[SAWMH.ICC]

Morning,

We now only have hot & ambient water available to staff due to issues with our previous water coolers, however we are currently trialling some new water coolers that use UV lights I can’t remember the brand but I can find out for you if the trial is successful then we will install some additional units throughout the hospital & where there had been the ‘Zippy’ taps with hot & chilled water we have removed the chilled water component and installed a ambient filtered water tap instead. If these water coolers are installed then they will be put on a routine testing schedule as we do our Ice and bottled water that we provide patients with.

With kind regards,
Lynette CribbInfection Control Coordinator
Direct 07 3834 4328 | mobile 0427141223 | Fax 0738344599
SAWMH.ICC@uchealth.com.au | standrewshospital.com.au
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[Bugs-and-tear LR]
Remember to protect your patients, family and yourself by getting the Influenza vaccination

Good morning,

Just wondering if any facilities have instant chilled and boiling water systems for patients and staff to access for drinking water and hot tea/coffee in there lounges/kitchens.
If you do, how long have they been installed?
Do you undertake any legionella and bacterial micro testing on the cold and hot water from the system including the sink tap water that its connected to?
If you would be prepared to share what system you use and your results with us please contact me off line directly by email at marija.juraja@sa.gov.au

Kind Regards

Marija Juraja |Nurse Unit Manager -CALHN Infection Prevention & Control Unit|
Division of Acute Medicine (RN, GCNS Inf Ctrl, CICP-E)
The Royal Adelaide Hospital| Central Adelaide Local Health Network
8E Rm256 Port Road, ADELAIDE 5000
The Queen Elizabeth Hospital | Central Adelaide Local Health Network
Level 8 Tower Building | 28 Woodville Road, WOODVILLE SOUTH 5011
t: +61 8 7074 2810 (RAH) 8222 7588 (TQEH)| f: +61 8 7074 6228 (RAH) +61 8 8222 6461 (TQEH) | m: 0466 379 821|DX: 465432 (TQEH) |e:marija.juraja@sa.gov.au |web: IPCU Intranet Site and Resources
Adjunct Clinical Lecturer | University of South Australia | Division of Health Sciences

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[SAWMH.ICC]

Yes SAWMH is apart of this study so should be interesting to see what comes out of it.

With kind regards,
Lynette CribbInfection Control Coordinator
Direct 07 3834 4328 | mobile 0427141223 | Fax 0738344599
SAWMH.ICC@uchealth.com.au | standrewshospital.com.au
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[Description: 5 moments hand hygiene]

Hi Cath

Yes, cleaning effectiveness in hospitals is definitely a concern. There is a current QUT research study on how to improve cleaning effectiveness with a bundle approach without additional expensive technology, which (if demonstrated to be effective) may be an option for hospitals to adopt at a lesser cost than some of the newer technologies. Worth watching this study, I think.

It may be that a combination of this type of cleaning bundle and some newer technologies (like vapourised hydrogen peroxide) for some specific indications may be the most cost effective and efficient process.

http://reach.cre-rhai.org.au/

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
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In 2010 I pioneered Australia’s first study showing that efficiency of routine cleaning was on average about 50% meaning that half of the time hospital rooms were not cleaned properly. This was an alarming fact but identical to results from the USA and other countries who had studied the problem. Great new technologies have been developed which US and UK research proves can eliminate any bugs that remain in improperly cleaned rooms. However their cost and a general reluctance to adopt them or include them as an option is limiting their adoption and use in Australia. Today the article below from the US CDC has been published showing that in a long study of several US hospitals serious multiple drug resistant organisms (MDROs) {Superbugs} were recovered from 34% of routine cleaned room composites (range 1-13,000 CFU/100 cm2) and 17% of terminal cleaned room composites (1-524 CFU/100 cm2). MDROs were recovered from 40% of rooms. This is a very important finding and it should compel Australian policy makers to immediately relook at ways to support the use of those “waterless” systems of high level room disinfection such as pulsed Xenon, peracetic gas or ultraviolet light options. We can control antibiotic use as much as we like but if we can’t improve basics like hand hygiene compliance and staff healthcare organisations with enough, well-trained and well-supported cleaning staff we have no chance of providing staff with rooms clean enough to protect patients from being a risk of develop a serious hospital infection. Obviously I appreciate the cost and effort required to implement new methods and technologies as well as current Australian research looking at bundled approaches (hand hygiene and traditional manual cleaning – both of which are likely ineffective in their current practice) but we really can no longer bury our heads about this issue and we need to give it priority.

