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Hi Catina
We recently moved over to alcoholic 2% chlorhexidine as a skin prep for
all of our interventional cardiovascular procedures at the request of
our consultants. Apparently they had seen some evidence to support this.
Queensland Health has provided a position paper which supported this if
we think of cardiovascular access as intravascular, so we were happy to
comply with our consultants’ request.The QLD Health document can be found here:
http://www.health.qld.gov.au/chrisp/resources/rec_prac_skinprep.pdfHope this helps.
Cheers
MichaelMichael Wishart | GPH – Infection Control Coordinator
GPH – Quality & Safety Unit (Infection Control) | Greenslopes Private
Hospital
Newdegate Street, Greenslopes QLD 4120
t: 07 3394 7919 | f: 07 3394 7985
e: WishartM@ramsayhealth.com.au | w: http://www.ramsayhealth.com.auRamsay Health Care is an environmentally responsible corporation, please
consider the environment before printing this email.
________________________________________
Behalf Of Catina EyresHello,
I’m wondering what other institutions use for skin preparation when
performing angiograms and placing permanent implantable devices ie.
Pacemakers, ICD, etc.
Cheers,
CatinaCatina Eyres
Nurse Consultant
Infectious Diseases & Infection Control
Bendigo Health
PO Box 126 Bendigo 3552
ceyres@bendigohealth.org.au
p 03 5454 8414 (Infection Control)
p 03 5454 8422 (Infectious Diseases)
f 03 5454 8419
m 0409 230 871
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You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.auHi Jane
I think there are some antibiotics that can be irritant on skin contact, so maybe this is a generic hangover from a recommendation to wear gloves when handling a specific antibiotic (gentamicin springs to mind). I think you should refer this question to your facility pharmacy, and specifically if you have a formulary available to check what it says about handling precautions for specific anti-infective agents. Maybe some warnings for handling specific anti-infective agents, if required, is all that is warranted.
The other issue is how they are handling the antibiotic, and the risk of skin contact.
The latex glove issue is another thing altogether, and it sounds like you are aware of the need to try and reduce latex glove use.
Sorry I don’t have any specific references.
Cheers
MichaelMichael Wishart | GPH – Infection Control Coordinator
GPH – Quality & Safety Unit (Infection Control) | Greenslopes Private Hospital
Newdegate St, Greenslopes QLD 4120
t: 07 3394 7919 | pager 047 | f: 07 3394 7985
e: WishartM@ramsayhealth.com.au | w: http://www.ramsayhealth.com.auRamsay Health Care is an environmentally responsible corporation, please consider the environment before printing this email.
—–Original Message—–
[Posted on behalf of Jane Barnett – Moderator]
I receive regular emails from the AICA discussion forum and find them most useful over here in NZ! I have a query which I wonder whether the AICA membership can help with related to the routine wearing of gloves when drawing/making up IV antibiotics. It appears that staff here often wear gloves to protect themselves from accidental contamination with the antibiotics. Is there any evidence to suggest that staff are at risk from this very common practice? It has been highlighted due to the implementation of the 5 moments over here and the need for hand hygiene immediately prior to injection. We have concerns about the increased use of gloves which contain latex (we have not gone totally latex free in this DHB).
Any guidelines/literature that your members have access to on this would be very welcome!
Thanks
Jane Barnett
CNS Infection Prevention and Control
Canterbury District Health Board, NZ
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You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.auHi Wendy
We process most of our GI endoscopes in a peracetic acid cycle, but
bronchoscopes and some cystoscopes/ureteroscopes are sterilised in
hydrogen peroxide plasma, and wrapped. We only do micro testing 12
monthly on sterile wrapped endoscopes currently, but the latest draft of
the GENSA/GECA infection control guidelines says this (same as what was
in the micro testing recommendations from 2008):‘4. Endoscopes that have been reprocessed through a sterilisation cycle
and stored in a wrapped state should be monitored every 3 months.’Not sure if I agree with this from a quality control perspective, as we
don’t test any other sterile items 3 monthly, but do validation of the
packaging process 12 monthly. I’d be interested to hear any rationale
for the 3 monthly micro testing of wrapped sterile endoscopes.The biggest question is: what do we do with sterile wrapped scopes that
are not used within 12 months (eg emergency intubating bronchoscopes)?
