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20/09/2019 at 8:29 am in reply to: Re: Hand towels in ensuites of Residential Aged Care Facilities #75821
Richard Bartolo
ParticipantAuthor:
Richard BartoloPosition:
Principal Infection Prevention CNCOrganisation:
Western HealthState:
VICHi Lisa,
Your concern is very valid. Your Healthcare facility (not a house) would not be compliant with the Australian building code Part D – Infection Prevention and Control, D.0002 – Building Elements, Revision 7.0, 01 March 2016 which specify:
“HAND DRYING
Single use cloth or paper towels will be provided at all hand basins. Locate towel dispensers adjacent to the
splashback to prevent splash contamination. Dispensers should be smooth-surfaced and easy to clean to
prevent dust or soil contamination.
Paper towel may be used in public amenities and beverage bays.
Hot air hand dryers are not recommended for installation in clinical areas of healthcare facilities. High speed
hand dryers may be considered in non-clinical areas, such as public toilets.”Kind Regards,
Richard
Richard Bartolo
Manager Infection Prevention
Western Health
Gordon Street, Footscray VIC 3011
Ph. 03 8345 6113
Email. richard.bartolo@wh.org.au
Web. http://www.westernhealth.org.auNotice:
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Hello Everyone,
I am an ICP working fir a large metropolitan health service in Victoria. We currently have as part of our health service, 4 residential aged care facilities.
We are currently in the planning stages with architects of a new public residential aged care facility. The question around hand towels in ensuites has been raised.
The concern by planners is that not having paper towels in ensuites, will avail them with more space for storage for residents in this space. They state you would not have paper towels in your home ensuite.
Our concern is , though a home, this is also a clinical space and for safe and best practice, staff require access to a wash basin and paper towels to perform hand hygiene if their hands are soiled.
I would like to know how others are managing in this space.
Kind regards,
LisaLisa Mathieu Campbell
Acting Associate Director
Infection Prevention & Control Services
Eastern Health
VictoriaSent from my iPhone
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Richard Bartolo
ParticipantAuthor:
Richard BartoloPosition:
Principal Infection Prevention CNCOrganisation:
Western HealthState:
VICGood morning John,
Thanks you for your reply, the 2019 Australian Guidelines for the Prevention and Control of Infection in Healthcare recommends the higher concentration dilution of sodium hypochlorite (10% bleach solution) (1:10 solution = 1 part bleach for every 9 parts water) for the cleaning and disinfection of clostridium difficile, fungal spores and during norovirus outbreaks. Important to note difficulty in getting rid of c diff spores even when we use recommended concentrations of hypochlorite.
We have introduced sporicidal wipes recently, but it’s too early to note any effects. I will however try to explore any new technology as far as chemicals is concerned.
Sodium hypochlorite
Despite the emergence of new disinfection products and technologies, sodium hypochlorite remains a commonly used and accessible chlorine-based disinfectant with broad spectrum antimicrobial properties. The evidence suggests that when the dilution factor is sufficient for sporicidal activity ( 5000ppm free chlorine), sodium hypochlorite is effective against C. difficile. There is also evidence to suggest that sodium hypochlorite disinfection is effective for managing norovirus outbreaks[126]
Kind Regards,
Richard
Richard Bartolo
Manager Infection Prevention
Western Health
Gordon Street, Footscray VIC 3011
Ph. 03 8345 6113
Mob. 0438 560 441
Email. richard.bartolo@wh.org.au
Web. http://www.westernhealth.org.au
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—–Original Message—–
From: ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] On Behalf Of GREENOUGH, John
Sent: Wednesday, 31 July 2019 4:54 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] Higher concentration dilution of sodium hypochloriteHi Richard,
I am interested as to why you need to use a concentration of greater than 1000 ppm for terminal cleaning/disinfection.
At Austin Health we have been using a cleaning disinfection solution with 1000 ppm sodium hypochlorite for over ten years as a standardised cleaning agent for all environmental cleaning in all clinical areas. We have not encountered substantial OH&S issues as long as staff use appropriate PPE and are trained in safe chemical handling. We couple this standardised cleaning system with monthly VRE environmental surveillance. Our surveillance usually does not yield VRE detections , but when we identify VRE on an item such as a commode chair we inform the clinical area to re-clean all the commode chair. We have found the standard application of 1000 ppm is effective.
Kind regards,
John Greenough
Manager – Infection Control Department
03 9496 6625
Level 7, Harold Stokes Building
145 Studley Road, Heidelberg
PO Box 5555, Victoria, 3084
—–Original Message—–
From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> On Behalf Of Michael Wishart
Sent: Wednesday, 31 July 2019 4:15 PM
Subject: Re: [ACIPC_Infexion_Connexion] Higher concentration dilution of sodium hypochlorite
Hi Richard
Well, where should I start? This, admittedly, if from quite a few years ago, but anything above 1000ppm available chlorine was problematic for my staff at the time. We initially tried 10000ppm available chlorine, and saw severe cases of skin problems, and some respiratory sensitisation. And the surfaces showed a very rapid decline… even stainless steel benches showed rapid wear! So we moved down to 5000pmm and saw less respiratory sensitisation, still had multiple cases of skin problems, and still had surface wear. This was over a period of several years, mind you. So, after that, I abandoned sodium hypochlorite unless I had absolutely no alternative, and then only at level 1000ppm or less.