________________________________
Infect Control Hosp Epidemiol. 2016 Sep 13:1-7. [Epub ahead of print]
Assessment of the Overall and Multidrug-Resistant Organism Bioburden on Environmental Surfaces in Healthcare Facilities.
Shams AM1, Rose LJ1, Edwards JR1, Cali S2, Harris AD3, Jacob JT4, LaFae A4, Pineles LL3, Thom KA3, McDonald LC1, Arduino MJ1, Noble-Wang JA1.
Author information

* 11Division of Healthcare Quality Promotion,National Center for Emerging and Zoonotic Infectious Diseases,Centers for Disease Control and Prevention,Atlanta,Georgia.
* 22University of Illinois at Chicago School of Public Health,Chicago,Illinois.
* 33University of Maryland School of Medicine,Baltimore,Maryland.
* 44Emory University School of Medicine,Atlanta,Georgia.
Abstract
OBJECTIVE To determine the typical microbial bioburden (overall bacterial and multidrug-resistant organisms [MDROs]) on high-touch healthcare environmental surfaces after routine or terminal cleaning. DESIGN Prospective 2.5-year microbiological survey of large surface areas (>1,000 cm2). SETTING MDRO contact-precaution rooms from 9 acute-care hospitals and 2 long-term care facilities in 4 states. PARTICIPANTS Samples from 166 rooms (113 routine cleaned and 53 terminal cleaned rooms). METHODS Using a standard sponge-wipe sampling protocol, 2 composite samples were collected from each room; a third sample was collected from each Clostridium difficile room. Composite 1 included the TV remote, telephone, call button, and bed rails. Composite 2 included the room door handle, IV pole, and overbed table. Composite 3 included toileting surfaces. Total bacteria and MDROs (ie, methicillin-resistant Staphylococcus aureus, vancomycin-resistant enterococci [VRE], Acinetobacter baumannii, Klebsiella pneumoniae, and C. difficile) were quantified, confirmed, and tested for drug resistance. RESULTS The mean microbial bioburden and range from routine cleaned room composites were higher (2,700 colony-forming units [CFU]/100 cm2; 1-130,000 CFU/100 cm2) than from terminal cleaned room composites (353 CFU/100 cm2; 1-4,300 CFU/100 cm2). MDROs were recovered from 34% of routine cleaned room composites (range 1-13,000 CFU/100 cm2) and 17% of terminal cleaned room composites (1-524 CFU/100 cm2). MDROs were recovered from 40% of rooms; VRE was the most common (19%). CONCLUSIONS This multicenter bioburden summary provides a first step to determining microbial bioburden on healthcare surfaces, which may help provide a basis for developing standards to evaluate cleaning and disinfection as well as a framework for studies using an evidentiary hierarchy for environmental infection control. Infect Control Hosp Epidemiol 2016;1-7.
Warm regards
Cath

Cathryn Murphy MPH PhD CIC
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Infection Control Plus Pty Ltd
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[SAWMH.ICC]

Dear colleagues
I am also interested in laundry facilities for patient use, would anyone be able to share their procedure framework relating to this.

With kind regards,
Chrissy Hayes
Infection Control Coordinator
St Andrews War Memorial Hospital

P: +61 7 3834 4328
F: +61 7 3834 4599
M: 0427 141 223
E: sawmh.icc@uchealth.com.au
W: http://www.uchealth.com.au

On 11 Aug 2015, at 3:26 pm, Marlize Senekal <m.senekal@WMB.ORG.AU> wrote:

Good afternoon,

It is my understanding that it is not allowed to hand wash items in aged care facilities. Im however unable to find the evidence for this, would any of you be able to help me with the standards or guidelines around this?

