[Thomson, Rachel EA (THS)]

Hi Lindy,

Here in Tasmania we have a statewide screening protocol which outlines the requirements for MRO screening. The process does reflect some of the regional epidemiological differences or specific risk groups/areas, I will outline the framework within my region of Hospitals South (Tasmania) which relate specifically to screening into and out of ICU.

As we do not have any local issues with CPE or C. auris, there are no specific ICU screening requirements relating to these pathogens

I hope that this assists?

Kind regards
Rachel
……………………………………………………………………………..
Rachel Thomson
Nurse Unit Manager

Infection Prevention & Control Unit
Royal Hobart Hospital
Tasmanian Health Organisation-South

*: 03 6166 7882/ 6166 8658

Level 4, H Block
48 Liverpool Street
Hobart, 7000
[cid:image001.jpg@01D73CD2.16A77170]

Hello

Just hoping for quick survey for those site who have an ICU and the advice from the ACSQHC Table 2 – high risk units re MRO screening on admission , weekly and on discharge (especially VRE)
as I am getting mixed messages from one of our ICUs that other units no longer undertake weekly MRO screening despite the national guide so I am trying to get an understanding of what others unit may be doing

Question – Do you currently screen ICU patients for MROs on weekly as well as on discharge and admission

Many thanks for your useful feedback

Kind regards

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

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“Wise and humane management of the patient is the best safeguard against infection”
(Florence Nightingale Circa 1860)

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[Thomson, Rachel EA (THS)]

Hi Helen,

You will need to comply with your local waste guidelines. In Tasmania waste from rooms as mentioned below are segregated into the normal waste streams, thus very little waste from our TBP rooms goes into clinical waste.

Kind regards
Rachel

..
Rachel Thomson
Nurse Unit Manager

Infection Prevention & Control Unit
Royal Hobart Hospital
Tasmanian Health Organisation-South

: 03 6166 7882/ 6166 8658

Mobile: 0400 718 574
Email: rachel.thomson@ths.tas.gov.au

Level 4, H Block
48 Liverpool Street
Hobart, 7000

From: ACIPC Infexion Connexion On Behalf Of Helen Roberts
Sent: Tuesday, 23 February 2021 2:34 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: [ACIPC_Infexion_Connexion] PPE waste

Good afternoon everyone,

Just enquiring in which waste bin (general or clinical) do staff put their PPE after being in a precautions room (MRSA, VRE, CDiff etc).

Currently, we put all our PPE in to clinical waste.

I cannot see a clear directive in the Guild line for Prevention and control of infection in healthcare.

Do you place it in general waste or clinical waste?

Thanks in advance
Helen
Helen Roberts
Infection Control
P:
07 4646 3106
|
F:
07 4633 7602
E:
robertsh@sath.org.au
|
W:
http://www.sath.org.au
Post:
PO Box 263, Toowoomba, QLD 4350
Address:
280 North St, Toowoomba, QLD 4350
[cid:image701766.jpg@6EB0C9B7.277CA05E]

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[Thomson, Rachel EA (THS)]

Hi Crystal,

The recommendation from Work Safe has clearly introduced unintended risks. We all understand the importance of regular hand hygiene and it is well understood that glove use can be a barrier to this activity.

Unfortunately, the advice would be that gloves should be changed whenever hand hygiene should be performed, including cleaning hands before and after glove use.

I wonder if ACIPC would consider communicating with Work Safe or the IC Expert Working Group?

Thanks
Rachel

..
Rachel Thomson
Nurse Unit Manager

Infection Prevention & Control Unit
Royal Hobart Hospital
Tasmanian Health Organisation-South

: 03 6166 7882/ 6166 8658

Mobile: 0400 718 574
Email: rachel.thomson@ths.tas.gov.au

Level 4, H Block
48 Liverpool Street
Hobart, 7000

From: ACIPC Infexion Connexion On Behalf Of Crystal Polson
Sent: Wednesday, 9 September 2020 4:44 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: [ACIPC_Infexion_Connexion] PPE for Temp Screenings

Hi all,

Hope everyone is doing well.

Just wondering – if your facility is doing temperature screenings, what is your PPE protocol?

I am in Victoria. Work Safe guidelines mention that gloves and masks should be worn. My question is, how often should the gloves be changed?

We’re using non-contact forehead thermometers so the screener is not touching the person being screened.

Cheers
Crystal

Crystal Polson
Infection Control Coordinator
University of Melbourne
crystal.polson@unimelb.edu.au

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[Thomson, Rachel EA (THS)]

Hi all,

At the risk of making controversial comments, I think that as Infection Prevention and Control professionals, we need to very carefully consider the perceived gold standard in staff safety that may be provided by undertaking fit-testing. I believe that it is important for us to remember that a fit-test provides an individual with a single opportunity to assess the fit of a mask either qualitatively or quantitatively. This does not provide assurance of competence with PPE use more broadly, especially in the clinical milieu.

My open disclosure is that from 2007 until this year our service ran a targeted Qualitative fit-testing program in our organisation. We suspended this program early on in the pandemic when it became apparent that the task of fit-testing all staff was more than we could resource both in terms of time and PPE. In addition, the information available to us did not indicate increased adverse outcomes in those facilities where fit-testing was not offered both in our own State and within Australia, and where the focus was on PPE training including appropriate mask selection and fit-checking. Our organisation was the only one in our State undertaking fit-testing.

I am becoming extremely concerned that if organisations go down the path of fit-testing that any process must be equitable. Will all craft groups be given access to this? Who will determine who is most important? In some settings there are programs suggesting that high-risk staff be offered fit-testing. Who really is high-risk? I think that this is a slippery slope and wonder where the line would be drawn? If offered to all staff, the resource implications in terms of initial fit testing and repeat interval fit-testing are not insignificant. I wonder if this is the best use of our precious healthcare dollars?