There are other disinfectants now available, although bleach remains easy to obtain and cheap, making it desirable from a cost perspective. But I would strongly argue that wide use of bleach is a definite hazard to staff that is very hard to control.
My opinion, at any rate.
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://clicktime.symantec.com/39g5xiNNWMD9XxxzMLsFgPw7Vc?u=https%3A%2F%2Fwww.svphn.org.au
—–Original Message—–
From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> On Behalf Of Bartolo, Richard
Sent: Wednesday, 31 July 2019 3:58 PM
Subject: [ACIPC_Infexion_Connexion] Higher concentration dilution of sodium hypochlorite
Hi Everyone,
We are looking at higher concentration dilution of sodium hypochlorite (10% bleach solution) (1:10 solution = 1 part bleach for every 9 parts water) for terminal cleaning. This concentration is 5 times the currently used dose 5000 ppm vs 1000ppm. The higher concentrations of chlorine are deemed respiratory sensitizers which have the potential to trigger reactions in some staff. Has anyone had issues?
Kind Regards,
Richard
Richard Bartolo
Manager Infection Prevention
Western Health
Gordon Street, Footscray VIC 3011
Ph. 03 8345 6113
Mob. 0438 560 441
Email. richard.bartolo@wh.org.au
Web. https://clicktime.symantec.com/3T9CBetsUTQQ1UEyZRZusdP7Vc?u=www.westernhealth.org.au
This was sent from my iPhone.
Kind Regards,
Richard Bartolo
Manager Infection Prevention
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Richard Bartolo
ParticipantAuthor:
Richard BartoloPosition:
Principal Infection Prevention CNCOrganisation:
Western HealthState:
VICHI Matt,
Weve stopped paying external contractors to do the auditing and invested the money in an Environmental Services Quality Coordinator whos conducting UV audits instead.Kind Regards,
Richard
Richard Bartolo
Manager Infection Prevention
Western Health
Gordon Street, Footscray VIC 3011
Ph. 03 8345 6113
Mob. 0438 560 441
Email. richard.bartolo@wh.org.au
Web. http://www.westernhealth.org.auhttps://liveemr.wh.org.au/
[Live EMR banner graphic with site]Notice:
This email (and any attachment) is for the exclusive use of the addressee and may contain information that is privileged, confidential or protected by copyrights. If you are not the addressee or the person responsible for delivering this email to the addressee, you must not disclose, distribute, print or copy this email and the contents must be kept strictly confidential. If this email has been sent to you in error, kindly notify us immediately on 03 8345 56113 and destroy the original. Electronic mail is not secure and there is also a risk that it may be corrupted in transmission. It is therefore your responsibility to check this email (and any attachment) carefully and if there are any errors to contact us immediately. We do not accept liability for any loss or damage caused by such lack of security or transmission errors.From: ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] On Behalf Of Matthew Mason
Sent: Monday, 20 May 2019 11:57 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Health Service Cleaning surveyors.Hi All,
Going back a few years Victoria introduced cleaning standards and trained people (IPC and Hotel Services Staff) to audit their own and other facilities. Just wondering if this is still a thing, and if so who overseas the standards and the training?? Thanks in advance.
Cheers MattMatt Mason RN, CICP-E, FCRANAplus, BN, M Rural Health, M Advanced Practice (IC)
Lecturer
School of Nursing, Midwifery & Paramedicine
USC
Ph +61 7 5456 5191
mmason1@usc.edu.au[ORCID-Symbol]
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Richard Bartolo
ParticipantAuthor:
Richard BartoloPosition:
Principal Infection Prevention CNCOrganisation:
Western HealthState:
VICHi Sean,
Thank you for sharing your experience and thoughts. I will let you know of any outcome.Kind Regards,
Richard
Richard Bartolo
Manager Infection Prevention
Western Health
Gordon Street, Footscray VIC 3011
Ph. 03 8345 6113
Mob. 0438 560 441
Email. richard.bartolo@wh.org.au
Web. http://www.westernhealth.org.au[cid:image003.jpg@01D4EB04.7B220290]
Notice:
This email (and any attachment) is for the exclusive use of the addressee and may contain information that is privileged, confidential or protected by copyrights. If you are not the addressee or the person responsible for delivering this email to the addressee, you must not disclose, distribute, print or copy this email and the contents must be kept strictly confidential. If this email has been sent to you in error, kindly notify us immediately on 03 8345 56113 and destroy the original. Electronic mail is not secure and there is also a risk that it may be corrupted in transmission. It is therefore your responsibility to check this email (and any attachment) carefully and if there are any errors to contact us immediately. We do not accept liability for any loss or damage caused by such lack of security or transmission errors.From: ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] On Behalf Of Sean Lansley
Sent: Thursday, 4 April 2019 11:28 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: Man holes in the Operating Suites ceilingsHi Richard,
We had a similar problem at my previous place of employment. A clean room had been fitted out with an access panel for the HVAC system and we continuously failed our particles counts which led to delays in utilising the facility.
