[robertsh@sath.org.au]

Hi Jayne,
Thank you for your input.
That is my go to plan with diarrhoea. Isolate until 48hr post.
Have a nice day
Helen

Helen Roberts
Infection Control
P: 07 4646 3106 |
F: 07 4633 7602
E: robertsh@sath.org.au |
W: http://www.sath.org.au

Hi Helen,

Always a bit contentious, but we always isolate until no diarrhoea for 48 hours.

Kind regards

Jayne O’Connor RN ,BSc.,Inf.Cont
IPC Co-Ordinator
Sydney Adventist Hospital | 185 Fox Valley Road, Wahroonga, NSW 2076

p: +61 2 9487 9732 | f: +61 2 9473 8052 | m: +61 0406 752685 | e: jayneoconnor@sah.org.au
http://www.sah.org.au

[SAH_EntitySignature2017][cid:image002.png@01D5958B.346CDC80]

Morning,

I recently have 2 patients transferred into our hospital with a positive Aeromonas in faeces.
The patients both have loose bowel motions and I have placed them on precautions.

I am wondering do these patients need to go on precautions and if so for how long?

I normally would do 48 hr. post last loose bowel motion.

Any help would be appreciated.
Kind regards
Helen

Helen Roberts
Infection Control
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[robertsh@sath.org.au]

Good afternoon,

I would be interested if anyone has videos for oncology and the ED one.

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

Good Morning

I am interested in the ED HH video as well please.

Kind regards

Julie

Julie Baile | A/Clinical Nurse Specialist
Infection Prevention & Management
South Metropolitan Health Service
Fiona Stanley Hospital
Ground Floor, 11 Robin Warren Drive, MURDOCH WA 6150
Postal address: Locked Bag 100, PALMYRA DC WA 6961
T: 6152 8915 | F: 6152 4894
E: Julie.Baile@health.wa.gov.au
http://www.southmetropolitan.health.wa.gov.au
http://www.fsh.health.wa.gov.au
[FSFHG_signature_block6-01]

Hi Michael and ACIPC staff

I was wondering if you could be so kind as to send this to the ACIPC email list please

Cheers

Libby

———
Hi everyone,

We are currently working on a hand hygiene project in ED. One of the projects we are exploring is producing a short video to be shown in the waiting room.
The staff would like to be involved in the messaging as well as in the video. Does anyone have any short waiting room video’s they are able to share with us?

I am also interested if anyone has any short ED procedure video’s (cannulation/venepuncture etc.) other resources or sharing experiences doing similar projects in ED they are willing to share? I understand that may places will have different equipment and different sequencing but it may give me some ideas for the next phase ED are looking at

Kind regards

Libby Skewes
Infection Control Nurse – STVM and Residential
Employee Health
St Vincent’s Hospital | 41 Victoria Parade Fitzroy VIC 3065
t: +61 3 9231 4704
http://www.svhm.org.au I elizabeth.skewes@svha.org.au I employeehealth.nurse@svha.org.au

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[robertsh@sath.org.au]

Hi Glenys,
That is what I found to.

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

Hi all,

Have not seem anything in Australia, but lots of free material on APICs web page whos theme for 2019 International Infection Prevention Week is Vaccines are Everybodys Business.

http://professionals.site.apic.org/iipw/promotional-toolkit/

infographic posters
http://professionals.site.apic.org/infographic/

logo and web buttons
http://professionals.site.apic.org/iipw/logos-and-web-buttons/

games and activities
http://professionals.site.apic.org/get-social/online-resources/

polls and quizzes
http://professionals.site.apic.org/get-social/polls-and-quizzes/

infection prevention videos
http://professionals.site.apic.org/get-social/videos/

regards

Glenys

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

Hi Helen,

I would love to hear as well as I cant find any Australian resources to help with promoting the week.