I believe that rigorous and thorough PPE training, provision of trained spotters to support staff when they are using PPE in all care settings; PPE use auditing with direct and timely feedback; implementing and maintaining COVID-Safe work plans; working to prevent presenteeism etc. will all provide increased safety. I do not believe that there is evidence to link the current Australian situation to fit-testing or lack of fit-testing.

In addition, I believe that there are numerous potential unintended consequences of implementing a fit-testing program which includes, but are not limited to, the following;

* Use of PPE will be significantly increased to support fit-testing for larger numbers of staff
* Will staff members not fit-tested be allowed to work? (Think of locums, casuals, agency staff)
* Will staff member not fit-tested to the masks available be allowed to work?
* What if the mask that a staff member is fit-tested to is unavailable at the point of care?
* What frequency of fit-testing will be acceptable? Annual? Who will oversight and this for the 1,000s of staff requiring fit-testing across our country?
* If staff fit-test frequency lapses, will they be allowed to continue to work?
* Will there be WH&S risks and claims associated with any program gaps?

A friend of mine working in support of COVID activities recently told me a phrase they had heard commonly used in the Department of Health (not specifically about fit-testing), but what are the optics on this? I wonder if fit-testing is more about being seen to do something to build on the safety culture, rather that actually implementing something with a strong evidence base in preventing disease transmission?

I hope that these thoughts and comments assist in others contributing to discussions and providing input to processes being considered in your facilities and jurisdictions.

Kind regards
Rachel

..
Rachel Thomson
Nurse Unit Manager

Infection Prevention & Control Unit
Royal Hobart Hospital
Tasmanian Health Organisation-South

: 03 6166 7882/ 6166 8658

Mobile: 0400 718 574
Email: rachel.thomson@ths.tas.gov.au

Level 4, H Block
48 Liverpool Street
Hobart, 7000

From: ACIPC Infexion Connexion On Behalf Of Crystal Polson
Sent: Tuesday, 1 September 2020 9:23 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] FW: Poorly fitting N95 masks – My assessment of six masks

Great assessment, Glenys. Your findings underline the necessity of proper fit testing – and not just fit checking – when using respirators.

Here’s a great article on fit testing: https://www.mja.com.au/journal/2020/fit-testing-n95p2-masks-protect-health-care-workers#:~:text=The%20Australian%20Standard%20AS%2FNZS,fit%2Dtesting%20(9).

Cheers

Crystal Polson
Infection Control Coordinator
University of Melbourne
crystal.polson@unimelb.edu.au

On Mon, Aug 31, 2020 at 10:43 PM Glenys Harrington <infexion@ozemail.com.au> wrote:
Hi All,

With the change in guidelines in relation to the use of N95s in VIC I have been assisting a HCF to identify a suitable N95 masks.

As a start I have reviewed a number of N95 masks on the market to see if they pass a seal check (fit check) on myself.

Note: Im assuming that if worn correctly and with correct/recommend adjustments a mask that fails a seal check (fit check) on myself will also fail fit check.

A user seal check should be done every time a N95 mask is to be worn to ensure an adequate seal is achieved.

In the last 2 weeks I have obtained and reviewed six N95 masks. Four have been supplied to healthcare facilities from stockpiles (i.e. hospitals and/or aged care facilities), one masks was supplied by a manufacture and one mask was provided by a distributor.

Of the 6 masks only 1 passed a seal check (fit check) on myself.

Happy to share my assessment to date which includes details and images of failure issues I noted see attached.

In addition I have attached two recent articles (MAGAZINE OF THE AUSTRALIAN SOCIETY OF ANAESTHETISTS, SEPTEMBER 2020 and JAMA Intern Med. Published online August 11, 2020. doi:10.1001/jamainternmed.2020.4221) in relation to this issue which may also be of interest/assistance if you are reviewing such masks.

Regards

Glenys

Glenys Harrington
Consultant
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
E: infexion@ozemail.com.au

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[Thomson, Rachel EA (THS)]

Hi all,

I am in agreement that if a surgical mask is modified to fit like a P2/N95, that users may think that this can be used in place of a P2/N95. I think that this could introduce a range of unintended risks. I would prefer that users wear a surgical mask as provided when needed and a P2/N95 when needed.

Kind regards
Rachel

……………………………………………………………………………..
Rachel Thomson
Nurse Unit Manager

Infection Prevention & Control Unit
Royal Hobart Hospital
Tasmanian Health Organisation-South

*: 03 6166 7882/ 6166 8658

Level 4, H Block
48 Liverpool Street
Hobart, 7000

I also agree with Michael’s assessment, and we are discouraging this practice at PCH for those reasons.

Thanks,

Dallas

Dallas Sewell | Clinical Nurse Consultant | Infection Prevention and Control
Office 2D, Perth Children’s Hospital
15 Hospital Avenue, Nedlands | Locked Bag 2010, Nedlands WA 6909
T: (08) 6456 5359 | M: 0436 595 150 | E: dallas.sewell@health.wa.gov.au

Report Sharp Injuries or Blood and Body Fluid Exposure
Report IMMEDIATELY to:
Infection Prevention and Control: T:6456 2002 Mon-Fri 0730-1530
Hospital Clinical Manager: T:6456 3041 Afterhours/ Weekend/ Public Holiday
Click here for OSH form
Click here for Infection Prevention and Control policies

[cid:image006.jpg@01D65147.FF83E490]

I agree with Michael’s assessment.

Stay safe everyone 🙂

Marilyn Harris

CNC Infection Prevention & Control | Sydney Dental Hospital and Oral Health Services, SLHD
Sydney Dental Hospital, 2 Chalmers Street, SURRY HILLS 2010
Tel 02 9293 3276 | Fax 02 9293 3488 | marilyn.harris@health.nsw.gov.au

[cid:image001.jpg@01D661B7.CFB2A870]

Hi Elizabeth

The technique itself looks OK, particularly with that specific brand and type of mask. You would have to test it on other brands and types to see if the same technique could be used.

