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Terry GrimmondParticipant
Author:
Terry GrimmondEmail:
terry@terrygrimmond.comOrganisation:
Grimmond and Associates, Microbiology ConsultantsState:
WaikatoHi Franciska,
Amazingly, today, Beckers Hospital Review cited a 2014 JHI article that
found bearded men carried less facial organisms than clean-shaven men! They
both carried pathogens but bearded men less so. It may help your discussion.And the original publically-available article at
http://www.journalofhospitalinfection.com/article/S0195-6701(14)00090-5/pdf.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]: @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 *Marlize Senekal
*Sent:* Monday, January 25, 2016 2:30 PM
*To:* AICALIST@AICALIST.ORG.AU
*Subject:* Re: Personal Hygiene in the Catering departmentHi Francisca,
Ive run this past our Hospitality Service Manager and he thinks the risk
is fairly low, as long as the beard is neatly trimmed, not Ned Kelly
style. They do however wear these in food manufacturing areas.Regards
Marlize
*Marlize Senekal*
*Infection Prevent & Control CNC – Education and Research*
*T *(07) 3621 4545 | *M *0418 866 816
*E *m.senekal@wmb.org.au | *www.wmb.org.au **Central Offices – Wheller Gardens*: 930 Gympie Road, Chermside QLD 4032
*Disclaimer: Opinions contained in this email do not necessarily reflect
the opinions of Wesley Mission Brisbane and the email may contain private
or confidential information. If you have received this email in error,
please immediately notify the sender and delete the message and any
attached files.**From:* ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU
] *On Behalf Of *Franciska Ferreira
*Sent:* Monday, 18 January 2016 1:43 PM
*To:* AICALIST@AICALIST.ORG.AU
*Subject:* Re: Personal Hygiene in the Catering departmentDear All,
I was wondering whether any of you might have specific information/advice
around the wearing of *beard-nets* in the Catering department? The question
was raised whether male chefs with beards should wear beard-nets?? To be
honest, Ive never heard of beard-nets until today and never witnessed
male chefs wearing beard-nets either.However, Im aware that facial hair is no different than any other hair
when it comes down to safe handling of food but I cant seem to find any
specifics around this subject.The Australia New Zealand Food Standards 3.2.2 Food Safety Practices and
General Requirements covers personal hygiene but no where do they mention
beards.In the mean time weve manage to source beard nets for our Chefs, but was
hoping to also source evidence on current best practices.Kind Regards
Franciska Ferreira
*Infection Prevention & Control/Wound Management Consultant*
Burnside War Memorial Hospital
120 Kensington Road, Toorak Gardens, SA 5056
*t:* 08 8202 7222 *f:* 08 8407 8573 e:
fferreira@burnsidehospital.asn.au*[image: infection-prevention]*
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Terry GrimmondParticipantAuthor:
Terry GrimmondEmail:
terry@terrygrimmond.comOrganisation:
Grimmond and Associates, Microbiology ConsultantsState:
WaikatoTo Brett and the Research Ctee,
I really appreciated the *2min to Talk on Your Research* and recommend it
be repeated but to a larger (?plenary) session. Perhaps entitled *Research
our Members are Conducting*. It will motivate aspiring ACIPC researchers.Best regards, and thanks for a truly great conference, 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 *Brett Mitchell
*Sent:* Wednesday, December 09, 2015 12:16 PM
*To:* AICALIST@AICALIST.ORG.AU
*Subject:* ACIPC 2016 conference Melbourne – Ideas welcomedHi everyone
The scientific committee are keen to hear ideas for topics and workshops
for next years conference. Planning has begun and a large amount of work
is done at the early part of the year so ideas now and into
January/February are welcomed. Any suggestions can be sent directly through
to the Chair of the Scientific Committee Brett Mitchell (
brett.mitchell@avondale.edua.au). The committee have secured a number of
international speakers for the conference next year.Regards
Brett
*Associate Professor Brett Mitchell*
Associate Professor of Nursing *RN, BN, PhD, M.Adv.Prac, MRCNA*
*Faculty of Nursing and Health**And*
*Director, Lifestyle Research Centre**, **Cooranbong*
*[image: Description: Description: cid:image001.gif@01CC3C9F.F23555B0]*
[image: cid:2BC99AFF-22A4-4B6E-8C58-D1018F5F84CB@avondale.edu.au]
*Excellence in Christian Tertiary Education since 1897*185 Fox Valley Road,
Wahroonga NSW 2076 Australia
Monday) Fax: 02 9487 9625Avondale College Ltd trading as Avondale College of Higher Education
http://www.avondale.edu.au | http://www.designedforlife.mePlease follow us at:
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Twitter] [image: Youtube]
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Terry GrimmondParticipantAuthor:
Terry GrimmondEmail:
terry@terrygrimmond.comOrganisation:
Grimmond and Associates, Microbiology ConsultantsState:
WaikatoTo all ACIPC members,
* If you have not participated, please do – We need your support!*
*ACIPC National Sharps Injury Survey *
The ACIPC Executive and ACIPC Research Committee have approved a proposal
by Terry Grimmond, Jane Woodley and Nicole Vause to conduct an electronic
survey of members to determine the *national incidence of sharps injuries*.All members in all States and Territories are strongly encouraged to
participate in this simple 9-question survey. The target is 200
hospitals. Click
here for the survey.For further information or clarifications contact terry@terrygrimmond.com.
