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Sarah Whiteley

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  • in reply to: Re: expired isolation gowns #81499
    Sarah Whiteley
    Participant

    Author:
    Sarah Whiteley

    Email:
    SarahG@bluecross.com.au

    Organisation:
    Blue Cross Aged Care

    State:

    Hi Karen
    I had asked our LPHU the same question and was informed that providing they remain fit for purpose, we can use them.
    I found it highly unusual for them to have expiration dates as opposed to packaging dates.
    I am interested to see other IPC perspectives on this.

    Sarah

    Sarah Gaines Hill
    Infection Prevention Manager
    P: +61 3 9828 1705 | M: +61 429 480 183
    Wurundjeri Country
    Level 1, 117 Camberwell Road, Hawthorn East, VIC 3123

    Good morning everyone
    A few months ago, there was a conversation on here regarding expiration dates for isolation gowns and whether they can be used. I can’t remember the outcome of the conversation.

    We have a large supply from the Commonwealth stockpile that were very close to their expiration date at the time they were sent to us. Now there are some that are 4 months over the date.

    Can they still be safely used in a covid or any other outbreak?

    I appreciate any information that you can give me.

    Regards

    Karen Kemp OAM
    Infection Control and Staff Health CNC
    [cid:logo_a4fe3091-450f-4d0e-b594-635f37aad37c.jpg].
    .

    08 8080 1850
    KKemp@sccbh.com.au
    https://www.sccbh.com.au

    .
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    in reply to: continued use of PFRs query #81311
    Sarah Whiteley
    Participant

    Author:
    Sarah Whiteley

    Email:
    SarahG@bluecross.com.au

    Organisation:
    Blue Cross Aged Care

    State:

    Good Morning Chris
    We are in process of doing the same thing across our RACFs in Victoria.
    Sarah

    Sarah Gaines Hill
    Infection Prevention Manager
    P: +61 3 9828 1705 | M: +61 429 480 183
    Wurundjeri Country
    Level 1, 117 Camberwell Road, Hawthorn East, VIC 3123

    Good morning IPC champions!

    I would value your feedback on PFRs in your RACFs at the moment. I am recommending we return to surgical masks due to reduced transmission and as we are in ‘between’ outbreaks and have no positive cases or exposures, I am advising that surgical masks can be used and this will be reviewed in December when there is another predicted wave coming our way.

    I am wondering what other facilities are doing? I am in Qld.

    Kind regards,

    Chris

    Christine Morrison
    Practice Facilitator – Infection Control
    Practice Facilitation Team
    [cid:image001.jpg@01D8C688.AE142F80]
    Level 3, Webber House,
    439 Ann St, Brisbane Q 4000
    PO Box 10556, Brisbane Adelaide St Q 4000

    M: 0499526913
    E: cmorrison2@anglicaresq.org.au
    E: pft@anglicaresq.org.au
    W: anglicaresq.org.au

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    in reply to: Re: Aged care IPC leads #79484
    Sarah Whiteley
    Participant

    Author:
    Sarah Whiteley

    Email:
    SarahG@bluecross.com.au

    Organisation:
    Blue Cross Aged Care

    State:

    Hi Christine et al
    I oversee practices across 32 RACFs in Victoria and happy to connect with other Aged Care IP partners.

    Sarah

    Sarah Gaines Hill
    Infection Prevention Manager
    P: +61 3 9828 1705 | M: +61 429 480 183
    Wurundjeri Country
    Level 1, 117 Camberwell Road, Hawthorn East, VIC 3123

    Hi Christine; I have 10 RACS of various sizes under my care in the Wimmera

    Christine Dufty
    Registered Nurse | Midwife | Infection Control
    West Wimmera Health Service
    43-51 Nelson Street, Nhill, Victoria, 3418
    PO Box 231, Nhill, Victoria, 3418
    Phone : 03 5391 4216 | Mobile: 0409 443 418
    Email : christine.dufty@wwhs.net.au
    Web : http://www.wwhs.net.au
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    Hi Christine,

    I am the IPC lead for a RAFC on the mid north coast hosting 60 beds across 3 wards.
    Happy to make a connection also.
    Sarah Aitken

    *** Please Note – This email has come from an email source external to WWHS ***
    On 25 Jun 2022, at 12:50 pm, Deborah Vos <Deborah.Vos@calvarycare.org.au> wrote:

    Hi Christine

    I would be happy to make a connection.

    I look after all of the Calvary Aged Care Facilities

    Deb

    Deborah Vos
    National Infection Prevention and Control Advisor – Aged Care
    [cid:image001.png@01D887DA.299E7360]
    Little Company of Mary Health Care Ltd
    Level 12 – 135 King Street Sydney NSW 2000
    P: 08 8227 7000 | M: 0418 694 673
    E: Deborah.Vos@calvarycare.org.au
    http://www.calvarycare.org.au

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    Hospitality | Healing | Stewardship | Respect
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    ________________________________
    Hi there

    I’d like to connect with other IPC leads who work in aged care.