Eventually we had the ceiling access panel sealed and after a thorough clean hey presto, the particle counts came down to acceptable levels. Although guarantees can be made that the hatches are sealed I believe that changes in air pressure (that so often occur in clean rooms under positive pressure) may well force open these hatches just enough to let particles i.e. dust, to get through.
Of course, there is also the concern you raised of personnel accessing these hatches without your knowledge. If sealed then any access should be obvious to see afterwards as the seal around the hatch would be damaged in some way.
Those are my thoughts on the issue and I hope they may help you in some way. Cheers.
Kind regards,
Sean.[cid:image002.png@01D4801C.7E24D650]
Sean Lansley BSc. Med.
MASM ABSANZ | Infection Control, Logistics and Contracts Manager
sean@ecojemss.com.au | 0401 398 966
ECO JEMSS PTY LTD | ABN: 93 169 468 464
(08) 9304 4361
https://www.ecojemss.com.auFrom: Bartolo, Richard
Sent: Thursday, 4 April 2019 7:17 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Man holes in the Operating Suites ceilingsHi Everyone,
I have a construction question for any information if you can help please? In a brand new Operating Theatre Suite the architects or builders decided to put 5 manholes in the ceiling of every operating room. The building has just been handed over but a few weeks before during one of our visits I saw one of these manholes opened and noticed that it didnt have any seals so when closed its wont be airtight. I voiced my concerns about this and the response I got was the ceiling /manholes are sealed to the soffit therefore services penetrated into the ceiling are not required to be sealed.
Should I be concerned about having these manholes in the ORs in the first place? And even if these were sealed, anyone from engineering can simply open into the roof space at any time, disturb whatever is brewing up in the ceiling cavity and close it as if nothing has happened. Any comments would be greatly appreciated.Kind Regards,
Richard
Richard Bartolo
Manager Infection Prevention
Western Health
Gordon Street, Footscray VIC 3011
Ph. 03 8345 6113
Mob. 0438 560 441
Email. richard.bartolo@wh.org.au
Web. http://www.westernhealth.org.au[cid:image002.jpg@01D4EACC.EFE27250]
Notice:
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Richard Bartolo
ParticipantAuthor:
Richard BartoloPosition:
Principal Infection Prevention CNCOrganisation:
Western HealthState:
VICHi Robert,
We use Skinman 90 in all our Operating Suites, Medical Imaging and Cardiac Labs and Dialysis Units. I see no reason why you shouldnt use it in you NICU.Richard Bartolo
Manager Infection PreventionIf you havent been Flu protected yet! Theres still time!
Click here to see what you can do.Western Health
Gordon Street, Footscray VIC 3011
Ph. 03 8345 6113
Mob. 0438 560 441
Email. richard.bartolo@wh.org.au
Web. http://www.westernhealth.org.au[cid:image001.jpg@01D0C5FA.5676B360]
C ompassion, A ccountability, R espect, E xcellence, S afetyNotice:
This email (and any attachment) is for the exclusive use of the addressee and may contain information that is privileged, confidential or protected by copyrights. If you are not the addressee or the person responsible for delivering this email to the addressee, you must not disclose, distribute, print or copy this email and the contents must be kept strictly confidential. If this email has been sent to you in error, kindly notify us immediately on 03 8345 56113 and destroy the original. Electronic mail is not secure and there is also a risk that it may be corrupted in transmission. It is therefore your responsibility to check this email (and any attachment) carefully and if there are any errors to contact us immediately. We do not accept liability for any loss or damage caused by such lack of security or transmission errors.From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Robert Robinson
Sent: Friday, 24 July 2015 10:01 AM
To: AICALIST@AICALIST.ORG.AU
Subject: [ACIPC_Infexion_Connexion] Neonatal Intensive CareHi all
I have two questions specifically for facilities with a NICU but all feedback will be appreciated.1. Has any NICU undertaken an evaluation and implemented a waterless surgical scrub in their unit?
2. Looking at other NICU policies / protocols for skin antisepsis prior to IM injections, taking into consideration mothers with known BBV?
Kind Regards
Robert Robinson
Clinical Nurse Consultant, Nepean Blue Mountains LHD | Infection Prevention and Control
Nepean Hospital, PO Box 63, Penrith 2751
Tel (02) 4734 2228 | Fax (02) 4734 2517 | robert.robinson@health.nsw.gov.au[cid:image001.jpg@01D0C5F4.0131AFF0]
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Richard Bartolo
ParticipantAuthor:
Richard BartoloPosition:
Principal Infection Prevention CNCOrganisation:
Western HealthState:
VICAt Western Health we realise that working in the health care industry is so much more than a job, its a career. We are committed to the ongoing development of our staff who enjoy excellent employment conditions, outstanding professional development opportunities and are rewarded by an employer who recognises the importance of a work/life balance. At Western Health, we care.
We are currently seeking a Clinical Nurse Consultant (Grade 5) in Infection Prevention and Control for the Health Service. This position is an opportunity to join a specialist area of Nursing committed to minimising infections in Health Care.
The successful applicant will be a Registered Nurse (Division 1) with current AHPRA registration. Experience in Infection Prevention and Control with relevant Post-Graduate qualifications (or working towards) is essential.
