VICNISS Hospital Acquired Infection Surveillance Coordinating Centre
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Type 1 VICNISS Surveillance Manual, Forms and Supporting Information

Available to be downloaded below:

If you would like assistance in the use of any of the available tools and software please contact Claire Boardman or Judy Brettat the VICNISS Coordinating Centre.

Surveillance Manual 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).
Type 1 Surveillance Manual - Version 6 (PDF File 1.1mb)
The VICNISS Surveillance Manual provides the Infection Control staff with helpful information on VICNISS definitions, case-finding, methodology, data sources, and data collection forms (see Section 7 for forms, also available to download separately below).
01/07/08
Annual Surveillance Plan Form (PDF File 105kb) (Word File 306kb) 01/07/08
Notice of Inability to Undertake VICNISS Surveillance Activities Form (PDF File 94kb)
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.
01/07/08
Fax Data Cover Page to VICNISS (PDF File 80kb) 01/07/08
SSI 1.1 Surgical Site Procedure (Denominator) (PDF File 146kb) 01/07/08
  1.2 Surgical Site Infection (Numerator) (PDF File 109kb) 01/07/08
  1.3 Caesarean Section Procedure (Denominator) (PDF File 118kb) 01/07/08
  1.4 Caesarean Section Infection (Numerator) (PDF File 108kb) 01/07/08
  1.5 Coronary Artery Bypass Graft Procedure (Denominator) (PDF File 116kb) 01/07/08
  1.6 Coronary Artery Bypass Graft Infection (Numerator) (PDF File 108kb) 01/07/08
ICU 2.1 ICU Infection (Numerator) (PDF File 109kb) 01/07/08
  2.2 ICU Daily Denominator (PDF File 98kb) 01/07/08
  2.3 ICU Monthly Denominator (PDF File 100kb) 01/07/08
  2.4 ICU Worksheet (PDF File 130kb) 01/07/08
  2.5 Laboratory Confirmed Bloodstream Infection (Worksheet) (PDF File 90kb) 01/07/08
NNL 3.1 NNL Infection (Numerator) - (Level 3 Nursery Only) (PDF File 109kb) 01/07/08
  3.2 NNL Daily Denominator (PDF File 111kb) 01/07/08
  3.3 NNL Monthly Denominator (PDF File 113kb) 01/07/08
HD 4.1 Haemodialysis Incident (Numerator) (PDF File 145kb) 01/07/08
  4.2 Haemodialysis (Denominator) (PDF File 100kb) 01/07/08

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Surveillance Supporting Documents Updated
VICNISS Procedure Groups and ICD10-AM Codes (PDF File 167kb)
This information is also available to view on the VICNISS Procedure Groups and ICD-10AM Codes page on the VICNISS website
01/07/08
2006 TGA Routine Antibiotic Prophylaxis Recommendations - Summary (PDF File 39kb)
This quick reference in table form for recommended surgical antibiotic prophylaxis was provided in the VICNISS eBulletin April 2007 at the request of several hospitals. Note that this is a summary of the guidelines and is not intended as a substitute.
“Duration greater than 24 hours” field: Just a reminder that this field is intended to assess where antibiotics are continued for longer than recommended after surgery. In cases where several doses are administered after surgery, e.g., 3 x 8 hourly, and this goes for slightly longer than 24 hours, please tick “No” in response to this question.
01/07/08
Revised CLABSI Definition (PDF File 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.
01/04/08

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Surveillance Comments and FAQs Updated
To be updated  

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Influenza and Pneumococcal Public Hospital Vaccination Program 2008 Updated
The Influenza vaccination program for all Victorian public hospitals for 2008 is set to commence on 1 March. VICNISS has provided the following forms to assist with this program.
Public Hospital Staff Influenza Vaccination: Data Collection Form (2008) (PDF File 76kb) Feb 08
Public Hospital Staff Influenza Vaccination: Consent Form (2008) (PDF File 17kb) Feb 08
Public Hospital Staff Influenza Vaccination: Declination Form (2008) (PDF File 17kb) Feb 08
Public Hospital Staff Influenza Vaccination: Declination Form B (2008) (PDF File 17kb) Mar 08

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