    I am the IPC lead for Anglicare Southern Qld and support the IPCs in 8 RACFs as well as an extensive home and community care service, homelessness shelters and foster care.
    I’d like to reach out to others in similar roles to do some bench-marking and ask questions…even dumb ones!
    Is this an appropriate forum for this?

    Kind regards

    Christine Morrison

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    in reply to: Cleaning solutions and spray bottles #79309
    Sarah Whiteley
    Participant

    Author:
    Sarah Whiteley

    Email:
    SarahG@bluecross.com.au

    Organisation:
    Blue Cross Aged Care

    State:

    Hi Michael,
    I have staff remove spray bottles in our RACFs.
    I find the biggest issue is they don’t provide enough solution to meet the wet/contact time on the product label.
    Other issues are around the safety of spraying chemicals (all be it low level disinfectants) around people who may inhale the same.
    Sarah

    Sarah Gaines Hill
    Infection Prevention Manager
    P: +61 3 9828 1705 | M: +61 429 480 183
    Level 1, 117 Camberwell Road, Hawthorn East, VIC 3123

    Just a general, random, not directly related to COVID-19 question.

    Do you allow spray bottles to be used for dispensing routine environmental or equipment cleaning chemicals within your facility (any healthcare facility – hospital, aged care, office practice)?

    I had always been of the opinion that dispensing cleaning chemicals by spraying onto surfaces in a healthcare environment was not preferred, due to overspray, vapours and mists, but now I have been approached to endorse a cleaning product that ONLY comes in a spray bottle option (or a ‘misting’ machine – which we are definitely not considering for routine cleaning!)

    Do I need to upgrade my thinking, or are spray bottles still not the best option (even with disposable bottles and spray attachments)?

    Happy for any comments on this.

    Cheers
    Michael

    Michael Wishart | Infection Control Coordinator, CICP-E

    St Vincent’s Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
    M +61 448 954 282 | T +61 7 3326 3068 | F +61 7 3607 2226
    E michael.wishart@svha.org.au |
    W https://www.svphn.org.au

    St Vincent’s Private Hospital Brisbane | 411 Main Street KANGAROO POINT QLD 4169
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    in reply to: help #78350
    Sarah Whiteley
    Participant

    Author:
    Sarah Whiteley

    Email:
    SarahG@bluecross.com.au

    Organisation:
    Blue Cross Aged Care

    State:

    Hi Jude
    I am also in Aged Care and this is the first I have heard of this request so am interested to know the answer as well.
    Is there anyone in this forum from DoH, Victoria?

    Sarah

    Sarah Gaines Hill
    Infection Prevention Manager
    P: +61 3 9828 1705 | M: +61 429 480 183
    Level 1, 117 Camberwell Road, Hawthorn East, VIC 3123

    Hi Folks
    We recently had a resident in our RACF unexpectedly pass away, not COVID related, and I have been asked by my managers to report the resident’s COVID vaccination status. My problem is I have no idea who this needs to be reported to. Does anyone have any ideas?

    Cheers

    Jude Searles RN
    Infection Prevention & Control
    Co-ordinator Undergraduate Education
    Dialysis Clinical Lead
    Cohuna District Hospital
    Committed to Excellence in Rural Healthcare
    148-155 King George Street, Cohuna, Victoria, 3568
    T: Wk: (03) 54565300, Mob: +61409235654, Fax: (03) 5456 2627
    E: jsearles@cdh.vic.gov.au W: http://www.cdh.vic.gov.au
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    in reply to: Question #78231
    Sarah Whiteley
    Participant

    Author:
    Sarah Whiteley

    Email:
    SarahG@bluecross.com.au

    Organisation:
    Blue Cross Aged Care

    State:

    Hi Kathleen
    The jury remains out on this and has been a constant source of problems for us in Victoria.
    The current infection control guidelines V27.1 from Victoria dept of health has a section about AC and HVAC including a table re different ways to accommodate.
    Bottom line is fresh air and leaving toilet exhaust fans on while not ideal is acceptable if no other ways are available.
    Cutting down on any treatments that could create aerosols is also important – nebulisers and CPAP. Keeping doors closed during and 30 minutes post treatment another mitigation strategy.

    Sarah

    Get Outlook for Android
    ________________________________

    Sarah Gaines Hill
    Infection Control Nurse Coordinator
    P: +61 3 9828 1705 | M: +61 429 480 183
    Level 1, 117 Camberwell Road, Hawthorn East, VIC 3123

    Hi,

    The attached doc from The Federation of European Heating, Ventilation and Air Conditioning associations is a good resource. It is specifically looking at air conditioning during COVID. This is a version from last year so check to see if it have been update.

    Kurnitski J BA, Franchimon F, Mazzarella L, Hogeling J, Hovorka F, et al,

    REHVA COVID-19 guidance document. Brussels: The Federation of European Heating, Ventilation and Air Conditioning associations; 2020. p. 1-17.

    Dr Alan McLean

    BHlthSc, MHlthAdmin, DrPH, FCHSM,CHE

    Principal Consultant

    AMAC-Consulting

    Health Systems and Business Consultants

    AMAC-consulting@outlook.com

    HI All,

    Can anyone give me any direction in regards to what to do with air-conditioning/ heating systems at a Residential Aged Care site in the event of a COVID outbreak.

