[Sony SO]

Dear All,

In HK, our local recommended practices are as follows for sharing.

l In general one should explant the pulse generator and leave the leads in-situ. Clean the explanted device with a disinfectant solution, for example, a sodium hyperchlorite solution containing at least 1% chlorine. Rinsed thoroughly but do not submerge in liquid. Then dry and pack device in a sealed plastic bag with proper alert messages…

l Return explanted devices to manufacturers for analysis and disposal in an environmentally correct manner unless family of the deceased insists to take back the device. In such case, the implantable defibrillator devices (ICD) or cardiacresynchronization therapy defibrillators (CRT-Ds) must be deactivated and the family be informed of the risk (see above).

Regards,

Sony SO

Nursing Officer, Infection Control Team

CND WONG TAI SIN HOSPITAL

HONG KONG SAR, CHINA

office phone: +852 2125-2922; fax: +852 3523-0752

HA email sony@ha.org.hk;

http://www.ha.org.hk/visitor/ha_hosp_details.asp?Content_ID=100154&Lang=ENG
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From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Terry Grimmond
Sent: Tuesday, June 14, 2016 6:44 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Explanted Pacemakers – ? disposal

Hi Michael,

What a conundrum! I note the WA Guide does not answer your Q.

Are not pacemakers sealed. If so, what is issue with,:

Remove gross soiling and organic matter with detergent

Soak in 5,000ppm hypochlorite for 10 mins

Dispose of as battery waste in sealed bag with outer label stating decontamination has taken place?

If above unacceptable, we need strongly urge mfger to accept them back after the above procedures have been performed. (manufacturer responsibility is an important avenue in healthcare sustainability)

Regards, Terry

Terry Grimmond FASM, BAgrSc, GrDpAdEd
Consultant Microbiologist
Grimmond and Associates
Ph (NZ): +64 7 855 3212
Mob (NZ): +64 274 365 140
E: terry@terrygrimmond.com
[cid:image004.png@01D1C629.4FE76AA0]: @terrygrimmond
W: http://terrygrimmond.com
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From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Narrogin Infection Control
Sent: Monday, June 13, 2016 7:39 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Explanted Pacemakers – ? disposal

Hi Michael,
This WA document may be helpful.

Kind Regards
Sue

SueSimmonds CN
Infection Prevention
Narrogin Hospital
WA Country Health Service – Wheatbelt
Po Box 336 | NARROGIN WA 6312
Ph: 08 98810462 | Fax: 08 98810315
Email: narrogin.infecti.control@health.wa.gov.au
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From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Michael Wishart
Sent: Monday, 13 June 2016 7:55 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Explanted Pacemakers – ? disposal

Question from my CSSD manager;

How can we safely dispose of explanted pacemakers?

What can we do with them?

VMO and suppliers do not want them back (unless specified)

We cannot clean properly unless we start to disassemble

We cannot throw into rubbish as contain batteries

Cannot throw into battery recycling as theoretically are still contaminated
Now some CSDs are known to unofficially dispose of them in the sharps which is probably even more dangerous!

Thoughts on this? Does anyone have a policy on disposal of explanted pacemakers? Do any health authorities provide advice on this?

Thanks for any advice on this.

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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[Sony SO]

Hi,

In HK, we conduct Adm. Screening for CRE, if patient has been hospitalized outside HK in the last 6 months (e.g. UK, USA, China, India …etc).

Regards,

Sony SO

Nursing Officer, Infection Control Team

CND WTSH

office phone: +852 3517-3676; fax: +852 3517-3520

HA email sony@ha.org.hk
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Hello to my Australian colleagues,
We have recently experienced a CRE outbreak involving 4 patients that was not associated with any overseas hospitalisation or travel . A laboratory colleague who recently attend a conference in Melbourne advises that it is the norm now in Australian acute hospitals to screen all patients who have travelled overseas for CPO/CRE as per the ACSQH 2013 guidelines for CRE. We are coming under pressure to introduce this.
We currently screen all patients who have had an overseas hospital stay within the previous 12 months but if we were to screen all travellers as well, we would not be able to isolate them pending screening results and I am not sure how cost effective the screening would be versus positive results.

I am interested to know if most Australian acute hospitals actually do this extended screening and if so how you were able to get buy in from the nursing staff.

Cheers

Ruth

[cid:image001.jpg@01D17A08.FAEABD70]

Ruth Barratt RN, BSc, MAdvPrac (Hons)
Clinical NurseSpecialist Infection Prevention and Control
Community Liaison Infection Prevention
*: ruth.barratt@cdhb.health.nz
*: + 64 3 3640 083 or ext.80083
[cid:image002.jpg@01D17A08.FAEABD70]: 0275 263175
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[Sony SO]

Dear Michael,

The issue of maintaining microbial cleanliness (bioburden) is addressed in the BS EN14683:2014, point 5.2.5, and 5.2.7 [page 7-8], and the recommended microbial cleanliness (cfu/g) is < 30, for details, please refer to attached file.

We would like to know whether other disposable PPE, for example disposable gown (NOT sterile), N95 respirator, coverall suit need to follow such requirement, if so, of the details.

Regards,

Sony SO
Nursing Officer, Infection Control Branch (Team 2)
Centre for Health Protection
office phone: +852 2125-2922; fax: +852 3523-0752
HA email sony@ha.org.hk; DH email no_icb4@dh.gov.hk
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—–Original Message—–
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Michael Wishart
Sent: Thursday, August 06, 2015 1:33 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: whether any international standards are related to PPE items should be maintained at "hygiene" level.

Hi Sony

I am not exactly sure what you are asking here. Do you want to know about storage conditions of PPE within a facility?

Thanks
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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—–Original Message—–
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Sony SO
Sent: Thursday, 6 August 2015 11:16 AM
To: AICALIST@AICALIST.ORG.AU
Subject: whether any international standards are related to PPE items should be maintained at “hygiene” level.

HI,

In general, disposable PPE should be manufactured in a “clean” working environment for preventing it from contamination.
I would like to know whether any international standards (such as ISO,EN, ASTM, AS, CAS etc.) are related to PPE items should be maintained at “hygiene” level.

