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Hi Jude,
This is a controversial Q. Cutting a line to reduce volume for disposal is not recommended for two reasons (i) most jurisdictions require sharps to be disposed of immediately after use and without manipulation, and in addition, (ii) you are using a sharp to cut a line of a sharp.
I recommend that where lines are being disposed, always ensure you use an SC with a large vestibule to make disposal of the line easier.Kind regards, Terry
Terry Grimmond FASM, BAgrSc, GrDpAdEd
Consultant Microbiologist
Grimmond and Associates
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Mob (NZ): +64 274 365 140
E: terry@terrygrimmond.com
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W: http://terrygrimmond.com
[cid:image003.gif@01D7A4EB.2E68AA00]Hi Folks
A quick question. Our current policy on safe handling and disposal of sharps states “…All intravenous therapy lines should be disposed of in a rigid sharps bin, spikes are not to be cut off…”. I’m getting push back from some staff who feel the line should be able to be cut so only the chamber and spike gets discarded in the rigid sharps container. What does your policy recommend?Cheers
Jude Searles RN
Infection Prevention & Control
Co-ordinator Undergraduate Education
Dialysis Clinical Lead
Cohuna District Hospital
Committed to Excellence in Rural Healthcare
148-155 King George Street, Cohuna, Victoria, 3568
T: Wk: (03) 54565300, Mob: +61409235654, Fax: (03) 5456 2627
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Hi David,
From your posting it appears you are seeking evidence for the need for observers. Its not easy to find controlled studies. When I spent time in Sierra Leone in 2015 Ebola outbreak Observers were essential. HCP would often come out exhausted and dehydrated and literally not be able to think and occasionally collapse. The observer didnt just watch they verbally instructed the HCP through every step.
Try these
https://www.epworth.org.au/newsroom/spotters—your-second-set-of-eyes
https://www.cdc.gov/vhf/ebola/hcp/ppe-training/trained-observer/observer_01.html
Picard etal https://www.sciencedirect.com/science/article/pii/S0196655321001218
https://sharedhealthmb.ca/files/covid-19-ppe-observer-reference.pdf
https://scholar.google.com/scholar?hlen&as_sdt0%2C5&qPPE+doffing+-+are+observers+necessary%3F&btnG
Regards, Terry
Terry Grimmond FASM, BAgrSc, GrDpAdEd
Consultant Microbiologist
Grimmond and Associates
[cid:image001.jpg@01D73507.5BEAD9C0]
Ph (NZ): +64 7 855 3212
Mob (NZ): +64 274 365 140
E: terry@terrygrimmond.com
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“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.”Hi David,
Micheal posted an article around dofficers and the value of that role last week on this group**Please note my hours of work are: Mon 0730-1600 Tues-Fri 0730-1400**
Sandi Gamon I CNS & Quality Improvement Lead IPC
Infection Prevention & Control I Waitemat DHB
p: 45760 I m: 021828047
http://www.waitematadhb.govt.nz[WaitemataDHBlogomacronsmall][email_sig_picture]
Hi all,
I am trying to pick you brains regarding obtaining evidence for having spotters/dofficers/trained observers during the donning and doffing process.
I am gathering relevant literature in any shapes or forms for my assessment/project. I have tried several databases but not getting much luck.
Any help would be greatly appreciated!
Kind regards.
David Changmin Ahn, RN, BN, GradCert. CritCare (Intensive Care Nursing), Cert IV T&A (David)
E changmin.ahn@health.qld.gov.au
INFECTION CONTROL TRAINEE
P 07 5687 6054 |
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Hi Helen,
There is clear guidance from WHO
,
CDCand UK PHE
that COVID-19 clinical waste is no different from any other clinical waste,
i.e. single bag. The decision as to *what* is categorized as CW would be
determined by state and institutional CW policies.Interestingly, I asked the same Q of APIC colleagues *(Do you discard
ALL COVID-19 PPE as CW or Only if BBF soiled)*, and of 20 replies to
date, 10 were ALL and 10 were if soiled and I suspect these refelected
their routine state/institutional protocols for CW.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
[image: Twitter_logo_blue]: https://twitter.com/terrygrimmond
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reminded that any dissemination, distribution or copying of this email or
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notify me immediately by return email or telephone and destroy the original
message. Thank you.”*From:* ACIPC Infexion Connexion *On Behalf Of *Helen
Roberts
*Sent:* Monday, April 20, 2020 12:53 PM
*To:* ACIPCLIST@ACIPC.ORG.AU
*Subject:* [ACIPC_Infexion_Connexion] COVID19 removal of wasteMorning,
I have read so much information in regards to coronavirus but I am not
sure if I have seen anything in regards of waste.Does the PPE need to be double bag or can it be single bag? clinical
waste or general waste?Thanks in advance
Helen
*Helen Roberts***
*Infection Control*
*P: *
*07 4646 3106*
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*F: *
*07 4633 7602*
*E: *
*robertsh@sath.org.au*
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*Post: *
PO Box 263, Toowoomba, QLD 4350
*Address: *
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Hi Janine,
All the following advise single bag handle as routine clinical waste
UK PHE
https://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-controlRegards, Terry
Terry Grimmond FASM, BAgrSc, GrDpAdEd
Consultant Microbiologist
Grimmond and Associates
Ph (NZ): +64 7 855 3212
Mob (NZ): +64 274 365 140
[image: Twitter_logo_blue]: https://twitter.com/terrygrimmond
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“This email (including any attachments) is intended only for the use of
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reminded that any dissemination, distribution or copying of this email or
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notify me immediately by return email or telephone and destroy the original
message. Thank you.”*From:* ACIPC Infexion Connexion *On Behalf Of *Janine
Egart
*Sent:* Tuesday, March 31, 2020 2:47 PM
*To:* ACIPCLIST@ACIPC.ORG.AU
*Subject:* [ACIPC_Infexion_Connexion] Waste Management – COVID -19Good Morning,
Can anyone advise if you are double bagging clinical waste for known or
suspected COVID-19 patients?I thought that I had seen it written somewhere in the early part but now
the guidelines are stating normally process for clinical waste which would
be one bag.Any comments would be gratefully received.