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:image002.gif@01D11B16.ECFA6B80]
“This email (including any attachments) is intended only for the use of the
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confidential and privileged. If you are not the intended recipient, you are
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notify me immediately by return email or telephone and destroy the original
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Terry GrimmondParticipantAuthor:
Terry GrimmondEmail:
terry@terrygrimmond.comOrganisation:
Grimmond and Associates, Microbiology ConsultantsState:
WaikatoHi Cath,
There some general rules that reduce staff risk of Sharps injury (SI):
SC should be *as close as possible to the point of generation of
the sharp*Bedside is ideal as thats where sharp is generated/used – and
there are three options:o Mobile trolleys/medcarts – ensure all carts have SC mounted on them. If
this is ONLY source of SC, then you need several trolleys per ward, and
commensurately more parking space.o Carry SC to bedside in tray with injection items – but as you say, this
mean carrying a small SC to and fro, and small SC increase the risk of SI;o Transport the sharp back to medroom SC – this should NEVER be done
sharps transport has high SI risk.The next best to bedside is ergonomically wall-mounted, larger
SC in patient room. In countries where this is possible it is the most
common mode. (it is not possible in countries/facilities with nightingale
wards).Hope this helps.
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]: @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 *Catherine Wade
*Sent:* Friday, September 04, 2015 10:12 AM
*To:* AICALIST@AICALIST.ORG.AU
*Subject:* Sharps ManagementHi All,
We are currently planning the rebuild of CCLHD. There has been much
discussion about what is the best sharps disposal method in patient wards.
We currently have wall mounted sharps bins in patient rooms and some
clinical areas. Some wards just use sharps trolleys or staff carry the
injection tray back to the clean utility room for disposal in areas of risk
e.g. detox or confused / dementia patients wards. Reusable injection trays
that included a sharps bin & alcohol hand rub that can be taken to a
bedside have been trialled on various occasions but generally staff were
very non-compliant with cleaning & there are problems with overstocking
plus staff found the sharps container too small.The trend appears be moving towards sharps trolleys as trolleys best enable
point of use disposal but there are issues with trolleys e.g. clutter
corridors, trip hazard, compliance with taking trolley to bedside. One
system does not always suit, but rebuild project people do like work
towards standardisation where possible.We would greatly appreciate any feedback
Are sharps bins placed in patient rooms?
Do staff use sharps trolleys and take them to the patient?
If mobile trolleys used where do they store them?
How many trolleys would they have on the ward?
Any other issues you have experience with regard to sharps bins
Many Thanks
Cath Wade
Clinical Nurse Consultant | *Infection Prevention and Control*
Level 1, 67 Holden Street Gosford Hospital
*Catherine.Wade@health.nsw.gov.au * or
CCLHD-IPAC@health.nsw.gov.auThis 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
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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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Terry GrimmondParticipantAuthor:
Terry GrimmondEmail:
terry@terrygrimmond.comOrganisation:
Grimmond and Associates, Microbiology ConsultantsState:
WaikatoThank you very much Terry Mc.
It surprises and saddens me that this important notice was not distributed
by Standards Australia to all former members on these committees (I
represented ASM).With Standards Australia now requiring stakeholder funding to review
standards, it is highly unlikely they will get much participation.
Therefore these standards, as old as they are, should remain on file they
are cited in just about every state Guideline.Unless Standards Australia can review them without asking stakeholders for
funding.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
[image: cid:image003.gif@01D0ACDD.AB187100]
“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:* Sunday, June 21, 2015 3:16 PM
*To:* AICALIST@AICALIST.ORG.AU
*Subject:* Aged Standards for withdrawalHi Everyone,
You may have received an email from Standards Australia to notify consumers
/ Stakeholders regarding the proposed withdrawal of several aged standards
– but just in case you haven’t I thought I would snip out those most
relevant to the infection prevention and control community – however there
were many others on the list. A full list can be accessed here
http://www.standards.org.au/StandardsDevelopment/Developing_Standards/Pages/Withdrawing-Standards.aspxNotice of Intention to Withdraw Aged Standards – Health and Community
Services17-June-2015
As part of our ongoing commitment to maintaining a contemporary and
relevant catalogue of Australian Standards, Standards Australia has
identified the following Aged Standards (over 10 years old) which fall
under the responsibility of an inactive Technical Committee and are
therefore proposed for withdrawal. Notification of the intention to
withdraw these Standards will be publicised on the Standards Australia
website for a 9 week commenting period (see below dates). If no objections
are received during the commenting period Standards Australia will seek
approval from the Production Management Group (PMG) to withdraw the
Standards.*Standard Number*
*Title*
*Publication Year*
*Product Type*
*Scope of Standard*
*Committee ID*
*Committee Title*
AS 4031-1992
Non-reusable containers for the collection of sharp medical items used in
health care areas1992
AS
This Standard sets out requirements for non-reusable containers intended
for the safe collection and transport of used sharp objects, which may be
infectious, in health care areas, and are disposed of with their contents.HE-009
Hypodermic Equipment – General Medical
AS 4031-1992 AMDT 1
Non-reusable containers for the collection of sharp medical items used in
health care areas1996
ASAM
Not applicable.
