[Tina Muller]

Morning All, Tina muller, CNC, operating theatres & CSD Mackay Base Hospital.
The Final copy of the 2019 AS/NZS 4187 is available free to down load.
Scan your incoming emails.

Regards,
TIna

Dear All,
Does anyone know what is happening with AS/NZS 4187 Draft Amendment 2017 – Water Quality
* They closed for comment December 2017 and I have not seen the final document released?
Regards

Glenys

Glenys Harrington
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
E: infexion@ozemail.com.au

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[Tina Muller]

Morning,
Here is the link to the QLD health Policy pertaining to Fit Testing / Checking.
https://www.health.qld.gov.au/clinical-practice/guidelines-procedures/diseases-infection/infection-prevention/transmission-precautions/p2n95-mask

I hope this helps.

Regards,
Tina
Tina Muller
CNC, Operating Theatre & CSD
Mackay Base Hospital
MHHS.
Email: tina.muller@health.qld.gov.au
Ph: 07 4885 5387

From: ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] On Behalf Of Chris Pollard
Sent: Tuesday, 19 February 2019 7:52 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: infection control in OT

Hi All,

I believe there are quantitative processes for validation of fit testing attached recent Government (May 2018) changes showing this within CS Health circles.

Kind regards

[cid:image007.png@01D3A1A9.77E508C0]

Chris Pollard
OHS | National Portfolio Manager
Kenelec Scientific Pty Ltd, 23 Redland Drive, Mitcham VIC 3132
d 03 9872 9929 | m 0437 007 810 | e chris.pollard@kenelec.com.au
Visit our website | View our Terms and Conditions

Chris

From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> On Behalf Of Juraja, Marija (Health)
Sent: Monday, 18 February 2019 3:59 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: infection control in OT

Hi Helen,

Our clinical worker health do a once off fit test and also competency assessment for donning and doffing of PPE.
Fit testing is only repeated if the person has had significant weight gain/loss, facial surgery or major dental work.
These tools might help you as they are similar to what our ICLN undertake.

Kind Regards

Marija Juraja |Nurse Unit Manager CALHN Infection Prevention & Control Unit|
Division of Acute Medicine (RN, GCNS Inf Ctrl, CICP-E)
t: +61 8 7074 2810 (RAH) 8222 7588 (TQEH)| M: 0466 379 821|e:marija.juraja@sa.gov.au |
Adjunct Clinical Lecturer | University of South Australia | Division of Health Sciences
[Conumers]

From: ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] On Behalf Of Helen Roberts
Sent: Monday, 18 February 2019 11:13 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] infection control in OT

Morning Marija,
I am only new to infection control and it is such a big learning curve.
This looks very interesting. I will have a good read.
Something that I might be able too implement here.
Really appreciate everyone valuable input.

Just wondering do you still fit test all staff, and if so do you have a competencies that you use?

Kind regards,
Helen

Helen Roberts

Infection Control

P:

07 4646 3106

|

F:

07 4633 7602

E:

robertsh@sath.org.au

|

W:

http://www.sath.org.au

Post:

PO Box 263, Toowoomba, QLD 4350

Address:

280 North St, Toowoomba, QLD 4350

[cid:image538877.jpg@339B7DEF.F5E4F484]

From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> On Behalf Of Juraja, Marija (Health)
Sent: Friday, 15 February 2019 4:08 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] infection control in OT

Hi Helen,

We follow the SA Health Cleaning Standard and we clean the area with a single step product (detergent/disinfectant solution) and the same in disposable wipes.
This just removes the guess work out of what to use.

Kind Regards

Marija Juraja |Nurse Unit Manager CALHN Infection Prevention & Control Unit|
Division of Acute Medicine (RN, GCNS Inf Ctrl, CICP-E)
t: +61 8 7074 2810 (RAH) 8222 7588 (TQEH)| M: 0466 379 821|e:marija.juraja@sa.gov.au |
Adjunct Clinical Lecturer | University of South Australia | Division of Health Sciences
[Conumers]

From: ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] On Behalf Of Helen Roberts
Sent: Wednesday, 13 February 2019 9:22 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: [ACIPC_Infexion_Connexion] infection control in OT

Morning Brain trust,

I was looking for some advice in regards to infection control in theater.
I was wondering in anyone can tell me how they clean the operating theater after MRSA, VRE, ESBL.
Recently a staff member said that we are over doing the cleaning in regards to what I do and we only need to use soap and water.
I give them 2 options of how to clean with the products, which I cant mention on here I believe.

