VICNISS Healthcare Associated Infection Surveillance Coordinating Centre
Home / NewsConsumer / Patient InformationHealthcare Worker and Participating Hospital Sites Information and ResourcesContact Us
Skip Navigation Links.
Print page Print  

Type 1 VICNISS Surveillance Manual, Forms and Supporting Information

If you would like assistance in the use of any of the available tools and software please contact Jennifer Bradford or Judy Brett at the VICNISS Coordinating Centre.

Surveillance Supporting Documents Updated
VICNISS Type 1 Surveillance Manual – Summary of Major Changes – Version 6 (July 2008) to Version 7 (October 2011) (PDF 174kb) Oct11
Online Data Entry Forms (Web Forms) User Guide (PDF 1.5mb)
The Online Data Entry Forms User Guide provides the Infection Control staff with information on online data entry available on the VICNISS website. Modules available for online data entry for Type 1 participants include Staphylococcus aureus Bacteraemia, Clostridium difficile Infection, Haemodialysis Event, Central Line Insertion Practices (CLIP) Adherence Monitoring, and Influenza Vaccination.
Oct11
VICNISS Procedure Groups, ICD10-AM Codes, & CMBS Codes (PDF 320kb)
This information is also available to view on the VICNISS Procedure Groups, ICD10-AM Codes, & CMBS Codes page on the VICNISS website.
Jul11
CDC/NHSN Surveillance Definition of Healthcare-Associated Infection (HAI) and Criteria for Specific Types of Infections in the Acute Care Setting (PDF 242kb) Oct11
Routine Antibiotic Prophylaxis Recommendations Summary (Therapeutic Guidelines Antibiotic Version 14 2010) (PDF 38kb)
Note that this is a summary of the guidelines and is not intended as a substitute.
Sep10
Revised CLABSI Definition (PDF 111kb)
As advised in the VICNISS eBulletin April 2008, VICNISS decided to adopt the same revisions to the CLABSI definition as NHSN, effective as of 1 July 2008. The new definition is provided in version 6 of the Surveillance Manual above. For your information, the full defintion is provided here, which includes a list of FAQs and a comparison of the old definitions with the new, including a flow chart.
Apr08
Common Commensals in VICNISS as of June 2011 (PDF 40kb)
Note that this is a summary of the guidelines and is not intended as a substitute.
Jun11
What is the meaning of the statement 'not related to infection at another site' in relation to a positive blood culture? (PDF 101kb) Oct11

