturing data to be compliant with National Standard 3.6.1:

– demonstrating maintenance of vaccination status of existing workforce employees
– identifying subsequent additional vaccination requirements for relevant members of the workforce

It is not a problem to get this data on new employees but I’m finding it difficult to find a good way to get the same level of info on existing staff. Any ideas would be very very welcome 🙂

Regards,

Jane Bryant, RN
Acting Infection Control Consultant
Royal Victorian Eye & Ear Hospital
32 Gisborne Street, East Melbourne, 3002, VIC
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[Maree Sommerville]

Hello Franciska,

Early Pregnancy

* VE is not usually performed

* Exception: to obtain a PAP smear for women

* Reasons for this may be she has never had one (of which there
are still plenty) or women who may be lost to any follow up (due to poor
social circumstances/addiction issues etc.)

Mid Trimester

* Maybe performed to diagnose cervical shortening but this is
usually done under ultrasound which is a clean procedure

3rd Trimester and in labour

While the vagina is not a sterile area, in obstetric patients there is a
real risk of infection by introduced organisms. Multiple VEs are a risk
for chorioamnionitis/puerperal fever

Rupture of membranes is a sterile procedure, as well as attachment of
foetal scalp electrodes.

As I have mentioned, the vagina is not sterile, so the field is prepared
with obstetric cream which contains chlorhexidine

(http://www.sm2015.org/wmSfiles/products/sm2015/documents/website/GRAVET
T_PLoS_Medicine_Mater_al_Infections_2012.pdf)

At birth:

The accoucheur is receiving a baby that has passed through a non-sterile
area; sterile gloves may not be required.

Women birth in amazing settings at times; back of taxis, at home, in an
ambulance, in water.

They no longer have enemas (as they did when I was a new midwife) so
they can defaecate during delivery.

However, having said that, my organisation uses sterile gloves.

This is because:

* the delivery set is sterile,

* All is in readiness if an episiotomy is required.

Gynae procedures

VE is performed a clean procedure. Sterile gloves are not required
unless there is a more invasive procedure being performed at the same
time (e.g. hysteroscopy)

We use re-usable speculums that have been sterilised.

However, many external practices use disposable speculums that are
described on the packaging as clinically clean (not sterile)

I hope this is some use to you.

I am open to further discussion if others disagree.

Maree

Maree Sommerville

Infection Control Coordinator

Mercy Hospital for Women

(03) 8458 4759

________________________________

Behalf Of Franciska Ferreira

Good morning all,

I was asked the question, whether sterile gloves or non-sterile gloves
should be used when conducting VE’s and Deliveries? I have little
knowledge/background in the obstetric field but have witnessed
obstetricians wearing sterile gloves for VE’s in the past.

From recent experience I’ve been told that most obstetricians using
non-sterile gloves and only uses sterile gloves for suturing.

Any comments or views on this matter would be appreciated.

Thank you

Franciska Ferreira

INFECTION PREVENTION & CONTROL /WOUND MANAGEMENT CONSULTANT

Burnside War Memorial Hospital

120 Kensington Road, Toorak Gardens, SA 5056

t: 08 8202 7222 f: 08 8407 8573 e: fferreira@burnsidehospital.asn.au

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[Maree Sommerville]

I have been following the conversation in this thread and would like to
raise an issue/question

My organisation is constantly looking at ways to reduce its
environmental footprint.

We are a member of the Victorian Green Health Round Table Group, which
provides a forum of information sharing for member organisations related
to environmental concerns.

One key activity undertaken by this group is comparing waste volumes
generated with the goal to reduce.

One of the major changes in providing health services since I began
nursing (which was a good few years ago) is the increasing use of
disposable items; from kimguard wraps, surgical drapes, suction tubing,
endotracheal tubes, and surgical gloves…the list goes on.

Some of these are absolutely ‘no-brainers’ when it comes to rationale.

Disposable curtains are large and take up a lot of space in a bin, hence
in landfill, prior to breaking down.

How do organisations who use disposable curtains weigh up this issue in
contrast to the infection control risk related to privacy screens?

Maree Sommerville

Infection Control Coordinator

Mercy Hospital for Women

Heidelberg

(03) 8458 4759

________________________________

Behalf Of Denyer, Vicki

Hi All,

Have a small issue – Disposable curtains/screens!