I was just wondering what is a good cleaning regime for all the codes?

Any information would be helpful,
Kind regards
Helen

Helen Roberts

Infection Control

P:

07 4646 3106

|

F:

07 4633 7602

E:

robertsh@sath.org.au

|

W:

http://www.sath.org.au

Post:

PO Box 263, Toowoomba, QLD 4350

Address:

280 North St, Toowoomba, QLD 4350

[cid:image875396.jpg@906870F6.975E1165]

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[Tina Muller]

Hi Claire,
We use pre-filled syringes.
Convenience, cost effective.

Regards,
Tina

Tina Muller
CNC, Theatre & CSD
Mackay Base Hospital
MHHS

Sat
Dear Claire – the environment for drawing up a syringe for later use i.e. some hours later would need to be the standard used when making pharmaceuticals (a clean room) i.e the same conditions that the prefilled commercially avail syringes come in. As this is not possible in the first scenario you mention, I would not be prefilling. In terms of evidence – a trial to see whether the two are equal in preventing infection would be unethical but I would suggest there would be evidence that this method in an uncontrolled environment allows for the entry to and growth of, bacteria in the syringe. In the delay of some hours and with an uncontrolled temperature, some bacteria may multiply each half hour.

Regards,

Margaret Jennings
Marjen Education Services

website. http://www.marjenes.com.au
email. marjenes@optusnet.com.au

mob. 0404 088 754
fax. 03 9439 2436

Hi Clare,

Yes, I agree with Michael.
We use the pre-filled syringes too.

Cheers
Liz

Liz Reading

Clinical Nurse Consultant | Infection Prevention Service
Lower Mid North Coast Sector, HNELHD
C/o Manning Base Hospital, 26 York Street, TAREE, NSW, 2430
Tel 02 6592 9351 | Mob 0427 777 612 | liz.reading@hnehealth.nsw.gov.au
http://www.health.nsw.gov.au

Hi Clare

My personal opinion is that this would be an ideal situation for the use of commercial, prefilled saline flush syringes. Would certainly take the uncertainty out of preparing the flush syringes in the home.

Cheers
Michael

Michael Wishart | Infection Control Coordinator, CICP-E

St Vincent’s Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
W https://www.svphn.org.au

[cid:image001.jpg@01D46C86.4CDB6090]
[2019 conference email signature]

Good morning,
May I address the brains trust to ask – when accessing CVAD’s in the home environment some staff draw up their flushes in the hospital clinic using no touch technique. They then wrap and carry the flushes to the home to flush and then attach IV A/B’s. Sometimes the drawing up is some hours prior to administration.

Others take sterile equipment with them ( dressing pack, sterile syringes needles and gloves) and draw up in the home immediately prior to flushing and attaching…
I can’t find any evidence to tell me if having the Normal Saline sit in the syringe during transport in a car for some hours prior to administration is unsafe i.e. how long is too long for the flush to sit prior to administration…?

My gut tells me that drawing up as close as possible to administration is ideal – however no evidence available to change clinical practice.

Any help gratefully appreciated

Clare Fowler
Clinical Nurse
Hospital in the Home, Hervey Bay
Wide Bay Hospital and Health Service
p: 07 43256646 | m: 0417013047
a: Hervey Bay Hospital, Cnr Urraween and Nissen Sts, Hervey Bay, QLD 4655
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[Tina Muller]

Morning,
Thank-you for this link.
Already signed up.

Regards,
Tina

Tina Muller
Clinical Nurse Consultant / Perioperative & CSD.
Mackay Hospital and Health Service
P: 07 4885 5387
E:tina.muller@health.qld.gov.au

[Email Signature]

Thanks everyone for the links to the 10 modules from ACSQHC.

Can I just express an opinion here? The original message was looking for an online module of ALL STAFF to complete at orientation. Whilst the 10 modules from the ACSQHC are absolutely fantastic, I found they were overkill for most staff, and I only require my Infection Control Link Nurses to do these modules. All other staff do an annual shorter infection control module similar to the ACSQHC module on the HHA website (separate modules for clinical and non-clinical staff).

Just my opinion, anyway.