Regards
*Janine Egart*
*Clinical Nurse Consultant*
Infection Prevention & Control
*p: *07 46166206 | m: 0400704118
*a:* Level 2 Cossart House, Toowoomba Hospital
*e:* janine.egart@health.qld.gov.au | *w: *Darling Downs Health[image: Darling Downs Health]
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Hi Fiona,
I worked in Sierra Leone during Ebola crisis and I can confirm spraying
disinfectant onto a HCP prior to doffing is NOT recommended. In fact we had
several instances of permanent eye damage to HCP because of the practice.
Neither WHOnor CDC
recommend spraying. The emphasis is on careful (slow) and methodical
removal so as not to self-contaminate.PS. For the Airborne discussionCDC just released new IPC Guide (Mar10)
airborne now only for risk-procedures (same as WHO).
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
[image: Twitter_logo_blue]: https://twitter.com/terrygrimmond
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“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 *On Behalf Of *De
Sousa, Fiona M
*Sent:* Wednesday, March 11, 2020 9:26 PM
*To:* ACIPCLIST@ACIPC.ORG.AU
*Subject:* [ACIPC_Infexion_Connexion] Decontamination of PPE prior to
DoffingHi Brains Trust,
Borrowing for previous world experience with Ebola, I have been asked to
provide details of a product that can be sprayed onto staff to
decontaminate them prior to doffing their PPE to reduce potential exposure.The clinical scenario put to me was the ICU setting with intubation of a
heavily coughing / expectorating patient, with this leading to heavy
contamination of PPE. It was proposed that for safety of the staff member
a decontamination spray be used prior to doffing.I would appreciate advice from colleagues regarding both the suitability of
this type of decontamination and what sort of situation this would be
undertaken in. Also if you are able to provide advice on a specific
product you have experience with I would appreciate an off-list email.Kind regards,
*Fiona De Sousa CICP-E| *Nurse Manager *|* Infection Prevention & Control
UnitLaunceston General Hospital, Level 2, Launceston TAS 7250
phone: 6777 6715 *| mobile: *0408 487 197 *| *fax: 6777 5170 *|* email:
fiona.de.sousa@ths.tas.gov.au *|*intranet: http://www.dhhs.tas.gov.au/intranet/thon/infection_control
IPCU * By working together we promote a culture of safety to reduce
preventable infections and transmission of multi-resistant organisms*——————————
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Hi Fiona,
Ive seen no data or guidance on capping draw-ups to prevent
aerosolization. However, it is my recommendation that the *NEVER cap a
needle* policy be applied universally. Otherwise staff get impression
Its OK to recap *some* needles.My Australian sharps-container audit studies in 2012/13 showed 31% of
standard needles or syringe-needles were capped (hopefully this has
decreased), and the 2017 & 2018 EPINet studies in USA showed 2-3% of all
sharps injuries occurred during recapping.Such a simple work-practice rule to *NEVER cap a needle* is still not
universally applied and should be.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
[image: Twitter_logo_blue]: https://twitter.com/terrygrimmond
“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 *On Behalf Of *De
Sousa, Fiona M
*Sent:* Wednesday, October 2, 2019 7:29 PM
*To:* ACIPCLIST@ACIPC.ORG.AU
*Subject:* [ACIPC_Infexion_Connexion] FW: Sharps Safety and Recapping
Drawing up NeedlesHi All,
We are currently having discussions about how to safely draw up medications
and whether it is suitable to recap a blunt fill drawing up needle to expel
air from a syringe.One side of the argument is that the blunt fill is recapped so that when
air is expelled the contents are not aerosolised. The other side is that a
needle (blunt or otherwise) should never be recapped.I would be interested to know other peoples thoughts and what evidence if
any you have for this.Kind regards,
*Fiona De Sousa CICP-E| *Nurse Manager *|* Infection Prevention & Control
UnitLaunceston General Hospital, Level 2, Launceston TAS 7250
phone: 6777 6715 *| mobile: *0408 487 197 *| *fax: 6777 5170 *|* email:
fiona.de.sousa@ths.tas.gov.au *|*intranet: http://www.dhhs.tas.gov.au/intranet/thon/infection_control
IPCU * By working together we promote a culture of safety to reduce
preventable infections and transmission of multi-resistant organisms*——————————
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
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(without the quotes) to listserv@aicalist.org.auMESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
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Australian standards become mandatory when incorporated into state
legislature, or when a Request For Tender (RFP) from an institution or
state dept, or a state government guideline, requires that a product or
protocol must adhere to ASXXXX.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
[image: Twitter_logo_blue]: https://twitter.com/terrygrimmond
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“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 *On Behalf Of *
marjenes@OPTUSNET.COM.AU
*Sent:* Saturday, March 30, 2019 4:53 PM
*To:* ACIPCLIST@ACIPC.ORG.AU
*Subject:* Re: [ACIPC_Infexion_Connexion] Clinical WasteDear Terry many thanks for that clarification. Can you advise when this may
occur? I note you say can become mandatoryRegards,
Margaret Jennings
Marjen Education Serviceswebsite. http://www.marjenes.com.au
email. marjenes@optusnet.com.aumob. 0404 088 754
fax. 03 9439 2436*From:* ACIPC Infexion Connexion *On Behalf Of *Terry
Grimmond
*Sent:* Thursday, 28 March 2019 7:03 PM
*To:* ACIPCLIST@ACIPC.ORG.AU
*Subject:* Re: [ACIPC_Infexion_Connexion] Clinical WasteHi Michael, you are correct, the recently updated and published Australian
CW Standard AS 3816:2018 is voluntary, i.e. not legally binding unless it
has been incorporated into a states legislation.The AS website at
https://www.standards.org.au/standards-development/what-is-standard states:*On their own, standards are voluntary. There is no requirement for the
public to comply with standards. However, State and Commonwealth
governments often refer to Australian Standards (AS) or joint
Australian/New Zealand Standards (AS/NZS) in their legislation.*
*When this happens, these standards can become mandatory.*Best regards, Terry
Terry Grimmond FASM, BAgrSc, GrDpAdEd
Consultant Microbiologist
Grimmond and Associates
[image: cid:image001.jpg@01D4E5A8.6B909190]
Ph (NZ): +64 7 855 3212
Mob (NZ): +64 274 365 140
[image: Twitter_logo_blue]: https://twitter.com/terrygrimmond
[image: cid:image011.gif@01D3DD18.CB4D22E0]
“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 *On Behalf
Of *Michael
Wishart
*Sent:* Thursday, March 28, 2019 6:30 PM
*To:* ACIPCLIST@ACIPC.ORG.AU
*Subject:* Re: [ACIPC_Infexion_Connexion] Clinical WasteThanks Margaret
My meagre legal knowledge tells me that is a state has an Environmental
Protection Act or equivalent with a definition of clinical waste, this will
take precedence over an Australian Standard, until the Act is repealed or
altered. Best advice would be to check with your state statutory authority.Cheers
Michael
*Michael Wishart *| Infection Control Coordinator, CICP-E
St Vincents Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
*T *+61 7 3326 3068 |* F* +61 7 3607 2226
*E* michael.wishart@svha.org.au |
*W *https://www.svphn.org.au
[image: cid:image001.jpg@01D46C86.4CDB6090]
[image: 2019 conference email signature]