According to these recommendations we should open, test and
re-sterilize/re-wrap them every three months. That does not sound like a
reasonable use of resources to me.Cheers
MichaelMichael Wishart | GPH – Infection Control Coordinator
GPH – Quality & Safety Unit (Infection Control) | Greenslopes Private
Hospital
Newdegate St, Greenslopes QLD 4120
t: 07 3394 7919 | pager 047 | f: 07 3394 7985
e: WishartM@ramsayhealth.com.au | w: http://www.ramsayhealth.com.auRamsay Health Care is an environmentally responsible corporation, please
consider the environment before printing this email.—–Original Message—–
Behalf Of Beckingham, WendyCurrently we have bronchoscopes that are cleaned and high level
disinfected through the soluscope and micro tested as per the GENCA
guidelines.We have another facility on our campus that uses the Sterrad to
sterilize the bronchoscopes and ureteroscopes. We also do micro testing
of both of these scopes.We are wondering what other facilities around Australia are currently
doing in relation to instruments going through the STERRAD and micro
testing.Wendy Beckingham
CNC Infection Control
The Canberra Hospital
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You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.auHi Jill
I would be looking to either coat the wooden playpen with an impervious coating (eg sealed paint) or replace it with something more easily cleaned. Any toys for use in a communal area should be easily cleaned (eg no cloth/fabric/bare wood) and should be cleaned regularly and definitely after use by babies who may suck on them.
As far as ‘fly strips’ are concerned I have worked in a number of outback SA facilities and the best solutions for flies was air curtains, which prevent insects flying in. You should speak to your facilities management staff about the feasibility of these.Hope this is useful.
Cheers
MichaelMichael Wishart | GPH – Infection Control Coordinator
GPH – Quality & Safety Unit (Infection Control) | Greenslopes Private Hospital
Newdegate Street, Greenslopes QLD 4120
t: 07 3394 7919 | f: 07 3394 7985
e: WishartM@ramsayhealth.com.au | w: http://www.ramsayhealth.com.auRamsay Health Care is an environmentally responsible corporation, please consider the environment before printing this email.
________________________________________Good afternoon all,
I have two questions today…..
Firstly, I was wondering if anyone has suggestions for what is appropriate in the ED waiting room for children.
One of the hospitals we look after currently has a large fixed wooden playpen which is in good condition in their waiting room and I have been asked if this is appropriate.
I have also been asked to suggest suitable toys and what would be appropriate in future should renovations occur.
(The other hospitals we look after do not have equipment available in ED waiting rooms.)
Second, I have been questioned on the use of fly strips in a hospital where they appear to be having a problem at the moment with flies. Any thoughts or suggestions would be greatly appreciated.
Thank you in advance for your experience and advice
Kind
RegardsJill Palmer |CNC, A/Infection Control
Katherine Hospital |Gove Hospital |Tennant Creek Hospital
Department of Health and Families
Giles Street, Katherine, NT 0850 | PMB 73, Katherine, NT 0852
p… (08) 8973 9266| m… 0427394492 | f… (08) 8973 9390
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You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.auHi Melinda
I consulted in a facility that built and refurbished operating rooms
whilst the department was still running. What we did was a baseline air
quality assessment prior to the work commencing (used a contractor for
that, cost a fair bit) then did monthly settle plate counts in each
working operating room (using a slit sampler) for the duration of the
work. I would suggest before you embark on this you talk to your local
lab and find out what they have capability for (they may have issue
processing some of the special plates in some of the air sampler types).The facility also did daily cleaning checks (mainly for dust) and
discussed any issues immediately with the builders.Most of this sampling was more to give assurance to surgeons and
patients that the facility was monitoring the works, but I think it
helped the whole process work more smoothly.Hope this helps.
