[Tim Spencer]

To everyone that has emailed me about the PIVC slideshow of horrors, I
will have to edit it and will put it up for download.

I will email out the link when I have done so.

Thanks for all the emails J

Timothy R. Spencer, RN, APN, DipAppSci, Bach.Health, ICCert.
Clinical Nurse Consultant, Central Venous Access & Parenteral Nutrition
Service

Conjoint Lecturer, South West Sydney Clinical School | Faculty of
Medicine | University of NSW
Dept of Intensive Care, Level 2, Clinical Building, Liverpool Hospital,
Elizabeth Street, Liverpool, 2170, NSW, Australia
Tel (+61) 2 8738 3603 | Fax (+61) 2 8738 3551 | Mob +61 (0)409 463 428 |
Tim.Spencer@sswahs.nsw.gov.au | Timothy.Spencer@unsw.edu.au

Behalf Of Tim Spencer

Christine,

This is a great place to start.

http://antt.org/ANTT_Site/Home.html

Alternatively, do what I do and show clinicians the nasty effects of
infection in a slideshow – shock factors always seem to work the best
for me – I have a great PIVC slideshow showing a horror story of bad
PIVCs.

Works every time.

Timothy R. Spencer, RN, APN, DipAppSci, Bach.Health, ICCert.
Clinical Nurse Consultant, Central Venous Access & Parenteral Nutrition
Service

Conjoint Lecturer, South West Sydney Clinical School | Faculty of
Medicine | University of NSW
Dept of Intensive Care, Level 2, Clinical Building, Liverpool Hospital,
Elizabeth Street, Liverpool, 2170, NSW, Australia
Tel (+61) 2 8738 3603 | Fax (+61) 2 8738 3551 | Mob +61 (0)409 463 428 |
Tim.Spencer@sswahs.nsw.gov.au | Timothy.Spencer@unsw.edu.au
200 yeas logo white.jpg

Behalf Of Chris Braden

Hi,

Just wondering if anyone has any innovative ideas how to engage doctors
in taking aseptic technique on board?

Perhaps even getting them to do some education??

Regards

Chris

Christine Braden

Manager Infection Control

Djerriwarrh Health Service

Email- chrisb@djhs.org.au

Ph- 53 67 2000

Mobile – 0402 242 651

_____________________________________________________________________
This email has been scanned for the Sydney & South Western Sydney Local
Health Districts by the MessageLabs Email Security System.
Sydney & South Western Sydney Local Health Districts regularly monitor
email and attachments to ensure compliance with the NSW Ministry of
Health’s Electronic Messaging Policy.

Messages posted to this list are solely the opinion of the authors, and
do not represent the opinion of ACIPC.

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 aicalist@aicalist.org.au

To send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’
(without the quotes) to listserv@aicalist.org.au

_____________________________________________________________________
This email has been scanned for the Sydney & South Western Sydney Local
Health Districts by the MessageLabs Email Security System.
Sydney & South Western Sydney Local Health Districts regularly monitor
email and attachments to ensure compliance with the NSW Ministry of
Health’s Electronic Messaging Policy.

_____________________________________________________________________
This email has been scanned for the Sydney & South Western Sydney Local
Health Districts by the MessageLabs Email Security System.
Sydney & South Western Sydney Local Health Districts regularly monitor
email and attachments to ensure compliance with the NSW Ministry of
Health’s Electronic Messaging Policy.

Messages posted to this list are solely the opinion of the authors, and
do not represent the opinion of ACIPC.

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 aicalist@aicalist.org.au

To send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’
(without the quotes) to listserv@aicalist.org.au

_____________________________________________________________________
This email has been scanned for the Sydney & South Western Sydney Local Health Districts by the MessageLabs Email Security System.
Sydney & South Western Sydney Local Health Districts regularly monitor email and attachments to ensure compliance with the NSW Ministry of Health’s Electronic Messaging Policy.

Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

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 aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

[Tim Spencer]

Christine,

This is a great place to start.

http://antt.org/ANTT_Site/Home.html

Alternatively, do what I do and show clinicians the nasty effects of
infection in a slideshow – shock factors always seem to work the best
for me – I have a great PIVC slideshow showing a horror story of bad
PIVCs.

Works every time.

Timothy R. Spencer, RN, APN, DipAppSci, Bach.Health, ICCert.
Clinical Nurse Consultant, Central Venous Access & Parenteral Nutrition
Service

Conjoint Lecturer, South West Sydney Clinical School | Faculty of
Medicine | University of NSW
Dept of Intensive Care, Level 2, Clinical Building, Liverpool Hospital,
Elizabeth Street, Liverpool, 2170, NSW, Australia
Tel (+61) 2 8738 3603 | Fax (+61) 2 8738 3551 | Mob +61 (0)409 463 428 |
Tim.Spencer@sswahs.nsw.gov.au | Timothy.Spencer@unsw.edu.au

Behalf Of Chris Braden

Hi,

Just wondering if anyone has any innovative ideas how to engage doctors
in taking aseptic technique on board?

Perhaps even getting them to do some education??

Regards

Chris

Christine Braden

Manager Infection Control

Djerriwarrh Health Service

Email- chrisb@djhs.org.au

Ph- 53 67 2000

Mobile – 0402 242 651

_____________________________________________________________________
This email has been scanned for the Sydney & South Western Sydney Local
Health Districts by the MessageLabs Email Security System.
Sydney & South Western Sydney Local Health Districts regularly monitor
email and attachments to ensure compliance with the NSW Ministry of
Health’s Electronic Messaging Policy.

Messages posted to this list are solely the opinion of the authors, and
do not represent the opinion of ACIPC.

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 aicalist@aicalist.org.au

To send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’
(without the quotes) to listserv@aicalist.org.au

_____________________________________________________________________
This email has been scanned for the Sydney & South Western Sydney Local Health Districts by the MessageLabs Email Security System.
Sydney & South Western Sydney Local Health Districts regularly monitor email and attachments to ensure compliance with the NSW Ministry of Health’s Electronic Messaging Policy.

Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

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 aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

[Tim Spencer]

Most surgical instruments are surgical stainless steel – which don’t
generally rust so I would question the addition of a rust inhibitor – it
would be toxic I’m sure!

Timothy R. Spencer, RN, APN, DipAppSci, Bach.Health, ICCert.
Clinical Nurse Consultant, Central Venous Access & Parenteral Nutrition
Service

Conjoint Lecturer, South West Sydney Clinical School | Faculty of
Medicine | University of NSW
Dept of Intensive Care, Level 2, Clinical Building, Liverpool Hospital,
Elizabeth Street, Liverpool, 2170, NSW, Australia
Tel (+61) 2 8738 3603 | Fax (+61) 2 8738 3551 | Mob +61 (0)409 463 428 |
Tim.Spencer@sswahs.nsw.gov.au | Timothy.Spencer@unsw.edu.au

Behalf Of Donnellan, Robyn

Hi All,

My memory recalls that there used to be a rust inhibitor in some of
Chlorhexidene liquid disinfectants (check the product specs of the
solution), when instrument soaking practices occurred. I would imagine
that this would not be the case with impregnated swabs.

Kind regards

Robyn Donnellan CICP

CNC Infection Prevention & Control Service for

Mid North Coast and Northern NSW

Local Health Districts

Behalf Of Wilkinson, Irene (Health)

Hi all,

My understanding is that the TGA has changed its registration processes
for skin disinfectants so that they now need to be registered as OTC
medicines. This probably involves another cost for manufacturers who may
be trying to get around this by simply re-labelling their products.
Consumers need to express to the product suppliers that this is not
acceptable.

In the meantime, if the product has not changed its formulation, some
healthcare facilities are electing to continue to use the products “off
label”.

Clearly not a satisfactory situation.

Regards,

Irene

Irene Wilkinson

Manager, Infection Control Service

SA Health

Irene.wilkinson@health.sa.gov.au

Behalf Of Borrell, Sue

I have emailed the manufacturer of 100ml 2% Chlorhexidine in 70% Alcohol
with the same labeling- will share the response when it arrives

I note the 500ml bottle of 0.5% Chlorhexidine in 70% Alcohol also now
has this labeling

Have had a look around the TGA website and have not seen anything about
category changes

regards

Sue

Sue Borrell
Infection Prevention Nurse Consultant

Infection Prevention & Hospital Epidemiology

t 03 90763139

m 0429 806356

e S.Borrell@alfred.org.au

Alfred Health
55 Commercial Road
Melbourne VIC 3004
PO Box 315 Prahran
VIC 3181 Australia

Alfred Health incorporates The Alfred, Caulfield Hospital and
Sandringham Hospital
http://www.alfredhealth.org.au

CONFIDENTIALITY NOTICE: This email and any files transmitted with it are
confidential and intended solely for the use of the individual or entity
to whom they are addressed. If you have received this email in error,
please notify us by return email and delete all copies in your system.
If you are not the intended recipient, you are hereby notified that any
disclosure, copying, distribution or taking any action in reliance on
the contents of this information is strictly prohibited and may be
unlawful. Alfred Health is not liable for the proper and complete
transmission of the information contained in this communication or for
any delay in its receipt.

Please consider the environment before printing this email.

________________________________

Behalf Of Jane Tomlinson
in 70% ETOH enquiry

Hi Lindy

our generic branded liquid solution seems to now also have the ‘hospital
grade disinfectant and the surface cleaning” directions, however our
single use swabs and packets do not. Has anyone contacted the
manufacturer yet?

regards

J

We Passed Accreditation – met with merit for standard 3 Infection
Prevention – many thanks for your assistance and great work

Jane Tomlinson RN

Clinical Nurse Consultant

Infection Management and Prevention Service

Royal Children’s Hospital

Children’s Health Queensland
T: 07 3636 7856 | M: 0408 236 266

| F: 3636 5505
E: jane_tomlinson@health.qld.gov.au

Ground Floor, South Tower

Herston Rd, HERSTON QLD 4029

http://www.health.qld.gov.au/childrenshealth

>>> Lindy Ryan 3/07/13 9:03 >>>

Dear Colleagues

Just wondering if anyone; facilities/ service had been using 2%CHG in
70% ETOH (tinted pink /red/blue) for skin antisepsis for their pt. s
for insertions of CVADs or preop skin prep? and if so were you notified
of the change to the physical labelling from it previously being
labelled for use as skin prep – ‘use as a preoperative treatment of
unbroken skin’ to it at some date being relabelled as a “hospital
grade disinfectant ” “with the direction “of apply to hard surfaces e.g
walls and floors”

Can I ask then if you were aware can I ask are you still using it as a
skin antisepsis even with the label change or have you stopped using
for this purpose… and if so what are you now using instead?