*From:* ACIPC Infexion Connexion *On Behalf Of *
marjenes@OPTUSNET.COM.AU
*Sent:* Thursday, 28 March 2019 3:22 PM
*To:* ACIPCLIST@ACIPC.ORG.AU
*Subject:* Re: Clinical WasteHi Michael ASA 3816 brings states into line but if current state
definition is more onerous than AS then go with state. Vic EPA will prob be
reviewing theirs I understandRegards,
Margaret Jennings
Marjen Education Serviceswebsite. http://www.marjenes.com.au
email. marjenes@optusnet.com.au
mob. 0404 088 754
fax. 03 9439 2436*From:* ACIPC Infexion Connexion *On Behalf
Of *Michael
Wishart
*Sent:* Thursday, 28 March 2019 2:58 PM
*To:* ACIPCLIST@ACIPC.ORG.AU
*Subject:* Re: [ACIPC_Infexion_Connexion] Clinical WasteHi Lynne
Definitely a state-by-state answer for this!
Check out:
https://www.health.nsw.gov.au/environment/clinicalwaste/Pages/default.aspxfor definition.
Cheers
Michael
*Michael Wishart *| Infection Control Coordinator, CICP-E
St Vincents Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
*T *+61 7 3326 3068 |* F* +61 7 3607 2226
*E* michael.wishart@svha.org.au |
*W *https://www.svphn.org.au
[image: cid:image001.jpg@01D46C86.4CDB6090]
[image: 2019 conference email signature]
*From:* ACIPC Infexion Connexion *On Behalf Of *Lynne
Howell
*Sent:* Thursday, 28 March 2019 11:44 AM
*To:* ACIPCLIST@ACIPC.ORG.AU
*Subject:* Clinical WasteHi all
Does anyone know where or have any good posters on what constitutes
Clinical WasteRegards,
*Lynne Howell*
*Working Tuesday, Wednesday & Thursdays*
Infection Prevention Specialist|
*Queanbeyan Health Service*Corner Collett and Erin Streets QUEANBEYAN 2620
Tel. (02) 61507230 | Fax. | Mob. | Email. Lynne.Howell@health.nsw.gov.au
http://www.snswlhd.health.nsw.gov.au/[image:
cid:image001.gif@01D4E563.EB0D56F0]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.______________________________________________________________________
This email and any attachments to it (the “Email”) is confidential and is
for the use only of the intended recipient, and may not be duplicated or
used by any other party without the express consent of the sender. If you
are not the intended recipient of the Email, please notify the sender
immediately by return
https://clicktime.symantec.com/33rBzqbhAwgPJzMfRw9vwBn7Vc?uemail%2C%20delete%20the%20Email%2C%20and%20do
not copy, print, retransmit, store or act in reliance on the Email. St
Vincent’s Health Australia (“SVHA”) does not guarantee that the Email is
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related entities may be scanned and filtered in locations outside Australia.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
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(without the quotes) to listserv@aicalist.org.au______________________________________________________________________
This email and any attachments to it (the “Email”) is confidential and is
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are not the intended recipient of the Email, please notify the sender
immediately by return email, delete the Email, and do not copy, print,
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Australia (“SVHA”) does not guarantee that the Email is free from errors,
viruses or interference. Emails to and from SVHA or its related entities
may be scanned and filtered in locations outside Australia.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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(without the quotes) to listserv@aicalist.org.au[image: Image removed by sender.]
Virus-free. http://www.avg.com
______________________________________________________________________
This email and any attachments to it (the “Email”) is confidential and is
for the use only of the intended recipient, and may not be duplicated or
used by any other party without the express consent of the sender. If you
are not the intended recipient of the Email, please notify the sender
immediately by returnhttps://
clicktime.symantec.com/3JjCiVpHQS8U25Z9SzCdZWT7Vc?uemail%2C%20delete%20the%20Email%2C%20and%20do
not copy, print, retransmit, store or act in reliance on the Email. St
Vincent’s Health Australia (“SVHA”) does not guarantee that the Email is
free from errors, viruses or interference. Emails to and from SVHA or its
related entities may be scanned and filtered in locations outside Australia.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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immediately by return email, delete the Email, and do not copy, print,
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may be scanned and filtered in locations outside Australia.MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO
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(without the quotes) to listserv@aicalist.org.auMESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO
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(without the quotes) to listserv@aicalist.org.auMESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO
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Hi Michael, you are correct, the recently updated and published Australian
CW Standard AS 3816:2018 is voluntary, i.e. not legally binding unless it
has been incorporated into a states legislation.The AS website at
https://www.standards.org.au/standards-development/what-is-standard states:*On their own, standards are voluntary. There is no requirement for the
public to comply with standards. However, State and Commonwealth
governments often refer to Australian Standards (AS) or joint
Australian/New Zealand Standards (AS/NZS) in their legislation.*
*When this happens, these standards can become mandatory.*Best regards, Terry
Terry Grimmond FASM, BAgrSc, GrDpAdEd
Consultant Microbiologist
Grimmond and Associates
[image: cid:image001.jpg@01D4E5A8.6B909190]
Ph (NZ): +64 7 855 3212
Mob (NZ): +64 274 365 140
[image: Twitter_logo_blue]: https://twitter.com/terrygrimmond
[image: cid:image011.gif@01D3DD18.CB4D22E0]
“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 *On Behalf
Of *Michael
Wishart
*Sent:* Thursday, March 28, 2019 6:30 PM
*To:* ACIPCLIST@ACIPC.ORG.AU
*Subject:* Re: [ACIPC_Infexion_Connexion] Clinical WasteThanks Margaret
My meagre legal knowledge tells me that is a state has an Environmental
Protection Act or equivalent with a definition of clinical waste, this will
take precedence over an Australian Standard, until the Act is repealed or
altered. Best advice would be to check with your state statutory authority.Cheers
Michael
*Michael Wishart *| Infection Control Coordinator, CICP-E
St Vincents Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
*T *+61 7 3326 3068 |* F* +61 7 3607 2226
*E* michael.wishart@svha.org.au |
*W *https://www.svphn.org.au
[image: cid:image001.jpg@01D46C86.4CDB6090]
[image: 2019 conference email signature]
*From:* ACIPC Infexion Connexion *On Behalf Of *
marjenes@OPTUSNET.COM.AU
*Sent:* Thursday, 28 March 2019 3:22 PM
*To:* ACIPCLIST@ACIPC.ORG.AU
*Subject:* Re: Clinical WasteHi Michael ASA 3816 brings states into line but if current state
definition is more onerous than AS then go with state. Vic EPA will prob be
reviewing theirs I understandRegards,
Margaret Jennings
Marjen Education Serviceswebsite. http://www.marjenes.com.au
email. marjenes@optusnet.com.au
mob. 0404 088 754
fax. 03 9439 2436*From:* ACIPC Infexion Connexion *On Behalf
Of *Michael
Wishart
*Sent:* Thursday, 28 March 2019 2:58 PM
*To:* ACIPCLIST@ACIPC.ORG.AU
*Subject:* Re: [ACIPC_Infexion_Connexion] Clinical WasteHi Lynne
Definitely a state-by-state answer for this!
