Response 982413062

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Introduction

2. Are you answering on behalf of an organisation? If so, please provide your organisation's name.

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Yes
Ticked No

3. Do you give consent for your submission to be published in whole or in part?

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(Required)
Ticked Yes
No

More detail about you

4. What role best describes you? Please select all that apply.

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Aged care consumer, including family and/or carer
Aged care service provider
Aged care worker/professional
Aged care advocate
Peak body - consumer
Peak body - provider
Peak body - professional
Ticked Other - please specify below
Text box to add other roles
Aged Care Consumer, Regd Nurse, Retired Infection Control Consultant

6. Where do you live, or, where does your organisation operate? Please select all that apply.

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NSW
VIC
QLD
WA
SA
TAS
ACT
Ticked NT

General questions about the draft standards

10. Do the consumer outcomes in the draft standards reflect the matters that are most important to consumers?

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Ticked Yes, always
Yes, mostly
Yes, sometimes
No
Don't know

11. Are the organisation statements and requirements in the draft standards achievable for providers?

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Ticked Yes, always
Yes, mostly
Yes, sometimes
No
Don't know

12. Are the draft standards measurable?

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Ticked Yes, always
Yes, mostly
Yes, sometimes
No
Don't know

13. Are there any gaps in the draft standards? If so, what are they?

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Ticked Yes
No
Text Box for gaps in draft standards
Infection risks are understated

14. Is the wording and the intent of the draft standards clear?

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Ticked Yes, always
Yes, mostly
Yes, sometimes
No
Don't know

Specific suggestions about each draft standard

18. Do you have any specific suggestions in relation to draft Standard 3: Delivering personal care and/or clinical care? If so, what are they?

Text box suggestions in relation to draft Standard 3: Delivering personal care and/or clinical care
Page 20: Requirements: The organistaion demonstrates the following - point 3.8 I suggest add c. Education Page 20: Rationale and Evidence - Standard 3 reflects the following concepts; Bullet Points identify Falls through to - Malnutrition a nd dehydration ending on page 23 - I suggest add an additional bullet point under the heading: INFECTION; - Elderly consumers are at increased risk of infection from physical, mechanical and external environmental sources and have reduced physiological ability to fight infection. Hand Hygiene - is the single most effective practice measure to reduce infection risk and prevent spread in institutions and in the home. Education: relating to Infection Prevention and Hand Hygiene is available and provided to consumers. Still on page 23 the next bullet point heading is - Infection Prevention and Control - I do not like the wording which states that Infection management minimises the risk of transmission by isolating infectious agents or a person !! This implies that persons e.g with HIV should be isolated in the community? People are not isolated but organisms are!! - I suggest the following:- Infection management minimises the risk of infections through surveillance and early detection and identification of infectious/communicable disease organisms and their specific transmission route. Infection Control. Prevention and Management standards are applied as per Australian Guidelines for Standard Precautions (incorporating Transmission Based Precautions) as safe work practice in aged care services . Infection prevention and control programs will vary in scope and complexity depending on the nature of the care being provided and the local context and risk - I've added - as well as known and/or perceived risk factors. (eg community endemicity). The next bullet point is - Antimicrobial Stewardship. (I suggest removing the words 'including antibiotics' because antimicrobials ARE antibiotics. Next changed the word 'infections' in relation to AMR infections as this is technically incorrect. i.e. Antibiotics do not necessarily 'Lead' to infections but rather 'Contribute' to the emergence of AMR 'organisms'. i.e.The infection is not resistant BUT the organism is - therefore it should be written AMR organisms). ( the infection occurs due to the invasion of the AMR organism). May I suggest the following. - Antimicrobial Stewardship: The inappropriate and over use (over use is different from inappropriate use) of antimicrobials contributes to the emergence of antimicrobial resistant organisms (AMR). Infections with AMR organisms significantly affect consumer safety and well being because they require more complex and longer treatments and therefore lead to increased morbidity and mortality. AMR organisms not only impact on the individual consumer but can also spread and affect other consumers. Good antimicrobial stewardship preserves the effectiveness of antimicrobials that are currently available and it is therefore paramount to providing quality care to older people and plays an important role in reducing the risk of infections from multi resistant organisms. In conjunction with stewardship a key strategy in reducing the spread of any organism but in particular AMR, is the use of Hand Hygiene to minimise the spread within the environment as AMR organisms are spread via the contact route i.e. hand to hand or hand to environment and environment contamination. Next I suggest add a additional point. New Bullet Point as a sub heading; Hand Hygiene; - Is the single most important and effective practice to reduce the risk of spread of AMR and other organisms transferred by hand to mouth or through hand to hand and contamination of the environment by persons not using hand hygiene frequently and effectively.