I did have a look at the laundry standard, but it doesnt deal specifically with this

Thank you in advance
Marlize

Marlize Senekal
Infection Prevent & Control CNC – Education and Research

T (07) 3621 4545 | M 0418 866 816
E m.senekal@wmb.org.au | http://www.wmb.org.au
Central Offices – Wheller Gardens: 930 Gympie Road, Chermside QLD 4032

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[SAWMH.ICC]

I am interested in this area as well, would it be possible be involved in the information sharing as well
Thank you in advance

With kind regards,
Chrissy Hayes
Infection Control Coordinator
St Andrews War Memorial Hospital

P: +61 7 3834 4328
F: +61 7 3834 4599
M: 0427 141 223
E: sawmh.icc@uchealth.com.au
W: http://www.uchealth.com.au

On 17 Jul 2015, at 3:30 pm, Jayne OConnor <Jayne.OConnor@SAH.ORG.AU> wrote:

Hi Louis,

We have pet therapy program happy to share will forward our policy to you.

Jayne

Jayne OConnor RN, BSc.Inf.Cont.
Acting Co ordinator IPC
Sydney Adventist Hospital
185 Fox valley Rd,
Wahroonga 2076

Dear All

Wondering if anyone might have a pet therapy/visitation policy that they would be willing to share. Our rehab campus are wanting to allow an external organisation to bring dogs into the hospital. Love to hear from people who are running such a program. Thanks

Kind regards

Louis Geri | Infection Prevention & Control Clinical Coordinator
Cabrini Health
183 Wattletree Rd, Malvern VIC 3144
Ph 0417 166 481 | 9508 1632 | Fax: 9508 8563 | lgeri@cabrini.com.au

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[SAWMH.ICC]

Good morning Michael,

We’ve moved to safety drawing up needles and currently use 2 kinds.
The blunt needles for ampules only, because these cause corking through a rubber stopper and the bevelled end needles for drawing up from vials with rubber stoppers. We don’t seem to have a problem by using these needles this way.

I’m happy to discuss further off line

Kind regards

Marlize Senekal / Infection Prevention and Control Coordinator
St. Andrew’s War Memorial Hospital
457 Wickham Terrace, Brisbane, QLD 4001 / P.O. Box
Direct +61 7 3834 4328 / FAX +61 7 3834 4599 / Pager 0328
Email SAWMH.ICC@uchealth.com.au

Hi all

We are having a debate here about using normal needle/syringe combinations to draw insulin out of pen cartridges / devices instead of using specific pen needles. My brain is telling me that somewhere in my dark, distant past, someone has raised an issue about coring of pen cartridge rubber stoppers when using non-pen needles to access them. I can’t seem to find anything to verify or support this, though. Does anyone have any guidelines, research or articles that discuss this issue?

Thanks
Michael

Michael Wishart
Infection Control Coordinator
Holy Spirit Northside Private Hospital
627 Rode Road, Chermside, Qld 4032
t: (07) 3326 3068 | f: (07) 3607 2226
e: Michael.Wishart@svha.org.au
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[SAWMH.ICC]

Thank you to Everyone who have responded to my question on CJD.

We are currently using the questions below, but like I’ve mentioned, it gets tricky when you don’t have much space to work with and you need to ask all of these.

Best wishes

Marlize Senekal
Infection Prevention and Control Coordinator
St. Andrew’s War Memorial Hospital
457 Wickham Terrace, Spring Hill
Brisbane
Ph. 07-3834 4444
Ext. 4328, Pg. 0328

________________________________

Hi Marlize

This is a bit tricky, as you need to be able to identify all of the risks for CJD when asking these questions. Also confounding is the fact that the questions recommended for assessment of CJD risk in Appendix 13 of the January 2013 CJD document from the CJD ICG Working Group (http://www.health.gov.au/internet/main/publishing.nsf/content/AC9448D36D359F50CA2577C40016F0F6/$File/CJDInfectionControlGuidelinesJan2013.pdf) are recommended to be asked of the treating medical officer, not the patient. We have managed to reduce the questions to only 5 on our pre-admission assessment, and they relate to the following risks:

– Patient or two or more family members with history of CJD

– Received human pituitary hormone prior to 1985

– Received dura mater graft prior to 1986

– Recent undiagnosed rapid progressive dementia

– Involved in a ‘lookback’ for CJD exposure

We tried to reduce these questions even more, but we felt we would miss out on some risks if we did not ask explicitly. The trick is to word the questions in a way most patients will understand.

