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  • sharyn.hughes@health.nsw.gov.au
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    sharyn.hughes@health.nsw.gov.au

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    Hi Lisa,

    Education may not be specific to IPC/Staff Health roles, however generic health discipline education can be found at STI/Hepatitis organisations.

    For example: ASHM online learning https://ashm.org.au/training/ashm-online-learning/

    Regards,

    Sharyn Hughes MPH – CDC

    Communicable Diseases Nurse | Northern Sydney Public Health Unit
    C/o Hornsby Ku-ring-gai Hospital, Leighton Lodge Bldg 8, Basement Area, Derby Road, Hornsby NSW 2077
    Tel (02) 9485 6972| Fax (02) 9482 1358 | Sharyn.Hughes@health.nsw.gov.au
    NSLHD-PHUInfectiousDiseases@health.nsw.gov.au

    Hi

    I have a question I would like to pose to the brains trust.

    I have been trying to find a course that I can do (preferably online) on HIV/HBV/HCV Pre and Post-test counselling.
    I can’t seem to find any online, but maybe I am looking in the wrong places.

    Any suggestions would be appreciated.

    Many thanks 🙂

    Lisa Tronnolone
    Infection Prevention and Control Clinical Nurse
    [cid:image001.png@01D714C5.3470F5D0]
    Calvary Adelaide Hospital
    120 Angas Street, Adelaide, SA, 5000
    P: 08 8227 6248
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    in reply to: Request #77099
    sharyn.hughes@health.nsw.gov.au
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    sharyn.hughes@health.nsw.gov.au

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    Dear Vicki,

    NSW MoH Guideline for COVID-19 screening clinics is available from https://www.health.nsw.gov.au/Infectious/covid-19/Pages/clinics-guidelines.aspx It does include guidelines for signage however there is no specific resource/template for signage from MoH within this guideline.

    Generically LHD’s or site specific facilities will have a generic signage usually within their pandemic plan resources. If there are resources already available within the LHD, there may be a requirement to use them however it may be necessary for a timely review and update to meet current needs during COVID.

    Hope this is of some assistance to you.

    Regards,
    Sharyn Hughes MPH – CDC

    Communicable Diseases Nurse | Northern Sydney Public Health Unit
    C/o Hornsby Ku-ring-gai Hospital, Palmerston Rd, Hornsby NSW 2077
    Tel (02) 9485 6972| Fax (02) 9482 1358 | http://www.Sharyn.Hughes@health.nsw.gov.au
    NSLHD-PHUInfectiousDiseases@health.nsw.gov.au

    Hi All,

    Just a query regarding the signage at the currently called FEVER Clinic across NSW

    Is this an official signage from MOH or can the screening signage be change

    Ie COVID Screening

    Thanks

    Vicki Denyer

    Vicki Denyer
    Clinical Nurse Consultant | Infection Prevention and Control
    Infection Control Unit Lismore Base Hospital
    ‘ 02 6620 2385 Fax: 02 66 202287
    * vicki.denyer@health.nsw.gov.au

    [cid:image001.jpg@01D605B7.A34AA320]

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    in reply to: Room schematics #75629
    sharyn.hughes@health.nsw.gov.au
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    Hi Kristin,

    Another avenue in addition to the resources kindly provided by others is to contact your Work Health Safety team as there may be something in the WHS legislation for minimum distance requirements for safe work flow.

    Regards,

    Sharyn Hughes MPH- CDC
    Clinical Nurse Consultant
    Infection Prevention & Control
    Royal North Shore Hospital
    Reserve Road, St Leonards NSW 2065

    Thank you everyone for your support.
    The AHBG are great, however they don’t provide the measurements needed.
    Nevertheless, one of our wonderful colleagues had the exact information required on hand.
    Kind regards
    Kristin

    Kristin Ryan-Agnew
    Kristin Ryan-Agnew (MPH/Grad Cert IP&C)
    Infection Prevention & Control Clinical Nurse Consultant
    The Tweed Hospital

    [cid:image001.png@01D36E89.D6B88C30] National Standard 3 : Preventing and Controlling Healthcare Associated Infections

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    ‘Bulla Yana Yabur’ Standing Together As One

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    in reply to: Ice Machines #75242
    sharyn.hughes@health.nsw.gov.au
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    sharyn.hughes@health.nsw.gov.au

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    Dear Kristin,

    So long as they are well maintained the associated risks can be managed.
    Ice-machines are installed in each ward area within our campus. These machines are on an ongoing annual maintenance schedule and includes sanitation.
    Public Health Units undertake their own quarterly water sampling from across the campus and provide the results back to IPAC and engineering department. This provides qualitative water testing results to supplement the monthly testing that is undertaken by engineering.

