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HI Vicky,
We now have disposable curtains in our ICU and ED department.
Kind regards,
Rebecca O’Donnell | Infection Prevention and Control Co-ordinator
St Vincent’s Hospital Toowoomba | 22-36 Scott Street TOOWOOMBA 4350
T 07 4690 4042 | F 07 46904400
E rebecca.o’donnell@stvincents.org.au | W http://www.stvincents.org.auP Please consider the environment before printing this email.
This e-mail and any attachments to it (the “Communication”) 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. The Communication may contain copyright material of St Vincent’s Health & Aged Care (“SVHAC”), or any of its related entities or of third parties. If you are not the intended recipient of the Communication, please notify the sender immediately by return e-mail, delete the Communication, and do not read, copy, print, retransmit, store or act in reliance on the Communication. Any views expressed in the Communication are those of the individual sender only, unless expressly stated to be those of SVHAC. SVHAC does not guarantee the integrity of the Communication, or that it is free from errors, viruses or interference.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[Description: cid:image001.png@01CE7F1B.E103A4C0]
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Well said Michael..AMS in a private sector is difficult and has proved a huge amount of time taken away from IPCs day. In particular my colleague who has been getting AMS off the ground…she has spent days upon days refining and reviewing procedures, guidelines etc….The workload has been huge….
Rebecca O’Donnell | Infection Prevention and Control Co-ordinator
St Vincent’s Hospital Toowoomba | 22-36 Scott Street TOOWOOMBA 4350
T 07 4690 4042 | F 07 46904400
E rebecca.o’donnell@stvincents.org.au | W http://www.stvincents.org.auP Please consider the environment before printing this email.
This e-mail and any attachments to it (the “Communication”) 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. The Communication may contain copyright material of St Vincent’s Health & Aged Care (“SVHAC”), or any of its related entities or of third parties. If you are not the intended recipient of the Communication, please notify the sender immediately by return e-mail, delete the Communication, and do not read, copy, print, retransmit, store or act in reliance on the Communication. Any views expressed in the Communication are those of the individual sender only, unless expressly stated to be those of SVHAC. SVHAC does not guarantee the integrity of the Communication, or that it is free from errors, viruses or interference.Hi Cath
We were accredited via the new Standards by ACHS late last year, and I think the process of having to demonstrate minimum requirements is good. Most of Standard 3 involves things we have been doing for a while (or should have been doing) in infection control, and most of meeting Standard 3 is just closing the loop with documentation and evaluation of what we do. So mostly good – to have all facilities measured against these Standards can only lead to improved patient outcomes, in my opinion.
My biggest gripe is AMS – AMS is an important infection prevention issue, don’t get me wrong, but ICP’s don’t prescribe antibiotics. In a facility with a standalone ICP (ie not part of a team with ID Physicians and clinical microbiologists) getting medical staff (who, in the private sector, are not even part of the workforce, really) to prescribe according to guidelines is a target way out of reach. Sure, we can audit and put up posters and stuff, but the responsibility for this part of Standard 3 should NOT be upon the facility, in my view, but put back on the medical staff, at least in the private sector. That’s my main gripe within Standard 3.
Just some thoughts.
Cheers
MichaelMichael Wishart
Infection Control Coordinator
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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Greetings all
One year since their implementation I am wondering how most IPs are coping with the Commission’s national safety and quality standards and in particular Standard 3. As some of you may know I was personally involved in some of their development through membership on two of the Commission’s committees. Yesterday I enquired of the Commission about any publically available information on how the Standards implementation is progressing but they are unable to report anything. To my knowledge there are no papers in peer-reviewed journals either. The Commission’s timeframe for review as stated on their website is 2015.
I am especially keen to hear in IP-speak 1) the challenges, rewards and obstacles that IPs may have faced as a result of Standard 3. 2)How “usual” ways of work may have changed and 3) any assistance that would make the task of implementing them easier.
In their Annual Report and at ACIPC 2012 Conference in Sydney the Commission referred to HH compliance, C Diff rates and SAB rates as the markers they will use to assess Stdnard 3’s impact. I’m more interested in the impact on programs or the IP role. Please feel free to share your experiences good, bad or indifferent through discussion here or email me personally.