Yours sincerely,

Sony SO
Nursing Officer, Infection Control Branch (Team 2) Centre for Health Protection http://www.chp.gov.hk/tc/cindex.html
HONG KONG SAR, CHINA
office phone: +852 2125-2922; fax: +852 3523-0752 HA email sony@ha.org.hk; DH email no_icb4@dh.gov.hk

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[Sony SO]

Dear All,

The issue of using appropriate waste bags is addressed in the Ebola Virus Disease (EVD) CDNA NATIONAL GUIDELINES FOR PUBLIC HEALTH UNITS, page 54, Appendix 13 Waste treatment and disposal Waste
http://www.health.gov.au/internet/main/publishing.nsf/Content/ohp-ebola.htm/$File/EVD-SoNG.pdf, which states: Items stained or containing body fluids are treated as clinical waste. Clinical waste bags must adhere to Australian Standards and be leak proof. Facilities should have a system of double bagging the clinical waste. This should involve keeping the first clinical waste bags inside the patient room and then placing these bags inside a second clinical waste bag kept outside the patient room

For now, in HK, we do not have standard/specification regarding waste bags leak proof or resistance properties. Hence, would you please provide information in this regard to us for reference.

Regards,

Sony SO

Nursing Officer, Infection Control Branch (Team 2)

Centre for Health Protection

office phone: +852 2125-2922; fax: +852 3523-0752

HA email sony@ha.org.hk; DH email no_icb4@dh.gov.hk
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From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Terry Grimmond
Sent: Saturday, November 01, 2014 1:03 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Ebola Waste

Hi Verily,
Thank you for comment. May I update you and members on events in last 48 hrs.
The issue is not destruction of Ebola waste. As you say, all approved mechanisms for Clinical Waste (CW) destruction are effective. Ive no concerns here, and neither does Australian Communicable Disease Network Authority (CDNA).
The contentious issue is transport of Ebola waste. CDNA issued sound advice to double-bag Ebola waste in leakproof bags. But this is over-ridden by Australian Dangerous Goods (ADG) regulations which currently require Ebola substances in any form to be UN2814 triple-packaged under the strict ADG P620 regime. But there are no P620 packaging systems large enough to take Ebola waste, and to transport Ebola waste in anything else requires approval from your state competent authority.
However On Friday Oct 31st, SteriHealth was granted Australias first Ebola alternative packaging approval by Worksafe NSW. But it is only applicable in NSW. The Ebola Task Force is on top of the issue and its Head, Prof Lyn Gilbert said on Thursday, ..the committee’s first task would be gaining consensus between the states and territories on the best protocols for activities such as transporting specimens and clinical waste.

The ADG lists 61 Category A pathogens requiring UN2814 packaging however I cannot recall in my career any waste from these patients being transported as UN2814. I believe the ADG, and the UNTDG on which the ADG is modeled, need a safe, practical means of transporting these wastes.

Kind regards, Terry

Terry Grimmond FASM, BAgrSc, GrDpAdEd
Consultant Microbiologist
Grimmond and Associates
Ph (NZ): +64 7 855 3212
Mob (NZ): +64 274 365 140
E: terry@terrygrimmond.com
[cid:image002.png@01CFF599.7553EEB0]: @terrygrimmond
W: http://terrygrimmond.com
[cid:image003.gif@01CFF594.836716D0]
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From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Verily Thomas
Sent: Friday, October 31, 2014 5:22 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Ebloa Waste

Hi All
This has been a very worrying issue especially considering that what we are most concerned about is blood and body fluids with EBV.We have taken care of the entry side of it but the waste management bit I am not so sure may be wrong.
Is the waste not hazardous if it is not properly treated as in autoclaved, incinerated or treated in any other way to render it nonhazardous? Does our clinical waste guidelines cover this as it would be concerning if this waste is not properly disposed of and ends up being a problem with community spread, just saying. Still trying to figure out which waste it fits under really particularly where the quality of some of the clinical waste bags is not very ideal, as in paper thin, with incidents of body fluid exposure due to tears especially when the bags are very heavy.
Just a thought I have tried to look under the EPA guidelines nothing much coming up on infectious waste would be good to know what the majority are doing.- http://www.cdc.gov/vhf/ebola/hcp/medical-waste-management.html
Kind Regards
Verily Thomas
Clinical Nurse Consultant | Infection Prevention and Control
SWSLHD-Bankstown/Lidcombe Hospital
Eldridge Road, Bansktown.NSW 2200
Tel 02 97228000 pager 28230
Tel 02 9722 8633 | Fax 02 9722 7822 | verily.thomas@sswahs.nsw.gov.au
http://www.health.nsw.gov.au

[cid:image001.jpg@01CFF51E.874A6F20]
LET’S KEEP OUR HOSPITAL ENVIRONMENT CLEAN
HAND HYGIENE SAVES LIVES

From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Terry Grimmond
Sent: Friday, 31 October 2014 11:51 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Ebloa Waste

Hi Sony,
I agree with you. But for countries who have harmonized with UNTDG Model Recommendations, Ebola is Category A UN2814. It is not Clinical Waste UN3291. The national law steps in and CDC and DoH recommendations are over-ruled. As happened in USA last month where DOT over-ruled CDC on this issue.
Best regards, Terry
Terry Grimmond FASM, BAgrSc, GrDpAdEd
Consultant Microbiologist
Grimmond and Associates
Ph (NZ): +64 7 855 3212
Mob (NZ): +64 274 365 140
E: terry@terrygrimmond.com
[cid:image004.png@01CFF511.A4374B10]: @terrygrimmond
W: http://terrygrimmond.com
[cid:image003.gif@01CFF50D.6D9958E0]
“This email (including any attachments) is intended only for the use of the individual or entity named above and may contain information that is confidential and privileged. If you are not the intended recipient, you are reminded that any dissemination, distribution or copying of this email or attachments is prohibited. If you have received this email in error, please notify me immediately by return email or telephone and destroy the original message. Thank you.”