Check out:
https://www.health.nsw.gov.au/environment/clinicalwaste/Pages/default.aspxfor definition.
Cheers
Michael
*Michael Wishart *| Infection Control Coordinator, CICP-E
St Vincents Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
*T *+61 7 3326 3068 |* F* +61 7 3607 2226
*E* michael.wishart@svha.org.au |
*W *https://www.svphn.org.au
[image: cid:image001.jpg@01D46C86.4CDB6090]
[image: 2019 conference email signature]
*From:* ACIPC Infexion Connexion *On Behalf Of *Lynne
Howell
*Sent:* Thursday, 28 March 2019 11:44 AM
*To:* ACIPCLIST@ACIPC.ORG.AU
*Subject:* Clinical WasteHi all
Does anyone know where or have any good posters on what constitutes
Clinical WasteRegards,
*Lynne Howell*
*Working Tuesday, Wednesday & Thursdays*
Infection Prevention Specialist|
*Queanbeyan Health Service*Corner Collett and Erin Streets QUEANBEYAN 2620
Tel. (02) 61507230 | Fax. | Mob. | Email. Lynne.Howell@health.nsw.gov.au
http://www.snswlhd.health.nsw.gov.au/[image:
cid:image001.gif@01D4E563.EB0D56F0]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.______________________________________________________________________
This email and any attachments to it (the “Email”) is confidential and is
for the use only of the intended recipient, and may not be duplicated or
used by any other party without the express consent of the sender. If you
are not the intended recipient of the Email, please notify the sender
immediately by return
https://clicktime.symantec.com/33rBzqbhAwgPJzMfRw9vwBn7Vc?uemail%2C%20delete%20the%20Email%2C%20and%20do
not copy, print, retransmit, store or act in reliance on the Email. St
Vincent’s Health Australia (“SVHA”) does not guarantee that the Email is
free from errors, viruses or interference. Emails to and from SVHA or its
related entities may be scanned and filtered in locations outside Australia.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
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are not the intended recipient of the Email, please notify the sender
immediately by return email, delete the Email, and do not copy, print,
retransmit, store or act in reliance on the Email. St Vincent’s Health
Australia (“SVHA”) does not guarantee that the Email is free from errors,
viruses or interference. Emails to and from SVHA or its related entities
may be scanned and filtered in locations outside Australia.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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(without the quotes) to listserv@aicalist.org.au[image: Image removed by sender.]
Virus-free. http://www.avg.com
______________________________________________________________________
This email and any attachments to it (the “Email”) is confidential and is
for the use only of the intended recipient, and may not be duplicated or
used by any other party without the express consent of the sender. If you
are not the intended recipient of the Email, please notify the sender
immediately by returnhttps://
clicktime.symantec.com/3JjCiVpHQS8U25Z9SzCdZWT7Vc?uemail%2C%20delete%20the%20Email%2C%20and%20do
not copy, print, retransmit, store or act in reliance on the Email. St
Vincent’s Health Australia (“SVHA”) does not guarantee that the Email is
free from errors, viruses or interference. Emails to and from SVHA or its
related entities may be scanned and filtered in locations outside Australia.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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(without the quotes) to listserv@aicalist.org.au______________________________________________________________________
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are not the intended recipient of the Email, please notify the sender
immediately by return email, delete the Email, and do not copy, print,
retransmit, store or act in reliance on the Email. St Vincent’s Health
Australia (“SVHA”) does not guarantee that the Email is free from errors,
viruses or interference. Emails to and from SVHA or its related entities
may be scanned and filtered in locations outside Australia.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
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Hi Donna,
Thank you for giving us your valuable community perspective. Many of the
HAI issues you raise in Community-based health delivery are equally
applicable to sharps injuries. Uncontrolled environments, reduced access to
safety engineered devices and training, less follow-up on incidents.
Although there are more IPC in hospitals, more than 50% of HCW work in the
non-hospital setting.Best regards, Terry
Terry Grimmond FASM, BAgrSc, GrDpAdEd
Consultant Microbiologist
Grimmond and Associates
[image: cid:image009.jpg@01D3DD18.CB4D22E0]
Ph (NZ): +64 7 855 3212
Mob (NZ): +64 274 365 140
[image: Twitter_logo_blue]: @terrygrimmond
[image: cid:image011.gif@01D3DD18.CB4D22E0]
“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 *On Behalf
Of *Donna
Schmidt
*Sent:* Monday, May 7, 2018 3:26 PM
*To:* AICALIST@AICALIST.ORG.AU
*Subject:* Re: Good Intentions Does not Always Mean Good PolicyHello this is just a general comment about the topic from a community
health perspectiveI consider myself lucky because I get to focus my attentions on the
community setting in my district. I have found that it has provided a
generally less experienced perspective on infection prevention and
control.In my experience, health departments continue to focus their monitoring on
the hospital setting, even though many of those infections have been
acquired in the community. Health information including journals,
education, policies, procedures and conferences continue to predominantly
focus on what happens in hospitals. Even the demographics of Infection
Control Professionals indicate that the majority are based in hospitals.
