[Lee, Rosie]

Hi Cate and all
Interesting topic. Manufacturers claims of antibacterial properties rely on testing under laboratory controlled conditions and these only demonstrate log reduction of specific organisms such as S. aureus, E.coli and E. faecium and not the whole range of other infectious agents e.g. norovirus or newer emerging pathogens of significance such as Carbapenam-resistant acinetobacter.

A randomised control trial conducted by Ohl , Schweizer, Graham et al. demonstrated that the use of such curtains in an Intensive Care Unit extended the time of first contamination than when a standard curtain was used. However the degree of contamination is dependent on the patients infectious status, environment and healthcare workers. As such our guidelines are:
The curtains must be dated upon installation and changed when:
1. visibly soiled
2. following cleaning of a bedspace in an inpatient ward occupied by a patient with an infectious organism or at discharge/transfer of a patient who is under isolation
3. during an intensive (outbreak) ward clean
4. if the surface of the curtain is no longer smooth i.e. frayed
5. as per manufacturers recommendations if criteria 1-4 do not apply

Reference
Ohl M, Schweizer M, Graham M et al. (2012. Hospital privacy curtains are frequently and rapidly contaminated with potentially pathogenic bacteria. American Journal Infection Control Vol 40 (10) Pages 904906

Regards

Rosie Lee CICP-E | Coordinator
Infection Prevention & Management
Royal Perth Bentley Group
Level 6, A Block, Wellington Street, Perth, WA, 6008
T: (08) 9224 2805 F: +61 08 9224 1989
E: rosie.lee@health.wa.gov.au
W: http://www.rph.health.wa.gov.au
[cid:image006.png@01D285EB.835E4D90]

From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Michael Wishart
Sent: Tuesday, 10 April 2018 7:37 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Disposable curtains

Hi Kathy

We change our antimicrobial disposable curtains every 12 months unless stained or torn. We do not change them more frequently for patients with respiratory viruses; however we did not routinely do this after most respiratory viruses (including seasonal influenza) either.

Verily was correct in her previous message; you should check the claims of the curtain manufacturer against organisms and time. Those manufacturers who provide independently verified data are best, and you should check for both anti-viral and antibacterial claims. Real world testing (ie testing after actual use) is preferred over lab only testing.

Cheers
Michael

Michael Wishart, CICP-E
Infection Control Coordinator

A 627 Rode Road, Chermside QLD 4032
P (07) 3326 3068 | F (07) 3607 2226 | E michael.wishart@svha.org.au | W http://www.hsnph.org.au
[cid:image001.png@01D01926.61F1C2B0]
P Please consider the environment before printing this email

From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Kathy Mcdowell
Sent: Monday, 9 April 2018 4:47 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] Disposable curtains

I also have a question in regards to Influenza.
None of the curtains claim to be effective against Influenza do you replace curtains for these patients or stay with the schedule??

Kathy McDowell
Clinical Nurse Consultant | Infection Prevention And Control Service (IPACS)
Blacktown and Mount Druitt hospitals
Mob 0407 264 379 | Kathy.mcdowell@health.nsw.gov.au
[cid:image002.png@01D06D2C.9BC211C0] [https://encrypted-tbn0.gstatic.com/images?q=tbn:ANd9GcQj0jVZOeSlVE1liMCdY4-rXIkBc-rDzVjtcPpf2fPY0OoUMXYfLA]
[cid:image003.png@01D3D022.5177FD80]

From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Verily Thomas
Sent: Monday, 9 April 2018 10:39 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Disposable curtains

Hi All

We have had our disposable curtains for about 3 years now. The decision we made following an actual trial in high risk MRO areas where the curtains were left for a period of 7months and then tested with no growth (VRE or MRSA or other except an ESBL in ICU:

1. 6months for high to medium to high risk areas (which would be most of our ED, acute wards and peri-op here.

2. 12months for low risk areas (outpatient departments and clinics.

We only came out with this after an actual trial to support claims made by the supplier. I would recommend there are a whole lot of different brands out there so be careful when deciding I have observed some questionable advertising.

Kind Regards
Verily Thomas

Clinical Nurse Consultant, Infection Prevention & Control | Bankstown-Lidcombe Hospital
68 Eldridge Road, Bankstown, New South Wales 2200
Tel (02)97228000 pager 28230
Tel (02) 9722 8633 | Fax (02) 9722 7822 | Verily.Thomas@health.nsw.gov.au
http://www.health.nsw.gov.au

[http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Master.jpg]
HAND HYGIENE SAVES LIVES
CLEANER ENVIRONMENT BETTER OUTCOMES

From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Juraja, Marija (Health)
Sent: Monday, 9 April 2018 9:54 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Disposable curtains

We replace every 12 months.
The exception being if its a CRO patient, or an outbreak then changed on discharge.

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
[cid:image001.jpg@01D3CFE4.708035A0]

From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Marie Sheehan
Sent: Friday, 6 April 2018 1:47 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] Disposable curtains

Every 6 months

Marie Sheehan
CEO/DON CSDS | Business Manager MAS
Colin Street Day Hospital

[cid:imagea3da09.JPG@3dfb9874.4d9d5345]

T:
F:
M:
E:

08 9321 4256
08 9321 1769
0411 738 809
marie@csds.com.au

[cid:imageaccab9.JPG@bb5b9e2b.4fb351da]

T:
F:
M:
E:

08 9321 7746
08 9481 1917
0411 738 809
marie@csds.com.au

Address : 51 Colin Street, West Perth, WA 6005

Please consider the environment before printing this email 1 ream of paper = 6% of a tree and 5.4kg CO2 in the atmosphere 3 sheets of A4 paper = 1 litre of water

This email contains information which may be confidential and may also be the subject of legal privilege, public interest immunity or legal professional privilege. Do not copy or forward this email to anyone unless you have the express written permission of the sender. If you are not the intended recipient any use, disclosure or copying of this document is unauthorised – please delete the message immediately. Colin Street Day Hospital does not warranty or guarantee that this email (and attachments) are free of errors, viruses, or have been received in the form sent. The recipient assumes all responsibility for any consequences resulting from all uses of this email.
From: ACIPC Infexion Connexion <AICALIST@AICALIST.ORG.AU> On Behalf Of Cate Coffey
Sent: Friday, 6 April 2018 12:01 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Disposable curtains

Hi everyone,
For those of you who use disposable curtains, would you share your curtain change schedule with me?
cheers

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
p … 08 89517737
e … cate.coffey@nt.gov.au http://www.nt.gov.au/health

Our Vision: Better health outcomes for all Central Australians
Our Values: Community at the Centre | Equity and Integrity | We are Accountable | We are Relevant Today and Ready for Tomorrow | We are Committed to High Quality Care | We Value our Partnerships

Central Australia Health Service is a Smoke Free Workplace

The information in this e-mail is intended solely for the addressee named. It may contain legally privileged or confidential information that is subject to copyright. If you are not the intended recipient you must not use, disclose copy or distribute this communication. If you have received this message in error, please delete the e-mail and notify the sender. No representation is made that this e-mail is free of viruses. Virus scanning is recommended and is the responsibility of the recipient.

MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

This message is intended for the addressee named and may contain confidential information. If you are not the intended recipient, please delete it and notify the sender.

Views expressed in this message are those of the individual sender, and are not necessarily the views of NSW Health or any of its entities.
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

This message is intended for the addressee named and may contain confidential information. If you are not the intended recipient, please delete it and notify the sender.

Views expressed in this message are those of the individual sender, and are not necessarily the views of NSW Health or any of its entities.