Would appreciate feedback from areas that are using the disposable
curtain/screens in their facilities

The issue is around cost of linen vs disposable curtains/screens.

We have trialed & like what we have but those who watch the pennies are
questioning their use.

Originally we brought them into our ED because the poor terminal
cleaning staff were frantic with attending the cleaning ( which involves
the replacement of curtains).

The NUM of ED was indicating at this particular incident -that there
were three ambulances waiting to off load patients onto ED beds which
were being held up by the terminal cleaning required.

Amongst other actions taken regarding this issue in ED-was the
implementation of the disposable curtains.

Now the question being asked is who else in other health areas has
disposable curtains/screens & where are they ( ie high risk areas).

Much appreciate any assistance with this.

Thank you

Vicki Denyer

Clinical Nurse Consultant | Infection Prevention & Control Unit
Lismore Base Hospital
Tel 02 6620 2385 | vicki.denyer@ncahs.health.nsw.gov.au

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[Maree Sommerville]

Great tip.

It costs $168 US dollars but they have a facility that allows you to
read the whole document with a ‘RealRead’ (a javascript program).

Cannot print it out but worth looking at.

Below is the link. RealRead link is at the bottom of the page

http://www.fgiguidelines.org/guidelines2010.php

Maree Sommerville

Infection Control Coordinator

Mercy Hospital for Women

________________________________

Behalf Of Cath Murphy
pts. – service, building , ward layout/ flow for inpt
services/accommodations schedule

Lindy

Are you able to locate the most recent edition of the US “Guidelines FOR
DESIGN AND CONSTRUCTION OF

Health Care Facilities: The Facility Guidelines Institute”.

Depending on the extent of your build/ reno this may be a very wise
investment although not inexpensive. It certainly was for the team at
Gold Coast Hospital. Also my understanding from years of dealing with US
ICPs is that this document in each updated version is their absolute
“go-to” document for reno and construction. It goes well beyond the
scope and general detail of CDC Guideline.

Good luck

Cath

Cathryn Murphy PhD

Executive Director

Infection Control Plus Pty Ltd

http://www.infectioncontrolplus.com.au

FB logo Description: icp
icon

Behalf Of Lindy Ryan
pts. – service, building , ward layout/ flow for inpt
services/accommodations schedule

Dear Colleagues

Just wondering if anyone can guide me toward any useful information
regarding infection control recommendations/ advice for inpatient
haematology / cancer ward locations/ layout/ flows (also includes
transplant pts.).

I can only locate the CDC information around outpatient oncology
settings which isn’t really helpful in regard to physical location,
layout and flows and I was unable to find any helpful information on the
Australasian health care facility guidelines for this highest risk area
either.

Any ideas or links really appreciated

Thanks you in advance

Regards

Lindy

Lindy Ryan

Infection control CNC

Nepean Hospital NBMLHD

Phone 4734 2228

Email lindy.ryan@swahs.health.nsw.gov.au

Infection Prevention and control is everyones business

Clean hands – safest care….take a moment & practice the five moments

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[Maree Sommerville]

Dear Lyn,

Our neonatal unit considered hand dryers as an option to paper towels a
couple of years ago.

The 2 issues that we raised were uncontrolled air dispersal and the
noise factor (and they are so noisy…. Imagine hearing the hum of
dryers all day….)

To choose a dryer in a clinical setting would very much depend on that
setting.

In our neonatal nursery, the hand basins are within the ward, we have
carpeted floors, and the dryers potentially could disperse hand bacteria
and, depending on design, could disperse bacteria lurking in the carpet.

My organisation adopted a paper recycling process for the paper towels.

Hand dryers are relegated to public areas and not clinical ones.

* The NSW hand hygiene policy directive states ‘no hand dryers’.

http://www0.health.nsw.gov.au/policies/pd/2010/pdf/PD2010_058.pdf

* A study funded by Dyson (hand dryer company) supports their
claims that their product is superior to other hand dryers however they
are noisy.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3017747/

* HHA have a ‘sample hand hygiene procedure’ that includes the
possibility of using a hand dryer

http://www.hha.org.au/UserFiles/file/Manual/Generic%20Hand%20Hygiene%20G
uidelines_final%20_4_.pdf

I wish you the best in making a final decision.

