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Terry Grimmond

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  • in reply to: Re: Personal Hygiene in the Catering department #72693
    Terry Grimmond
    Participant

    Author:
    Terry Grimmond

    Position:
    Director

    Organisation:
    Grimmond and Associates, Microbiology Consultants

    State:
    Waikato

    Hi 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.

    See
    http://www.beckershospitalreview.com/quality/how-clean-is-clean-shaven-study-finds-beardless-healthcare-workers-carry-more-bacteria-on-their-faces.html.

    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

    E: terry@terrygrimmond.com

    [image: Twitter_logo_blue]: @terrygrimmond

    W: http://terrygrimmond.com

    “This email (including any attachments) is intended only for the use of the
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    *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 department

    Hi 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
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    *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 department

    Dear 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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    in reply to: ACIPC 2016 conference Melbourne – Ideas welcomed #72633
    Terry Grimmond
    Participant

    Author:
    Terry Grimmond

    Position:
    Director

    Organisation:
    Grimmond and Associates, Microbiology Consultants

    State:
    Waikato

    To 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

    E: terry@terrygrimmond.com

    [image: Twitter_logo_blue]: @terrygrimmond

    W: http://terrygrimmond.com

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    *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 welcomed

    Hi 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*

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    *Excellence in Christian Tertiary Education since 1897*185 Fox Valley Road,
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    http://www.avondale.edu.au | http://www.designedforlife.me

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    in reply to: ACIPC Sharps Injury Survey #72549
    Terry Grimmond
    Participant

    Author:
    Terry Grimmond

    Position:
    Director

    Organisation:
    Grimmond and Associates, Microbiology Consultants

    State:
    Waikato

    To 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

    E: terry@terrygrimmond.com

    [image: Twitter_logo_blue]: @terrygrimmond

    W: http://terrygrimmond.com

    [image: cid:image002.gif@01D11B16.ECFA6B80]

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    in reply to: Sharps Management #72444
    Terry Grimmond
    Participant

    Author:
    Terry Grimmond

    Position:
    Director

    Organisation:
    Grimmond and Associates, Microbiology Consultants

    State:
    Waikato

    Hi 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

    E: terry@terrygrimmond.com

    [image: Twitter_logo_blue]: @terrygrimmond

    W: http://terrygrimmond.com

    “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 Management

    Hi 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.au

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    in reply to: Aged Standards for withdrawal #72213
    Terry Grimmond
    Participant

    Author:
    Terry Grimmond

    Position:
    Director

    Organisation:
    Grimmond and Associates, Microbiology Consultants

    State:
    Waikato

    Thank 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

    E: terry@terrygrimmond.com

    [image: Twitter_logo_blue]: @terrygrimmond

    W: http://terrygrimmond.com

    [image: cid:image003.gif@01D0ACDD.AB187100]

    “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
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    *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 withdrawal

    Hi 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.aspx

    Notice of Intention to Withdraw Aged Standards – Health and Community
    Services

    17-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 areas

    1992

    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 areas

    1996

    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 syringes

    2001

    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 handles

    1998

    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 applications

    1997

    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 wastes

    2000

    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*

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    Terry Grimmond
    Participant

    Author:
    Terry Grimmond

    Position:
    Director

    Organisation:
    Grimmond and Associates, Microbiology Consultants

    State:
    Waikato

    Hi 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

    E: terry@terrygrimmond.com

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    *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 unloaded

    Dear 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

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    in reply to: sharps containers in public tiolets #72166
    Terry Grimmond
    Participant

    Author:
    Terry Grimmond

    Position:
    Director

    Organisation:
    Grimmond and Associates, Microbiology Consultants

    State:
    Waikato

    Hi 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

    E: terry@terrygrimmond.com

    [image: Twitter_logo_blue]: @terrygrimmond

    W: http://terrygrimmond.com

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    *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 tiolets

    Hi

    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

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    Terry Grimmond
    Participant

    Author:
    Terry Grimmond

    Position:
    Director

    Organisation:
    Grimmond and Associates, Microbiology Consultants

    State:
    Waikato

    Hi 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

    E: terry@terrygrimmond.com

    [image: Twitter_logo_blue]: @terrygrimmond

    W: http://terrygrimmond.com

    [image: cid:image002.gif@01D06882.6874D9F0]