______________________________________________________________________
This email and any attachments to it (the “Email”) 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. If you are not the intended recipient of the Email, please notify the sender immediately by return https://clicktime.symantec.com/a/1/bEN0APB5IauJpqFLlhcm8y5p8WBIjx13qZlqSHy-_KY=?d=sNecJdJA2bG1icBRFwQCmt8D2jT75etokWKv3rSCzXaKjPWbO34k-TGDZsRW7K8VsHydp41_cOiJC6DC-aC8HRf48kQ01hJsHKljpp7mHfDr-UKO0mQZfd-09Xp-lj_KKKhy7o-ApGrFWzWiCv7F_FBGOe7YWtQK8U4VfJAxrKDjx8D14XmKfWqO6QqCpfRjNQ609xEQR5JCNkox1WhiFfJhIwllfCxcPGhoFbuphDBWsT6IfIsL3aSdu2hIwq_PmuJjiY4HaHqwxgRru-wWTUai2q1XJ7wTY3Zc59LPGKZ7VtbNWMIak6c7jhEZkvUoTWea24tG5t4uCwQrcQhKWsxIhG06yQnqIId3VfcYwNslcSrWxfcUrzWQnGSAMMTjVUIY_KM2NncIvT1JNuTHB7l2kyhXHwI6b9RveEfadIc6-x_2IW6w3r57-A%3D%3D&u=email%2C%20delete%20the%20Email%2C%20and%20do not copy, print, retransmit, store or act in reliance on the Email. St Vincent’s Health Australia (“SVHA”) does not guarantee that the Email is free from errors, viruses or interference. Emails to and from SVHA or its related entities may be scanned and filtered in locations outside Australia.
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

______________________________________________________________________
This email and any attachments to it (the “Email”) 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. If you are not the intended recipient of the Email, please notify the sender immediately by return email, delete the Email, and do not copy, print, retransmit, store or act in reliance on the Email. St Vincent’s Health Australia (“SVHA”) does not guarantee that the Email is free from errors, viruses or interference. Emails to and from SVHA or its related entities may be scanned and filtered in locations outside Australia.
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist

[Lee, Rosie]

Dear all
I agree with Terry in this context. It appears a high proportion of HCWs are very out of touch with the use of gloves in accordance with Standard Precautions and I am constantly being challenged that due to OSH requirements, we have to accept a HCW if they wish to use gloves to protect themselves!
I constantly stop patient support services staff , ambulance drivers and to a lesser degree nurses from wearing gloves unnecessary. I was dismayed last week when asked to consult on the filming of a procedure to be used for training, I had to stop the anaesthetist wearing gloves before he had contact with a patient and equipment. He informed me that this is standard practice to wear gloves before having any contact with equipment and any patient as he guarantees his hands have tiny minute cuts at any given time! It took a 20 minute conversation before I could get anywhere and he changed his practice for the filming but I wonder if he will revert to it when I am not present!

So I too welcome the collective thoughts of colleagues to better inform HCW’s on board with appropriate glove use.

Regards

Rosie Lee CICP-E | Coordinator
Infection Prevention & Management
Royal Perth Bentley Group
Level 6, A Block, Wellington Street, Perth, WA, 6008
T: (08) 9224 2805 F: +61 08 9224 1989
E: rosie.lee@health.wa.gov.au
W: http://www.rph.health.wa.gov.au
[cid:image006.png@01D285EB.835E4D90]

Hi Everyone,

I agree. We should be discouraging the routine use of gloves for processes / practices where the use of gloves is unnecessary and promoting aseptic non-touch technique.

I have come across the circulating nurses wearing gloves to open sterile packs in the Operating Suite. Completely unnecessary in my humble opinion.

I’m also surprised that there has been discussion promoting the wearing of gloves in the CSSD packing areas. The premise is that it is protecting the instruments from contamination with skin flora and parallels are being drawn to the wearing of gloves in clean rooms operations.

I’d be interested to hear the thoughts of my colleagues or to be pointed in the direction of some studies that support these practices.

Kind Regards
Terry McAuley
Sterilisation & Infection Prevention and Control Consultant
STEAM Consulting Pty Ltd ACN 604 439 698
E: terry@steamconsulting.com.au
W: http://www.steamconsulting.com.au
A: PO BOX 779
Endeavour Hills
VIC Australia 3802

CONFIDENTIAL COMMUNICATION: The information contained in this message may contain confidential information intended only for the use of the individual or entity named above. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution or duplication of this transmission is strictly prohibited. If you have received this communication in error, please notify us by telephone or email immediately and return the original message to us or destroy all printed and electronic copies. Nothing in this transmission constitutes an agreement of any kind unless otherwise expressly indicated.

Hi All,

I agree with Ruth. If there is no evidence the practice should be discouraged.

In addition many healthcare workers who wear gloves do so to “protect themselves” and ignore the principles of aseptic no-touch technique when wearing gloves increasing the risk of potential contamination.

Regards

Glenys

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

Hi there
We looked at the occupational hazards of drawing up antibiotics without gloves a number of years ago when The 5 Moments were first introduced. The use of gloves for drawing up ABs is indeed a normal occurrence now and it leads to continuous glove use re. The 5 Moments so non-compliance with Moment 2. With the exception of a few ‘nasty’ ABs there was no evidence we could find for occupational risks associated with drawing up ABs e.g. no increase in sensitization forwards ABs etc. One exception was if you already had a severe sensitivity towards a particular AB. We try and discourage this practice for the above reason.

Cheers
Ruth

[IPC logo for email signature]

Ruth Barratt RN, BSc, MAdvPrac (Hons)
Clinical NurseSpecialist Infection Prevention and Control
Community Liaison Infection Prevention
*: ruth.barratt@cdhb.health.nz
*: + 64 3 3640 083 or ext.80083
[1098272744j4O36h]: 0275 263175
Level 5, Riverside Building
Christchurch Hospital | Private Bag 4710, Christchurch
Clean Hands Save Lives!

Hi all

I have been asked if we should have a policy regarding routine use of gloves when preparing and administrating IV antibiotics. My initial reaction is no, we should not be handling IV antibiotic solutions in such a way as to cause skin exposure. But having looked at some of the product information regarding the vesicant nature of some antibiotics (eg vancomycin), and the risk of adverse effects via absorption through the skin (eg gentamicin), I am wondering whether a standard approach to wearing gloves when handling antibiotic solutions should be recommended. And should we also recommend protective eyewear for this?

What do other facilities advise staff in regard to this? And how much of a risk would you consider this may be to staff?

Thanks for any opinions and comments.

Cheers
Michael

Michael Wishart
Infection Control Coordinator

A 627 Rode Road, Chermside QLD 4032
P (07) 3326 3068 | F (07) 3607 2226 | E michael.wishart@svha.org.au | W http://www.hsnph.org.au
[cid:image001.png@01D01926.61F1C2B0] [cid:image002.png@01D2F643.0BDC3BB0]
P Please consider the environment before printing this email

______________________________________________________________________
This email and any attachments to it (the “Email”) 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. If you are not the intended recipient of the Email, please notify the sender immediately by return email, delete the Email, and do not copy, print, retransmit, store or act in reliance on the Email. St Vincent’s Health Australia (“SVHA”) does not guarantee that the Email is free from errors, viruses or interference. Emails to and from SVHA or its related entities may be scanned and filtered in locations outside Australia.
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

[Lee, Rosie]

Hi Heather

We also collect HA-BSI data which commenced in 2012.
I am very happy to share with you and others performing this surveillance if you want to email me direct.

