Course Access
Forum Replies Created
-
Posts
-
Hello Cate, the guidelines are just that… guidelines.
There is a growing evidence base supporting the move you are considering and your risk assessment according to your local epidemiology is sound. I believe we all need to look very carefully at what we do in this particular space, particularly when the impact that the gowns and gloves make on patients and hand hygiene compliance is considered. Also we really do need to consider the $ and the environmental costs of all those bulky gowns and gloves we use.
We have been doing this for a number of years now with no increase in MROs and a significant reduction in issues caused when single rooms are few and far between, and patient experience. If Standard Precautions are done well (and that is an important aspect to consider) they will be effective in reducing transmission of all contact transmitted pathogens. As we dont know everyone who has an MRO at any one time, and non MROs still cause HAI with sometimes devastating impact, why should we focus so hard on doing things to some kind of higher standard for some patients and not others?Jo Harris, Nurse Manager, Infection Management and Control Service,
Illawarra Shoalhaven LHD NSW.
Joanna.Harris@health.nswgov.au
0475 943494Sent from my iPhone
> On 1 Apr 2019, at 17:36, Cate Coffey wrote:
>
> Hi everyone,
> just after your thoughts on glove and gown use in contact precautions. We are currenlty reviewing the management of transmission based precautions in our facility. Our local profile of MROS’s include very almost no CPE, minimal MRSA, high rates of nmMRSA which is widespread in the community , increasing ESBL, minimal other gram negative MRO’s. We are reviewing the possiblilty of using standards precautions for patients who are colonised with nmMRSA. Clearance swabs are problematic as patientss often retrun to homes with overcrowding and high rates on nmMRSA. There is currently no PCR testing for MRSA/nmMRSA available in our jurisdiction, therefore 3 swabs are taken for culture.
> We would also like to remove longsleeve plastic gowns and replace with plastic aprons for contact precautions unless there is a risk of blody fluid exposure. Gloves seem to poorly affect Hand Hygiene complance despite significant education and would like you views and experience on this.
> The literature seems inconclusive but as this would be against NHMRC guidelines ,can you let me know if you have any advice regading the changes we would like to implement ?
> Thanks everyone
>
>
> Cate Coffey | Clinical Nurse Consultant
> Infection Prevention and Control Unit | Central Australia Health Service
> Northern Territory Government
> Alice Springs Hopsital, Gap Rd, Alice Springs
> GPO Box 2234, Suburb, NT Postcode
> p … 08 89517737
> e … cate.coffey@nt.gov.au http://www.nt.gov.au/health
>
> Our Vision: Better health outcomes for all Central Australians
> Our Values: Community at the Centre | Equity and Integrity | We are Accountable | We are Relevant Today and Ready for Tomorrow | We are Committed to High Quality Care | We Value our Partnerships
>
> Central Australia Health Service is a Smoke Free Workplace
>
> The information in this e-mail is intended solely for the addressee named. It may contain legally privileged or confidential information that is subject to copyright. If you are not the intended recipient you must not use, disclose copy or distribute this communication. If you have received this message in error, please delete the e-mail and notify the sender. No representation is made that this e-mail is free of viruses. Virus scanning is recommended and is the responsibility of the recipient.
>
>
> MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
> The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
>
> Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
>
> Replies to this message will be directed back to the list. To create a new message send an email to acipclist@acipc.org.au
>
> To send a message to the list administrator send an email to admin@acipc.org.au
>
> You can unsubscribe manually from this list by sending ‘signoff acipclist’ (without the quotes) to listserv@aicalist.org.auMESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to acipclist@acipc.org.au
To send a message to the list administrator send an email to admin@acipc.org.au
You can unsubscribe manually from this list by sending ‘signoff acipclist’ (without the quotes) to listserv@aicalist.org.au
Thank you very much to those of you who have taken the time to send your condolences through this page. I have passed many on to Beths family as I know they draw great comfort from these demonstrations of Beths high-standing within our little community.
Beths funeral was held last Friday, and it was a great celebration of her life. It was lovely to see members of the infection prevention and control world there, and we were all very inspired by John Ferguson playing some beautiful music on a guitar that he has made. It sounded lovely, and it was good to know that Beth had been able to enjoy listening to John playing only a few days before she passed away.