Sure, many may also be required to manage the community, but this is not
their primary focus.Community nursing services commonly rely on hospital and private-based
medical governance, with no more direct access to specialist teams than a
GP. So when a patients condition becomes too complex, they have to be
referred back to the ED. There are community health speech pathologists,
OTs and physios that the community nursing service cant refer to because
the system doesnt work that way.We change at least as many IDCs and SPCs as hospitals and yet the CAUTi
project is not community focussed. I cant submit occupational exposure
data because I am not from a hospital. I regularly push for community to
be included in district policies. Sometimes it works and sometimes it
doesnt.Yes, hospitals are acute care facilities where patients are at a high risk
of mortality and mobility. However, in the community we are seeing more
and more patients with serious medical, surgical and oncological
conditions, many of which have an indwelling device of some sort. We also
see patients with MROs in clinics that vulnerable patients also attend.
Yet, health departments dont include comparable data for HAIs acquired
during community-based health care. Even education resources remain
predominantly hospital based e.g. HETI and hand hygiene.Im not saying managing HAIs in the community setting is easy. In fact WA
tried this with MRSA and it was resource intensive. But there are some
things that could be done, if we at least took time to investigate options.
Any results would then filter into hospitals and make their job a little
easier. Yet there is no general support to move in this direction.So this leads me to agree that although governing bodies may have good
intentions, theyre actions arent always be best for all concerned.Kind Regards,
*Donna Schmidt*
Clinical Nurse Consultant Infection Control – Primary & Community HealthRosemeadow Community Health Centre
5 Thomas Rose Drive, Rosemeadow, NSW, 2560
Tel (02) 4633 4113 | Fax (02) 4633 4111 | Mob 0438 925 816donnamarie.schmidt@health.nsw.gov.au
*This message may contain confidential information and *
*is intended only for the individual’s named. If you are not *
*the intended recipient, please delete it and notify the sender *
*immediately.*
[image: cid:image004.jpg@01D2A16E.34EC46A0]
*From:* ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU
] *On Behalf Of *Michael Wishart
*Sent:* Monday, 7 May 2018 11:42 AM
*To:* AICALIST@AICALIST.ORG.AU
*Subject:* Good Intentions Does not Always Mean Good PolicyThis is an interesting opinion piece. How many of our policies and
practices are driven by science, and how many by political pressure?Cheers
Michael
Michael Wishart
Infection Control Coordinator
Holy Spirit Northside Private Hospital
ph: 07 3326 3068 Email: michael.wishart@svha.org.au
*Controversies in Hospital Infection Prevention*
Good Intentions Does not Always Mean Good Policy
How often do negative studies influence our behavior, or better yet our
policies? For those of you that are familiar with the work I have
published, you know that I published a lot of material focused on MRSA;
emerging resistance, community-emergence, burden of disease, attributable
cost, risk factors, and on. I was in a position at CDC to access and
synthesize a lot of data, with a goal of putting the problem in perspective
and ideally affect policy. Well intended as it was, I remember very clearly
in mid-2007 when policy got way ahead of the science. Two independent (but
related) events occurred on October 16-17, 2007 that led to several years
of a watershed of policy developments. Although I give a huge amount of
credit to the very passionate and important patient advocates and consumers
that built momentum for the policies but with hindsight the policy
inertia was really overcome when a senior student atStaunton River High Schoo
l died on October 16 from MRSA sepsisMRSA he acquired in the community.
The press linked that death to Dr. Elizabeth Bancroftseditorial
that same week stating more people die of
MRSA
in the U.S. than of AIDS published on October 17. Many of us see much of
the public reporting and mandatory reporting policies have opened up real
pathways for additional hospital resources to invest in HAI prevention.
However all of us should recognize some policies of that era are likely in
place that really should be re-examined.One of these is the Illinois
210 ILCS 83/ legislation
requiring all patients admitted to intensive care units be screened for
MRSA by nasal active surveillance testing (AST). Lin and colleges just
published a negative study with a lot of important findings. To many, the
findings will not be a surprise(CID May 15 2018, pp 1535-1539)
Lin worked with 51 intensive care units at 25 hospitals over 5 years
starting within months of enactment of this mandate to evaluate any changes
in ICU MRSA prevalence through periodic point prevalence surveys performed
by trained study staff during the time of this mandate. The study was a
quasi-experimental time series evaluation but without a real before
observation group and no control group. However, I believe that any impact
would have been additive over time the first year would have been a sort
of wash in period for an intervention as broad in participation as this.
They sampled 3909 patients having the power to even detect an absolute
difference in carriage as small as a 1.9% change in prevalence (eg, 10% vs
8.1%)*but they detected none*
. No change in prevalence of MRSA on these patients.
Compliance was high overall (93%), admission prevalence was comparable to
other studies (9.7%), and overall, at any given survey of known positive
patients and unknown, 11.1% were positive in any given month, in any given
year of this study. Sure, time to placement of contact precautions lagged
from test turnaround time or from time to test result to actual placement
of precautions, but most notably the mandated testing was only 84%
sensitive compared to best testing methods employed by the study
investigators. This is the real world after all.While these ICUs have invested time, effort, and money into these admission
swabbing and targeted placement of contact precautions, the prevalence of
MRSA carriage has not budged in these intensive care unit patients.There may be many reasons the hospitals in Illinois overall are seeing an
estimated30% decrease
in their hospital-onset MRSA BSI (as most states are) since the 2010 NHSN
baseline, but admission screening isnt one of them. Maybe its CLABSI
prevention, or that uptake of the percentage of study patients receiving
CHG baths. However, this study suggests it was not the mandated AST for all
ICU patients admitted to the ICU. These patients are bringing their MRSA in
with them, lets free up staff time to prevent the infections.I know there are many major federal policies we all can be passionate about
changing or starting, these are crazy days. But when the scientific
evidence is so strong illustrating that a very well-intended policy
regarding use of nursing and infection control resources does not have the
intended impact change it. Nursing care can better be spent caring for
patients, practicing best infection control for all patients in these
intensive care units.______________________________________________________________________
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Hi Terry Mc and others,
Not sure about having to have a lid but there is NO scientific evidence
the lid *must* be closed. I suspect it is the accrediting agency that is
over-zealous.– In terms of sharps bins in OR there have been two cases reported in
the worlds literature where staff have stumbled and placed hand in open
bin but there are numerous others where staff have been injured opening
lid with sharps in hand.