    Regards,

    Sharyn Hughes

    Clinical Nurse Consultant
    Infection Prevention & Control
    Royal North Shore Hospital
    Reserve Rd St Leonards 2065
    Tel 02 99264339

    Hi all,
    I remember there was some discussion on the efficacy of ice machines in healthcare at conference last year.
    Does anyone have any fore’s or against?
    Cheers
    Kristin

    Kristin Ryan-Agnew
    Kristin Ryan-Agnew (MPH/Grad Cert IP&C)
    Infection Prevention & Control Clinical Nurse Consultant
    The Tweed Hospital

    [cid:image001.png@01D36E89.D6B88C30] National Standard 3 : Preventing and Controlling Healthcare Associated Infections

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    in reply to: Cleaning – use of wipes #75053
    sharyn.hughes@health.nsw.gov.au
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    sharyn.hughes@health.nsw.gov.au

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    Dear Lucy,

    We use a 2 in1 wipe. It was implemented a few years ago. Choice of product came down to reviewing all TGA 2in1 wipes with claims, cost/wipe and post sales engagement from the company.
    Cost effectiveness was similar to a 2 step cleaning process and the healthcare workers at the clinical interface are happy with the product.

    If you like, I can forward details off line for you to review or alternatively arrange a convenient time to call

    Regards,

    Sharyn Hughes

    Clinical Nurse Consultant
    Infection Prevention & Control
    Royal North Shore Hospital
    Reserve Rd St Leonards 2065
    Tel 02 99264339

    Click Infection Prevention and Control to visit Website

    Dear all

    We are interested to know if your facility uses wipes for routine environmental cleaning. Do you use a detergent wipe, a 2 in 1 wipe (detergent/disinfectant) or both? This includes daily and discharge cleans. How did you choose the product that you use?

    Kind regards

    Lucy Hughson I Clinical Nurse Consultant
    Public Health Services I Department of Health
    3/25 Argyle St Hobart, GPO Box 125 Hobart 7001
    Phone (03) 6166 0605 | Work days Monday, Wednesday & Thursday
    Prevention is better than cure
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    in reply to: prevention and cleaning of mould #73976
    sharyn.hughes@health.nsw.gov.au
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    sharyn.hughes@health.nsw.gov.au

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    Dear Janet,

    You may find information some within the Environmental Health pages located in each State/Territory Health Sites.

    NSW Health have some useful information that has been used incorporated into IPAC recommendations for treating mould on a variety of surfaces/fabrics with healthcare settings, albeit not fridges as appears to be your enquiry.

    I’ve included the NSW Health link along with some key points
    http://www.health.nsw.gov.au/environment/factsheets/Pages/mould.aspx

    recommended treatments for mould:

    o Do not dry brush the area. This could release spores into the air which can spread the mould further as well as cause an allergic reaction in some people; and

    o Solution of vinegar and water to clean the mould. Recommended ratio is 4 parts vinegar : 1 part water. After applying the mixture, leave for at least 20 minutes and then lightly sponge with clean water;

    o The mould must be physically removed with vinegar and water solution. Killing, but not removing the mould may allow it to grow back; and

    o Bleach solutions MUST not be used. Bleach has a high pH which makes it ineffective to kill mould. It simply bleaches it, so it looks like it has disappeared.
    MOST importantly is identifying the underlying cause for the mould and rectifying any issue/s to prevent potential and ongoing return of the mould. This is the challenge – be it humidity differentials, ventilations systems, biofilm from inadequate cleaning, integrity of fridge door seals impaired etc.

    Best wishes,

    Sharyn Hughes

    Clinical Nurse Consultant
    Infection Prevention & Control
    Royal North Shore Hospital
    Reserve Rd St Leonards 2065
    Tel 02 99264339

    Click Infection Prevention and Control to visit Website

    HI

    Does anyone have suggestions regarding prevention and cleaning of mould in the healthcare environment?

    Refrigerators are the usual culprits.

