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McFarlane Medical Equipment (Holdings) Pty Ltd. The outbreak response may differ according to the nature of disease, the virulence of the organism and the vulnerability of the patients concerned, however the principles that underlie an outbreak investigation are similar: identification of the aetiological agent; the route(s) of transmission; exposure factors and the population at risk.
Notable projects in Australia include Broadspectrum's contract with Austin Health in Victoria, and the contract that APP, Broadspectrum's property and infrastructure consultancy subsidiary, has with Health Infrastructure NSW Broadspectrum's Austin Health services started in 2011, and includes maintenance hospital cleaning company Sydney services and minor capital works for its facilities in Melbourne, including Austin Hospital, Heidelberg Repatriation Hospital, the Royal Talbot Rehabilitation Centre, the Olivia Newton John Hospital and seven satellite sites, operating 980 beds across acute, sub-acute and mental health.

In developing local policies and procedures, each healthcare facility should conduct its own risk assessment (i.e. how to avoid, identify, analyse, evaluate and treat risks in that setting), and also refer to discipline-specific guidance where relevant.
Extra work practices in situations where standard precautions alone may be insufficient to prevent infection (e.g. for patients known or suspected to be infected or colonised with infectious agents that may not be contained with standard precautions alone).
Two months after the first index case of VRE was detected in the intensive care unit of a large teaching hospital, 68 patients had become either infected or colonised with an epidemic strain of vanB vancomycin-resistant Enterococcus faecium, despite standard infection control procedures.
Standard precautions are used by healthcare workers to prevent or reduce the likelihood of transmission of infectious agents from one person or place to another, and to render and maintain objects and areas as free as possible from infectious agents.

Each time these staff members are involved in the care of an infected or colonised infant, there is potential for spread of the infectious agent (to other infants and to staff members), with the risk continuing until appropriate hand hygiene practices are performed.
There is insufficient evidence to recommend the routine use of protective eyewear with individuals on droplet precautions, unless there is a risk of splashes or spray to the mucosa (see Section B1.2). Goggles provide reliable eye protection from respiratory droplets from multiple angles.

If transfer of the patient outside the negative pressure room is necessary, asking the patient to wear a correctly fitted surgical mask while they are being transferred and to follow respiratory hygiene and cough etiquette, as well as covering any skin lesions associated with the condition (e.g. chickenpox varicella) will reduce the risk of cross-transmission.
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Healthcare workers who need to modify their work practices because they are carriers of a bloodborne virus should be provided with counselling and, where practical, with opportunities to continue appropriate patient-care activities, either in their current position or in a redeployed position, or to obtain alternative career training.

Change is also more likely to be achieved and sustained when the role of patients as partners in their health care is strengthened, and where there is a shared understanding of the role of patients, healthcare workers and organisations in achieving the best possible outcomes (ACSQHC 2008).

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