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Thank you to all who replied to my query.
The responses received tell me that some of you are as confused about the
application of droplet and airborne precautions simultaneously and how to
educate HCWs to be consistent and stay safe whilst using appropriate PPE.
Some have addressed the potential confusion by creating new terms for
precautions e.g. ‘respiratory precautions’ to try to clarify requirements
for HCWs where it does not fit with conventional transmission-based
precautions.
I also note there appears to be little consistency across the country at a
facility or jurisdiction level. This must make it difficult for those HCWs
who work in multiple facilities.
The lack of consistent advice between the Australian Guidelines for the
Prevention and Control of Infection in Health care on how to apply standard
plus droplet and airborne precautions and the CDNA SoNG and then how this
is applied by clinicians. Only tonight on the news, I noted several HCWs at
NSW COVID screening/testing centres wearing multiple masks simultaneously.
Where does it say that in the evidence!!
Many of the research evidence including the Lancet review by Chu et al
discusses the benefit of protective eyewear in conjunction with the use of
masks and respirators to protect the eyes, this is not new, it is part of
standard precautions but hasn’t been well applied by HCWs prior to
COVID-19. The research does not seem to clarify why droplet and airborne
precautions are applied together or to what benefit. It makes me wonder if
it is a ‘more must be better’ recommendation.
I guess we continue to problem solve the confusion and go back to first
principles for providing consistent evidence-based advice to health care
workers and try to minimise confusion.
On that note, stay safe and thank you again for your feedback.Kind regards,
Sue
.
Sue Greig RN CICP-E
National Infection Prevention and Control Coordinator
Ramsay Health Care
0407 312 600On Thu, 9 Jul 2020 at 16:39, John Ferguson (Hunter New England LHD) wrote:
> Hi Sue
>
>
>
> Technically, airborne precautions do not include eye protection whereas
> droplet do
>
> And so the need to require all three contact+droplet+airborne for COVID as
> we believe that eye exposure is a significant risk (recent Lancet review by
> Chu et al)
>
> Obviously a p2/n95 respirator or equivalent is required rather than a
> surgical mask when airborne required
>
> A risk managed approach is recommended to decide on whether a gown or
> apron is required
>
>
>
>
>
> Kind regards
>
> John
>
>
>
> *Dr John Ferguson **MBBS DTM&H FRACP FRCPA*
>
> Director, Infection Prevention Service | *Hunter New England Local Health
> District*
>
> John Hunter Hospital, Locked Bag 1, Newcastle Mail Centre, NSW 2310,
> Australia
> T: 61 2 49223725 | M: +61(0)428 885573 (Speed
> Dial 67607) | Tw @mdjkf
>
>
> https://aimed.net.au/2020/03/28/why-are-standard-infection-control-precautions-the-best-bulwark-against-spread-of-covid-19-in-healthcare/
>
> [image: cid:image010.jpg@01D6051B.57135930]
>
>
>
>
>
>
>
>
>
> *From:* ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] *On
> Behalf Of *sue greig
> *Sent:* Wednesday, 8 July 2020 8:49 PM
> *To:* ACIPCLIST@ACIPC.ORG.AU
> *Subject:* [ACIPC_Infexion_Connexion] Precautions for COVID-19 cases
>
>
>
> Dear brains trust,
>
> I am interested in the how ICPs and educators are explaining to HCWs the
> application of standard plus contact plus droplet plus airborne precautions
> as required by CDNA latest SoNG, resources provided by the ACSQHC, and NSW
> Health COVID-19 Policy,
>
> The areas I am interested in particularly are:
>
> 1. The practical application of droplet and airborne precautions
> simultaneously.
> 2. The PPE you are using fo this level of precautions and why
> 3. The environmental and patient placement considerations applied when
> droplet and airborne precautions are applied simultaneously.