    Many thanks

    Janet Wallace

    Clinical Nurse Consultant

    Infection Control – Infection Management and Prevention Service (IMPS)

    Children’s Health Queensland Hospital and Health Service

    Level 4, Centre for Children’s Health Reserarch (CCHR)

    Lady Cilento Children’s Hospital, South Brisbane QLD 4101

    T: 07 3068 3989 / mobile 0408 236 266

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    in reply to: Influenza outbreak in a hospital setting #73870
    sharyn.hughes@health.nsw.gov.au
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    sharyn.hughes@health.nsw.gov.au

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    Dear Rita,

    Not an Influenza Outbreak policy – however some great signage in the appendix that may be useful for facilities

    Regards,

    Sharyn Hughes

    Clinical Nurse Consultant
    Infection Prevention & Control
    Royal North Shore Hospital
    Reserve Rd St Leonards 2065
    Tel 02 99264490

    Click Infection Prevention and Control to visit Website

    Dear All,
    Do you have an “Management of Influenza outbreak in a hospital setting” procedure or policy that you would be happy to share?
    Many thanks,
    Rita
    Rita Roy

    Clinical Nurse Consultant | Infection Control
    Hornsby Ku ring gai Health Service, Palmerston Road, Hornsby NSW 2076
    Tel (02) 9477 9232 | Fax (02) 9477 9013 Rita.Roy@health.nsw.gov.au
    http://www.health.nsw.gov.au

    Click here to visit the Infection Prevention and Control page on the Intranet
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    [Description: 5 moments hand hygiene]

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    in reply to: Gastro outbreak #73792
    sharyn.hughes@health.nsw.gov.au
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    sharyn.hughes@health.nsw.gov.au

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    Hi Cate,

    We have these resource links within our Viral Gastro Policy
    The NSW MOH Gastro pack for hospitals has posters covering your requirements towards the end of the link

    EDUCATIONAL RESOURCES

    NSW Viral Gastroenteritis Factsheet

    viewed 20.7.15 at http://www.health.nsw.gov.au/Infectious/factsheets/Factsheets/gastroenteritis.pdf

    NSW Norovirus Factsheet http://www.health.nsw.gov.au/Infectious/factsheets/Pages/Norovirus.aspx

    Guidelines for the Public Health management of gastroenteritis outbreaks due to Norovirus:

    viewed 20.7.15 at http://www.health.nsw.gov.au/Infectious/controlguideline/Pages/gastro.aspx

    NSW MOH Gastro Pack for Hospitals viewed 20.7.15 at http://www.health.nsw.gov.au/Infectious/gastroenteritis/Documents/hospital-gastro-pack.pdf

    Best wishes

    Sharyn Hughes

    Sharyn Hughes | Clinical Nurse Consultant
    Infection Prevention & Control
    Royal North Shore Hospital
    Reserve Rd St Leonards 2065
    Tel 02 99264490

    Click here Infection Prevention and Control to visit the IPAC webpage

    Hi Kate

    I have used the Commonwealth Aged Tool Toolkit forms before in a hospital setting.

    https://agedcare.health.gov.au/ageing-and-aged-care-publications-and-articles-training-and-learning-resources-gastro-info-gastroenteritis-kit-for-aged-care/gastro-info-outbreak-coordinators-handbook

    Cheers
    Michael

    Michael Wishart
    Infection Control Coordinator

    A 627 Rode Road, Chermside QLD 4032
    P (07) 3326 3068 | F (07) 3607 2226 | E michael.wishart@svha.org.au | W http://www.hsnph.org.au
    [cid:image001.png@01D01926.61F1C2B0] [cid:image002.png@01D2CEFB.919945A0]
    P Please consider the environment before printing this email

    Hi Everyone,
    We currently have a gastro outbreak in Alice Springs, I was wondering if anyone had signage they would share for use in ED waiting room and OPD to advise general public to perform hand hygiene and other preventative measures?
    thanks
    Cate Coffey | Clinical Nurse Consultant
    Infection Prevention and Control Unit | Central Australia Health Service
    Northern Territory Government
    Alice Springs Hopsital, Gap Rd, Alice Springs
    GPO Box 2234, Suburb, NT Postcode
    p … 08 89517737
    e … cate.coffey@nt.gov.au http://www.nt.gov.au/health

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

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    in reply to: Non-payment for non-performance and BSIs #73340
    sharyn.hughes@health.nsw.gov.au
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    Hi Cath et al,

    This topic I find interesting on many levels due to the economics, public health impacts advancing technology.
    Healthcare bundles utilised by healthcare workers can improve patient outcome and are evidenced by research. I have utilised many bundles with my background in adult ICU and IPAC nursing both in the UK private sector and Australian public health systems

    A slight Segway off the topic of Non-payment for non-performance and BSI but a worth considering is the behaviour of HCWs.