This challenging role includes surveillance, monitoring, reporting and education of staff within a quality framework.
http://westernhealth.mercury.com.au/Richard Bartolo
Manager Infection PreventionWestern Health
Gordon Street, Footscray VIC 3011
Tel. 03 8345 6113
Pager. 03 8345 6666 No. 506
Mob. 0438 560 441
Email. richard.bartolo@wh.org.au
Web. http://www.westernhealth.org.au[cid:image001.png@01CF501F.FA413760]
Notice:
This email (and any attachment) is for the exclusive use of the addressee and may contain information that is privileged, confidential or protected by copyrights. If you are not the addressee or the person responsible for delivering this email to the addressee, you must not disclose, distribute, print or copy this email and the contents must be kept strictly confidential. If this email has been sent to you in error, kindly notify us immediately on 03 8345 6113 and destroy the original. Electronic mail is not secure and there is also a risk that it may be corrupted in transmission. It is therefore your responsibility to check this email (and any attachment) carefully and if there are any errors to contact us immediately. We do not accept liability for any loss or damage caused by such lack of security or transmission errors.MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
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Richard Bartolo
ParticipantAuthor:
Richard BartoloPosition:
Principal Infection Prevention CNCOrganisation:
Western HealthState:
VICHi Francesca,
We dont have IV teams (I wish) all IV Cannulas are resited every 96 hours with only the exception of children. Patients with poor veins should not be left with cannulas insitu and be put at risk of infection.
CheersRichard
Richard Bartolo
Manager Infection PreventionWestern Health
Gordon Street, Footscray VIC 3011
Tel. 03 8345 6113
Pager. 03 8345 6666 No. 506
Mob. 0438 560 441
Email. richard.bartolo@wh.org.au
Web. http://www.westernhealth.org.au[cid:image001.jpg@01CE4682.4962D630]
Notice:
This email (and any attachment) is for the exclusive use of the addressee and may contain information that is privileged, confidential or protected by copyrights. If you are not the addressee or the person responsible for delivering this email to the addressee, you must not disclose, distribute, print or copy this email and the contents must be kept strictly confidential. If this email has been sent to you in error, kindly notify us immediately on 03 8345 56113 and destroy the original. Electronic mail is not secure and there is also a risk that it may be corrupted in transmission. It is therefore your responsibility to check this email (and any attachment) carefully and if there are any errors to contact us immediately. We do not accept liability for any loss or damage caused by such lack of security or transmission errors.From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Franciska Ferreira
Sent: Wednesday, 1 May 2013 11:12 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] Routine resite of peripheral intravinous devicesGood Morning to you all,
Our current Peripheral Intravenous Cannulation policy states; to resite a IV cannula every 72 hours. I know there is some debate on this issue and recent evidence suggests routine resite is unnecessary. Current recommendations are to resite IV Cannulas every 96 hours with the exception of children and patients with poor veins. Saying that, not all Hospitals has IV teams to resite all the necessary IV cannulas.
Could you please let me know if any of your organizations have an IV Team and when do you routinely resite patients cannulas?
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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Richard Bartolo
ParticipantAuthor:
Richard BartoloPosition:
Principal Infection Prevention CNCOrganisation:
Western HealthState:
VICHi Fiona,
Although uncommon I have encountered this practice which exists in some cultures. The placenta was given in a sealed and labeled specimen bucket, the ones used by pathology. Some women requested the Lotus birth, were the placenta is left un-severed and allowed to undergo its own physiological, organic clamping process. Similarly the placenta was placed in a bucket and goes home with the baby.Good luck
Richard Bartolo
Manager Infection PreventionWestern Health
Gordon Street, Footscray VIC 3011
Tel. 03 8345 6113
Pager. 03 8345 6666 No. 506
Mob. 0438 560 441
Email. richard.bartolo@wh.org.au
Web. http://www.westernhealth.org.au[cid:image001.jpg@01CE4293.BC80B3A0]
Notice:
This email (and any attachment) is for the exclusive use of the addressee and may contain information that is privileged, confidential or protected by copyrights. If you are not the addressee or the person responsible for delivering this email to the addressee, you must not disclose, distribute, print or copy this email and the contents must be kept strictly confidential. If this email has been sent to you in error, kindly notify us immediately on 03 8345 56113 and destroy the original. Electronic mail is not secure and there is also a risk that it may be corrupted in transmission. It is therefore your responsibility to check this email (and any attachment) carefully and if there are any errors to contact us immediately. We do not accept liability for any loss or damage caused by such lack of security or transmission errors.From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Wilson, Fiona L (TIPCU) (DHHS)
Sent: Friday, 26 April 2013 1:48 PM
To: AICALIST@AICALIST.ORG.AU
Subject: [ACIPC_Infexion_Connexion] Policy re placenta.Hello all.
Do any of you have any policies/procedures regarding the situation were a post partum woman requests that they take home their placenta?I cannot find reference to this in either the Australian or HICPAC IC Guidelines and I recall that this issue has been raised on the list in the past.