Another option is to include a very simple CJD risk assessment for all patients, and then a more comprehensive assessment for those undergoing vat-risk procedures (defined in the guidelines as: ‘eg neurosurgery, spinal cord surgery, ophthalmic surgery, pituitary surgery’). The major difficulty for this is when is this assessment done and by whom, ensuring you do not miss any eligible patients.

Hope these thoughts help.

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
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Good morning Everyone,

We are currently reviewing our Risk assessment tool. We have added Infection Control questions, these include risks for MRO’s, wounds / devices and cCJD.
We don’t have enough space to add all the infection control risks . We have a few questions on CJD but I was hoping to reduce the number to only 2 questions.
Can anyone please share with me, your questions on the risk for CJD?

Thank you

Marlize Senekal
Infection Prevention and Control Coordinator
St. Andrew’s War Memorial Hospital
457 Wickham Terrace, Spring Hill
Brisbane
Ph. 07-3834 4444
Ext. 4328, Pg. 0328

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[SAWMH.ICC]

Hi Marilyn and Joe,

A few year ago this was also the case here. We have now a policy in place, stating that in case a patient are not able to dial-up their own insulin pen, or are unable to remove the needle or administer the insulin for themselves, an insulin vial is ordered from the pharmacy and nurses use disposable syringes to administer it safely. The only time we see incidents now is when nurses don’t follow the policy.

Regards

Marlize Senekal
Infection Prevention and Control Coordinator
St. Andrew’s War Memorial Hospital
457 Wickham Terrace, Spring Hill
Brisbane
Ph. 07-3834 4444
Ext. 4328, Pg. 0328

________________________________

Hi Joe,

I was laughing as I read your opening line “Just curious to find out …”.

I’m sure there’s a few of us who have noticed “abnormal” events.

This one had a common contributing factor.
A couple of years ago I noticed an abnormal increase in NSI and discovered that some nurses were using their fingers to remove the needle from the ‘insulin pen’ for patients.
The Product Information describes ‘how to safely remove the needle when a patient is not able to do so’ – however I discovered that the nurses had not read it.
So, I made a one-page poster with photographs, summarising that procedure and referring the nurses to the full Product Information.
The poster is displayed in the Medication Rooms, and I tell the story and show it at Orientation.
Those types of NSI now rarely occur.

There was also one week, in April a few years ago, when the OH&S Coordinator had daily reports of staff injuries and I received daily reports of occupational exposures. Really made us wonder what was going on. There were no common factors for facility or procedure or anything. Just a statistical blip?

Regards,
Marilyn

Marilyn Harris

CNC Infection Prevention | Population Health | Justice Health & Forensic Mental Health Network
Level One Dawn de Loas. Locked Bag 130 Silverwater Mail Centre, NSW 1811
Tel 02 9289 5482 | Pager 02 9937 2506 | Mob 0417 472 612 | Fax 02 9289 5486
marilyn.harris@justicehealth.nsw.gov.au
Our Values: Care, Clear Communication, Honesty, Professionalism, Respect

[cid:image002.jpg@01CDF996.A9A64830]

Good morning everyone
Just curious to find out if any other healthcare facilities have ever experienced an abnormal increase in occupational exposures at any time? What were the common contributing factors and were they linked?

Also, for healthcare facilities that are performing surgery with microscopes or loupes – have you had occupational exposures when staff move sharps outside their field of vision? If you have, what strategies did you put in place to reduce the risk?

Thanks

Joe

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

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[SAWMH.ICC]

Thanks Cath, Michael and James,

I’m glad I’ve posted the question for discussion. I also had concerns regarding the intruduction of ABHR into kitchen itself, not only do you have infection control issues but most of the products we currently use in Clinical areas, contains > 70% alcohol and are flammable. Thanks for your thoughts, these were, as always very helpful.