Regards

Rosie Lee CICP-E I Coordinator Infection Prevention & Management I Royal Perth Hospital I
Royal Perth Bentley Group I EMHS I

Level 6, South Block, Wellington Street PERTH WA 6000
T: (08) 9224 2805 F:(08) 92241989
E: rosie.lee@health.wa.gov.au
http://www.rph.health.wa.gov.au | http://www.bhs.health.wa.gov.au
[cid:image001.jpg@01D1EC0E.B0B3DD90]
The contents of this e-mail transmission are intended solely for the named recipient (s), may be confidential, and may be privileged or otherwise protected from disclosure in the public interest. The use, reproduction, disclosure or distribution of the contents of this e-mail transmission by any person other than the named recipient (s) is prohibited. If you are not a named recipient please notify the sender immediately.

Dear colleagues

Thank you for your great response to my question regarding the change in definition of SSI’s.
Another question for you.
At Canberra Hospital we have been collecting whole of hospital blood stream infection data since 1998.
Would any IC’s be willing to share what other hospitals in Australia also do whole of hospital blood stream surveillance.

Kind regards

Heather

Heather Warfield
Infection Prevention & Control
Surgical site surveillance
Canberra Hospital
building 10, level 4

———————————————————————–
This email, and any attachments, may be confidential and also privileged. If you are not the intended recipient, please notify the sender and delete all copies of this transmission along with any attachments immediately. You should not copy or use it for any purpose, nor disclose its contents to any other person.
———————————————————————–
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

[Lee, Rosie]

Hi Jayne

We have had a monthly “Top HH ward performer” for the ward with the best results for the past 5 years.
We give them a certificate , a perpetual trophy (that they keep for the month) and any ward achieving over 85% also gets a cake.

It is very well received by staff.
Any recognition always goes down well. It has taken 5 years but the rate has only improved consistently to over 80% for the past 6 months! But as we keep saying this is “observed” rate.
My team agree with Joe’s comments 🙂

Regards
Rosie Lee| Coordinator | Infection Prevention & Management
Royal Perth Hospital
Level 6, South Block, Wellington Street PERTH WA 6000
T: (08) 92242805 |F: (08) 9224 1989
E: rosie.lee@health.wa.gov.au
http://www.rph.health.wa.gov.au | http://www.healthywa.wa.gov.au

—–Original Message—–
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Jayne OConnor
Sent: Wednesday, 23 March 2016 13:00
To: AICALIST@AICALIST.ORG.AU
Subject: Re: hand hygiene awards

Thanks Joe Anne,
Agree with your last comment, it becomes laborious after a while.!!!

Kind regards
Jayne

Jayne OConnor RN, BSc.Inf.Cont.
IPC Co ordinator
Sydney Adventist Hospital
185 Fox valley Rd,
Wahroonga 2076
Tel: DD (02)0 9487 9732
Mobile: 0406752685

—–Original Message—–
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Joe-Anne Bendall
Sent: Wednesday, 23 March 2016 3:44 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: hand hygiene awards

Hi Jayne

We have done various awards eg most improved, best professional group in a department, first ward/department to reach 90%. We do not do it every year

I think we should have an award for the auditor who consistently performs the auditing!

Thank you

Joe-Anne Bendall
Joe-Anne Bendall
Clinical Nurse Consultant Infection Prevention and Control (Including vaccination and screening) Monday Friday 0800 – 1630 Sydney Hospital and Sydney Eye Hospital
8 Macquarie St
SYDNEY NSW 2000
|| ph +61 2 9382 7199 |page 22070 via switch 9382 7111|7 Fax
|| 93827510 |
Mobile 0418984255 | | Joe-anne.Bendall@SESIAHS.HEALTH.NSW.GOV.AU

—–Original Message—–
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Jayne OConnor
Sent: Wednesday, 23 March 2016 3:37 PM
To: AICALIST@AICALIST.ORG.AU
Subject: hand hygiene awards

Dear Colleagues,

Just wondering if anyone has an annual hand hygiene award that is awarded to ward/department, and if so what are your criteria for selecting the winners?
We are about to award for the first time in our annual awards, but want the selection to be correct as it is not just about improvement but consistency of improvement, we don’t want to put staff off improving on hand hygiene compliance who have had good results but maybe have not been consistent!! Does that make sense???

Anyway happy to hear your advise:)

Kind regards
Jayne

Jayne OConnor RN, BSc.Inf.Cont.
IPC Co ordinator
Sydney Adventist Hospital
185 Fox valley Rd,
Wahroonga 2076
Tel: DD (02)0 9487 9732
Mobile: 0406752685

CAUTION: This message may contain both confidential and privileged information intended for the addressee named above.
If you are not the intended recipient you are hereby notified that any dissemination, distribution or reproduction of this message is prohibited. If you have received this message in error please notify the sender immediately, then destroy the original message.
Any views expressed in this message are solely those of the individual sender, except where the sender is specifically authorised by Adventist HealthCare Limited to state that they are the views of Adventist HealthCare Limited.
_____________________________________________________________________
This e-mail has been scanned for viruses by Symantec Hosted Services Scanning Services – powered by MessageLabs. For further information visit http://www.messagelabs.com

MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
———————————————————————————————

Illawarra Shoalhaven Local Health District, South East Sydney Local Health District and Sydney Children’s Hospital Network (Randwick Campus) Confidentiality Notice

This email, and the files transmitted with it, are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you are not the intended recipient, you are not permitted to distribute or use this email or any of its attachments in any way. We also request that you advise the sender of the incorrect addressing.

This email message has been virus-scanned. Although no computer viruses were detected, Illawarra Shoalhaven Local Health District, South East Sydney Local Health District and Sydney Children’s Hospital Network (Randwick Campus) accept no liability for any consequential damage resulting from email containing any computer viruses.

We care for our environment. Please only print this e-mail if necessary.

This message is intended for the addressee named and may contain confidential information. If you are not the intended recipient, please delete it and notify the sender.

Views expressed in this message are those of the individual sender, and are not necessarily the views of NSW Health or any of its entities.

MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

CAUTION: This message may contain both confidential and privileged information intended for the addressee named above.
If you are not the intended recipient you are hereby notified that any dissemination, distribution or reproduction of this message
is prohibited. If you have received this message in error please notify the sender immediately, then destroy the original message.
Any views expressed in this message are solely those of the individual sender, except where the sender is specifically authorised
by Adventist HealthCare Limited to state that they are the views of Adventist HealthCare Limited.
_____________________________________________________________________
This e-mail has been scanned for viruses by Symantec Hosted Services
Scanning Services – powered by MessageLabs. For further information
visit http://www.messagelabs.com

MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

[Lee, Rosie]

Hi Tim

Thank you very much for the information and references which are extremely useful. The catheters we use here are not the safety ones.

Regards
Rosie Lee | Coordinator | Infection Prevention & Management
Royal Perth Hospital
Level 6, South Block, Wellington Street PERTH WA 6000
T: (08) 9224 2805 | F: (08) 9224 1989
E: rosie.lee@health.wa.gov.au
http://www.rph.health.wa.gov.au | http://www.healthywa.wa.gov.au
[cid:image003.png@01CFD191.167DCCC0]

Hi Rosie,
You are correct. The BD Venflon IV cannula has been widely used throughout Europe and the UK (well it was when I was there many years ago). Is it the Pro Safety or the standard ported cannula?
This style of ported cannula has been around since the early 1980’s, so despite the recent addition of a safety aspect, it is still old technology (in regards to the port aspect).

A ported cannula has significantly increased infection rates due to the inability to correctly scrub the hub or decontaminate the injection port, as well as port cap failure.