    Given that COVID has been spread at some of the medi hotels via air-conditioning systems and in particular the Delta strain.

    Is the thought that the air-conditioning would be turned off in zones affected?

    Your thoughts and guidance greatly appreciated.

    Kind Regards

    Kathleen

    Kathleen Felstead
    Clinical Quality & Education Consultant
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    Corporate Services
    70 Dale St Port Adelaide, SA 5015
    M. 0436 619 720
    E. kfelstead@unitingsa.com.au
    W. unitingsa.com.au
    Follow us on: Facebook LinkedIn Instagram Twitter

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    in reply to: Screening Clinic Question #78158
    Sarah Whiteley
    Participant

    Author:
    Sarah Whiteley

    Email:
    SarahG@bluecross.com.au

    Organisation:
    Blue Cross Aged Care

    State:

    Good morning ladies,
    Just a question regarding the validity of this expectation.

    People coming for the vaccination are screened on entry and can’t get the vaccine if they have any s/s of illness.
    Just for perspective – hospital waiting rooms and doctor clinics do not clean the chair between every person who sits on it and they are potentially there because they are ill.
    What is the rationale for this in the vaccination clinics?

    Sarah

    Sarah Gaines Hill
    Infection Control Nurse Coordinator
    P: +61 3 9828 1705 | M: +61 429 480 183
    Level 1, 117 Camberwell Road, Hawthorn East, VIC 3123

    Hello Jennifer,
    We have volunteers to assist the community members to clean their chair after use with a disinfectant wipe at our vaccination centre. We have around 400-500 people through each day.

    Hope that helps,
    Jen

    [SWH email swish logo]

    Jennifer Lukeis
    Infection Prevention Community Response Consultant. (CICP- A)
    South West Healthcare | Ryot Street | Warrnambool | Victoria 3280 5563 1570
    http://www.southwesthealthcare.com.au

    [SWH email footer]

    [cid:image005.png@01D76F38.F6F43450]

    Good Morning,

    We have been asked to benchmark other Covid Screening clinics to see if they clean the chairs between each patient.

    We have not routinely been doing this primarily due to the large volume of patients being seen however the clinic does receive a deep clean every evening.

    Many thanks

    Jenny Breen

    Infection Prevention & Control CNC

    Eastern Health

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    in reply to: IPC lead role requirements #77949
    Sarah Whiteley
    Participant

    Author:
    Sarah Whiteley

    Email:
    SarahG@bluecross.com.au

    Organisation:
    Blue Cross Aged Care

    State:

    Hi Margaret
    I see this created quite a buzz. I proposed the change for very valid reasons I have worked with many IP practitioners who are not RNs and have overseen programs which go through extremely rigorous re-accreditation processes with great success.
    I agree that nursing unions and nurses in general would not support this but that is not a rationale to stop change. In my experience, medical insurance companies interest lies in the ability of a health care organization to reduce infections and providing that is achieved they will be satisfied bottom line with them is the bottom dollar As for all the other groups you provided they are nurses and as stated above, many nurses may not support this but there are those of us who will.
    Your very arguments are the same used by physicians against nurses who wanted to move into advanced practice roles many years ago where would we be if we allowed that to hold?
    I have been in health care for over 30 years and have worked in the US where IPCs do come from different healthcare backgrounds and provide a very unique and diverse perspective to our profession. Therefore, to your point, I am not proposing an untested concept but am basing in real life experience of a tried and tested change.
    Like you, I am an RN with an MSN, certified in infection control (CIC), published, and have worked on HAI reduction projects with the IHI (Institute for Healthcare Improvement) one of which was presented at the national IHI conference in the US in 2013.
    I have mentored many including a statistician who went on to complete a masters degree in epidemiology and is now the director of an acute care hospital program in Los Angeles. If we went by your rationale, she would not be qualified simply because she is not a nurse.
    None of us who took on this role are experts in all aspects of the role my background is neonatal intensive care. I have never assisted with endoscopy procedures as an example and had to learn all aspects of scope cleaning as part of my role when I was director of an acute care hospital where such procedures took place. Construction is another area nurses are not qualified but we all learn so that we can apply IP strategies to new builds, renovations, or maintenance work that is taking place within our facilities. These are just a couple examples where the one size does not fit all can also be applied to nurses.
    I hope that those of our colleagues who are not nurses can appreciate that they are very welcome in the domain of IP work.