Thanks,
Leisa

Leisa Bridges

AWH Infection Prevention and Control Practitioner
Email:leisa.bridges@awh.org.au

Mail to:
PO Box 326
Albury NSW 2640
[cid:image002.jpg@01CCBE64.0CF28850]

Visit us at http://www.awh.org.au

The Best of Health

Hi everyone,

I was just wondering if anyone was doing something for Infection Control Week on the 13 -19 October?
I had a look on the internet and saw that It is Vaccines are everybody Business.

Just wondering if you are all doing the same or is that just American theme?

Any suggestions would be appreciated.

Thanks
Helen
Helen Roberts
Infection Control
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07 4646 3106
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Address:
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[robertsh@sath.org.au]

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

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 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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[robertsh@sath.org.au]

HI Pam,
We have the same problems. I would like the evidence as well or any suggestions on how to stop this practice.

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

Good morning.
We have an issue we need to address with some (special) doctors taking food and coffees into operating theatres (despite this being banned).
They also take their grubby bags in there as well

When we crack down on this I am sure I will be told by the doctors to ‘show me the evidence’ …….. blah blah blah!!!!

If anyone can refer me to any evidence or documents that support my position of ‘No food or drink in the OT’ I would be eternally grateful.

Kind regards,
Pam

Pamela Boon | Clinical Nurse Manager
Infection Prevention and Management Unit
Royal Darwin Palmerston Hospitals | Top End Health Service

Northern Territory Government
LG Floor, Royal Darwin Hospital, Rocklands Drive, Tiwi
GPO Box 41326, Casuarina, NT 0811

p …08 892 28045
f … 08 892 28889
e … Pamela.Boon@nt.gov.au
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[robertsh@sath.org.au]

Thank you Fiona for your reply.
That was my thought to, that it has to be tied back as per hospital policy.

Kind regards,
Helen

Helen Roberts
Infection Control
P: 07 4646 3106 |
F: 07 4633 7602
E: robertsh@sath.org.au |
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Hi Helen,

I have been asked to review this in the past. I could identify no specific infection control aspects associated with them.

My only requirement was that if the dreadlocks were long that the staff tie their hair back (as you would expect if they had long hair). Anything else would be based on the facilities dress code.

Kind regards,

Fiona De Sousa CICP-E| Nurse Manager | Infection Prevention & Control Unit
Launceston General Hospital, Level 2, Launceston TAS 7250
phone: 6777 6715 | mobile: 0408 487 197 | fax: 6777 5170 | email: fiona.de.sousa@ths.tas.gov.au |
intranet: http://www.dhhs.tas.gov.au/intranet/thon/infection_control

IPCU By working together we promote a culture of safety to reduce preventable infections and transmission of multi-resistant organisms

Morning,

I was looking for some advice to see if there are any infection control regulations in regards to staff having dreadlocks?

I am unable to find anything and thought it would depend on each hospital policy in regards to hair requirements.

Any help would be appreciated.

Kind regards,
Helen
Helen Roberts
Infection Control
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07 4633 7602
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robertsh@sath.org.au
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http://www.sath.org.au
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Address:
280 North St, Toowoomba, QLD 4350
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[robertsh@sath.org.au]

Hi Jane,

That is a very interesting question. Our cleaners gown and glove up as well
Would be interested to see what everyone else does as well.

Thank you,
Helen

Helen Roberts
Infection Control
P: 07 4646 3106 |
F: 07 4633 7602
E: robertsh@sath.org.au |
W: http://www.sath.org.au

Hello Brainstrust,
Do cleaners have to gown as well as glove up when cleaning Patients rooms with an MRO?.
Ours do but it has been questioned recently by staff due to the cleaners not touching the patient. There is nothing about this in the NSW health directives but we’re following the contact precautions protocol of PPE for pts with MROs.We have the cleaners clean the MRO rooms last.
Also if the floor is carpeted does the floor need to be shampooed or simply sprayed with an approved product for carpets on patient discharge.