And many thanks for those of you who discussed publically or as a sidebar, the issue of single-use pt care equipment – your insights were very illuminating.
Thanks and warm regards
CathDr Cathryn Murphy RN MPH PhD CIC
Executive Director
Infection Control Plus Pty LtdAdjunct Professor
Griffith University, School of Nursing and Midwifery
http://www.infectioncontrolplus.com.au
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Hi Chris,
Page 70 of The Australian Immunisation Handbook 10th edition states “if skin is visibly clean then no need to wipe”.
Hope that helps?
Rebecca O’Donnell | Infection Prevention and Control Co-ordinator
St Vincent’s Hospital Toowoomba | 22-36 Scott Street TOOWOOMBA 4350
T 07 4690 4042 | F 07 46904400
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Wondering if anyone can guide me to reference/ evidence base re swabbing skin before s/c or imi injection is or is not recommended.
Christine Lawson | RN
Quality and Risk Manager | Caboolture Private Hospital
Caboolture Private Hospital
McKean Street, CABOOLTURE QLD 4510
t: 07 5495 9418
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Hi Michael,
For years now Katie and I have sent letters to the GP / Specialist inviting them to participate in screening as per Chrisp screening protocols. We do see some GPs take it on their own back and conduct screening however this would only equate to a small group.
We also send the letter out esp. for those patient who have been discharged prior to results being known, file them in their Med records charts so when the readmit there is a record that we have notified their health provider. Again not all GPs will pass this information on for us.
Thanks,
Rebecca O’Donnell | Infection Prevention and Control Co-ordinator
St Vincent’s Hospital Toowoomba | 22-36 Scott Street TOOWOOMBA 4350
T 07 4690 4042 | F 07 46904400
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I am seeking some information on current practices on ‘clearing’ patients from requiring transmission based precautions for MRO carriage on re-admission. I am aware of different guidelines about ‘clearance’ for MRO’s, but wondered if any facilities actively tries to clear a patient after discharge to the community (not via facility outpatient visits). We are looking at trialling a program for providing patients with information and pathology forms on discharge to have specimens collected with their GP or private pathology collection centre to assist to ‘clear’ them from the MRO prior to the next admission. Obviously this will need to done in conjunction with our current ‘clearance’ guidelines (eg no current wounds, no antibiotic treatment within a specified time frame, no indwelling devices, correct specimen types, etc).
Is anyone doing this currently? Has anyone tried this and stopped?
I hope you this question is clear. Thanks for any responses.
Cheers
MichaelMichael 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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Hi Maureen,
To date we have not seen a Van A detection.
Rebecca O’Donnell | Infection Prevention and Control Co-ordinator
St Vincent’s Hospital Toowoomba | 22-36 Scott Street TOOWOOMBA 4350
T 07 4690 4042 | F 07 46904400
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We have seen an increase in the number of VRE VanA in our facility…..would be interested to know if any of you are experiencing the same?
If you have, has it occurred in any particular speciality area (e.g. renal unit).
Look forward to your comments
Regards
Maureen
Maureen McKenzie
Clinical Nurse Consultant | Infection Prevention & 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://www0.health.nsw.gov.au/images/communications/e-signatures/images/NSW-Health-Sydney-LHD.jpg]
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Hi Franciska,
The Australian Immunisation Handbook 9th states 1.4.4 page 43 “provided the skin is visibly clean” no swabbing is required. If need be using an alcohol wipe is to be used, allow drying time before administering vaccination.
I am not aware of any other recommendations for skin preparation for IM / SC route.
Regards,
Rebecca O’Donnell | Infection Prevention and Control Co-ordinator
St Vincent’s Hospital Toowoomba | 22-36 Scott Street TOOWOOMBA 4350
T 07 4690 4042 | F 07 46904400
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This e-mail and any attachments to it (the “Communication”) 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. The Communication may contain copyright material of St Vincent’s Health & Aged Care (“SVHAC”), or any of its related entities or of third parties. If you are not the intended recipient of the Communication, please notify the sender immediately by return e-mail, delete the Communication, and do not read, copy, print, retransmit, store or act in reliance on the Communication. Any views expressed in the Communication are those of the individual sender only, unless expressly stated to be those of SVHAC. SVHAC does not guarantee the integrity of the Communication, or that it is free from errors, viruses or interference.Hi All,
There is still an ongoing debate whether we should use an alcohol swab before administering clexane, vaccines and insulin. Any ideas please?