Here is an Australian publication from NT in 2013 that may help in product purchase changes – Tay, S et al. Functional evaluation and practice survey to guide purchasing of intravenous cannulae, BMC Anesthesiology 2013, 13:49 http://www.biomedcentral.com/1471-2253/13/49

There has also been reports from the UK of the ports failing – H. Adler, R. Cunningham, R. Parimkayala Valve failure in an injection port, Irish Journal of Medical Science June 2011, Volume 180, Issue 2, p 615
http://link.springer.com/article/10.1007/s11845-010-0622-z

These ported styles of cannula were likely introduced due to the higher number of UK physicians coming to work in WA (possibly due to clinician preference only) and have high infection and poor compliance rates, due to the difficult nature of port location. These are primarily placed in OT only (as you describe) and are not used in the general wards areas as far as I am aware.

Although this may be a ‘convenient option’ for clinicians, it is not in the best interest of the patient, due to the higher risks associated with these types of cannulae.

From the BD Europe website; http://www.bd.com/europe/safety/en/products/infusion/bdv_prosafety.asp

* BD Vialon(tm) – Proven easy insertion and longer in dwell times1-4

1) Maki D, Ringer M. Risk Factors for Infusion-related Phlebitis with Small Peripheral Venous Catheters. Annals of Internal Medicine. (1991); 114: 845-854.

2) Gaukroger PB, Roberts JG, Manners TA. Infusion Thrombophlebitis: A Prospective Comparison of 645 Vialon(r) and Teflon(r) Canulae in Anesthetic and Postoperative Use. Anesthesia and Intensive Care.August (1988); 16(3).

3) Stanley M, Meister E, Fuschuber K. Infiltration During Intravenous Therapy in Neonates: Comparison of Teflon(r) and Vialon(r) Catheters. Southern Medical Journal.September (1992); 85(9); 883-886.

4) McKee JM, Shell JA, Warren TA, Campbell VP. Complications of Intravenous Therapy: A Randomized Prospective Study–Vialon vs. Teflon. Journal of Infusion Nursing. September (1989); 12: 288-2.

Considering the ongoing changes in technology and increased focus on device and patient outcomes, these references are very old and dated. I agree with you that this as a huge risk for contamination and a breach of AT principles.

The BD Nexiva cannula would seem to be a far better alternative (for patient and clinician), and still offering a safety option, various access points and improved securement.

Timothy R. Spencer, RN, APN, DipAppSci, Bach.Health, ICCert, VA-BC.
Independent Vascular Access Consultant
President, Australian Vascular Access Society
Conjoint Lecturer, South West Sydney Clinical School | Faculty of Medicine | University of NSW
Director-at-Large, Vascular Access Certification Corporation (VACC)
Representative – WoCoVA Global Strategic Committee
M: +1 (623) 326 8889 (USA)
M: +61 (0)409 463 428 (AU)
E: tim.spencer68@icloud.com
“Be a yardstick of quality. Some people aren’t used to an environment where excellence is expected.” – Steve Jobs

Hello

Recently I have been made aware of this practice following implementation of Aseptic Technique Policy. It appears in our theatres the Anaesthetists use the BD Venflon(tm) intravenous catheter with integrated injection port and valve for medication and this stays in the patient. I am told the caps are either being left open in Theatres for quick access by Anaesthetists or they popp off very frequently. In recovery nurses are observed continuing to use this to administer medication. I see this as a huge risk for contamination and a breach of AT principles.

The BD representative states that this type of catheter is not used in other states of Australia but is common in UK and Europe. Is this correct?

Have you come across this in your hospitals? If so have you ceased the use or do you advocate using the side extension tubing which has a hub that can be scrubbed?

Regards
Rosie Lee | Coordinator | Infection Prevention & Management
Royal Perth Hospital
Level 6, South Block, Wellington Street PERTH WA 6000
T: (08) 9224 2805 | F: (08) 9224 1989
E: rosie.lee@health.wa.gov.au
http://www.rph.health.wa.gov.au | http://www.healthywa.wa.gov.au
[cid:image003.png@01CFD191.167DCCC0]

MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

[Lee, Rosie]

Hi Joe-Anne
On behalf the Organising Committee and I am sure Glenys will respond when she gets the chance for the Scientific Committee! Thank you very much for the lovely feedback.

If we only take home a tip each the conference is indeed successful. The networking was fantastic. Thank you again and to all delegates, speakers, participants and trade for supporting this event. There is no conference without you all.
Look forward to your evaluations which will be valuable for us to continuously improve.

Regards
Rosie Lee

Sent from my iPad

On 27 Nov 2014, at 10:28 am, Joe-Anne Bendall <Joe-Anne.Bendall@SESIAHS.HEALTH.NSW.GOV.AU> wrote:

Hi
Can I congratulate the organising and scientific committee on the program for the conference. I thought it was an excellent conference and has given me some ideas, reinvigorated me to relook at some of my programs and has made me think of why we do some things!

I am looking forward to next year

Thanks

Joe-Anne Bendall
Joe-anne Bendall
Clinical Nurse Consultant Infection Prevention and Control
Sydney Hospital and Sydney Eye Hospital
8 Macquarie St
SYDNEY NSW 2000
|* ph +61 2 9382 7199 |page 22070 via switch 9382 7111| 7 Fax 93827510 |
Mobile 0418984255 | * Joe-anne.Bendall@SESIAHS.HEALTH.NSW.GOV.AU

———————————————————————————————

Illawarra Shoalhaven Local Health District, South East Sydney Local Health District and Sydney Children’s Hospital Network (Randwick Campus) Confidentiality Notice

This email, and the files transmitted with it, are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you are not the intended recipient, you are not permitted to distribute or use this email or any of its attachments in any way. We also request that you advise the sender of the incorrect addressing.

This email message has been virus-scanned. Although no computer viruses were detected, Illawarra Shoalhaven Local Health District, South East Sydney Local Health District and Sydney Children’s Hospital Network (Randwick Campus) accept no liability for any consequential damage resulting from email containing any computer viruses.

We care for our environment. Please only print this e-mail if necessary.

MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

[Lee, Rosie]

I agree entirely. This is not good practice and one we have been continuously promoting to stop. This is obviously not evidence based and will do more harm than good.

Regards
Rosie Lee

Sent from my iPad

On 22 Oct 2014, at 2:45 pm, Donnellan, Robyn <Robyn.Donnellan@NCAHS.HEALTH.NSW.GOV.AU> wrote:

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

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
[cid:image002.gif@01CFEE08.AD39A920]
“This email (including any attachments) is intended only for the use of the individual or entity named above and may contain information that is confidential and privileged. If you are not the intended recipient, you are reminded that any dissemination, distribution or copying of this email or attachments is prohibited. If you have received this email in error, please notify me immediately by return email or telephone and destroy the original message. Thank you.”

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)

This message is intended for the addressee named and may contain confidential information. If you are not the intended recipient, please delete it and notify the sender.

Views expressed in this message are those of the individual sender, and are not necessarily the views of NSW Health or any of its entities.
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

________________________________

This message is intended for the addressee(s) named and may contain confidential information. If you are not the intended recipient, please delete the message and any attachments and notify the sender. Views expressed in this message are those of the individual sender, and are not necessarily the views of NSW Health or any of its entities.
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

[Lee, Rosie]

Hello

Over 15 years ago we experienced persistent Pseudomonas spp in endoscopy
monitoring. It was identified that the rinse water was the source of the
contamination. Rinse water from pipework downstream from filters had
hig counts of the pseudomonas suggesting biofilm within the piping was
contaminating the rinse water. A disinfection protocol was set up which
consisted of automated daily superheating of the rinse water delivery
system and the problem resolved. See publication.

