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Greig Sue

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  • Greig Sue
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    Author:
    Greig Sue

    Email:
    Sue.Greig@SAFETYANDQUALITY.GOV.AU

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    Hi Kathy,
    Just to add to the discussion, attached is an article from the New Zealand Herald this week discussing a hospitals vaccination policy for influenza,

    For your interest.

    Regards,
    Sue

    Sue Greig
    Senior Project Officer
    National HAI Prevention Program
    Usual work days: Monday to Wednesday

    Australian Commission on Safety and Quality in Health Care
    GPO Box 5480 Sydney NSW 2001 | Level 5, 255 Elizabeth Street, Sydney NSW 2000
    ( direct (02) 9126 3565 | ( switchboard (02) 9126 3600 | 6 (02) 9126 3613 |
    Email sue.greig@safetyandquality.gov.au | http://www.safetyandquality.gov.au
    [cid:image002.jpg@01CFF9AA.CCFF1760]Follow us on Twitter @ACSQHC
    [Commission-and-NSQHS-logos]

    HI Kathy,

    Also an interesting piece in Healthcare Infection about this http://www.publish.csiro.au/paper/HI13041.htm and follow up letter to the editor in response to this publication http://www.publish.csiro.au/paper/HI14018.htm
    Very topical.

    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

    Hi Kathy,

    The attached recent publication may be if interest/use (you may have seen it already)

    . Marci Drees et al. Carrots and Sticks: Achieving High Healthcare Personnel Influenza Vaccination Rates without a Mandate. Infect Control Hosp Epidemiol 2015;36(6):717-724

    The authors achieved a 92% vaccination rate compared with vaccination rates of 57%-72% in the 3 years previous without mandating.

    Their strategies included the following:

    . Each of their forms (consent, declination and reason for declination) included a bar code, which was scanned by a newly created web-based application along with the HCP’s identification badge. This automatically updated the vaccination database with vaccinated, exempt or declined status.

    . Every manager and vice president in the system began receiving weekly lists of their employees, notated as vaccinated, not vaccinated, or no response.

    . Managers were required to follow up with employees who had not responded. In addition, managers were aware of which employees had not been vaccinated and, thus, were required to wear masks once the flu season began.

    . Rather than relying on roving vaccinators, meetings, and distribution of vaccine for self-vaccination, the task force decided to adopt a “blitz” campaign during the first 2 weeks of the season. Beginning in early October, vaccination stations were set up across all shifts at entrances to hospitals and other outpatient/ancillary facilities.

    . At each entrance, volunteer “clerks” (who ranged from administrative assistants to leadership personnel) scanned the HCP’s identification badge and the appropriate form (taking ~30 seconds), and then directed him/her to the next available vaccinator (volunteer nurses and pharmacists).

    . After vaccination (or attesting to vaccination elsewhere), staff were given hanging badges, stating “I’m vaccinated because I care.”

    . Wearing the hanging badges was not mandatory, but anyone not wearing an “I’m vaccinated” tag was required to mask while in patient care areas, regardless of their actual vaccination status.

    . ~70% of all employees were vaccinated during the initial “blitz.”

    . The policy used the existing disciplinary process for employees who either did not complete 1 of the 3 forms by November 30 (i.e., the mandatory declination), or who were not vaccinated and repeatedly failed to mask. While the discipline alone did not result in termination, it was considered in performance evaluations and could result in an employee being considered “below standard.” Employees in this status were ineligible for annual raises or any financial incentive.

    Many of these strategies could be readily implement in Australian healthcare facility influenza vaccination programs.

    Regards

    Glenys

    Glenys Harrington
    Consultant
    Infection Control Consultancy (ICC)
    PO Box 5202
    Middle Park
    Victoria, 3206
    Australia
    M: +61 404 816 434
    infexion@ozemail.com.au
    ABN 47533508426

    Hi Kirsten,
    Thanks for your response. Sending a text message is a great idea for contacting the casual and part timers, maybe not only asking for those who have had their jab elsewhere, but to remind them of when clinics are being held. We will definitely add that to our influenza vaccine planning for next year.

    Regards
    Kathy

    Kathy Taylor- Infection Control Manager
    The Wesley Hospital | 451 Coronation Drive, Auchenflower QLD 4066
    t: 07 3232 7558 |m: 0427 607 812 | f: 07 3232 6043 |e: katherine.taylor@uchealth.com.au

    Hi Kathy

    Where I am is small and we have a significant part time/casual workforce. We found that MANY of our staff had been vaccinated elsewhere and weren’t letting us know. We sent out a text message to all our part time and casual nurses asking them to contact me if they had received their flu vax elsewhere. We increased our compliance by over 10%!

    Kirsten Amos
    Nurse Consultant
    Infection Prevention and Control
    Gippsland Southern Health Services

    Thanks Cathy,
    I agree that getting the managers to assist is the way to get buy-in, but I also like your idea of a prize draw – might hit up my exec for something good next year.