    Having relieved the Parenteral Nutrition CNC position over time and having discharged patients home with invasive lines for them to receive TPN that I have not come across a CLABSI within this patient population during surveillance.
    That is not to say it doesn’t or hasn’t occurred. Patient/carer need to be assessed as competent with invasive line care: dressing changes, accessing and de-accessing, setting up infusions, flushing and locking lumens prior to discharge.
    Ultimately a ‘Standard Precautions, Aseptic Technique and Hand Hygiene Bundle” of education and competency assessment is delivered the patient/carer to care for lines that are used for many years.

    I find it interesting a patient/carer from a non-health care background can use these principles successfully – however trained HCWs require bundles.

    Regards,
    Sharyn
    Sharyn Hughes
    Clinical Nurse Consultant |Infection Prevention & Control
    Royal North Shore Hospital
    Reserve Rd St Leonards 2065
    Tel 02 99264490

    Click here Infection Prevention and Control to visit the IPAC webpage

    Thanks Michael

    Debate is healthy and considered review of emerging additional proven technologies is as you and I agree one aspect of HAI prevention. What I am hoping to do is provoke discussion, raise awareness and discourse. Infection control is a very hard role and a very frustrating one but clearly there is lots of room for innovation, consideration of new approaches including improved practice and technologies and monitoring and education. Financial penalty is a new driver and responses remind me of those responses and resistance we had in the early 1990s when pioneers like you and others of us around that long called for public reporting of HAIs. Look how far we have come and think about how much further we can go, in fact we have to go, in terms of prevention.

    We are very fortunate in Australia to have some cutting edge researchers investigating all sorts of HAI interventions and outcomes and yes there will always be those who are premature and those that are laggards. I hope when I am cared for it is by a facility that is progressive as well as economically rationale in their infection prevention investment. Having good progressive public policy and practice also helps.

    Cheers
    Cath

    Hi Cath

    You know I am also passionate about reducing the preventable healthcare infection burden, but I just wanted to debate some of the ‘technology consumables’ in a standard bundle approach.

    Yes, we should all ensure that insertion and management of central lines is standardised, but the actual role of some technology solutions such as chlorhexidine impregnated dressings and devices, and impregnated access device caps for management, as just two examples of available technology, is still very much debatable, in my opinion, in management of all central lines.

    We can throw money and resources into technological solutions, but are we really getting the ‘best bang for our buck’ with our healthcare spending by doing this? There needs to be better evidence to base these choices on, and groups like Claire Rickard’s vascular access research group with large multicentre trials will hopefully start providing some answers to these questions in the future. But to promote using these technological solutions for all central line management (eg ‘bundle approach’), is premature in my opinion. Unless I have misinterpreted what you are proposing.

    In the private sector, we are already facing issues with the private health funds in regard to what they are saying is ‘preventable’. Most of their current systems are based on coding, and we all know how well clinical codes reflect the infection risk and preventability. I welcome debate about how we can reduce the risk of preventable infections, and feel the professional bodies such as ACIPC and ASID should have a role to play in developing criteria to be used by funding bodies. Maybe our professional association should be lobbying on behalf of the members for this to be discussed.

    All my opinion only, of course.

    Cheers
    Michael

    Michael Wishart
    Infection Control Coordinator

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

    Here is some info on what Medibank Private has apparently done

    Penalties Associated With ICU CLABSI Cases
    Medibank, Australia’s largest private hospital insurer has agreements in place with more than 120 leading private hospitals to cover any additional costs that result from certain types of hospital complication or associated re-admissions where there is good evidence that these types of complication could be reduced or avoided.5 These include blood stream infections following infusion, transfusion and therapeutic injection.

    I am unable to comment on public sector.