    Sincerely

    Sarah

    Sarah Gaines Hill
    Infection Control Nurse Coordinator
    P: +61 3 9828 1705 | M: +61 429 480 183
    Level 1, 117 Camberwell Road, Hawthorn East, VIC 3123

    Dear All,
    I’m reading the development of the conversation about who could take an IPC role with interest.
    If other health professionals can take over the role of the RN IPC person, let’s have
    an RN running the Haematology department or the Microbiology department.
    After all, if skill mix is so transferable, why not allow RN’s to run pathology departments.
    The departments are all automated these days and I’ve heard many pathology staff
    complain it’s so boring pushing a calibration button or an analyse button and just
    waiting for the results to print off. And while we’re at it, RN’s can take over the role
    of podiatrists too. RN’s study anatomy, do a basic surgery rotation, know well how to
    set up and use small instrument trays, so couldn’t someones’ example of a Podiatrist being an
    excellent IPC appointee be argued toward an RN being an excellent Podiatrist.
    The answer is no, the skills are not transferable across health professional roles.

    I know the difference. I trained as an RN, specialised in Intensive care, then went and studied
    my Clinical Laboratory Science degree in the medical sciences and as both an RN and
    Laboratory Scientist, I can say a laboratory scientist is not a suitable appointee as an
    IPC person in a hospial with a role across patient care planning, acuity understanding,
    family interaction, advising on antibiotic stewardship wrt past Hx, current treatment and
    changes of care. The statement already given that IPC positions need to be opened up to
    other health professionals because it cuts out other health care professionals’ career options
    is superficial and invalid when considering the different Allied Health Care preparation and
    skill mix. Wanting to fill a vacant position by changing the role requirement to open it up
    to other allied health persons is not a professional nor safe course of action.
    The conversation promoting the ACIPC to ‘get behind’ the push for non-RN’s
    to be appointed to ICP roles is a huge red flag and I’d think the Medical Insurance companies,
    the ANF, the State nursing unions, all AHPRA registered nurses, RN members of the ACIPC,
    and Nurse Advisors to the Ministers in all States would have a few things to say about that idea.
    I don’t support Allied Health professionals and Laboratory Scientists taking the ICP lead roles
    in Australa health care facilities.

    Margaret Goodson
    RN(AHPRA), BAppSc(ClinLabSc),MEd,PhD(Ed),GCDRMed(UTS),
    Intensive Care Cert(NSWCN), Stomal Therapy Cert (SydH),
    CertIVTAE & LLN, MACIPC.
    IPC Coordinator
    Manly Waters Private Hospital
    Manly, Sydney, NSW.

    —— Original Message ——
    Hi Sarah,
    there are many issues in regards to the IPC lead role mandates, however my experience has been that the federal government is not willing to listen or change their stance on this matter.
    Kind regards,
    Kelly
    I acknowledge the traditional owners of the land on which we work and live, and respect their ongoing custodianship of the land. I pay respect to Aboriginal people, and Elders past and present.

    [cid:image004.png@01D73C28.CE27EB40]

    Kelly Barton
    Infection Prevention & Control Officer
    RN BHSc (Nursing). Grad Cert (Infection Control)(Advanced Acute Care). Nurse Immuniser. Cert IV T&A
    P Reduce, re-use, recycle. Please consider the environment before printing this e-mail.

    Thanks Fiona I am aware of this. The issue is nurses in aged care are few and far between and therefore recruiting and using their time for IP work is a huge struggle.
    There needs to be a change in IP requirements in general to allow non-nursing to perform the role as well.
    Sarah

    [BlueCross]
    Sarah
    Gaines Hill
    Infection Control Nurse Coordinator
    P: +61 3 9828 1705
    |
    M: +61 429 480 183
    Level 1, 117 Camberwell Road,
    Hawthorn East,
    VIC
    3123
    [BlueCross]

    Hello Sarah the site on the Australian Government website around IPC leads in RACF does state that the IPC lead must be a nurse.
    See https://www.health.gov.au/initiatives-and-programs/infection-prevention-and-control-leads for the specific requirements.

    Regards

    Fiona Wilson I Nurse Manager TIPCU
    Public Health Services I Department of Health
    3/25Argyle St Hobart, GPO Box 125 Hobart 7001
    Phone (03) 6166 0601| Mobile 0439 014 634 | Fax (03) 6173 0821
    Prevention is better than cure
    I acknowledge the traditional owners of the land on which we work and live, and respect their ongoing custodianship of the land. I pay respect to Tasmanian Aboriginal people, and Elders past and present.

    Good Afternoon fellow Ips!
    A few weeks ago there was some discussion in this forum about the requirements for IPC leads at Aged Care facilities had to be RN/EN.
    It was mentioned that there would be recommendations to change this. You do not need to be an RN/EN to be a great IP. I have worked with many who had a science degree but not licensed practitioners who were fantastic.
    We are really struggling to fill positions that have been left as our RN/EN pool is very small.
    Does anyone remember the discussion or have a response?
    Is this something this college would be willing to get behind as a voice to help aged care facilities with this. I believe this will be an ongoing struggle if we are tied in this way.