Regards

Marlize Senekal
Infection Prevention and Control Coordinator
St. Andrew’s War Memorial Hospital
457 Wickham Terrace, Spring Hill
Brisbane
Ph. 07-3834 4444
Ext. 4328, Pg. 0328

________________________________

Great points James. Thank you for the thoughtful discussion and considerations. V interesting. Also reminds me of the importance of unwell kitchen staff absenting themselves from work for 48hrs post symptoms in the event of V&D type illness.

You gotta love the diversity and debate around infection prevention and control.

Cheers
Cath

Cathryn Murphy PhD
Executive Director
Infection Control Plus Pty Ltd
http://www.infectioncontrolplus.com.au
[cid:image007.jpg@01CDF8C7.2BD43400] [cid:image008.jpg@01CDF8C7.2BD43400] [cid:image009.jpg@01CDF8C7.2BD43400]

Hi All,

I work for a company with significant overlap in both the food and medical industries. The regulations/recommendations/overall leanings are certainly clear with regards to each industry individually. The Food Industry subscribes to soap and warm water washing (see AUSNZ Food Standard 3.2.2 Division 4-1 and 4-2, as well as 3.2.3 Division 4-1) and the Medical to alcohol based sanitiser (WHO, CDC, HHA, NHMRC etc). What is less clear however is when they overlap. To my knowledge I do not know of any intersecting guidelines (happy to be pointed in the right direction!).

As far as the Science goes, the inconsistencies between the two are a reflection perhaps of the differing routes of infection, and the prominence of different outbreaks in each industry. As Cath noted the FDA has a good summary of the reasoning for this but basically it comes down to the fact that pathogens in the food industry (in terms of human transmission) are more likely to be transmitted via the faecal-oral route as opposed to the person-to-person route seen in the medical industry. For this reason alone notable viruses such as Clostridium Difficile and Norovirus are prevalent in the food industry and as such, soap and water hand washing are the better alternative due to the documented inadequacy of alcohol sanitisers in dealing with the two.

Further to this, the increased risk of hands being physically soiled in the food service industry due to foodstuffs etc compels the mechanical removal of physical contaminants, ie soap and water.

For me it would come down to a balance of applicability. Whether you think the kitchens food activities outweigh their exposure to the hospital setting or vice-versa.

I hope I’ve given a fair and balanced response, very happy to provide references. I look forward to your feedback 🙂

Kind regards,
James Casey
Business Development
Manager
[cid:image001.jpg@01CDF8BA.3C973380]
Tealwash Pty Ltd
a member of the Transplumb group.

Mobile +61 438 175 504
Phone +61 3 8336 1899 – ext 3
Email jcasey@tealwash.com.au
72b Barrie Road, Tullamarine 3043,
VIC, Australia.

Hi Cath

I am not sure I can place my hand on my heart and say that our Australian / New Zealand Food Safety Standards (http://www.foodstandards.gov.au/) are actually fully based on evidence and supported by evidence, but they are certainly well accepted within the food industry and by the food industry regulators.

Here is an example from NSW about food safe chemicals, which includes ‘hand sanitisers’… http://www.foodauthority.nsw.gov.au/industry/food-business-issues/chemicals-suitability/

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

Hi Michael
Could you please provide a link of title of those “food safety recommendations” Michael. I’m keen to see what science they are based on.
Cheers
Cath

Cathryn Murphy PhD
Executive Director
Infection Control Plus Pty Ltd
http://www.infectioncontrolplus.com.au
[cid:image007.jpg@01CDF8AC.95166A70][cid:image008.jpg@01CDF8AC.95166A70] [cid:image009.jpg@01CDF8AC.95166A70]

Hi Cath

Food safety recommendations preclude use of non-food safe chemicals in the food processing environment, which precludes use of most alcohol based hand hygiene products and some antiseptic products. I do believe there are some waterless hand hygiene products (not sure if some of these should be considered ‘alcohol’ based, though) that are approved as ‘food safe’, but most of those alcohol based hand hygiene products routinely in use in healthcare have not been approved as ‘food safe’. Thus, the use of alcohol based hand hygiene products within certain parts of food services with healthcare facilities is problematic, which is why I think this is a good question, and I believe the responses have indicated this.