Cheers
Michael

Michael Wishart | Infection Control Coordinator, CICP-E

St Vincent’s Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
W https://www.svphn.org.au

[cid:image001.jpg@01D46C86.4CDB6090]
[2019 conference email signature]

Chelsea Kop

https://clicktime.symantec.com/3ChjMJs8bkVmV7NdXyRpzGk7Vc?uhttp%3A%2F%2Feducation.safetyandquality.gov.au%2Flogin.php

Liz Vanderlinde
Infection Prevention Control Co-ordinator
North West Private Hospital
[Description: hca_logo]
Brickport Road, Burnie TAS 7320, Australia
T +61 3 6432 6005 F +61 3 6431 5766
E liz.vanderlinde@healthecare.com.au W

Hello,

Currently all new employees complete written infection control education packages. Does anyone know of any online learning modules (other than the Hand Hygiene Australia module) that I can direct staff to complete that is free for our hospital to utilise and perhaps offers a certificate of completion afterwards as proof of compliance? We are trying to move from paper to online learning where possible.

Kind Regards,

Chelsea Kop
Quality & Infection Control Manager
[DPH_logo]
58 Quirk St
Dee Why, NSW 2099
T: +612 9982 5351
M: 0456 170 099
F: +612 9982 6843
The content of this e-mail is the view of the sender or stated author and does not necessarily reflect the view of Delmar Private Hospital. The content, including attachments, is a confidential communication between of Delmar Private Hospital and the intended recipient. If you are not the intended recipient, any use, interference with, disclosure or copying of this e-mail, including attachments is unauthorised and expressly prohibited. If you have received this e-mail in error please contact the sender immediately and delete the e-mail and any attachments from your system.
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[Tina Muller]

Morning Mandy,

We have this built into our Service Agreement.
The steriliser Company conduct the validations ,at no out of packet expense.

Regards,
Tina

Tina Muller
Clinical Nurse Consultant / Perioperative & CSD.
Mackay Hospital and Health Service
P: 07 4885 5387
E:tina.muller@health.qld.gov.au

[Email Signature]

Hi Mandy
We use an independent Biomedical service to complete all our annual validations for our reprocessing equipment. Sterilizers, Instrument washers, drying cabinet, ultrasonic washer and heat sealer.
Regards
Coralie

Coralie Tyrrell | Manager Infection Prevention & Control | P: 03 56230625 | E: coralie.tyrrell@wghg.com.au
West Gippsland Healthcare Group | 41 Landsborough Street | Warragul Vic 3820 | http://www.wghg.com.au

”WGHG strives to attract and retain a highly talented learning workforce that engages with a level of pride and passion in improving the health and wellbeing of its community”

[cid:image001.jpg@01CEB51E.65D9EC30]
[for inclusion in email signature_small size]

Please consider the environment before printing this email

Hello brains trust,

I am seeking information about what different organisations do for the performance qualification (PQ) aspect of the annual validation for the reprocessing of reusable medical devices. The standards mention that this can be performed by “suitably trained in-house personnel or a suitably experienced and qualified external contractor.”

So the question is do you do this yourself in house? Or do you contract out?

If you do this in house – would be prepared to share how you report this?

If you contract out – can you share details of the contractor offline please?

I am curious about a contracted service, historically this seems to have been part of the service provided by the equipment supplier. I wonder if this is a conflict of interest? I have also noted that the reports generated by the supplier tend to only focus on the equipment supplied and not on the ‘whole of RMD process’ which is going to be the requirement.

Any assistance is greatly appreciated and information received will be treated confidentially and with respect.

Kind regards,

Mandy Davidson
RN; GCert Inf Pre & Cont; MPHTM; Cert III Sterilisation; Cert IV TAE; Immunisation cred; CICP-A

Clinical Nurse Consultant – 4187 Implementation project

Infection Prevention & Control

[cid:image001.png@01D3A193.4E4B0480]

T

07 4433 1873 | 0402 987 432

E

Mandy.Davidson@health.qld.gov.au

W

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

Townsville Hospital and Health Service

100 Angus Smith Drive, Douglas, QLD 4814

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Townsville Hospital and Health Service acknowledges the Traditional Owners of the land, and pays respect to Elders past, present and future

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[Tina Muller]

Morning,

Just took a quite skip through google.
If you Google SHEA – The Society for Healthcare Epidemiology of America.
Reviewing articles – prevention is the focus

From:

* clarify need for IDC
* length of time the IDC is in situ
* encourage oral fluids
* Cranberry juice seems to be beneficial ( used in aged care facilities for non-catheterised patient)
* encourage mobility / frequent toileting vs IDC / retrain bladder – don’t hold on – go
* Blueberries / spinach / kale / beans / broccoli / Yogurt / red peppers / cauliflower / garlic
* lots of water or herbal teas

I hope this helps.

