[Natasha Hempenstall]

Hi Mandy

Some brief responses from SCHHS

1. In our Infection Management Service team we have an allocated team member to monitor the blood stream infections (surveillance) Multiprac alerts us to all blood cultures performed and the BSI portfolio holder main roles is to monitor and report as required. All of our team have specific portfolios however they do other jobs as well i.e. Daily MRO rounds, education as needed.
2. the BSI portfolio holder sends feedback forms requesting a response on specific BSI’s i.e SABs IVAD related BSIs, procedure related BSIs, additionally we provide regular education to areas especially if a pattern is identified i.e. regular education to renal dialysis and oncology as well as wards that have an increase in IVC related BSIs. Posters and promotional material around the facility.
3. IMS present the results each month at the Infection Prevention and Control Committee – our Infectious Disease consultant meets up with the BSI portfolio holder each week to run over positive BSIs. IMS is responsible for actioning it in our HHS.
4. SCHHS does have a VASE team. VASE consists of one FTE. Their role is to insert PICCs and perform regular audits of IVCs and give education. IMS sends the feedback forms to VASE with the results. The VASE team attend the IPCC meeting as well.
5. Just recently QAS has come on board within the SCHSS to stick red QAS inserted stickers onto IVCs inserted by QAS which hopefully will reduce the IVC staying in greater than 24 hours inturn reducing BSIs. The difficulty was the wards not knowing who inserted the IVC and was it inserted in an ideal situation.
Hope this is of benefit.

I am happy for you to contact our IMS team directly.

Cheers Tash
Natasha Hempenstall
Acting Clinical Nurse Consultant
Infection Management Service
——————————————————————————
Sunshine Coast Hospital and Health Service Queensland Health
P: (07) 5470 6831
E: Natasha.Hempenstall@health.qld.gov.au

________________________________

Hello everyone

I am curious to know how involved other ICPs are in relation to any actions taken after surveillance, specifically in relation to blood stream surveillance and reducing line (PIVC/CVAD) related Staphylococcus aureus bacteraemia.

I would appreciate any feedback around the following:

1. Who undertakes the blood stream surveillance? Is it a dedicated role and if so do they have other jobs?

2. What actions have you undertaken to reduce the SAB/Bacteraemia rate in your facility?

3. Who is responsible for actioning? Is it infection control?

4. Do you have a vascular access team (or similar)

5. If you have any “wins” you would like to share it would be appreciated.

Thanks

Mandy Davidson
RN DipPHTM MPHTM JCU
CNC Infection Prevention & Control
Townsville Hospital & Health Service
Pathology Building
IMB 38
P: 4433 3567
Mandy.Davidson@health.qld.gov.au
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