BUT… I’m not convinced that using this technique is a good idea or even necessary, for a number of reasons, including:

1. It assumes that a loose fitting mask is a risk. If you are using a level 2 or 3 surgical mask appropriately to prevent droplet transmission, there is no evidence to suggest the seal at the sides is so important.

2. You are, in my opinion, fanning the flames for the aerosol route of transmission being important with routine contact, not just droplet spread.

3. Using a level 2 or 3 surgical mask with a seal is sending a false assurance about spread from aerosols, as these masks are not designed to prevent inhalation of aerosols like a correctly fitted P2/N95 masks.

I will be quite interested in other members’ view on this.

Cheers
Michael

Michael Wishart | Infection Control Coordinator, CICP-E

St Vincent’s Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
M +61 448 954 282 | T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
W https://www.svphn.org.au

St Vincent’s Private Hospital Brisbane | 411 Main Street KANGAROO POINT QLD 4169
M +61 448 954 282 | T +61 7 3240 1208 | F +61 7 3240 1166
E michael.wishart@svha.org.au |
W https://www.svphb.org.au

[cid:image002.jpg@01D639A0.5B5D4C80]

[Stop the Flu before it stops you]

https://youtu.be/2TTg53aAP8Q

Hello all: I have seen this video on utube which shows how to modify a surgical mask by folding it to achieve a tighter fit.
Is there any benefit in modifying the masks in this way?

Is there any problem with doing this – assuming of course that it’s a fresh mas), and also ensuring that that doffing is as per normal infection control procedure?

I was considering sharing this with my Managers and incorporating into our procedures (in residential and home aged care).

Any thoughts?

Elizabeth Carroll | Executive Manager Residential & Chief Clinical Officer
p 07 3223 4444 d 07 3223 4491 f 07 3223 4411 m 0468 522 131
Level 3, 19 Lang Parade, Milton Q 4064 | PO Box 771, Toowong BC Q 4066

[PresCare]

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[Thomson, Rachel EA (THS)]

Hi Jenny,

I wonder why this HCW was accepted for testing if they were symptom free? Maybe each jurisdiction are doing their own thing in this regard. In Tasmania, this person would not have met testing criteria if no symptoms and no other risk factors for COVID-19

If this HCW has symptoms or are a confirmed close contact of a COVID-19 case or have other risk factors for COVID-19 then they should wait until their results are available.

Interested to understand more about the decision to test this HCW.

Kind regards
Rachel

……………………………………………………………………………..
Rachel Thomson
Nurse Unit Manager

Infection Prevention & Control Unit
Royal Hobart Hospital
Tasmanian Health Organisation-South

*: 03 6166 7882/ 6166 8658

Level 4, H Block
48 Liverpool Street
Hobart, 7000

Hi all
I have a staff member who is feeling quite well but decided to be tested for COVID-19 at one of the shopping centre testing areas they have set up. She assumed she would have a result within 2 days but has been told it may be up to a week. One of my colleagues has told her she cannot return to work until she has her result – does this sound right to everyone?
Thanks in advance for your expertise and comments
Jenny

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[Thomson, Rachel EA (THS)]

Thanks Chris,

I am not seeking assistance to run or set up a quantitative fit-test program. I am aware of the difference between qualitative and quantitative approaches

Kind regards
Rachel

……………………………………………………………………………..
Rachel Thomson
Nurse Unit Manager

Infection Prevention & Control Unit
Royal Hobart Hospital
Tasmanian Health Organisation-South

*: 03 6166 7882/ 6166 8658

Level 4, H Block
48 Liverpool Street
Hobart, 7000

Hi All,

Certainly happy to provide as much (or as little) resource.

https://europepmc.org/article/med/20658919 : Link to large scale quantitative respirator fit testing program for HCW (SA Health, Prof Dino Pisaniello circa 2010). SA Health have had a fit test for many years now. Only Healthcare network in Australia to do so.

* Extract of Order 43 Legislation (NSW) for different industry, but highlight new law for Quantitative Fit Testing introduced over past 18 months or.
* Focus on Health of Frontline Staff
* New OSHA Guidelines for 2.5 minute Fit Testing (released in Sept 2019)
* Fit Testing for healthcare Professionals
* Example of test report (Santa)

Please don’t confuse the term Fit Testings vs Fit Checking – Quantitative Fit Testing is exactly that, a way of quantitatively measure the efficiency of the seal of the mask on the wearers face, unable to answer questions re stock.

Hope this assist.

Kind regards

[cid:image007.png@01D3A1A9.77E508C0]

Chris Pollard
Sales Engineer
Kenelec Scientific Pty Ltd, 23 Redland Drive, Mitcham VIC 3132
d 03 9872 9929 | m 0437 007 810 | e chris.pollard@kenelec.com.au
Visit our website | View our Terms and Conditions
[cid:image004.png@01D61A16.67152510]

Hi all

We are interested in other states/jurisdictions/facilities approaches to fit-testing, either qualitative or quantitative.

We had a qualitative fit-testing program within our hospital previously and we made the decision to disband this earlier in the year for a number of reasons.

We are now getting significant pressure from a particular clinical group to re-establish fit-testing again.

