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Afternoon Jayne.
I am an RN at Lismore base acting for infection and control at the present.
We generally isolate into single room, not always, unless febrile, then it is a medical emergency.
We do not reverse barrier nurse.
Patient can wear a mask, or staff if there is any suspicion of respiratory infection.
If we expect this to continue, due to chemo medication ect, then it is usually just a single room.
Thanks
John Kershaw Acting CNC Infection Control—–Original Message—–
Afternoon Brains Trust,
Just a quick survey of what organisations do (both public and private) for neutropenic patients. Do you use protective isolation/reverse barrier nurse, the IPC hand book, page 97, 9.1.1 neutropenia states ‘should be considered’.
If so what PPE do you recommend used etc.Would be very interested to hear your views.
Many thanks in advance
Jayne O’Connor RN ,BSc.,Inf.Cont
IPC Co-Ordinator
Sydney Adventist Hospital | 185 Fox Valley Road, Wahroonga, NSW 2076p: +61 2 9487 9732 | f: +61 2 9473 8052 | m: +61 0406 752685 | e: jayne.oconnor@sah.org.au
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Hi Rita , like wise ( referring to Kate Hipsley email response) with us at our hospital- this glove was originally used for staff who had skin irritant / breakdown of skin integrity.
Feedback from these staff enforce how well their skin responded to this type of glove. We currently have this glove across whole LHDVicki
Vicki DenyerInfection Prevention & Control Clinical Nurse Consultant
Lismore Base Hospital
Ph: 02 66 202385
Fax: 02 66 202287Infection Prevention & Control is Everyones Business
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Kate Hipsley
Sent: Friday, 23 June 2017 8:30 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Oatmeal nitrile glovesDear Rita, this product is our go to glove when staff experience skin issues and where their medical advice is to try an alternate glove. The possible risks you mentioned in my opinion would be negated by the fact that the HCWs skin is usually in a better state (or at least not deteriorating further) after using the gloves.
Happy to discuss our experience offline if you wish.
Kate Hipsley
NSW Ambulance
0428238789On 22 Jun 2017, at 13:17, Rita Roy <Rita.Roy@HEALTH.NSW.GOV.AU> wrote:
Dear All,
Has any of your facilities used oatmeal nitrile gloves? If so, are you aware of any efficacy issues or risks associated with the usage of theses gloves? Is there any interaction that can occur with alcohol based hand rubs/gels/foams and any residue left from the gloves on hands after removal? Any information would be appreciated.
Many thanks,
RitaRita Roy
Clinical Nurse Consultant | Infection Control
Hornsby Ku ring gai Health Service, Palmerston Road, Hornsby NSW 2076
Tel (02) 9477 9232 | Fax (02) 9477 9013 Rita.Roy@health.nsw.gov.au
http://www.health.nsw.gov.auClick here to visit the Infection Prevention and Control page on the Intranet
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Hi Lindy,
I asked our manager of pharmacy & CNC chemotherapy and they provided the attached document
Hope this helps
Vicki Denyer
Infection Prevention & Control Clinical Nurse Consultant
Lismore Base HospitalInfection Prevention & Control is Everyone’s Business
Hello brains trust
We are currently updating our Procedure on Cytotoxic Drug Safety Cabinet (CDSC) and the cabinet testing for microorganism’s as part of our quality control &^ was wondering if anyone had a procedure they use or good information to share.
I have checked out AS 4273-199 Design “instillation & use of pharmaceutical isolators” section 9.8 re routine monitoring, & it hasn’t a lot of specifics re the process for settle plates etc just wondering if anyone has a current procedure or any more specific info for me to work from that they would be willing to shareMany thanks for any help
Kind regards
Lindy
Lindy Ryan
Infection prevention & Control Clinical Nurse Consultant (CNC) | Coffs Harbour Health Campus
Pacific Hwy Coffs Harbour NSW 2450
Tel (02) 6656 7770 | lindy.ryan@ncahs.health.nsw.gov.au
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“Wise and humane management of the patient is the best safeguard against infection”
(Florence Nightingale Circa 1860)________________________________
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Thank you Fiona, sorry to annoy but could you tell me why trialling in ICU & ED?