From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Sony SO
Sent: Friday, October 31, 2014 12:58 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Ebloa Waste

Dear All,

The issue of using single clinical bag for handling infectious materials i.e. clinical waste is addressed in the CDC guidelines-Guidelines for Environmental Infection Control in Health-Care Facilities http://www.cdc.gov/~HCF_03.pdf, details are as follows:

point I, (3), page 119, which states: A single, leak-resistant biohazard bag is usually adequate for containment of regulated medical wastes, provided the bag is sturdy and the waste can be discarded without contaminating the bags exterior.

Point G, (3), page 100, which states: Single bags of sufficient tensile strength are adequate for containing laundry, but leak-resistant containment is needed if the laundry is wet and capable of soaking through a cloth bag.1264

Furthermore, with reference to international guidelines related to clinical waste management(Table 1), practices of double bagging of waste is not recommended.

Lastly, practices of double-bagging of items from isolation rooms is not considered as an infection control measure, for details, please refer to:

Maki DG, Alvarado C, Hassemer C. Double-Bagging of Items from Isolation Rooms Is Unnecessary as an Infection Control Measure: A Comparative Study of Surface Contamination with Single-and Double-Bagging. Infection Control. 1986; 7(11): 535-7. Available from: http://www.jstor.org/stable/30146425

Regards,

Sony SO

Nursing Officer, Infection Control Branch (Team 2)

Centre for Health Protection

office phone: +852 2125-2922; fax: +852 3523-0752

HA email sony@ha.org.hk; DH email no_icb4@dh.gov.hk
Please consider the environment before printing this e-mail

Table 1: international guidelines for handling clinical waste

1. Biohazard Waste Industry Australia and New Zealand (BWI) (formerly ANZCWMIG). (2007). Industry Code of Practice for the Management of Clinical and Related Wastes. Retrieved 11 August 2010 from http://www.epa.sa.gov.au/xstd_files/Waste/Code%20of%20practice/Code%20of%20Practice%206th%20Edition.pdf
2. UK Department of Health. Environment and sustainability Health Technical Memorandum 07-01: Safe management of healthcare waste Retrieved August 2014 from https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/167976/HTM_07-01_Final.pdf
3. Uk Health & Safety Executive. (2009). Carriage of Dangerous Goods Manual-Carriage of clinical waste Retrieved 11 August 2010 from http://www.hse.gov.uk/cdg/manual/clinical/index.htm
4. World Health Organization WHO. (2008). Safe Management of Wastes from Health-Care Activities. Retrieved August 2014 from http://apps.who.int/iris/bitstream/10665/85349/1/9789241548564_eng.pdf
5. (2003)201410http://www.moh.gov.cn/mohyzs/s3576/200804/18353.shtml
6. (1997)(97) 201410http://wm.epa.gov.tw/medicalwaste/Documents/HandBook39all3.pdf

From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Michael Wishart
Sent: Friday, October 31, 2014 5:20 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Ebloa Waste

[This message is posted on behjalf of Belinda Henderson, ACIPC President. Note that this issue has been discussed through the ACIPC Executive Council at National and State/juristictional level. ICPs are urged to check with their state/juristiction authorities and local waste contractors regarding any local impact of this issue Moderator]
We want to update our members on the issue of Ebola Waste transport in Australia. One of our members, Terry Grimmond, has been working with authorities to develop a practical, safe and legal packaging solution so we asked him to summarise where Australia is at.

Thank you Belinda,
Many ACIPC members will have seen the Oct 3 CDNA/AHPPC recommendations for double-bagging Ebola waste and transporting it as clinical waste1 (i.e. shipping as UN 3291). These recommendations are sound and evidence-based.
However, what many may not know is that the Australian Dangerous Good Code (ADG)2 requires substances known or reasonably expected to contain a Category A Infectious Substancein any form (e.g. Ebola waste) to be packaged according to ADG P620 requirements, which require:

a 95k Pa pressure-tested, leakproof primary receptacle that is sealed and placed inside a:

leakproof secondary receptacle containing absorbent material, sealed and placed inside:

a rigid outer container certified to ADG 9m drop, Rod Impact, and Water-spray tests.
The issue is, P620 packaging is designed for specimens, cultures, etc and no P620 packaging exists for large Category A items such as waste bags, mattresses, etc.
If waste companies pick up Ebola waste in anything other than P620 packaging, they would be breaking the law. Alternative packaging systems must be approved as safe as ADG P620.
Submissions need be made to the competent authority (CA) in each state (no Federal CA) and an approval in one state is not applicable in another, so multiple submissions need be made.
With the CDNA recommendation (double-bag and handle as clinical waste (CW), the medical waste firm SteriHealth saw the compliancy issue early (same occurred in USA with CDC and DOT) and retained me to work with CA to develop a triple-packaging system of equivalent safety to ADG. The Biohazard Waste Industry is also working with CA to obtain packaging approvals.
I worked with WorkCover NSW for several weeks and, after developing a leakproof sealing system for CW bags, and consultation with Westmead Hospitals IPs (Kath Dempsey, Jo Tallon), we have developed a triple-packaging system we believe is of equal safety to ADG P620. Multi-sized systems will need be approved but in this instance I submitted a system with a high chance of approval so that at least one system was available.
WorkCover NSW hope to release their decision tomorrow [31 October Moderator]. Hopefully an approval in NSW will make submissions easier and faster in other states.
Yesterday [29 October Moderator] I spoke with Prof Lyn Gilbert, Head of Ebola Task Force and Prof Chris Baggoley, Chief Medical Officer, Australian Dept of Health and they have scheduled the item for discussion this week to examine means of expediting the submission process Australia-wide.
Terry Grimmond FASM, BAgrSc, GrDpAdEd
Consultant Microbiologist, Grimmond and Associates
terry@terrygrimmond.com

1. Ebola Virus Disease (EVD). CDNA NATIONAL GUIDELINES FOR PUBLIC HEALTH UNITS 3 Oct 2014. Communicable Disease Network Authority, Australian Department of health. http://www.health.gov.au/internet/main/publishing.nsf/Content/ohp-ebola.htm/$File/EVD-SoNG.pdf.

