[Donnellan, Robyn]

Thanks Terry,
The Australasian Health Facility Guidelines are also being revised it would seem worthwhile that the College have the opportunity to provide input into both of these documents.
I am currently providing advice on a new hospital build, and in NSW funding is tied to the AHFG as it relates to the placement of Hand Hygiene facilities, and the selection and type of hand basin for each acute/treatment area.

The AHFG currently does not insist that a Handbasin be co-located within the patient zone in Emergency Departments. The AHFG documents a contradiction regarding the number of Hand Hygiene Facilities to be supplied within the Emergency Department. The current AFHG considers a hand basin for 1 to 4 beds is adequate.
A contradiction is documented in the AHFG regarding the type of hand hygiene facility to be supplied related to the expected function of the hand basin. For example a type B sink is often recommended, when a clinical Type A hand basin is preferred relative to the function. a Type B sink is smaller and the shape is not effective for aseptic procedural handwash/scrub because that hand set contaminated (not fit for purpose).

Emergency Department treatment bay functional brief is to assess and treat patients with acute conditions. This often involves insertion of peripheral intravenous cannula, and other aseptic procedures. One might question the rationale of the AHFG if a hand basin is not available within the patient zone, and is not fit for purpose in a patient zone where aseptic practices are performed.

It is a great opportunity for ACIPC members to comment on the placement of hand hygiene facilities/materials, in the revision of AHFG and Standards Australia AS1071.
Would it be possible for the ACIPC to send out to the members the details of where comments can be sent for the AS1071, and for the revision of AHFG submission and the due dates please.

Kind regards
Robyn Donnellan CICP

Clinical Nurse Consultant Infection Prevention & Control Service | Nursing & Midwifery Directorate
MNC & NNSW LHD
Locked Mail bag 11 Lismore NSW 2480
Tel 02 6620 7490 | Fax 02 6621 7088 | Mob 0427 201 923 | Robyn.Donnellan@ncahs.health.nsw.gov.au
http://www.health.nsw.gov.au

[http://www.health.nsw.gov.au/images/communications/e-signatures/images/NSW-Health-Master.jpg]

Hi everyone,

Just came across this snippet in a Standards Australia e-newsletter – see attached. This is the first I have heard about it – so I am hoping that practitioners out there have been involved in some way.

Regards
Terry McAuley
Sterilisation & Infection Prevention and Control Consultant
STEAM Consulting
E: terry@steamconsulting.com.au
W: http://www.steamconsulting.com.au
A: PO BOX 779
Endeavour Hills
VIC Australia 3802

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[Donnellan, Robyn]

Dear All,
I have a clarification regarding this post. Particularly receiving this and other information via media sources. Does the college receive information about significant infectious disease/HAI issues such as a Ebola from an official Commonwealth source? Has the college been in consultation with the Commonwealth about the issues such as recommended PPE, training resources, and disinfection. Are we sitting at the big table?
I would welcome the member comments regarding this issue
Kind regards

Robyn Donnellan CICP

Clinical Nurse Consultant Infection Prevention & Control Service | Nursing & Midwifery Directorate
MNC & NNSW LHD
Locked Mail bag 11 Lismore NSW 2480
Tel 02 6620 7490 | Fax 02 6621 7088 | Mob 0427 201 923 | Robyn.Donnellan@ncahs.health.nsw.gov.au
http://www.health.nsw.gov.au

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Hi All,

Just out now:

http://www.abc.net.au/news/2014-10-23/infectious-diseases-expert-named-as-australias-ebola-tsar/5837000
[http://www.abc.net.au/news/image/5837070-1×1-700×700.jpg]

Infectious disease expert Professor Lyn Gilbert appointed to oversee Australia’s response to Ebola threat – ABC News (Australian Broadcasting Corporation)
One of Australia’s leading doctors has been appointed the country’s Ebola tsar with the job of overseeing the response to the epidemic.
Read more…

Not sure why it needs to be a Tsar though! Interesting paragraph about overhauling infection control in Aus hospitals. Hope some of us get a say in that, particularly those who are working in them….

Cheers Matt

Matt Mason RN, CICP, BNSci, M Rural Health, M Advanced Practice (IC)
Lecturer School of Nursing & Midwifery
Faculty of Science, Health, Education and Engineering University of the Sunshine Coast
University of the Sunshine Coast, Locked Bag 4, Maroochydore DC, Queensland, 4558 Australia.
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[Donnellan, Robyn]

Hi Terry
I am concerned that the CDC has recommended the use of ABHR on gloves. ABHR has skin emollients in the preparation and is classified as a skin antiseptic not a disinfectant. A straight 70% alcohol impregnated wipe (disinfectant ) should be used if an equipment surface wipe is required throughout the doffing procedure. Some staff think the use of ABHR is acceptable, I would be disappointed if this poor practice was promoted.
Kind regards
Robyn Donnellan CICP
CNC Infection Prevention & Control Service
for Northern NSW LHD
02 66207490

From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Terry Grimmond
Sent: Wednesday, 22 October 2014 1:02 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: CDC guidelines question re disinfection of gloved hands – any shared advice – words of wisdom?