Any advice or feedback would be grateful

Many thanks

Regards

Lindy

Lindy Ryan

Infection control CNC

Nepean Hospital NBMLHD

Phone 4724 2228

Email lindy.ryan@swahs.health.nsw.gov.au

Infection Prevention and control is everyones business

___________________________________

attachments) may be confidential and may also be subject to legal
professional privilege.

Unless you are the intended recipient any unauthorised use,
dissemination,further distribution or reproduction of this communication
in any form whatsoever, is strictly prohibited.

If this communication has been sent to you in error, please notify the
sender by return e-mail and delete and/or destroy your copy of this
communication (including attachments).

Any views expressed in this communication are those of the individual
sender, except where the sender states them to be the views of the
Nepean Blue Mountains Local Health District/Western Sydney Local Health
District.

Unless otherwise expressed, it is not represented, warranted or
guaranteed that the integrity of this communication has been maintained
nor that the communication is free of virus, errors or interference.

07/03/13 – 09:03:59

Messages posted to this list are solely the opinion of the authors, and
do not represent the opinion of ACIPC.

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 aicalist@aicalist.org.au

To send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’
(without the quotes) to listserv@aicalist.org.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 authors, and
do not represent the opinion of ACIPC.

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 aicalist@aicalist.org.au

To send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’
(without the quotes) to listserv@aicalist.org.au

Messages posted to this list are solely the opinion of the authors, and
do not represent the opinion of ACIPC.

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 aicalist@aicalist.org.au

To send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’
(without the quotes) to listserv@aicalist.org.au

Messages posted to this list are solely the opinion of the authors, and
do not represent the opinion of ACIPC.

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 aicalist@aicalist.org.au

To send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’
(without the quotes) to listserv@aicalist.org.au

________________________________

This message is intended for the addressee(s) named and may contain
confidential information. If you are not the intended recipient, please
delete the message and any attachments and notify the sender. Views
expressed in this message are those of the individual sender, and are
not necessarily the views of NSW Health or any of its entities.

_____________________________________________________________________
This email has been scanned for the Sydney & South Western Sydney Local
Health Districts by the MessageLabs Email Security System.
Sydney & South Western Sydney Local Health Districts regularly monitor
email and attachments to ensure compliance with the NSW Ministry of
Health’s Electronic Messaging Policy.

Messages posted to this list are solely the opinion of the authors, and
do not represent the opinion of ACIPC.

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 aicalist@aicalist.org.au

To send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’
(without the quotes) to listserv@aicalist.org.au

_____________________________________________________________________
This email has been scanned for the Sydney & South Western Sydney Local Health Districts by the MessageLabs Email Security System.
Sydney & South Western Sydney Local Health Districts regularly monitor email and attachments to ensure compliance with the NSW Ministry of Health’s Electronic Messaging Policy.

Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

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 aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

[Tim Spencer]

I would love to use infusor therapy for inpatient A/B administration.

But with the administration of multiple parenteral medications, how
would you get around that, apart from the use of a multi-lumen catheter?

Timothy R. Spencer, RN, APN, DipAppSci, Bach.Health, ICCert.
Clinical Nurse Consultant, Central Venous Access & Parenteral Nutrition
Service

Conjoint Lecturer, South West Sydney Clinical School | Faculty of
Medicine | University of NSW
Dept of Intensive Care, Level 2, Clinical Building, Liverpool Hospital,
Elizabeth Street, Liverpool, 2170, NSW, Australia
Tel (+61) 2 8738 3603 | Fax (+61) 2 8738 3551 | Mob +61 (0)409 463 428 |
Tim.Spencer@sswahs.nsw.gov.au | Timothy.Spencer@unsw.edu.au

Behalf Of Franciska Ferreira

Hi Tim,

For inpatient therapy.

Thank you

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

Behalf Of Tim Spencer

For in or outpatient therapy?

We use it for outpatient therapy only, but I would love to have it for
some inpatients as well.

However, with multi antibiotic administration, it’s not usually
feasible.

Timothy R. Spencer, RN, APN, DipAppSci, Bach.Health, ICCert.
Clinical Nurse Consultant, Central Venous Access & Parenteral Nutrition
Service

Conjoint Lecturer, South West Sydney Clinical School | Faculty of
Medicine | University of NSW
Dept of Intensive Care, Level 2, Clinical Building, Liverpool Hospital,
Elizabeth Street, Liverpool, 2170, NSW, Australia
Tel (+61) 2 8738 3603 | Fax (+61) 2 8738 3551 | Mob +61 (0)409 463 428 |
Tim.Spencer@sswahs.nsw.gov.au | Timothy.Spencer@unsw.edu.au
200 yeas logo white.jpg

Behalf Of Franciska Ferreira

Good morning all,

I’m just interested to know how many organizations are using the
prefilled antibiotic infusors?? If any??

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

________________________________

This email 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 hereby
notified that any dissemination, distribution or copying of this email
is strictly prohibited. If you receive this email in error, could you
please notify us by return email and delete it and any attachments from
your system. Even though this message is scanned no representation is
made that this email or any attachments are free of viruses or other
defects. Virus scanning is recommended and is the responsibility of the
recipient.

______________________________________________________________________
This email has been scanned by the Symantec Email Security.cloud
service.
For more information please visit http://www.symanteccloud.com
______________________________________________________________________

_____________________________________________________________________
This email has been scanned for the Sydney & South Western Sydney Local
Health Districts by the MessageLabs Email Security System.
Sydney & South Western Sydney Local Health Districts regularly monitor
email and attachments to ensure compliance with the NSW Ministry of
Health’s Electronic Messaging Policy.

Messages posted to this list are solely the opinion of the authors, and
do not represent the opinion of ACIPC.

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 aicalist@aicalist.org.au

To send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’
(without the quotes) to listserv@aicalist.org.au

_____________________________________________________________________
This email has been scanned for the Sydney & South Western Sydney Local
Health Districts by the MessageLabs Email Security System.
Sydney & South Western Sydney Local Health Districts regularly monitor
email and attachments to ensure compliance with the NSW Ministry of
Health’s Electronic Messaging Policy.

______________________________________________________________________
This email has been scanned by the Symantec Email Security.cloud
service.
For more information please visit http://www.symanteccloud.com
______________________________________________________________________

Messages posted to this list are solely the opinion of the authors, and
do not represent the opinion of ACIPC.

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 aicalist@aicalist.org.au

To send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’
(without the quotes) to listserv@aicalist.org.au

______________________________________________________________________
This email has been scanned by the Symantec Email Security.cloud
service.
For more information please visit http://www.symanteccloud.com
______________________________________________________________________

_____________________________________________________________________
This email has been scanned for the Sydney & South Western Sydney Local
Health Districts by the MessageLabs Email Security System.
Sydney & South Western Sydney Local Health Districts regularly monitor
email and attachments to ensure compliance with the NSW Ministry of
Health’s Electronic Messaging Policy.

Messages posted to this list are solely the opinion of the authors, and
do not represent the opinion of ACIPC.

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 aicalist@aicalist.org.au

To send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’
(without the quotes) to listserv@aicalist.org.au

_____________________________________________________________________
This email has been scanned for the Sydney & South Western Sydney Local Health Districts by the MessageLabs Email Security System.
Sydney & South Western Sydney Local Health Districts regularly monitor email and attachments to ensure compliance with the NSW Ministry of Health’s Electronic Messaging Policy.

Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

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 aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

[Tim Spencer]

Hi Mary,

This is a wise move gauze square under dressing and change to CHG sponge at 24hrs post insertion. Quite widely practised within the USA also.

It saves wastage costs in changing CHG sponge dressing twice in 24hrs if its contaminated with blood post insertion, etc.

We have just implemented hospital-wide use of a CHG sponge dressing after using in ICU and Haem/Onc for the last 4 years.

CLAB rates are quite low already, but we standardised its use to give every patient the benefit, rather than just using it on specific groups/types of patients and devices.

This also allows for greater compliance with using the device in the care and maintenance when the patient goes to the ward.

There is much supportive literature that supports the use of a CHG impregnated sponge on an insertion site, including 2 good RCTs.

Using the literature to support your case will be imperative. J

Getting past the covered exit site is hard, but there needs to be faith in the product that it is doing its job correctly this will show in an infection rate reduction generally.

PICC lines are well documented to have LOWER infection rates than your standard chest CVCs (IJ/Subclavian/Axillary Vein), so I would consider its use based on your overall infection rates for both CVC and PICCs.

Do you happen to use impregnated CVCs at all?

Tim..

Timothy R. Spencer, RN, APN, DipAppSci, Bach.Health, ICCert.
Clinical Nurse Consultant, Central Venous Access & Parenteral Nutrition Service

Conjoint Lecturer, South West Sydney Clinical School | Faculty of Medicine | University of NSW
Dept of Intensive Care, Level 2, Clinical Building, Liverpool Hospital, Elizabeth Street, Liverpool, 2170, NSW, Australia
Tel (+61) 2 8738 3603 | Fax (+61) 2 8738 3551 | Mob +61 (0)409 463 428 | Tim.Spencer@sswahs.nsw.gov.au | Timothy.Spencer@unsw.edu.au

From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Mary Willimann
Sent: Thursday, 18 April 2013 12:45 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: PICC Line Dressings

Hi Phillipa

I was just about to put something on the AICA list myself as we are having similar issues particularly around the use of chlorhexidine-impregnated sponges or dressings. Whilst we are using them routinely in ICU for CVCs, we are meeting with resistance from our oncology staff about using them routinely for all PICC line dressings in our oncology and haematology patients. In ICU we have the option of both the sponges and the transparent dressings depending on clinician preference – as you have stated some people like to able to view the exit site. Also we are wondering if it might be more sensible to dress PICC lines with a gauze dressing when they are inserted but changing to a chlorhexidine-impregnated sponges or dressings when changing the dressing 24 hours later? All advice would be gratefully received!!

Kind regards

Mary

Mary Willimann I Clinical Nurse Consultant – Infection Prevention & Control I St John of God Subiaco Hospital

Level 3, 12 Salvado Road SUBIACO WA 6008

P: 08 9382 6220 F: 08 9382 6785 E: mary.willimann@sjog.org.au

>>> “Parsons, Phillipa” 18/04/2013 9:18 AM >>>

Dear All,

Could people please advise on the management of PICC line dressings when an antiseptic impregnated patch is used in regards to

a) frequency of PICC line dressings

b) antiseptic impregnated patches

We have two streams guiding our discussion and management of PICC lines at the moment.