We had a number of issues with the fit-testing program previously and our rationale for not re-establishing fit-testing currently include the following:

* Fit-testing has not been proven to provide safer P2 (N95) mask use compared with fit-checking alone
* Despite the presence of the Australian Standard, fit-testing is not mandatory and ‘fit-checking is accepted to be the minimum standard’
* There are a number of practical difficulties to be considered with the re-introduction of a fit-testing program;
* If fit-testing is offered to one craft group, all healthcare workers that require a P2 (N95) mask within their clinical role will expect a similar approach. Equitable approach would need to be considered for all.
* Some individuals will not have a successful ‘fit-test’ e.g. do not taste the fit-testing solution, do not have a successful fit-test with any of the available masks. Does this equate to that healthcare worker being unsafe with an appropriately fit-checked P2 (N95) mask?
* Resources required for fit-testing program is not insignificant i.e. human resources and PPE required, with consideration for annual testing thereafter
* What to do for individuals that have not been fit-tested as yet but they are required to work with the requirement of a P2 (N95) mask?
* What to do if individuals’ fit-tested mask is not available at the point of care, particularly in the setting of the current PPE stock issues?

We would be really keen to understand others’ thoughts and experiences and approaches.

Your urgent advice would be much appreciated. Please feel free to email me off-line or even call me if you can

Thanks in advance
Rachel

……………………………………………………………………………..
Rachel Thomson
Nurse Unit Manager

Infection Prevention & Control Unit
Royal Hobart Hospital
Tasmanian Health Organisation-South

*: 03 6166 7882/ 6166 8658

Level 4, H Block
48 Liverpool Street
Hobart, 7000

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[Thomson, Rachel EA (THS)]

Hi Michael,

In response to your questions;

The question becomes: should we send ALL of our final rinse water specimens to an environmental testing accredited lab?

* We have changed our processes and hare now sending all of our specimens to a NATA approved laboratory

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

* Uncertain of this, but our laboratory has recommended that we undertake all testing through a NATA certified laboratory.

Kind regards
Rachel

……………………………………………………………………………..
Rachel Thomson
Nurse Unit Manager

Infection Prevention & Control Unit
Royal Hobart Hospital
Tasmanian Health Organisation-South

*: 03 6166 7882/ 6166 8658

Level 4, H Block
48 Liverpool Street
Hobart, 7000

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… 🙂 ), 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 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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[Thomson, Rachel EA (THS)]

Thanks for this advice Claire. We have accessed these, so I am pleased that you think they are an important resource.

Thanks also to others who have replied – this is much appreciated!

Kind regards
Rachel

……………………………………………………………………………..
Rachel Thomson
Nurse Unit Manager

Infection Prevention & Control Unit
Royal Hobart Hospital
Tasmanian Health Organisation-South

*: 03 6166 7882/ 6166 8658

Level 4, H Block
48 Liverpool Street
Hobart, 7000

Dear Rachel

I recommend the Infusion Therapy Standards of Practice 2016 (currently being updated)-they are evidence-based (levels of evidence provided after the practice criteria).
They are comprehensive and excellent!!
https://www.ins1.org/

Question one:
I am quoting in brief
“standard 34.1 use a Luer locking mechanism to ensure a secure junction when attaching needleless connectors to a vascular access device (VAD) hub or access site.
Practice criteria a. The need for a needleless connector placed between the VAD hub and the administration set used for continuous fluid infusion is unknown. The primary purpose of needleless connectors is to protect health care personnel by eliminating needles and subsequent needlestick injuries when attaching administration sets and/or syringes to the VAT hub or injection site for intermittent infusion 1-3. (Regulatory).

1. Avoid use of a needleless connector for rapid flow rates of crystalloid solutions and red blood cells as their presence can greatly reduce flow rates (4) (IV)

Question 2.
There are two practice standards, one to do with dressings, and one to do with stabilisation products.
Dressings:
41.2 site care, including skin antisepsis and dressing changes, are performed at established intervals and immediately if the dressing integrity becomes damp, loosened, or visibly soiled, or if moisture, drainage, or blood are present under the dressing.
41.5 labelled the dressing with the date performed or date to be changed based on organisational policies and procedures
H. Perform dressing changes on central venous access devices and midline catheters at a frequency based on the type of dressing.
1. Change transparent semipermeable membrane dressings (TSM) at least every 5 to 7 days and because dressings at least every two days; research has not supported the superiority of a TSM dressing versus a gauze dressing; note that a gauze dressing underneath a TSM dressing is considered a gauze dressing and changed at least every two days. (3-5, 16) (II).

I. assess the integrity of the ESD with each dressing change and change the ESD according to the manufacturer’s directions for use. Remove adhesive ESDs during the dressing change to allow for appropriate skin anti-sepsis and apply a new ESD. An ESD designed to remain in place for the life of the VAD (e.g., sutures, subcutaneous ESD) may need to be removed and replaced if appropriate stabilisation is no longer being achieved (3, 22, 23, 27) (IV)

Hope this helps, happy to discuss further.
Claire Rickard PhD RN
School of Nursing and Midwifery
Alliance for Vascular Access Teaching and Research (AVATAR), Menzies Health Institute Queensland
Griffith University

Hi Brains Trust,

I posted a couple of questions on Monday about local practices relating to managing CVCs and PICCs.

At this stage I have not had any replies.

I would be really grateful if my questions could be reposted and if anyone would be kind enough to consider and reply that would be most welcomed.

Many thanks
Rachel

……………………………………………………………………………..
Rachel Thomson
Nurse Unit Manager

Infection Prevention & Control Unit
Royal Hobart Hospital
Tasmanian Health Organisation-South

*: 03 6166 7882/ 6166 8658

Level 4, H Block
48 Liverpool Street
Hobart, 7000

Hi all,

We are currently commencing a process of reviewing all of our protocols relating to central access devices. As part of this we are reviewing the use of needleless access devices used in conjunction with these items.

Could you consider the following questions and share your organisations approach/es

1. If you have an infusion running on a central venous access device (CVC and/or PICC), do you use a needleless connection between the line and the lumen?
* If so, why?
* If not, why?
2. What frequency of dressing change do you adopt in relation to CVCs and PICC for inpatients?
* Are there differences between CVCs and PICCs

i. If yes, what are these differences and why?