In regard to mentioning of brand names, yes, we generally try to recommend avoiding use of brand names in discussions where possible, but this creates some work for both myself as the moderator and the list subscribers who are replying. Rather than bog the list down in administrative emails and such, I have preferred to weigh up the issue of posting of actual product names with the benefits of open discussion. For example, in this instance, my belief was it was useful to see which actual products are being used in what aspects of food service delivery (eg ward delivery vs food production), as this was conducive to the conversation. This approach had been supported by previous ACIPC / AICA executives, although like all things, this is open to review with further comments from the membership.

It is always useful to examine what we are discussing, how we are discussing it, and what benefit and risk these discussions may have, so I thank you for your comments. More discussion is always welcomed!

Cheers
Michael Wishart
Infexion Connexion Administrator

Michael Wishart
CNC Infection Control
Holy Spirit Northside Private Hospital
627 Rode Road, Chermside, Qld 4032
t: (07) 3326 3068 | f: (07) 3607 2226
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w:www.holyspiritnorthside.org.au
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Hi Marlize

I’m curious about the question and the responses. As I understand it there have been no scientific reports or official Australian public policy directives that suggest differentiating between what is available in public areas, in the wards where staff perform hand hygiene before feeding patients and/or in kitchens or food prep areas. I checked the WHO Guidelines from 2009 and they also appear to be silent on the issue.

Given that one of the basic tenets to improve hand hygiene compliance is standardisation I would think it wise if you introduced or continued to use a neutral liquid soap identical to that used in the settings mentioned above. The key points are making sure kitchen staff understand the importance of HH as part of food hygiene, that they perform it when needed (including when on the ward if potentially exposed) and that their technique and wearing of gloves is performed in such a way that the skin on their hands is maintained. It would be an education rather than a product issue I think.

As always I am surprised to see brand names mentioned here in the forum given its policies and conditions around promotion etc it would be more ethical to stick to using generic terms but perhaps the moderator can advise. Also my experience would indicate that if you raised the issue of HH for kitchen staff your current supplier of HH product would no doubt be able to provide you with data and information regarding suitability of their product in that setting.

Good luck and thanks for making me curious 😉
Cath

Cathryn Murphy PhD
Executive Director
Infection Control Plus Pty Ltd
http://www.infectioncontrolplus.com.au
[cid:image007.jpg@01CDF8A6.86E88F60][cid:image008.jpg@01CDF8A6.86E88F60] [cid:image009.jpg@01CDF8A6.86E88F60]

Dear All,

We are currently looking for a alcohol based hand sanitiser to use in our Food Service Department. I was wondering what the practices are out there, and what product you are using in your Food Service Departments and on your food delivering trolleys?

Thank you and regards

Marlize Senekal
Infection Prevention and Control Coordinator
St. Andrew’s War Memorial Hospital
457 Wickham Terrace, Spring Hill
Brisbane
Ph. 07-3834 4444
Ext. 4328, Pg. 0328

_________________________________________________________________

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[SAWMH.ICC]

Thank you for all the feedback, much appreciated.

Marlize Senekal
Infection Prevention and Control Coordinator
St. Andrew’s War Memorial Hospital
457 Wickham Terrace, Spring Hill
Brisbane
Ph. 07-3834 4444
Ext. 4328, Pg. 0328

________________________________

Hi,
You should use caution when selecting the product e.g. chlorhexidine, as some of the chemical ingredients are not necessarily deemed food safe.
The FDA in the USA has a bit of a write up about hand sanitisers & is working with the CDC to develop guidelines for the Food Industry.
http://www.fda.gov/Food/FoodSafety/RetailFoodProtection/IndustryandRegulatoryAssistanceandTrainingResources/ucm135577.htm
Education as to when hand sanisitisers can be used is very important.
Hand sanitisers do have a place but staff need to be aware of the need to hand wash during food preparation to remove invisible fats & proteinaceous matter that can be on hands when preparing food.
Cheers
Cath Wade
Director
Healthcare & Infection Prevention
[cid:image002.jpg@01CDF890.E8F67F20]

Dear All,

We are currently looking for a alcohol based hand sanitiser to use in our Food Service Department. I was wondering what the practices are out there, and what product you are using in your Food Service Departments and on your food delivering trolleys?