If anyone can assist, I would be most grateful.Regards
Fiona Wilson I CNC, Infection Control, TIPCU
Population Health I Department of Health and Human Services
Post GPO Box 125 Hobart Tas 7001 | Email tipcu@dhhs.tas.gov.au
Phone (03) 6222 7684 | Fax (03) 6233 0553
A fair and healthy Tasmania________________________________
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Richard Bartolo
ParticipantAuthor:
Richard BartoloPosition:
Principal Infection Prevention CNCOrganisation:
Western HealthState:
VICHi All,
Is anyone use needle free connector in haemodialysis? I cant seem to find any in Australia.Richard Bartolo
Manager Infection PreventionWestern Health
Gordon Street, Footscray VIC 3011
Tel. 03 8345 6113
Pager. 03 8345 6666 No. 506
Mob. 0438 560 441
Email. richard.bartolo@wh.org.au
Web. http://www.westernhealth.org.au[cid:image001.jpg@01CE1662.FD7173C0]
Notice:
This email (and any attachment) is for the exclusive use of the addressee and may contain information that is privileged, confidential or protected by copyrights. If you are not the addressee or the person responsible for delivering this email to the addressee, you must not disclose, distribute, print or copy this email and the contents must be kept strictly confidential. If this email has been sent to you in error, kindly notify us immediately on 03 8345 56113 and destroy the original. Electronic mail is not secure and there is also a risk that it may be corrupted in transmission. It is therefore your responsibility to check this email (and any attachment) carefully and if there are any errors to contact us immediately. We do not accept liability for any loss or damage caused by such lack of security or transmission errors.From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Klintworth, Gemma
Sent: Friday, 1 March 2013 9:42 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] Needleless access devices and PNHi, thanks for your responses. I agree that changing the needleless access device every 24 hours and ‘opening’ the system so frequently may introduce additional risk and would be costly.
For other solutions, we recommend changing the needleless access device along with continuous infusion administration lines (but no more frequently than 72 hours) as per the CDC. The issue with TPN lines is therefore inconsistent with this.
Gemma
Gemma Klintworth
CLABSI Project Coordinator
Infection Prevention and Healthcare Epidemiologyt 03 90762250 e G.Klintworth@alfred.org.au
Alfred Health
55 Commercial Road
Melbourne VIC 3004
PO Box 315 Prahran
VIC 3181 Australia[cid:673511522@28022013-0027]
Alfred Health incorporates The Alfred, Caulfield Hospital and Sandringham Hospital
http://www.alfredhealth.org.auCONFIDENTIALITY NOTICE: This email and any files transmitted with it are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you have received this email in error, please notify us by return email and delete all copies in your system. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or taking any action in reliance on the contents of this information is strictly prohibited and may be unlawful. Alfred Health is not liable for the proper and complete transmission of the information contained in this communication or for any delay in its receipt.
Please consider the environment before printing this email.
________________________________
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Tim Spencer
Sent: Friday, 1 March 2013 08:59
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Needleless access devices and PN
Hi Gemma,
As far as I know, there is no specific literature that describes needlefree caps/valves to be changed specifically in PN patients.
However, that said, going off current international guidelines and recommendations, I would say a weekly change is justified.
Most PN admin sets are changed at 24hrs (if a 3 in 1 solution) because of the lipid content.
I see no reason to be changing the needlefree port at 24hrs as that induces excessive cost as well.
I would maintain a 7 day change period unless clinically indicated to do so.
I do have current PN European guidelines, so feel free to contact me if you might like a copy.
Regards,
Tim..Timothy R. Spencer, RN, APN, DipAppSci, Bach.Health, ICCert.
Clinical Nurse Consultant, Central Venous Access & Parenteral Nutrition Service
Conjoint Lecturer, South West Sydney Clinical School | Faculty of Medicine | University of NSW
Dept of Intensive Care, Level 2, Clinical Building, Liverpool Hospital, Elizabeth Street, Liverpool, 2170, NSW, Australia
Tel (+61) 2 8738 3603 | Fax (+61) 2 8738 3551 | Mob +61 (0)409 463 428 | Tim.Spencer@sswahs.nsw.gov.au | Timothy.Spencer@unsw.edu.au
[cid:image001.jpg@01CE165B.0972DA40]From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Klintworth, Gemma
Sent: Thursday, 28 February 2013 4:37 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Needleless access devices and PNHi all,
With regard to administration of parenteral nutrition via a central line, I’m wondering how frequently people recommend that the needleless access device is changed (if one is used at all in this case).
Thanks,
Gemma
Gemma Klintworth
CLABSI Project Coordinator
Infection Prevention and Healthcare Epidemiologyt 03 90762250 e G.Klintworth@alfred.org.au
Alfred Health
55 Commercial Road
Melbourne VIC 3004
PO Box 315 Prahran
VIC 3181 Australia[cid:364084200@28022013-0175]
Alfred Health incorporates The Alfred, Caulfield Hospital and Sandringham Hospital
http://www.alfredhealth.org.auCONFIDENTIALITY NOTICE: This email and any files transmitted with it are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you have received this email in error, please notify us by return email and delete all copies in your system. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or taking any action in reliance on the contents of this information is strictly prohibited and may be unlawful. Alfred Health is not liable for the proper and complete transmission of the information contained in this communication or for any delay in its receipt.