* If weekly, why did you choose this?
* If more frequent than weekly, why did you choose this?

Any sources of information that you would recommend that we consider would be welcomed.

Many thanks
Rachel
……………………………………………………………………………..
Rachel Thomson
Nurse Unit Manager

Infection Prevention & Control Unit
Royal Hobart Hospital
Tasmanian Health Organisation-South

*: 03 6166 7882/ 6166 8658

Level 4, H Block
48 Liverpool Street
Hobart, 7000

________________________________

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[Thomson, Rachel EA (THS)]

Hi Brains Trust,

I posted a couple of questions on Monday about local practices relating to managing CVCs and PICCs.

At this stage I have not had any replies.

I would be really grateful if my questions could be reposted and if anyone would be kind enough to consider and reply that would be most welcomed.

Many thanks
Rachel

……………………………………………………………………………..
Rachel Thomson
Nurse Unit Manager

Infection Prevention & Control Unit
Royal Hobart Hospital
Tasmanian Health Organisation-South

*: 03 6166 7882/ 6166 8658

Level 4, H Block
48 Liverpool Street
Hobart, 7000

Hi all,

We are currently commencing a process of reviewing all of our protocols relating to central access devices. As part of this we are reviewing the use of needleless access devices used in conjunction with these items.

Could you consider the following questions and share your organisations approach/es

1. If you have an infusion running on a central venous access device (CVC and/or PICC), do you use a needleless connection between the line and the lumen?
* If so, why?
* If not, why?
2. What frequency of dressing change do you adopt in relation to CVCs and PICC for inpatients?
* Are there differences between CVCs and PICCs

i. If yes, what are these differences and why?

* If weekly, why did you choose this?
* If more frequent than weekly, why did you choose this?

Any sources of information that you would recommend that we consider would be welcomed.

Many thanks
Rachel
……………………………………………………………………………..
Rachel Thomson
Nurse Unit Manager

Infection Prevention & Control Unit
Royal Hobart Hospital
Tasmanian Health Organisation-South

*: 03 6166 7882/ 6166 8658

Level 4, H Block
48 Liverpool Street
Hobart, 7000

________________________________

CONFIDENTIALITY NOTICE AND DISCLAIMER
The information in this transmission may be confidential and/or protected by legal professional privilege, and is intended only for the person or persons to whom it is addressed. If you are not such a person, you are warned that any disclosure, copying or dissemination of the information is unauthorised. If you have received the transmission in error, please immediately contact this office by telephone, fax or email, to inform us of the error and to enable arrangements to be made for the destruction of the transmission, or its return at our cost. No liability is accepted for any unauthorised use of the information contained in this transmission.

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[Thomson, Rachel EA (THS)]

Hi Helen,

Our organisation has used the HHA on-line assessment program for some time. We have managed to link the completions to our organisations on-line education system for reporting. This is all done by an extracted report and uploading to our on-line education system.

Completion compliance by medical staff is appalling!!

Many doctors (and others to be fair) think that the HHA on-line module is too lengthy and complicated. The argument we hear is that when staff are trying to juggle the numerous mandatory education requirements this is seen as a barrier to engagement.

Many of our doctors would like to be seen as up to date if they sit through a brief update, rather than have to complete something formal on-line.

I guess that the issue in relation to lack of completion by medical staff comes down to is leadership and governance, so maybe making sure that you have good engagement from your senior medical leadership is key!

Id love to know what pathway you end up going down to build medical engagement with this, please keep us posted!

Kind regards
Rachel

..
Rachel Thomson
Nurse Unit Manager

Infection Prevention & Control Unit
Royal Hobart Hospital
Tasmanian Health Organisation-South

: 03 6166 7882/ 6166 8658

Mobile: 0400 718 574
Email: rachel.thomson@ths.tas.gov.au

Level 4, H Block
48 Liverpool Street
Hobart, 7000

From: ACIPC Infexion Connexion On Behalf Of Michael Wishart
Sent: Friday, 8 November 2019 8:22 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] VMO hand hygiene

[Posted on behalf of member Moderator]

Hi ,

We have asked VMOs to forward us their online hand hygiene certificate for the last 4 years with a 30% return rate. It is getting better but it takes time. Ive even had to sit at the computer with a few of the senior VMOs and go through it.
Good luck

Jane Howard
Infection Control
Sydney Private Hospital

________________________________
From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> on behalf of Helen Roberts <robertsh@SATH.ORG.AU>
Sent: Thursday, 17 October 2019 1:31:49 PM
To: ACIPCLIST@ACIPC.ORG.AU <ACIPCLIST@ACIPC.ORG.AU>
Subject: [ACIPC_Infexion_Connexion] VMO hand hygiene

Hi everyone,

I have been asked to look at VMOs to undertake an annual mandatory and Hand Hygiene module as part of credentialing process.

Just wondering what other hospitals do?

I have email Hand Hygiene Australia to see what they recommended.

Any suggestion would be appreciated.

Kind regards,

Helen
Helen Roberts
Infection Control
P:
07 4646 3106
|
F:
07 4633 7602
E:
robertsh@sath.org.au
|
W:
http://www.sath.org.au
Post:
PO Box 263, Toowoomba, QLD 4350
Address:
280 North St, Toowoomba, QLD 4350
[cid:image561693.jpg@853736FD.CC41FBB8]
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

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The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

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[Thomson, Rachel EA (THS)]

Hi Karen,

We provide education to our medical records staff that they should regard all paper records associated with patients as potentially contaminated.

Their manager provides specific education to all staff on commencement. These staff are required to undertake mandatory HH education, like all our hospital staff. They are not allowed to eat and drink whilst handling patient files.

I think we can all agree that whilst there is a risk, that with normal hygiene measures as outlined above, the risk of infection to these staff is very low.

I think we should regard patient files and bedside charts as being like moneynever clean!!