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    *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-Professionals

    Claire Boardman

    Deputy Director

    RHDAustralia

    Claire.Boardman@menzies.edu.au

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    Terry Grimmond
    Participant

    Author:
    Terry Grimmond

    Position:
    Director

    Organisation:
    Grimmond and Associates, Microbiology Consultants

    State:
    Waikato

    Hi 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

    E: terry@terrygrimmond.com

    [image: Twitter_logo_blue]: @terrygrimmond

    W: http://terrygrimmond.com

    “This email (including any attachments) is intended only for the use of the
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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 *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
    | twitter

    intended only for the use of the addressee(s) named above and may contain
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    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*
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    *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 containers

    Hi all,

    Not sure if my first email (below) was distributed but would like to
    comment on the great replies coming in

    Although 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

    E: tg@gandassoc.com

    “This email (including any attachments) is intended only for the use of the
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    notify me immediately by return email or telephone and destroy the original
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    *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 matter

    The 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

    E: tg@gandassoc.com

    “This email (including any attachments) is intended only for the use of the
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    notify me immediately by return email or telephone and destroy the original
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    *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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    in reply to: Resource #71799
    Terry Grimmond
    Participant

    Author:
    Terry Grimmond

    Position:
    Director

    Organisation:
    Grimmond and Associates, Microbiology Consultants

    State:
    Waikato

    Thanks 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

    E: terry@terrygrimmond.com

    [image: Twitter_logo_blue]: @terrygrimmond

    W: http://terrygrimmond.com

    [image: cid:image002.gif@01D0356B.F4D3D300]

    “This email (including any attachments) is intended only for the use of the
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    *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:* Resource

    Great 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/1xRnyEy

    Regards

    Cath

    Dr Cathryn Murphy RN MPH PhD CIC

    Executive Director

    Infection Control Plus Pty Ltd

    http://www.infectioncontrolplus.com.au

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    in reply to: Have you heard about this? #71714
    Terry Grimmond
    Participant

    Author:
    Terry Grimmond

    Position:
    Director

    Organisation:
    Grimmond and Associates, Microbiology Consultants

    State:
    Waikato

    Hi 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

    E: terry@terrygrimmond.com

    [image: Twitter_logo_blue]: @terrygrimmond

    W: http://terrygrimmond.com

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    *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:* High

    Hi 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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    in reply to: Re: Ebloa Waste #71615
    Terry Grimmond
    Participant

    Author:
    Terry Grimmond

    Position:
    Director

    Organisation:
    Grimmond and Associates, Microbiology Consultants

    State:
    Waikato

    Hi Sony,

    I agree with you. But for countries who have harmonized with UNTDG Model
    Recommendations, Ebola is Category A UN2814. It is not Clinical Waste
    UN3291. The national law steps in and CDC and DoH recommendations are
    over-ruled. As happened in USA last month where DOT over-ruled CDC on this
    issue.

    Best regards, Terry

    Terry Grimmond FASM, BAgrSc, GrDpAdEd

    Consultant Microbiologist

    Grimmond and Associates

    Ph (NZ): +64 7 855 3212

    Mob (NZ): +64 274 365 140

    E: terry@terrygrimmond.com

    [image: Twitter_logo_blue]: @terrygrimmond

    W: http://terrygrimmond.com

    “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
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    notify me immediately by return email or telephone and destroy the original
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    *From:* ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] *On
    Behalf Of *Sony SO
    *Sent:* Friday, October 31, 2014 12:58 PM
    *To:* AICALIST@AICALIST.ORG.AU
    *Subject:* Re: Ebloa Waste

    Dear All,

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

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

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

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

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

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

    Regards,

    Sony SO

    Nursing Officer, Infection Control Branch (Team 2)

    Centre for Health Protection

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

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

    Please consider the environment before printing this e-mail

    Table 1: international guidelines for handling clinical waste

    1. Biohazard Waste Industry Australia and New Zealand
    (BWI) (formerly ANZCWMIG). (2007). Industry Code of Practice for the
    Management of Clinical and Related Wastes. Retrieved 11 August 2010 from
    http://www.epa.sa.gov.au/xstd_files/Waste/Code%20of%20practice/Code%20of%20Practice%206th%20Edition.pdf