HE-009
Hypodermic Equipment – General Medical
AS 4939-2001
Non-reusable personal use containers for the collection and disposal of
hypodermic needles and syringes2001
AS
This Standard sets out requirements for non-reusable personal use
containers intended for the safe collection and disposal of hypodermic
needles and syringes. The containers are disposed of with their contents.HE-011
Safe Disposal of Sharps and Clinical Wastes
AS NZS 3816-1998
Management of clinical and related wastes
1998
JS
This Standard sets out requirements for the identification,
segregation, handling, storage, transport, treatment and ultimate safe
disposal of clinical and related wastes
which may be hazardous, in an environmentally responsible manner in
order to reduce the impact to human health and safety. Such wastes
include, but are not restricted to, wastes arising from medical, nursing,
dental, veterinary, laboratories, pharmaceutical, podiatry, tattooing, body
piercing, brothels, emergency services, blood banks, mortuary practices and
other similar practices, and wastes generated in health care facilities or
other facilities during the investigation or treatment of patients or in
research projects.HE-011
Safe Disposal of Sharps and Clinical Wastes
AS NZS 3825-1998
Procedures and devices for the removal and disposal of scalpel blades from
scalpel handles1998
JS
This Standard sets out performance characteristics of devices used in, and
procedures for, the removal and disposal of scalpel blades and similar
instruments, e.g. stitch cutters, from scalpel handles.HE-011
Safe Disposal of Sharps and Clinical Wastes
AS NZS 4478-1997
Guide to the reprocessing of reusable containers for the collection of
sharp items used in human and animal clinical/medical applications1997
JS
This Standard gives guidelines for the emptying, cleaning and disinfection
of reusable containers utilized in the collection of sharp items used in
human and animal clinical/medical applications.HE-009
Hypodermic Equipment – General Medical
HB 202-2000
A management system for clinical and related wastes – Guide to application
of AS/NZS 3816-1998- Management of clinical and related wastes2000
HB
This Clause is applicable to all health care and related facilities. The
Standard can also apply to, or be used in, situations not mentioned in the
Standard.HE-011
Safe Disposal of Sharps and Clinical Wastes
HB 260-2003
Hospital acquired infections – Engineering down the risk
2003
HB
This Handbook provides guidelines for persons, including engineers,
architects, building contractors, project managers and health care workers,
involved in the building design phase of new buildings for hospitals or of
buildings undergoing refurbishment or renovations in hospitals, to minimize
the risk of acquiring infections in hospitals. Facilities for acute
medical, surgical, paediatric and obstetric patients are covered in this
handbook, but not psychiatric and long-term aged facilities, nor
rehabilitation day care facilities.H-000
Health Standards Sector Board
Thought you should know.
Regards
*Terry McAuley*
*Sterilisation & Infection Prevention and Control Consultant*
*STEAM Consulting Pty Ltd [as of April 1st 2015] *
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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08/06/2015 at 9:41 am in reply to: parking requirements for clinical waste transportation vehicle with clinical waste unloaded #72178Terry GrimmondParticipantAuthor:
Terry GrimmondEmail:
terry@terrygrimmond.comOrganisation:
Grimmond and Associates, Microbiology ConsultantsState:
WaikatoHi Sony,
Are you referring to trucks at the loading dock, trucks in town while
driver gets a meal at local deli, or parking trolleys internally?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]: @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 *Sony SO
*Sent:* Sunday, June 07, 2015 9:37 PM
*To:* AICALIST@AICALIST.ORG.AU
*Subject:* parking requirements for clinical waste transportation vehicle
with clinical waste unloadedDear All,
We would like to know your prevailing practices regarding whether parking
requirements are required for clinical waste transportation with clinical
waste unloaded, if so, of the details.Regards,
Sony SO
Nursing Officer, Infection Control Branch (Team 2)
Centre for Health Protection
http://www.chp.gov.hk/tc/cindex.html
HONG KONG SAR, CHINA
office phone: +852 2125-2922; fax: +852 3523-0752
HA email sony@ha.org.hk; DH email no_icb4@dh.gov.hk
Please consider the environment before printing this e-mail
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Terry GrimmondParticipantAuthor:
Terry GrimmondEmail:
terry@terrygrimmond.comOrganisation:
Grimmond and Associates, Microbiology ConsultantsState:
WaikatoHi Janet,
There is no Standard or regulation that requires hospitals to fit sharps
containers (SC) to hospital toilets. It is up to the hospitals own policy.
However, there is a trend nationally and internationally to fit them to
public toilets to assist syringe-users (legal or otherwise) to dispose of
their syringes safely. Most SC suppliers have security models if
pilfering is seen as an issue.I would be interested to hear how many members hospitals have SC fitted to
their public toilets.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
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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 [mailto:AICALIST@AICALIST.ORG.AU] *On
Behalf Of *Janet Wallace
*Sent:* Wednesday, June 03, 2015 7:09 PM
*To:* AICALIST@AICALIST.ORG.AU
*Subject:* sharps containers in public tioletsHi
Can anyone advise if there is a standard, requirement or recommendation to
have sharps containers available in public and staff toilets in hospitals?What is the practice at other sites?