Vicki Denyer
Clinical Nurse Consultant | Infection Prevention & Control Unit
Lismore Base Hospital
Tel 02 6620 2385 | vicki.denyer@ncahs.health.nsw.gov.au[Description: cid:image001.png@01CE7F1B.E103A4C0]
Hi Vicki,
We are currently trialling in the ICU and EC dept. Many other areas have expressed a desire to also use them (as they look so good), but as yet the trial sites have not been extended.
Kind regards,Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
Fiona.Desousa@sah.org.au
185 Fox Valley Road, Wahroonga, NSW, 2076Hi All,
Have a small issue – Disposable curtains/screens!
Would appreciate feedback from areas that are using the disposable curtain/screens in their facilities
The issue is around cost of linen vs disposable curtains/screens.
We have trialed & like what we have but those who watch the pennies are questioning their use.
Originally we brought them into our ED because the poor terminal cleaning staff were frantic with attending the cleaning ( which involves the replacement of curtains).
The NUM of ED was indicating at this particular incident -that there were three ambulances waiting to off load patients onto ED beds which were being held up by the terminal cleaning required.Amongst other actions taken regarding this issue in ED-was the implementation of the disposable curtains.
Now the question being asked is who else in other health areas has disposable curtains/screens & where are they ( ie high risk areas).
Much appreciate any assistance with this.
Thank you
Vicki Denyer
Clinical Nurse Consultant | Infection Prevention & Control Unit
Lismore Base Hospital
Tel 02 6620 2385 | vicki.denyer@ncahs.health.nsw.gov.au[Description: cid:image001.png@01CE7F1B.E103A4C0]
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Thank you Rebecca, could I ask why just these areas & not throughout please?
Vicki Denyer
Clinical Nurse Consultant | Infection Prevention & Control Unit
Lismore Base Hospital
Tel 02 6620 2385 | vicki.denyer@ncahs.health.nsw.gov.au[Description: cid:image001.png@01CE7F1B.E103A4C0]
HI Vicky,
We now have disposable curtains in our ICU and ED department.
Kind regards,
Rebecca O’Donnell | Infection Prevention and Control Co-ordinator
St Vincent’s Hospital Toowoomba | 22-36 Scott Street TOOWOOMBA 4350
T 07 4690 4042 | F 07 46904400
E rebecca.o’donnell@stvincents.org.au | W http://www.stvincents.org.auP Please consider the environment before printing this email.
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 be 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.Hi All,
Have a small issue – Disposable curtains/screens!
Would appreciate feedback from areas that are using the disposable curtain/screens in their facilities
The issue is around cost of linen vs disposable curtains/screens.
We have trialed & like what we have but those who watch the pennies are questioning their use.
Originally we brought them into our ED because the poor terminal cleaning staff were frantic with attending the cleaning ( which involves the replacement of curtains).
The NUM of ED was indicating at this particular incident -that there were three ambulances waiting to off load patients onto ED beds which were being held up by the terminal cleaning required.Amongst other actions taken regarding this issue in ED-was the implementation of the disposable curtains.
Now the question being asked is who else in other health areas has disposable curtains/screens & where are they ( ie high risk areas).
Much appreciate any assistance with this.
Thank you
Vicki Denyer
Clinical Nurse Consultant | Infection Prevention & Control Unit
Lismore Base Hospital
Tel 02 6620 2385 | vicki.denyer@ncahs.health.nsw.gov.au[Description: cid:image001.png@01CE7F1B.E103A4C0]
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My recall of this product was as a debriding solution but if too much applied could do more damage than assistance to the wound bed- again this was way back when I was a “real” nurse working on the wards.
Vicki Denyer
Clinical Nurse Consultant | Infection Prevention & Control Unit
Lismore Base Hospital
Tel 02 6620 2385 | vicki.denyer@ncahs.health.nsw.gov.au[Description: cid:image001.png@01CE7F1B.E103A4C0]
Gosh, that takes me back to the 80’s!! Also known as Condys Crystals, a fabulous purple color if I recall.
I remember wringing out some dressings in this in the acute care setting as a nursing student, but can’t for the life of me remember what!
Good luck with the research.
Best Regards,
CathiCathi Montague RN, MClinNsg, FCENA
Nurse Management Facilitator – Clinical Care Systems Co-ordination‘High quality, compassionate health care’
SA Prison Health Service
Central Adelaide Local Health Network
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Very good for severe tinea of feet. Podiatrists use it. Not aware of other uses.