    2. UK Department of Health. Environment and sustainability Health
    Technical Memorandum 07-01: Safe management of healthcare waste Retrieved
    August 2014 from
    https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/167976/HTM_07-01_Final.pdf

    3. Uk Health & Safety Executive. (2009). Carriage of Dangerous
    Goods Manual-Carriage of clinical waste Retrieved 11 August 2010 from
    http://www.hse.gov.uk/cdg/manual/clinical/index.htm

    4. World Health Organization WHO. (2008). Safe Management of
    Wastes from Health-Care Activities. Retrieved August 2014 from
    http://apps.who.int/iris/bitstream/10665/85349/1/9789241548564_eng.pdf

    5. (2003)201410
    http://www.moh.gov.cn/mohyzs/s3576/200804/18353.shtml

    6. (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,
    GrDpAdEd

    Consultant Microbiologist, Grimmond and Associates

    terry@terrygrimmond.com

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

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

    ______________________________________________________________________
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    Terry Grimmond
    Participant

    Author:
    Terry Grimmond

    Position:
    Director

    Organisation:
    Grimmond and Associates, Microbiology Consultants

    State:
    Waikato

    Hi Michael,

    Given Ebola urgency, uniqueness, and common need of members, can you allow
    an exception in naming of disinfectant brands and types? The CDC list of
    EPA registered is very frustrating and not applicable in Australia.

    Linda, CDNA recommends 1,000-5,000ppm hypochlorite for cleaning and spills
    (dependent on blood presence) it is economical, readily available and
    effective.

    Regards,

    Terry Grimmond FASM, BAgrSc, GrDpAdEd

    Consultant Microbiologist

    Grimmond and Associates

    Ph (NZ): +64 7 855 3212

    Mob (NZ): +64 274 365 140

    E: terry@terrygrimmond.com

    [image: Twitter_logo_blue]: @terrygrimmond

    W: http://terrygrimmond.com

    [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 guidelines

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

    re this point specifically

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

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

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

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

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

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

    *Cheers*

    *Lindy*

    *Lindy Ryan*

    Infection Prevention & Control CNC | *Infection Control Service Nepean
    Hospital NBMLHD*

    PO Box 63, Penrith, 2751
    Tel (02) 4734 2228 | Fax (02) 4734 2517 | lindy.ryan@health.nsw.gov.au
    http://www.health.nsw.gov.au

    Wise and human management of the patient is the best safeguard against
    infection

    (Florence Nightingale Circa 1860)

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    in reply to: Re: Air sampling – Reading the results #71411
    Terry Grimmond
    Participant

    Author:
    Terry Grimmond

    Position:
    Director

    Organisation:
    Grimmond and Associates, Microbiology Consultants

    State:
    Waikato

    This 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

    E: terry@terrygrimmond.com

    [image: Twitter_logo_blue]: @terrygrimmond

    W: http://terrygrimmond.com

    [image: cid:image002.gif@01CFC798.EA4DFE10]

    “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
    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 results

    Thank 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*

    Fiona.Desousa@sah.org.au

    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 results

    Dear 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_-_Microbiological

    It 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 results

    Dear 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 results

    Dear 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*

    Fiona.Desousa@sah.org.au

    185 Fox Valley Road, Wahroonga, NSW, 2076

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    kkh

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    in reply to: ACIPC webinars – what do you want? #71357
    Terry Grimmond
    Participant

    Author:
    Terry Grimmond

    Position:
    Director

    Organisation:
    Grimmond and Associates, Microbiology Consultants

    State:
    Waikato

    Hi 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

    E: terry@terrygrimmond.com

    [image: Twitter_logo_blue]: @terrygrimmond

    W: http://terrygrimmond.com

    [image: cid:image002.gif@01CFC166.B448D250]

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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 *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 Australia

    Avondale College Ltd trading as Avondale College of Higher Education
    http://www.avondale.edu.au | http://www.designedforlife.me

    Please follow us at:

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