Thanks again for your messages. We remember Beth for the impact she made not only on ourselves, but also the world of infection prevention and control, and nursing, where the needs of our patients are paramount.Joanna Harris
Nurse Manager, ISLHD IMACS
Joanna.Harris@health.nsw.gov.auSent from my iPhone
> On 29 Jan 2019, at 11:31, Wilkinson, Irene (Health) wrote:
>
> Dear Colleagues,
> Here in South Australia we are all shocked to hear of Beths passing as we were not aware of her illness.
> Beth spent some 2 years or so as a Project Officer here at the Department of Health in Adelaide during the time of the influenza pandemic, and she certainly made an impression on her colleagues here with her vibrant and energetic style. She would often say its OK, Im from New South Wales when she was getting a bit enthusiastic!
> I am sure she will be greatly missed by all her colleagues and friends. A tragic loss for all.
>
> Best wishes,
> Irene
> Irene Wilkinson
> Director, Infection Control Service (Tues Fri)
> Communicable Disease Control Branch
> Public Health & Clinical Systems
> SA Health
> Government of South Australia
>
> Ph: (08) 7425 7170 | Email: Irene.Wilkinson@sa.gov.au
> http://www.sahealth.sa.gov.au/infectionprevention
> ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
> This e-mail may contain confidential information, which also may be legally privileged. Only the intended recipient(s) may access, use, distribute or copy this e-mail. If this e-mail is received in error, please inform the sender by return e-mail 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 e-mail and any attached files for viruses.
>
> From: ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] On Behalf Of Truscott, Helen
> Sent: Tuesday, 29 January 2019 11:12 AM
> To: ACIPCLIST@ACIPC.ORG.AU
> Subject: Re: [ACIPC_Infexion_Connexion] Vale Beth Bint Infection Prevention and Control CNC
>
> Very sad news, Beth was a wealth of knowledge and an inspiration to us all.
> My deepest condolences to her friends and family.
>
> Kind regards
>
> Helen
> Helen Truscott
> Manager Infection Prevention and Control & Occupational Health
> Clinical Governance
>
> Level 6|| Duncombe Building|| Raymond Terrace|| South Brisbane || Qld 4101 || AUSTRALIA
> t: (07) 3163 5145 e: Helen.Truscott @mater.org.au f: (07) 3163 1981 w: http://www.mater.org.au
>
>
>
>
>
> Please consider the environment before printing this email
> Follow Mater:
>
> Mercy || Dignity || Care || Commitment || Quality
>
>
>
>
>
> From: ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] On Behalf Of Michael Wishart
> Sent: Monday, 21 January 2019 2:21 PM
> To: ACIPCLIST@ACIPC.ORG.AU
> Subject: [ACIPC_Infexion_Connexion] FW: Vale Beth Bint Infection Prevention and Control CNC
>
> [Forwarded on behalf of Joanna Harris Moderator]
>
> Dear valued colleagues and friends,
> It is with great sadness that I write to tell you that Beth Bint, who many of you will remember with fondness as she never failed to make an impression, has passed away this morning. Beth was diagnosed with leukaemia last July, and sadly her condition did not respond to treatment.
> Beth passed away peacefully at home, with her family and her closest friend at her side.
> Beth had worked in the field of infection prevention and control for many years, starting her journey in the field when she nursed HIV patients in the 1980s. Originally from the Newcastle area, this is where she began work as an infection prevention and control nurse. After a short time working with the Department of Health in South Australia, she returned to NSW to take up the position of Clinical Nurse Consultant with the Infection Management and Control Service (IMACS) in the Illawarra Shoalhaven Local Health District, based at Wollongong Hospital.
> Starting with us in June 2009, she had a baptism of fire as the H1N1 influenza arrived at the same time. Beth took this in her stride, and over the ensuing years her influence on the work of IMACS can be easily identified. She had a very strong belief in the importance of putting the patient at the centre of our work, rather than the pathogen. Beth also used her extensive knowledge and skills in contributing to statewide policies and guidelines including the NSW Health Infection Prevention and Control policy and the Australasian Health Service Facility Guidelines.
> One of the highlights of Beths recent career was winning the scientific panels award for best poster at the ACIPC conference in 2016.
>
> We wish Beths family and the many friends and colleagues that she touched on a personal and a professional level, our very best thoughts at this sad time.