Wishing everyone at ACIPC a Wonderful Christmas with their families & a Great New Year!

Regards,
TIna

Tina Muller
Clinical Nurse Consultant / Perioperative & CSD.
Mackay Hospital and Health Service
P: 07 4885 5387
E:tina.muller@health.qld.gov.au

—–Original Message—–

> Merry Christmas everyone,

> I am wondering for some advice in regards of how other hospitals make
> awareness of catheter acquired UTI for ward nurses (I.e. education, posters, PowerPoints, guidelines etc) Or has anyone done a program/ research to reduce hospital acquired UTI and has it been successful with retaining the evidence based practice with ward staff?

> I have an interest in reducing
> hospital acquired UTI and would love to hear what is out there.

> Kind Regards,

> Yeng To
> RN at QEII Hospital Brisbane
>

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[Tina Muller]

Afternoon,

Thank-you for this.
I can relate to the scenarios identified in the article.
The non HH hands all over the Ana Med Trolley is one reason we take the trolley out of the MRO OT
As we have had staff come behind an MRO case and totally decanted all the meds form the trolley into the sharps

I am trying to find a succinct , guideline that fits all scenarios, while maintaining to focus on the patient.

Regards,
Tina

Tina Muller
Clinical Nurse Consultant / Perioperative & CSD.
Mackay Hospital and Health Service
P: 07 4885 5387
E:tina.muller@health.qld.gov.au

[Email Signature]

From: ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] On Behalf Of Cathryn Murphy
Sent: Thursday, 13 December 2018 11:17 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: Reviewing management of MRO’s in perioperative unit.

Tina

By way of Xmas miracle SHEA just released an IC in anaesthesia guideline. It can be freely accessed and may add info for you and others. You can access it here SHEA, in collaboration with anesthesia societies, released an expert guidance with recommendations to improve infection prevention in operating room anesthesia services. The guidance, published in Infection Control & Healthcare Epidemiology, makes recommendations in the areas of hand hygiene, environmental disinfection, and continuous improvement. The full text is available, without a login at https://doi.org/10.1017/ice.2018.303.

Regards

Cath
Cathryn Murphy RN B. Photog MPH CIC FAPIC FSHEA CICP-E PhD
Chief Executive Officer & Creative Director
Infection Control Plus Pty Ltd
Adjunct Associate Professor
Faculty of Health Sciences and Medicine, Bond University
QLD, Australia

E: Cath@infectioncontrolplus.com.au
M: +61 428 154154
W:http://www.infectioncontrolplus.com.au

From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> On Behalf Of Tina Muller
Sent: Thursday, 13 December 2018 10:00
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] Reviewing management of MRO’s in perioperative unit.

Morning,

Thank-you to everyone who responded with sound advice.
Im sure I will be contacting you again in the near future when fine tuning my policy.

Regards,
Tina

Tina Muller
Clinical Nurse Consultant / Perioperative & CSD.
Mackay Hospital and Health Service
P: 07 4885 5387
E:tina.muller@health.qld.gov.au

[Email Signature]

From: ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] On Behalf Of Robinson, Nikki
Sent: Thursday, 13 December 2018 8:12 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: Reviewing management of MRO’s in perioperative unit.

Hi Tina,
Our approach is to treat all patients the same. We do not screen all patients so would have many unknown colonised patients. By adopting a one approach policy there is no confusion as per Michael & Joanna comments below.
We recover all patients in recovery. The only time we would recover a patient in theatre would be if they were on droplet precautions (only happened once with a norovirus patient with a # NOF)
We dont do bronchoscopies so dont have airborne precautions to contend with in theatre / endoscopy unit.
Thanks
Nikki

Nikki Robinson
Infection Control & Quality Coordinator
Noosa Hospital
07 54559206

From: ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] On Behalf Of Michael Wishart
Sent: Thursday, 13 December 2018 7:23 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] Reviewing management of MRO’s in perioperative unit.

Hi Tina

Our approach is similar to that described by Joanna Harris. I did a presentation to some per-operative nurses here about this. The key was investigating current practices between patients and plugging the holes (ie who cleans what make sure everyone knows their role).

I think you need to work out what will work in your setting, though. I do not believe a one-size-fits-all approach will work.

Cheers
Michael

Michael Wishart | Infection Control Coordinator, CICP-E

St Vincents Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
W http://www.hsnph.org.au

[cid:image001.jpg@01D46C86.4CDB6090]

From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> On Behalf Of The Harrises
Sent: Thursday, 13 December 2018 4:31 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: Reviewing management of MRO’s in perioperative unit.