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Richard Bartolo
ParticipantAuthor:
Richard BartoloPosition:
Principal Infection Prevention CNCOrganisation:
Western HealthState:
VICHi Gerald,
I forgot to mention that Western Hospital has a 14 bed ICU and were planning a new one for Sunshine.Richard Bartolo
Manager Infection PreventionWestern Health
Gordon Street, Footscray VIC 3011
Tel. 03 8345 6113
Pager. 03 8345 6666 No. 506
Mob. 0438 560 441
Email. richard.bartolo@wh.org.au
Web. http://www.westernhealth.org.au[cid:image001.jpg@01CD8C18.156C5F60]
Notice:
This email (and any attachment) is for the exclusive use of the addressee and may contain information that is privileged, confidential or protected by copyrights. If you are not the addressee or the person responsible for delivering this email to the addressee, you must not disclose, distribute, print or copy this email and the contents must be kept strictly confidential. If this email has been sent to you in error, kindly notify us immediately on 03 8345 56113 and destroy the original. Electronic mail is not secure and there is also a risk that it may be corrupted in transmission. It is therefore your responsibility to check this email (and any attachment) carefully and if there are any errors to contact us immediately. We do not accept liability for any loss or damage caused by such lack of security or transmission errors.From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Bartolo, Richard
Sent: Thursday, 6 September 2012 9:33 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] IC staffing ratiosHi Gerald,
I think this would be valuable information for all of us within Infection Prevention, and would appreciate more responses from our colleagues across Australia.
At Western Health Victoria:
Western Hospital 360 beds, 2.9 FTE
Sunshine Hospital 426 beds, 1.0 FTE
Williamstown Hospital 90 beds, 0.6 FTE
Sunbury Day Hospital 27 beds, 0.2 FTE
Reg Geary nursing home 30 high care beds
Hazeldean Transition Care 30 beds.
Total of 5.7 FTE for 963 beds including 1 FTE Hand Hygiene Nurse, we do the influenza vaccinations annually and all NSI management.
Thanks for raising this matter.
Regards
Richard Bartolo
Manager Infection PreventionWestern Health
Gordon Street, Footscray VIC 3011
Tel. 03 8345 6113
Pager. 03 8345 6666 No. 506
Mob. 0438 560 441
Email. richard.bartolo@wh.org.au
Web. http://www.westernhealth.org.au[cid:image001.jpg@01CD8C0D.D4B3D070]
Notice:
This email (and any attachment) is for the exclusive use of the addressee and may contain information that is privileged, confidential or protected by copyrights. If you are not the addressee or the person responsible for delivering this email to the addressee, you must not disclose, distribute, print or copy this email and the contents must be kept strictly confidential. If this email has been sent to you in error, kindly notify us immediately on 03 8345 56113 and destroy the original. Electronic mail is not secure and there is also a risk that it may be corrupted in transmission. It is therefore your responsibility to check this email (and any attachment) carefully and if there are any errors to contact us immediately. We do not accept liability for any loss or damage caused by such lack of security or transmission errors.From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Jayne O’Connor
Sent: Wednesday, 5 September 2012 3:58 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] IC staffing ratiosHi Gerald,
We are a 350 bed private facility with two FTEs for IPC and 1 FTE for staff health who carries out immunisations for the facility along with other duties e.g. NSI, body substance exposures.
Hope this helps
Kind Regards
Jayne OConnor RN, BSc
IPC CNC
Sydney Adventist Hospital
Wahroonga
NSW 2076
Tel: 02 9487 9433
Mob: 0406 752 685
Jayne.oconnor@sah.org.au________________________________
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Gerald Chan
Sent: Wednesday, 5 September 2012 3:28 PM
To: AICALIST@AICALIST.ORG.AU
Subject: IC staffing ratiosDear all,
I’m keen to know what are the current Infection Control staffing ratios utilised by hospitals with 300-400 beds (happy for those with more beds to respond to this as well).
If you could specify your:
– number of beds:
– FTE:
(Does this include an immunisation nurse? Y/N)
(If yes, please specify that FTE: )I’ve seen various reports specifying ideal IC staff to bed ratios but would be keen to know what’s actually happening at ground level.
Thank you.
Regards,
GeraldGerald Chan
Coordinator Infection ControlSt John of God Murdoch Hospital
100 Murdoch Drive
MURDOCH. WA 6150P: 9366 1552
M: 0405 495 906 (7804)
F: 9311 4685E: Gerald.Chan@sjog.org.au
W: http://www.sjog.org.au/murdoch[cid:HKFKAKKOUMQS.IMAGE_10.BMP]
[cid:PFCEIJPTVAGC.IMAGE_68.png] facebook.com/stjohnofgodmurdoch[cid:LZUPVRBHCAMG.IMAGE_69.png] twitter.com/sjgh_murdoch
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Richard Bartolo
ParticipantAuthor:
Richard BartoloPosition:
Principal Infection Prevention CNCOrganisation:
Western HealthState:
VICHi Gerald,
I think this would be valuable information for all of us within Infection Prevention, and would appreciate more responses from our colleagues across Australia.
At Western Health Victoria:
Western Hospital 360 beds, 2.9 FTE
Sunshine Hospital 426 beds, 1.0 FTE
Williamstown Hospital 90 beds, 0.6 FTE
Sunbury Day Hospital 27 beds, 0.2 FTE
Reg Geary nursing home 30 high care beds
Hazeldean Transition Care 30 beds.