– In terms of CW bins, there is no evidence that an open top bin causes
increased risk to staff or patients. With 15-20 air changes per hour, any
wafted pathogens are likely to be entrained and removed before they get
to patient or sterile field.
– It stands to reason if you *move* a bin, you close it first (OSHA law
in USA) but best if bins open during a procedure (or foot operated).
Organisms do not waft out when open-top bin is unused only when waste is
being inserted (piston effect).
– We know that the staff and patient are a far greater source of
organisms than a CW bin.I would ask accrediting agency to produce the reasoning/evidence and then
we should communicate with their source and discuss.Hope this helps, Best regards, TerryG.
Terry Grimmond FASM, BAgrSc, GrDpAdEd
Consultant Microbiologist
Grimmond and Associates
Ph (NZ): +64 7 855 3212
Mob (NZ): +64 274 365 140
[image: Twitter_logo_blue]: @terrygrimmond
“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 *Terry McAuley
*Sent:* Friday, August 18, 2017 4:36 PM
*To:* AICALIST@AICALIST.ORG.AU
*Subject:* Do waste bins need to have lids?Hi Everyone,
I have a client that has been told by an accreditor that they MUST have
waste bins with lids.I have been scouring the NHMRC Guidelines, AS3816 and other state based
guidelines available in the public domain, however I am yet to come across
a statement where it mandates that waste bins must have lids.I can appreciate in ward area it is aesthetically pleasing to have lidded
bins, with hands free operation of course.However in the Operating Suite, Recovery Room and also in dental procedure
rooms, it makes no sense to me at all to have lids on the waste bins. In
fact it adds to the complication of safe patient care and waste disposal.Can anybody point me in the direction of a published Standard or Guideline
that mandates that lids must be on waste bins in Health Services
Organisations?Thanks in anticipation.
*Kind Regards*
*Terry McAuley*
*Sterilisation & Infection Prevention and Control Consultant*
*STEAM Consulting Pty Ltd *ACN 604 439 698
*Mob: +61 (0)438 109 692*
*E: terry@steamconsulting.com.au *
*W: http://www.steamconsulting.com.au *
*A: PO BOX 779*
* Endeavour Hills *
* VIC Australia 3802*
*CONFIDENTIAL COMMUNICATION:* The information contained in this message may
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Hi Cath,
I do believe the same strategies would work in Australia, and like you, I
am absolutely behind the effectiveness of mandatory legislation and am
saddened that Australia and NZ stand out as two developed countries without
such laws. My research shows Australias use of Safety Engineered Devices
(SED) is below that of U.S., Canada and even UK which only made SED
mandatory in 2013. True, SED-specific laws dont *eliminate *SI but they
significantly reduce incidence.ACIPC assisted us conduct a national survey in Australia and that is soon
to be submitted for publication. As for NZ, permission has been granted for
a national survey we are just awaiting a window to get it underway.The free PDF from JAOHP outlines *proven strategies* to reduce SI, however
our APIC paper will present the full results of the U.S. EXPO-STOP 2015
survey for the first time (our manuscript has just been accepted by AJIC).Im getting on a bit we need younger passionate colleagues take up the
gauntlet and help put SI-reduction back on the radar. We need care for our
carers.Best regards, I look forward to seeing you in Portland,
Terry
Terry Grimmond FASM, BAgrSc, GrDpAdEd
Consultant Microbiologist
Grimmond and Associates
Ph (NZ): +64 7 855 3212
Mob (NZ): +64 274 365 140
[image: Twitter_logo_blue]: @terrygrimmond
[image: cid:image003.gif@01D2CF47.ED2F8DB0]
“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 *Cathryn Murphy
*Sent:* Wednesday, May 17, 2017 7:25 PM
*To:* AICALIST@AICALIST.ORG.AU
*Subject:* Re: Free access to Sharps Injuries articleDear Terry
Thank you for access to the publication and congratulations on getting it
published. I wonder if Australia will ever make progress in this area.I also wonder if you think that the same strategies would work equally in
countries like Australia and NZ where we still have no legislation
mandating use of safety-engineered devices. It would be interesting to
repeat the study in ANZ.Is this paper the basis of what you will be preventing at APIC or will it
be different?Yours sincerely
Cath
Cathryn Murphy RN B. Photog MPH PhD CIC
Chief Executive Officer & Creative Director
Infection Control Plus Pty Ltd
121 Dunlin Drive
Burleigh Waters 4220
QLD, Australia
E: Cath@infectioncontrolplus.com.au
M: +61 428 154154
W:http://www.infectioncontrolplus.com.au
*From:* ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU
] *On Behalf Of *Terry Grimmond
*Sent:* Wednesday, 17 May 2017 10:47
*To:* AICALIST@AICALIST.ORG.AU
*Subject:* Free access to Sharps Injuries articleHi Michael,
JAOHP has granted free access to the attached publication on *strategies to
reduce sharps injuries* it may be of interest to AICAlist colleagues.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
: @terrygrimmond
“This email (including any attachments) is intended only for the use of the
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NOT REPRESENT THE OPINION OF ACIPC.The use of trade/product/commercial brand names through the list is
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Hi Cathi,
I am not aware of any changes/incorporations since 2013. Would be glad to
hear of any if there were.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
[image: Twitter_logo_blue]: @terrygrimmond
“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 *Montague, Cathi (Health)
*Sent:* Monday, September 05, 2016 6:39 PM
*To:* AICALIST@AICALIST.ORG.AU
*Subject:* Re: Height of wall mounted sharps containers [SECUNCLASSIFIED]Dear AICAList colleagues,
Just wanting to check if there have been any further changes / better
adoption into the AHFGuidelines post the below 2013 advice regarding height
and fixing of wall mounted sharps containers.*With regards,*
*Cathi*
*Cathi Montague RN (Midwife) ENB998 MClinNsg FCENA*
*Nurse Management Facilitator Clinical Care Systems (Mon Thurs)*
Primary Health Care and SA Prison Health Service Specialties
Central Adelaide Local Health Network | SA Health
1st Floor, 5 Darley Road, Paradise SA 5075 | PO Box 101, Campbelltown SA
5074 | DX191*We would like to acknowledge this land that we meet on today is the
traditional lands for Kaurna people and that we respect their spiritual
relationship with their country. We also acknowledge the Kaurna people as
the custodians of the Adelaide region and that their cultural and heritage
beliefs are still as important to the living Kaurna people today.**This email may contain confidential information, which also may be legally
privileged. Only the intended recipient(s) may access , use, distribute or
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sender by return email and delete the original. If there are doubts about
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*From:* ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU
] *On Behalf Of *Long, Kylie FLTLT
*Sent:* Wednesday, 14 August 2013 11:17 AM
*To:* AICALIST@AICALIST.ORG.AU
*Subject:* Re: Height of wall mounted sharps containers [SECUNCLASSIFIED]*UNCLASSIFIED*
Good Morning,
I would just like to thank all those that responded to my
request, definitely great replies which have saved me a lot of time and
effort in researching.Very much appreciated!!