Maree Sommerville

Infection Control Coordinator

Mercy Hospital for Women

________________________________

Behalf Of Lyn A. Golden

Has anybody had any experience with installation of hand dryers (warm
blowing air) in clinical areas?
We are building a new facility, the question has been raised can we
install hand dryers instead of paper towel in clinical areas at the hand
washing sinks?

Does anyone have any thoughts on this?

Lyn

Infection Prevention and Control Manager

Echuca Regional Health
17 Francis Street
Echuca 3564

Helping Everyone To Be And Stay Healthy

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[Maree Sommerville]

Hello Jane,

We operate a breast milk bank for our neonates.

The room is set up as a food preparation area and does not have any
special air handling or filters.

Food prep rooms in Victoria do not require any particular air handling.

Amongst other things the guidelines considers milk as a food. It is
included in our service wide food handling plan that we are required to
submit to the local council.

When handling the ‘food’ the staff wear hats, gowns as per food handling
protocols.

All equipment is washed in an industrial quality dish washer that can
monitor the correct temperature for thermal disinfection as per the food
plan.

Each donation of mother’s pooled milk is microbiologically tested pre
and post pasteurisation. This is done as an aseptic procedure only to
ensure no extra bacteria contaminates the milk. You will be surprised
at how much bacteria is in milk. Part of your plan will be to determine
what thresholds you will have in pre-pasteurised samples and what
triggers your decision to discard milk, even if the post pasteurisation
is clear.

In relation to air in the room: Our room is a retro fit. With all the
electrics, when the doors are closed, it can get very hot. The electric
equipment includes 2 freezers, a dishwasher, and a pasteuriser, a
computer plus a few other incidentals. It is not a large room.
Maree

Maree Sommerville

Infection Control Coordinator

Mercy Hospital for Women

________________________________

Behalf Of Jane Barnett

We’re in the process of setting up a breast milk bank for pasteurisation
of milk to be used in our neonatal unit initially. We’re following the
NICE guidelines from the UK but I’d welcome any comments/guidelines re:
whether we need to increase the air changes or filtration efficacy in
this room where it is being prepared and sampled. If anyone else has
experience of this or can assist, I’d be grateful.

Many 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

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[Maree Sommerville]

I thank you for you the opportunity to have this dialogue.

The demographic profile of our work experience students is mixed. While
most of our work experience students are fully immunised as per NIP,
there are those who have were not born in Australia.

Some applicants have no immunisation record (either as an
immigrant/refugee background or because their parents did not facilitate
it for whatever reason). As we have a high demand for places, we can
choose or decline placement on the basis of immunisation.

My organisation has historically taken the position of full immunisation
as per Category A, hence my review considering if this is always
appropriate in light of the risk to the student and ultimately the
client. Getting ready for a work experience placement is good practice
for what will be asked of these students should they proceed into a
health related career. For my population profile, some of the
vaccinations are ‘no-brainers’ (those are ones transmitted via droplet).
Hepatitis B may not pose a real threat to the student if they stay
within the confines of their brief or if all goes to plan but in a
hospital setting there always remains the “what if …’ scenario.

The NSW position (see below link) makes reference to TB clearance.
Given the background of some of our applicants, this is food for thought
also.

In my search for what other places do, I found the NSW and WA have made
statements pertaining to this issue for which other readers of this list
may be interested.

* NSW has taken a clear position as outlined in the link.
http://www.swslhd.nsw.gov.au/cewd/students/NWE_Immunisation_Information.
pdf

* The Western Australian Government operational directive has
one small statement: “Pre-employment screening principles and
immunisation should also apply to work experience students …..”,
(http://www.health.wa.gov.au/circularsnew/pdfs/12891.pdf )

Maree

Maree Sommerville

Infection Control Coordinator

Mercy Hospital for Women

________________________________

Behalf Of Michael Wishart

Hi Delma

What I was quoting is the “Australian Guidelines for the Prevention and
Control of Infection in Healthcare” (2010) which has a table on page 206
(Table C2.1) of risk categorisation for staff, which is based on a NSW
Health policy PD 2007_006 (not sure if this has since been revised). I
merely was using this as a platform for discussion rather than
definitive policy, but as the national standard I would consider this a
minimum standard to be considered. Yes, it is important to follow state
based legislation that is applicable to your facility.