2. The Australian Dangerous goods Code Ed 7.3(2014). http://www.ntc.gov.au/heavy-vehicles/safety/australian-dangerous-goods-code/.

______________________________________________________________________
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[Sony SO]

Dear All,

The issue of using single clinical bag for handling infectious materials i.e. clinical waste is addressed in the CDC guidelines-Guidelines for Environmental Infection Control in Health-Care Facilities http://www.cdc.gov/~HCF_03.pdf, details are as follows:

point I, (3), page 119, which states: A single, leak-resistant biohazard bag is usually adequate for containment of regulated medical wastes, provided the bag is sturdy and the waste can be discarded without contaminating the bags exterior.

Point G, (3), page 100, which states: Single bags of sufficient tensile strength are adequate for containing laundry, but leak-resistant containment is needed if the laundry is wet and capable of soaking through a cloth bag.1264

Furthermore, with reference to international guidelines related to clinical waste management(Table 1), practices of double bagging of waste is not recommended.

Lastly, practices of double-bagging of items from isolation rooms is not considered as an infection control measure, for details, please refer to:

Maki DG, Alvarado C, Hassemer C. Double-Bagging of Items from Isolation Rooms Is Unnecessary as an Infection Control Measure: A Comparative Study of Surface Contamination with Single-and Double-Bagging. Infection Control. 1986; 7(11): 535-7. Available from: http://www.jstor.org/stable/30146425

Regards,

Sony SO

Nursing Officer, Infection Control Branch (Team 2)

Centre for Health Protection

office phone: +852 2125-2922; fax: +852 3523-0752

HA email sony@ha.org.hk; DH email no_icb4@dh.gov.hk
Please consider the environment before printing this e-mail

Table 1: international guidelines for handling clinical waste

1. Biohazard Waste Industry Australia and New Zealand (BWI) (formerly ANZCWMIG). (2007). Industry Code of Practice for the Management of Clinical and Related Wastes. Retrieved 11 August 2010 from http://www.epa.sa.gov.au/xstd_files/Waste/Code%20of%20practice/Code%20of%20Practice%206th%20Edition.pdf
2. UK Department of Health. Environment and sustainability Health Technical Memorandum 07-01: Safe management of healthcare waste Retrieved August 2014 from https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/167976/HTM_07-01_Final.pdf
3. Uk Health & Safety Executive. (2009). Carriage of Dangerous Goods Manual-Carriage of clinical waste Retrieved 11 August 2010 from http://www.hse.gov.uk/cdg/manual/clinical/index.htm
4. World Health Organization WHO. (2008). Safe Management of Wastes from Health-Care Activities. Retrieved August 2014 from http://apps.who.int/iris/bitstream/10665/85349/1/9789241548564_eng.pdf
5. (2003)201410http://www.moh.gov.cn/mohyzs/s3576/200804/18353.shtml
6. (1997)(97) 201410http://wm.epa.gov.tw/medicalwaste/Documents/HandBook39all3.pdf

From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Michael Wishart
Sent: Friday, October 31, 2014 5:20 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Ebloa Waste

[This message is posted on behjalf of Belinda Henderson, ACIPC President. Note that this issue has been discussed through the ACIPC Executive Council at National and State/juristictional level. ICPs are urged to check with their state/juristiction authorities and local waste contractors regarding any local impact of this issue Moderator]
We want to update our members on the issue of Ebola Waste transport in Australia. One of our members, Terry Grimmond, has been working with authorities to develop a practical, safe and legal packaging solution so we asked him to summarise where Australia is at.

Thank you Belinda,
Many ACIPC members will have seen the Oct 3 CDNA/AHPPC recommendations for double-bagging Ebola waste and transporting it as clinical waste1 (i.e. shipping as UN 3291). These recommendations are sound and evidence-based.
However, what many may not know is that the Australian Dangerous Good Code (ADG)2 requires substances known or reasonably expected to contain a Category A Infectious Substancein any form (e.g. Ebola waste) to be packaged according to ADG P620 requirements, which require:

a 95k Pa pressure-tested, leakproof primary receptacle that is sealed and placed inside a:

leakproof secondary receptacle containing absorbent material, sealed and placed inside:

a rigid outer container certified to ADG 9m drop, Rod Impact, and Water-spray tests.
The issue is, P620 packaging is designed for specimens, cultures, etc and no P620 packaging exists for large Category A items such as waste bags, mattresses, etc.
If waste companies pick up Ebola waste in anything other than P620 packaging, they would be breaking the law. Alternative packaging systems must be approved as safe as ADG P620.
Submissions need be made to the competent authority (CA) in each state (no Federal CA) and an approval in one state is not applicable in another, so multiple submissions need be made.
With the CDNA recommendation (double-bag and handle as clinical waste (CW), the medical waste firm SteriHealth saw the compliancy issue early (same occurred in USA with CDC and DOT) and retained me to work with CA to develop a triple-packaging system of equivalent safety to ADG. The Biohazard Waste Industry is also working with CA to obtain packaging approvals.
I worked with WorkCover NSW for several weeks and, after developing a leakproof sealing system for CW bags, and consultation with Westmead Hospitals IPs (Kath Dempsey, Jo Tallon), we have developed a triple-packaging system we believe is of equal safety to ADG P620. Multi-sized systems will need be approved but in this instance I submitted a system with a high chance of approval so that at least one system was available.
WorkCover NSW hope to release their decision tomorrow [31 October Moderator]. Hopefully an approval in NSW will make submissions easier and faster in other states.
Yesterday [29 October Moderator] I spoke with Prof Lyn Gilbert, Head of Ebola Task Force and Prof Chris Baggoley, Chief Medical Officer, Australian Dept of Health and they have scheduled the item for discussion this week to examine means of expediting the submission process Australia-wide.
Terry Grimmond FASM, BAgrSc, GrDpAdEd
Consultant Microbiologist, Grimmond and Associates
terry@terrygrimmond.com

1. Ebola Virus Disease (EVD). CDNA NATIONAL GUIDELINES FOR PUBLIC HEALTH UNITS 3 Oct 2014. Communicable Disease Network Authority, Australian Department of health. http://www.health.gov.au/internet/main/publishing.nsf/Content/ohp-ebola.htm/$File/EVD-SoNG.pdf.