I know the latest practice in regards administering clexane is to “not swab”.I just want to advise my team from a infection control point of view with facts to stand on.
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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Good morning Jane,
No we don’t routinely screen visitors for Pertussis.
Good luck with your enquiries,
Rebecca O’Donnell | Infection Prevention and Control Co-ordinator
St Vincent’s Hospital Toowoomba | 22-36 Scott Street TOOWOOMBA 4350
T 07 4690 4042 | F 07 46904400
E rebecca.o’donnell@stvincents.org.au | W http://www.stvincents.org.auP Please consider the environment before printing this email.
This e-mail and any attachments to it (the “Communication”) 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. The Communication may contain copyright material of St Vincent’s Health & Aged Care (“SVHAC”), or any of its related entities or of third parties. If you are not the intended recipient of the Communication, please notify the sender immediately by return e-mail, delete the Communication, and do not read, copy, print, retransmit, store or act in reliance on the Communication. Any views expressed in the Communication are those of the individual sender only, unless expressly stated to be those of SVHAC. SVHAC does not guarantee the integrity of the Communication, or that it is free from errors, viruses or interference.Hi
I was wondering if maternity/paediatric areas have policies in place requesting confirmation of pertussis immunity of all visitors and if so, how this is managed. We are experiencing a significantly high rate of community pertussis and have had issues with visitors to neonatal/paed areas. Any advice/experience of colleagues in Australia would be welcome.
JaneJane Barnett
Clinical Nurse Specialist
Infection Prevention & Control
Christchurch Women’s Hospital
Private Bag 4711, ChristchurchInfection Prevention and Control is Everyone’s Business
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Hi Natalie,
I participated in your survey today. I would be very interested to see some feedback from this. Is this your intention to feedback to this group?
Thanks,
Rebecca O’Donnell | Infection Control Co-ordinator
St Vincent’s Hospital Toowoomba | 22-36 Scott Street TOOWOOMBA 4350
T 07 4690 4042 | F 07 46904400
E rebecca.o’donnell@stvincents.org.au | W http://www.stvincents.org.auP Please consider the environment before printing this email.
This e-mail and any attachments to it (the “Communication”) 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. The Communication may contain copyright material of St Vincent’s Health & Aged Care (“SVHAC”), or any of its related entities or of third parties. If you are not the intended recipient of the Communication, please notify the sender immediately by return e-mail, delete the Communication, and do not read, copy, print, retransmit, store or act in reliance on the Communication. Any views expressed in the Communication are those of the individual sender only, unless expressly stated to be those of SVHAC. SVHAC does not guarantee the integrity of the Communication, or that it is free from errors, viruses or interference.Hi all,
We are investigating the use of MRO screening in ICU’s. We are keen to have your input though this survey is only relevant to facilities with ICU’s.
We would appreciate your time in answering the following survey. It consists of 8 short questions which can be answered quickly.
http://www.surveymonkey.com/s/RLB6MLN
Thanks for your assistance,
Natalie Williams
Infection Control Consultant
Southern Health
(03) 95548079
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Congrats your first time post worked!!
Thanks Kate for your feedback and as Jane mentioned as well, there are complexities with this issue.
My way of thinking is educate regarding illness and Hand Hygiene. Perhaps a screening tool would be helpful.
Thanks for your input, it is very much appreciated.
Kind regards,
Rebecca O’Donnell | Infection Control Co-ordinator
St Vincent’s Hospital Toowoomba | 22-36 Scott Street TOOWOOMBA 4350
T 07 4690 4042 | F 07 46904400
E rebecca.o’donnell@stvincents.org.au | W http://www.stvincents.org.auP Please consider the environment before printing this email.