I am receiving arguments that the exist site cannot be observed properly with the patch insitu and the patch always requires changing next day as blood soaked. The patch product use recommends changing if blood stained.

Is anyone dealing with a similar issue and how have they managed this?

Regards

Phillipa Parsons

Infection Prevention and Control Clinical Coordinator

Cabrini Health

183 Wattletree Rd

Malvern Vic 3144

03 9508 1577

0400 369 741

Email: pparsons@cabrini.com.au

Please consider the environment before you print this e-mail.
—————————————————————————————————————
This email and any attachments may be confidential, and are intended
solely for the use of the individual(s) or entity to whom they are
addressed. If you are not the intended recipient of this communication,
please notify the sender immediately and delete the email and any
attachments.
Cabrini does not guarantee that this email is virus or error free.
______________________________________________________________________
This email has been scanned by the Symantec Email Security.cloud service.
For more information please visit http://www.symanteccloud.com
______________________________________________________________________
Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

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 aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

IMPORTANT: This email and any attachments are for the sole use of the intended recipient. They may contain confidential or privileged information. This information may not necessarily be the view of St John of God Health Care Inc (SJGHC). SJGHC does not warrant, represent or guarantee the accuracy or completeness of the information. SJGHC does not accept liability for any loss or damage in connection with the information. If you are not the intended recipient then any use, reliance, interference with, disclosure, distribution or copying of this information by you is unauthorised and prohibited. If you have received this email in error then please notify the sender by return email and delete all copies. SJGHC does not waive any privilege.

_____________________________________________________________________
This email has been scanned for the Sydney & South Western Sydney Local Health Districts by the MessageLabs Email Security System.
Sydney & South Western Sydney Local Health Districts regularly monitor email and attachments to ensure compliance with the NSW Ministry of Health’s Electronic Messaging Policy.

Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

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 aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

_____________________________________________________________________
This email has been scanned for the Sydney & South Western Sydney Local Health Districts by the MessageLabs Email Security System.
Sydney & South Western Sydney Local Health Districts regularly monitor email and attachments to ensure compliance with the NSW Ministry of Health’s Electronic Messaging Policy.

Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

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 aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

[Tim Spencer]

Hi Phillipa,

a) PICC (and other CVAD) dressings, if a transparent semi-permeable
dressing is used, should be changed every 7 days or as required i.e
blood or moisture under dressing, poor skin adherence due to
diaphoresis, etc.

b) Antiseptic impregnated patch or sponge dressing should be
changed with the dressing or unless saturated with blood or fluid, based
on the manufacturers guidelines and evidence-based literature..

I would be looking at the current practice guidelines CDC, INS, AVA,
CNSA and ONS to support your practice, which should be evidence-based.

Here is the standards from INS (Infusion Nurses Society – USA 2011)
below.

Please feel free to contact me directly should you require further
information.

Tim..

46. VASCULAR ACCESS DEVICE SITE CARE AND DRESSING CHANGES

Standard

46.1 Vascular access device (VAD) site care and dressing

changes, including frequency of procedure and type

of antiseptic and dressing, shall be established in organizational

policies, procedures, and/or practice guidelines.

46.2 The nurse shall be competent in performing VAD

site care and dressing changes.

46.3 VAD site care and dressing changes shall be performed

at established intervals and immediately if the

dressing integrity becomes compromised, if moisture,

drainage, or blood is present, or if signs and symptoms

of site infection are present.

46.4 A sterile dressing shall be applied and maintained

on VADs.

Practice Criteria

A. Routine site care and dressing changes are not

performed on short peripheral catheters unless

the dressing is soiled or no longer intact.1 (V)

B. Central vascular access device (CVAD) site care

and dressing changes should include the following:

removal of the existing dressing, cleansing of

the catheter-skin junction with appropriate antiseptic

solution(s), replacement of the stabilization

device if used, and application of a sterile dressing

(see Standard 36, Vascular Access Device

Stabilization).2-4 (V)

C. Chlorhexidine solution is preferred for skin antisepsis

as part of VAD site care. One percent to two percent

tincture of iodine, iodophor (povidone-iodine),

and 70% alcohol may also be used. Chlorhexidine

is not recommended for infants under 2 months of

age.2,5-8 (I)

D. For infants under 2 months of age or pediatric

patients with compromised skin integrity, dried

povidone-iodine should be removed with normal

saline wipes or sterile water.9 (V)

E. CVAD site care frequency is based on the type of

dressing; transparent semipermeable (TSM) dressings

should be changed every 5-7 days, and gauze

dressings should be changed every 2 days. While

the evidence does not support one type of dressing

over another, gauze is preferable to TSM if the

patient is diaphoretic, or if the site is oozing or

bleeding. In the event of drainage, site tenderness,

other signs of infection, or loss of dressing integrity,

the dressing should be changed sooner, allowing

the opportunity to closely assess, cleanse, and

disinfect the site.2,3,8,10 (II)

F. Placement of a gauze dressing under a transparent

dressing should be considered a gauze dressing

and changed every 2 days. If gauze is used to

support the wings of a noncoring needle in an

implanted port and does not obscure the insertion

site, it is not considered a gauze dressing.3

(V)

G. The use of a chlorhexidine-impregnated dressing

with short-term CVADs should be considered in

patients older than 2 months of age as an additional

catheter-related bloodstream infection

(CR-BSI) prevention measure.2,11-13 (I)

H. With a well-healed tunneled CVAD, consideration

may be given to no dressing.14 (III)

I. The catheter-skin junction site should be visually

inspected or palpated daily for tenderness through

the intact dressing; for patients receiving outpatient

or home care, the patient should be instructed

to check the VAD site and dressing every day

for signs of infection and to report such changes or

dressing dislodgment immediately to the health

care provider.1,3 (V)

J. Gauze, bandages, or any dressing material that

may obstruct visualization of the catheter-skin

junction and/or constrict the extremity should not

be used (see Standard 38, Site Protection).1,4 (V)

K. The dressing should be labeled with the following

information: date, time, and initials of the nurse

performing the dressing change.1,3,4 (V)

L. Sterile gloves should be worn when performing

CVAD site care. The use of a mask during access

is often recommended; however, it remains an

unresolved issue due to lack of research.2,3,15,16

(IV)

REFERENCES

1. Perucca R. Peripheral venous access devices. In: Alexander M,

Corrigan A, Gorski L, Hankins J, Perucca R, eds. Infusion

Saunders/Elsevier; 2010:456-479.

2. Marschall J, Mermel LA, Classen D, et al; Society for Hospital

Epidemiology. Strategies to Prevent CLABSI. Strategies to prevent

central line-associated bloodstream infections in acute care

hospitals. Infect Control Hosp Epidemiol. 2008;29 (suppl 1):

S22-S30.

3. Gorski L, Hunter M. Central venous access devices: care, maintenance

and potential complications. In: Alexander M, Corrigan A,

Gorski L, Hankins J, Perucca, R. eds. Infusion Nursing: An

Evidence-Based Approach. 3rd ed. St Louis, MO: Saunders/Elsevier;

2010:496-498.

4. Phillips, LD. Techniques for initiation and maintenance of

peripheral infusion therapy. In: Manual of I.V. Therapeutics:

Evidence-Based Practice for Infusion Therapy. 5th ed. Philadelphia,

5. Chaiyakunapruk N, Veenstra DL, Lipsky BA, Saint S. Chlorhexidine

compared with povidone-iodine solution for vascular catheter-site

care: meta-analysis. Ann Intern Med. 2002;136(11):792-801.

6. Hibbard JJ. Analysis comparing the antimicrobial activity and safety

of current antiseptic agents. J Infus Nurs. 2005;28(3):194-207.

7. National Kidney Foundation/Dialysis Outcomes Quality

Initiative. Clinical practice guidelines for vascular access: update

2000. Am J Kidney Dis. 2001;37(suppl 1):S137-S181.

8. Safdar N, Kluger DM, Maki DG. A review of risk factors for

catheter-related bloodstream infection caused by percutaneously

inserted, noncuffed central venous catheters: implications for
preventive

strategies. Medicine (Baltimore). 2002;81(6):466-479.

9. Doellman D, Pettit J, Catudal P, Buckner J, Burns D, Frey AM;

Association for Vascular Access. Best practice guidelines in the

care and maintenance of pediatric central venous catheters. 2010;

PEDIVAN.

10. Gilles D, O’Riordan L, Carr D, et al. Gauze and tape and transparent

polyurethane dressings for central venous catheters.

Cochrane Review. In: The Cochrane Library, Chichester, UK:

John Wiley & Sons; 2004.

11. Yong-Gang L, Hong-Lin D, Wang L. Chlorhexidine-impregnated

sponges and prevention of catheter-related infections. JAMA.

2009;302(4):379.

12. Ho KM, Litton E. Use of chlorhexidine-impregnated dressing to

prevent vascular and epidural catheter colonization and infection:

a meta-analysis. J Antimicrob Chemother. 2006;58:281-287.

13. Garland JS, Alex CP, Mueller CD, et al. A randomized trial comparing

povidone-iodine to a chlorhexidine gluconate-impregnated

dressing for prevention of central venous catheter infections in

neonates. Pediatrics. 2001;107(6):1431-1436.

14. Olson K, Rennie RP, Hanson J, et al. Evaluation of a no-dressing

intervention for tunneled central catheter exit sites. J Infus Nurs.

2004;27(1):37-44.

15. Phillips, LD. Techniques for initiation and maintenance of central

venous access. In: Manual of I.V. Therapeutics: Evidence-Based

Practice for Infusion Therapy. 5th ed. Philadelphia, PA: FA Davis;

2010:458-545.

16. Oncology Nursing Society (ONS). Access Device Guidelines:

Recommendations for Nursing Practice and Education. 2nd ed.

Pittsburgh, PA: ONS; 2004.

Timothy R. Spencer, RN, APN, DipAppSci, Bach.Health, ICCert.
Clinical Nurse Consultant, Central Venous Access & Parenteral Nutrition
Service

Conjoint Lecturer, South West Sydney Clinical School | Faculty of
Medicine | University of NSW
Dept of Intensive Care, Level 2, Clinical Building, Liverpool Hospital,
Elizabeth Street, Liverpool, 2170, NSW, Australia
Tel (+61) 2 8738 3603 | Fax (+61) 2 8738 3551 | Mob +61 (0)409 463 428 |
Tim.Spencer@sswahs.nsw.gov.au | Timothy.Spencer@unsw.edu.au

Behalf Of Parsons, Phillipa

Dear All,

Could people please advise on the management of PICC line dressings when
an antiseptic impregnated patch is used in regards to

a) frequency of PICC line dressings

b) antiseptic impregnated patches

We have two streams guiding our discussion and management of PICC lines
at the moment.