Total of 5.7 FTE for 963 beds including 1 FTE Hand Hygiene Nurse, we do the influenza vaccinations annually and all NSI management.
Thanks for raising this matter.
Regards
Richard Bartolo
Manager Infection PreventionWestern Health
Gordon Street, Footscray VIC 3011
Tel. 03 8345 6113
Pager. 03 8345 6666 No. 506
Mob. 0438 560 441
Email. richard.bartolo@wh.org.au
Web. http://www.westernhealth.org.au[cid:image001.jpg@01CD8C0D.D4B3D070]
Notice:
This email (and any attachment) is for the exclusive use of the addressee and may contain information that is privileged, confidential or protected by copyrights. If you are not the addressee or the person responsible for delivering this email to the addressee, you must not disclose, distribute, print or copy this email and the contents must be kept strictly confidential. If this email has been sent to you in error, kindly notify us immediately on 03 8345 56113 and destroy the original. Electronic mail is not secure and there is also a risk that it may be corrupted in transmission. It is therefore your responsibility to check this email (and any attachment) carefully and if there are any errors to contact us immediately. We do not accept liability for any loss or damage caused by such lack of security or transmission errors.From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Jayne O’Connor
Sent: Wednesday, 5 September 2012 3:58 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] IC staffing ratiosHi Gerald,
We are a 350 bed private facility with two FTEs for IPC and 1 FTE for staff health who carries out immunisations for the facility along with other duties e.g. NSI, body substance exposures.
Hope this helps
Kind Regards
Jayne OConnor RN, BSc
IPC CNC
Sydney Adventist Hospital
Wahroonga
NSW 2076
Tel: 02 9487 9433
Mob: 0406 752 685
Jayne.oconnor@sah.org.au________________________________
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Gerald Chan
Sent: Wednesday, 5 September 2012 3:28 PM
To: AICALIST@AICALIST.ORG.AU
Subject: IC staffing ratiosDear all,
I’m keen to know what are the current Infection Control staffing ratios utilised by hospitals with 300-400 beds (happy for those with more beds to respond to this as well).
If you could specify your:
– number of beds:
– FTE:
(Does this include an immunisation nurse? Y/N)
(If yes, please specify that FTE: )I’ve seen various reports specifying ideal IC staff to bed ratios but would be keen to know what’s actually happening at ground level.
Thank you.
Regards,
GeraldGerald Chan
Coordinator Infection ControlSt John of God Murdoch Hospital
100 Murdoch Drive
MURDOCH. WA 6150P: 9366 1552
M: 0405 495 906 (7804)
F: 9311 4685E: Gerald.Chan@sjog.org.au
W: http://www.sjog.org.au/murdoch[cid:HKFKAKKOUMQS.IMAGE_10.BMP]
[cid:PFCEIJPTVAGC.IMAGE_68.png] facebook.com/stjohnofgodmurdoch[cid:LZUPVRBHCAMG.IMAGE_69.png] twitter.com/sjgh_murdoch
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Richard Bartolo
ParticipantAuthor:
Richard BartoloPosition:
Principal Infection Prevention CNCOrganisation:
Western HealthState:
VICHi Samantha,
Same here at Western, no smoke tests done.
I have only done smoke tests on commissioning.Richard Bartolo
Manager Infection PreventionWestern Health
Gordon Street, Footscray VIC 3011
Tel. 03 8345 6113
Pager. 03 8345 6666 No. 506
Mob. 0438 560 441
Email. richard.bartolo@wh.org.au
Web. http://www.westernhealth.org.au[cid:image001.jpg@01CD43FE.9514B990]
Notice:
This email (and any attachment) is for the exclusive use of the addressee and may contain information that is privileged, confidential or protected by copyrights. If you are not the addressee or the person responsible for delivering this email to the addressee, you must not disclose, distribute, print or copy this email and the contents must be kept strictly confidential. If this email has been sent to you in error, kindly notify us immediately on 03 8345 56113 and destroy the original. Electronic mail is not secure and there is also a risk that it may be corrupted in transmission. It is therefore your responsibility to check this email (and any attachment) carefully and if there are any errors to contact us immediately. We do not accept liability for any loss or damage caused by such lack of security or transmission errors.From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of PALMBY Samantha
Sent: Wednesday, 6 June 2012 3:44 PM
To: AICALIST@AICALIST.ORG.AU
Subject: [ACIPC_Infexion_Connexion] Negative ventilation room monitoringWe are currently reviewing our Negative ventilation room policy.
According to the Victorian Department of Health Guidelines for the classification and design of isolation rooms in health care facilities 2007, section 5.8 states:
When a room is occupied, smoke tests should be carried out monthly in addition to continuous electronic monitoring of room pressure, and daily monitoring and documentation of room and anteroom pressures by nursing staff. When a room is not occupied, room pressure should be checked monthly.
At St Vincents we do not currently perform monthly smoke testing, and are wondering if anyone routinely performs this.