Many thanks
Regards
Janet
*Janet Wallace*
Clinical Nurse Consultant
Infection Control Infection Management and Prevention Service (IMPS)
Childrens Health Queensland Hospital and Health Service
Level 12, Lady Cilento Childrens Hospital
Childrens Health Queensland
South Brisbane QLD 4101
T: 07 3068 3989 / mobile 0408 236 266
E: janet.wallace@health.qld.gov.au
W: http://www.childrens.health.qld.gov.au
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MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO
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27/03/2015 at 9:38 am in reply to: Link to edited version of the Infection Prevention and Control Principles and Recommendations for Ebola virus disease #72015Terry GrimmondParticipantAuthor:
Terry GrimmondEmail:
terry@terrygrimmond.comOrganisation:
Grimmond and Associates, Microbiology ConsultantsState:
WaikatoHi ACIPC,
If you have Qs about what works and what doesnt, Im in the thick of it
in Sierra Leone (did 2 weeks of education in early march and another 70 HCW
today). Please feel free to send me email, or better still, via Infexion
Connexion.Best regards, Terry
Terry Grimmond FASM, BAgrSc, GrDpAdEd
Consultant Microbiologist *(WHO National IPC Training Coord)*
Grimmond and Associates
Ph (NZ): +64 7 855 3212 *(Sierra Leone till April 29th – +232 792 444 89)*
Mob (NZ): +64 274 365 140
[image: Twitter_logo_blue]: @terrygrimmond
[image: cid:image002.gif@01D06882.6874D9F0]
“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:* Wednesday, March 25, 2015 7:07 PM
*To:* AICALIST@AICALIST.ORG.AU
*Subject:* Link to edited version of the Infection Prevention and Control
Principles and Recommendations for Ebola virus disease[Posted on behalf of Claire Boardman Moderator]
The *Infection Prevention and Control Principles and Recommendations for
Ebola virus disease* document has now been technically edited, and is
available at:
http://health.gov.au/internet/main/publishing.nsf/Content/ohp-ebola-Information-for-Health-ProfessionalsClaire Boardman
Deputy Director
RHDAustralia
Claire.Boardman@menzies.edu.au
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18/03/2015 at 7:19 pm in reply to: Re: Height of wall mounted sharps containers / trolley mounted. #71938Terry GrimmondParticipantAuthor:
Terry GrimmondEmail:
terry@terrygrimmond.comOrganisation:
Grimmond and Associates, Microbiology ConsultantsState:
WaikatoHi all,
Am in Sierra Leone and full-on so forgive brevity. These are great Qs.
Height from floor is to *height to aperture*
o if SC has counterbalanced letterbox tray it will be height to bottom
of tray.o If SC has aperture (hole) at top, it is height to top of SC.
Trolleys: 900mm is *average* there can be NO FIXED HEIGHT with
trolleys as trolley heights vary with brand. For trolley mounting:
aperture of SC should be above trolley surface (and above rail if present)
and face the most common direction of sharps deposition.In an SC Risk Assessment, there are only 2 risk factors for SC height:
a) 90th percentile height of users (I have moved from capturing 70% of
staff heights to capturing 90% of staff heights).b) Child access
NB. As trolleys are generally staffed when on the ward, child access is at
reduced risk therefore height on trolley is a less important factor than
height on wall.Australia has found wall-SC 1.1-1.2m from floor mitigates staff injury and
child access risk.Hope this helps.
Regards, T.
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 *VANDERLINDE, Liz
*Sent:* Wednesday, March 18, 2015 2:59 PM
*To:* AICALIST@AICALIST.ORG.AU
*Subject:* Re: Height of wall mounted sharps containers / trolley mounted.I believe it is 1.2m to the top of the sharps bin from the floor to enable
visualisation of the top of the box with those of shorter stature in mind
in order that should a previously discarded sharp have missed the opening
it can be seen and thus avoid BBFEI from occurring.*Liz Vanderlinde*
Infection Control Officer
*North West Private Hospital*Brickport Road, Burnie TAS 7320, Australia
*T* +61 3 6432 6000 *F* +61 3 6431 5766
*E* Liz.Vanderlinde@healthecare.com.au *W* | facebook
| twitterintended only for the use of the addressee(s) named above and may contain
information that is privileged or subject to copyright. If you are not the
intended recipient of this message you are hereby notified that you must
not disseminate, copy or take any action based upon it. Please delete and
destroy the message from your computer. If you received this message in
error please notify Healthe Care Australia immediately.*From:* ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU
] *On Behalf Of *Louisa Sasko
*Sent:* Wednesday, 18 March 2015 11:54 AM
*To:* AICALIST@AICALIST.ORG.AU
*Subject:* Re: Height of wall mounted sharps containers / trolley mounted.Hi,
Can I ask if it is recommended 1100mm from floor is that 1100mm to the top
of the sharp bin or the bottom of the sharps bin (meaning depending on the
size of the sharps bin the opening could be higher than others)??I was asked something along these lines not long ago.