Bronwyn Pyke
Infection Control Coordinator
Alexandra District Hospital
PO Box 21
Alexandra, 3714
p: 0357720905
f: 0357720920Hi,
One of our physicians is prescribing potassium permanganate as a wound dressing – the staff are keen for a safe guideline to continue using. Is anyone still using and could they offer any assistance?
Christine Lawson | RN
Quality and Risk Manager | Caboolture Private Hospital
Caboolture Private Hospital
McKean Street, CABOOLTURE QLD 4510
t: 07 5495 9418
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________________________________
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Thanks so much Kerry – yes was looking at the wound care management late yesterday…many thanks for the response.
Feeling positive again ..will supply all with the extra information…may make change happen…..
Vicki Denyer
Clinical Nurse Consultant | Infection Prevention & Control Unit
Lismore Base Hospital
Tel 02 6620 2385 | vicki.denyer@ncahs.health.nsw.gov.au[Description: cid:image001.png@01CE7F1B.E103A4C0]
Hi Vicki
I agree with Fiona that the cadoxomer iodine preparations are best for breaking down Bio Films – they have been shown to be effective against biofilms. You need to be sure the patient does not have any sensitivities or conditions that prevent iodine use. Also no longer than 3 months and not for large extensive wounds (150 gm max per week)
The Australian Wound Management Assoc. guidelines are available at the AWMA website http://www.awma.com.au/publications/publications.php
Also the Venous leg ulcer guidelines are thereKerry Taliaferro
AWMA (ACT) Secretary / Newsletter Editor
[AWMA_Logo_Australian_Capital_Territory_LH[1].JPG]
Thank you Jo ,
Will provide this to the local drug committee….I can only keep chipping away
But definitely appreciate the document
Vicki Denyer
Clinical Nurse Consultant | Infection Prevention & Control Unit
Lismore Base Hospital
Tel 02 6620 2385 | vicki.denyer@ncahs.health.nsw.gov.au[Description: cid:image001.png@01CE7F1B.E103A4C0]
Hi Vicky
Check NSW Policy on off-label for medications http://www0.health.nsw.gov.au/policies/pd/2008/pdf/PD2008_037.pdfThis may be helpful – it tells the drug committees how to assess any off-label use of medications before it can be used
Thanks
Joe-Anne Bendall
(Monday/Thursday/Friday)
Joe-anne Bendall | Clinical Nurse Consultant Infection Prevention and Control
Sydney Hospital and Sydney Eye Hospital
8 Macquarie St
SYDNEY NSW 2000
|* ph +61 2 9382 7199 |page 22070 via switch 9382 7111| 7 Fax 93827510 |
Mobile 0418984255 | * Joe-anne.Bendall@SESIAHS.HEALTH.NSW.GOV.AUMany thanks for this information Fiona,
Whilst I can understand why potentially there may be steps to utilization antibiotics topically ( under strict supervision) it’s the issue that here they are using IV gentamycin – impregnated onto another dressing bed to apply. In accordance with the antibiotic guidelines this is not the designated application
Currently I believe TGA has not approved a topical gentamycin application & in accordance with antibiotic stewardship I thought I had some strong support to stop this practise. However seem to be fighting a losing battle. . I also tried with inappropriate use of medication as well as the doctors prescribe this on medication charts ( wrong route/wrong dose etc…)Thanks again with supplying this information …
Vicki Denyer
Clinical Nurse Consultant | Infection Prevention & Control Unit
Lismore Base Hospital
Tel 02 6620 2385 | vicki.denyer@ncahs.health.nsw.gov.au[Description: cid:image001.png@01CE7F1B.E103A4C0]
Hi Vicki,
I posed this question to our Wound care consultant and this is the response I receivedTopical antibiotics have traditionally been frowned upon in the care of chronic wounds.
However, recent developments in what is now known as biofilm wound bed preparation is recommending that antibiotics are part of the following steps :
* Wound debridement at every dressing change [low frequency ultrasound is becoming more common]
* Wound bed antisepsis [Prontosan or iodine preparations are common]
* Topical antibiotics [dependent on pathology]
* Appropriate dressing and bandaging
* Systemic antibiotics if required
Consistent and persistent wound assessment is vital, as the topical & systemic antibiotics need to be stopped once the desired clinical effect is obtained.