    1. https://www.medibank.com.au/content/about/transforming-health/hospital-contracts.html
    2. https://www.medibank.com.au/content/dam/medibank/calvary/medibank_hospital_acquired_complications_list_2015.pdf

    My opinion for what it is worth is that this seems in other countries ie. the US to have seriously driven down reports of CLABSI. From a practical ICP point of view for me it would mean a very thorough and ongoing effort to ensure comprehensive, consistent best practice CL insertion, management with specific focus on skin preparation, aseptic insertion, placement, securement, dressing , hub access and protocols to prevent line failure. I am fortunate through my US experience to have seen widespread adoption of state of the art consumable equipment which assists these processes ie. CHG-impregnated dressings, impregnated cap swabbing devices, antimicrobial coated devices and skin preparation systems which reduce steps (ie. potential for error), have fingers placed far from the insertion site during preppring and standardise the practice of prepping. I think we are missing a CLABSI Technology bundle and it worries me greatly. Evidence exists in small numbers of various types of studies in various settings.

    You may ask why am I so supportive of these interventions? Simply it’s because I am yet to see a global or national dataset that shows widespread, long-term 100% clinician compliance with hand hygiene, asepsis and appropriate hub access ie. our system of good manufacturing (GMP) for central-line management is imperfect and we need help and interventions to perfect it. Also I am now of an age and stage in life when friends and family are receiving more complex line-related healthcare and I am selfishly motivated for them and future healthcare consumers.

    Finally it saddens me to think that financial disincentive rather than perhaps morbidity or mortality may ultimately drive better compliance and outcomes.

    I apologise if this post reads like a passionate podium delivery and I suspect many will challenge my views but we have to keep the discourse open.

    Warm regards
    Cath

    Cathryn Murphy MPH PhD CIC
    Chief Executive Officer & Creative Director
    Infection Control Plus Pty Ltd
    PO Box 3079
    Burleigh Town 4220
    OLD, Australia

    E: Cath@infectioncontrolplus.com.au
    M: +61 428 154154
    W: infectioncontrolplus.com.au

    Cath,
    Have they made the list of hospital complication or associated re-admissions public?
    Would be interesting to see what HCAI are on it.
    Kind regards

    Sharon

    Sharon Stendt
    Clinical Practice Consultant Infection Prevention and Control
    Flinders Medical Centre Infection Control Service
    Telephone 8204 6787
    Internal extension 66787
    Messagebank 65258 / 8204 5258
    sharon.stendt@sa.gov.au

    [cid:image005.png@01D0774C.C15F6A20]

    Here is the companion old chestnut question that goes with better public reporting.

    Is any state aware of new penalties introduced for public hospitals?

    I am aware of Medibank contractual obligations with more than 120 of its private hospitals not to cover any additional costs that result from certain types of hospital complication or associated re-admissions where there is good evidence that these types of complication could be reduced or avoided.

    Is the public sector still tolerating CLABSIs without penalty?

    https://www.medibank.com.au/content/about/transforming-health/hospital-contracts.html

    Warm regards
    Cath

    Cathryn Murphy MPH PhD CIC
    Chief Executive Officer & Creative Director
    Infection Control Plus Pty Ltd
    PO Box 3079
    Burleigh Town 4220
    OLD, Australia

    E: Cath@infectioncontrolplus.com.au
    M: +61 428 154154
    W: infectioncontrolplus.com.au

    Hi Michael and Cath,

    Very interest topic. It is also worth noting the value of released bed days from infections prevented. There are some good papers on this, including one by Andrew Stewardson, Nicholas Graves and Stephan Harbarth – http://journals.cambridge.org/action/displayAbstract?fromPageonline&aid9497698&fileIdS0195941700094418

    You may be interested to hear that this theme and variations thereof, are being explored in ACIPC conference this year. Andrew, Nick and Stephan are presenting at this conference. There is also a moderated discussion being led by an ABC presenter which will discuss the merits and issues in a similar theme to the one raised. This discussion with include the CEO of the NHPA. More on this to come……

    Going to the point of LOS, as you will both know, it is critical such calculations of excess LOS due to an infection are done correctly. All too often the wrong analysis is undertaken. Adrian Barnett will be talking about this during the conference as well.

    Thanks

    Brett

    Associate Professor Brett Mitchell
    Associate Professor of Nursing, RN, BN, PhD, M.Adv.Prac, CICP, MRCNA
    Faculty of Nursing and Health and Director Lifestyle Research Centre, Cooranbong

    Avondale College Ltd trading as Avondale College of Higher Education
    http://www.avondale.edu.au | http://www.designedforlife.me
    185 Fox Valley Road, Wahroonga NSW 2076 Australia

    [Posted on behalf of Robert Lansdown, advertising material removed as per Rules – Moderator]

    Hi Cath,

    I’ve always taken a keen interest in funding mechanisms and in particular ‘non-payment for non-performance’ mechanisms for HAIs and I researched the topic fairly extensively back in early 2013 prior to writing the attached article for our IPH Advisor newsletter (as Mayo Healthcare before our transformation to Teleflex Medical Australia). The article summarises the Australian ABF system as it was at the time and international experiences with performance incentives or penalties.