*Kind Regards*
*Louisa Sasko*
*Clinical Nurse Consultant | Infection Prevention & Control Service IPACS
*Blacktown and Mt Druitt hospitals
Blacktown Hospital
Louisa.Sasko@health.nsw.gov.au
*Conjoint Associate Lecturer *
School of Medicine
Blacktown Hospital
UWS
*From:* ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU
] *On Behalf Of *Montague, Cathi (Health)
*Sent:* Wednesday, March 18, 2015 9:28 AM
*To:* AICALIST@AICALIST.ORG.AU
*Subject:* Re: Height of wall mounted sharps containers / trolley mounted.Hi this is an old post but just checking and wasnt sure if I could ask
Terry directly off list?The height of trolley mounted sharps apertures from Terrys advice below is
900mm.I wanted to give a little leeway in our audit to account for different
trolleys.*Is it reasonable (given the variation in AHFG height guides) to require
800-900mm for audit purposes?*(I can see a plethora of requirements to replace all trolleys etc to meet
the 900mm height exactly if we ask for this in an audit!)With thanks,
*Best regards,*
*Cathi*
*Cathi Montague, RN,(Midwife), ENB998, MClinNsg, FCENA*
*High quality, compassionate healthcare *|* Infection Prevention and
Control is everyones business**Nurse Management Facilitator *| *Clinical Care Systems Co-ordination*
*SA Prison Health Service – Corporate Office*
Central Adelaide Local Health Network
5 Darley Road (first floor), Paradise SA 5075
*Postal address: PO Box* 101, 620 Lower North East Road, Campbelltown SA
5074
*Phone:* (08) 7002 3123 (direct) | *Reception:* (08) 7002 3100 | *Fax:* (08)
70023199 | *DX* 191*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 or use this email.
Distribution or Copying must only be with the express consent of the
sender. If this email is received in error, please inform the sender by
return email and delete the original. If there are doubts about the
validity of this message, please contact the sender by telephone. It is the
recipient’s responsibility to check the email and any attached files for
viruses.**From:* ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU
] *On Behalf Of *Terry Grimmond
*Sent:* Wednesday, 14 August 2013 8:30 AM
*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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Terry GrimmondParticipantAuthor:
Terry GrimmondEmail:
terry@terrygrimmond.comOrganisation:
Grimmond and Associates, Microbiology ConsultantsState:
WaikatoThanks Cath very pertinent a close friend had hip replacement in Dec
and after 3rd redo from infection, is on Vancomycin, has diarrhea, and is
not faring well.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:image002.gif@01D0356B.F4D3D300]
“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 *Cath Murphy
*Sent:* Wednesday, January 21, 2015 11:03 AM
*To:* AICALIST@AICALIST.ORG.AU
*Subject:* ResourceGreat post from CDC that members may find useful in education of families
and patients.Patients can get infections while receiving medical treatment in a
healthcare facility. Learn six ways to be a safe patient and how protect
yourself from infections at the hospital. http://1.usa.gov/1xRnyEyRegards
Cath
Dr Cathryn Murphy RN MPH PhD CIC
Executive Director
Infection Control Plus Pty Ltd
http://www.infectioncontrolplus.com.au
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Terry GrimmondParticipantAuthor:
Terry GrimmondEmail:
terry@terrygrimmond.comOrganisation:
Grimmond and Associates, Microbiology ConsultantsState:
WaikatoHi Terry,
I am gobsmacked that such an important Standard could have gone unnoticed.
I had no idea. Hopefully they had a good representation of Infection
Preventionists as stakeholders!!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 *Terry McAuley
*Sent:* Wednesday, December 10, 2014 2:32 PM
*To:* AICALIST@AICALIST.ORG.AU
*Subject:* Have you heard about this?
*Importance:* HighHi everyone,
Just came across this snippet in a Standards Australia e-newsletter – see
attached. This is the first I have heard about it – so I am hoping that
practitioners out there have been involved in some way.Regards
*Terry McAuley*
*Sterilisation & Infection Prevention and Control Consultant*
*STEAM Consulting*
*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*
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Terry GrimmondParticipantAuthor:
Terry GrimmondEmail:
terry@terrygrimmond.comOrganisation:
Grimmond and Associates, Microbiology ConsultantsState:
WaikatoHi Sony,
I agree with you. But for countries who have harmonized with UNTDG Model
Recommendations, Ebola is Category A UN2814. It is not Clinical Waste
UN3291. The national law steps in and CDC and DoH recommendations are
over-ruled. As happened in USA last month where DOT over-ruled CDC on this
issue.Best regards, Terry
Terry Grimmond FASM, BAgrSc, GrDpAdEd
Consultant Microbiologist
Grimmond and Associates
Ph (NZ): +64 7 855 3212
Mob (NZ): +64 274 365 140
[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 *Sony SO
*Sent:* Friday, October 31, 2014 12:58 PM
*To:* AICALIST@AICALIST.ORG.AU
*Subject:* Re: Ebloa WasteDear All,
The issue of using single clinical bag for handling infectious materials
i.e. clinical waste is addressed in the CDC guidelines-*Guidelines for
Environmental Infection Control in Health-Care Facilities*
http://www.cdc.gov/~HCF_03.pdf
, details are
as follows:point I, (3), page 119, which states: A single, leak-resistant
biohazard bag is usually adequate for containment of regulated medical
wastes, provided the bag is sturdy and the waste can be discarded without
contaminating the bags exterior.Point G, (3), page 100, which states: Single bags of sufficient
tensile strength are adequate for containing laundry, but leak-resistant
containment is needed if the laundry is wet and capable of soaking through
a cloth bag.1264Furthermore, with reference to international guidelines related to
clinical waste management(Table 1), practices of double bagging of waste is
not recommended.Lastly, practices of double-bagging of items from isolation rooms is not
considered as an infection control measure, for details, please refer to:Maki DG, Alvarado C, Hassemer C. Double-Bagging of Items from Isolation
Rooms Is Unnecessary as an Infection Control Measure: A Comparative Study
of Surface Contamination with Single-and Double-Bagging. Infection Control.