Pang et al, 2002, Bacteria-free water for endoscope disinfection
Gastroendoscopy Intestinal , 56 (3)

Regards

Rosie

Rosie Lee
RN. BSc. CICP

Coordinator – Infection Prevention & Management
SMH Service – Royal Perth Hospital

Ph + 61 8 9224 2805 Fax + 61 8 9224 1989

IMPORTANT NOTICE: The contents of this email (including any attachments)
may be privileged and confidential. Any unauthorised use of its
contents is expressly prohibited. If you received this email in error,
please advise me by reply email or telephone

Behalf Of Terry McAuley

Hi Everyone,

Thanks for your responses. Cath, thanks for referring this on to Bill –
I look forward to hearing what he has to contribute.

None of the patients have been affected by this organism. We are
culturing it in very low numbers [<100cfu] from the Automated Flexible
Endoscope Reprocessor [AER] only, however as it is being initially
reported as a gram negative bacilli or a pseudomonas species, alarm
bells have rung and we have asked for the organism to be identified so
we can take appropriate action to protect our patients.

Unfortunately the GENCA (2010) guidelines do not have a flow chart to
assist in the response to positive cultures of an AER, so the approach
we have taken from a risk management perspective is to follow the
recommendations for a contaminated endoscope and have consulted the
microbiologists from the various pathology labs.

My original thoughts were that it could be arising from the filters or
potentially be contaminating the fluid pathway of the AER, however the
affected machines are different models [same brand], different
disinfectant [for one] and the clients are not all using the same brands
of filters. They are however, located in a similar geographical area.

My primary question is – given the organism has low pathogenicity, do
we really need to be concerned if the count is <100cfu?

Thoughts anyone?

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

CONFIDENTIAL COMMUNICATION: The information contained in this message
may contain confidential information intended only for the use of the
individual or entity named above. If the reader of this message is not
the intended recipient, you are hereby notified that any dissemination,
distribution or duplication of this transmission is strictly prohibited.
If you have received this communication in error, please notify us by
telephone or email immediately and return the original message to us or
destroy all printed and electronic copies. Nothing in this transmission
constitutes an agreement of any kind unless otherwise expressly
indicated.

] On Behalf Of Cath Murphy

Hi Terry

Interesting question and interesting set of responses.

I have sent it along to Bill Rutala to see his opinion. Will keep you
posted on any reply.

Out of interest have you seen any illness among pts that could correlate
with this org (I note the at risk group you mention)?

Regards

Cath

Dr Cathryn Murphy RN MPH PhD CIC

Executive Director

Infection Control Plus Pty Ltd

Adjunct Professor

Griffith University, School of Nursing and Midwifery

http://www.infectioncontrolplus.com.au

] On Behalf Of Terry McAuley

Hi Everyone,

I have had a recent spate where a number of my endoscopy procedure
centre clients have reported culturing of “Pseudomonas species” or Gram
negative bacilli after the monthly water testing of the Automated
Endoscope Reprocessors.

Upon further investigation, the organism has been identified as
Cupriavidis pauculus. This organism is often associated with ultra
filtration systems and although it has low pathogenicity it is a risk to
immunocompromised patients.

Despite repeated water line disinfections, filter changes, disinfectant
dumps etc this bug keeps cropping up over and over again. We find that
we have cleared it in the next test after filter changes etc etc but
then a month later – we get a positive result again.

Whilst in low numbers, it is causing some concern regarding potential
risks to patients. In all cases we are not growing the organism form the
endoscopes.

I am wondering if anyone else has been experiencing the same issues?

If so – what did you do about it both in terms of managing the machines
and the risks to patients?

If you have cultured this organism, did you manage to identify the cause
of the problem?

Happy to chat offline.

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

CONFIDENTIAL COMMUNICATION: The information contained in this message
may contain confidential information intended only for the use of the
individual or entity named above. If the reader of this message is not
the intended recipient, you are hereby notified that any dissemination,
distribution or duplication of this transmission is strictly prohibited.
If you have received this communication in error, please notify us by
telephone or email immediately and return the original message to us or
destroy all printed and electronic copies. Nothing in this transmission
constitutes an agreement of any kind unless otherwise expressly
indicated.

MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND
DO NOT REPRESENT THE OPINION OF ACIPC.

The use of trade/product/commercial brand names through the list is
discouraged by ACIPC. If you wish to discuss specific reference to
products or services by brand or commercial names, please do this
outside the list.

Archive of all messages are available at http://aicalist.org.au/archives
– registration and login required.

Replies to this message will be directed back to the list. To create a
new message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’
(without the quotes) to listserv@aicalist.org.au

MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND
DO NOT REPRESENT THE OPINION OF ACIPC.

The use of trade/product/commercial brand names through the list is
discouraged by ACIPC. If you wish to discuss specific reference to
products or services by brand or commercial names, please do this
outside the list.

Archive of all messages are available at http://aicalist.org.au/archives
– registration and login required.

Replies to this message will be directed back to the list. To create a
new message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’
(without the quotes) to listserv@aicalist.org.au

MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND
DO NOT REPRESENT THE OPINION OF ACIPC.

The use of trade/product/commercial brand names through the list is
discouraged by ACIPC. If you wish to discuss specific reference to
products or services by brand or commercial names, please do this
outside the list.

Archive of all messages are available at http://aicalist.org.au/archives
– registration and login required.

Replies to this message will be directed back to the list. To create a
new message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’
(without the quotes) to listserv@aicalist.org.au

MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

[Lee, Rosie]

Hi John

It was something we came up with and designed with our engineer based on
infection prevention principles as there was not much out there in
recommendations when the design was started around 2002. So it has not
been validated except that we have not had any ARO outbreaks in our unit
despite having to care for long term patients have very resistant ARO’s.

Regards

Rosie

Rosie Lee
RN. BSc. CICP

Coordinator – Infection Prevention & Management
SMH Service – Royal Perth Hospital

Ph + 61 8 9224 2805 Fax + 61 8 9224 1989

IMPORTANT NOTICE: The contents of this email (including any attachments)
may be privileged and confidential. Any unauthorised use of its
contents is expressly prohibited.

If you received this email in error, please advise me by reply email or
telephone

________________________________

Behalf Of John Ferguson
pressure) room design

Dear all,

thanks everybody for your replies – very useful!

I was particularly after the design that does not require switching of
ventilation

Thanks to Marija, I’ve located the design which is described in the UK
document, The link has been updated on the built environment web page.
The design is called a positive pressure ventilated lobby room. Would be
very interested to hear from anyone with experience of this design.
Donna, is this the design you have ? Rosie, your design is different –
is it specified/validated anywhere?

http://hicsigwiki.asid.net.au/index.php?titleBuilt_Environment

kind regards,

John

Dr John Ferguson

Director, Infection Prevention & Control, Hunter New England Health
Tel 61 2 4921 4444 | Fax 61 2 4921 4440 | Mob +61 428 885 573 |
john.ferguson@hnehealth.nsw.gov.au | http://www.hicsiganz.org

http://www.health.nsw.gov.au/images/communications/e-signatures/images/N
SW-Health-Hunter-New-England-LHD.jpg

Behalf Of Gerald Chan
pressure) room design

Dear John,

We’ve got 2 dual-purpose isolation rooms currently in service that were
probably based on older guidelines (before my time here).

These rooms have the ability to switch from positive to negative
pressure by the flick of a key-switch (the ante-room is always positive
pressured with the exhaust located in the ensuite).

Current guidelines do not support these designs owing to the huge risk
they pose if activated incorrectly by staff e.g. sputum positive TB
cases having positive pressure instead of negative pressure by
inattentive staff, etc.

It would be preferable, from a risk perspective, that your Type 5
negative pressured rooms remain as dedicated negative pressured ones…
these settings are thus pre-configured and your Engineering departments
then conduct regular servicing and monitors the air pressure exchanges.