Thank you and regards

Marlize Senekal
Infection Prevention and Control Coordinator
St. Andrew’s War Memorial Hospital
457 Wickham Terrace, Spring Hill
Brisbane
Ph. 07-3834 4444
Ext. 4328, Pg. 0328

_________________________________________________________________

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[SAWMH.ICC]

Good morning Everyone,

Thank you for all the e-mails, very helpful. We have a domestic washing machine, but during a recent ISO audit, it was suggested that we get a disinfectant/detergent laundry powder for the machine.

Kind regards
Marlize

________________________________

Marlize. Eltra by Ecolab is a laundry powder which is validated to meet the chemical disinfection requirements of ASNZ4146:2000. This product is suitable for top loading domestic type machines and may also be used in commercial machines (although manually dispesensed)

Kind Regards
Judy Forrest
RN,CIC (Syd Hosp), Grad Cert. (Communicable Diseases), FCN
Managing Director
[cid:image001.jpg@01CD75A4.746D0300]
Bug Control (Aust) Pty Ltd
Infection Control Advisory Service
PO Box 406 GORDON NSW 2072 Australia

Bug Control New Zealand Ltd
Infection Control Advisory Service
PO Box 42024 Tower Junction CHRISTCHURCH New Zealand

Providing Comprehensive Infection Prevention and Control Service for Healthcare, Emergency Services, Residential Care, Children’s Services, Cleaning, Catering and Laundry Services

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Good afternoon Everyone,

Our Rehab Unit has purchased a washing maschine as part of their rehab program for inpatients. I need to find a detergent with disinfecting qualities. Is there anyone that can help me with the name of a product or company that I can contact?

Thank you

Marlize Senekal
Infection Prevention and Control Coordinator
St. Andrew’s War Memorial Hospital
457 Wickham Terrace, Spring Hill
Brisbane
Ph. 07-3834 4444
Ext. 4328, Pg. 0328

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[SAWMH.ICC]

Hi Katherine,

It is also included in our Uniform Policy and Hand hygiene policy. You will need to get the support of your Executive Team, esspecially your DON. It is working for us, we have only a couple of staff still wearing the artificial nails.

Kind regards
Marlize

‘Clean hands save lives’ – Hand Hygiene Day: 3 May
Marlize Senekal
Infection Prevention and Control Coordinator
St. Andrew’s War Memorial Hospital
457 Wickham Terrace, Spring Hill
Brisbane
Ph. 07-3834 4444
Ext. 4328, Pg. 0328

—–Original Message—–

Hi Katherine,

Good luck!

We have included nails jewellery etc in our uniform policy. It is hard to enforce, people resist. They will remove the offending items for a few days or even weeks, and then it sneaks back in. We keep trying!

Prue Wright
Infection Control Coordinator
Hurstville Private Hospital
37 Gloucester Rd, Hurstville, NSW 2220, Australia T +61 2 9579 7780 F +61 2 9579 7466 E Infection.Control@hurstvilleprivate.com.auW healthecare.com.au

—–Original Message—–

I am also interested in others experiences with artificial nails, nail polish and jewellery

I am currently undertaking an exploratory study on hand adornment and other elements of the Bare Below the Elbows (BBE) bundle – Barriers and enablers and it is proving to be a really interesting area.

BBE is currently not mandated in Victoria but there is an expectation that it will come.

I too would love to hear experiences of those who have been in a position to introduce BBE, monitor or enforce

Thanks!

Katherine McKay
Infection Control CNC
Eastern Health

0404809496 or 98713156
katherine.mckay@easternhealth.org.au

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[SAWMH.ICC]

Hi Everyone,

Thank you to everyone that commented on the use disposable curtains.

