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Rita Roy

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  • in reply to: Ortho-phthalaldehyde (OPA) Audit Tool #70363
    Rita Roy
    Participant

    Author:
    Rita Roy

    Email:
    RRoy@NSCCAHS.HEALTH.NSW.GOV.AU

    Organisation:

    State:

    Hello Sony, Even if that were the case, (and none of my ID specialists have said we should), we do not have the resources to separate the two types of patients.
    Rita

    CNC Infection Control | Hornsby & Ku-ring-gai Health Service
    Palmerston Road,
    Tel 02 9477 9232 | Pager 52533|
    rroy@nsccahs.health.nsw.gov.au
    http://www.health.nsw.gov.au

    >>> Sony SO 17/08/2013 11:50 am >>>
    Dear all,

    I would like to know whether patients with VRE VAN A need to be seperated isolation with VRE VAN B case

    Regards,

    SONY SO
    Nursing Officer Infection Control Team
    KWONG WAH HOSPITAL
    HONG KONG SAR CHINA
    tel. 852-3517-2409

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    in reply to: Re: CVAD insertion checklist #70148
    Rita Roy
    Participant

    Author:
    Rita Roy

    Email:
    RRoy@NSCCAHS.HEALTH.NSW.GOV.AU

    Organisation:

    State:

    Hello Tim,
    I am very interested in your PIVC Shock Slideshow. I can explain why on the phone.
    Many thanks in advance,
    Rita

    CNC Infection Control | Hornsby & Ku-ring-gai Health Service
    Palmerston Road,
    Tel 02 9477 9232 | Pager 52533|
    rroy@nsccahs.health.nsw.gov.au
    http://www.health.nsw.gov.au

    >>> Tim Spencer 12/07/2013 12:02 pm >>>
    Here is the link to the NSW MOH CVAD Insertion Checklist form – I have
    put it on my service website.

    http://www.swslhd.nsw.gov.au/Liverpool/CVAS%5Ccontent/pdf/MOH_SMR0900.20
    0_CVAD_Insertion_Checklist.pdf

    Timothy R. Spencer, RN, APN, DipAppSci, Bach.Health, ICCert.
    Clinical Nurse Consultant, Central Venous Access & Parenteral Nutrition
    Service

    Conjoint Lecturer, South West Sydney Clinical School | Faculty of
    Medicine | University of NSW
    Dept of Intensive Care, Level 2, Clinical Building, Liverpool Hospital,
    Elizabeth Street, Liverpool, 2170, NSW, Australia
    Tel (+61) 2 8738 3603 | Fax (+61) 2 8738 3551 | Mob +61 (0)409 463 428 |
    Tim.Spencer@sswahs.nsw.gov.au |
    Timothy.Spencer@unsw.edu.au

    Thanks Toni.
    This is probably the better checklist to follow.
    I have attached the NSW MOH form that ALL hospitals should be using for
    CVAD insertion.

    I hope the listserver will accept attachments.

    Timothy R. Spencer, RN, APN, DipAppSci, Bach.Health, ICCert.
    Clinical Nurse Consultant, Central Venous Access & Parenteral Nutrition
    Service

    Conjoint Lecturer, South West Sydney Clinical School | Faculty of
    Medicine | University of NSW
    Dept of Intensive Care, Level 2, Clinical Building, Liverpool Hospital,
    Elizabeth Street, Liverpool, 2170, NSW, Australia
    Tel (+61) 2 8738 3603 | Fax (+61) 2 8738 3551 | Mob +61 (0)409 463 428 |
    Tim.Spencer@sswahs.nsw.gov.au |
    Timothy.Spencer@unsw.edu.au

    ] On Behalf Of Toni Schouten

    Hi Helen,

    If you go to the NSW Clinical Excellence Commission (CEC) they have a
    checklist, training and other tools.

    http://www.cec.health.nsw.gov.au/programs/clab-icu

    Toni Schouten CICP
    Clinical Quality Manager | Clinical Governance Unit
    PO Box M30, Missenden Road LPO, Camperdown NSW 2050
    Tel 02 9515 9339 | Fax 09 9515 9610 | Mob 0438 171 493 |
    toni.schouten@sswahs.nsw.gov.au

    ] On Behalf Of Helen Scott

    Hi,

    Could you please let me know if you use a checklist for insertion of
    CVADs. And if you want to send me a copy that would be great.

    Thanks,

    Helen.