1986; 7(11): 535-7. Available from: http://www.jstor.org/stable/30146425Regards,
Sony SO
Nursing Officer, Infection Control Branch (Team 2)
Centre for Health Protection
office phone: +852 2125-2922; fax: +852 3523-0752
HA email sony@ha.org.hk; DH email no_icb4@dh.gov.hk
Please consider the environment before printing this e-mail
Table 1: international guidelines for handling clinical waste
1. Biohazard Waste Industry Australia and New Zealand
(BWI) (formerly ANZCWMIG). (2007). Industry Code of Practice for the
Management of Clinical and Related Wastes. Retrieved 11 August 2010 from
http://www.epa.sa.gov.au/xstd_files/Waste/Code%20of%20practice/Code%20of%20Practice%206th%20Edition.pdf2. UK Department of Health. Environment and sustainability Health
Technical Memorandum 07-01: Safe management of healthcare waste Retrieved
August 2014 from
https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/167976/HTM_07-01_Final.pdf3. Uk Health & Safety Executive. (2009). Carriage of Dangerous
Goods Manual-Carriage of clinical waste Retrieved 11 August 2010 from
http://www.hse.gov.uk/cdg/manual/clinical/index.htm4. World Health Organization WHO. (2008). Safe Management of
Wastes from Health-Care Activities. Retrieved August 2014 from
http://apps.who.int/iris/bitstream/10665/85349/1/9789241548564_eng.pdf5. (2003)201410
http://www.moh.gov.cn/mohyzs/s3576/200804/18353.shtml6. (1997)(97) 201410
http://wm.epa.gov.tw/medicalwaste/Documents/HandBook39all3.pdf*From:* ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU
] *On Behalf Of *Michael Wishart
*Sent:* Friday, October 31, 2014 5:20 AM
*To:* AICALIST@AICALIST.ORG.AU
*Subject:* Ebloa Waste[This message is posted on behjalf of Belinda Henderson, ACIPC President.
Note that this issue has been discussed through the ACIPC Executive Council
at National and State/juristictional level. ICPs are urged to check with
their state/juristiction authorities and local waste contractors regarding
any local impact of this issue Moderator]We want to update our members on the issue of Ebola Waste transport in
Australia. One of our members, Terry Grimmond, has been working with
authorities to develop a practical, safe and legal packaging solution so we
asked him to summarise where Australia is at.Thank you Belinda,
Many ACIPC members will have seen the Oct 3 CDNA/AHPPC recommendations for
double-bagging Ebola waste and transporting it as clinical waste1 (i.e.
shipping as UN 3291). These recommendations are sound and evidence-based.However, what many may not know is that the Australian Dangerous Good Code
(ADG)2 requires substances *known or reasonably expected to contain a
Category A Infectious Substancein any form* (e.g. Ebola waste) to be
packaged according to ADG P620 requirements, which require:a 95k Pa pressure-tested, leakproof primary receptacle that is
sealed and placed inside a:leakproof secondary receptacle containing absorbent material,
sealed and placed inside:a rigid outer container certified to ADG 9m drop, Rod Impact, and
Water-spray tests.The issue is, P620 packaging is designed for specimens, cultures, etc and
no P620 packaging exists for large Category A items such as waste bags,
mattresses, etc.If waste companies pick up Ebola waste in anything other than P620
packaging, they would be breaking the law. Alternative packaging systems
must be approved as *safe as ADG P620*.Submissions need be made to the competent authority (CA) in each state
(no Federal CA) and an approval in one state is not applicable in another,
so multiple submissions need be made.With the CDNA recommendation (*double-bag and handle as clinical waste*
(CW), the medical waste firm SteriHealth saw the compliancy issue early
(same occurred in USA with CDC and DOT) and retained me to work with CA to
develop a triple-packaging system of equivalent safety to ADG. The
Biohazard Waste Industry is also working with CA to obtain packaging
approvals.I worked with WorkCover NSW for several weeks and, after developing a
leakproof sealing system for CW bags, and consultation with Westmead
Hospitals IPs (Kath Dempsey, Jo Tallon), we have developed a
triple-packaging system we believe is of equal safety to ADG P620.