I am receiving arguments that the ‘exist site’ cannot be observed
properly with the patch insitu and the patch “always” requires changing
next day as blood soaked. The patch product use recommends changing if
blood stained.

Is anyone dealing with a similar issue and how have they managed this?

Regards

Phillipa Parsons

Infection Prevention and Control Clinical Coordinator

Cabrini Health

183 Wattletree Rd

Malvern Vic 3144

03 9508 1577

0400 369 741

Please consider the environment before you print this e-mail.
————————————————————————
—————————————
This email and any attachments may be confidential, and are intended
solely for the use of the individual(s) or entity to whom they are
addressed. If you are not the intended recipient of this communication,
please notify the sender immediately and delete the email and any
attachments.
Cabrini does not guarantee that this email is virus or error free.
______________________________________________________________________
This email has been scanned by the Symantec Email Security.cloud
service.
For more information please visit http://www.symanteccloud.com
______________________________________________________________________

_____________________________________________________________________
This email has been scanned for the Sydney & South Western Sydney Local
Health Districts by the MessageLabs Email Security System.
Sydney & South Western Sydney Local Health Districts regularly monitor
email and attachments to ensure compliance with the NSW Ministry of
Health’s Electronic Messaging Policy.

Messages posted to this list are solely the opinion of the authors, and
do not represent the opinion of ACIPC.

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 aicalist@aicalist.org.au

To send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’
(without the quotes) to listserv@aicalist.org.au

_____________________________________________________________________
This email has been scanned for the Sydney & South Western Sydney Local Health Districts by the MessageLabs Email Security System.
Sydney & South Western Sydney Local Health Districts regularly monitor email and attachments to ensure compliance with the NSW Ministry of Health’s Electronic Messaging Policy.

Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

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 aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

[Tim Spencer]

Thanks for a very informed and well-structured reply Mathias.

I totally agree.

Timothy R. Spencer, RN, APN, DipAppSci, Bach.Health, ICCert.
Clinical Nurse Consultant, Central Venous Access & Parenteral Nutrition
Service

Conjoint Lecturer, South West Sydney Clinical School | Faculty of
Medicine | University of NSW
Dept of Intensive Care, Level 2, Clinical Building, Liverpool Hospital,
Elizabeth Street, Liverpool, 2170, NSW, Australia
Tel (+61) 2 8738 3603 | Fax (+61) 2 8738 3551 | Mob +61 (0)409 463 428 |
Tim.Spencer@sswahs.nsw.gov.au | Timothy.Spencer@unsw.edu.au

Behalf Of Matthias Maiwald (KKH)

Dear Franciska,

Not sure about clexane and insulin (s.c. injections), but I have looked
in some detail into the current Australian recommendations concerning
vaccinations. Most vaccinations are i.m. injections, which are
biologically quite different from s.c. injections and also from
venipuncture. The official recommendation by the Australian Immunisation
Handbook is not to swab (so if you follow that, you are following
official recommendations), and only to swab if the injection area is
visibly dirty, but the problem is that these recommendation are severely
misguided and intellectually flawed.

(1) Much of it is based on a short 2001 article in the MJA, examining a
few hundred s.c. injections and venipunctures, and concluding that
swabbing for ANY type of injection is not necessary, including i.m.
injections. There are two fatal flaws with this assumption. (a) The
article did not examine even a single i.m. injection and made
conclusions pertaining to these (which is inconsistent with the
principles of evidence-based medicine, which the article purported to
adhere to), and (b) the natural infection rate after i.m. injections is
very low, estimated to be in the range of 1:5000 to 1:10000 or less
(which is reassuring), but if you study a smaller population than is
needed to capture the natural incidence of an event, then you cannot
make conclusions that the intervention has no effect on the occurrence
of the event.

(2) The recommendation to swab only if visibly soiled is not justified
either, because microorganisms are invisible, and implementing this as a
cutoff between swabbing and non-swabbing is arbitrary without a
scientific base or evidence base. Imagine you sit in front of a patient
with a darker skin colour and want to give an injection. When would you
be confident that the skin is NOT visibly dirty?

In summary, if you don’t swab, you are consistent with the guidelines,
but the guidelines are seriously flawed (at least you won’t be
responsible then). It is certainly reassuring that the natural infection
rate is very low, and statistically you are unlikely (but it is
possible) to see any adverse event. It is clear that i.m. injections and
other types of injections are biologically and clinically different and
bear a different infection risk. Also, the deeper an injection is, the
more complicated infections can get (examples on the complicated end are
joint injections, corticosteroid injections, or more complicated
injections).

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

Behalf Of Franciska Ferreira

Hi All,

There is still an ongoing debate whether we should use an alcohol swab
before administering clexane, vaccines and insulin. Any ideas please?

I know the latest practice in regards administering clexane is to “not
swab”.

I just want to advise my team from a infection control point of view
with facts to stand on.

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

________________________________

This email 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 hereby
notified that any dissemination, distribution or copying of this email
is strictly prohibited. If you receive this email in error, could you
please notify us by return email and delete it and any attachments from
your system. Even though this message is scanned no representation is
made that this email or any attachments are free of viruses or other
defects. Virus scanning is recommended and is the responsibility of the
recipient.

______________________________________________________________________
This email has been scanned by the Symantec Email Security.cloud
service.
For more information please visit http://www.symanteccloud.com
______________________________________________________________________

Messages posted to this list are solely the opinion of the authors, and
do not represent the opinion of ACIPC.

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 aicalist@aicalist.org.au

To send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’
(without the quotes) to listserv@aicalist.org.au

kkh

________________________________

The information contained in this e-mail and the attachments (if any)
may be privileged and confidential and is intended solely for the named
addressee. If you are not the intended recipient, please do not print,
retain copy, disseminate, distribute, or use this e-mail or any part
thereof. Please notify the sender immediately by replying to this e-mail
and delete all copies of this e-mail and the attachments.

_____________________________________________________________________
This email has been scanned for the Sydney & South Western Sydney Local
Health Districts by the MessageLabs Email Security System.
Sydney & South Western Sydney Local Health Districts regularly monitor
email and attachments to ensure compliance with the NSW Ministry of
Health’s Electronic Messaging Policy.

Messages posted to this list are solely the opinion of the authors, and
do not represent the opinion of ACIPC.

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 aicalist@aicalist.org.au

To send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’
(without the quotes) to listserv@aicalist.org.au

_____________________________________________________________________
This email has been scanned for the Sydney & South Western Sydney Local Health Districts by the MessageLabs Email Security System.
Sydney & South Western Sydney Local Health Districts regularly monitor email and attachments to ensure compliance with the NSW Ministry of Health’s Electronic Messaging Policy.

Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

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 aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

[Tim Spencer]

TEGO by Mayo Healthcare is available.

Contact your local rep.

http://www.gobmp.com/tego/index.asp

Timothy R. Spencer, RN, APN, DipAppSci, Bach.Health, ICCert.
Clinical Nurse Consultant, Central Venous Access & Parenteral Nutrition Service

Conjoint Lecturer, South West Sydney Clinical School | Faculty of Medicine | University of NSW
Dept of Intensive Care, Level 2, Clinical Building, Liverpool Hospital, Elizabeth Street, Liverpool, 2170, NSW, Australia
Tel (+61) 2 8738 3603 | Fax (+61) 2 8738 3551 | Mob +61 (0)409 463 428 | Tim.Spencer@sswahs.nsw.gov.au | Timothy.Spencer@unsw.edu.au

From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Bartolo, Richard
Sent: Friday, 1 March 2013 9:56 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Needleless access devices and PN

Hi All,

Is anyone use needle free connector in haemodialysis? I cant seem to find any in Australia.

Richard Bartolo
Manager Infection Prevention

Western Health

Gordon Street, Footscray VIC 3011
Tel. 03 8345 6113
Pager. 03 8345 6666 No. 506
Mob. 0438 560 441

Email. richard.bartolo@wh.org.au
Web. http://www.westernhealth.org.au

2010wh_logo

Notice:
This email (and any attachment) is for the exclusive use of the addressee and may contain information that is privileged, confidential or protected by copyrights. If you are not the addressee or the person responsible for delivering this email to the addressee, you must not disclose, distribute, print or copy this email and the contents must be kept strictly confidential. If this email has been sent to you in error, kindly notify us immediately on 03 8345 56113 and destroy the original. Electronic mail is not secure and there is also a risk that it may be corrupted in transmission. It is therefore your responsibility to check this email (and any attachment) carefully and if there are any errors to contact us immediately. We do not accept liability for any loss or damage caused by such lack of security or transmission errors.

From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Klintworth, Gemma
Sent: Friday, 1 March 2013 9:42 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] Needleless access devices and PN

Hi, thanks for your responses. I agree that changing the needleless access device every 24 hours and ‘opening’ the system so frequently may introduce additional risk and would be costly.

For other solutions, we recommend changing the needleless access device along with continuous infusion administration lines (but no more frequently than 72 hours) as per the CDC. The issue with TPN lines is therefore inconsistent with this.

Gemma

Gemma Klintworth
CLABSI Project Coordinator

Infection Prevention and Healthcare Epidemiology

t 03 90762250 e G.Klintworth@alfred.org.au

Alfred Health
55 Commercial Road
Melbourne VIC 3004
PO Box 315 Prahran
VIC 3181 Australia

Alfred Health incorporates The Alfred, Caulfield Hospital and Sandringham Hospital
http://www.alfredhealth.org.au

CONFIDENTIALITY NOTICE: This email and any files transmitted with it are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you have received this email in error, please notify us by return email and delete all copies in your system. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or taking any action in reliance on the contents of this information is strictly prohibited and may be unlawful. Alfred Health is not liable for the proper and complete transmission of the information contained in this communication or for any delay in its receipt.

Please consider the environment before printing this email.

________________________________

From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Tim Spencer
Sent: Friday, 1 March 2013 08:59
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Needleless access devices and PN

Hi Gemma,

As far as I know, there is no specific literature that describes needlefree caps/valves to be changed specifically in PN patients.

However, that said, going off current international guidelines and recommendations, I would say a weekly change is justified.

Most PN admin sets are changed at 24hrs (if a 3 in 1 solution) because of the lipid content.