    Helen Scott

    Infection Control Co-ordinator |

    Staff Educator |

    Nepean Private Hospital

    Kingswood, NSW.
    Tel 02 4725 8758 | helen.scott@healthscope.com.au

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    in reply to: Re: Re pouches carried by nurses on a shift #70062
    Rita Roy
    Participant

    Author:
    Rita Roy

    Email:
    RRoy@NSCCAHS.HEALTH.NSW.GOV.AU

    Organisation:

    State:

    Thank you Michael. I feel that certainly I am more inclined to tackle
    this issue the way you have suggested. Its non-confrontational, very
    sensible and always highlights one of the cornerstones of Infection
    Control, namely hand hygiene.
    Rita

    CNC Infection Control | Hornsby & Ku-ring-gai Health Service
    Palmerston Road,
    Tel 02 9477 9232 | Pager 52533|
    rroy@nsccahs.health.nsw.gov.au
    http://www.health.nsw.gov.au

    >>> Michael Wishart 6/06/2013 11:45 am
    >>>
    Hi Rita and Lesley

    There is no doubt that MROs have been cultured from just about every
    surface in a healthcare environment: clothes, pens, lanyards, keyboards,
    etc. That does not mean we need necessarily to be concerned about
    banning everything. It is more about awareness of what you touch, and
    what the risk is of transferring organisms in such a way that will
    potentially cause an infection or colonisation. I recall a response to
    an article that grew MROs from lanyards stating we should ban them
    for this reason which argued it depends what your hand hygiene is like:
    do you perform correct hand hygiene after fingering your lanyard before
    contact with patients? We cant get rid of the bugs in the environment
    easily, so we need to look at other ways we can minimise transmission,
    like hand hygiene practices.

    I think we should encourage staff to take responsibility for their
    personal effects, including clothing, but the most important thing is to
    reinforce the need for excellent hand hygiene practices.

    My personal opinion, anyway.

    Cheers
    Michael
    Michael Wishart
    CNC Infection Control
    Holy Spirit Northside Private Hospital
    627 Rode Road, Chermside, Qld 4032
    t: (07) 3326 3068 | f: (07) 3607 2226
    e: Michael.Wishart@hsn.org.au
    w:www.holyspiritnorthside.org.au
    Please consider the environment before printing this email

    Behalf Of Lesley MASON

    Hi All, Lesley here standing in for Debra Vesey.

    Ummmm, and what about those lanyards too, particularly the ones with
    all the badges and pins (form groups that we support with donations)
    attached?

    I often wonder if these are incubation and infection transport devices

    Lesley Mason
    Acting Clinical Nurse Consultant
    Infection Control & Sterilising Services
    Metro North Health and Hospital Services
    Caboolture Hospital

    Phone 5433 8024

    >>> Tain Gardiner
    <Tain.Gardiner@NT.GOV.AU>
    6/6/2013 10:18 am >>>
    Morning everyone
    We have the same issue across the board, we have recently incorporated
    into our uniform policy that these pouches are to be treated like the
    uniform and be laundered daily.
    I doubt that happens, but it is in writing.

    Tain Gardiner
    Royal Darwin Hospital

    —–Original Message—–
    [mailto:AICALIST@AICALIST.ORG.AU]
    On Behalf Of Rita Roy

    Dear colleagues,
    Many nurses carry pouches (or bumbags for want of a better word) which
    hold their scissors, pens, tape,and even a mobile phone during a shift.
    I feel that these bumbags are a source of infection and the nurses
    should not be carrying these around. However I have faced stiff
    opposition when trying to stop this practice. Have you had a similar
    experience in your hospitals and what are your thoughts on this?
    Rita

    CNC Infection Control | Hornsby & Ku-ring-gai Health Service
    Palmerston Road,
    Tel 02 9477 9232 | Pager 52533|
    rroy@nsccahs.health.nsw.gov.au
    http://www.health.nsw.gov.au

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    in reply to: VRE (VanA) #70007
    Rita Roy
    Participant

    Author:
    Rita Roy

    Email:
    RRoy@NSCCAHS.HEALTH.NSW.GOV.AU

    Organisation:

    State:

    Hello Maureen,
    We have had one patient in 2013 from whose bladder tissue, VRE Van A was isolated. This was a patient from a group home, 66 years of age who had acute on chronic renal failure and bladder Ca.
    We had one patient in 2012 who was an 86 year old gentleman who had (L) kidney hydronephrosis and had VRE Van A isolated from his urine.
    Rita

    CNC Infection Control | Hornsby & Ku-ring-gai Health Service
    Palmerston Road,
    Tel 02 9477 9232 | Pager 52533|
    rroy@nsccahs.health.nsw.gov.au
    http://www.health.nsw.gov.au

    >>> Maureen Mckenzie 10/05/2013 1:49 pm >>>

    Dear all

    We have seen an increase in the number of VRE VanA in our
    facility…..would be interested to know if any of you are experiencing
    the same?