2. The Australian Dangerous goods Code Ed 7.3(2014). http://www.ntc.gov.au/heavy-vehicles/safety/australian-dangerous-goods-code/.

______________________________________________________________________
For the purposes of protecting the integrity and security of the SVHA network and the information held on it, all emails to and from any email address on the svha.org.au domain (or any other domain of St Vincents Health Australia Limited or any of its related bodies corporate) (an SVHA Email Address) will pass through and be scanned by the Symantec.cloud anti virus and anti spam filter service. These services may be provided by Symantec from locations outside of Australia and, if so, this will involve any email you send to or receive from an SVHA Email Address being sent to and scanned in those locations.
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

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Disclaimer

This Email may contain privileged and confidential information and is solely for the use of the intended recipient. If you are not the intended recipient, you must not print, copy, distribute or take any action in reliance on it. If you have received this Email by mistake, please notify the sender and then delete this Email from your computer. The Hospital Authority does not accept liability arising from Email transmitted by mistake.

Although this Email and any attachments are believed to be free of virus or other defects that might affect any computer system into which it is received and opened, it is the responsibility of the recipient to ensure that it is virus free, and no responsibility is accepted by the Hospital Authority for any loss or damage in any way arising from its use.

All views or opinions expressed in this Email and its attachments are those of the sender and do not necessarily reflect the views and opinions of the Hospital Authority.
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MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

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[Sony SO]

Dear All,

I have been teaching staff for not to disinfected gloved hand in accordance with our local guideline- Scientific Committee on Infection Control Recommendations on Integrating Gloves and Hand Washing Practices, oint 3 (e) http://www.chp.gov.hk/files/pdf/integrating_gloves_and_hand_washing_practices.pdf, which states: Worn gloves should not be washed or disinfect with alcohol-based solutions and reuse [14]

Hence, I would be disappointed if this poor practice was promoted.

We have formulated relevant SOPs for doffing PPE, for details, please visit CHP website

l Boots http://www.chp.gov.hk/files/pdf/donning_and_doffing_ppe_boot.pdf

l Shoe Covers http://www.chp.gov.hk/files/pdf/donning_and_doffing_ppe_shoe_covers.pdf

Regards,

Sony SO

Nursing Officer, Infection Control Branch (Team 2)

Centre for Health Protection

office phone: +852 2125-2922; fax: +852 3523-0752

HA email sony@ha.org.hk; DH email no_icb4@dh.gov.hk
Please consider the environment before printing this e-mail

From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Donnellan, Robyn
Sent: Wednesday, October 22, 2014 11:42 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: CDC guidelines question re disinfection of gloved hands – any shared advice – words of wisdom?

Hi Terry
I am concerned that the CDC has recommended the use of ABHR on gloves. ABHR has skin emollients in the preparation and is classified as a skin antiseptic not a disinfectant. A straight 70% alcohol impregnated wipe (disinfectant ) should be used if an equipment surface wipe is required throughout the doffing procedure. Some staff think the use of ABHR is acceptable, I would be disappointed if this poor practice was promoted.
Kind regards
Robyn Donnellan CICP
CNC Infection Prevention & Control Service
for Northern NSW LHD
02 66207490

From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Terry Grimmond
Sent: Wednesday, 22 October 2014 1:02 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: CDC guidelines question re disinfection of gloved hands – any shared advice – words of wisdom?

Hi Michael,
Given Ebola urgency, uniqueness, and common need of members, can you allow an exception in naming of disinfectant brands and types? The CDC list of EPA registered is very frustrating and not applicable in Australia.
Linda, CDNA recommends 1,000-5,000ppm hypochlorite for cleaning and spills (dependent on blood presence) it is economical, readily available and effective.
Regards,
Terry Grimmond FASM, BAgrSc, GrDpAdEd
Consultant Microbiologist
Grimmond and Associates
Ph (NZ): +64 7 855 3212
Mob (NZ): +64 274 365 140
E: terry@terrygrimmond.com
[cid:image001.png@01CFEE08.AD39A920]: @terrygrimmond
W: http://terrygrimmond.com
[cid:image002.gif@01CFEE08.AD39A920]
“This email (including any attachments) is intended only for the use of the individual or entity named above and may contain information that is confidential and privileged. If you are not the intended recipient, you are reminded that any dissemination, distribution or copying of this email or attachments is prohibited. If you have received this email in error, please notify me immediately by return email or telephone and destroy the original message. Thank you.”

From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Lindy Ryan
Sent: Wednesday, October 22, 2014 2:01 PM
To: AICALIST@AICALIST.ORG.AU
Subject: CDC guidelines question re disinfection of gloved hands – any shared advice – words of wisdom?

Hey all Ebola champions

just been asked by my boss here what others are considering or have to hand re the new CDC guidelines

http://www.cdc.gov/media/releases/2014/fs1020-ebola-personal-protective-equipment.html

re this point specifically

Disinfection of gloved hands using either an EPA-registered disinfectant wipe or alcohol-based hand rub between steps of taking off PPE.

Will you be considering ABHR or a disinfectant wipeif a wipe what would you use.

We are just trying to understand what specifically is in the EPA registered disinfectant wipe so we can match it with what we have TGA approved and available in Australia as there are many listed but not available in Australia

We have a disinfectant wipe here we use for environmental cleaning (I know I cant name products on this forum) here but know there are other products. Can anybody send me what they are using off line and if it comply with the EPA list as recommended by the CDC (I know you are busy so a quick reply with just a name would be great!)

Hope you are all travelling wellhuge body of work being done by us all trying to have consistency for staff and pt safety and calm another thesis for somebody in the making hey?

Thank you so much for those of you who have kindly shared so much already you are all such a wonderful group to be able to liaise and work with I love being an ICP when I get to work with such proactive resourceful sharing bunch as we all are!!