I do understand most would have completed the national vaccination
schedule, which includes Hepatitis B vaccine, and have evidence
available for that – but what if the prospective student had not been
vaccinated due to parental concern or simply missed opportunity? Do we
exclude them from patient contact? Sign a ‘waiver’?

Cheers

Michael

Michael Wishart

CNC Infection Control

Holy Spirit Northside Private Hospital

627 Rode Road, Chermside, Qld 4032

t: (07) 3326 3068 | f: (07) 3607 2226

e: Michael.Wishart@hsn.org.au

w:www.holyspiritnorthside.org.au

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Behalf Of Makejev, Delma

Michael and Marie,

Each states has differing requirements for staff vaccination
requirements, hence if the student was attending a NNSW health facility
and having contact with patients they are considered category A not B as
Michael has stated which I presume is Queensland requirements.

For school work experience in our Local Health District we ask that
student show evidence of all vaccinations as per the Australian
childhood vaccination schedule. Therefore they should be able to provide
dTpa as adolescent, hep B x2 as adolescent or early childhood schedule,
MMR x2 as infant, varicella x1 as Adolescent. Places to obtain records
are ACIR register – apply through Medicare for record or Baby health
record book, Local GP record of vaccination or school based vaccination
record.

Regards

Delma

Delma Makejev
Clinical Nurse Specialist | Staff Clinic, Infection Control Unit
Lismore Base Hospital
Tel 02 6620 2516 | Delma.Makejev@ncahs.health.nsw.gov.au

Staff Clinic open for appointments Monday to Friday

http://www.health.nsw.gov.au/images/communications/e-signatures/images/N
SW-Health-Northern-NSW-LHD.jpg

On Behalf Of Michael
Wishart
experience students

Hi Marie

I think this is both a legal and a ‘moral’ question, myself. Legally,
you have to ensure you meet a reasonable duty of care for these work
experience students whilst they are in your facility. As the current
Australia guidelines do not require mandatory Hepatitis B vaccinations
for these types of contacts in healthcare (see pg 206), you could avoid
the need to collect this information. However, as they would be having
some patient contact, they would be considered category B, and you
should seek information about MMR, pertussis, varicella and influenza
status.

My personal view for Hep B would be based on what the facility has
decided for staff regarding Hep B vaccination. Is it offered to all
groups regardless of risk of exposure? Is it recommended that all staff,
or only specific groups, are aware of their status in regard to Hep B?
Based on these I would then treat work experience students as ‘staff’
and ask them to provide evidence accordingly.

Just my thoughts, anyway.

Cheers

Michael

Michael Wishart

CNC Infection Control

Holy Spirit Northside Private Hospital

627 Rode Road, Chermside, Qld 4032

t: (07) 3326 3068 | f: (07) 3607 2226

e: Michael.Wishart@hsn.org.au

w:www.holyspiritnorthside.org.au

Please consider the environment before printing this email

On Behalf Of Maree
Sommerville

Dear colleagues,

I would like to know what immunisation guidelines other health services
specify for work experience students.

Our work experience students are required to complete an immunisation
questionnaire similar to clinical staff. I am currently reviewing this.
Their role is mostly observational but may change 1 or 2 nappies, cuddle
a baby, take vital signs or palpate an abdomen. .

Most of these year 10 students are fully immunised as per NIP but some
are not.

Do any services decline an application for work experience based on the
student’s immunisation history?

* In relation to Hepatitis B vaccination: should the same
expectations apply to these students when they are unlikely to handle
blood or body fluids? Or should we take the view that, by the very fact
they are in a health care service, places them at risk of exposure.

Thankyou

Maree Sommerville

Infection Control Coordinator

Mercy Hospital for Women

163 Studley Road

Heidelberg 3084

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[Maree Sommerville]

Franciska,

We have a procedure on baths but our women do not deliver in the bath.
It is not our hospital policy to allow water-births. The baths are only
for pain relief in the first stage of labour.

Some of the factors that would determine the exit from the bath are
meconium stained liquor, blood staining in the water, imminent onset of
2nd stage.