Hello Tina, and welcome.
The important thing is to thoroughly look at the risks associated with MROs in theatre balanced with the risks associated with managing patients known to be colonised. Also recognise that you do not probably know the MRO colonisation status in real time for every single patient.
Here in the Illawarra Shoalhaven in NSW we have adopted a much more horizontal approach to our infection prevention and control policies. Essentially this can be described as doing the right thing for everyone. By doing this we make things simpler for staff, prevent discriminatory practices for those patients with a history of MRO colonisation, and avoid problems such as the ones you have described with wasted theatre time and equipment issues.
I would be very happy to discuss off line, and share policies etc. if you are interested.

JoannaHarris
Nurse Manager, Infection Management and Control Service,
Illawarra Shoalhaven LHD, NSW.
Joanna.Harris@health.nsw.gov.au

Sent from my iPhone

On 7 Dec 2018, at 15:09, Tina Muller <Tina.Muller@HEALTH.QLD.GOV.AU> wrote:
Afternoon,

Im a new member, and very excited to be able to network with such a diverse body of knowledge.

Question?
We are currently reviewing our management of MROs within the perioperative Unit.
Specifically focusing on decanting theatres prior to admitting the patient into theatre.
This includes the anaesthetic drugs trolley which is kept close at hand outside the door.
Yes, we allocate an outside runner.

There are two components that we are keen to focus on.

1. Decanting the Theatre we are discussing the Non-Contact vs Contact Zone
2. Recovering of patient in the theatre ( VRE / ESBL/CRE ) vs PACU (MRSA)

These are the core issue that cause grief among the staff.
Ana Folk- not ready access to emergent equipment if required.
Loss of theatre time in recovering patient in Theatre.

As you are aware, this implicates theatre staff and activity time.
This is addressed with allocating the MRO patients to the end of the elective lists
If we have a spare theatre – we will take the MRO patients there, so there is minimal lost time in their home theatre( while someone else cleans up or recovers the patient)
No so easy to negotiate if this is an emerg patient.

Earlier this year, I emailed across QHealth via SWAPNET, and thank-you to all who responded.
This has given us much to consider, drawing us to the Contact vs Non-Contact area within the actual theatre.

[cid:image001.jpg@01D48E36.7789BA40]

Before I totally re-write our Policy reflecting the changes, I would like the opinion of the ACIPC Network.
I thank-you for your time and consideration in this matter.

Regards,
Tina

Tina Muller
Clinical Nurse Consultant / Perioperative & CSD.
Mackay Hospital and Health Service
P: 07 4885 5387
E:tina.muller@health.qld.gov.au

[Email Signature]

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[Tina Muller]

Morning,

Thank-you to everyone who responded with sound advice.
Im sure I will be contacting you again in the near future when fine tuning my policy.

Regards,
Tina

Tina Muller
Clinical Nurse Consultant / Perioperative & CSD.
Mackay Hospital and Health Service
P: 07 4885 5387
E:tina.muller@health.qld.gov.au

[Email Signature]

From: ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] On Behalf Of Robinson, Nikki
Sent: Thursday, 13 December 2018 8:12 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: Reviewing management of MRO’s in perioperative unit.

Hi Tina,
Our approach is to treat all patients the same. We do not screen all patients so would have many unknown colonised patients. By adopting a one approach policy there is no confusion as per Michael & Joanna comments below.
We recover all patients in recovery. The only time we would recover a patient in theatre would be if they were on droplet precautions (only happened once with a norovirus patient with a # NOF)
We dont do bronchoscopies so dont have airborne precautions to contend with in theatre / endoscopy unit.
Thanks
Nikki

Nikki Robinson
Infection Control & Quality Coordinator
Noosa Hospital
07 54559206

From: ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] On Behalf Of Michael Wishart
Sent: Thursday, 13 December 2018 7:23 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] Reviewing management of MRO’s in perioperative unit.

Hi Tina

Our approach is similar to that described by Joanna Harris. I did a presentation to some per-operative nurses here about this. The key was investigating current practices between patients and plugging the holes (ie who cleans what make sure everyone knows their role).

I think you need to work out what will work in your setting, though. I do not believe a one-size-fits-all approach will work.