Regards,
Kylie Long
Flight Lieutenant
Infection Prevention and Control
Clinical Governance & Projects
Garrison Health Operations Branch
Joint Health Command
Department of Defence
——————————
*From:* ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU
] *On Behalf Of *Terry Grimmond
*Sent:* Wednesday, 14 August 2013 09:00
*To:* AICALIST@AICALIST.ORG.AU
*Subject:* Re: Height of wall mounted sharps containersHi all,
Not sure if my first email (below) was distributed but would like to
comment on the great replies coming inAlthough Australia has no *regulations* on sharps container (SC)
heights, there are national guidelines (AHFG; HB260-2003) and these are
picked up in some state recommendations.I strongly advise against using the NIOSH 1998 Evaluation,
Selection and Use of SC its 52-56 recommendation is based on USA white
1970s population and is dangerously high.Close scrutiny of individual rooms in the AHFG guide show heights
are inconsistent and range from 800mm-1300mm but.the 900mm is (correctly)
for trolleys and 1100mm (correctly) for walls. 1300mm for resusc wall is
too high.The height should accommodate your shortest staff (or at least
95% of them) and given nurse shortages (forgive the pun), immigrant nurses
from Asian countries are commonly 10cm shorter than Caucasian Australian
nurses.I recommend 70% of shoed 5th percentile height and this means
aperture height for shoed 5th percentile Australian females is 1091mm; and
for Vietnamese or Filipino nurses is 1015mm.So, given ethnic mix among Australian females, an *aperture height 1.1 –
1.2m above floor* appears reasonable.Best regards, Terry
Terry Grimmond FASM, BAgrSc, GrDpAdEd
Consultant Microbiologist
Grimmond and Associates
Ph/Fx (NZ): +64 7 856 4042
Mob (NZ): +64 274 365 140
“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:* Terry Grimmond
*Sent:* Tuesday, August 13, 2013 2:39 PM
*To:* ‘ACIPC Infexion Connexion’
*Subject:* RE: Height of wall mounted sharps containers [SECUNCLASSIFIED]Dear Kylie,
There are no national or state *regulations* stipulating Sharps Container
(SC) height in Australia (nor elsewhere that I know of) but there are
*guidelines*. At outset we should agree that it is height of SC *aperture*
in Q. Here are my findings on the matterThe correct height for SC is one at which* staff can safely view down in to
the aperture to ensure it is clear and to facilitate safe deposit of sharps
and correct activation of tray/door (if present). *The Australasian Health infrastructure Alliance shows the aperture of the
wall-mounted SC to be approximately 1.3m off the floor in Acute Patient
Bays (http://www.healthfacilityguidelines.com.au/standard_components_lz.aspx
), however heights above 1.2m are associated with increased sharps injuries
(SI) to HCW (Weltman et al ICHE 1995;16:268-274).My research indicates that a safe, wall-mounted aperture height is *1.1m
1.2m above floor level*. Epidemiological evidence confirms that *staff risk*
far exceeds *child injury risk* and at this height I have yet to see a
child SI cited.Historically, SC were placed at *ergonomic height for staff to safely use*
there was no recommended height from floor. However, the fear of child
access caused SC to be raised to non-ergonomic heights to the point where
numerous SI to HCW have been reported because they could not see that:a tray/door had activated correctly
the aperture was clear
the SC was not overfilled;
a sharp was not retained in the vestibule (throat) of a tray/door
SC;or that a sharp was protruding from the aperture
NB. Karen Daley the President of American Nurses Association said she acquired
HIV and HCV through an SI because *the SC was mounted too high*.I have written to CDCs NIOSH to inform them their 1998 guideline on
Evaluation, Selection and Use of SC (http://www.cdc.gov/niosh/docs/97-111/
) needs updating as they recommend a height of 52-56 inches (1.32
1.42m). They will discuss this at the next, yet to be scheduled review.SC height is compounded in countries with short-stature staff and also
compounded in developed countries where nurse shortages have been filled
with staff emigrating from Asia, Phillipines, Mexico, etc – all
short-stature countries.Finally, sharps containers need be mounted to accommodate an institutions
*shortest* staff, not their *average* staff.I hope this is helpful to you.