If delivery is imminent and exit from the bath cannot be achieved
safely, the water is drained before the foetal head is on view. Our
procedure does discuss delivery in the bath but in terms of delivering
safely when the midwife has not anticipated the beginning of second
stage or if second stage is precipitated.

The cleaning of the bath is in accordance with our routine cleaning of
patient care areas (bathrooms) and is no different to cleaning the
shower of a woman in labour, who is trying to achieve pain relief in
this context.

I would have a number of issues related to delivering in a bath

* Occupational exposure risk to staff

o While most of our women have been tested in pregnancy for blood
borne viruses, it cannot be guaranteed at the time of birthing.

* Cleaning of bath in what is essentially a very large blood and
body fluid spill.

* Cleaning of hoses for water and drainage (particularly where
inflatable baths are used).

o In these baths, a warm temperature needs to be maintained, thus
water needs to be extracted and topped up.

I was watching the TV show on midwives when a baby delivered in water.
Bath was inflatable

o Midwife wore short gloves and no protective eyewear.

o Cord was cut in bath and blood went everywhere

o The women did loose blood in the bath

o She may have opened her bowels also

o The bath had a liner but holes are possible

o Nitrous oxide tubing was in the water.

There may be other issues related to water, slip issues, staff clothing
getting wet. Other members of this forum may wish to comment.

Maree Sommerville

Infection Control Coordinator

Mercy Hospital for Women

—–Original Message—–
Behalf Of Franciska Ferreira

Hi Everyone,

I’m a new subscriber and just would like to test my email.

I have a question for you all, I’m keen to know what issues, if any, you
might have with providing baths for labour and delivery from an
infection control or risk management perspective?

Kind Regards

Franciska Ferreira

INFECTION PREVENTION & CONTROL /WOUND MANAGEMENT CONSULTANT Burnside War
Memorial Hospital

120 Kensington Road, Toorak Gardens, SA 5056

t: 08 8202 7222 f: 08 8407 8573 e: fferreira@burnsidehospital.asn.au

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[Maree Sommerville]

The Victorian Government has not issued such a directive but did refer
to high level disinfection (see link) way back in 2008.

http://www.health.vic.gov.au/hospitalcirculars/circ08/circ0108.htm

For the use of covers, ASUM (Australian Society for Ultrasound Medicine)
recommend 38 microns. This is echoed in the ASA (Australian Sonographers
Association). The policies are available on-line from both these
organisations. The literature they use mostly refers to
gynaecological/obstetric use of intracavity ultrasound.

What is the rationale to cover TOE probes when we do not cover
gastroscopes bronchoscopes or duodenoscopes? Is it used to facilitate
the sound wave? There are risks, given that the cover has to go past
teeth and may break on the way down, thus causing a possible
obstruction. I would think the most important action would be cleaning
and sterilisation/disinfection and storage afterwards.

Happy to be further educated.

Good luck with it all.

Maree Sommerville

Infection Control Coordinator

Mercy Hospital for Women

________________________________

Behalf Of Barbara Elliott

Does anyone have information on the use of probe covers in diagnostic
ultrasound, specifically for TOE probes and where to obtain these?

The WA Health dept has released an Operational directive for Prevention
of Cross Infection in Ultrasound and states that all intracavity
ultrasound transducers must be covered before insertion. We have been
unable to find a suitable cover for the TOE probes and the one we have
used does not allow adequate visualisation during the procedure.

Do other states have this requirement?

Kind regards,

Barbara Elliott I Coordinator Infection Prevention & Control I St John
of God Subiaco Hospital

Level 3, 12 Salvado Road SUBIACO WA 6008

P: 08 9382 6871 F: 08 9382 6785 M: 0413706384 E:
barbara.elliott@sjog.org.au

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[Maree Sommerville]

Danielle,

We have a procedure for food brought by families.

Elements we have included:

* We don’t accept responsibility for externally prepared food

* We define storage conditions in line with our hospital food
plan

(such as fridge temp, daily monitoring etc.)

* We discuss re-heating

* All food must be labelled with date prepared/brought
in/patients name and bed number

* We define safe food and hazardous food.

Good luck

Maree Sommerville

Infection Control Coordinator

Mercy Hospital for Women

8458 4759

—–Original Message—–
Behalf Of Danielle Engelbrecht

Hi Everyone,

Given the difficulty of ensuring that food brought in by patients and
their relatives meet the required food standards, how are other
hospitals ensuring that our patients, culturally, meet their food
requirements but we (the hospital) provide food that only we have
prepared and served.