    Regards
    Kathy

    Kathy Taylor- Infection Control Manager
    The Wesley Hospital | 451 Coronation Drive, Auchenflower QLD 4066
    t: 07 3232 7558 |m: 0427 607 812 | f: 07 3232 6043 |e: katherine.taylor@uchealth.com.au

    Katherine, we have had a lot of support from the executive team to achieve our current rate of 79%. We have broken down all staff into ward /departments lists and the managers were receiving weekly updates of progress within their department. As the number of vaccinated staff increased we then narrowed it down to those who have not been vaccinated. All unit managers were expected to assist us in ensuring that every staff member has either been vaccinated or has signed the declaration form formally declining the vaccine. We have around 950 staff on 2 sites for purposes of the influenza campaign. We have a major prize draw at the end of the season for staff who have been vaccinated. This has been in place for several years and alone didn’t assist that much in reaching our target. Last year we failed to reach 75% so the strategies this year really worked. It has, of course, come with the expense of great time and effort on the behalf of the infection control staff who are both nurse immunisers.

    Cathy Mowat
    Infection Control
    Central Gippsland Health Service
    Sale Victoria

    Dear AICALIST members,
    From July last year any new starters at our hospital sign that they agree to have the vaccines that are recommended in the Australian Immunisation Handbook for their designation, and now our executive are toying with the idea of making influenza vaccination compulsory for all of our staff next year.

    With a lot of effort this year -lots of flu jab clinics, lollypops & bright stickers for ID swing tags on vaccination, “grab a snag & get a jab” BBQ lunch, free pizza lunch for wards/areas with compliance above 80% – we have a compliance rate of 72% of staff either vaccinated or who have signed an opt-out form declaring that they have been offered the influenza vaccine, but decline for whatever reason. I think this compliance rate is pretty good – certainly better than the compliance in previous years.

    I would like to know what everyone else is doing out there. What has worked and what has not?

    Is influenza vaccination compulsory at your facility? Is it something your exec team is considering?

    What do you consider to be an acceptable vaccination rate in your healthcare facility?

    Is there any penalty for staff who are not vaccinated, e.g. unimmunised staff wearing mask at work during winter?

    Regards
    Kathy

    Kathy Taylor- Infection Control Manager
    The Wesley Hospital | 451 Coronation Drive, Auchenflower QLD 4066
    t: 07 3232 7558 |m: 0427 607 812 | f: 07 3232 6043 |e: katherine.taylor@uchealth.com.au

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    in reply to: Vale Yvonne Cossart #71782
    Greig Sue
    Participant

    Author:
    Greig Sue

    Email:
    Sue.Greig@SAFETYANDQUALITY.GOV.AU

    Organisation:

    State:

    Thanks Cath for the update, it is indeed sad news, I remember well Professor Cossart and her professional generosity in sharing with all her knowledge about ID, Infection prevention and microbiology. In recent years I have seen her regularly and she was well and vital, an avid traveller having completed a trekking holiday to eastern Europe about 12 months ago. I will miss our impromptu meetings and catch-ups and support the suggestion of a ACIPC legacy to this great woman.

    Sue Greig
    Senior Project Officer
    National HAI Prevention Program
    Usual work days: Monday to Wednesday

    Australian Commission on Safety and Quality in Health Care
    GPO Box 5480 Sydney NSW 2001 | Level 5, 255 Elizabeth Street, Sydney NSW 2000
    direct (02) 9126 3565 | switchboard (02) 9126 3600 | (02) 9126 3613 |
    Email sue.greig@safetyandquality.gov.au | http://www.safetyandquality.gov.au
    Follow us on Twitter @ACSQHC

    —–Original Message—–
    From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Cath Murphy
    Sent: Wednesday, 24 December 2014 8:29 AM
    To: AICALIST@AICALIST.ORG.AU
    Subject: Vale Yvonne Cossart [SEC=No Protective Marking]

    ACIPC members and particularly those previous ICA NSW Inc members will be saddened to learn of the passing of Prof. Yvonne Cossart OA on 16/12/14. Prof. Cossart was the initial Patron of ICA NSW and subsequently AICA. Based at the University of Sydney, she was a well-respected contributor to the Australian and international microbiology, infectious diseases and infection control communities.

    Perhaps most memorable were Prof. Cossart’s down to earth presentations provided to Sydney Hospital infection control participants from the late 1980s onwards. Yvonne was incredibly approachable, knowledgeable and innovative. She inspired and mentored several higher degree recipients and early infection control professionals alike. On behalf of many of those original NSW ICPs the majority of whom are now retired, I would like to extend our respect and sympathies to Yvonne’s family and professional colleagues at this sad time. RIP Prof. Cossart, Australian infection prevention is better for having known you and perhaps ACIPC Executive may wish to consider an ongoing tribute to you.

    Dr Cathryn Murphy RN MPH PhD CIC
    Executive Director
    Infection Control Plus Pty Ltd
    Ph: +61 428 154 154
    http://www.infectioncontrolplus.com.au

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