    At the time of writing (Jan 2013) I was of a similar view that such mechanisms were almost inevitable. The adoption of ABF systems at state level, introduction of NSQHS standards and increased use of CHADx groups (Aus developed Classification of Hospital Acquired Diagnoses) all suggest that we’re moving in the right direction towards greater accountability and non-payment for non-payment mechanisms. Unfortunately my experience at a ABF 2013 conference session with reluctance from states to embrace such mechanisms and the recently weakened position of the IHPA (Independent Hospital Pricing Authority) due to changes to the ABF system brought about by the 2014 budget make it seem unlikely in the foreseeable future.

    It’s my view that a reduction in ALOS will continue to be the most compelling argument for investment in HAI prevention strategies for some time to come. It’s a simple concept but with credit to Prof Stephen Duckett and the ABF 2013 conference for the slide, the current ABF system and payment based on DRG groups enables units to take any patient movement before the mean LOS (i.e. discharge between the low boundary inlier and mean) as a ‘profit day’ by freeing up bed space for extra admissions.

    A favourite topic of mine so happy to chat offline if I can be of assistance!

    Kind regards,

    Robert

    Robert Lansdown | Product Manager
    Teleflex Medical Australia & New Zealand
    M: +61 448 115 274 | Customer Service: 1300 360 226 | W: http://www.teleflexmedical.com.au
    Building B, Level 4 – 201 Coward Street, Mascot NSW, 2020, Australia

    —–Original Message—–

    I have recently been asked about current financial incentives and disincentives related to bloodstream infection. Ducker and colleagues published some great articles around this issue about 2 years ago in MJA and suggested it was likely if not assured that hospital funding would soon be linked to performance data including HAIs and in particular BSIs. I have references if anyone is interested. This is reminiscent of the route the US Centers for Medicare and Medicaid adopted during my APIC Presidency.

    My understanding of this so far is that perhaps Queensland is the only state in which public hospitals are financially rewarded or penalised for being within or outside of BSI thresholds respectively. Could QLD members please confirm if this is the case and if so describe the incentive/ penalty. I am also keen to here if other states have adopted or plan to adopt a similar approach for BSI and/or other HAIs.

    My understanding could be very flawed but I would appreciate insights and clarification around the process. I am happy to discuss the pros and cons of this approach and how APIC responded and the role it adopted offline, my contact details are below.

    Regards and thanks

    Cath

    Dr Cathryn Murphy RN MPH PhD CIC

    Executive Director

    Infection Control Plus Pty Ltd

    http://www.infectioncontrolplus.com.au

    Cath@infectioncontrolplus.com.au

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    in reply to: uniform audit #73265
    sharyn.hughes@health.nsw.gov.au
    Participant

    Author:
    sharyn.hughes@health.nsw.gov.au

    Position:

    Organisation:

    State:

    Dear Lynette,
    Our Standard Precautions audit has section covering

    Fingernails are natural, and there is no jewellery

    Sleeves must be above the elbow.
    Wearing outer garments in the direct delivery of care does pose potential IPAC risk however employees that do so are in breach of Uniform/employee contracts

    Most Uniform policies state what can and cannot be worn in the delivery of clinical care and a small sample of a cut and paste from one I have recently looked at.

    Female Staff

    Uniform

    As per the NSW Health Staff Uniform Catalogue link above

    Cardigan/Vest (outer garments)

    These items are not to be worn when providing direct clinical care. (PACH staff may wear a sleeveless vest when delivering care in patients homes)

    Stockings / socks

    Stockings or socks are required to be worn as part of the uniform. Socks must be blue or black in colour.