    Thanks
    Sarah
    [BlueCross]
    Sarah
    Gaines Hill
    Infection Control Nurse Coordinator
    P: +61 3 9828 1705
    |
    M: +61 429 480 183
    Level 1, 117 Camberwell Road,
    Hawthorn East,
    VIC
    3123
    [BlueCross]

    Disclaimer

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    in reply to: IPC lead role requirements #77917
    Sarah Whiteley
    Participant

    Author:
    Sarah Whiteley

    Email:
    SarahG@bluecross.com.au

    Organisation:
    Blue Cross Aged Care

    State:

    Thanks Fiona I am aware of this. The issue is nurses in aged care are few and far between and therefore recruiting and using their time for IP work is a huge struggle.
    There needs to be a change in IP requirements in general to allow non-nursing to perform the role as well.
    Sarah

    Sarah Gaines Hill
    Infection Control Nurse Coordinator
    P: +61 3 9828 1705 | M: +61 429 480 183
    Level 1, 117 Camberwell Road, Hawthorn East, VIC 3123

    Hello Sarah the site on the Australian Government website around IPC leads in RACF does state that the IPC lead must be a nurse.
    See https://www.health.gov.au/initiatives-and-programs/infection-prevention-and-control-leads for the specific requirements.

    Regards

    Fiona Wilson I Nurse Manager TIPCU
    Public Health Services I Department of Health
    3/25Argyle St Hobart, GPO Box 125 Hobart 7001
    Phone (03) 6166 0601| Mobile 0439 014 634 | Fax (03) 6173 0821
    Prevention is better than cure
    I acknowledge the traditional owners of the land on which we work and live, and respect their ongoing custodianship of the land. I pay respect to Tasmanian Aboriginal people, and Elders past and present.

    Good Afternoon fellow Ips!
    A few weeks ago there was some discussion in this forum about the requirements for IPC leads at Aged Care facilities had to be RN/EN.
    It was mentioned that there would be recommendations to change this. You do not need to be an RN/EN to be a great IP. I have worked with many who had a science degree but not licensed practitioners who were fantastic.
    We are really struggling to fill positions that have been left as our RN/EN pool is very small.
    Does anyone remember the discussion or have a response?
    Is this something this college would be willing to get behind as a voice to help aged care facilities with this. I believe this will be an ongoing struggle if we are tied in this way.

    Thanks
    Sarah
    [BlueCross]
    Sarah
    Gaines Hill
    Infection Control Nurse Coordinator
    P: +61 3 9828 1705
    |
    M: +61 429 480 183
    Level 1, 117 Camberwell Road,
    Hawthorn East,
    VIC
    3123
    [BlueCross]

    Disclaimer

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    in reply to: Infection Control positions advertised #77786
    Sarah Whiteley
    Participant

    Author:
    Sarah Whiteley

    Email:
    SarahG@bluecross.com.au

    Organisation:
    Blue Cross Aged Care

    State:

    Hi IP colleagues,
    I am in total agreement that it does not require a nurse to be an IP.
    I came from California where we have IPs who are clinical lab scientists, physios, public health degrees, and I trained up a statistician who went on to do a masters degree in epidemiology.
    Opening the horizons to others with a more diverse background will grow the IP profession.
    During the outbreaks last year we relied heavily on our allied health colleagues who were fantastic support for driving IP processes.
    I was extremely disappointed that the recent push for IPC leads required a nursing background.
    How can we push for a change?

    Sarah

    Sarah Gaines Hill
    Infection Control Nurse Coordinator
    P: +61 3 9828 1705 | M: +61 429 480 183
    Level 1, 117 Camberwell Road, Hawthorn East, VIC 3123

    That is a really great question and one I would be interested to see people’s thoughts.
    I am not employed as an “ICP”, but I am working in a role that is within the same space, overseeing implementation of AS4187 requirements across my organisation. I am not a nurse, but I am a credentialled ICP via ACIPC.
    I wonder how many other credentialled members of ACIPC are not nurses like me?

    P.S. I have a Masters in Cardiothoracic Physiotherapy

    Kind regards

    Kate Ryan

    RMD Program Officer

    [logo_austin]

    0434 609 208 | 03 9496 6706

    Infectious Diseases Department

    Level 7, Harold Stokes Building

    145 Studley Road, Heidelberg

    PO Box 5555, Victoria, 3084

    ________________________________

    EXTERNAL EMAIL: Do not click links or open attachments unless you recognise the sender and know the content is safe. If you are unsure please contact service.desk@austin.org.au.

    ________________________________

    [This message is being posted on behalf of a member, who chooses to remain anonymous in the event there are strong opinions concerning this question. Moderator.]

    Hi all,

    I’m thrilled to see all the Infection Control positions coming up in our facilities.

    I wondered though, if someone could please clarify why all of the positions require a nursing qualification?

    If suitable and relevant experience and qualifications can be demonstrated, is it critical that the Infection Prevention and Control practitioner needs to be a nurse, especially if they are working across multidisciplinary teams?