Back to Top

Surveillance Manual, Modules and Forms Updated
(Please note that forms may be updated from time to time. As this occurs, relevant hospital Infection Control Consultants will be advised and updated forms will be available below). 
1.Type 1 Surveillance Manual - Version 7 (PDF 237kb)
The VICNISS Surveillance Manual provides Infection Control staff with information on VICNISS definitions, case-finding, methodology, and data sources. See below for specific information on modules and forms.
Oct11
   Section 1: VICNISS - An Overview (PDF 35kb) Oct11
   Section 2: Healthcare Associated Infection Surveillance (PDF 26kb) Oct11
   Section 3: Interpretation of Surveillance Results (PDF 81kb) Oct11
   Section 4: VICNISS Participation Indicators (PDF 48kb) Oct11
   Section 5: Indentifying Healthcare Associated Infections in VICNISS (PDF 50kb) Oct11
 Annual Surveillance Plan (PDF 63kb) (Word 85kb) Oct11
 Notice of Inability to Undertake VICNISS Surveillance Activities Form (PDF 37kb)
As advised in the VICNISS eBulletin April 2008, if a hospital is unable to undertake the surveillance activities as listed in the Performance Indicator document for any period of time, formal notification to the VCC is required by completing the above form. This notification needs to be signed by the Infection Control Coordinator and the Infection Control Executive Sponsor. This information will then be forwarded to the Department.
Oct11
 Fax Data Cover Page to VICNISS (PDF 61kb) (Word 76kb) Oct11
2. Surgical Site Infection (SSI) (PDF 310b) Oct11
    Protocol (PDF 137kb) Oct11
    Instructions for Completion of Forms (PDF 94kb) Oct11
    Form - Surgical Site Procedure (Denominator) (PDF 54kb) (Submit via Hardcopy or Online Web Form Oct11
    Form - Caesarean Section Procedure (Denominator) (PDF 56kb) (Submit via Hardcopy or Online Web Form Oct11
    Form - Surgical Site Infection (Numerator) (PDF 55kb) (Submit via Hardcopy or Online Web Form Oct11
3. Intensive Care Unit (ICU) & Neonatal Unit (NNL) -
Central Line-associated Bloodstream Infection (CLABSI) & Peripheral Line-associated Bloodstream Infection (PLABSI)
(PDF 307kb)
Oct11
    Protocol (PDF 89kb) Oct11
    Instructions for Completion of Forms (PDF 35kb) Oct11
    Form - ICU Monthly Denominator (PDF 34kb) Oct11
    Form - ICU Infection (Numerator) (PDF 52kb) Oct11
    Form - ICU Daily Denominator (PDF 30kb) Oct11
    Form - NNL Monthly Denominator (PDF 48kb) Oct11
    Form - NNL Infection (Numerator) (PDF 54kb) Oct11
    Form - NNL Daily Denominator (PDF 45kb) Oct11
    Worksheet - Laboratory Confirmed Bloodstream Infection (LC-BSI) (PDF 56kb) Oct11
4. Intensive Care Unit (ICU) - Ventilator Associated Pneumonia (VAP) (PDF 324kb) Oct11
    Protocol (PDF 180kb) Oct11
    Instructions for Completion of Forms (PDF 32kb) Oct11
    Form - ICU Monthly Denominator (PDF 34kb) Oct11
    Form - ICU Infection (Numerator) (PDF 52kb) Oct11
    Form - ICU Daily Denominator (PDF 32kb) Oct11
    Worksheet - Clinically Defined Pneumonia in Adults (PDF 65kb) Oct11
5. Central Line Insertion Practices (CLIP) Adherence Monitoring (PDF 110kb) Oct11
    Protocol (PDF 50kb) Oct11
    Instructions for Completion of Form (PDF 33kb) Oct11
    Form (PDF 47kb) (Submit via Online Web Form Only) Oct11
6. Staphylococcus aureus Bacteraemia (PDF 158kb) Oct11
    Protocol (PDF 107kb) Oct11
    Instructions for Completion of Form (PDF 34kb) Oct11
    Form (PDF 41kb) (Submit via Online Web Form Only) Oct11
    Application of SAB Case Definitions, Example Scenarios (PDF 67kb) Oct11
    Bloodstream Infection Fact Sheet and Guide for Investigation Sheets (PDF 94kb) Oct11
7. Clostridium difficile Infection (PDF 110kb) Oct11
    Protocol (PDF 62kb) Oct11
    Instructions for Completion of Form (PDF 25kb) Oct11
    Form (PDF 42kb) (Submit via Online Web Form Only) Oct11
8. Haemodialysis Event (HDE) (PDF 192kb) Oct11
    Protocol (PDF 65kb) Oct11
    Instructions for Completion of Forms (PDF 66kb) Oct11
    Form - Denominator (PDF 26kb) (Submit via Online Web Form Only) Oct11
    Form - Numerator (PDF 65kb) (Submit via Online Web Form Only) Oct11
9. Hand Hygiene Initiative (PDF 27kb) Oct11
10. Healthcare Worker Influenza Vaccination Compliance
The influenza vaccination program for all Victorian public hospitals for 2011 has commenced. VICNISS has provided the following forms to assist with this program.
 
    Form - Data Collection (2011) (PDF File 31kb) (Submit via Online Web Form Only) Feb11
    Form - Consent (2011) (PDF File 16kb) Feb11
    Form - Declination (2011) (PDF File 16kb) Feb11
    Form - Declination B (2011) (PDF File 18kb) Feb11

Back to Top

Department of Health, Victoria