Thank you
Jane Howard SPH
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[robertsh@sath.org.au]

Hi Pam,
I am like Emma, I have email all nursing staff, kitchen, housekeeping and wardies are to come to my office to be fit test as they have patient contact
In the email I sent them the directions for how to put the N95 on.
I will be completing this yearly and added it to excel sheet.
Cheers
Helen

Helen Roberts
Infection Control
P: 07 4646 3106 |
F: 07 4633 7602
E: robertsh@sath.org.au |
W: http://www.sath.org.au

Hi Pam , just do my own locally – using NHMRC guidelines for fit checking at orientation & then through inservicing throughout the year, we’ve also incorporated PPE into on line learning as well in IPAC module ,
I know it’s not the “ideal” but we couldn’t get the company here to do the fit test ( testing in the head box ect) and the cost at the time was also around $35/person
Cheers Emma

Emma Trippe
Infection Control Consultant
[cid:image001.png@01D51567.C424AB90]
Calvary Riverina Hospital
Hardy Avenue Wagga Wagga NSW 2650
P: 02 6932 1628
E: Emma.Trippe@calvarycare.org.au
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Good afternoon,
Can I ask what people are doing in regards to P2/N95 mask Fit Testing?

Kind regards,
Pam

Pamela Boon | Clinical Nurse Manager
Infection Prevention and Management Unit
Royal Darwin Palmerston Hospitals | Top End Health Service

Northern Territory Government
LG Floor, Royal Darwin Hospital, Rocklands Drive, Tiwi
GPO Box 41326, Casuarina, NT 0811

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[robertsh@sath.org.au]

Afternoon,

I was wondering if anyone could give me some advice on ESBL Klebsiella.

I was under the understanding that all Klebsiella should be place in contact precautions.

Staff are arguing this point and saying if it is in the blood culture test or if the wound is closed over or they are no longer coughing (sputum), they dont need to be on precautions.

Any help 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

Hi Ruth

I am currently looking at the risks associated with ESBL and the need to isolate.

Would you be able to send through the risk matrix that you use.

Kind regards

Sharon Deen
Infection Control Nurse

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Peel Health Campus
Infection Control
Phone:

08 9531 8570

Fax:

08 9531 8409

Email:

DeenSharon@ramsayhealth.com.au

Web:

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Address:

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Hi Cate,
Great you are looking at your local risk re. these issues.
I can share with you my NZ experience – in most of New Zealand North Island, Auckland and upper north of NZ which has a similar epidemiology picture to yours re MRSA e.g. overcrowding , high community rates of nmMRSA etc. Most NZ North Island hospitals removed contact precautions for nmMRSA patients many years ago and have not seen an increase in hospital transmission of MRSA which is actually mostly community acquired.

* Re ESBL the common community ESBL- E.coli colonised patients are not isolated either unless they have a high risk factor for spread. Again the majority of the ESBLs are community acquired. In Christchurch over 5 years ago we introduced a risk matrix for isolation of ESBL based on organism e.g. ESBL Klebsiella is always in CP, and patient risk factors for spread. Again no change in hospital transmission. Of course it freed up single rooms, improved transfer times from ED and was better for the patients.
* Re. plastic aprons versus long sleeved plastic gowns. Most of the UK routinely use plastic aprons for these types of MRO CPs where there is minimal contamination anticipated. However it may be that one type of gown stocked on the wards is better than two.
* I also think Susan Jains recent journal article presents a good argument for no gloves for dry MRO patients very well

Cheers
Ruth

Ruth Barratt RN, BSc, MAdvPrac (Hons)
PhD Candidate and Research Assistant
Centre for Infectious Diseases and Microbiology
Westmead Institute for Medical Research
University of Sydney
rbar5856@uni.sydney.edu.au
ORCID ID:https://orcid.org/0000-0002-8930-6414