>
> With my very best wishes to you all
>
> Joanna Harris
>
> Nurse Manager, ISLHD Infection Management and Control Service (IMACS)
>
> Telephone – mobile 0475 943494 / Wollongong office 4222 5898 / Warrawong office 4221 6820
> Joanna.Harris@health.nsw.gov.au
> http://www.health.nsw.gov.au
>
>
>
>
>
>
>
>
>
> ______________________________________________________________________
> This email and any attachments to it (the “Email”) is confidential and is for the use only of the intended recipient, and may not be duplicated or used by any other party without the express consent of the sender. If you are not the intended recipient of the Email, please notify the sender immediately by return email, delete the Email, and do not copy, print, retransmit, store or act in reliance on the Email. St Vincent’s Health Australia (“SVHA”) does not guarantee that the Email is free from errors, viruses or interference. Emails to and from SVHA or its related entities may be scanned and filtered in locations outside Australia.
> MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
> The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
>
> Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
>
> Replies to this message will be directed back to the list. To create a new message send an email to acipclist@acipc.org.au
>
> To send a message to the list administrator send an email to admin@acipc.org.au
>
> You can unsubscribe manually from this list by sending ‘signoff acipclist’ (without the quotes) to listserv@aicalist.org.au
>
>
> This email, together with any attachments, is confidential and intended for the named recipient(s) only. If you are not the intended recipient or have received this email in error, you are asked to immediately notify the sender and delete this email and any copies of this email from your computer system network and destroy any printed copies of this email. Any form of unauthorised disclosure, modification, distribution, publication or use of this email is prohibited. You are responsible for the handling of all information once you open the email. You should not print, copy or forward the information without first ensuring that it can be done securely.
>
> MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
> The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
>
> Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
>
> Replies to this message will be directed back to the list. To create a new message send an email to acipclist@acipc.org.au
>
> To send a message to the list administrator send an email to admin@acipc.org.au
>
> You can unsubscribe manually from this list by sending ‘signoff acipclist’ (without the quotes) to listserv@aicalist.org.au
>
> MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
> The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
>
> Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
>
> Replies to this message will be directed back to the list. To create a new message send an email to acipclist@acipc.org.au
>
> To send a message to the list administrator send an email to admin@acipc.org.au
>
> You can unsubscribe manually from this list by sending ‘signoff acipclist’ (without the quotes) to listserv@aicalist.org.auMESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to acipclist@acipc.org.au
To send a message to the list administrator send an email to admin@acipc.org.au
You can unsubscribe manually from this list by sending ‘signoff acipclist’ (without the quotes) to listserv@aicalist.org.au
Some work done in our area with community based nurses revealed an interesting lack of understanding of CAUTI. It may be worth going back to basics with your clinicians to assess their knowledge base…
Joanna Harris
Nurse Manager. IllawarraShoalhaven LHD, NSWSent from my iPhone
On 23 Dec 2018, at 14:37, yento85@GMAIL.COM wrote:
>> Merry Christmas everyone,
>
>> I am wondering for some advice in regards of how other hospitals make
>> awareness of catheter acquired UTI for ward nurses (I.e. education, posters, PowerPoints, guidelines etc) Or has anyone done a program/ research to reduce hospital acquired UTI and has it been successful with retaining the evidence based practice with ward staff?
>
>> I have an interest in reducing
>> hospital acquired UTI and would love to hear what is out there.
>
>> Kind Regards,
>
>> Yeng To
>> RN at QEII Hospital Brisbane
>>
>
> MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
>
> The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
>
> Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
>
> Replies to this message will be directed back to the list. To create a new message send an email to acipclist@acipc.org.au
>
> To send a message to the list administrator send an email to admin@acipc.org.au
>
> You can unsubscribe manually from this list by sending ‘signoff acipclist’ (without the quotes) to listserv@aicalist.org.auMESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to acipclist@acipc.org.au
To send a message to the list administrator send an email to admin@acipc.org.au
You can unsubscribe manually from this list by sending ‘signoff acipclist’ (without the quotes) to listserv@aicalist.org.au
Hello Tina, and welcome.
The important thing is to thoroughly look at the risks associated with MROs in theatre balanced with the risks associated with managing patients known to be colonised. Also recognise that you do not probably know the MRO colonisation status in real time for every single patient.