Multi-sized systems will need be approved but in this instance I submitted
a system with a high chance of approval so that at least one system was
available.WorkCover NSW hope to release their decision tomorrow [31 October
Moderator]. Hopefully an approval in NSW will make submissions easier and
faster in other states.Yesterday [29 October Moderator] I spoke with Prof Lyn Gilbert, Head of
Ebola Task Force and Prof Chris Baggoley, Chief Medical Officer, Australian
Dept of Health and they have scheduled the item for discussion this week to
examine means of expediting the submission process Australia-wide.Terry Grimmond FASM, BAgrSc,
GrDpAdEdConsultant Microbiologist, Grimmond and Associates
1. Ebola Virus Disease (EVD). CDNA NATIONAL GUIDELINES FOR PUBLIC
HEALTH UNITS 3 Oct 2014. Communicable Disease Network Authority, Australian
Department of health.
http://www.health.gov.au/internet/main/publishing.nsf/Content/ohp-ebola.htm/$File/EVD-SoNG.pdf.2. The Australian Dangerous goods Code Ed 7.3(2014).
http://www.ntc.gov.au/heavy-vehicles/safety/australian-dangerous-goods-code/.______________________________________________________________________
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22/10/2014 at 1:02 pm in reply to: CDC guidelines question re disinfection of gloved hands – any shared advice – words of wisdom? #71563Terry GrimmondParticipantAuthor:
Terry GrimmondEmail:
terry@terrygrimmond.comOrganisation:
Grimmond and Associates, Microbiology ConsultantsState:
WaikatoHi Michael,
Given Ebola urgency, uniqueness, and common need of members, can you allow
an exception in naming of disinfectant brands and types? The CDC list of
EPA registered is very frustrating and not applicable in Australia.Linda, CDNA recommends 1,000-5,000ppm hypochlorite for cleaning and spills
(dependent on blood presence) it is economical, readily available and
effective.Regards,
Terry Grimmond FASM, BAgrSc, GrDpAdEd
Consultant Microbiologist
Grimmond and Associates
Ph (NZ): +64 7 855 3212
Mob (NZ): +64 274 365 140
[image: Twitter_logo_blue]: @terrygrimmond
[image: cid:image002.gif@01CFEE08.AD39A920]
“This email (including any attachments) is intended only for the use of the
individual or entity named above and may contain information that is
confidential and privileged. If you are not the intended recipient, you are
reminded that any dissemination, distribution or copying of this email or
attachments is prohibited. If you have received this email in error, please
notify me immediately by return email or telephone and destroy the original
message. Thank you.”*From:* ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] *On
Behalf Of *Lindy Ryan
*Sent:* Wednesday, October 22, 2014 2:01 PM
*To:* AICALIST@AICALIST.ORG.AU
*Subject:* CDC guidelines question re disinfection of gloved hands – any
shared advice – words of wisdom?Hey all Ebola champions
just been asked by my boss here what others are considering or have to hand
re the new CDC guidelineshttp://www.cdc.gov/media/releases/2014/fs1020-ebola-personal-protective-equipment.html
re this point specifically
*Disinfection of gloved hands* using either an EPA-registered disinfectant
wipe or alcohol-based hand rub between steps of taking off PPE.Will you be considering ABHR or a disinfectant wipeif a wipe what would
you use.We are just trying to understand what specifically is in the EPA
registered disinfectant wipe so we can match it with what we have TGA
approved and available in Australia as there are many listed but not
available in AustraliaWe have a disinfectant wipe here we use for environmental cleaning (I know
I cant name products on this forum) here but know there are other
products. Can anybody send me what they are using off line and if it comply
with the EPA list as recommended by the CDC (I know you are busy so a quick
reply with just a name would be great!)Hope you are all travelling wellhuge body of work being done by us all
trying to have consistency for staff and pt safety and calm another thesis
for somebody in the making hey?Thank you so much for those of you who have kindly shared so much already
you are all such a wonderful group to be able to liaise and work with I
love being an ICP when I get to work with such proactive resourceful
sharing bunch as we all are!!*Cheers*
*Lindy*
*Lindy Ryan*
Infection Prevention & Control CNC | *Infection Control Service Nepean
Hospital NBMLHD*PO Box 63, Penrith, 2751
Tel (02) 4734 2228 | Fax (02) 4734 2517 | lindy.ryan@health.nsw.gov.au
http://www.health.nsw.gov.auWise and human management of the patient is the best safeguard against
infection(Florence Nightingale Circa 1860)
This message is intended for the addressee named and may contain
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Terry GrimmondParticipantAuthor:
Terry GrimmondEmail:
terry@terrygrimmond.comOrganisation:
Grimmond and Associates, Microbiology ConsultantsState:
WaikatoThis debate reminds me of the Chinese proverb *Easy to write one thousand
prescriptions. Hard to find one remedy*. Reworded, *If there are many
ways of doing something, the less likely any one is correct.*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
[image: Twitter_logo_blue]: @terrygrimmond
[image: cid:image002.gif@01CFC798.EA4DFE10]
“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 *Fiona de Sousa
*Sent:* Wednesday, September 03, 2014 2:24 PM
*To:* AICALIST@AICALIST.ORG.AU
*Subject:* Re: Air sampling – Reading the resultsThank you to everyone who sent me information on and off list.
