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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.
RitaCNC 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
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Hello Tim,
I am very interested in your PIVC Shock Slideshow. I can explain why on the phone.
Many thanks in advance,
RitaCNC 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.pdfTimothy R. Spencer, RN, APN, DipAppSci, Bach.Health, ICCert.
Clinical Nurse Consultant, Central Venous Access & Parenteral Nutrition
ServiceConjoint 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.auThanks 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
ServiceConjoint 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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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.
RitaCNC 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 LesleyThere 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 emailBehalf 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 HospitalPhone 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 RoyDear 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?
RitaCNC Infection Control | Hornsby & Ku-ring-gai Health Service
Palmerston Road,
Tel 02 9477 9232 | Pager 52533|
rroy@nsccahs.health.nsw.gov.au
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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.
RitaCNC 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 HospitalC/- 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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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.
RitaCNC 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
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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!
RitaCNC 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
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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,
RitaCNC 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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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 RitaCan you tell us where that quote was taken from? That may give us some context around this.
Thanks
MichaelMichael 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,
RitaCNC 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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08/10/2012 at 1:17 pm in reply to: use of steam cleaning for bed screens and privacy curtains #69405Dear Ruth,
In our facility, we send the curtains for laundering and put up new curtains. We have not ever steam cleaned curtains.
RitaCNC 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
curtainsKind 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.auThe contents of this email, including any attachments sent with it, are
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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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