    Male Staff

    Uniform

    As per the NSW Health Staff Uniform Catalogue link above

    Cardigan or Jumper/Vest (outer garments)

    These items are not to be worn when providing direct clinical care. (PACH staff may wear a sleeveless vest when delivering care in patients homes)

    Stockings / Socks

    Stockings or Socks are required to be worn as part of the uniform. Socks must be navy or
    blue or black in colour

    Hope this is of some assistance.
    Regards,

    Sharyn
    Sharyn Hughes
    Clinical Nurse Consultant |Infection Prevention & Control
    Royal North Shore Hospital
    Reserve Rd St Leonards 2065
    Tel 02 99264490
    Email: Sharyn.Hughes@health.nsw.gov.au

    Click here Infection Prevention and Control to visit the IPAC webpage

    From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Jane Hellsten
    Sent: Thursday, 4 August 2016 12:07 PM
    To: AICALIST@AICALIST.ORG.AU
    Subject: Re: uniform audit

    Hi Lynette,
    Happy to share our audit with you, please contact me and I will email the tool to you.

    Best regards,
    Jane

    Jane Hellsten – CICP | Manager – Infection Prevention Control & Infectious Diseases Service
    Loddon Mallee Infection Control Resource Centre | Medical Services – Acute Campus
    Bendigo Health
    PO Box 126 Bendigo Victoria 3552
    p. 03 5454 8417 | f. 03 5454 8419 | m. 0428 630 004

    [cid:image001.png@01D1EE48.B27C6D90]

    e. jhellsten@bendigohealth.org.au
    w. http://www.bendigohealth.org.au
    w. http://www.newbendigohospital.org.au
    w. http://www.bendigohospitalproject.org.au

    [bh-logo]

    From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Lynette Cribb
    Sent: Thursday, 4 August 2016 11:34 AM
    To: AICALIST@AICALIST.ORG.AU
    Subject: [ACIPC_Infexion_Connexion] uniform audit
    Importance: High

    Morning,

    I was wondering if anyone has a good uniform audit that I could look at as we are wanting to do a snapshot look at what is happening in our clinical areas as we are starting to see a lot of jewellery and cardigans worn during patient care creep back into the hospital.

    Thanks

    With kind regards,
    Lynette CribbInfection Control Coordinator
    Direct 07 3834 4328 | mobile 0427141223 | Fax 0738344599
    SAWMH.ICC@uchealth.com.au | standrewshospital.com.au
    [cid:image020.png@01D191B3.752D94B0]
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    in reply to: FW: P2/N95 fit testing #72312
    sharyn.hughes@health.nsw.gov.au
    Participant

    Author:
    sharyn.hughes@health.nsw.gov.au

    Position:

    Organisation:

    State:

    Hi Giulietta,

    Re : local practice around the fit of disposable P2/N95 respirators.

    (1) What is the most common type of P2/N95 mask that you provide?

    * Dependent upon the Local Health District contract as to which products are used, though can purchase products that are not on contract.

    * Happy to provide details off line

    (2) How many types and sizes do you have available?

    * We have 3 on contract, small, medium and large. However looking to source others off contract to ensure staff in high risk areas can be ‘ fit tested’

    (3) Do you routinely fit test your staff?
    Currently in the process to commence fit testing

    a. If so, when and by which method?

    * Train the trainer sessions for a limited number of staff in high risk areas – ED, ICU and Respiratory ward and IPAC staff

    * Company Rep of mask manufacturer will conduct the initial fit testing for the above staff and teach how to use the fit test system.

    * The initial staff trained by the rep, will then be responsible for training and testing staff in their respective areas.
    b. When do you re-test?

    * Discussion is ongoing with this. Ideally though when fit tested for the mask that best suits the individual, unless owing beard, dramatic weight loss/gain occurs than it should be a constant baseline. New staff to those areas will have it added to their orientation checklist and need to be signed off by the trainer as having completed fit testing.

    * Each area should be responsible for record keeping

    Dear ICP’s
    We are interested in your local practice around the fit of disposable P2/N95 respirators.
    (1) What is the most common type of P2/N95 mask that you provide?
    (2) How many types and sizes do you have available?
    (3) Do you routinely fit test your staff?
    a. If so, when and by which method?
    b. When do you re-test?
    I appreciate your response
    With kind regards Giulietta

    Giulietta Pontivivo CICP RN/RM/MPH| NM Infection Prevention Management and Staff Health Services- St Vincent’s Hospital (Unit Level 6, DeLacy Building), 390 Victoria Street Darlinghurst NSW 2010
    Contact Details: t: 61 2 8382 3284 | f: 61 2 8382 3892 |M-0457 533 452 e: Giulietta.Pontivivo@svha.org.au

    ______________________________________________________________________
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