>
> Thanks in advance,
>
>
>
> Kind regards,
> Sue
>
>
>
> Sue Greig RN CICP-E
>
> National Infection Prevention and Control Coordinator
>
> Ramsay Health Care
>
> 0407 312 600
>
>
>
>
> —
>
>
>
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Sue GreigI try to maintain a sensible work-life balance. Please note this is a
personal email and I check messages and respond accordingly.CONFIDENTIALITY NOTICE AND DISCLAIMER
The information in this transmission may be confidential and/or protected
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persons to whom it is addressed. If you are not such a person, you are
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unauthorised. If you have received the transmission in error, please
immediately delete it. No liability is accepted for any unauthorised use of
the information contained in this transmission.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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H Lori,
Australian Resuscitation Council have provided guidelines,Kind regards,
SueOn Fri, 3 Apr 2020 at 07:37, Lori McLeod-Mills
wrote:> Dear Colleagues
>
> Can anyone point me in the right direction for guidelines on performing
> CPR on suspected or confirmed COVID-19 patients?
>
> Kind regards
>
> Lori McLeod-Mills
> MHSci(MRS)
> National Quality Governance Officer – IPC
> Healius – Healthcare Imaging Services
> 0414 542 483
>
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>—
Sue GreigI try to maintain a sensible work-life balance. Please note this is a
personal email and I check messages and respond accordingly.CONFIDENTIALITY NOTICE AND DISCLAIMER
The information in this transmission may be confidential and/or protected
by legal professional privilege, and is intended only for the person or
persons to whom it is addressed. If you are not such a person, you are
warned that any disclosure, copying or dissemination of the information is
unauthorised. If you have received the transmission in error, please
immediately delete it. No liability is accepted for any unauthorised use of
the information contained in this transmission.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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Hi Jenny,
Check out the GESA link to information provided.Kind regards
SueSue Greig
ACIPC Life Member
Ramsay Health Care
Macquarie Park, NSWphone: 0407 312 600
On Fri, 3 Apr 2020 at 10:44, Jenny McCarthy wrote:
> Hi I was wondering if anyone can help me with the latest advice on using
> a P2 mask during a gastroscopy (AGP) when the patient is neither COVID 19
> positive or suspected.
> I know some advice is to wear one but the latest advice from the College
> of Anaesthetists is it is only required if the patient is a known or
> suspected COVID 19 patient. During this time of mask shortage I would
> appreciate some direction from the experts!
> Thanks
> Jenny
>
>
>
> *Jenny McCarthy* | Infection Prevention and Control Coordinator
>
> *Maryvale Private Hospital *286 Maryvale Rd, Morwell VIC 3840
> P.O. Box 348, Morwell, VIC, 3840
> *t* +61 (0)3 5132 1235 *f* +61 (0)3 5133 9505
> *e **jenny@maryvaleph.com.au*
>
>
>
> Maryvale Private Hospital acknowledges the traditional owners of country,
> the Gunaikurnai nation, and recognises their continuing connection to land,
> waters and culture.
> We pay our respects to their Elders past, present and emerging.
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>—
Sue GreigI try to maintain a sensible work-life balance. Please note this is a
personal email and I check messages and respond accordingly.CONFIDENTIALITY NOTICE AND DISCLAIMER
The information in this transmission may be confidential and/or protected
by legal professional privilege, and is intended only for the person or
persons to whom it is addressed. If you are not such a person, you are
warned that any disclosure, copying or dissemination of the information is
unauthorised. If you have received the transmission in error, please
immediately delete it. No liability is accepted for any unauthorised use of
the information contained in this transmission.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.
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Hi Helen,
You should refer to AS 4123.7-2006 Rec:2017 * Mobile Waste Containers
colours, markings and designation requirements *for information on colours
of bins.Hope this helps,
Kind regards,
SueSue Greig
National IPC Co-ordiantor
Ramsay Health Care0407 312 600
On Thu, 12 Dec 2019 at 10:50, Helen Scott
wrote:> Hi all,
>
>
>
> Has anyone got a poster with a picture of the coloured bins we use for
> waste segregation and what we should out in them?
>
> And, has anyone got any evidence either for or against using reverse
> barrier nursing for neutropenic patients, especially high risk e.g. stem
> cell transplants etc.
>
>
>
> Many thanks,
>
> Helen.
>
>
>
> *Helen Scott CICP-P*
>
> *A/Clinical Nurse Consultant Infection Prevention & Control*
>
> Clinical Governance Unit Far West LHD
>
> Broken Hill Health Service, Thomas Street
>
> Broken Hill, NSW, 2880
> Tel (08) 8080 1331 | Mob 0427 671 755 | Email *helen.scott1@health.nsw.gov.au
> *
>
>
>
> [image: Far West Health Jobs] [image: pic]
>
>
>
>
> This message is intended for the addressee named and may contain
> confidential information. If you are not the intended recipient, please
> delete it and notify the sender.