Cheers

Lindy

Lindy Ryan

Infection Prevention & Control CNC | Infection Control Service Nepean Hospital NBMLHD
PO Box 63, Penrith, 2751
Tel (02) 4734 2228 | Fax (02) 4734 2517 | lindy.ryan@health.nsw.gov.au
http://www.health.nsw.gov.au

Wise and human management of the patient is the best safeguard against infection
(Florence Nightingale Circa 1860)

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Although this Email and any attachments are believed to be free of virus or other defects that might affect any computer system into which it is received and opened, it is the responsibility of the recipient to ensure that it is virus free, and no responsibility is accepted by the Hospital Authority for any loss or damage in any way arising from its use.

All views or opinions expressed in this Email and its attachments are those of the sender and do not necessarily reflect the views and opinions of the Hospital Authority.
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[Sony SO]

Dear All,

In general and by principles, we follow relevant manufacturer’s Instruction For Use (IFU).

As for coverall suit, we had reviewed relevant IFU. However, hazards of second contamination are revealed, for details, please refer to https://www.youtube.com/watch?vzLbvQcpfZyQ. We had informed manufacturer for our findings for whether they have other IFU few weeks ago, and pending for response.

In light of this, we has formulated our in house SOP. If you are interested, please send email to me.

Although we do not recommend using full coverall suit in healthcare setting, for some special operation, for example culling of birds, we recommend using it after consideration unique operation requirements (extensive of environmental contamination, users’ movement etc.).

For sharing.

Sony SO

Nursing Officer, Infection Control Branch (Team 2)

Centre for Health Protection

http://www.chp.gov.hk/tc/cindex.html

HONG KONG SAR, CHINA

office phone: +852 2125-2922; fax: +852 3523-0752

HA email sony@ha.org.hk; DH email no_icb4@dh.gov.hk
Please consider the environment before printing this e-mail

Does anyone have instructions for the safe infection prevention removal of an all-in-one coverall suit (HazChemsuits) that you would be willing to share.
Despite all the excellent recommendations out there, we have departments that insist on using the Hazchem type suits for an Ebola patient if we get one. Unfortunately we do not usually use these outside of ED for chemical hazards and I have no resources for teaching safe removal of a contaminated suit.

I would appreciate4 any discussion on this as well.

Cheers

Ruth

[cid:image001.jpg@01CFDBFB.09B95990]

Ruth Barratt RN, BSc, MAdvPrac (Hons)
Clinical NurseSpecialist Infection Prevention and Control
Community Liaison Infection Prevention
*: ruth.barratt@cdhb.health.nz
*: + 64 3 3640 083 or ext.80083
[cid:image002.jpg@01CFDBFB.09B95990]: 0275 263175
Level 5, Riverside Building
Christchurch Hospital | Private Bag 4710, Christchurch
Clean Hands Save Lives!

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[Sony SO]

Dear All,

We are conducting the captioned risk assessment

With reference to AAMI, level of fluids protetion for protetive gown is ranged from level 1 to 4.

We would like to know, which level of protetive gown will be used for ebola preparation in AUS.

Yours sincerely,

SONY SO
Nursing Officer
Centre for Health Protection, Infection Control Branch
Hong Kong, SAR CHINA

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[Sony SO]

Dear Barbara,

In HK, with reference to the Code of Practice for clinical waste (COP) http://www.epd.gov.hk/epd/clinicalwaste/english/downloads/files/cop_major.pdf, in principle, used items/consumables only Tinted Red Chlorhexidine 2% Surgical Skin Prep without other contaminant(s) that are specified in the aforesaid COP, these items are classified as municipal waste i.e. general waste.

Regards,

Sony SO

Nursing Officer, Infection Control Branch (Team 2)

Centre for Health Protection HONG KONG SAR, CHINA

http://www.chp.gov.hk/tc/cindex.html

office phone: +852 2125-2922; fax: +852 3523-0752

HA email sony@ha.org.hk; DH email no_icb4@dh.gov.hk
Please consider the environment before printing this e-mail

Hello Everyone,
We are currently experiencing some difficulties with disposing of consumables with this particular skin prep on them. Therefore, I am interested to know how facilities dispose of items/consumables that have the tinted red chlorhexidine surgical skin prep on them (mainly from operating theatre complexes). In particular which waste stream (ie general or clinical waste) do you put these items in?

If you would like to contact me directly, please use my email or phone numbers listed address below.

Regards,
Barbara

Barbara May
CNC Infection Prevention and Control | Hasting Macleay Clinical Network
Port Macquarie Base Hospital, Wrights Rd, Port Macquarie NSW 2444
Tel 02 5524 2061| Fax 02 5524 2061| Mob 0402890677
Barbara.May@ncahs.health.nsw.gov.au

Clean hands saves lives – are your hands clean?

[cid:image001.png@01CFA046.260A5540]

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[Sony SO]

Dear Michael

Thank for information.

The issue of re-use of paraffin wax before using on another client is addressed in section 3.5 of Infection Control Guidelines for Personal Appearance Services 2012 http://www.health.qld.gov.au/ph/documents/cdb/infectcontrolguide.pdf , and the recommended thermal treatment parameters are 130OC for 15 minutes.

I would like to know whether you have references to support the recommended thermal treatment parameters 130OC for 15 minutes for reuse of paraffin wax.

Regards,

Sony SO

Nursing Officer, Infection Control Branch (Team 2)

Center for Health Protection

office phone: +852 2125-2922; fax: +852 3523-0752

HA email sony@ha.org.hk; DH email no_icb4@dh.gov.hk
Please consider the environment before printing this e-mail

From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Michael Wishart
Sent: Tuesday, March 04, 2014 9:36 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: infection control for paraffin bath using in Physio Dept

Paraffin wax baths are used in physiotherapy as a treatment for osteoarthritis, and also in beauty treatments.

QLD Health has some guidance on the use of paraffin wax for beauty treatments, which may be of use. See Section 3.5 of the linked guidelines.