This e-mail and any attachments to it (the “Communication”) 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. The Communication may contain copyright material of St Vincent’s Health & Aged Care (“SVHAC”), or any of its related entities or of third parties. If you are not the intended recipient of the Communication, please notify the sender immediately by return e-mail, delete the Communication, and do not read, copy, print, retransmit, store or act in reliance on the Communication. Any views expressed in the Communication are those of the individual sender only, unless expressly stated to be those of SVHAC. SVHAC does not guarantee the integrity of the Communication, or that it is free from errors, viruses or interference.Hi,
Hope this post works, first time posting!
From working in paediatrics and neonatal ICU, and as an Infection Control Nurse, I see it from both sides. An additional challenge to those already mentioned is keeping young siblings from visiting other cots/ touching trolleys etc. It’s a hard ask to keep a young child contained to a cot space in a more open ICU setting, and as mentioned by Jane, hard to screen for symptoms when they will be either downplayed or infectious prior to actual symptoms presenting. I think having written guidelines that all of the staff are aware of and also information for parents explaining what is expected from the hospital (thus taking some of the “blame” away from the individual nurse at the bedside trying to restrict visiting) and the reasons why visiting of younger siblings might be restricted or not permitted can help. On the other side, it’s so important that younger siblings get to be a part of the new babies life, I’m not sure a complete ban is always necessary. Obviously during an outbreak or with ongoing issues things need to be reviewed and individual facilities face their own challenges that need individual solutions.
From an NICU/ SC environment perspective, the aim is to try and keep things calm and quiet, and this is also a challenge if younger children are spending extended lengths of time there, it does get boring! So perhaps considering the guideline in a broader context of general aims of the unit might help?
Not having worked for a few months now in the area, I can’t quite remember what is actually done in our facility however! Sorry!Kind regards
Kate Herbert, Clinical Nurse
Infection Prevention and Control
Royal Hobart HospitalOn Tue, Aug 7, 2012 at 3:00 PM, Rebecca O’Donnell <Rebecca.O'Donnell@stvincents.org.au> wrote:
Jane I appreciate your input. You have certainly bought up some great points to discuss further. Yes a screening tool may be something to consider. Thank you for sharing your experiences and information.Again your time is very much appreciated.
Kind regards,
Rebecca O’Donnell | Infection Control Co-ordinator
St Vincent’s Hospital Toowoomba | 22-36 Scott Street TOOWOOMBA 4350
T 07 4690 4042 | F 07 46904400
E rebecca.o’donnell@stvincents.org.au | W http://www.stvincents.org.auP Please consider the environment before printing this email.
This e-mail and any attachments to it (the “Communication”) 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. The Communication may contain copyright material of St Vincent’s Health & Aged Care (“SVHAC”), or any of its related entities or of third parties. If you are not the intended recipient of the Communication, please notify the sender immediately by return e-mail, delete the Communication, and do not read, copy, print, retransmit, store or act in reliance on the Communication. Any views expressed in the Communication are those of the individual sender only, unless expressly stated to be those of SVHAC. SVHAC does not guarantee the integrity of the Communication, or that it is free from errors, viruses or interference.HI Rebecca
Great question, I guess the risk lies with the capability for the department for screening of children who may be visiting the nursery to exclude signs of droplet or gastrointestinal infection? As you know influenza is infectious for two days prior to symptoms.Here at the RCH Bris we have see several cases of ‘hospital acquired’ infection in at risk patients brought in by siblings, children will randomly vomit when they have norovirus and have limited personal hygiene.
In fact 3 years ago we excluded all children under 14yrs from visiting in the inpatient baby area due to the repeated infections brought in this way. Yes this is difficult logistically for parents and siblings and less family centred care but we felt protecting the already compromised infants had to be foremost in our recommendations. We find that visitors/siblings minimise their infections and potential risks as they are so keen to visit with the sick patient and they don’t well understand the consequences to the sick patient.
It is left up to the nurse in charge of the ward in special circumstances to adjust this on a case by case basis such as for those with multiple births.
Also our baby room has ‘viewing’ windows for siblings to see the baby rather than directly visit.In my experience working at NICU and SCN who did not allow any visits from children under 14yrs this screening and control of visitors would then conceivably fall to the nurse at bedside and could potentially create some quite challenging interpersonal situations.