Hope this is useful info.Kind Regards,
Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
Fiona.Desousa@sah.org.au
185 Fox Valley Road, Wahroonga, NSW, 2076Hi All,
I would appreciate any additional advice on the following issue:
Rural hospital with medical staff prescribing IV gentamycin as a topical application onto dressings for ulcers.
Vicki Denyer
Clinical Nurse Consultant | Infection Prevention & Control Unit
Lismore Base Hospital
Tel 02 6620 2385 | vicki.denyer@ncahs.health.nsw.gov.au[Description: cid:image001.png@01CE7F1B.E103A4C0]
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Thank you Jo ,
Will provide this to the local drug committee….I can only keep chipping away
But definitely appreciate the document
Vicki Denyer
Clinical Nurse Consultant | Infection Prevention & Control Unit
Lismore Base Hospital
Tel 02 6620 2385 | vicki.denyer@ncahs.health.nsw.gov.au[Description: cid:image001.png@01CE7F1B.E103A4C0]
Hi Vicky
Check NSW Policy on off-label for medications http://www0.health.nsw.gov.au/policies/pd/2008/pdf/PD2008_037.pdfThis may be helpful – it tells the drug committees how to assess any off-label use of medications before it can be used
Thanks
Joe-Anne Bendall
(Monday/Thursday/Friday)
Joe-anne Bendall | Clinical Nurse Consultant Infection Prevention and Control
Sydney Hospital and Sydney Eye Hospital
8 Macquarie St
SYDNEY NSW 2000
|* ph +61 2 9382 7199 |page 22070 via switch 9382 7111| 7 Fax 93827510 |
Mobile 0418984255 | * Joe-anne.Bendall@SESIAHS.HEALTH.NSW.GOV.AUMany thanks for this information Fiona,
Whilst I can understand why potentially there may be steps to utilization antibiotics topically ( under strict supervision) it’s the issue that here they are using IV gentamycin – impregnated onto another dressing bed to apply. In accordance with the antibiotic guidelines this is not the designated application
Currently I believe TGA has not approved a topical gentamycin application & in accordance with antibiotic stewardship I thought I had some strong support to stop this practise. However seem to be fighting a losing battle. . I also tried with inappropriate use of medication as well as the doctors prescribe this on medication charts ( wrong route/wrong dose etc…)Thanks again with supplying this information …
Vicki Denyer
Clinical Nurse Consultant | Infection Prevention & Control Unit
Lismore Base Hospital
Tel 02 6620 2385 | vicki.denyer@ncahs.health.nsw.gov.au[Description: cid:image001.png@01CE7F1B.E103A4C0]
Hi Vicki,
I posed this question to our Wound care consultant and this is the response I receivedTopical antibiotics have traditionally been frowned upon in the care of chronic wounds.
However, recent developments in what is now known as biofilm wound bed preparation is recommending that antibiotics are part of the following steps :
* Wound debridement at every dressing change [low frequency ultrasound is becoming more common]
* Wound bed antisepsis [Prontosan or iodine preparations are common]
* Topical antibiotics [dependent on pathology]
* Appropriate dressing and bandaging
* Systemic antibiotics if required
Consistent and persistent wound assessment is vital, as the topical & systemic antibiotics need to be stopped once the desired clinical effect is obtained.
Hope this is useful info.Kind Regards,
Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
Fiona.Desousa@sah.org.au
185 Fox Valley Road, Wahroonga, NSW, 2076Hi All,
I would appreciate any additional advice on the following issue:
Rural hospital with medical staff prescribing IV gentamycin as a topical application onto dressings for ulcers.
Vicki Denyer
Clinical Nurse Consultant | Infection Prevention & Control Unit
Lismore Base Hospital
Tel 02 6620 2385 | vicki.denyer@ncahs.health.nsw.gov.au[Description: cid:image001.png@01CE7F1B.E103A4C0]
________________________________
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.