Cheers
MichaelMichael Wishart | GPH – Infection Control Coordinator
GPH – Quality & Safety Unit (Infection Control) | Greenslopes Private
Hospital
Newdegate St, Greenslopes QLD 4120
t: 07 3394 7919 | pager 047 | f: 07 3394 7985
e: WishartM@ramsayhealth.com.au | w: http://www.ramsayhealth.com.auRamsay Health Care is an environmentally responsible corporation, please
consider the environment before printing this email.—–Original Message—–
Behalf Of MelindaL GriffithsMy Facility is currently planning to close a part of the Operating
Theatre down to do some renovations. The hospital executive have asked
me to devise an “air quality” program. Can anyone share their experience
or steer me in the right direction.Melinda Griffiths
CNC Infection Control
Alice Springs Hospital
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You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.auFor those who wish to visit the website Brett refers to, visit the
following link:Cheers
MichaelMichael Wishart | GPH – Infection Control Coordinator
GPH – Quality & Safety Unit (Infection Control) | Greenslopes Private
Hospital
Newdegate St, Greenslopes QLD 4120
t: 07 3394 7919 | pager 047 | f: 07 3394 7985
e: WishartM@ramsayhealth.com.au | w: http://www.ramsayhealth.com.auRamsay Health Care is an environmentally responsible corporation, please
consider the environment before printing this email.—–Original Message—–
Behalf Of Mitchell, Brett (TIPCU)Hi Ingrid
In Tasmania, acute hospitals have infections rates for SAB, CDI, VRE,
hand hygiene etc published publicly. There are published on the
Tasmanian Infection Prevention & Control Unit’s website, which is
publicly available. The web address is very long so just do a search for
the unit on Google.For the first few reports, we did media releases and worked with the
media in understanding the reports e.g. we gave them a presentation!Thanks
BrettMr Brett Mitchell (RN, BN, MSc, CICP, MRCNA)
Director of Tasmanian Infection Prevention & Control Unit (TIPCU)—–Original Message—–
Behalf Of Tribe, Ingrid (Health)Are there any healthcare facilities publicly reporting infection rates?
If so, how are you reporting this information? Is anyone using the
internet for this purpose?
>
> Kind Regards
>
> Ingrid Tribe
RN,BN,GDip QI HlthCare, MMedSci(ClinEpid)
Coordinator, Infection Control Service
Flinders Medical Centre
Bedford Park
South Australia 5042
Australia
T: 08-8204 5051
F: 08-8204 4733
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You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.auThanks for all who have replied so far. I just need to clarify my
question a bit.I need to specifically know if any other organisations have a specific
health surveillance program for staff handling BCG used for bladder
instillations. Whilst knowing whether all HCW’s are screening for TB is
useful, I have been advised that we should have a specific health
surveillance program for staff who handle BCG (specifically the
reconstitution of the freeze dried powder and the administration of the
solution). Does anyone out there have any such a program? If so, how
frequently do you conduct Mantoux on this group of staff?If anyone has any comment or opinion on this form of health surveillance
I would also be very interested.Thanks
Michael
Michael Wishart | GPH – Infection Control Coordinator
GPH – Quality & Safety Unit (Infection Control) | Greenslopes Private
Hospital
Newdegate St, Greenslopes QLD 4120
t: 07 3394 7919 | f: 07 3394 7985
e: WishartM@ramsayhealth.com.au | w: http://www.ramsayhealth.com.auRamsay Health Care is an environmentally responsible corporation, please
consider the environment before printing this email.________________________________
Behalf Of Wishart, Michael
screeningFor those ICP’s involved in staff health, I am interested in knowing how
many organisations offer routine Mantoux screening to staff involved in
BCG instillations / immunotherapy. If you do offer routine Mantoux for
this group of staff, how frequently are they performed?Any comments or opinions appreciated!!
Thanks
Michael
Michael Wishart | GPH – Infection Control Coordinator
GPH – Quality & Safety Unit (Infection Control) | Greenslopes Private
Hospital
Newdegate St, Greenslopes QLD 4120
t: 07 3394 7919 | f: 07 3394 7985
e: WishartM@ramsayhealth.com.au | w: http://www.ramsayhealth.com.auRamsay Health Care is an environmentally responsible corporation, please
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