    Thanks

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    in reply to: Re: Scabies treatment #77764
    Sarah Whiteley
    Participant

    Author:
    Sarah Whiteley

    Email:
    SarahG@bluecross.com.au

    Organisation:
    Blue Cross Aged Care

    State:

    Many thanks to everyone who responded. I have some additional ideas now of what we need to look for.
    Very perplexing
    Sarah

    Sarah Gaines Hill
    Infection Control Nurse Coordinator
    P: +61 3 9828 1705 | M: +61 429 480 183
    Level 1, 117 Camberwell Road, Hawthorn East, VIC 3123

    Hi all

    I have a story for you. Many, many years ago when I was a fresh and young infection controller, I worked in a facility that had an attached nursing home. We had a prolonged scabies outbreak over many, many months, that appeared to be fully contained for a month or so then suddenly flared up again. This cycle repeated about five times, and was really frustrating for residents families and staff. We had concerted efforts to include everyone in prophylactic treatment, involved entomologists who taught us about scabies mite lifestyles and how they were transmitted (did you know you needed gravid female mites to transmit infestation?). We cleaned, crobbex, bagged, and cleaned nd scrubbed more.
    Anyway, to bring my story to a close, the cycles stopped when one of our semi-regular respites died. His autopsy showed he had Norwegian (crusted) scabies, which had remained undiagnosed for a long time, due to other long term pre-existing skin conditions he also had. He just kept coming back in, shedding many gravid females onto staff and into the environment. He often had been discharged a while before the first cases started itching in each cycle.
    Just thought this was a nice opportunity to share my story. I hope you enjoyed it. It was a pretty unpleasant experience at the time, for all concerned. Good luck managing your outbreak. Don’t forget those with skin conditions that can ‘hide’ Norwegian scabies.
    Cheers
    Michael
    Michael Wishart, CICP-E
    Infection Control Coordinator
    St Vincent’s Private Hospital Northside

    ________________________________

    Good evening,

    There are a few questions I would ask.

    Are residents sharing slings for lifting equipment or other equipment that may be in direct contact with their skin?
    ( Our residents each have their own and there are back ups for when those are being laundered).
    Have any skin scrapings identified scabies on any of your residents?( Keeping in mind it may be difficult to get a conclusive result).
    Is this in a memory support unit or a particular part of the facility?
    Have any family members of residents been diagnosed with scabies?
    Have any staff members been diagnosed with scabies?

    Whilst I was working at Eastern Health in Victoria, our Infectious Disease Consultants would treat all Residents with Ivermectin instead of using Ivermectin.This way residents are treated systematically. This is dosed individually by weight.

    The issue with Lyclear is often staff do not apply enough or apply it correctly. Some residents due to behaviour issues make it impossible to do so. Also, if they do not leave it on the prescribed amount of time before showering, it may not be effective.

    If it is Norwegian crusted scabies, Lyclear may also be ineffective.

    24 hours after treatment, we would do a terminal clean.

    We bagged fomites for 7-10 days.

    We laundered all clothes and linen in a hot wash cycled then dried.

    This was repeated in 7-10 days.

    We did not prophylactically treat staff. Lyclear can have toxic side effects and you can build resistance. You need to generally have prolonged skin to skin contact to be at risk of acquiring scabies.

    Soft furnishings were vacuumed and steam cleaned.

    We did not generally use insecticide. Though in large clusters it was considered.

    Kind regards,
    Lisa Campbell
    Infection Prevention & Control Manager
    Bolton Clarke
    Sent from my iPhone

    On 3 Mar 2021, at 6:50 pm, Sarah Gaines Hill <SarahG@bluecross.com.au> wrote:

    Good Afternoon Aged Care colleagues,

    We have a very perplexing situation at one of our sites where we seem to get a regular visit from scabies mites. The occurrence is too far apart for it to be an ongoing infestation.

    We have implemented multiple changes as follows:

    1. Treat any undiagnosed rash as potentially infectious until proven otherwise using contact precautions and isolation
    2. Treat suspected or confirmed cases with lyclear including all staff who have had prolonged skin-to-skin contact or with laundry and linen
    3. Simultaneously treat environment remove and launder bed clothes, clothes, towels, vacuum carpet and mattress, steam clean same.
    4. Bag up other fomites for 72 hours post treatment
    5. Educate staff on scabies rash identification

    Do any of you treat the environment with insecticides? I have never done this and what I have read is not indicated.

    Any other ideas??? I am at a loss for how to eradicate this from this particular home.

    Any pearls of wisdom would be greatly appreciated.

    Thanks

    Sarah
    [BlueCross]
    Sarah
    Gaines Hill
    Infection Control Nurse Coordinator
    P: +61 3 9828 1705
    |
    M: +61 429 480 183
    Level 1, 117 Camberwell Road,
    Hawthorn East,
    VIC
    3123
    [BlueCross]

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    in reply to: Re: Managing staff with post COVID vaccine symptoms #77730
    Sarah Whiteley
    Participant

    Author:
    Sarah Whiteley

    Email:
    SarahG@bluecross.com.au

    Organisation:
    Blue Cross Aged Care

    State:

    Hi Lisa and Michael,
    I also work in aged care and we are trying to figure out how we will manage this.
    It is very difficult to plan as we do not know the schedule for each residence.
    Any ideas would be greatly appreciated.
    Sarah

    Sarah Gaines Hill
    Infection Control Nurse Coordinator
    P: +61 3 9828 1705 | M: +61 429 480 183
    Level 1, 117 Camberwell Road, Hawthorn East, VIC 3123

    Hi Michael,

    I was thinking the same thing; however, Residential Care facilities will not be able to stagger departments. We will have short facility notification time and set days.