Hi everyone,
just after your thoughts on glove and gown use in contact precautions. We are currenlty reviewing the management of transmission based precautions in our facility. Our local profile of MROS’s include very almost no CPE, minimal MRSA, high rates of nmMRSA which is widespread in the community , increasing ESBL, minimal other gram negative MRO’s. We are reviewing the possiblilty of using standards precautions for patients who are colonised with nmMRSA. Clearance swabs are problematic as patientss often retrun to homes with overcrowding and high rates on nmMRSA. There is currently no PCR testing for MRSA/nmMRSA available in our jurisdiction, therefore 3 swabs are taken for culture.
We would also like to remove longsleeve plastic gowns and replace with plastic aprons for contact precautions unless there is a risk of blody fluid exposure. Gloves seem to poorly affect Hand Hygiene complance despite significant education and would like you views and experience on this.
The literature seems inconclusive but as this would be against NHMRC guidelines ,can you let me know if you have any advice regading the changes we would like to implement ?
Thanks everyone

Cate Coffey | Clinical Nurse Consultant
Infection Prevention and Control Unit | Central Australia Health Service
Northern Territory Government
Alice Springs Hopsital, Gap Rd, Alice Springs
GPO Box 2234, Suburb, NT Postcode
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[robertsh@sath.org.au]

Morning Marija,
I am only new to infection control and it is such a big learning curve.
This looks very interesting. I will have a good read.
Something that I might be able too implement here.
Really appreciate everyone valuable input.

Just wondering do you still fit test all staff, and if so do you have a competencies that you use?

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

Hi Helen,

We follow the SA Health Cleaning Standard and we clean the area with a single step product (detergent/disinfectant solution) and the same in disposable wipes.
This just removes the guess work out of what to use.

Kind Regards

Marija Juraja |Nurse Unit Manager CALHN Infection Prevention & Control Unit|
Division of Acute Medicine (RN, GCNS Inf Ctrl, CICP-E)
t: +61 8 7074 2810 (RAH) 8222 7588 (TQEH)| M: 0466 379 821|e:marija.juraja@sa.gov.au |
Adjunct Clinical Lecturer | University of South Australia | Division of Health Sciences
[Conumers]

Morning Brain trust,

I was looking for some advice in regards to infection control in theater.
I was wondering in anyone can tell me how they clean the operating theater after MRSA, VRE, ESBL.
Recently a staff member said that we are over doing the cleaning in regards to what I do and we only need to use soap and water.
I give them 2 options of how to clean with the products, which I cant mention on here I believe.

I was just wondering what is a good cleaning regime for all the codes?

Any information would be helpful,
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

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[robertsh@sath.org.au]

I would like to be part of this conversation as well.
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

Please count me in that conversation too
With thanks
Karen Turnbull
Infection Control Coordinator
[cid:image001.png@01D4B24A.2D076390]
Calvary Lenah Valley Hospital
49 Augusta Rd Lenah Valley TAS 7008
P: 03 6278 5333
E: Karen.Turnbull@calvarycare.org.au
http://www.calvarylenahvalley.org.au

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Hi Helen
As we prepare for Accreditation late in2019 this would be something that I would be very happy to access if someone has already developed a template.
Regards
Coralie

Coralie Tyrrell | Manager Infection Prevention & Control | P: 03 56230625 | E: coralie.tyrrell@wghg.com.au
West Gippsland Healthcare Group | 41 Landsborough Street | Warragul Vic 3820 | http://www.wghg.com.au

WGHG strives to attract and retain a highly talented learning workforce that engages with a level of pride and passion in improving the health and wellbeing of its community

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Hi all,

Does anyone have any terms of reference for their Standard 3/Infection Control meetings that they would like to send me please? I am in the process of merging our monthly IC committee meetings with Standard 3 committee meetings and need to implement the TOR for this. Also, if you have meeting agenda templates which set out the meeting as per the standards, that would be good too, thanks.
Cheers,
Helen Scott, ICP, Griffith Hospital, NSW

Helen.scott1@health.nsw.gov.au

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