Cheers
Michael

Michael Wishart | Infection Control Coordinator, CICP-E

St Vincents Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
W http://www.hsnph.org.au

[cid:image001.jpg@01D46C86.4CDB6090]

From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> On Behalf Of The Harrises
Sent: Thursday, 13 December 2018 4:31 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: Reviewing management of MRO’s in perioperative unit.

Hello Tina, and welcome.
The important thing is to thoroughly look at the risks associated with MROs in theatre balanced with the risks associated with managing patients known to be colonised. Also recognise that you do not probably know the MRO colonisation status in real time for every single patient.
Here in the Illawarra Shoalhaven in NSW we have adopted a much more horizontal approach to our infection prevention and control policies. Essentially this can be described as doing the right thing for everyone. By doing this we make things simpler for staff, prevent discriminatory practices for those patients with a history of MRO colonisation, and avoid problems such as the ones you have described with wasted theatre time and equipment issues.
I would be very happy to discuss off line, and share policies etc. if you are interested.

JoannaHarris
Nurse Manager, Infection Management and Control Service,
Illawarra Shoalhaven LHD, NSW.
Joanna.Harris@health.nsw.gov.au

Sent from my iPhone

On 7 Dec 2018, at 15:09, Tina Muller <Tina.Muller@HEALTH.QLD.GOV.AU> wrote:
Afternoon,

Im a new member, and very excited to be able to network with such a diverse body of knowledge.

Question?
We are currently reviewing our management of MROs within the perioperative Unit.
Specifically focusing on decanting theatres prior to admitting the patient into theatre.
This includes the anaesthetic drugs trolley which is kept close at hand outside the door.
Yes, we allocate an outside runner.

There are two components that we are keen to focus on.

1. Decanting the Theatre we are discussing the Non-Contact vs Contact Zone
2. Recovering of patient in the theatre ( VRE / ESBL/CRE ) vs PACU (MRSA)

These are the core issue that cause grief among the staff.
Ana Folk- not ready access to emergent equipment if required.
Loss of theatre time in recovering patient in Theatre.

As you are aware, this implicates theatre staff and activity time.
This is addressed with allocating the MRO patients to the end of the elective lists
If we have a spare theatre – we will take the MRO patients there, so there is minimal lost time in their home theatre( while someone else cleans up or recovers the patient)
No so easy to negotiate if this is an emerg patient.

Earlier this year, I emailed across QHealth via SWAPNET, and thank-you to all who responded.
This has given us much to consider, drawing us to the Contact vs Non-Contact area within the actual theatre.

[cid:image001.jpg@01D48E36.7789BA40]

Before I totally re-write our Policy reflecting the changes, I would like the opinion of the ACIPC Network.
I thank-you for your time and consideration in this matter.

Regards,
Tina

Tina Muller
Clinical Nurse Consultant / Perioperative & CSD.
Mackay Hospital and Health Service
P: 07 4885 5387
E:tina.muller@health.qld.gov.au

[Email Signature]

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[Tina Muller]

Afternoon,
Dependant on the scenario, here at Mackay we use a side arm.

Regards,
TIna

Tina Muller
Clinical Nurse Consultant / Perioperative & CSD.
Mackay Hospital and Health Service
P: 07 4885 5387
E:tina.muller@health.qld.gov.au

[Email Signature]

Hello brains trust

I am forwarding a question from Colleagues which I am hoping some of our more benevolent vascular access experts on line may be able to better advise / ref me to in being able to adequately respond their query below

thanks for any advice in advance

“Can you please advise me what you guys do regarding IV lines – as we are trying to settle a debate here.

We currently use a single spike IV and then use a piggy back line attached into the side port to infuse drugs.

The alternative is to use a double spike system to run in fluids and drugs, and save money by not having to use a side line. My personal preference is to stick with the side line as I think it is the safer option. However the pressure to save money is there.

Can you tell me what you guys do, and provide me with any other contacts you have that I might talk to?”

Kind regards

Lindy

Lindy Ryan

District Infection Prevention & Control CNC | Clinical Governance & Information Services MNCLHD
Level 1 Coffs Specialist Centre, Pacific Hwy, Coffs Harbour
Office 66911984 or Mob 0419 990 693 | lindy.ryan@ncahs.health.nsw.gov.au
http://www.health.nsw.gov.au

[http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Mid-North-Coast-LHD.jpg]

“Wise and humane management of the patient is the best safeguard against infection”
(Florence Nightingale Circa 1860)

This message is intended for the addressee named and may contain confidential information. If you are not the intended recipient, please delete it and notify the sender.

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