We are currently undergoing a major hospital redevelopment and have
factored in dedicated Type 5 negative pressured rooms in our planning
for various wards.

Airflow for these rooms come via positive pressure from the anteroom and
from the doorway leading to the ward corridor (if the door is
temporarily opened)… the air then flows to the negative pressured
exhausts in the ensuite and the main room.

The air is exhausted out of the building immediately and does not get
re-circulated (some older designs filter the exhausted air from these
rooms or not at all, and re-circulate it… this is not ideal).

I’m very keen to have a look at the functional design of this novel
concept isolation room should you manage to find the link, John.

Kind regards,

Gerald

Gerald Chan

Coordinator Infection Control

St John of God Murdoch Hospital
100 Murdoch Drive
MURDOCH. WA 6150

P: 9366 1552

M: 0405 495 906 (7804)
F: 9311 4604

E: Gerald.Chan@sjog.org.au

W: http://www.sjog.org.au/murdoch

facebook facebook.com/stjohnofgodmurdoch

twitter twitter.com/sjgh_murdoch

>>> John Ferguson 20/08/2013 1:26
PM >>>

Dear Brainstrust

Some time ago, I came across a novel configuration of a single room that
provides for both protective (positive pressure barrier) and isolation
(negative pressure) requirements. Extensive testing was described at the
Hospital Infection Society Conference, Amsterdam 2006. It was specified
under Building Note 4 by
HEFMA but the link no longer works and I’ve been unsuccessful with
chasing down the design. Concept involves an isolation room with a
positive pressure anteroom and exhaust from the ensuite room which is
entered from the main room. The design is relatively fail-safe and does
not need to be manually configured.

I wondered whether anyone has come across this? Has anyone built
functioning dual purpose isolation/barrier rooms? We are building a new
paed ICU and we need both types of room !

thanks

John

http://hicsigwiki.asid.net.au/index.php?titleBuilt_Environment

Dr John Ferguson
Director, Infection Prevention & Control, Hunter New England Health

Infectious Diseases Physician, Division of Medicine, John Hunter
Hospital

Clinical Microbiologist, Hunter Area Pathology, Pathology North

Conjoint Associate Professor, University of Newcastle, Adjunct
Professor, University of New England

Locked Bag 1, Newcastle Mail Centre, NSW 2310
Tel 61 2 4921 4444 | Fax 61 2 4921 4440 | Mob +61 428 885 573 |
john.ferguson@hnehealth.nsw.gov.au | http://www.hicsiganz.org

http://www.health.nsw.gov.au/images/communications/e-signatures/images/N
SW-Health-Hunter-New-England-LHD.jpg

MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND
DO NOT REPRESENT THE OPINION OF ACIPC.

The use of trade/product/commercial brand names through the list is
discouraged by ACIPC. If you wish to discuss specific reference to
products or services by brand or commercial names, please do this
outside the list.

Archive of all messages are available at http://aicalist.org.au/archives
– registration and login required.

Replies to this message will be directed back to the list. To create a
new message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’
(without the quotes) to listserv@aicalist.org.au

intended recipient. They may contain confidential or privileged
information. This information may not necessarily be the view of St John
of God Health Care Inc (SJGHC). SJGHC does not warrant, represent or
guarantee the accuracy or completeness of the information. SJGHC does
not accept liability for any loss or damage in connection with the
information. If you are not the intended recipient then any use,
reliance, interference with, disclosure, distribution or copying of this
information by you is unauthorised and prohibited. If you have received
this email in error then please notify the sender by return email and
delete all copies. SJGHC does not waive any privilege.

MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND
DO NOT REPRESENT THE OPINION OF ACIPC.

The use of trade/product/commercial brand names through the list is
discouraged by ACIPC. If you wish to discuss specific reference to
products or services by brand or commercial names, please do this
outside the list.

Archive of all messages are available at http://aicalist.org.au/archives
– registration and login required.

Replies to this message will be directed back to the list. To create a
new message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’
(without the quotes) to listserv@aicalist.org.au

MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND
DO NOT REPRESENT THE OPINION OF ACIPC.

The use of trade/product/commercial brand names through the list is
discouraged by ACIPC. If you wish to discuss specific reference to
products or services by brand or commercial names, please do this
outside the list.

Archive of all messages are available at http://aicalist.org.au/archives
– registration and login required.

Replies to this message will be directed back to the list. To create a
new message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’
(without the quotes) to listserv@aicalist.org.au

MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

[Lee, Rosie]

Hi John

When we renovated our ICU in 2004, we created 4 isolation rooms at
positive pressure relative to the anteroom and sluice room.

The anteroom and sluice room is at negative pressure relative to the
isolation room and corridor. These are used primarily for our Burns
patients and immunocompromised patients with ARO’s.

Although in principle you should be able to utilise this for
immunocompromised patients with airborne infections as the ante room is
negative to corridor we opted not to take this risk. I cant recall us
ever having a Burns or immunocompromised patient with airborne
infections and if we did we would place them in a negative pressure room
with ante room negative to room and corridor.

Our Burns unit was built in 2005 with positive pressure rooms, ante
rooms negative to isolation room but negative to corridor. We have not
had any ARO outbreaks in this unit

Regards

Rosie

Rosie Lee
RN. BSc. CICP

Coordinator – Infection Prevention & Management
SMH Service – Royal Perth Hospital

Ph + 61 8 9224 2805 Fax + 61 8 9224 1989

IMPORTANT NOTICE: The contents of this email (including any attachments)
may be privileged and confidential. Any unauthorised use of its
contents is expressly prohibited.

If you received this email in error, please advise me by reply email or
telephone

________________________________

Behalf Of John Ferguson
room design

Dear Brainstrust

Some time ago, I came across a novel configuration of a single room that
provides for both protective (positive pressure barrier) and isolation
(negative pressure) requirements. Extensive testing was described at the
Hospital Infection Society Conference, Amsterdam 2006. It was specified
under Building Note 4 by
HEFMA but the link no longer works and I’ve been unsuccessful with
chasing down the design. Concept involves an isolation room with a
positive pressure anteroom and exhaust from the ensuite room which is
entered from the main room. The design is relatively fail-safe and does
not need to be manually configured.

I wondered whether anyone has come across this? Has anyone built
functioning dual purpose isolation/barrier rooms? We are building a new
paed ICU and we need both types of room !

thanks

John

http://hicsigwiki.asid.net.au/index.php?titleBuilt_Environment

Dr John Ferguson
Director, Infection Prevention & Control, Hunter New England Health

Infectious Diseases Physician, Division of Medicine, John Hunter
Hospital

Clinical Microbiologist, Hunter Area Pathology, Pathology North

Conjoint Associate Professor, University of Newcastle, Adjunct
Professor, University of New England

Locked Bag 1, Newcastle Mail Centre, NSW 2310
Tel 61 2 4921 4444 | Fax 61 2 4921 4440 | Mob +61 428 885 573 |
john.ferguson@hnehealth.nsw.gov.au | http://www.hicsiganz.org

http://www.health.nsw.gov.au/images/communications/e-signatures/images/N
SW-Health-Hunter-New-England-LHD.jpg

MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND
DO NOT REPRESENT THE OPINION OF ACIPC.

The use of trade/product/commercial brand names through the list is
discouraged by ACIPC. If you wish to discuss specific reference to
products or services by brand or commercial names, please do this
outside the list.

Archive of all messages are available at http://aicalist.org.au/archives
– registration and login required.