Cheers
Rachel

..
Rachel Thomson
Nurse Unit Manager

Infection Prevention & Control Unit
Royal Hobart Hospital
Tasmanian Health Organisation-South

: 03 6166 7882/ 6166 8658

Mobile: 0400 718 574
Email: rachel.thomson@ths.tas.gov.au

Level 4, H Block
48 Liverpool Street
Hobart, 7000

From: ACIPC Infexion Connexion On Behalf Of karenbooth1@BIGPOND.COM
Sent: Tuesday, 13 August 2019 3:45 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] Bed charts and contact precautions

What happens when you send the file to medical records dept?
Cheers
Karen

Karen Booth
RN BHSCN GAICD
President APNA
Australian Primary Health Care Nurses Association
M: 0411 898 884
karenbooth1@bigpond.com

Australian Primary Health Care Nurses Association (APNA)
Level 17/350 Queen Street, Melbourne VIC 3000
p: 1300 303 184 f: (03) 9322 9599
president@apna.asn.au | http://www.apna.asn.au
[cid:image001.png@01D551EE.05BEBBF0]

From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> On Behalf Of Thomson, Rachel EA
Sent: Tuesday, 13 August 2019 2:30 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] Bed charts and contact precautions

Hi there,

We have discussed this quite actively on a number of occasions in our organisation. On regular wards we require the bedside charts to be outside the patient room when the patient is under TBP. Increasingly many wards are placing the bedside charts in a folder outside the patient room regardless of the requirement for TBP or not. In ICU, however, we have made provision for the bedside charts to be included in the bedspace. A summary of our advice is below.

* Management of patient charts and patient notes (DCCM)
* After discussion it was agreed that the most appropriate risk management strategy for the RHH DCCM is to retain the patient charts and notes within the patient cubicle/room on the approved trolley with a focus on the following:
* appropriate hand hygiene including consideration for the appropriate handling of notes and charts (all patients)
* reinforcing the use of PPE when entering the patient cubicle/room (for those patients under transmission based precautions)
* We accept that the retention of patient charts and notes within the patient cubicle/room, particularly for those patients managed under transmission based precautions, is not consistent with the NHMRC Australian Guidelines for the Prevention and Control of Healthcare but the key considerations involved in making this decision were as follows:
* low acquisition rate of MROs (including Clostridium difficile infection) within the RHH DCCM whilst adhering to the abovementioned protocol over many years
* risk management principles relating to minimising environmental contamination such as the risk of staff exiting the cubicle/room wearing contaminated PPE versus the risk of retaining notes in the cubicle/room

Interestingly, if you look at the HH Australia training videos this approach is also supported in the video of the nurse in DCCM where the nurse touches a drain having left the bedside charts and no Moment 1 is required as the charts are considered to be in the patient care zone.
https://www.hha.org.au/images/hha/videos/videoclips/selfEducation/028_SelfEducation.wmv

Kind regards
Rachel
..
Rachel Thomson
Nurse Unit Manager

Infection Prevention & Control Unit
Royal Hobart Hospital
Tasmanian Health Organisation-South

: 03 6166 7882/ 6166 8658

Mobile: 0400 718 574
Email: rachel.thomson@ths.tas.gov.au

Level 4, H Block
48 Liverpool Street
Hobart, 7000

From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> On Behalf Of Michael Wishart
Sent: Tuesday, 13 August 2019 1:06 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] Bed charts and contact precautions

Thanks Helen

We cant place lockers outside the rooms, as it creates traffic issues in our corridors. We had to move away from trolleys in the corridors for this reason (we use door hangers for PPE now).

The other thing to consider is at least some of our NUMs claim there is a clinical risk of not having the actual order at the bedside when administering the medication, and so they require their staff to take the medication chart into the room. Wouldnt matter where we dispensed it then, the chart would still need to go into the room.

In my mind this is a bit of a MY risk is bigger that YOUR risk situation, and I have to say as long as we reinforce good hand hygiene and cleaning of items removed from the room, they are possibly correct.

Has anyone faced this argument previously? How did you overcome it?

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

[cid:image001.jpg@01D46C86.4CDB6090]
[2019 conference email signature]

From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> On Behalf Of Helen Roberts
Sent: Tuesday, 13 August 2019 9:26 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] Bed charts and contact precautions

Hi Michael,

We place a infection control locker outside the precaution room. (They used to be the patients bedside lockers but we upgrade and kept the old ones for infection control)
It has 5 drawers in it.
We place all the PPE in the bottom drawers and medication are locked inside the top two drawer.
Medications are placed in medication cup outside room.
Nurse places a patient identification label on her blue gown so that she can still do her medication checks on entry into patients room.
Nurse carries the key.
This help solve the issues that you have outlined below.

Hope this helps,
Kind regards,
Helen

Helen Roberts
Infection Control
P:
07 4646 3106
|
F:
07 4633 7602
E:
robertsh@sath.org.au
|
W:
http://www.sath.org.au
Post:
PO Box 263, Toowoomba, QLD 4350
Address:
280 North St, Toowoomba, QLD 4350
[cid:image362010.jpg@ECC143CA.89E25C7A]

From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> On Behalf Of Michael Wishart
Sent: Tuesday, 13 August 2019 8:56 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: [ACIPC_Infexion_Connexion] Bed charts and contact precautions

Hi all

How do you manage bed charts under contact precautions?

Looking for some advice, as this has been an ongoing issue here for many years, and the recommendation in the guidelines has not changed in the latest version (2019), viz:

Other points relevant to patient placement include the following:

keep patient notes outside the room

keep patient bedside charts outside the room

disinfect hands upon leaving room and after writing in the chart

The issue is that many of our nurse unit managers (NUMs) require the medication and observation records to be at the bedside when medications are given or observations are taken. I know in some hospitals this will involve a second staff member standing at the door recording or verifying medication orders, but in reality in the private sector this is not resourced, so is not possible. The NUMs argue that there is a higher clinical risk of medication or documentation error than there is from infection transmission risk.