The part that is missing in these guidelines is the contraindication of skin lesions or wounds in areas treated with paraffin wax, which also has an infection control implication.

http://www.health.qld.gov.au/ph/documents/cdb/infectcontrolguide.pdf

I cannot find any specific infection control reference for physiotherapists in Australia in regard to paraffin wax baths, but it may be useful to contact the APA directly to see if they have any guidelines.

http://www.physiotherapy.asn.au/

Cheers
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@hsn.org.au
w:www.holyspiritnorthside.org.au
Please consider the environment before printing this email

From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Sony SO
Sent: Tuesday, 4 March 2014 10:36 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: infection control for paraffin bath using in Physio Dept

Dear Fiona

Physiotherapist states Paraffin Wax Baths would be used for patients with rheumatoid arthritis.

Regards,

Sony SO

Nursing Officer, Infection Control Branch (Team 2)

Center for Health Protection http://www.chp.gov.hk/tc/cindex.html

HONG KONG SAR, CHINA

office phone: +852 2125-2922; fax: +852 3523-0752

HA email sony@ha.org.hk; DH email no_icb4@dh.gov.hk

Please consider the environment before printing this e-mail

—–Original Message—–
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Fiona de Sousa
Sent: Tuesday, March 04, 2014 4:52 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: infection control for paraffin bath using in Physio Dept

Hi Sony,

Excuse my ignorance but what is a paffarin bath and why is it used?

Fiona De Sousa

Infection Prevention & Control Coordinator Sydney Adventist Hospital

Mobile: 0408 468 470

Office: (02) 9487 9732

Fax: (02) 9472 8053

Fiona.Desousa@sah.org.au

185 Fox Valley Road, Wahroonga, NSW, 2076

—–Original Message—–

From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Sony SO

Sent: Monday, 3 March 2014 11:19 PM

To: AICALIST@AICALIST.ORG.AU

Subject: infection control for paraffin bath using in Physio Dept

Dear All,

Would you please share your prevailing infection control practices for the captioned issue to us for reference.

Thanks.

Sony SO

Nursing Officer, Infection Control Branch (Team 2) Center for Health Protection office phone: +852 2125-2922; fax: +852 3523-0752 HA email sony@ha.org.hk; DH email no_icb4@dh.gov.hk Please consider the environment before printing this e-mail

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[Sony SO]

Dear Fiona

Physiotherapist states Paraffin Wax Baths would be used for patients with rheumatoid arthritis.

Regards,

Sony SO

Nursing Officer, Infection Control Branch (Team 2)

Center for Health Protection http://www.chp.gov.hk/tc/cindex.html

HONG KONG SAR, CHINA

office phone: +852 2125-2922; fax: +852 3523-0752

HA email sony@ha.org.hk; DH email no_icb4@dh.gov.hk

Please consider the environment before printing this e-mail

—–Original Message—–
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Fiona de Sousa
Sent: Tuesday, March 04, 2014 4:52 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: infection control for paraffin bath using in Physio Dept

Hi Sony,

Excuse my ignorance but what is a paffarin bath and why is it used?

Fiona De Sousa

Infection Prevention & Control Coordinator Sydney Adventist Hospital

Mobile: 0408 468 470

Office: (02) 9487 9732

Fax: (02) 9472 8053

Fiona.Desousa@sah.org.au

185 Fox Valley Road, Wahroonga, NSW, 2076

—–Original Message—–

From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Sony SO

Sent: Monday, 3 March 2014 11:19 PM

To: AICALIST@AICALIST.ORG.AU

Subject: infection control for paraffin bath using in Physio Dept

Dear All,

Would you please share your prevailing infection control practices for the captioned issue to us for reference.

Thanks.

Sony SO

Nursing Officer, Infection Control Branch (Team 2) Center for Health Protection office phone: +852 2125-2922; fax: +852 3523-0752 HA email sony@ha.org.hk; DH email no_icb4@dh.gov.hk Please consider the environment before printing this e-mail

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_____________________________________________________________________

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Although this Email and any attachments are believed to be free of virus or other defects that might affect any computer system into which it is received and opened, it is the responsibility of the recipient to ensure that it is virus free, and no responsibility is accepted by the Hospital Authority for any loss or damage in any way arising from its use.

All views or opinions expressed in this Email and its attachments are those of the sender and do not necessarily reflect the views and opinions of the Hospital Authority.
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[Sony SO]

Hi Lindy,

The issue of deflagging VRE pts is addressed in our Hospital Authority guideline -Guideline on Control of Vancomycin Resistant Enterococcus (VRE), point 5.3.1 the second bulletin, which states: “Clearance of VRE carriage is defined as two consecutive negative screening cultures (including all previous positive body sites) at least 48 hours apart. If antimicrobials are given for treatment of VRE infection, the screening should be taken 48 hours after completion of targeted antimicrobial treatment.”

However, some cases (clearance of VRE carriage) are found to be positive to VRE afterwards.

Regards,

SONY SO

Nursing Officer Infection Control Team

KWONG WAH HOSPITAL

HONG KONG SAR CHINA

tel. 852-3517-2409

—–Original Message—–

Dear Sony

We are seeing increasing VRE here in particular Van A (HA & CA) & on

the odd occasion if we do need to cohort our ID / Micro has indicated we can do this using contact precautions Their concern was more with us mixing our MRSA strains actually ..this they thought was the greater risk….mmm interesting..

Sorry to ask the age old infexion connexion again……

Also can I ask is anyone successfully deflagging VRE pts .. here in NSW our state MRO policy does not currently provide any advice (?due to lack of evidence) however many sites have developed or shared with me already their set of guidelines / procedures etc. (especially chronic

renal) which many have indicated to me are more out of out of frustration, need & pressure from clinicians / management to do so…..

.but what I was after was any good published literature/ research/ evidence around the practice for successfully deflagging VRE pts and the risks around this that you are happy to share.