Replies to this message will be directed back to the list. To create a
new message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’
(without the quotes) to listserv@aicalist.org.au

MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

[Lee, Rosie]

Hi John

We have an info sheet here and I am happy to provide this if you email
me directly.

Regards

Rosie

Rosie Lee
RN. BSc. CICP

Coordinator – Infection Prevention & Management
SMH Service – Royal Perth Hospital

Ph + 61 8 9224 2805 Fax + 61 8 9224 1989

IMPORTANT NOTICE: The contents of this email (including any attachments)
may be privileged and confidential. Any unauthorised use of its
contents is expressly prohibited.

If you received this email in error, please advise me by reply email or
telephone

________________________________

Behalf Of John Ferguson

Hi

Has anyone developed a specific information sheet for HCW staff who have
been identified as MRSA infected or colonised?

Thanks!

John

Dr John Ferguson
Director, Infection Prevention & Control,Hunter New EnglandHealth

Infectious Diseases Physician, Division of Medicine, John Hunter
Hospital

Clinical Microbiologist,Hunter Area Pathology, Pathology North

Conjoint Associate Professor, University of Newcastle, Adjunct
Professor, University of New England

Locked Bag 1, Newcastle Mail Centre, NSW 2310

Tel 61 2 4921 4444
| Fax 61 2 4921
4440 | Mob +61
428 885 573
|john.ferguson@hnehealth.nsw.gov.au |www.hicsiganz.org

http://www.health.nsw.gov.au/images/communications/e-signatures/images/N
SW-Health-Hunter-New-England-LHD.jpg

Messages posted to this list are solely the opinion of the authors, and
do not represent the opinion of ACIPC.

Archive of all messages are available at http://aicalist.org.au/archives
– registration and login required.

Replies to this message will be directed back to the list. To create a
new message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’
(without the quotes) to listserv@aicalist.org.au

Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

[Lee, Rosie]

Hi Barbara

As you know out here in the west we have a very stringent program.
Despite the limited number of single rooms in my facility we still
continue to isolate patients or cohort under contact precautions. These
patients are never cleared as there is no evidence that clearance can be
achieved. When these patients are placed on antibiotics, they often
revert back to VRE being detected despite many negative screens. One of
the highest risk factor for an outbreak and spread is diarrhoea so if
you are pressed for rooms and a decision, I would insist on someone with
diarrhoea being isolated.

Regards

Rosie

Rosie Lee
RN. BSc. CICP

Coordinator – Infection Prevention & Management
SMH Service – Royal Perth Hospital

Ph + 61 8 9224 2805 Fax + 61 8 9224 1989

IMPORTANT NOTICE: The contents of this email (including any attachments)
may be privileged and confidential. Any unauthorised use of its
contents is expressly prohibited.

If you received this email in error, please advise me by reply email or
telephone

________________________________

Behalf Of May, Barbara

Hello,

My managers have asked me to review our current practices of isolating
VRE positive patients. This is mainly due to the limited number of
single rooms within our facility. I am interested to know how you
manage patients who have a positive VRE screen, whether you isolate or
not, what risk assessments you undertake to determine as to whether to
isolate or not and whether you have introduced a yoghurt regime for
these patients and how you then manage these patients.

Thanking you in advance,

Barbara

Barbara May

CNC Infection Control

Hastings Macleay Clinical Network

Ph. 0255242061

Mo. 0402890677

This message is intended for the addressee(s) named and may contain
confidential information. If you are not the intended recipient, please
delete the message and any attachments and notify the sender. Views
expressed in this message are those of the individual sender, and are
not necessarily the views of NSW Health or any of its entities.

Messages posted to this list are solely the opinion of the authors, and
do not represent the opinion of ACIPC.

Archive of all messages are available at http://aicalist.org.au/archives
– registration and login required.

Replies to this message will be directed back to the list. To create a
new message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’
(without the quotes) to listserv@aicalist.org.au

Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

[Lee, Rosie]

Hello

We also had them in our ICU in 2002 (installed without real consultation
with IC) and have had issues with it. An outbreak of MRPA in our ICU
identified the source to be these taps following literature search
indicating the issues as outlined by Sue. This was confirmed by typing.
We did not publish but presented this at the National Conference. We
have had to implement monthly thermal heating & disinfection since.
I don’t support these taps unless there are newer better products which
addresses the issues and you have a good maintenance program in place.
However as already mentioned, this is costly and not monitored
effectively.

Regards
Rosie
Rosie Lee
RN. BSc. CICP
Coordinator – Infection Prevention & Management
SMH Service – Royal Perth Hospital
Ph + 61 8 9224 2805 Fax + 61 8 9224 1989
IMPORTANT NOTICE: The contents of this email (including any attachments)
may be privileged and confidential. Any unauthorised use of its
contents is expressly prohibited.
If you received this email in error, please advise me by reply email or
telephone
—–Original Message—–
Behalf Of Tim Spencer

Sue,
We had them in our old ICU before moving into our bigger, new facility.
They failed regularly and were a major inconvenience when not working.
Seriously, consider the normal long handled (elbow-control) taps and
handles.
Power failures are also problematic.
T..
Regards, Timothy R. Spencer, RN, APN, DipAppSci, Bach.Health, ICCert.
Clinical Nurse Consultant | Central Venous Access & Parenteral Nutrition
Service Conjoint Lecturer, University of NSW Dept of Intensive Care,
Level 2, Clinical Building, Liverpool Hospital, Elizabeth Street,
Liverpool, 2170, NSW, Australia Tel 02 8738 3603 | Fax 02 8738 3551 |
Mob +61(0)409 463 428 | Tim.Spencer@sswahs.nsw.gov.au |
Timothy.Spencer@unsw.edu.au

________________________________

Dear All

Here at the Royal Hobart Hospital we are in the detailed design stage of
our major redevelopment project, and we are currently investigating the
pros and cons of the electronic sensor taps for our clinical hand
basins. I have undertaken a literature search and it appears that some
facilities that have installed the newer sensor taps, as an infection
prevention and control improvement activity, are now removing them and
returning to the more traditional elbow taps.

The literature suggests that the complexity of the internal workings of
the electronic tap and the lower dynamic water flow, could contribute to
the higher level of legionella and other waterborne bacteria found by
some studies.

I am very interested to hear from facilities within Australia, regarding
what type of tap ware has been installed within newly refurbished areas
or new construction projects.

Kind Regards

Sue Draycott

Infection Control Manager

Redevelopment RHH and CCC Services

Southern Tasmania Area Health Service

Level 9, A Block, Royal Hobart Hospital

Liverpool Street

Hobart, 7000

________________________________

CONFIDENTIALITY NOTICE AND DISCLAIMER
The information in this transmission may be confidential and/or
protected by legal professional privilege, and is intended only for the
person or persons to whom it is addressed. If you are not such a person,
you are warned that any disclosure, copying or dissemination of the
information is unauthorised. If you have received the transmission in
error, please immediately contact this office by telephone, fax or
email, to inform us of the error and to enable arrangements to be made
for the destruction of the transmission, or its return at our cost. No
liability is accepted for any unauthorised use of the information
contained in this transmission.

_____________________________________________________________________
This email has been scanned for the Sydney & South Western Sydney Local
Health Districts by the MessageLabs Email Security System.
Sydney & South Western Sydney Local Health Districts regularly monitor
email and attachments to ensure compliance with the NSW Ministry of
Health’s Electronic Messaging Policy.
Messages posted to this list are solely the opinion of the authors, and
do not represent the opinion of ACIPC.

Archive of all messages are available at http://aicalist.org.au/archives
– registration and login required.