Kind regards
Marlize
Infection Prevention and Control is Everybody’s Business

Marlize Senekal
Infection Prevention and Control Coordinator
St. Andrew’s War Memorial Hospital
Wickham Terrace
Spring Hill, Brisbane
Ph. (07) 3834 4328
Ext. 4328, Pager 0328

________________________________

Hi Colette, I have posted this on the list so other may use the info. The ones we trialled were from:
Biotechnics NZ,
PO Box 17291;
Greenlane 1546
Auckland, NZ Fax +64 9 5248689
They are called Endurocide. The relevant website is http://www.antimicrobialcurtains.com
Another company that has a cheaper cost-effective version is the Marlux Disposable Hospital Curtains from (they are also recyclable):
Global Medics Limited, (Karl Stanner is the person to speak to)
PO Box 97377,
42 Andrew Baxter Drive,
Airport Oaks,
Auckland 2202, NZ Fax +64 9 9209901
The relevant information web-site is http://www.marlux.co.uk

Hope this is useful

Antony

“It Just Takes One……….To Make A Difference”
________________________________
Antony M Shannon | CNS | Infection Prevention & Control – Dunedin | Te Tari Arai me te Pupuri Uruta – Otopoti | Southern DHB
Private Bag 1921, Dunedin 9054, New Zealand | Ext. 9654 | Office: 03 470 9654 | Mob: 027 600 4869 | Fax: 03 470 3876 | antony.shannon@southerndhb.govt.nz

Hi Anthony,

Where do you source the supply from was it an Australian or New Zealand company as the ones we were looking at the only rep available was in NZ

Kind regards

Colette Chard
Infection Control Coordinator
North West Private Hospital
PO BOX 443
Everton Park
QLD 4053

07 3246 3145 / 3246 3183(Tuesdays)
email:chardc@ramsayhealth.com.au

________________________________

Hi there, we had these curtains up in our ICU for 12 months with no issues. We replaced them once due to a contact precautions patient being in a side room. As for the antimicrobial factor I am still not sure it works. However they are very good at being able to be sponged clean if a small spillage occurs on them.
Antony

“It Just Takes One……….To Make A Difference”
________________________________
Antony M Shannon | CNS | Infection Prevention & Control – Dunedin | Te Tari Arai me te Pupuri Uruta – Otopoti | Southern DHB
Private Bag 1921, Dunedin 9054, New Zealand | Ext. 9654 | Office: 03 470 9654 | Mob: 027 600 4869 | Fax: 03 470 3876 | antony.shannon@southerndhb.govt.nz

Good morning Everyone,

I have a few questions today on disposable curtains and their use in general and Transmission based precaution rooms. The company claims that the curtains in anti-microbial and can hang for up to 12 months, unless contaminated. Does anyone currently uses these curtains in your facilities, and if so:

1. How often do you change them?
2. Do you throw them out when a patient gets discharged from a Transmission based precautions room?
3. If it gets thrown out, do you do it for all organisms, or just for Droplet and Contact spread organisms?

Thank you
Marlize
Infection Prevention and Control is Everybody’s Business

Marlize Senekal
Infection Prevention and Control Coordinator
St. Andrew’s War Memorial Hospital
Wickham Terrace
Spring Hill, Brisbane
Ph. (07) 3834 4328
Ext. 4328, Pager 0328

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[SAWMH.ICC]

Hi Barbara,

My understanding is that the dressings should be applied at the time of insertion and left intact for 7 days. You only change dressings before 7 days if required, e.g. excessive bleeding etc.

Kind regards
Marlize

Infection Prevention and Control is Everybody’s Business

Marlize Senekal
Infection Prevention and Control Coordinator
St. Andrew’s War Memorial Hospital
Wickham Terrace
Spring Hill, Brisbane
Ph. (07) 3834 4328
Ext. 4328, Pager 0328

________________________________

Can anyone advise as to current practice & policy recommendations regarding using a CHG dressing on central & PICC lines? There seems to be some debate around whether this should be applied at the time of insertion and left intact or dressing taken down 24 hours after insertion and site cleaned etc.

Kind regards

Barbara Elliott
Coordinator
Infection Prevention & Control
St John of God Hospital Subiaco
tel: 0893826871
fax: 0893817180
email: barbara.elliott@sjog.org.au

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