Has this been identified in other facilities, and if so, how do you manage this? We have been allowing nursing staff to take the bed chart into the room for medications and observations, then wipe it over on taking it back out of the room. Obviously the paper charts themselves cannot be wiped over. Generally we try to keep the bed charts outside of the rooms outside of these activities.

Any help or advice would be gratefully accepted.

Cheers
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

[cid:image001.jpg@01D46C86.4CDB6090]
[2019 conference email signature]

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This email and any attachments to it (the “Email”) is confidential and is for the use only of the intended recipient, and may not be duplicated or used by any other party without the express consent of the sender. If you are not the intended recipient of the Email, please notify the sender immediately by return email, delete the Email, and do not copy, print, retransmit, store or act in reliance on the Email. St Vincent’s Health Australia (“SVHA”) does not guarantee that the Email is free from errors, viruses or interference. Emails to and from SVHA or its related entities may be scanned and filtered in locations outside Australia.
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________________________________

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The information in this transmission may be confidential and/or protected by legal professional privilege, and is intended only for the person or persons to whom it is addressed. If you are not such a person, you are warned that any disclosure, copying or dissemination of the information is unauthorised. If you have received the transmission in error, please immediately contact this office by telephone, fax or email, to inform us of the error and to enable arrangements to be made for the destruction of the transmission, or its return at our cost. No liability is accepted for any unauthorised use of the information contained in this transmission.

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[Thomson, Rachel EA (THS)]

Hi there,

We have discussed this quite actively on a number of occasions in our organisation. On regular wards we require the bedside charts to be outside the patient room when the patient is under TBP. Increasingly many wards are placing the bedside charts in a folder outside the patient room regardless of the requirement for TBP or not. In ICU, however, we have made provision for the bedside charts to be included in the bedspace. A summary of our advice is below.

* Management of patient charts and patient notes (DCCM)
* After discussion it was agreed that the most appropriate risk management strategy for the RHH DCCM is to retain the patient charts and notes within the patient cubicle/room on the approved trolley with a focus on the following:
* appropriate hand hygiene including consideration for the appropriate handling of notes and charts (all patients)
* reinforcing the use of PPE when entering the patient cubicle/room (for those patients under transmission based precautions)
* We accept that the retention of patient charts and notes within the patient cubicle/room, particularly for those patients managed under transmission based precautions, is not consistent with the NHMRC Australian Guidelines for the Prevention and Control of Healthcare but the key considerations involved in making this decision were as follows:
* low acquisition rate of MROs (including Clostridium difficile infection) within the RHH DCCM whilst adhering to the abovementioned protocol over many years
* risk management principles relating to minimising environmental contamination such as the risk of staff exiting the cubicle/room wearing contaminated PPE versus the risk of retaining notes in the cubicle/room

Interestingly, if you look at the HH Australia training videos this approach is also supported in the video of the nurse in DCCM where the nurse touches a drain having left the bedside charts and no Moment 1 is required as the charts are considered to be in the patient care zone.
https://www.hha.org.au/images/hha/videos/videoclips/selfEducation/028_SelfEducation.wmv

Kind regards
Rachel
..
Rachel Thomson
Nurse Unit Manager

Infection Prevention & Control Unit
Royal Hobart Hospital
Tasmanian Health Organisation-South

: 03 6166 7882/ 6166 8658

Mobile: 0400 718 574
Email: rachel.thomson@ths.tas.gov.au

Level 4, H Block
48 Liverpool Street
Hobart, 7000

From: ACIPC Infexion Connexion On Behalf Of Michael Wishart
Sent: Tuesday, 13 August 2019 1:06 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] Bed charts and contact precautions

Thanks Helen

We cant place lockers outside the rooms, as it creates traffic issues in our corridors. We had to move away from trolleys in the corridors for this reason (we use door hangers for PPE now).

The other thing to consider is at least some of our NUMs claim there is a clinical risk of not having the actual order at the bedside when administering the medication, and so they require their staff to take the medication chart into the room. Wouldnt matter where we dispensed it then, the chart would still need to go into the room.

In my mind this is a bit of a MY risk is bigger that YOUR risk situation, and I have to say as long as we reinforce good hand hygiene and cleaning of items removed from the room, they are possibly correct.

Has anyone faced this argument previously? How did you overcome it?

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

[cid:image001.jpg@01D46C86.4CDB6090]
[2019 conference email signature]

From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> On Behalf Of Helen Roberts
Sent: Tuesday, 13 August 2019 9:26 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] Bed charts and contact precautions

Hi Michael,

We place a infection control locker outside the precaution room. (They used to be the patients bedside lockers but we upgrade and kept the old ones for infection control)
It has 5 drawers in it.
We place all the PPE in the bottom drawers and medication are locked inside the top two drawer.
Medications are placed in medication cup outside room.
Nurse places a patient identification label on her blue gown so that she can still do her medication checks on entry into patients room.
Nurse carries the key.
This help solve the issues that you have outlined below.

Hope this helps,
Kind regards,
Helen

Helen Roberts
Infection Control
P:
07 4646 3106
|
F:
07 4633 7602
E:
robertsh@sath.org.au
|
W:
http://www.sath.org.au
Post:
PO Box 263, Toowoomba, QLD 4350
Address:
280 North St, Toowoomba, QLD 4350
[cid:image362010.jpg@ECC143CA.89E25C7A]

From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> On Behalf Of Michael Wishart
Sent: Tuesday, 13 August 2019 8:56 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: [ACIPC_Infexion_Connexion] Bed charts and contact precautions

Hi all

How do you manage bed charts under contact precautions?