I see no reason to be changing the needlefree port at 24hrs as that induces excessive cost as well.

I would maintain a 7 day change period unless clinically indicated to do so.

I do have current PN European guidelines, so feel free to contact me if you might like a copy.

Regards,

Tim..

Timothy R. Spencer, RN, APN, DipAppSci, Bach.Health, ICCert.
Clinical Nurse Consultant, Central Venous Access & Parenteral Nutrition Service

Conjoint Lecturer, South West Sydney Clinical School | Faculty of Medicine | University of NSW
Dept of Intensive Care, Level 2, Clinical Building, Liverpool Hospital, Elizabeth Street, Liverpool, 2170, NSW, Australia
Tel (+61) 2 8738 3603 | Fax (+61) 2 8738 3551 | Mob +61 (0)409 463 428 | Tim.Spencer@sswahs.nsw.gov.au | Timothy.Spencer@unsw.edu.au
200 yeas logo white.jpg

From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Klintworth, Gemma
Sent: Thursday, 28 February 2013 4:37 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Needleless access devices and PN

Hi all,

With regard to administration of parenteral nutrition via a central line, I’m wondering how frequently people recommend that the needleless access device is changed (if one is used at all in this case).

Thanks,

Gemma

Gemma Klintworth
CLABSI Project Coordinator

Infection Prevention and Healthcare Epidemiology

t 03 90762250 e G.Klintworth@alfred.org.au

Alfred Health
55 Commercial Road
Melbourne VIC 3004
PO Box 315 Prahran
VIC 3181 Australia

Alfred Health incorporates The Alfred, Caulfield Hospital and Sandringham Hospital
http://www.alfredhealth.org.au

CONFIDENTIALITY NOTICE: This email and any files transmitted with it are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you have received this email in error, please notify us by return email and delete all copies in your system. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or taking any action in reliance on the contents of this information is strictly prohibited and may be unlawful. Alfred Health is not liable for the proper and complete transmission of the information contained in this communication or for any delay in its receipt.

Please consider the environment before printing this email.

_____________________________________________________________________
This email has been scanned for the Sydney & South Western Sydney Local Health Districts by the MessageLabs Email Security System.
Sydney & South Western Sydney Local Health Districts regularly monitor email and attachments to ensure compliance with the NSW Ministry of Health’s Electronic Messaging Policy.

Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

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 aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

_____________________________________________________________________
This email has been scanned for the Sydney & South Western Sydney Local Health Districts by the MessageLabs Email Security System.
Sydney & South Western Sydney Local Health Districts regularly monitor email and attachments to ensure compliance with the NSW Ministry of Health’s Electronic Messaging Policy.
Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

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 aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

________________________________

WARNING: This message originated from outside the Northern/Melbourne/Western Health e-mail network. The sender cannot be validated. Caution is advised. Contact IT Services (+61 3 ) 9342 8888 for more information.

Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

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 aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

_____________________________________________________________________
This email has been scanned for the Sydney & South Western Sydney Local Health Districts by the MessageLabs Email Security System.
Sydney & South Western Sydney Local Health Districts regularly monitor email and attachments to ensure compliance with the NSW Ministry of Health’s Electronic Messaging Policy.

Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

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 aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

_____________________________________________________________________
This email has been scanned for the Sydney & South Western Sydney Local Health Districts by the MessageLabs Email Security System.
Sydney & South Western Sydney Local Health Districts regularly monitor email and attachments to ensure compliance with the NSW Ministry of Health’s Electronic Messaging Policy.

Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

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 aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

[Tim Spencer]

Michael,

If employing the correct flushing techniques, there should be no biofilm
in a needlefree port J

However, I agree with you which is more a riskier part of the chain.

If changing the needlefree port aseptically, then the risk should be
absolutely minimal (we hope)

If a needlefree port is attached to the device, isn’t it a part of the
whole system? I believe so.

Delineation between administration sets and devices are quite narrow.
They complete a full circuit in my mind.

So, why is an extension set part of the device when an administration
set connected directly to the device is not?

Food for thought..

Tim..

Timothy R. Spencer, RN, APN, DipAppSci, Bach.Health, ICCert.
Clinical Nurse Consultant, Central Venous Access & Parenteral Nutrition
Service

Conjoint Lecturer, South West Sydney Clinical School | Faculty of
Medicine | University of NSW
Dept of Intensive Care, Level 2, Clinical Building, Liverpool Hospital,
Elizabeth Street, Liverpool, 2170, NSW, Australia
Tel (+61) 2 8738 3603 | Fax (+61) 2 8738 3551 | Mob +61 (0)409 463 428 |
Tim.Spencer@sswahs.nsw.gov.au | Timothy.Spencer@unsw.edu.au

Behalf Of Michael Wishart

Hi Gemma

Interesting question. We would not routinely change a needleless access
device connected to a cannula / lumen every 24 hours, but we would
change any needless access device that was considered part of a ‘line’
every 24 hours (or on completion of TPN) for any ‘lines’ used to
administer TPN (or any blood products). Had never really thought about
the needleless access devices used to connect the line to the cannula /
lumen, as had always considered those as part of the cannula / catheter,
not part of the ‘line’ or ‘giving set’.

Food for thought, though. Is the risk of biofilm in the needleless
access device after infusion of lipids, etc higher than the risk of
breaking the ‘closed’ system to replace the valve?

Cheers

Michael

Michael Wishart

CNC Infection Control

Holy Spirit Northside Private Hospital

627 Rode Road, Chermside, Qld 4032

t: (07) 3326 3068 | f: (07) 3607 2226

e: Michael.Wishart@hsn.org.au

w:www.holyspiritnorthside.org.au

Please consider the environment before printing this email

Behalf Of Klintworth, Gemma

Hi all,

With regard to administration of parenteral nutrition via a central
line, I’m wondering how frequently people recommend that the needleless
access device is changed (if one is used at all in this case).

Thanks,

Gemma

Gemma Klintworth
CLABSI Project Coordinator

Infection Prevention and Healthcare Epidemiology

t 03 90762250 e G.Klintworth@alfred.org.au

Alfred Health
55 Commercial Road
Melbourne VIC 3004
PO Box 315 Prahran
VIC 3181 Australia

Alfred Health incorporates The Alfred, Caulfield Hospital and
Sandringham Hospital
http://www.alfredhealth.org.au

CONFIDENTIALITY NOTICE: This email and any files transmitted with it are
confidential and intended solely for the use of the individual or entity
to whom they are addressed. If you have received this email in error,
please notify us by return email and delete all copies in your system.
If you are not the intended recipient, you are hereby notified that any
disclosure, copying, distribution or taking any action in reliance on
the contents of this information is strictly prohibited and may be
unlawful. Alfred Health is not liable for the proper and complete
transmission of the information contained in this communication or for
any delay in its receipt.

Please consider the environment before printing this email.

Messages posted to this list are solely the opinion of the authors, and
do not represent the opinion of ACIPC.

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 aicalist@aicalist.org.au

To send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’
(without the quotes) to listserv@aicalist.org.au

Message protected by MailGuard: e-mail anti-virus, anti-spam and content
filtering.
http://www.mailguard.com.au/mg

Report this message as spam

_____________________________________________________________________
This email has been scanned for the Sydney & South Western Sydney Local
Health Districts by the MessageLabs Email Security System.
Sydney & South Western Sydney Local Health Districts regularly monitor
email and attachments to ensure compliance with the NSW Ministry of
Health’s Electronic Messaging Policy.

WARNING : This email contains information, which is CONFIDENTIAL, and
that maybe subject to LEGAL PRIVILEGE. This e-mail and any attachments
to it (the “Communication”) is confidential and is for the use only of
the intended recipient, and may not duplicated or used by any other
party without the express consent of the sender. The Communication may
contain copyright material of St Vincent’s Health & Aged Care(“SVHAC”),
or any of its related entities or of third parties. If you are not the
intended recipient of the Communication, please notify the sender
immediately by return e-mail, delete the Communication, and do not read,
copy, print, retransmit, store or act in reliance on the Communication.
Any views expressed in the Communication are those of the individual
sender only, unless expressly stated to be those of SVHAC. SVHAC does
not guarantee the integrity of the Communication, or that it is free
from errors, viruses or interference. Thank-you.

Message protected by MailGuard: e-mail anti-virus, anti-spam and content
filtering.
http://www.mailguard.com.au/mg

Messages posted to this list are solely the opinion of the authors, and
do not represent the opinion of ACIPC.

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 aicalist@aicalist.org.au

To send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’
(without the quotes) to listserv@aicalist.org.au

_____________________________________________________________________
This email has been scanned for the Sydney & South Western Sydney Local Health Districts by the MessageLabs Email Security System.
Sydney & South Western Sydney Local Health Districts regularly monitor email and attachments to ensure compliance with the NSW Ministry of Health’s Electronic Messaging Policy.

Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

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 aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

[Tim Spencer]

Hi Gemma,

As far as I know, there is no specific literature that describes
needlefree caps/valves to be changed specifically in PN patients.

However, that said, going off current international guidelines and
recommendations, I would say a weekly change is justified.

Most PN admin sets are changed at 24hrs (if a 3 in 1 solution) because
of the lipid content.

I see no reason to be changing the needlefree port at 24hrs as that
induces excessive cost as well.

I would maintain a 7 day change period unless clinically indicated to do
so.

I do have current PN European guidelines, so feel free to contact me if
you might like a copy.

Regards,

Tim..

Timothy R. Spencer, RN, APN, DipAppSci, Bach.Health, ICCert.
Clinical Nurse Consultant, Central Venous Access & Parenteral Nutrition
Service

Conjoint Lecturer, South West Sydney Clinical School | Faculty of
Medicine | University of NSW
Dept of Intensive Care, Level 2, Clinical Building, Liverpool Hospital,
Elizabeth Street, Liverpool, 2170, NSW, Australia
Tel (+61) 2 8738 3603 | Fax (+61) 2 8738 3551 | Mob +61 (0)409 463 428 |
Tim.Spencer@sswahs.nsw.gov.au | Timothy.Spencer@unsw.edu.au

Behalf Of Klintworth, Gemma

Hi all,

With regard to administration of parenteral nutrition via a central
line, I’m wondering how frequently people recommend that the needleless
access device is changed (if one is used at all in this case).