    If you have, has it occurred in any particular speciality area (e.g.
    renal unit).

    Look forward to your comments

    Regards

    Maureen

    Maureen McKenzie

    Clinical Nurse Consultant | Infection Prevention & Control
    Concord Repatriation General Hospital

    C/- Microbiology Dept.

    Hospital Road, Concord NSW 2139
    Tel 02 9767 6898 | Fax 02 9767 7868 | maureen.mckenzie@sswahs.nsw.gov.au

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    in reply to: PPE Donning & removal Anterooms & single rooms #69977
    Rita Roy
    Participant

    Author:
    Rita Roy

    Email:
    RRoy@NSCCAHS.HEALTH.NSW.GOV.AU

    Organisation:

    State:

    Dear Julie,
    In our hospital, we have just one room (which is a negative pressure room)that has an anteroom. In our HCF, PPE is donned and removed in the anteroom. Again, we only get the occasional haematology patient, and they generally never are in this single room.
    Rita

    CNC Infection Control | Hornsby & Ku-ring-gai Health Service
    Palmerston Road,
    Tel 02 9477 9232 | Pager 52533|
    rroy@nsccahs.health.nsw.gov.au
    http://www.health.nsw.gov.au

    >>> Julie Hunt 29/04/2013 9:46 am >>>
    Dear Colleagues,

    There has been discussion with our Haematology and Infectious Diseases colleagues regarding where PPE is removed. It has been suggested in single rooms with an anteroom that the ante room should be kept ‘clean’ for donning PPE but that PPE should be removed inside the patient room (apart from mask if worn) before exiting to the anteroom (patients are generally isolated due to MROS, respiratory viruses or a combination).

    Infection Prevention & Control recommend PPE be both donned & removed in the anteroom. It is worth noting that some of our anterooms are shared between two single rooms.

    If it is a standard single room & the patient has an MRO we remove at the door, or outside the room if the patient has a respiratory virus.

    The Australian Infection Control Guidelines, NSW Health Guidelines & CDC all state that PPE should be removed at the door or anteroom, it is my understanding that it is written this way to cover both single rooms with & without anterooms.

    I am aware that during the SARS outbreak, Ontario Infection prevention & Control documents stipulated separate areas for donning & removing PPE (donning outside the anteroom & removing in the anteroom).

    Lastly, the Australian Government training DVD for the Influenza Pandemic showed PPE being both donned & removed outside a single room http://www.flupandemic.gov.au/internet/panflu/publishing.nsf/Content/resources-1

    I am interested in knowing how other healthcare facilities or haematology units manage this practice.

    Regards

    Julie

    Julie Hunt
    Clinical Nurse Consultant | Infection Prevention and Control
    Royal North Shore Hospital, Reserve Rd, St Leonards 2065
    Tel 02 99264339 or 99264490 juhunt@nsccahs.health.nsw.gov.au

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    in reply to: Operating Theatre Attire #69786
    Rita Roy
    Participant

    Author:
    Rita Roy

    Email:
    RRoy@NSCCAHS.HEALTH.NSW.GOV.AU

    Organisation:

    State:

    Dear Toni,
    I am a novice ICP. Our facility allows theatre staff to eat and drink in the on-site cafeteria if they have clean blues that are covered. In other words, all theatre staff are required to wear a gown once they step outside theatres. The unfortunate part of this is that some clinicians consider the gown they are wearing does not necessitate wearing an apron/gown when visiting MRO patients on the wards. Also a couple of very senior theatre clinicians told me that the literature does not have any evidence to support wearing gowns over blues outside of theatre and that this whole practice was because of people’s (by which they meant the lay people as well as non theatre clinical staff) perceptions!
    Rita

    CNC Infection Control | Hornsby & Ku-ring-gai Health Service
    Palmerston Road,
    Tel 02 9477 9232 | Pager 52533|
    rroy@nsccahs.health.nsw.gov.au
    http://www.health.nsw.gov.au

    >>> Toni Schouten 1/03/2013 9:28 am >>>
    Dear All,
    The issue of where you can and cannot wear operating theatre attire (blues) has arisen at our facilities – again.
    I would be interested to know if your facilities/organisations allow theatre staff to eat and drink in the on-site cafeteria if they have clean blues that are covered.
    Food is not supplied to the OT; staff are permitted to collect food from the on-site cafeteria if in clean blues that are covered; there is a tea room but it is said that it can be over crowded at peak times.
    The public perseption (and complaints received) says that they should not be allowed to eat and drink there.
    What valid evidence is there and what do others do or say to back up that they should not eat and drink in on-site cafeterias (if at all).
    Look forward t your comments.
    Regards, Toni.
    Toni Schouten CICP
    Clinica Quality Manager
    Sydney Local Health District
    toni.schouten@sswahs.nsw.gov.au