Being creative I would wonder if you could incorporate a infectious symptoms screening tool for use at the bedside, could this require some discussion and or documentation with each group of visitors.
regards
JaneJane Tomlinson RN
Clinical Nurse Consultant
Infection Management and Prevention Service
Royal Children’s Hospital
Children’s HealthQueensland
T: 07 3636 7856 | M: 0408 236 266
| F: 3636 5505
E: jane_tomlinson@health.qld.gov.au
Ground Floor, South Tower
Herston Rd, HERSTON QLD 4029
http://www.health.qld.gov.au/childrenshealth
Jane Tomlinson RN
Clinical Nurse Consultant
Infection Management and Prevention Service
Royal Children’s Hospital
Children’s Health Queensland
T: 07 3636 7856 | M: 0408 236 266
| F: 3636 5505
E: jane_tomlinson@health.qld.gov.au
Ground Floor, South Tower
Herston Rd, HERSTON QLD 4029
http://www.health.qld.gov.au/childrenshealth
Jane Tomlinson RN
Clinical Nurse Consultant
Infection Management and Prevention Service
Royal Children’s Hospital
Children’s Health Queensland
T: 07 3636 7856 | M: 0408 236 266
| F: 3636 5505
E: jane_tomlinson@health.qld.gov.au
Ground Floor, South Tower
Herston Rd, HERSTON QLD 4029
http://www.health.qld.gov.au/childrenshealth
Jane Tomlinson RN
Clinical Nurse Consultant
Infection Management and Prevention Service
Royal Children’s Hospital
Children’s Health Queensland
T: 07 3636 7856 | M: 0408 236 266
| F: 3636 5505
E: jane_tomlinson@health.qld.gov.au
Ground Floor, South Tower
Herston Rd, HERSTON QLD 4029
http://www.health.qld.gov.au/childrenshealth
Jane Tomlinson RN
Clinical Nurse Consultant
Infection Management and Prevention Service
Royal Children’s Hospital
Children’s Health Queensland
T: 07 3636 7856 | M: 0408 236 266
| F: 3636 5505
E: jane_tomlinson@health.qld.gov.au
Ground Floor, South Tower
Herston Rd, HERSTON QLD 4029
http://www.health.qld.gov.au/childrenshealth
Jane Tomlinson RN
Clinical Nurse Consultant
Infection Management and Prevention Service
Royal Children’s Hospital
Children’s Health Queensland
T: 07 3636 7856 | M: 0408 236 266
| F: 3636 5505
E: jane_tomlinson@health.qld.gov.au
Ground Floor, South Tower
Herston Rd, HERSTON QLD 4029
http://www.health.qld.gov.au/childrenshealth>>> “Rebecca O’Donnell” <Rebecca.O'Donnell@STVINCENTS.ORG.AU> 7/08/12 11:23 >>>
Good morning,I would love some feedback regarding restrictions of visitors to Special care nurseries.
Who do you restrict? Other siblings?
I feel as long as Hand hygiene is performed and the visitor is well I personal feel that there is no real significant risk.
Some of our staff feel that in the case of twins, one goes home and one stays in the nursery then the well twin shouldn’t visit as the baby might pose a threat to the babies in Special care (perhaps from a whooping cough point of view).
Thanks,
Rebecca O’Donnell | Infection Control Co-ordinator
St Vincent’s Hospital Toowoomba | 22-36 Scott Street TOOWOOMBA 4350
T 07 4690 4042 | F 07 46904400
E rebecca.o’donnell@stvincents.org.au | W http://www.stvincents.org.auP Please consider the environment before printing this email.
This e-mail and any attachments to it (the “Communication”) 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. The Communication may contain copyright material of St Vincent’s Health & Aged Care (“SVHAC”), or any of its related entities or of third parties. If you are not the intended recipient of the Communication, please notify the sender immediately by return e-mail, delete the Communication, and do not read, copy, print, retransmit, store or act in reliance on the Communication. Any views expressed in the Communication are those of the individual sender only, unless expressly stated to be those of SVHAC. SVHAC does not guarantee the integrity of the Communication, or that it is free from errors, viruses or interference.WARNING : This email contains information, which is CONFIDENTIAL, and that maybe subject to LEGAL PRIVILEGE. This e-mail and any attachments to it (the “Communication”) is confidential and is for the use only of the intended recipient, and may not duplicated or used by any other party without the express consent of the sender. The Communication may contain copyright material of St Vincent’s Health & Aged Care(“SVHAC”), or any of its related entities or of third parties. If you are not the intended recipient of the Communication, please notify the sender immediately by return e-mail, delete the Communication, and do not read, copy, print, retransmit, store or act in reliance on the Communication. Any views expressed in the Communication are those of the individual sender only, unless expressly stated to be those of SVHAC. SVHAC does not guarantee the integrity of the Communication, or that it is free from errors, viruses or interference. Thank-you.