There is lots of other documents /policy’s etc sited in others documents but not a lot of hard scientific data/ evidence so would appreciate if anyone had some to share to help me out.

thank you in advance for any help

regards

Lindy

Lindy Ryan

Infection control CNC

Nepean Hospital NBMLHD

Phone 4734 2228

Email lindy.ryan@swahs.health.nsw.gov.au

Infection Prevention and control is everyones business Clean hands – safest care….take a moment & practice the five moments

—–Original Message—–

Dear all,

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

Regards,

SONY SO

Nursing Officer Infection Control Team

KWONG WAH HOSPITAL

HONG KONG SAR CHINA

tel. 852-3517-2409

************************************************************************

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Although this Email and any attachments are believed to be free of virus or other defects that might affect any computer system into which it is received and opened, it is the responsibility of the recipient to ensure that it is virus free, and no responsibility is accepted by the Hospital Authority for any loss or damage in any way arising from its use.

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[Sony SO]

Dear all,

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

Regards,

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

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[Sony SO]

Dear All,

When formulating our hospital guidelines for clinical waste management, we had encountered the captioned problem. We noticed USA NISOH has addressed this particular issue in its publication Selecting, Evaluating, and Using Sharps Disposal Containers http://www.cdc.gov/niosh. However, the recommended height is based on the ergonomic figures for Americans.

In light of this, we had consulted our OSH. With reference to local ergonomic figures, the recommended height of wall mounted sharps containers is 1300mm-1400mm.

I hope this helps.

Sony SO
Nursing Officer, Infection Control Team
Kwong Wah Hospital
Hong Kong SAR, CHINA
Tel:+ 852 3517-2409 Fax: +852 2332-3348 email:sony@ha.org.hk
Please consider the environment before printing this e-mail

Dear All,
http://www.healthfacilityguidelines.com.au/AusHFG_Documents/Guidelines/AusHFG%20Part%20D%20Infection%20Prevention%20and%20Control%20_%20860%20Physical%20Environment.pdf
The AHFG Part D – Infection Prevention and Control
860 – Physical Environment, Rev 5.0, 1 June 2012 states:
“All sharps bins should be positioned out of the reach of children at a height that
enables safe disposal by all members of staff. It should be noted that health services
are dependent on the type and style of sharps containers as a result of their supplier
contract arrangements. If the contract changes, the method of fixture may also
change and that may cause damage to walls. Many companies provide holders,
stands etc, for sharps.”

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

[cid:image001.jpg@01CE982D.A274FFD0]

Hi Kylie
The Royal Hobart Hospital is currently undergoing major redevelopment, and the issue of where to place sharps containers caused us a few headaches! After exhaustive investigations we found that the Standards Australia HB 260-2003, Hospital acquired infections – Engineering down the risk, provided the information we were looking for. The Standard states… “Optimal placement of sharps bins, especially in areas of public access, includes fixing the container to a wall or trolley with the opening of the container 1.2 metres from floor level”.

I find that the AHFG confuse the issue a little. The height of 900mm shown in the room layout data sheet for the Dirty Utility which is obviously not a public access area. However, when looking at the room layout data sheet for an in-patient room, there is no mention of a sharps container at all.

Within all our newly refurbished and newly constructed areas the height specified (in all areas) to our building contractors is as per the Standards Australia HB 260-3003 1200metres from the floor). I hope this helps.

Kind Regards

Sue Draycott
Infection Control Manager
Redevelopment RHH and CCC Services
Southern Tasmania Area Health Service

Level 9, A Block, Royal Hobart Hospital
Liverpool Street
Hobart, 7000

Hi Kylie
Sharps containers should be fixed at a height between 900mm and 1100mm, as per the Australasian Health Facility Guidelines Standard Components Room Layout Sheets for; Dirty Utility 10m2, Patient Bay – Recovery, Stage 1, and Patient Bay – Resuscitation.
Cheers
Roel

Roel Castillo
Project Officer SSD
[http://26ce8fadfb6948b4a758-9559b8fa969cb9cd67545a880c32734b.r23.cf2.rackcdn.com/LHRPA2.jpg]
Level 5, 119-143 Missenden Road
Camperdown NSW 2050
PO BOX M5 Missenden Road NSW 2050

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UNCLASSIFIED
Good Afternoon,

I was wondering where it is actually written that wall mounted sharps containers should be below eye level and minimum height 1.1m so as out of reach of young children, can anyone advise?

Much appreciated.

Regards,

Kylie Long

Flight Lieutenant
Infection Prevention and Control
Clinical Governance & Projects
Garrison Health Operations Branch
Joint Health Command
Department of Defence

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[Sony SO]

Dear All,

We have classified all medical sharps with activated safety features, e.g. shielded, retracted are clinical waste, and to discard it into sharps box.

Sony SO
Nursing Officer, Infection Control Team
Kwong Wah Hospital
HONG KONG SAR, CHINA
Tel:+ 852 3517-2409 Fax: +852 2332-3348 email:sony@ha.org.hk
Please consider the environment before printing this e-mail

H Fran

I would consider safety devices that have been activated as a sharp, but the actual agreed disposal method should be dependent upon your waste contractor arrangement. If your general waste goes to a landfill that will accept devices that have been rendered safe, and no compacting of the waste could rupture the safety containment device and thus expose the sharp again, then you could dispose of these items in general waste.

My preference from a facility policy level has always been to treat all sharps, even those safely activated and shielded, as sharps waste (or clinical waste as a minimum, as generally clinical waste is not compacted and is all sent for incineration. But your state waste management legislation may allow disposal of safety sharps like the encased lancets as general waste. In Queensland, for example, this is a local government decision for the landfill sites in under their control (or private contractors, for private landfill).

Hope this helps.

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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Hi All,

I just would like to clarify something please, the little retractable lancets (we use to prick the skin for blood when checking blood sugar level) is classified as a sharp. Correct me if I’m wrong, but I’ve always discard them in a sharps container, they didn’t use to be retractable and I’ve come across faulty ones.

I know, something like this should be the obvious, write? This question came about after someone told me that they discard it in a general bin?? (the retractable ones)

Kind Regards

Franciska Ferreira
INFECTION PREVENTION & CONTROL /WOUND MANAGEMENT CONSULTANT
Burnside War Memorial Hospital
120 Kensington Road, Toorak Gardens, SA 5056
t: 08 8202 7222 f: 08 8407 8573 e: fferreira@burnsidehospital.asn.au

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