    So I am also curious what others are considering in this space.

    Kind regards,
    Lisa Campbell
    Infection Prevention & Control Manager
    Bolton Clarke
    lcampbell2@boltonclarke.com.au
    Sent from my iPhone

    On 18 Feb 2021, at 3:05 pm, Michael Wishart <Michael.Wishart@svha.org.au> wrote:

    Hi Lori

    We do not intend to treat these staff any differently from those receiving any other vaccine and developing reactions which may hinder them doing their job. If they are unwell, they are not to come to work.

    One thing we have discussed though, is trying not to send a whole department to have their COVID-19 vaccines on the same day. So, as much as we possibly can, staggering vaccination across a variety of departments so we dont wipe a whole department out for a few days. We have never consciously tried to do this with our annual flu vaccine program, as the vaccine is generally well tolerated. But there is an unknown component of how many will be affected and how severe the reactions will be for the various COVID-19 vaccines, so we are being more cautious.

    Cheers
    Michael

    Michael Wishart | Infection Control Coordinator, CICP-E

    St Vincents Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
    M +61 448 954 282 | T +61 7 3326 3068 | F +61 7 3607 2226
    E michael.wishart@svha.org.au |
    W https://www.svphn.org.au

    St Vincents Private Hospital Brisbane | 411 Main Street KANGAROO POINT QLD 4169
    M +61 448 954 282 | T +61 7 3240 1208 | F +61 7 3240 1166
    E michael.wishart@svha.org.au |
    W https://www.svphb.org.au

    [cid:image001.jpg@01D70606.55DE4740]

    [Stop the Flu before it stops you]

    Dear Colleagues,

    I would like to better understand how other organisations plan to manage staff who experience fever, chills headache and fatigue after receiving the COVID vaccine. These are published common side effects of the Pfizer vaccine as well as symptoms of COVID infection.

    https://www.health.gov.au/sites/default/files/documents/2021/02/covid-19-vaccination-after-your-covid-19-vaccination_1.pdf

    Are organisations planning to allow staff experiencing these side effects post-vaccine to attend work?
    If yes, how will the deviation from current practice be documented to allow them to work?

    Kind regards

    Lori

    Lori McLeod-Mills
    National Quality Governance Officer
    Healthcare Imaging Services
    lori.mcleod@healthcareimaging.com.au
    0414 542 483
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    in reply to: UV technology #77671
    Sarah Whiteley
    Participant

    Author:
    Sarah Whiteley

    Email:
    SarahG@bluecross.com.au

    Organisation:
    Blue Cross Aged Care

    State:

    Thats great thanks very much.
    Pretty much aligned with my own experiences
    Cheers
    Sarah

    Sarah Gaines Hill
    Infection Control Nurse Coordinator
    P: +61 3 9828 1705 | M: +61 429 480 183
    Level 1, 117 Camberwell Road, Hawthorn East, VIC 3123

    Hi Sarah,

    The Australian Infection Control Guidelines have the following statement regarding UV light for general cleaning in section 3.1.3 Routine management of the physical environment.

    “3.1.3.1 Emerging disinfection methods
    Weak recommendation – Against
    16. The effectiveness of ultra-violet light disinfection as an adjunct to routine terminal cleaning in healthcare facilities is yet to be established. Therefore routine use is not suggested in healthcare facilties.
    Ultra-violet light disinfection may be considered in high-risk settings during outbreaks when other disinfection options have been exhausted.”

    Kind regards

    Kate Ryan

    RMD Program Officer

    [logo_austin]

    0434 609 208 | 03 9496 6706

    Infectious Diseases Department

    Level 7, Harold Stokes Building

    145 Studley Road, Heidelberg

    PO Box 5555, Victoria, 3084

    ________________________________

    EXTERNAL EMAIL: Do not click links or open attachments unless you recognise the sender and know the content is safe. If you are unsure please contact service.desk@austin.org.au.

    ________________________________

    Good Afternoon

    Is anyone using UV technology as an adjunct to general cleaning particularly at aged care sites?

    If you are, what are the benefits you have seen and what were the challenges or implementing?

    Does anyone know if there will be a DHHS recommendation to add this to the cleaning processes?

    Thanks for any information you can provide

    Sarah
    [BlueCross]
    Sarah
    Gaines Hill
    Infection Control Nurse Coordinator
    P: +61 3 9828 1705
    |
    M: +61 429 480 183
    Level 1, 117 Camberwell Road,
    Hawthorn East,
    VIC
    3123
    [BlueCross Make a change]

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    in reply to: Re: bin #77595
    Sarah Whiteley
    Participant

    Author:
    Sarah Whiteley

    Email:
    SarahG@bluecross.com.au

    Organisation:
    Blue Cross Aged Care

    State:

    Hi Ladies
    We also used bins without lids at our outbreak sites.
    Our wanderers who would dig through the bins with or without lids… They were an entirely different challenge.