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Jane I appreciate your input. You have certainly bought up some great points to discuss further. Yes a screening tool may be something to consider. Thank you for sharing your experiences and information.
Again your time is very much appreciated.
Kind regards,
Rebecca ODonnell | Infection Control Co-ordinator
St Vincent’s Hospital Toowoomba | 22-36 Scott Street TOOWOOMBA 4350
T 07 4690 4042 | F 07 46904400
E rebecca.odonnell@stvincents.org.au | W http://www.stvincents.org.auP Please consider the environment before printing this email.
This e-mail and any attachments to it (the “Communication”) 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. The Communication may contain copyright material of St Vincent’s Health & Aged Care (“SVHAC”), or any of its related entities or of third parties. If you are not the intended recipient of the Communication, please notify the sender immediately by return e-mail, delete the Communication, and do not read, copy, print, retransmit, store or act in reliance on the Communication. Any views expressed in the Communication are those of the individual sender only, unless expressly stated to be those of SVHAC. SVHAC does not guarantee the integrity of the Communication, or that it is free from errors, viruses or interference.From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Jane Tomlinson
Sent: Tuesday, 7 August 2012 1:18 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Special care nurseryHI Rebecca
Great question, I guess the risk lies with the capability for the department for screening of children who may be visiting the nursery to exclude signs of droplet or gastrointestinal infection? As you know influenza is infectious for two days prior to symptoms.Here at the RCH Bris we have see several cases of ‘hospital acquired’ infection in at risk patients brought in by siblings, children will randomly vomit when they have norovirus and have limited personal hygiene.
In fact 3 years ago we excluded all children under 14yrs from visiting in the inpatient baby area due to the repeated infections brought in this way. Yes this is difficult logistically for parents and siblings and less family centred care but we felt protecting the already compromised infants had to be foremost in our recommendations. We find that visitors/siblings minimise their infections and potential risks as they are so keen to visit with the sick patient and they don’t well understand the consequences to the sick patient.
It is left up to the nurse in charge of the ward in special circumstances to adjust this on a case by case basis such as for those with multiple births.
Also our baby room has ‘viewing’ windows for siblings to see the baby rather than directly visit.In my experience working at NICU and SCN who did not allow any visits from children under 14yrs this screening and control of visitors would then conceivably fall to the nurse at bedside and could potentially create some quite challenging interpersonal situations.
Being creative I would wonder if you could incorporate a infectious symptoms screening tool for use at the bedside, could this require some discussion and or documentation with each group of visitors.