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Many thanks for this information Fiona,
Whilst I can understand why potentially there may be steps to utilization antibiotics topically ( under strict supervision) it’s the issue that here they are using IV gentamycin – impregnated onto another dressing bed to apply. In accordance with the antibiotic guidelines this is not the designated application
Currently I believe TGA has not approved a topical gentamycin application & in accordance with antibiotic stewardship I thought I had some strong support to stop this practise. However seem to be fighting a losing battle. . I also tried with inappropriate use of medication as well as the doctors prescribe this on medication charts ( wrong route/wrong dose etc…)Thanks again with supplying this information …
Vicki Denyer
Clinical Nurse Consultant | Infection Prevention & Control Unit
Lismore Base Hospital
Tel 02 6620 2385 | vicki.denyer@ncahs.health.nsw.gov.au[Description: cid:image001.png@01CE7F1B.E103A4C0]
Hi Vicki,
I posed this question to our Wound care consultant and this is the response I receivedTopical antibiotics have traditionally been frowned upon in the care of chronic wounds.
However, recent developments in what is now known as biofilm wound bed preparation is recommending that antibiotics are part of the following steps :
* Wound debridement at every dressing change [low frequency ultrasound is becoming more common]
* Wound bed antisepsis [Prontosan or iodine preparations are common]
* Topical antibiotics [dependent on pathology]
* Appropriate dressing and bandaging
* Systemic antibiotics if required
Consistent and persistent wound assessment is vital, as the topical & systemic antibiotics need to be stopped once the desired clinical effect is obtained.
Hope this is useful info.Kind Regards,
Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
Fiona.Desousa@sah.org.au
185 Fox Valley Road, Wahroonga, NSW, 2076Hi All,
I would appreciate any additional advice on the following issue:
Rural hospital with medical staff prescribing IV gentamycin as a topical application onto dressings for ulcers.
Vicki Denyer
Clinical Nurse Consultant | Infection Prevention & Control Unit
Lismore Base Hospital
Tel 02 6620 2385 | vicki.denyer@ncahs.health.nsw.gov.au[Description: cid:image001.png@01CE7F1B.E103A4C0]
________________________________
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.
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
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_____________________________________________________________________
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Many thanks Rachel, would appreciate any feedback. I am particularly interested in theatres as they are very aware of time restraints with cleaning & with the new Environmental cleaning policy this will increase the time required if we go down the path of two step cleaning/disinfection.
Vicki Denyer
Clinical Nurse Consultant | Infection Prevention & Control Unit
Lismore Base Hospital
Tel 02 6620 2385 | vicki.denyer@ncahs.health.nsw.gov.au[Description: cid:image001.png@01CE7F1B.E103A4C0]
Subject:
Hi Vicki,
At the RHH we use a combined detergent and sodium hypochlorite disinfectant solution at 1000ppm (commercially prepared solution). We use this as a 1 or 2 two-step agent. We clean and disinfect the room and associated items with the product and then rinse susceptible surfaces after a minimum 10 minute contact time. I would be happy to provide more detail re specifics if you would like to contact me directly.
Kind regards
RachelRachel Thomson
Nurse Unit Manager
Infection Prevention & Control Unit
Royal Hobart Hospital
E: rachel.thomson@dhhs.tas.gov.auSubject:
Hi all, was wondering what other facilities are using for disinfecting the extreme risk areas
3.3.1 Extreme risk areas
The functional areas in this category represent areas that pose the greatest risk of
transmission of infection. Patients in these areas are very susceptible to infection or are
undergoing highly invasive procedures. In addition surgical instruments and stock are
stored in these areas. Cleaning outcomes must be achieved through the highest level of
cleaning intensity and frequency.
The use of disinfectants as part of routine cleaning is only required in10;
* Extreme Risk areas;
* As part of outbreak management; and
* Terminal cleaning following an MRO/infectious disease in any functional area.
For the use of an environmental cleaning disinfectant for any other reason staff must
contact the ICP for advice and approval that is based on the risk of contamination to
patients and others.Vicki Denyer
Clinical Nurse Consultant | Infection Prevention & Control Unit
Lismore Base Hospital
Tel 02 6620 2385 | vicki.denyer@ncahs.health.nsw.gov.au[Description: cid:image001.png@01CE7F1B.E103A4C0]
________________________________
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.