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    in reply to: Isolating VRE Patients #69756
    Rita Roy
    Participant

    Author:
    Rita Roy

    Email:
    RRoy@NSCCAHS.HEALTH.NSW.GOV.AU

    Organisation:

    State:

    Dear Barbara,
    We isolate our VRE patients mandatorily and manage them with Contact Precautions 2. If there is no single room available (and we are a 250 bed hospital with only 6 single rooms), we put them in a two bed bay and close a bed regardless of bed status for that day in the hospital. We cohort VRE patients whenever possible. There are some hospitals in our AHS who also isolate the contacts of VRE patients (besides isolating the patient themselves). These contacts are cleared after they have had a negative rectal swab for VRE.
    Kind regards,
    Rita

    CNC Infection Control | Hornsby & Ku-ring-gai Health Service
    Palmerston Road,
    Tel 02 9477 9232 | Pager 52533|
    rroy@nsccahs.health.nsw.gov.au
    http://www.health.nsw.gov.au

    >>> “May, Barbara” 27/02/2013 8:35 am >>>
    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

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    in reply to: Re Hovermats #69451
    Rita Roy
    Participant

    Author:
    Rita Roy

    Email:
    RRoy@NSCCAHS.HEALTH.NSW.GOV.AU

    Organisation:

    State:

    It was given to the ICU CNC by the Statina rep John Hayes. Statina is the company we have purchased disposable curtains from as well as are looking to buy hovermats. Thanks for your help.
    Rita

    >>> Michael Wishart 19/10/2012 10:47 am >>>
    Hi Rita

    Can you tell us where that quote was taken from? That may give us some context around this.

    Thanks
    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

    —–Original Message—–

    Dear All,
    Does anyone have any policy or documentation to support the fact that ” equipment that has stitching is classed as an infection control risk”. For example, some of the hovermats used in our hospital have stitching on them. The CNEs are trying to put forward a business case to purchase new ones. Supporting documentation would be of great help.
    Many thanks,
    Rita

    CNC Infection Control | Hornsby & Ku-ring-gai Health Service Palmerston Road, Tel 02 9477 9232 | Pager 52533| rroy@nsccahs.health.nsw.gov.au http://www.health.nsw.gov.au

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    Rita Roy
    Participant

    Author:
    Rita Roy

    Email:
    RRoy@NSCCAHS.HEALTH.NSW.GOV.AU

    Organisation:

    State:

    Dear Ruth,
    In our facility, we send the curtains for laundering and put up new curtains. We have not ever steam cleaned curtains.
    Rita

    CNC Infection Control | Hornsby & Ku-ring-gai Health Service
    Palmerston Road,
    Tel 02 9477 9232 | Pager 52533|
    rroy@nsccahs.health.nsw.gov.au
    http://www.health.nsw.gov.au

    >>> “Godsell, Mary-Rose” 8/10/2012 12:17 pm >>>
    Dear Ruth,
    In the South West WA we launder curtains for these patients.
    Recent webnair – William Rutala discusses using hydrogen peroxide to
    disinfect curtains or laundering. No discussion on steam cleaning of
    curtains

    Kind regards
    Mary-Rose Godsell
    RGON, AFAAQHC, GDipHSM, CICP, MAdvPrac(Hons) Infection Prevention &
    Control
    South West Infection Control Nurse Consultant
    Southern Country Health Service – South West

    ‘Hand hygiene reduces the
    spread of infection’

    ph:08) 9781 2314
    mobile 04 3996 1015
    e-mail: Mary-Rose.Godsell@health.wa.gov.au

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    Behalf Of Ruth Barratt

    Do your facilities use steam cleaners to decontaminate curtains in situ
    at the bed space after patient discharge or transfer from a bed that is
    deemed infectious?

    One example would be when a patient has developed diarrhoea and vomiting
    and is then moved to a side room. The bed space undergoes a disinfection
    clean including the bed screens or privacy curtains. These are either
    removed for laundering or in some cases they are steam cleaned in situ.
    If the bed is in a multi room we are investigating if it is possible to
    transfer the pathogens via the steam / spray through the curtain to
    contaminate the adjacent bed area?

    Any thoughts on this would be appreciated.

    Thanks

    Ruth

    cid:image001.png@01CD258C.3ACB65F0

    Ruth Barratt RN, BSc, MAdvPrac (Hons)

    Clinical NurseSpecialist Infection Prevention and Control

    :: 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!

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