regards
JaneJane Tomlinson RN
Clinical Nurse Consultant
Infection Management and Prevention Service
Royal Children’s Hospital
Children’s HealthQueensland
T: 07 3636 7856 | M: 0408 236 266
| F: 3636 5505
E: jane_tomlinson@health.qld.gov.au
Ground Floor, South Tower
Herston Rd, HERSTON QLD 4029
http://www.health.qld.gov.au/childrenshealth
Jane Tomlinson RN
Clinical Nurse Consultant
Infection Management and Prevention Service
Royal Children’s Hospital
Children’s Health Queensland
T: 07 3636 7856 | M: 0408 236 266
| F: 3636 5505
E: jane_tomlinson@health.qld.gov.au
Ground Floor, South Tower
Herston Rd, HERSTON QLD 4029
http://www.health.qld.gov.au/childrenshealth
Jane Tomlinson RN
Clinical Nurse Consultant
Infection Management and Prevention Service
Royal Children’s Hospital
Children’s Health Queensland
T: 07 3636 7856 | M: 0408 236 266
| F: 3636 5505
E: jane_tomlinson@health.qld.gov.au
Ground Floor, South Tower
Herston Rd, HERSTON QLD 4029
http://www.health.qld.gov.au/childrenshealth
Jane Tomlinson RN
Clinical Nurse Consultant
Infection Management and Prevention Service
Royal Children’s Hospital
Children’s Health Queensland
T: 07 3636 7856 | M: 0408 236 266
| F: 3636 5505
E: jane_tomlinson@health.qld.gov.au
Ground Floor, South Tower
Herston Rd, HERSTON QLD 4029
http://www.health.qld.gov.au/childrenshealth
Jane Tomlinson RN
Clinical Nurse Consultant
Infection Management and Prevention Service
Royal Children’s Hospital
Children’s Health Queensland
T: 07 3636 7856 | M: 0408 236 266
| F: 3636 5505
E: jane_tomlinson@health.qld.gov.au
Ground Floor, South Tower
Herston Rd, HERSTON QLD 4029
http://www.health.qld.gov.au/childrenshealth
Jane Tomlinson RN
Clinical Nurse Consultant
Infection Management and Prevention Service
Royal Children’s Hospital
Children’s Health Queensland
T: 07 3636 7856 | M: 0408 236 266
| F: 3636 5505
E: jane_tomlinson@health.qld.gov.au
Ground Floor, South Tower
Herston Rd, HERSTON QLD 4029
http://www.health.qld.gov.au/childrenshealth>>> “Rebecca O’Donnell” 7/08/12 11:23 >>>
Good morning,I would love some feedback regarding restrictions of visitors to Special care nurseries.
Who do you restrict? Other siblings?
I feel as long as Hand hygiene is performed and the visitor is well I personal feel that there is no real significant risk.
Some of our staff feel that in the case of twins, one goes home and one stays in the nursery then the well twin shouldnt visit as the baby might pose a threat to the babies in Special care (perhaps from a whooping cough point of view).
Thanks,
Rebecca ODonnell | Infection Control Co-ordinator
St Vincent’s Hospital Toowoomba | 22-36 Scott Street TOOWOOMBA 4350
T 07 4690 4042 | F 07 46904400
E rebecca.odonnell@stvincents.org.au | W http://www.stvincents.org.auP Please consider the environment before printing this email.
This e-mail and any attachments to it (the “Communication”) 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. The Communication may contain copyright material of St Vincent’s Health & Aged Care (“SVHAC”), or any of its related entities or of third parties. If you are not the intended recipient of the Communication, please notify the sender immediately by return e-mail, delete the Communication, and do not read, copy, print, retransmit, store or act in reliance on the Communication. Any views expressed in the Communication are those of the individual sender only, unless expressly stated to be those of SVHAC. SVHAC does not guarantee the integrity of the Communication, or that it is free from errors, viruses or interference.WARNING : This email contains information, which is CONFIDENTIAL, and that maybe subject to LEGAL PRIVILEGE. This e-mail and any attachments to it (the “Communication”) is confidential and is for the use only of the intended recipient, and may not duplicated or used by any other party without the express consent of the sender. The Communication may contain copyright material of St Vincent’s Health & Aged Care(“SVHAC”), or any of its related entities or of third parties. If you are not the intended recipient of the Communication, please notify the sender immediately by return e-mail, delete the Communication, and do not read, copy, print, retransmit, store or act in reliance on the Communication. Any views expressed in the Communication are those of the individual sender only, unless expressly stated to be those of SVHAC. SVHAC does not guarantee the integrity of the Communication, or that it is free from errors, viruses or interference. Thank-you.
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Hi Sue,
Here is an excerpt from our MRSA / VRE policy. Hope it helps?