Hi Michael,
Given Ebola urgency, uniqueness, and common need of members, can you allow an exception in naming of disinfectant brands and types? The CDC list of EPA registered is very frustrating and not applicable in Australia.
Linda, CDNA recommends 1,000-5,000ppm hypochlorite for cleaning and spills (dependent on blood presence) it is economical, readily available and effective.
Regards,
Terry Grimmond FASM, BAgrSc, GrDpAdEd
Consultant Microbiologist
Grimmond and Associates
Ph (NZ): +64 7 855 3212
Mob (NZ): +64 274 365 140
E: terry@terrygrimmond.com
[Twitter_logo_blue]: @terrygrimmond
W: http://terrygrimmond.com
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From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Lindy Ryan
Sent: Wednesday, October 22, 2014 2:01 PM
To: AICALIST@AICALIST.ORG.AU
Subject: CDC guidelines question re disinfection of gloved hands – any shared advice – words of wisdom?

Hey all Ebola champions

just been asked by my boss here what others are considering or have to hand re the new CDC guidelines

http://www.cdc.gov/media/releases/2014/fs1020-ebola-personal-protective-equipment.html

re this point specifically

Disinfection of gloved hands using either an EPA-registered disinfectant wipe or alcohol-based hand rub between steps of taking off PPE.

Will you be considering ABHR or a disinfectant wipeif a wipe what would you use.

We are just trying to understand what specifically is in the EPA registered disinfectant wipe so we can match it with what we have TGA approved and available in Australia as there are many listed but not available in Australia

We have a disinfectant wipe here we use for environmental cleaning (I know I cant name products on this forum) here but know there are other products. Can anybody send me what they are using off line and if it comply with the EPA list as recommended by the CDC (I know you are busy so a quick reply with just a name would be great!)

Hope you are all travelling wellhuge body of work being done by us all trying to have consistency for staff and pt safety and calm another thesis for somebody in the making hey?

Thank you so much for those of you who have kindly shared so much already you are all such a wonderful group to be able to liaise and work with I love being an ICP when I get to work with such proactive resourceful sharing bunch as we all are!!

Cheers

Lindy

Lindy Ryan

Infection Prevention & Control CNC | Infection Control Service Nepean Hospital NBMLHD
PO Box 63, Penrith, 2751
Tel (02) 4734 2228 | Fax (02) 4734 2517 | lindy.ryan@health.nsw.gov.au
http://www.health.nsw.gov.au

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

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[Donnellan, Robyn]

Hi All,
My memory recalls that there used to be a rust inhibitor in some of Chlorhexidene liquid disinfectants (check the product specs of the solution), when instrument soaking practices occurred. I would imagine that this would not be the case with impregnated swabs.
Kind regards
Robyn Donnellan CICP
CNC Infection Prevention & Control Service for
Mid North Coast and Northern NSW
Local Health Districts

Hi all,
My understanding is that the TGA has changed its registration processes for skin disinfectants so that they now need to be registered as OTC medicines. This probably involves another cost for manufacturers who may be trying to get around this by simply re-labelling their products. Consumers need to express to the product suppliers that this is not acceptable.
In the meantime, if the product has not changed its formulation, some healthcare facilities are electing to continue to use the products “off label”.
Clearly not a satisfactory situation.

Regards,
Irene

Irene Wilkinson
Manager, Infection Control Service
SA Health
Irene.wilkinson@health.sa.gov.au

I have emailed the manufacturer of 100ml 2% Chlorhexidine in 70% Alcohol with the same labeling- will share the response when it arrives

I note the 500ml bottle of 0.5% Chlorhexidine in 70% Alcohol also now has this labeling

Have had a look around the TGA website and have not seen anything about category changes

regards
Sue

Sue Borrell
Infection Prevention Nurse Consultant
Infection Prevention & Hospital Epidemiology

t 03 90763139
m 0429 806356
e S.Borrell@alfred.org.au

Alfred Health
55 Commercial Road
Melbourne VIC 3004
PO Box 315 Prahran
VIC 3181 Australia

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Alfred Health incorporates The Alfred, Caulfield Hospital and Sandringham Hospital
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Hi Lindy
our generic branded liquid solution seems to now also have the ‘hospital grade disinfectant and the surface cleaning” directions, however our single use swabs and packets do not. Has anyone contacted the manufacturer yet?
regards
J

We Passed Accreditation – met with merit for standard 3 Infection Prevention – many thanks for your assistance and great work

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 [cid:AYCCANSEZKYQ.IMAGE_5.gif] [cid:CYGCMIATVVPE.IMAGE_5.BMP]

>>> Lindy Ryan <Lindy.Ryan@SWAHS.HEALTH.NSW.GOV.AU> 3/07/13 9:03 >>>
Dear Colleagues

Just wondering if anyone; facilities/ service had been using 2%CHG in 70% ETOH (tinted pink /red/blue) for skin antisepsis for their pt. s for insertions of CVADs or preop skin prep? and if so were you notified of the change to the physical labelling from it previously being labelled for use as skin prep – ‘use as a preoperative treatment of unbroken skin’ to it at some date being relabelled as a “hospital grade disinfectant ” “with the direction “of apply to hard surfaces e.g walls and floors”

Can I ask then if you were aware can I ask are you still using it as a skin antisepsis even with the label change or have you stopped using for this purpose… and if so what are you now using instead?

Any advice or feedback would be grateful

Many thanks

Regards

Lindy

Lindy Ryan
Infection control CNC
Nepean Hospital NBMLHD
Phone 4724 2228
Email lindy.ryan@swahs.health.nsw.gov.au

Infection Prevention and control is everyones business

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