    Sarah Gaines Hill
    Infection Control Nurse Coordinator
    P: +61 3 9828 1705 | M: +61 429 480 183
    Level 1, 117 Camberwell Road, Hawthorn East, VIC 3123

    Hi Anna,

    We have experienced the same. We have varying opinions by assessors as to what is required for the disposal of PPE. We have gone on the no lid option for inside the rooms as per Helen to avoid touching of the contaminated lid. We did use Pedal bins outside the room to limit accessibility by wandering residents. Would be great if there was some universal direction across the board.
    Agree no lids is the way to go.

    Kind Regards

    Kathleen Felstead
    Clinical Quality & Education Consultant
    [cid:UNDERLINE_68327c9b-3c07-4c4d-9eea-964ffe1b0063.jpg]
    Corporate Services
    70 Dale St * Port Adelaide, SA 5015
    M. 0436 619 720
    E. kfelstead@unitingsa.com.au
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    Hi all

    We experienced the exact same dilemma through multiple outbreaks, but finally settled on the no lid option during outbreaks. This allows for safe and effective disposal of PPE without having to touch and contaminate the lid. Pedal bins inevitably break fairly easily and the damaged lid becomes a source of contamination very quickly and for this reason we have moved away from them.
    We used a variety of garden bins (large/sturdy/easy to clean) from Bunnings!
    We were supported and advised by all agencies in Victoria (VACRC, PHU, ADF, Auzmat and Aspen Medical) to pursue this option.

    Kind regards,

    Helen Finlay
    National Manager Infection Control
    t 0427 110 668 | 03 8518 7356
    e hfinlay@regis.com.au | w http://www.regis.com.au

    Level 2, 615 Dandenong Road, Armadale VIC 3143

    [cid:image001.png@01D6D2E5.8A695170]

    Hi would anyone have any information on the types of bins suitable for discarding of PPE. I have looked at many infection control guides but none mention types of bins.

    As a small facility with limited resources we have generally used bins with a swing lid ( then the lids go missing!) though this way rubbish is easier to discard! and we also have pedal operated bins but I find their life is short in comparison to the cost!.
    Auditors from the Accreditation Agency have said best practice was the use of pedal bin. Infection control officers who audited my facility from the local health district told me bins with no lids was better but have not been able to provide written evidence either. While doing the Foundations course one of the film clips produced by the Tasmanian Government showed PPE being discarded into a bin without a lid. Does that mean for training its ok but in other situations it’s not??

    Looking forward to any replies.

    [cid:image003.png@01D6D2F3.0AF877F0]| Anna Whitney RN | Executive Manager
    | t. (02) 4577 2800 | m. 0406 574 042 | f. (02) 4577 2627
    | 1 Rum Corp Lane WINDSOR NSW 2756
    [cid:image004.png@01D6D2F3.0AF877F0]| w. http://www.fitzgeraldacf.com.au

    Follow us on: Facebook

    [cid:image005.jpg@01D6D2D6.C2302DE0]
    From all of the Staff here at Fitzgerald Aged Care, we wish you a Merry Christmas and a Happy New Year!

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    in reply to: Aged Care IPs #77481
    Sarah Whiteley
    Participant

    Author:
    Sarah Whiteley

    Email:
    SarahG@bluecross.com.au

    Organisation:
    Blue Cross Aged Care

    State:

    Hi Mary
    Thanks so much for reaching out. It is quite difficult when I dont have a network built up yet but am excited to get onboard with this group.
    I was a member of a similar organization in the US and found that invaluable.

    Sarah

    Sarah Gaines Hill
    Infection Control Nurse Coordinator
    P: +61 3 9828 1705 | M: +61 429 480 183
    Level 1, 117 Camberwell Road, Hawthorn East, VIC 3123

    Hello Sarah, and welcome to Melbourne.

    Hope you are settling in well, and managing to make sense of our accents, abbreviations and other distinctive local features like the weather!
    Im sure you will find a wide and supportive community amongst ACIPC professionals.

    I am currently working in the Department of Health and Human Services (DHHS), in the COVID19 Public Health Unit. We are nurses in the Infection Prevention and Control Outreach Nurses (IPCON) group, and have had lots of activity within aged care, in both our prevention and outbreak arms.

    Emails from ACIPC Infexion Connexion come to our email addresses, so you have just gained a whole lot of colleagues in the job.

    Wishing you good luck in your work as your feet hit the ground again!

    Kindest regards
    Mary Fraser (one of several Marys in IPCON)

    Good Afternoon,
    I have recently joined this community having recently moved from California.
    I would love to meet and network with other IPs who are working in the Aged Care Sector.
    I am based in Victoria and just coming down from the COVID roller coaster here.
    I would be happy to share learnings that we have had and see what others are doing within their residences for strategies in general.

    Thanks

    Sarah
    [BlueCross]
    Sarah
    Gaines Hill
    Infection Control Nurse Coordinator
    P: +61 3 9828 1705
    |
    M: +61 429 480 183
    Level 1, 117 Camberwell Road,
    Hawthorn East,
    VIC
    3123
    [BlueCross]

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