>
> Views expressed in this message are those of the individual sender, and
> are not necessarily the views of NSW Health or any of its entities.
> 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
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>—
Sue GreigI try to maintain a sensible work-life balance. Please note this is a
personal email and I check messages and respond accordingly.CONFIDENTIALITY NOTICE AND DISCLAIMER
The information in this transmission may be confidential and/or protected
by legal professional privilege, and is intended only for the person or
persons to whom it is addressed. If you are not such a person, you are
warned that any disclosure, copying or dissemination of the information is
unauthorised. If you have received the transmission in error, please
immediately delete it. No liability is accepted for any unauthorised use of
the information contained in this transmission.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.
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Sorry to hear about Beth’s recent passing. She will be missed by all her
family, friends as well as the infection prevention and control community.Regards
SueSue Greig
Education and Professional Development Coordinator
ACIPCOn Mon., 21 Jan. 2019, 16:48 Jayne OConnor So sad to hear of Beths passing, Ill remember her as a very bubbly
> friendly person who was very knowledgeable and committed to her work.
>
> May she rest in peace.
>
> Jayne
>
>
>
> *Jayne O’Connor RN ,BSc.,Inf.Cont*
>
> *IPC Co-Ordinator*
>
> *Sydney Adventist Hospital* | 185 Fox Valley Road, Wahroonga, NSW 2076
>
>
>
> *p:* +61 2 9487 9732 *| f:* +61 2 9473 8052 *| m:* +61 0406 752685 *|
> e: *jayne.oconnor@sah.org.au
>
> *www.sah.org.au*
>
>
>
> [image: SAH_EntitySignature2017]
>
>
>
>
>
> *From:* ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] *On
> Behalf Of *Michael Wishart
> *Sent:* Monday, 21 January 2019 3:21 PM
> *To:* ACIPCLIST@ACIPC.ORG.AU
> *Subject:* FW: Vale Beth Bint Infection Prevention and Control CNC
>
>
>
> [Forwarded on behalf of Joanna Harris Moderator]
>
>
>
> Dear valued colleagues and friends,
>
> It is with great sadness that I write to tell you that Beth Bint, who
> many of you will remember with fondness as she never failed to make an
> impression, has passed away this morning. Beth was diagnosed with leukaemia
> last July, and sadly her condition did not respond to treatment.
>
> Beth passed away peacefully at home, with her family and her closest
> friend at her side.
>
> Beth had worked in the field of infection prevention and control for many
> years, starting her journey in the field when she nursed HIV patients in
> the 1980s. Originally from the Newcastle area, this is where she began work
> as an infection prevention and control nurse. After a short time working
> with the Department of Health in South Australia, she returned to NSW to
> take up the position of Clinical Nurse Consultant with the Infection
> Management and Control Service (IMACS) in the Illawarra Shoalhaven Local
> Health District, based at Wollongong Hospital.
>
> Starting with us in June 2009, she had a baptism of fire as the H1N1
> influenza arrived at the same time. Beth took this in her stride, and over
> the ensuing years her influence on the work of IMACS can be easily
> identified. She had a very strong belief in the importance of putting the
> patient at the centre of our work, rather than the pathogen. Beth also used
> her extensive knowledge and skills in contributing to statewide policies
> and guidelines including the NSW Health Infection Prevention and Control
> policy and the Australasian Health Service Facility Guidelines.
>
> One of the highlights of Beths recent career was winning the scientific
> panels award for best poster at the ACIPC conference in 2016.
>
>
> We wish Beths family and the many friends and colleagues that she touched
> on a personal and a professional level, our very best thoughts at this sad
> time.
>
>
>
> With my very best wishes to you all
>
>
> *Joanna Harris*
>
> *Nurse Manager, ISLHD Infection Management and Control Service (IMACS)*
>
> Telephone – *mobile* 0475 943494 / *Wollongong office* 4222 5898 / *Warrawong
> office* 4221 6820
>
> Joanna.Harris@health.nsw.gov.au
>
> http://www.health.nsw.gov.au
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
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