Thanks,

Gemma

Gemma Klintworth
CLABSI Project Coordinator

Infection Prevention and Healthcare Epidemiology

t 03 90762250 e G.Klintworth@alfred.org.au

Alfred Health
55 Commercial Road
Melbourne VIC 3004
PO Box 315 Prahran
VIC 3181 Australia

Alfred Health incorporates The Alfred, Caulfield Hospital and
Sandringham Hospital
http://www.alfredhealth.org.au

CONFIDENTIALITY NOTICE: This email and any files transmitted with it are
confidential and intended solely for the use of the individual or entity
to whom they are addressed. If you have received this email in error,
please notify us by return email and delete all copies in your system.
If you are not the intended recipient, you are hereby notified that any
disclosure, copying, distribution or taking any action in reliance on
the contents of this information is strictly prohibited and may be
unlawful. Alfred Health is not liable for the proper and complete
transmission of the information contained in this communication or for
any delay in its receipt.

Please consider the environment before printing this email.

_____________________________________________________________________
This email has been scanned for the Sydney & South Western Sydney Local
Health Districts by the MessageLabs Email Security System.
Sydney & South Western Sydney Local Health Districts regularly monitor
email and attachments to ensure compliance with the NSW Ministry of
Health’s Electronic Messaging Policy.

Messages posted to this list are solely the opinion of the authors, and
do not represent the opinion of ACIPC.

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 aicalist@aicalist.org.au

To send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’
(without the quotes) to listserv@aicalist.org.au

_____________________________________________________________________
This email has been scanned for the Sydney & South Western Sydney Local Health Districts by the MessageLabs Email Security System.
Sydney & South Western Sydney Local Health Districts regularly monitor email and attachments to ensure compliance with the NSW Ministry of Health’s Electronic Messaging Policy.

Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

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 aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

[Tim Spencer]

HI All,

I have emailed a few member some of this requested information off-list, though its a shame that the list wont accept PDFs, as they are easily distributable.

The ICUConnect list allows for attachments (which is very handy at times however they are size limited)

Please email me directly if you would like these files.

Tim..

Timothy R. Spencer, RN, APN, DipAppSci, Bach.Health, ICCert.
Clinical Nurse Consultant, Central Venous Access & Parenteral Nutrition Service

Conjoint Lecturer, South West Sydney Clinical School | Faculty of Medicine | University of NSW
Dept of Intensive Care, Level 2, Clinical Building, Liverpool Hospital, Elizabeth Street, Liverpool, 2170, NSW, Australia
Tel (+61) 2 8738 3603 | Fax (+61) 2 8738 3551 | Mob +61 (0)409 463 428 | Tim.Spencer@sswahs.nsw.gov.au | Timothy.Spencer@unsw.edu.au

From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Michael Wishart
Sent: Thursday, 15 November 2012 10:42 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Observational Audit Tools for IV Cannulation

Hi Rachel

I really think sharing such tools is a great idea!

Unfortunately Infexion Connexion does not support attachments, so unless any files are hosted elsewhere, we cannot share them through this list.

Maybe ACIPC could be approached to develop a portal that resources could be uploaded to, and then links could be posted on the list?

Cheers

Michael Wishart

ACPCI Infexion Connexion Administrator

From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Thomson, Rachel EA (DHHS)
Sent: Thursday, 15 November 2012 8:31 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Observational Audit Tools for IV Cannulation

Hi Rhea and others,

So here is a thingit seems to me that quite a number of people may have a genuine interest in looking at your tool as discussed in a number of forums including the recent IC day in Melbourne. I wonder if you would be willing to post the tool through the Infexion Connexion list? Maybe others might like to do a similar thing so that people can build on their resources, share etc. Just a thought!!

Cheers for now

Rachel

Rachel Thomson

Nurse Unit Manager

Infection Prevention & Control Unit

Royal Hobart Hospital

Ph: 03 62227882/8658

E: rachel.thomson@dhhs.tas.gov.au

From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Helen Scott
Sent: Thursday, 15 November 2012 8:34 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Observational Audit Tools for IV Cannulation

Hi, Can I also please have a look,

Thanks,

Helen Scott

Infection Control Co-ordinator |

Nurse Educator |

Nepean Private Hospital

Kingswood, NSW.
Tel 02 4725 8758 | helen.scott@healthscope.com.au

Please consider the environment before printing this message

>>> On 14/11/2012 at 5:08 pm, in message , “Moore, Genevieve (Health)” wrote:

Hi Rhea

Can you please share these audit tools with me also as I have looking for an audit tool for IV for a while

Thanks

Genevieve

Genevieve Moore

Diabetes Educator

Clinical Placement Coordinator

Infection Control Link Nurse

Southern Flinders Health – Crystal Brook Campus

Country Health SA Local Health Network

Edmund Terrace

Crystal Brook SA 5523

Tel: (08) 8636 1164

Fax: (08) 8636 2077

Email: Genevieve.moore@health.sa.gov.au

This email may contain confidential information, which also may be legally privileged. Only the intended recipient(s) may access, use, distribute or copy this email. 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 recipients responsibility to check the email and any attached files for viruses.

________________________________

From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of MARTIN, Rhea
Sent: Wednesday, 14 November 2012 16:19
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Observational Audit Tools for IV Cannulation

Hi Craig,

Would be happy to share audit tool with you. We use two, one audits insertion (use this in ED where there is plenty of action) and the other is a ward based audit tool which looks at management of IVs on the ward

Rhea

Rhea Martin

Manager Infection Control Team

Austin Health

Studley Rd., Heidelberg

Victoria, Australia 3084

Phone 9496 5801

Page 2556

Mobile 0407 806 299

From: Craig Boutlis [mailto:Craig.Boutlis@SESIAHS.HEALTH.NSW.GOV.AU]
Sent: Wednesday, 14 November 2012 16:37
To: MARTIN, Rhea
Subject: FW: Observational Audit Tools for IV Cannulation

Hi Rhea,

I’m pretty sure that you would be on this email list but I thought I should forward this to you just in case. Would you be happy to share the audit tool that you presented at the recent Melbourne Infection Control education day? If so, would you mind cc’ing me in too?

The NSW policy is out for review at the moment and I’m going to make sure that I contribute that we should be moving to credentialling statewide along the lines of your program (thanks for making me aware of it).

Craig

________________________________

From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Joe-Anne Bendall
Sent: Wednesday, 14 November 2012 4:12 PM
To: AICALIST@AICALIST.ORG.AU
Subject: [ACIPC_Infexion_Connexion] Observational Audit Tools for IV Cannulation

Hi everyone

I have a very keen medical officer who wants to be a champion for improving IV cannula insertion. Does anyone have an observational audit tool they would like to share?

I have an observational audit tool for aseptic technique wound dressing I would be willing to swap for IV cannula insertion!

Thanks

Joe

Joe-anne Bendall

Infection Prevention and Control CNC

Sydney Hospital and Sydney Eye Hospital

8 Macquarie St

Sydney 2000

Phone: 93827199

Mobile: 0418984255

Fax: 93827510

Page: 21552

Joe-Anne.Bendall@sesiahs.health.nsw.gov.au

———————————————————————————————

Illawarra Shoalhaven Local Health District, South East Sydney Local Health District and Sydney Children’s Hospital Network (Randwick Campus) Confidentiality Notice

This email, and the files transmitted with it, are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you are not the intended recipient, you are not permitted to distribute or use this email or any of its attachments in any way. We also request that you advise the sender of the incorrect addressing.

This email message has been virus-scanned. Although no computer viruses were detected, Illawarra Shoalhaven Local Health District, South East Sydney Local Health District and Sydney Children’s Hospital Network (Randwick Campus) accept no liability for any consequential damage resulting from email containing any computer viruses.

Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

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 aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

———————————————————————————————

Illawarra Shoalhaven Local Health District, South East Sydney Local Health District and Sydney Children’s Hospital Network (Randwick Campus) Confidentiality Notice

This email, and the files transmitted with it, are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you are not the intended recipient, you are not permitted to distribute or use this email or any of its attachments in any way. We also request that you advise the sender of the incorrect addressing.

This email message has been virus-scanned. Although no computer viruses were detected, Illawarra Shoalhaven Local Health District, South East Sydney Local Health District and Sydney Children’s Hospital Network (Randwick Campus) accept no liability for any consequential damage resulting from email containing any computer viruses.

*****************************************************************

This email contains confidential information intended
only for the person named above and may be subject to
legal privilege and confidentiality obligations imposed
by legislation or be subject to intellectual property
protection or copyright. If you are not the intended recipient,
any use, disclosure, copying or distribution of this transmission
is prohibited. If you have received this message in error,
please notify us immediately by return email and delete the
original email and any attachments.
Austin Health provides no guarantee that this transmission
is free of virus or that it has not been intercepted or altered.

*****************************************************************

Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

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 aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.auMessages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

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 aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

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 aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

________________________________

CONFIDENTIALITY NOTICE AND DISCLAIMER
The information in this transmission may be confidential and/or protected by legal professional privilege, and is intended only for the person or persons to whom it is addressed. If you are not such a person, you are warned that any disclosure, copying or dissemination of the information is unauthorised. If you have received the transmission in error, please immediately contact this office by telephone, fax or email, to inform us of the error and to enable arrangements to be made for the destruction of the transmission, or its return at our cost. No liability is accepted for any unauthorised use of the information contained in this transmission.

Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

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 aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

Message protected by MailGuard: e-mail anti-virus, anti-spam and content filtering.
http://www.mailguard.com.au/mg

Report this message as spam

_____________________________________________________________________
This email has been scanned for the Sydney & South Western Sydney Local Health Districts by the MessageLabs Email Security System.
Sydney & South Western Sydney Local Health Districts regularly monitor email and attachments to ensure compliance with the NSW Ministry of Health’s Electronic Messaging Policy.

WARNING : This email contains information, which is CONFIDENTIAL, and that maybe subject to LEGAL PRIVILEGE. This e-mail and any attachments to it (the “Communication”) is confidential and is for the use only of the intended recipient, and may not duplicated or used by any other party without the express consent of the sender. The Communication may contain copyright material of St Vincent’s Health & Aged Care(“SVHAC”), or any of its related entities or of third parties. If you are not the intended recipient of the Communication, please notify the sender immediately by return e-mail, delete the Communication, and do not read, copy, print, retransmit, store or act in reliance on the Communication. Any views expressed in the Communication are those of the individual sender only, unless expressly stated to be those of SVHAC. SVHAC does not guarantee the integrity of the Communication, or that it is free from errors, viruses or interference. Thank-you.

