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Robinson, Nikki

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  • in reply to: Minimal age to wear surgical mask #77044
    Robinson, Nikki
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    Robinson, Nikki

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    We put them on kids presenting to ED who have respiratory symptoms if they fit (we had some paediatric masks – but we ran out and cannot get any more). The paediatric ones would fit a child from about 4 years upwards…
    Nikki
    Noosa Hospital

    Nikki Robinson
    Quality & Infection Control Coordinator
    Phone:07 5455 9200

    This message has originated outside of the organisation and you should therefore take precaution when opening links or attachments that may be contained within.
    ________________________________
    Hi All,
    Can anyone please advise what the minimal age of children is to wear surgical masks? If you have any guideline to be shared? Your help would be greatly appreciated.

    Kind regards,

    Serina Liao
    CNC| Infection Prevention Unit
    SWSLHD Primary & Community Health Services
    Rosemeadow CHC, 5 Thomas Rose Drive, Rosemeadow NSW 2560
    [cid:image003.jpg@01D60740.7CFD3A40]

    Visit the NSW Health website for the latest information on COVID-19.

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    in reply to: Swimming Pools- CDI #76133
    Robinson, Nikki
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    Robinson, Nikki

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    Dear Leisa,
    Attached are the latest Guidelines for Qld health. They have a 14 day exclusion for diarrhoea so I would treat C. diff the same.
    Thanks
    Nikki

    Nikki Robinson
    Quality & Infection Control Coordinator
    Noosa Hospital

    Morning Everyone,

    I was wondering if anyone has any guidelines/resources they would be happy to share about patients who have CDI and using Swimming Pools.

    Many thanks,
    Leisa

    Leisa Bridges

    AWH Acting Infection Control Consultant

    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”

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    in reply to: Cleaning MRO rooms #75496
    Robinson, Nikki
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    Robinson, Nikki

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    in reply to: FW: Issues with Influenza Vaccination leakage #75388
    Robinson, Nikki
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    Robinson, Nikki

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    Hi Sue,
    I have given over 200 of the same vaccine with BD non safety needles and I have not had any issues.
    Nikki

    Nikki Robinson
    Coordinator

    [http://www.ramsayhealth.com/~/media/Images/email/email-RHC-logo]

    Noosa Hospital
    Infection Control
    Phone:

    07 5455 9200

    Email:

    RobinsonN@ramsayhealth.com.au

    Web:

    http://www.ramsayhealth.com

    Address:

    111 Goodchap Street, Noosaville Qld 4566

    [http://www.ramsayhealth.com/~/media/Images/email/email-social-mediaPCP.jpg]

    From: ACIPC Infexion Connexion On Behalf Of Susan Gonelli
    Sent: Thursday, 2 May 2019 10:37 AM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: [ACIPC_Infexion_Connexion] FW: Issues with Influenza Vaccination leakage

    Hi All,

    I would like to ask if anyone else is having issues with the AfluriaQuad Influenza vaccine and BD Eclipse needles. We have had a number of leur lock mechanism breakages as well as vaccine leaking requiring a 2nd dose. We have also had a needle stick injury post vaccination when the needle and syringe fell apart as the safety mechanism was being activated. I also have been informed that another organisation have had 3 needle stick injuries within their IC department using the same combination of vaccine and BD Eclipse needles. I have attached a photo of the broken syringe / needle combination.

    This issue has been reported to TGA, BD and Seqirus

    Regards

    Sue Gonelli CNC Pre Employment Immunisation Coordinator
    Employee Exposure Management and Immunisation Service PO Box 52, Frankston Vic 3199
    Direct 9788 4568 Fax 9784 2347 Switchboard 03 9784 7777
    Penisula Health

    The information contained in this e-mail and its attachments is intended only for the private and confidential use of the recipient named above and may be subject to legal privilege. If you are not the intended recipient and/or you have received this e-mail in error, you must notify the sender immediately and delete the e-mail. You are hereby notified that any dissemination, misuse, copying or disclosure of this information is strictly prohibited.
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    Robinson, Nikki
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    Robinson, Nikki