Regards

Danielle

Clinical Nurse Consultant,

Infection Prevention & Control

Womens and Newborn Health Service

King Edward Memorial Hospital

Subiaco, WA 6008

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[Maree Sommerville]

Has anyone started to use the Terumo disposable tourniquet?

It looks the same as the re-usable one but does not have a release
button.

The elastic band is glued with a simple glue, so when you have finished,
you release the tourniquet by pulling the band.

It is another option that does not have a significant change of
technique.

Maree Sommerville

Infection Control Nurse Consultant

Mercy Hospital for Women

8458 4759

________________________________

Behalf Of Maureen Mckenzie

Hi all

We are currently looking into replacing reusable tourniquets with
single-use disposable tourniquets throughout the hospital.

Just wondering if anyone has implemented a similar strategy in their
facility and what were the pro’s and con’s you encountered?

Regards

Maureen

Maureen McKenzie

Clinical Nurse Consultant | Infection Control

Concord Repatriation General Hospital

C/- Microbiology Dept.

Hospital Road Concord NSW 2139
Tel 02 9767 6898 | Fax 02 9767 7868 | maureen.mckenzie@sswahs.nsw.gov.au

http://www.health.nsw.gov.au

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[Maree Sommerville]

My organisation made a decision very recently on this subject.

The 2 choices were the Tristel Wipe system and the Trophon system.

Both systems are listed on the ARTG and are readily searchable.

I prepared a paper to present to my committee in order for the committee
to make a decision as to which is the best choice for us.

I can send an edited version of this paper upon request. I tried to be
as unbiased as possible in order for my committee to make an impartial
decision.

The decision made was for the Trophon and the rationale was because it
was automated.

The weakness with the Tristel system is ‘user’ fallibility.

There is no doubt the Tristel is easy and significantly cheaper.
However it is harder to measure that correct contact time for the active
ingredient to be effective. What happens in a busy unit with a doctor/
sonographer in a hurry to complete the list?

Trophon has significant ongoing cost implications with consumables and
once the warranty is expired, ongoing service costs.

It is a tough decision. Cost of product versus a guarantee of user
compliance with the process.

As one of my colleagues said … if we can’t get hand hygiene right
among some staff, can we expect them to get this right!!!

Maree Sommerville

Infection Control Nurse Consultant

Mercy Hospital for Women

8458 4759

________________________________

Behalf Of Fiona de Sousa

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

Fiona.Desousa@sah.org.au

185 Fox Valley Road, Wahroonga, NSW, 2076

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[Maree Sommerville]

Glenys,

The ” TGA listed” product and “TGA registered” product refers to
medicines and not to medical devices. The product mentioned previously
meets the criteria under medical devices. Is there something else on
the certificate that would identify it as appropriate on not appropriate
in relation to the company’s claims?

Maree Sommerville

Infection Control Nurse Consultant

Mercy Hospital for Women

8458 4759

________________________________

Behalf Of Glenys.Harrington@HEALTH.VIC.GOV.AU

Robert,

Can you be more specific about they type of non lumened medical devices
your mention?

Also in terms of “TGA approval” can you be more specific as the claims
that can be made for TGA Sterilants and Disinfectants for a ” TGA
listed” product and “TGA registered” product are different.

See the TGA “Guidelines for the Evaluation of Sterilants and
Disinfectants” – pages 62-65 for guidance at
http://www.tga.gov.au/industry/disinfectants-evaluation-guidelines.htm

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/ideas

Robert Robinson

AICALIST@AICALIST.ORG.AU

18/11/2011 11:37 AM

Sporicidial wipes

Sent by:

AICA Infexion Connexion

________________________________

Hi all
I’m interested to hear from the list if anyone uses or has comments on
sporicidial wipes for high level disinfection of non lumened medical
devices. I have heard (but not confirmed) these are being used in some
Australian hospitals. I’m only aware of one company that has TGA
approval for their use in Australia.
Your thoughts would be much appreciated.
regards

Robert Robinson
Clinical Nurse Specialist- Infection control
Nepean Hospital
Penrith NSW

___________________________________

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