The controversy continues – I can tell you that there is certainly no
consensus in what people are using for limits to their testing or even if
we should be testing with air sampling in the first place.The range of acceptable fungal CFU / cubic metre ranged from 0 to 35, with
one document suggesting <500 and the bacterial count was between 0 500 as
well.The most common recommendations were 0cfu/m3 for fungi and 35 cfu/m3 for
bacteria.John I agree a national standard would be excellent not only for the
limits but more importantly should we do this testing in the first place?Kind regards,
*Fiona De Sousa*
*Infection Prevention & Control Coordinator*
*Sydney Adventist Hospital*
185 Fox Valley Road, Wahroonga, NSW, 2076
*From:* ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU
] *On Behalf Of *John Ferguson
*Sent:* Monday, 1 September 2014 4:47 PM
*To:* AICALIST@AICALIST.ORG.AU
*Subject:* Re: Air sampling – Reading the resultsDear Fiona
We also base our approach on Dharan
I did put together an approach on the WIKI see
http://hicsigwiki.asid.net.au/index.php?titleOperating_theatre_commissioning_-_MicrobiologicalIt would be useful to agree a national standard for this!
Kind regards
John
*Dr John Ferguson*
Director, Infection Prevention & Control, *Hunter New England **Health**From:* ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] *On
Behalf Of *Matthias Maiwald (KKH)
*Sent:* Monday, 1 September 2014 1:11 PM
*To:* AICALIST@AICALIST.ORG.AU
*Subject:* Re: Air sampling – Reading the resultsDear Fiona,
Here at our institution, we are currently using this reference:
Dharan S, Pittet D. Environmental controls in operating theatres. J Hosp
Infect. 2002 Jun;51(2):79-84.http://www.ncbi.nlm.nih.gov/pubmed/12090793
Realising that it is very difficult to set and apply acceptable CFU limits,
and there always will be an arbitrary component to this.Best regards, Matthias.
—
Matthias Maiwald, MD, FRCPA
Consultant in Microbiology
Adj. Assoc. Prof., Natl. Univ. Singapore
Department of Pathology and Laboratory Medicine
KK Women’s and Children’s Hospital
100 Bukit Timah Road
Singapore 229899
Tel. +65 6394 8725 (Office)
Tel. +65 6394 1389 (Laboratory)
Fax +65 6394 1387
*From:* ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU
] *On Behalf Of *Fiona de Sousa
*Sent:* Monday, 01 September, 2014 10:04 AM
*To:* AICALIST@AICALIST.ORG.AU
*Subject:* Air sampling – Reading the resultsDear members,
I know that air sampling in a new building is a contentious issue but we
are currently undergoing it as part of the commissioning process for new
operating theatres and one of the difficulties I face is people asking for
the acceptable limit of certain organisms. Aside from fungal organisms I
have been unable to find any references to guide me on specific organisms
counts.I would like to hear peoples views on the isolation of skin or
environmental flora when doing this sampling how many CFU would be
acceptable per air sample ?*Fiona De Sousa*
*Infection Prevention & Control Coordinator*
*Sydney Adventist Hospital*
185 Fox Valley Road, Wahroonga, NSW, 2076
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Terry GrimmondParticipantAuthor:
Terry GrimmondEmail:
terry@terrygrimmond.comOrganisation:
Grimmond and Associates, Microbiology ConsultantsState:
WaikatoHi Brett,
I would like to see a webinar on *Sharps Injury Prevention in Australia,*
and I would be happy to participate as a speaker or panel which ever the
board thought appropriate.Kind 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
[image: Twitter_logo_blue]: @terrygrimmond
[image: cid:image002.gif@01CFC166.B448D250]
“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 *Brett Mitchell
*Sent:* Tuesday, August 26, 2014 4:02 PM
*To:* AICALIST@AICALIST.ORG.AU
*Subject:* ACIPC webinars – what do you want?Hi everyone,
We just had an interesting national journal club meeting using Webinar.
Thanks to Dr Andrew Stewardson who presented some great discussion. For
those who are not familiar with webinar, you can watch the presentation
live on your screen, listen to the presenter and ask questions either by
typing in a question or verbally asking.I am sure the College are interested to hear what topics you would like to
see in future webinars, so I would encourage you to respond by replying
or email the ACIPC secretariat (admin@acipc.org.au). There has been some
great discussion in recent weeks on this list which may be of interest. It
could also be a good way of sharing important research findings or way for
people do discuss how they are dealing with complex issues those that are
difficult to relay in an email.Thanks
Brett
*Dr Brett Mitchell*
Senior Lecturer, *RN, BN, PhD, M.Adv.Prac, CICP, MRCNA*
*Faculty of Nursing and Health**And*
*Lifestyle Research Centre**, **Cooranbong*
*Excellence in Christian Tertiary Education since 1897*185 Fox Valley Road,
Wahroonga NSW 2076 AustraliaAvondale College Ltd trading as Avondale College of Higher Education
http://www.avondale.edu.au | http://www.designedforlife.mePlease follow us at:
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