Terry Grimmond FASM, BAgrSc, GrDpAdEd
Consultant Microbiologist
Grimmond and Associates
Ph/Fx (NZ): +64 7 856 4042
Mob (NZ): +64 274 365 140
“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 *Long, Kylie FLTLT
*Sent:* Tuesday, August 13, 2013 12:25 PM
*To:* AICALIST@AICALIST.ORG.AU
*Subject:* Height of wall mounted sharps containers [SECUNCLASSIFIED]*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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Hi Michael,
I enquired of Daniels Health, one of Australias larger contractors, and
they replied:*Daniels Health advise that pacemakers are problematic and advise that:*
o *Intact bloody pacemakers cannot be disposed of as CW as Lithium
batteries places them in a different hazard category (Category 9) requiring
specific waste manifests, packaging and transport*o *The presence of a lithium battery enacts federal Dangerous Goods
Transport regulations applicable in all states. *o *If decontaminated, and lithium battery removed, the case can be
discarded as general waste and the battery transported to a battery
recovery plant under ADGC Category 9 hazardous waste UN shipping numbers
3090, 3091, 3480 or 3481.*o *Most states recommend that the manufacturer be approached to take back
such products after decontamination by the HCF.*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
[image: Twitter_logo_blue]: @terrygrimmond
“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 *Michael Wishart
*Sent:* Tuesday, June 14, 2016 12:18 PM
*To:* AICALIST@AICALIST.ORG.AU
*Subject:* Re: Explanted Pacemakers – ? disposalThanks Terry
Where does battery waste go? Who handles it, how is it processed? I am
not really familiar with this specific waste stream. And would it be
managed the same for each facility/state?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
[image: cid:image001.png@01D01926.61F1C2B0]
P *Please consider the environment before printing this email**From:* ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU
] *On Behalf Of *Terry Grimmond
*Sent:* Tuesday, 14 June 2016 8:44 AM
*To:* AICALIST@AICALIST.ORG.AU
*Subject:* Re: Explanted Pacemakers – ? disposalHi 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
[image: Twitter_logo_blue]: @terrygrimmond
[image: cid:image003.gif@01D1C628.C7AC14B0]
“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 *Narrogin Infection Control
*Sent:* Monday, June 13, 2016 7:39 PM
*To:* AICALIST@AICALIST.ORG.AU
*Subject:* Re: Explanted Pacemakers – ? disposalHi 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
*Working together for a healthier country WA*
*Our Values: Community | Compassion | Quality | Integrity | Justice*
*The contents of this e-mail transmission are intended solely for the named
recipient(s), may be confidential, and may be privileged or otherwise
protected from disclosure in the public interest. The use, reproduction,
disclosure or distribution of the contents of this e-mail transmission by
any person other than the named recipient(s) is prohibited. If you are not
a named recipient please notify the sender immediately.**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 – ? disposalQuestion 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
contaminatedNow 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.auP *Please consider the environment before printing this email*
______________________________________________________________________
This email and any attachments to it (the “Email”) is confidential and is
for the use only of the intended recipient, and may not be duplicated or
used by any other party without the express consent of the sender. If you
are not the intended recipient of the Email, please notify the sender
immediately by return email, delete the Email, and do not copy, print,
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Australia (“SVHA”) does not guarantee that the Email is free from errors,
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the quotes) to listserv@aicalist.org.au______________________________________________________________________
This email and any attachments to it (the “Email”) is confidential and is
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used by any other party without the express consent of the sender. If you
are not the intended recipient of the Email, please notify the sender
immediately by return email, delete the Email, and do not copy, print,
retransmit, store or act in reliance on the Email. St Vincent’s Health
Australia (“SVHA”) does not guarantee that the Email is free from errors,
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may be scanned and filtered in locations outside Australia.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
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the quotes) to listserv@aicalist.org.au______________________________________________________________________
This email and any attachments to it (the “Email”) is confidential and is
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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
[image: Twitter_logo_blue]: @terrygrimmond
[image: cid:image003.gif@01D1C628.C7AC14B0]
“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 *Narrogin Infection Control
*Sent:* Monday, June 13, 2016 7:39 PM
*To:* AICALIST@AICALIST.ORG.AU
*Subject:* Re: Explanted Pacemakers – ? disposalHi 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
*Working together for a healthier country WA*
*Our Values: Community | Compassion | Quality | Integrity | Justice*
*The contents of this e-mail transmission are intended solely for the named
recipient(s), may be confidential, and may be privileged or otherwise
protected from disclosure in the public interest. The use, reproduction,
disclosure or distribution of the contents of this e-mail transmission by
any person other than the named recipient(s) is prohibited. If you are not
a named recipient please notify the sender immediately.**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 – ? disposalQuestion 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
contaminatedNow 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.auP *Please consider the environment before printing this email*
______________________________________________________________________
This email and any attachments to it (the “Email”) is confidential and is
for the use only of the intended recipient, and may not be duplicated or
used by any other party without the express consent of the sender. If you
are not the intended recipient of the Email, please notify the sender
immediately by return email, delete the Email, and do not copy, print,
retransmit, store or act in reliance on the Email. St Vincent’s Health
Australia (“SVHA”) does not guarantee that the Email is free from errors,
viruses or interference. Emails to and from SVHA or its related entities
may be scanned and filtered in locations outside Australia.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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the quotes) to listserv@aicalist.org.auMESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO
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Thanks Cath for this alert these all help put sharps injuries back on the
radar.NB. ICHE in their First view section has another recent review article on
needlestick costs by Mannocci et al –
http://journals.cambridge.org/action/displayAbstract?fromPageonline&aid10259052&fulltextTypeRA&fileIdS0899823X16000489
.Regards, Terry
Terry Grimmond FASM, BAgrSc, GrDpAdEd
Consultant Microbiologist
Grimmond and Associates
Ph (NZ): +64 7 855 3212
Mob (NZ): +64 274 365 140
[image: Twitter_logo_blue]: @terrygrimmond
“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 *Dr Cathryn Murphy
*Sent:* Friday, April 22, 2016 7:31 AM
*To:* AICALIST@AICALIST.ORG.AU
*Subject:* NSI & Latest edition of ICHEMembers with an interest in needlestick injury prevention may enjoy reading
new research published in the latest edition of ICHE. Been several years
since so many NSI articles have been published simultaneously in an edition
of a peer-reviewed journal.Infection Control & Hospital Epidemiology
http://journals.cambridge.org/ICE
Volume 37 / Issue 05 , May 2016, pp 497 625
Cheers
Cath
PLEASE NOTE OUR NEW MAILING ADDRESS:
Cathryn Murphy RN MPH PhD
Executive Director
Infection Control Plus Pty Ltd
*PO Box 3079*
*Burleigh Town 4219*
Queensland
AUSTRALIA
E: Cath@infectioncontrolplus.com.au
http://www.infectioncontrolplus.com.au
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