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Thank you Jo-Anne – Much appreciated
Vicki Denyer
Clinical Nurse Consultant | Infection Prevention & Control Unit
Lismore Base Hospital
Tel 02 6620 2385 | vicki.denyer@ncahs.health.nsw.gov.au[Description: cid:image001.png@01CE7F1B.E103A4C0]
Hi Vicki
NSW Ministry of Health are currently reviewing the compliance of the product with AS4187 and will be issuing a Safety Alert for NSW healthcare facilities. I would hold off any purchases until the Safety Alert is releasedThanks
Joe-Anne Bendall
Joe-anne Bendall | Clinical Nurse Consultant Infection Prevention and Control
Sydney Hospital and Sydney Eye Hospital
8 Macquarie St
SYDNEY NSW 2000
|* ph +61 2 9382 7199 |page 22070 via switch 9382 7111| 7 Fax 93827510 |
Mobile 0418984255 | * Joe-anne.Bendall@SESIAHS.HEALTH.NSW.GOV.AUI was just inquiring as to whether there are any hospitals currently using the Tristel wipes system within their facility & whether they would be willing to contact me to discuss this product/process please
Vicki Denyer
Clinical Nurse Consultant | Infection Prevention & Control Unit
Lismore Base Hospital
Tel 02 6620 2385 | vicki.denyer@ncahs.health.nsw.gov.au[Description: cid:image001.png@01CE7F1B.E103A4C0]
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Hi Michael, we were discussing some of these issues at our hospital &
the feedback from one of our operating room nurse educators I thought I
would shareHi
Well we originally started off with canvas boots (not to mention the
cotton mask and boiler suits & starched scrubs), back on track now – the
canvas boot were to conduct the static electricity to the floors which
had copper rods running through them. It was only after the explosive
anaesthetic agent became less common the canvas boot remained in use
without the antistatic strap that ran from inside the boot to the
outside sole of the boot. It was seen as a standard, not really a sacred
cow! Hence we have now moved to dedicated footwear in the OR.The second point is that the beds, in most facilitates travel through
the hospital and into the operating room – one hopes that the bed
haven’t travel through the local farm and transferring organic material
into the OR.Finally, the floor should be acknowledged as the dirtiest area in the
department, therefore what is on the floor should stay on the floor.Regards
David Derrick
Acting Perioperative Educator | Operating Theatre
2nd Floor Crawford House, Hunter St, Lismore. NSW 2480
Tel 02 6620 7534 | Mob 0429 882 819 |
david.derrick@ncahs.health.nsw.gov.auBehalf Of Michael Wishart
Hi Barbara
My thoughts are that any changes in standard practice should have
evidence to show the change will NOT increase infection risks. Maybe
they would be willing to enter into a long term study (would need to be
long term, as to show a rise in overall infection rate would take quite
a sample size). Good luck in them getting ethics approval for such a
study though! I also doubt the majority of orthopods and cardiothoracic
surgeons would support such a study….There was an old document published in the UK about rituals in theatres,
it has some interesting thoughts about some of these things. It is
mainly opinion based, but might be worth sending to the questioning
surgeons as the basis for some further discussion!http://www.his.org.uk/_db/_documents/Rituals-02.doc
This document suggests overshoes are actually more problematic than they
are worth, but we still need to keep operating room floors clean.I won’t comment much on the wearing of theatre clothes except to say
think there is so little evidence to support this from an surgical site
infection prevention perspective. It is mainly about controlling the
risk of BBF exposures to other parts of the hospital as far as I am
concerned.Cheers
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
w:www.holyspiritnorthside.org.au
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Behalf Of Barbara Elliott
Hi All,
I have been asked to provide evidence regarding the wearing of outside
footwear in the operating theatres. A couple of surgeons at our facility
have expressed concern that outside footwear is a risk and I am unable
find very little evidence to convince them otherwise. Most references do
recommend closed in footwear that can be easily cleaned, but this seems
to be more OS&E related, rather than infection prevention and control.The same surgeons don’t seem to think that wearing scrubs outside the
complex or the hospital is a risk though!Does anyone have any thoughts on this one?
Thanks
Barbara
Barbara Elliott I Coordinator Infection Prevention & Control I St John
of God Subiaco HospitalLevel 3, 12 Salvado Road SUBIACO WA 6008
P: 08 9382 6871 F: 08 9382 6785 M: 0413706384 E:
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