Replies to this message will be directed back to the list. To create a
new message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’
(without the quotes) to listserv@aicalist.org.au

_____________________________________________________________________
This email has been scanned for the Sydney & South Western Sydney Local
Health Districts by the MessageLabs Email Security System.
Sydney & South Western Sydney Local Health Districts regularly monitor
email and attachments to ensure compliance with the NSW Ministry of
Health’s Electronic Messaging Policy.

Messages posted to this list are solely the opinion of the authors, and
do not represent the opinion of ACIPC.

Archive of all messages are available at http://aicalist.org.au/archives
– registration and login required.

Replies to this message will be directed back to the list. To create a
new message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’
(without the quotes) to listserv@aicalist.org.au

Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

[Lee, Rosie]

That’s great. It would be great to see your app, Paul and I share
Michael’s suggestion for ACIPC to pursue a portal for sharing tools.

Regards

Rosie

Rosie Lee
RN. BSc. CICP

Coordinator – Infection Prevention & Management
SMH Service – Royal Perth Hospital

Ph + 61 8 9224 2805 Fax + 61 8 9224 1989

IMPORTANT NOTICE: The contents of this email (including any attachments)
may be privileged and confidential. Any unauthorised use of its
contents is expressly prohibited. If you received this email in error,
please advise me by reply email or telephone

________________________________

Behalf Of Paul Simpson

Hi Jo-anne,

I have developed an iPad based audit tool using iAudit (a free app) for
observational audit of IV insertion using the ANTT as a framework, happy
to share. Obviously you’ll need an iPad!

Regards,

Paul Simpson, RN, MSc

Infection Control Consultant

Description: Description: cid:image001.png@01CC5B6A.3AEF15F0

32 Gisborne Street, East Melbourne, 3002, VIC

cid:image003.png@01CD2EAB.01304B80

Behalf Of Joe-Anne Bendall

Hi everyone

I have a very keen medical officer who wants to be a champion for
improving IV cannula insertion. Does anyone have an observational audit
tool they would like to share?

I have an observational audit tool for aseptic technique – wound
dressing I would be willing to swap for IV cannula insertion!

Thanks

Joe

Joe-anne Bendall

Infection Prevention and Control CNC

Sydney Hospital and Sydney Eye Hospital

8 Macquarie St

Sydney 2000

Joe-Anne.Bendall@sesiahs.health.nsw.gov.au

————————————————————————
———————
Illawarra Shoalhaven Local Health District, South East Sydney Local
Health District and Sydney Children’s Hospital Network (Randwick Campus)
Confidentiality Notice
This email, and the files transmitted with it, are confidential and
intended solely for the use of the individual or entity to whom they are
addressed. If you are not the intended recipient, you are not permitted
to distribute or use this email or any of its attachments in any way. We
also request that you advise the sender of the incorrect addressing.
This email message has been virus-scanned. Although no computer viruses
were detected, Illawarra Shoalhaven Local Health District, South East
Sydney Local Health District and Sydney Children’s Hospital Network
(Randwick Campus) accept no liability for any consequential damage
resulting from email containing any computer viruses.

Messages posted to this list are solely the opinion of the authors, and
do not represent the opinion of ACIPC.

Archive of all messages are available at http://aicalist.org.au/archives
– registration and login required.

Replies to this message will be directed back to the list. To create a
new message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’
(without the quotes) to listserv@aicalist.org.au

______________________________________________________________________
The information in this e-mail message may be confidential, and may also
be subject to legal privilege, public interest or legal professional
privilege.

If you are not the intended recipient, any use, disclosure or copying of
this e-mail is unauthorised.

If you have received this message in error, please contact the sender.

This footnote also confirms that this email message has been checked for
the presence of computer viruses.

The Royal Victorian Eye and Ear Hospital however does not warrant the
message is free of viruses.

It is recommended as a prudent business practice the recipient perform a
virus scan of any message received.
______________________________________________________________________

Messages posted to this list are solely the opinion of the authors, and
do not represent the opinion of ACIPC.

Archive of all messages are available at http://aicalist.org.au/archives
– registration and login required.

Replies to this message will be directed back to the list. To create a
new message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’
(without the quotes) to listserv@aicalist.org.au

Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

[Lee, Rosie]

Hi Gerald

I would agree Michael. It is not possible to have a study proving every
item does not result in infection. Using infection control principles
blowing air in a ward environment cannot be a good principle. If a
patient is heavily colonised with an antibiotic resistant organism (ARO)
then blowing skin squames will result in contamination. There are many
studies indicating contamination linked to ARO’s in particular MRSA
across the ward. Risk assessment may have to be used.

Regards

Rosie

Rosie Lee
RN. BSc. CICP

Coordinator – Infection Prevention & Management
SMH Service – Royal Perth Hospital

Ph + 61 8 9224 2805 Fax + 61 8 9224 1989

IMPORTANT NOTICE: The contents of this email (including any attachments)
may be privileged and confidential. Any unauthorised use of its
contents is expressly prohibited. If you received this email in error,
please advise me by reply email or telephone

________________________________

Behalf Of Michael Wishart

Hi Gerard

I recall seeing a study years ago, I think UK based so maybe in JHI,
that showed MRSA in dust on portable fans. Never have seen anything that
linked increase in MRSA or HAI directly to portable fans, though; that
would be epidemiologically difficult to show, I think. Too many other
variables.

Doesn’t mean fans are not bad, though. 🙂 Especially when not maintained
well. Ask if they cleaned thoroughly (meaning the fan blades) between
each patient use. I suspect not!

Cheers
Michael

Michael 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

Please consider the environment before printing this email

________________________________

Gerald Chan [Gerald.Chan@SJOG.ORG.AU]

Dear all,

I’m looking for evidence to back us up on not having fans in patient
rooms (especially seeing that summer is around the corner).

I can’t seem to locate any supportive articles on this.

Has there been any studies done that demonstrate an increased rate of
infection/colonisation (MRSA, MSSA, etc.) through fan usage in a
healthcare setting?

Cheers,

Gerald

Gerald Chan

Coordinator Infection Control

St John of God Murdoch Hospital
100 Murdoch Drive
MURDOCH. WA 6150

P: 9366 1552

M: 0405 495 906 (7804)
F: 9311 4685

E: Gerald.Chan@sjog.org.au

W: http://www.sjog.org.au/murdoch

facebook.com/stjohnofgodmurdoch

twitter.com/sjgh_murdoch

intended recipient. They may contain confidential or privileged
information. This information may not necessarily be the view of St John
of God Health Care Inc (SJGHC). SJGHC does not warrant, represent or
guarantee the accuracy or completeness of the information. SJGHC does
not accept liability for any loss or damage in connection with the
information. If you are not the intended recipient then any use,
reliance, interference with, disclosure, distribution or copying of this
information by you is unauthorised and prohibited. If you have received
this email in error then please notify the sender by return email and
delete all copies. SJGHC does not waive any privilege.

Messages posted to this list are solely the opinion of the authors, and
do not represent the opinion of ACIPC.

Archive of all messages are available at http://aicalist.org.au/archives
– registration and login required.

Replies to this message will be directed back to the list. To create a
new message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’
(without the quotes) to listserv@aicalist.org.au

Message protected by MailGuard: e-mail anti-virus, anti-spam and content
filtering.
http://www.mailguard.com.au/mg

Report this message as spam

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.

Message protected by MailGuard: e-mail anti-virus, anti-spam and content
filtering.
http://www.mailguard.com.au/mg

Messages posted to this list are solely the opinion of the authors, and
do not represent the opinion of ACIPC.

Archive of all messages are available at http://aicalist.org.au/archives
– registration and login required.

Replies to this message will be directed back to the list. To create a
new message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’
(without the quotes) to listserv@aicalist.org.au

Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

[Author]

Posts