Here in the Illawarra Shoalhaven in NSW we have adopted a much more horizontal approach to our infection prevention and control policies. Essentially this can be described as doing the right thing for everyone. By doing this we make things simpler for staff, prevent discriminatory practices for those patients with a history of MRO colonisation, and avoid problems such as the ones you have described with wasted theatre time and equipment issues.
I would be very happy to discuss off line, and share policies etc. if you are interested.JoannaHarris
Nurse Manager, Infection Management and Control Service,
Illawarra Shoalhaven LHD, NSW.
Joanna.Harris@health.nsw.gov.auSent from my iPhone
> On 7 Dec 2018, at 15:09, Tina Muller wrote:
>
> Afternoon,
>
> Im a new member, and very excited to be able to network with such a diverse body of knowledge.
>
> Question?
> We are currently reviewing our management of MROs within the perioperative Unit.
> Specifically focusing on decanting theatres prior to admitting the patient into theatre.
> This includes the anaesthetic drugs trolley which is kept close at hand outside the door.
> Yes, we allocate an outside runner.
>
> There are two components that we are keen to focus on.
> Decanting the Theatre we are discussing the Non-Contact vs Contact Zone
> Recovering of patient in the theatre ( VRE / ESBL/CRE ) vs PACU (MRSA)
>
> These are the core issue that cause grief among the staff.
> Ana Folk- not ready access to emergent equipment if required.
> Loss of theatre time in recovering patient in Theatre.
>
> As you are aware, this implicates theatre staff and activity time.
> This is addressed with allocating the MRO patients to the end of the elective lists
> If we have a spare theatre – we will take the MRO patients there, so there is minimal lost time in their home theatre( while someone else cleans up or recovers the patient)
> No so easy to negotiate if this is an emerg patient.
>
> Earlier this year, I emailed across QHealth via SWAPNET, and thank-you to all who responded.
> This has given us much to consider, drawing us to the Contact vs Non-Contact area within the actual theatre.
>
>
>
> Before I totally re-write our Policy reflecting the changes, I would like the opinion of the ACIPC Network.
> I thank-you for your time and consideration in this matter.
>
> Regards,
> Tina
>
>
>
> Tina Muller
> Clinical Nurse Consultant / Perioperative & CSD.
> Mackay Hospital and Health Service
> P: 07 4885 5387
> E:tina.muller@health.qld.gov.au
>
>
>
>
>
>
>
> ********************************************************************************
>
> This email, including any attachments sent with it, is confidential and for the sole use of the intended recipient(s). This confidentiality is not waived or lost, if you receive it and you are not the intended recipient(s), or if it is transmitted/received in error.
>
> Any unauthorised use, alteration, disclosure, distribution or review of this email is strictly prohibited. The information contained in this email, including any attachment sent with it, may be subject to a statutory duty of confidentiality if it relates to health service matters.
>
> If you are not the intended recipient(s), or if you have received this email in error, you are asked to immediately notify the sender by telephone collect on Australia +61 1800 198 175 or by return email. You should also delete this email, and any copies, from your computer system network and destroy any hard copies produced.
>
> If not an intended recipient of this email, you must not copy, distribute or take any action(s) that relies on it; any form of disclosure, modification, distribution and/or publication of this email is also prohibited.
>
> Although Queensland Health takes all reasonable steps to ensure this email does not contain malicious software, Queensland Health does not accept responsibility for the consequences if any person’s computer inadvertently suffers any disruption to services, loss of information, harm or is infected with a virus, other malicious computer programme or code that may occur as a consequence of receiving this email.
>
> Unless stated otherwise, this email represents only the views of the sender and not the views of the Queensland Government.
>
> **********************************************************************************
>
> MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
> The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
>
> Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
>
> Replies to this message will be directed back to the list. To create a new message send an email to acipclist@acipc.org.au
>
> To send a message to the list administrator send an email to admin@acipc.org.au
>
> You can unsubscribe manually from this list by sending ‘signoff acipclist’ (without the quotes) to listserv@aicalist.org.auMESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to acipclist@acipc.org.au
To send a message to the list administrator send an email to admin@acipc.org.au
You can unsubscribe manually from this list by sending ‘signoff acipclist’ (without the quotes) to listserv@aicalist.org.au