Looking for some advice, as this has been an ongoing issue here for many years, and the recommendation in the guidelines has not changed in the latest version (2019), viz:

Other points relevant to patient placement include the following:

keep patient notes outside the room

keep patient bedside charts outside the room

disinfect hands upon leaving room and after writing in the chart

The issue is that many of our nurse unit managers (NUMs) require the medication and observation records to be at the bedside when medications are given or observations are taken. I know in some hospitals this will involve a second staff member standing at the door recording or verifying medication orders, but in reality in the private sector this is not resourced, so is not possible. The NUMs argue that there is a higher clinical risk of medication or documentation error than there is from infection transmission risk.

Has this been identified in other facilities, and if so, how do you manage this? We have been allowing nursing staff to take the bed chart into the room for medications and observations, then wipe it over on taking it back out of the room. Obviously the paper charts themselves cannot be wiped over. Generally we try to keep the bed charts outside of the rooms outside of these activities.

Any help or advice would be gratefully accepted.

Cheers
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

[cid:image001.jpg@01D46C86.4CDB6090]
[2019 conference email signature]

______________________________________________________________________
This email and any attachments to it (the “Email”) is confidential and is for the use only of the intended recipient, and may not be duplicated or used by any other party without the express consent of the sender. If you are not the intended recipient of the Email, please notify the sender immediately by return email, delete the Email, and do not copy, print, retransmit, store or act in reliance on the Email. St Vincent’s Health Australia (“SVHA”) does not guarantee that the Email is free from errors, viruses or interference. Emails to and from SVHA or its related entities may be scanned and filtered in locations outside Australia.
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

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 acipclist@acipc.org.au

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[Thomson, Rachel EA (THS)]

Hi Cate,

Our ED initially purchased and implemented some of these PPE stands to assist in reducing the foot print being taken up by ‘isolation’ trolleys. These were so successful as they are more compact in the floor areas occupied and increased the profile of the presence of transmission-based precautions that other areas in our organisation have not adopted these.

We are routinely using them across our organisation in situations where the room does not have an ante-room and the patient/s are being managed under TBP.

There are a number of different types with very different prices. Happy to speak more about our choices off-line.

I am very pleased at the improved compliance with TBP that has resulted from the use of these devices!

Kind regards
Rachel

……………………………………………………………………………..
Rachel Thomson
Nurse Unit Manager

Infection Prevention & Control Unit
Royal Hobart Hospital
Tasmanian Health Organisation-South

*: 03 6166 7882/ 6166 8658

Level 4, H Block
48 Liverpool Street
Hobart, 7000

HI everyone
We are looking at purchasing PPE stands. Could you let me know if you use them and they are useful or otherwise. Any advice would be most helpful.
Regards

Cate Coffey | Clinical Nurse Consultant
Infection Prevention and Control Unit | Central Australia Health Service
Northern Territory Government
Alice Springs Hospital, Gap Rd, Alice Springs
GPO Box 2234, Alice Springs, NT 0871
p … 08 89517737
e … cate.coffey@nt.gov.au http://www.nt.gov.au/health

Our Vision: Better health outcomes for all Central Australians
Our Values: Community at the Centre | Equity and Integrity | We are Accountable | We are Relevant Today and Ready for Tomorrow | We are Committed to High Quality Care | We Value our Partnerships

Central Australia Health Service is a Smoke Free Workplace

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[Thomson, Rachel EA (THS)]

Hi Lindy et al,

We became aware of this document following its release during Wound Awareness Week last year (October 2017). Our Community CNC raised concerns here in Tasmania with the Wound Care Practitioners. In particular the following areas

* Recommendation in support of re-use for single-use scissors to cut primary dressings

* Use of open but unused dressings is also inconsistent with the contemporary aseptic technique frameworks

* Open but unused dressings being recommended for retention for up to 4 weeks

https://www.ncbi.nlm.nih.gov/pubmed/11901416?doptabstract

Our concerns specifically centred around the messages that seemed to be at odds with contemporary aseptic technique framework as promoted by the NHMRC and ACIPC. As ANTT in particular was developed to remove varying practices by having a process from ‘Community to Hospital’, we were quite concerned.

Our CNC did make contact with Wounds Australia. I am unaware of a formal response. We held a local meeting with our Wound Care Practitioner and local Management. We developed a local area health communication in relation to our response to the document. Our response was that whilst we acknowledge this document that we were endorsing a single approach in our region consistent with ANTT.

ACIPC and/or Sue Atkins may like to comment further as I note that Sue was listed as a contributor.

Kind regards
Rachel

……………………………………………………………………………..
Rachel Thomson
Nurse Unit Manager

Infection Prevention & Control Unit
Royal Hobart Hospital
Tasmanian Health Organisation-South

*: 03 6166 7882/ 6166 8658

Level 4, H Block
48 Liverpool Street
Hobart, 7000

Hello

hope you are all having a lovey day

Just wondering if anyone has come across this 2017 document developed by Wounds Australia called the ‘application of aseptic technique in wound dressing procedure’.
It is a consensus document put out by Wound Australiana that I have been approached by staff in regards to them in using & developing local processes and procedures .

I am uncertain with whom they may have consulted with from Infection control perspective in developing their consensus as on face value it looks like a useful resource… what are others thoughts?

http://www.woundsaustralia.com.au/2017/Application-of-aseptic-technique-in-wound-dressing-procedure.pdf

kind regards

Lindy

Lindy Ryan

District Infection Prevention & Control CNC | Clinical Governance Unit MNCLHD
Level 1 Coffs Specialist Centre, Pacific Hwy, Coffs Harbour
Mob 0419 990 693 | lindy.ryan@ncahs.health.nsw.gov.au
http://www.health.nsw.gov.au

[http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Mid-North-Coast-LHD.jpg]

“Wise and humane management of the patient is the best safeguard against infection”
(Florence Nightingale Circa 1860)

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