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    Hi Tina,
    Our approach is to treat all patients the same. We do not screen all patients so would have many unknown colonised patients. By adopting a one approach policy there is no confusion as per Michael & Joanna comments below.
    We recover all patients in recovery. The only time we would recover a patient in theatre would be if they were on droplet precautions (only happened once with a norovirus patient with a # NOF)
    We dont do bronchoscopies so dont have airborne precautions to contend with in theatre / endoscopy unit.
    Thanks
    Nikki

    Nikki Robinson
    Infection Control & Quality Coordinator
    Noosa Hospital
    07 54559206

    From: ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] On Behalf Of Michael Wishart
    Sent: Thursday, 13 December 2018 7:23 AM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: Re: [ACIPC_Infexion_Connexion] Reviewing management of MRO’s in perioperative unit.

    Hi Tina

    Our approach is similar to that described by Joanna Harris. I did a presentation to some per-operative nurses here about this. The key was investigating current practices between patients and plugging the holes (ie who cleans what make sure everyone knows their role).

    I think you need to work out what will work in your setting, though. I do not believe a one-size-fits-all approach will work.

    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 http://www.hsnph.org.au

    [cid:image001.jpg@01D46C86.4CDB6090]

    From: ACIPC Infexion Connexion On Behalf Of The Harrises
    Sent: Thursday, 13 December 2018 4:31 AM
    To: ACIPCLIST@ACIPC.ORG.AU
    Subject: Re: Reviewing management of MRO’s in perioperative unit.

    Hello Tina, and welcome.
    The important thing is to thoroughly look at the risks associated with MROs in theatre balanced with the risks associated with managing patients known to be colonised. Also recognise that you do not probably know the MRO colonisation status in real time for every single patient.
    Here in the Illawarra Shoalhaven in NSW we have adopted a much more horizontal approach to our infection prevention and control policies. Essentially this can be described as doing the right thing for everyone. By doing this we make things simpler for staff, prevent discriminatory practices for those patients with a history of MRO colonisation, and avoid problems such as the ones you have described with wasted theatre time and equipment issues.
    I would be very happy to discuss off line, and share policies etc. if you are interested.

    JoannaHarris
    Nurse Manager, Infection Management and Control Service,
    Illawarra Shoalhaven LHD, NSW.
    Joanna.Harris@health.nsw.gov.au

    Sent from my iPhone

    On 7 Dec 2018, at 15:09, Tina Muller <Tina.Muller@HEALTH.QLD.GOV.AU> wrote:
    Afternoon,

    Im a new member, and very excited to be able to network with such a diverse body of knowledge.

    Question?
    We are currently reviewing our management of MROs within the perioperative Unit.
    Specifically focusing on decanting theatres prior to admitting the patient into theatre.
    This includes the anaesthetic drugs trolley which is kept close at hand outside the door.
    Yes, we allocate an outside runner.

    There are two components that we are keen to focus on.

    1. Decanting the Theatre we are discussing the Non-Contact vs Contact Zone
    2. Recovering of patient in the theatre ( VRE / ESBL/CRE ) vs PACU (MRSA)

    These are the core issue that cause grief among the staff.
    Ana Folk- not ready access to emergent equipment if required.
    Loss of theatre time in recovering patient in Theatre.

    As you are aware, this implicates theatre staff and activity time.
    This is addressed with allocating the MRO patients to the end of the elective lists
    If we have a spare theatre – we will take the MRO patients there, so there is minimal lost time in their home theatre( while someone else cleans up or recovers the patient)
    No so easy to negotiate if this is an emerg patient.

    Earlier this year, I emailed across QHealth via SWAPNET, and thank-you to all who responded.
    This has given us much to consider, drawing us to the Contact vs Non-Contact area within the actual theatre.

    [cid:image001.jpg@01D48E36.7789BA40]

    Before I totally re-write our Policy reflecting the changes, I would like the opinion of the ACIPC Network.
    I thank-you for your time and consideration in this matter.

    Regards,
    Tina

    Tina Muller
    Clinical Nurse Consultant / Perioperative & CSD.
    Mackay Hospital and Health Service
    P: 07 4885 5387
    E:tina.muller@health.qld.gov.au

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