Management of MRSA Positive Patients in the Operating Suite
Ensure the Infection Control Coordinator is notified
Ensure MRSA positive patients be admitted directly to the ward, and then transferred to directly theatre. This will avoid unnecessary travel throughout day surgery unit and other areas of theatre department
For ease of management and cleaning purposes, patients who are known to be colonised or infected with MRSA must be placed last on the theatre list
Ensure patients with MRSA be recovered in the operating room where possible then transferred directly back to the ward
If this is not possible, then the patient will be cared for by designated nurse in recovery area
The operating room and/or recovery area must be thoroughly cleaned with hospital approved cleaning solution for MRSA (see General Cleaning Procedure). This includes the anaesthetic machine, trolley. All horizontal surfaces must be cleaned and walls should be spot cleaned
Ensure non disposable equipment is wiped down with hospital approved cleaning solution for MRSA (see General Cleaning Procedure) before being returned to general use
Ensure all linen is discarded in alginate bags then placed in white linen bags
Ensure all clinical waste e.g. dressings, sputum, blood soaked items be discarded in yellow clinical waste bags/bins
Kind regards,
Rebecca ODonnell | Infection Control Co-ordinator
St Vincent’s Hospital Toowoomba | 22-36 Scott Street TOOWOOMBA 4350
T 07 4690 4042 | F 07 46904400
E rebecca.odonnell@stvincents.org.au | W http://www.stvincents.org.au
Please consider the environment before printing this email.
This e-mail and any attachments to it (the “Communication”) 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. The Communication may contain copyright material of St Vincent’s Health & Aged Care (“SVHAC”), or any of its related entities or of third parties. If you are not the intended recipient of the Communication, please notify the sender immediately by return e-mail, delete the Communication, and do not read, copy, print, retransmit, store or act in reliance on the Communication. Any views expressed in the Communication are those of the individual sender only, unless expressly stated to be those of SVHAC. SVHAC does not guarantee the integrity of the Communication, or that it is free from errors, viruses or interference.
—–Original Message—–
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Sue Flockhart
Sent: Monday, 16 July 2012 5:41 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Management of MROs in the Operating SuiteHi All,
We are loking at standardising our approach to the management of patients with known MROs in our operating suite. I am interested to know what other facilites are doing and would you share guidelines/policies etc.
kind Regards
Sue Flockhart
Manager, Infection Prevention & Control Unit Staff Immunisation Clinic Ballarat Health Services Victoria
0437856349
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Hi Michael,
We add an IBA Infection Control alert to the patients electronic file. We also place a sticker in the chart for future admissions. This gives us an opportunity to ensure that there are no indications for retesting e.g. diarrhoea on or prior to admission with recent antibiotic therapy prior to admission.
Hope this gives some useful feedback.
Cheerio,
Rebecca O’Donnell | Infection Control Co-ordinator
St Vincent’s Hospital Toowoomba | 22-36 Scott Street TOOWOOMBA 4350
T 07 4690 4042 | F 07 46904400
E rebecca.o’donnell@stvincents.org.au | W http://www.stvincents.org.auP Please consider the environment before printing this email.
This e-mail and any attachments to it (the “Communication”) 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. The Communication may contain copyright material of St Vincent’s Health & Aged Care (“SVHAC”), or any of its related entities or of third parties. If you are not the intended recipient of the Communication, please notify the sender immediately by return e-mail, delete the Communication, and do not read, copy, print, retransmit, store or act in reliance on the Communication. Any views expressed in the Communication are those of the individual sender only, unless expressly stated to be those of SVHAC. SVHAC does not guarantee the integrity of the Communication, or that it is free from errors, viruses or interference.Hi
Moving to a new facility is always interesting, as things are done differently. Now I get to challenge my own thinking!
Can I ask if any facilities routinely place into single rooms on readmission patients who have had previous Clostridium difficile infection (CDI)?
I cannot find this supported in the 2010 SHEA/IDSA Clinical Practice guidelines (http://www.cdc.gov/HAI/pdfs/cdiff/Cohen-IDSA-SHEA-CDI-guidelines-2010.pdf), but then again it is not specifically mentioned (apart from screening asymptomatic patients and staff not being useful).
Does any facility have a process for identifying patients in future admissions who had previously had CDI, and managing them differently regardless of status of diarrhoea??
Thanks for any thoughts on this.
Cheers
MichaelMichael Wishart
CNC Infection Control
Holy Spirit Northside Private Hospital
627 Rode Road, Chermside, Qld 4032
t: (07) 3326 3068 | f: (07) 3326 3523
e: Michael.Wishart@hsn.org.au
w:www.holyspiritnorthside.org.au
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