Message protected by MailGuard: e-mail anti-virus, anti-spam and content filtering.
http://www.mailguard.com.au/mg

Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

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 aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

_____________________________________________________________________
This email has been scanned for the Sydney & South Western Sydney Local Health Districts by the MessageLabs Email Security System.
Sydney & South Western Sydney Local Health Districts regularly monitor email and attachments to ensure compliance with the NSW Ministry of Health’s Electronic Messaging Policy.

Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

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 aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

[Tim Spencer]

Joe-Anne,

Here are a few useful tools the VIP Score is probably the best around currently.

It has been instituted in the UK across the whole NHS.

Regards,

Tim..

Timothy R. Spencer, RN, APN, DipAppSci, Bach.Health, ICCert.
Clinical Nurse Consultant, Central Venous Access & Parenteral Nutrition Service

Conjoint Lecturer, South West Sydney Clinical School | Faculty of Medicine | University of NSW
Dept of Intensive Care, Level 2, Clinical Building, Liverpool Hospital, Elizabeth Street, Liverpool, 2170, NSW, Australia
Tel (+61) 2 8738 3603 | Fax (+61) 2 8738 3551 | Mob +61 (0)409 463 428 | Tim.Spencer@sswahs.nsw.gov.au | Timothy.Spencer@unsw.edu.au

From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Joe-Anne Bendall
Sent: Wednesday, 14 November 2012 4:12 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Observational Audit Tools for IV Cannulation

Hi everyone

I have a very keen medical officer who wants to be a champion for improving IV cannula insertion. Does anyone have an observational audit tool they would like to share?

I have an observational audit tool for aseptic technique wound dressing I would be willing to swap for IV cannula insertion!

Thanks

Joe

Joe-anne Bendall

Infection Prevention and Control CNC

Sydney Hospital and Sydney Eye Hospital

8 Macquarie St

Sydney 2000

Phone: 93827199

Mobile: 0418984255

Fax: 93827510

Page: 21552

Joe-Anne.Bendall@sesiahs.health.nsw.gov.au

_____________________________________________________________________
This email has been scanned for the Sydney & South Western Sydney Local Health Districts by the MessageLabs Email Security System.
Sydney & South Western Sydney Local Health Districts regularly monitor email and attachments to ensure compliance with the NSW Ministry of Health’s Electronic Messaging Policy.

———————————————————————————————

Illawarra Shoalhaven Local Health District, South East Sydney Local Health District and Sydney Children’s Hospital Network (Randwick Campus) Confidentiality Notice

This email, and the files transmitted with it, are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you are not the intended recipient, you are not permitted to distribute or use this email or any of its attachments in any way. We also request that you advise the sender of the incorrect addressing.

This email message has been virus-scanned. Although no computer viruses were detected, Illawarra Shoalhaven Local Health District, South East Sydney Local Health District and Sydney Children’s Hospital Network (Randwick Campus) accept no liability for any consequential damage resulting from email containing any computer viruses.

Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

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 aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

_____________________________________________________________________
This email has been scanned for the Sydney & South Western Sydney Local Health Districts by the MessageLabs Email Security System.
Sydney & South Western Sydney Local Health Districts regularly monitor email and attachments to ensure compliance with the NSW Ministry of Health’s Electronic Messaging Policy.

Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

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 aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

[Tim Spencer]

Infusion Nurses Society

http://www.ins1.org/

Timothy R. Spencer, RN, APN, DipAppSci, Bach.Health, ICCert.
Clinical Nurse Consultant, Central Venous Access & Parenteral Nutrition
Service

Conjoint Lecturer, South West Sydney Clinical School | Faculty of
Medicine | University of NSW
Dept of Intensive Care, Level 2, Clinical Building, Liverpool Hospital,
Elizabeth Street, Liverpool, 2170, NSW, Australia
Tel (+61) 2 8738 3603 | Fax (+61) 2 8738 3551 | Mob +61 (0)409 463 428 |
Tim.Spencer@sswahs.nsw.gov.au | Timothy.Spencer@unsw.edu.au

Behalf Of McEwan, Melissa MS
[SECUNCLASSIFIED]

UNCLASSIFIED

Just wondering what is INS?

Melissa McEwan RN, BN, Grad Cert Infect Control

Quality Manager

Kapooka Health Centre

Contractor to Defence

02 69338338

Private mobile 0428 753783

melissa.mcewan@defence.gov.au

and is subject to the jurisdiction of section 70 of the Crimes Act 1914.
If you have received this email in error, you are requested to contact
the sender and delete the email.

________________________________

Behalf Of Tim Spencer

INS 2012 Guidelines recommend;

Practice Criteria

III. Primary Intermittent Infusions

A. Primary intermittent administration sets should be changed every 24
hours. When an intermittent infusion is repeatedly disconnected and
reconnected for the infusion, there is increased risk of contamination
at the catheter hub, needleless connector, and the male luer end of the
administration set, potentially increasing risk for catheter-related
bloodstream infection. There is an absence of studies addressing
administration set changes for intermittent infusions. In a
meta-analysis of 12 randomized, controlled trials that supported
increasing the time interval for administration set changes to 96 hours,
at least 2 of the studies excluded administration sets used for heparin
locked catheters and in sets disconnected for more than 4 hours. In
several others, exclusions were not stated.1,5 (V)

B. A new, sterile, compatible covering device should be aseptically
attached to the end of the administration set after each intermittent
use. The practice of attaching the exposed end of the administration set
to a port on the same set (“looping”) should be avoided.1,5 (V)

REFERENCES

1. Hadaway L. Infusion therapy equipment. In: Alexander M, Corrigan A,
Gorski L, Hankins J, Perucca R, eds. Infusion Nursing: An Evidence-Based
Approach. 3rd ed. St Louis, MO: Saunders/Elsevier; 2010:391-436.

2. Gillies D, O’Riordan L, Wallen M, Morrison A, Rankin K, Nagy S.
Optimal timing for intravenous administration set replacement. Cochrane
Database Syst Rev. 2005;(4):CD003588.

3. Rickard CM, Lipman J, Courtney M, et al. Routine changing of
intravenous administration sets does not reduce colonization or
infection in central venous catheters. Infect Control Hosp Epidemiol.
2004;25;650-655.

4. Raad I, Hanna HA, Awas A, et al. Optimal changing of intravenous
administration sets: is it safe to prolong use beyond 72 hours? Infect
Control Hosp Epidemiol. 2001;22(3):136-139.

5. Institute for Safe Medication Practices. Failure to cap IV tubing and
disconnect IV ports place patients at risk for infections. Medication
Safety Alert! Published July 26, 2007. Accessed June 17, 2010.

Timothy R. Spencer, RN, APN, DipAppSci, Bach.Health, ICCert.
Clinical Nurse Consultant, Central Venous Access & Parenteral Nutrition
Service

Conjoint Lecturer, South West Sydney Clinical School | Faculty of
Medicine | University of NSW
Dept of Intensive Care, Level 2, Clinical Building, Liverpool Hospital,
Elizabeth Street, Liverpool, 2170, NSW, Australia
Tel (+61) 2 8738 3603 | Fax (+61) 2 8738 3551 | Mob +61 (0)409 463 428 |
Tim.Spencer@sswahs.nsw.gov.au | Timothy.Spencer@unsw.edu.au

Behalf Of Maree Sommerville

Dear all,

I would be interested in knowing how other organisations manage the
issue surrounding the frequency of replacement for IV administration
sets when they are used intermittently. The 2011 CDC ‘Guidelines for
Prevention of Intravascular Catheter Infections’ mark this as an
unresolved issue.

My experience has been that many organisations discard after 24 hours
(ritual or evidence based??).

Our packaging is marked with symbol meaning DO NOT REUSE indicating it
is intended to be used on an individual patient during a single
procedure and then discarded.

I would be interested in your views.

Thanks

Maree Sommerville
Infection Control Coordinator
Mercy Hospital for Women
163 Studley Road
Heidelberg, Victoria, 3084

_____________________________________________________________________
This email has been scanned for the Sydney & South Western Sydney Local
Health Districts by the MessageLabs Email Security System.
Sydney & South Western Sydney Local Health Districts regularly monitor
email and attachments to ensure compliance with the NSW Ministry of
Health’s Electronic Messaging Policy.

DISCLAIMER This email and any files transmitted with it
may be confidential and intended solely for the use of the
individual or entity to whom they are addressed. If you have
received this email in error please notify the sender immediately
by return email and delete or destroy this message and its
attachments. While this email and any attachments have
been cleared by Mercy Health’s virus protection systems, recipients
should use their own systems to detect computer viruses or other
materials that may corrupt files or systems. Find out more about
Mercy Health at http://www.mercyhealth.com.au

Messages posted to this list are solely the opinion of the authors, and
do not represent the opinion of ACIPC.

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 aicalist@aicalist.org.au

To send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’
(without the quotes) to listserv@aicalist.org.au

_____________________________________________________________________
This email has been scanned for the Sydney & South Western Sydney Local
Health Districts by the MessageLabs Email Security System.
Sydney & South Western Sydney Local Health Districts regularly monitor
email and attachments to ensure compliance with the NSW Ministry of
Health’s Electronic Messaging Policy.
Messages posted to this list are solely the opinion of the authors, and
do not represent the opinion of ACIPC.

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 aicalist@aicalist.org.au

To send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’
(without the quotes) to listserv@aicalist.org.au

_____________________________________________________________________
This email has been scanned for the Sydney & South Western Sydney Local
Health Districts by the MessageLabs Email Security System.
Sydney & South Western Sydney Local Health Districts regularly monitor
email and attachments to ensure compliance with the NSW Ministry of
Health’s Electronic Messaging Policy.

Messages posted to this list are solely the opinion of the authors, and
do not represent the opinion of ACIPC.

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 aicalist@aicalist.org.au

To send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’
(without the quotes) to listserv@aicalist.org.au

_____________________________________________________________________
This email has been scanned for the Sydney & South Western Sydney Local Health Districts by the MessageLabs Email Security System.
Sydney & South Western Sydney Local Health Districts regularly monitor email and attachments to ensure compliance with the NSW Ministry of Health’s Electronic Messaging Policy.

Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

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 aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

[Tim Spencer]

INS 2012 Guidelines recommend;

Practice Criteria

III. Primary Intermittent Infusions

A. Primary intermittent administration sets should be changed every 24 hours. When an intermittent infusion is repeatedly disconnected and reconnected for the infusion, there is increased risk of contamination at the catheter hub, needleless connector, and the male luer end of the administration set, potentially increasing risk for catheter-related bloodstream infection. There is an absence of studies addressing administration set changes for intermittent infusions. In a meta-analysis of 12 randomized, controlled trials that supported increasing the time interval for administration set changes to 96 hours, at least 2 of the studies excluded administration sets used for heparin locked catheters and in sets disconnected for more than 4 hours. In several others, exclusions were not stated.1,5 (V)

B. A new, sterile, compatible covering device should be aseptically attached to the end of the administration set after each intermittent use. The practice of attaching the exposed end of the administration set to a port on the same set (looping) should be avoided.1,5 (V)

REFERENCES

1. Hadaway L. Infusion therapy equipment. In: Alexander M, Corrigan A, Gorski L, Hankins J, Perucca R, eds. Infusion Nursing: An Evidence-Based Approach. 3rd ed. St Louis, MO: Saunders/Elsevier; 2010:391-436.

2. Gillies D, ORiordan L, Wallen M, Morrison A, Rankin K, Nagy S. Optimal timing for intravenous administration set replacement. Cochrane Database Syst Rev. 2005;(4):CD003588.

3. Rickard CM, Lipman J, Courtney M, et al. Routine changing of intravenous administration sets does not reduce colonization or infection in central venous catheters. Infect Control Hosp Epidemiol. 2004;25;650-655.

4. Raad I, Hanna HA, Awas A, et al. Optimal changing of intravenous administration sets: is it safe to prolong use beyond 72 hours? Infect Control Hosp Epidemiol. 2001;22(3):136-139.

5. Institute for Safe Medication Practices. Failure to cap IV tubing and disconnect IV ports place patients at risk for infections. Medication Safety Alert! Published July 26, 2007. Accessed June 17, 2010.

Timothy R. Spencer, RN, APN, DipAppSci, Bach.Health, ICCert.
Clinical Nurse Consultant, Central Venous Access & Parenteral Nutrition Service

Conjoint Lecturer, South West Sydney Clinical School | Faculty of Medicine | University of NSW
Dept of Intensive Care, Level 2, Clinical Building, Liverpool Hospital, Elizabeth Street, Liverpool, 2170, NSW, Australia
Tel (+61) 2 8738 3603 | Fax (+61) 2 8738 3551 | Mob +61 (0)409 463 428 | Tim.Spencer@sswahs.nsw.gov.au | Timothy.Spencer@unsw.edu.au

From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Maree Sommerville
Sent: Monday, 12 November 2012 1:41 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Replacement of IV sets when used intermittently

Dear all,

I would be interested in knowing how other organisations manage the issue surrounding the frequency of replacement for IV administration sets when they are used intermittently. The 2011 CDC Guidelines for Prevention of Intravascular Catheter Infections mark this as an unresolved issue.

My experience has been that many organisations discard after 24 hours (ritual or evidence based??).

Our packaging is marked with symbol meaning DO NOT REUSE indicating it is intended to be used on an individual patient during a single procedure and then discarded.

I would be interested in your views.

Thanks

Maree Sommerville
Infection Control Coordinator
Mercy Hospital for Women
163 Studley Road
Heidelberg, Victoria, 3084

Email: msommerville@mercy.com.au
Phone: 8458 4759

MOB: 0408 789 798
FAX: 8458 4751

_____________________________________________________________________
This email has been scanned for the Sydney & South Western Sydney Local Health Districts by the MessageLabs Email Security System.
Sydney & South Western Sydney Local Health Districts regularly monitor email and attachments to ensure compliance with the NSW Ministry of Health’s Electronic Messaging Policy.

DISCLAIMER This email and any files transmitted with it
may be confidential and intended solely for the use of the
individual or entity to whom they are addressed. If you have
received this email in error please notify the sender immediately
by return email and delete or destroy this message and its
attachments. While this email and any attachments have
been cleared by Mercy Health’s virus protection systems, recipients
should use their own systems to detect computer viruses or other
materials that may corrupt files or systems. Find out more about
Mercy Health at http://www.mercyhealth.com.au

Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

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 aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

_____________________________________________________________________
This email has been scanned for the Sydney & South Western Sydney Local Health Districts by the MessageLabs Email Security System.
Sydney & South Western Sydney Local Health Districts regularly monitor email and attachments to ensure compliance with the NSW Ministry of Health’s Electronic Messaging Policy.

Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

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 aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalis

[Tim Spencer]

Hi Louisa,
We normally wipe down the trolleys between each patient with isowipes
for our non-infectious patients.
I’m guessing this is satisfactory between out MRO patients of the same
strain if using the isowipes?
Most opatients do not get off their bed for the procedure, so they arent
necessarily sporring everywhere in the room.
Between other MRO strains we get our cleaners to do the room with
respective solution.
Tim..
Timothy R. Spencer, RN, APN, DipAppSci, Bach.Health, ICCert.
Clinical Nurse Consultant | Central Venous Access & Parenteral Nutrition
Service
Conjoint Lecturer, University of NSW
Dept of Intensive Care, Level 2, Clinical Building, Liverpool Hospital,
Elizabeth Street, Liverpool, 2170, NSW, Australia
Tel 02 8738 3603 | Fax 02 8738 3551 | Mob 0409 463 428 |
Tim.Spencer@sswahs.nsw.gov.au | Timothy.Spencer@unsw.edu.au

—–Original Message—–
Behalf Of Louisa Sasko

Hi Tim,

In reply to your message, Ive already posted a message through the AICA
list.

All environmental surfaces that come into direct contact or indirect
contact with the patient should be cleaned in between each patient. So
with non-MRO patients this should be a neutral detergent and with MRO’s
an appropriate disinfectant.

Yes you should clean appropriately in between each patient with the same
MRO strain and the reason for this is the patient will have other flora
that is unknown to the HCW. They could have other MRO’s. So the
environment/equipment must be cleaned with the appropriate solution.

Regards
Louisa
>>> Tim Spencer 23/08/2012 8:49 am >>>
Hi Michael,
I find this interesting also.
I use a procedureal area for CVAD insertion, seeing up to 5-8 patients a
day.
Quite often, these have an MRO (incl VRE) and I often see these patients
towards the end of the day after the ‘non-infectious’ patients.
50% of my patients are immuno-compromised and so I triage my requests
lists based around immune and infection status.
Between non-infectious patietns, we don’t get regular decontamination
done, however do so after each MRO patient.
What I’d like to know is it necessary to decontaminate betwween patietns
who have the same strain of MRO?
My procedureal bay is a large isolation room in our ICU that is NOT used
for anythign except my procedures.
I get our after hours cleaner to do the room at the end of the day also.
Interested in hearing peoples thoughts on this also.
Regards,
Tim..
Timothy R. Spencer, RN, APN, DipAppSci, Bach.Health, ICCert.
Clinical Nurse Consultant | Central Venous Access & Parenteral Nutrition
Service Conjoint Lecturer, University of NSW Dept of Intensive Care,
Level 2, Clinical Building, Liverpool Hospital, Elizabeth Street,
Liverpool, 2170, NSW, Australia Tel 02 8738 3603 | Fax 02 8738 3551 |
Mob 0409 463 428 | Tim.Spencer@sswahs.nsw.gov.au |
Timothy.Spencer@unsw.edu.au

—–Original Message—–
Behalf Of Michael Wishart

Hi all

Just trying to see what the current thoughts are in regard to management
of patients with multi resistant organisms in procedural areas. Do most
facilities still have ‘special cleaning’ after procedures on patients
colonised or infected with MRSA, ESBL and MRGN’s? I would assume that
most facilities would still have special cleaning following procedures
on patients colonised or infected with VRE.

In my opinion, provided we have a good process for cleaning the
immediate environment between cases, ‘special cleaning’ for MRSA / ESBL
/ MRGN is not necessary, and these organisms should be easily removed
with normal cleaning techniques. The opportunities for widespread
environmental colonisation from patients in procedural areas where
patient movement is severely controlled is reasonably low, unlike in
ward accommodation situations. VRE as an environmentally hardy organism
requires a different approach, however. Does anyone else use this
approach?

Also, should all MRO patients always be placed last on a list?

Any expert opinions out there?

Thanks
Michael

Michael Wishart
CNC Infection Control
Holy Spirit Northside Private Hospital
627 Rode Road, Chermside, Qld 4032
t: (07) 3326 3068 | f: (07) 3326 3523
e: Michael.Wishart@hsn.org.au
w:www.holyspiritnorthside.org.au
Please consider the environment before printing this email

—
WARNING : This email contains information, which is CONFIDENTIAL, and
that maybe subject to LEGAL PRIVILEGE. This e-mail and any attachments
to it (the “Communication”) is confidential and is for the use only of
the intended recipient, and may not duplicated or used by any other
party without the express consent of the sender. The Communication may
contain copyright material of St Vincent’s Health & Aged Care(“SVHAC”),
or any of its related entities or of third parties. If you are not the
intended recipient of the Communication, please notify the sender
immediately by return e-mail, delete the Communication, and do not read,
copy, print, retransmit, store or act in reliance on the Communication.
Any views expressed in the Communication are those of the individual
sender only, unless expressly stated to be those of SVHAC. SVHAC does
not guarantee the integrity of the Communication, or that it is free
from errors, viruses or interference. Thank-you.

Message protected by MailGuard: e-mail anti-virus, anti-spam and
content filtering.http://www.mailguard.com.au/mg

Messages posted to this list are solely the opinion of the authors, and
do not represent the opinion of ACIPC.

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 aicalist@aicalist.org.au

To send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’
(without the quotes) to listserv@aicalist.org.au

_____________________________________________________________________
This email has been scanned for the Sydney & South Western Sydney Local
Health Districts by the MessageLabs Email Security System.
Sydney & South Western Sydney Local Health Districts regularly monitor
email and attachments to ensure compliance with the NSW Ministry of
Health’s Electronic Messaging Policy.

Messages posted to this list are solely the opinion of the authors, and
do not represent the opinion of ACIPC.

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 aicalist@aicalist.org.au

To send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’
(without the quotes) to listserv@aicalist.org.au

Regards
Louisa
CNC Infection Control
Ph 985 87664
M 0434323266
Pager 54581

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 the Local Health District or associated
entities.

Messages posted to this list are solely the opinion of the authors, and
do not represent the opinion of ACIPC.

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 aicalist@aicalist.org.au

To send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’
(without the quotes) to listserv@aicalist.org.au

_____________________________________________________________________
This email has been scanned for the Sydney & South Western Sydney Local
Health Districts by the MessageLabs Email Security System.
Sydney & South Western Sydney Local Health Districts regularly monitor
email and attachments to ensure compliance with the NSW Ministry of
Health’s Electronic Messaging Policy.

Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

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 aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

[Author]

Posts