Thanks,
SamanthaSamantha Palmby | Infection Control Consultant
St Vincents | 41 Victoria Parade Fitzroy VIC 3065
t: +61 3 9288 4063 | f: +61 3 9288 4068 | http://www.svhm.org.au[cid:image001.jpg@01CD43FB.26BC0140]
Samantha Palmby | Infection Control Consultant
St Vincents | 41 Victoria Parade Fitzroy VIC 3065
t: +61 3 9288 4063 | f: +61 3 9288 4068 | http://www.svhm.org.au[cid:image001.jpg@01CD43FB.26BC0140]
Disclaimer : The contents of this e-mail including any attachments are intended only for the person or entity to which this e-mail is addressed and may contain confidential, privileged and/or commercially sensitive material. If you are not, or believe you may not be, the intended recipient, please advise the sender immediately by return e-mail, delete this e-mail and destroy any copies.
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Richard Bartolo
ParticipantAuthor:
Richard BartoloPosition:
Principal Infection Prevention CNCOrganisation:
Western HealthState:
VICThis news has distraught us all within the team at Western Health. At a time like this, we are at a loss for words to express our condolence to Clintons family. How to say it to bring comfort? How to say that we care? How to say that we understand? I thing is certain, Clinton will be missed by all who knew him.
Richard Bartolo
Manager Infection PreventionWestern Health
From: AICA Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Jane Hellsten
Sent: Thursday, 24 March 2011 7:52 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: [AICA_Infexion_Connexion] Vale Clinton DunkleyThe team from Bendigo Health Infection Prevention are deeply saddened by the news of Clintons death this week. We would like to send our deepest sympathy to Clintons family. We had many professional connections with Clinton especially during his time with the Health Department attending RICPRAC meetings together. He is far to young to leave this world and will be a great loss to all who knew him and especially to his loved ones.
Our thoughts are with his family.Jane Hellsten and the Infection Prevention Team
Bendigo Health, Victoria.From: AICA Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of GREENOUGH John R (SVHM)
Sent: Wednesday, 23 March 2011 5:01 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: [AICA_Infexion_Connexion] Vale Clinton DunkleyMichael could you please put out the information below on the AICA list
Dear Colleagues ,
It is with great sadness to inform you that Clinton Dunkley passed away Tuesday 22nd March. Many of you will know Clinton from his work in Infection Control from his time at St. Vincents Hospital Melbourne, Senior Program Advisor Infection Control Department of Health Victoria, and more recently the Operations Manager for VICNISS Coordinating Centre. A funeral service has been booked for 1.15 pm Monday 28th March at Springvale Crematorium, followed by refreshments. Please see tomorrows Melbourne newspapers for more details.John Greenough | Infection Control Consultant
St Vincents | 41 Victoria Parade Fitzroy VIC 3065
t: +61 3 9816 0632 | t: +61 3 9288 4704 | f: +61 3 9288 4068 | http://www.svhm.org.auDisclaimer : The contents of this e-mail including any attachments are intended only for the person or entity to which this e-mail is addressed and may contain confidential, privileged and/or commercially sensitive material. If you are not, or believe you may not be, the intended recipient, please advise the sender immediately by return e-mail, delete this e-mail and destroy any copies.
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Richard Bartolo
ParticipantAuthor:
Richard BartoloPosition:
Principal Infection Prevention CNCOrganisation:
Western HealthState:
VICHi Pauline,
Recommendations for Surgical Skin Antisepsis in Operating Theatres from CHRISP.Expiry dates
Skin disinfectants should be labelled with the date when first opened and the expiry date which must be adhered to:
aqueous solutions must be discarded after 24 hours;
aqueous povidone-iodine expires one month after opening;
alcoholic solutions must be discarded six (6) months after opening.Have a Happy Christmas.
Richard Bartolo
Manager Infection PreventionWestern Health
Gordon Street, Footscray VIC 3011
Tel. 03 8345 6113
Pager. 03 8345 6666 No. 506
Mob. 0438 560 441
Email. richard.bartolo@wh.org.au
Web. http://www.westernhealth.org.auNotice:
This email (and any attachment) is for the exclusive use of the addressee and may contain information that is privileged, confidential or protected by copyrights. If you are not the addressee or the person responsible for delivering this email to the addressee, you must not disclose, distribute, print or copy this email and the contents must be kept strictly confidential. If this email has been sent to you in error, kindly notify us immediately on 03 8345 56113 and destroy the original. Electronic mail is not secure and there is also a risk that it may be corrupted in transmission. It is therefore your responsibility to check this email (and any attachment) carefully and if there are any errors to contact us immediately. We do not accept liability for any loss or damage caused by such lack of security or transmission errors.—–Original Message—–
From: AICA Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Pauline Bass
Sent: Wednesday, 22 December 2010 12:56 PM
To: AICALIST@AICALIST.ORG.AU
Subject: [AICA_Infexion_Connexion] 0.5% Chlorhexidine in 70% AlcoholHi
Just wondering if anyone has any guidelines regarding the length of time bottles of 0.5% Chlorhexidine in 70% Alcohol should remain open for, before being discarded.
There are no specific recommendations from the manufacturer.
Regards
Pauline
Pauline Bass
Infection Prevention Nurse Consultant
Alfred HealthMessages posted to this list are solely the opinion of the authors, and do not represent the opinion of AICA.
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