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Hi Michael,
I can see consultants fist-bumping if they wear their trousers low!
Seriously, the research was well conducted and well-written and actually
got space in our NZ newspaper Ive never had press like that with any of
my papers!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
[image: Twitter_logo_blue]: @terrygrimmond
“This email (including any attachments) is intended only for the use of the
individual or entity named above and may contain information that is
confidential and privileged. If you are not the intended recipient, you are
reminded that any dissemination, distribution or copying of this email or
attachments is prohibited. If you have received this email in error, please
notify me immediately by return email or telephone and destroy the original
message. Thank you.”*From:* ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] *On
Behalf Of *Michael Wishart
*Sent:* Wednesday, July 30, 2014 10:17 AM
*To:* AICALIST@AICALIST.ORG.AU
*Subject:* Handshake vs ‘fist bump’We saw a call before to ban handshaking in healthcare as a way to reduce
transmission of organisms. Now a study suggest fist bumping is the best
greeting to replace a hand shake. Can we all see our consultants fist
pumping their patients each morning? JCheers
Michael
*Michael Wishart*
*Infection Control Coordinator*
*Holy Spirit Northside Private Hospital*
627 Rode Road, Chermside, Qld 4032
*t:* (07) 3326 3068 | *f:* (07) 3607 2226
*e:* Michael.Wishart@svha.org.au
*w:*www.holyspiritnorthside.org.au
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Passive vs Active conjures up Black and White but other colours work
well too!A 7-colour spectrum of terms wont work but *Active, Semiautomatic* and
*Automatic* will.In my recent paper on frequency of use of sharps engineered devices
(SED)
I deliberated over passive and active to describe SED mechanisms.
Something didnt gel. The SED in Doris Dicristinas recent study
significantly reduced wingset
sharp injuries but it was neither passive nor active because you
need push a button.
Then I incredulously learnt of a hospital who were staying with a
troublesome active wingset device because *no passive wingsets had been
developed* yet semi-automatic wingset SED proven to reduce SI were
available. Then I knew what didnt gel our terminology is wrong it
restricts the use of effective technology.After an hour discussing the issue with a learned colleague we agreed we
should be using the three terms proposed by Tosini et al in their large SED
study*Active, Semiautomatic* and *Automatic*. True, they found automatic
best, but semiautomatic SED had fourfold less SI than active SED!We need delete passive from our SED vocabulary. More HCW will sustain SI
if we keep it.May I have your comments terry@terrygrimmond.com.
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
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Hi Beth,
The literature has no reported instances of diseases transmitted via
aerosols from sharps containers, in the operating theatre or elsewhere. In
all the Operating Theatres I have visited, sharps are disposed of into
sharps containers (SC) sited in the operating room, as close as practical to
the point of use. This is consistent with Australian1 and international
guidelines2 which state that sharps must be disposed “immediately after
use”.The siting of SC depends on the room’s work flow and is a decision made by
the surgical team – there are usually several SC used and these may be
sited:. On the wall
. On a mobile stand that can be moved closer to the surgical field
if required. Close to the anaesthetist (commonly on anaesthetic trolley)
. If long disposable sharps are used (biopsy forceps, staple guns,
etc,) these may require their own (deep) SC. An SC dedicated for long sharps
ensures that other sharps do not fill the bottom and cause long sharps to
protrude.. Also, reusable sharp instruments that need be reprocessed need be
placed separately (not in a sharps container) to facilitate safe handling
and transport to sterile processing area post-procedure.. Also, if single-use sharp medical devices are to be harvested for
reprocessing, these may require their own SC.NSW DoH state1
. Isolation of the hazard is achieved by, “. the immediate placement
of a sharp in a rigid sharps disposal container situated at the ‘point of
use'”. (p18). “Sharps disposal containers must be placed (temporarily or
permanently) as close as practical to the point of use of sharp devices to
limit the distance between their use and disposal.” (p13)AORN state2:
. “Keep used needles on the sterile field in a disposable
puncture-resistant needle container.” (TG comment – which is placed in a
sharps container at end of procedure). “Place the sharps container close to the point-of-use and maintain
it in an upright position either wall mounted or floor mounted.”1. NSW Health. (2007). Policy and Guidelines for the Prevention of
Sharps Injuries in the NSW Public Health System. NSW Department of Health
Policy Directive PD2007-052. Available at:
http://www0.health.nsw.gov.au/policies/pd/2007/PD2007_052.html.2. Sharps Safety in the OR – Lets Walk the Talk (PPT). Made available
by AORN temporarily (May 2014) at
http://www.beckershospitalreview.com/quality/patient-safety-tool-aorn-surgic
al-sharps-safety-resources.htmlI cannot get access to ACORN guidelines but presumably they mirror the
above.Hope this helps.
Terry Grimmond FASM, BAgrSc, GrDpAdEd
Consultant Microbiologist
Grimmond and Associates
Ph/Fx (NZ): +64 7 856 4042
Mob (NZ): +64 274 365 140
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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
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notify me immediately by return email or telephone and destroy the original
message. Thank you.”—–Original Message—–
Of Beth BintGood Morning All
I am interested to know what other facilities practices are for the disposal
of sharps within the theatre suite.At what point and where are disposable sharps disposed?
Is it within the theatre:
into a sharps container that is located within the room?
into a mobile sharps container that is brought into the theatre at the end
of the case?or
Is the instrument trolley removed from the theatre with the sharps to
another zone/room where the sharps are removed?If this information is readily known and it will not intrude on your
valuable time, I would value as many responses as possible to assist with
the evaluation of our current practice.Thank you
Beth
Beth Bint
Infection Prevention and Control Clinical Nurse Consultant | Infection
Management and Control Service Level 1 Lawson House Wollongong Hospital Tel
02 4222 5898
|beth.bint@SESIAHS.HEALTH.NSW.GOV.AUhttp://www.health.nsw.gov.au
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