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Re: whether you would use linen chute &/or waste chute

#69684 Quote
Sony SO
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Author:
Sony SO

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Dear Glenys & Michael,

Thank for your information.

Because we are preparing for hospital renovation, hence we would like to keep abreast of updated international infection control requirements, with a view to further reducing infection control hazards caused by transportation of waste & contaminated linen. My further questions are as follows:

If linen chute &/or waste chute are used, what are the recommended infection control measures; & whether we would transport clinical waste or infected linen via respective chutes.

At present, we noted another transportation system for used linen, for details, please visit MIH system website http://www.mhisystems.com. The aforesaid system seems not only reduce infectious risk, but risk of manual handling operation is also addressed.

Regards,

Sony SO
Nursing Officer, Infection Control Team
Kwong Wah Hospital
HONG KONG SAR,CHINA
Tel:+ 852 3517-2409 Fax: +852 2332-3348 email:sony@ha.org.hk
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Hi Sony and Michael,

The only Australian reference to linen and waste chutes is the “2003 Handbook – Hospital acquired infections – Engineering down the risks” which states the following:

* 3.2(a) Disposal rooms para 2 – “Chutes require particular design features and will raise ongoing maintenance and cleaning issues. In addition, chutes can propel airborne contaminants throughout the facility. Therefore, chutes should not be incorporated in design features for the management of transport of waste or linen in healthcare facilities”

These standards may be somewhat out of date (i.e. 2003) as new generation waste and linen chute systems have been introduced into Europe, Asia and the US for use in residential, industrial, commercial and hospital and nursing home settings.

In the US the “2010 edition of the FGI “Guidelines for Design and Construction of Health Care Facilities”, refuse and linen chutes are permitted and the guideline and states the following:

Refuse chutes
2.1.4 Patient Support Services
2.1-5 General Support Services and Facilities
2.1 – 5.4 Waste Management Facilities
2.1 0 5.4.1.4 Refuse chutes, If provided, these shall meet or exceed the following standards:
(1) Chutes shall meet the provisions described in NFPA 82
(2) Service openings to chutes shall comply with NFPA 101
(3) Chute discharge into collection rooms shall comply with NFPA 101
(4) The minimum cross-sectional dimension of gravity chutes shall be 2 feet (60.96 centimetres)

Linen chutes
2.2-5.2.6 – if provided shall meet or exceed the following standards:
2.5 -5.2.6.1 Standards
(1) Service openings to chutes shall comply with NFPA 101
(2) Chutes shall meet the provision described in NFPA 82
(3) Chute discharge into collection rooms shall comply with NFPA 101
2.2-5.2.6.2 Dimensions. The minimum cross-sectional dimensions of gravity chutes shall be 2 feet
(60.96 centimetres)

The NFPA is the US “National Fire Protection Association”

In addition the USA DRAFT – 2014 edition of the FGI “Guidelines for Design and Construction of Health Care Facilities” includes guidelines for such chutes.

The draft 2014 manuscript is available for public comment can be accessed at the following link: http://www.fgiguidelines.net/comments/draft.php

Regards

Glenys

Glenys Harrington
Consultant
Infection Control Consultancy (ICC)

PO Box 5202
Middle Park
Victoria, 3206
Australia
H: +61 3 96902216
M: +61 404 816 434
infexion@ozemail.com.au
ABN 47533508426

Hi Sony

My understanding is that in Australia, most new hospital buildings, and indeed those being refurbished, have removed linen and waste chutes due to fire regulations prohibiting them. So I would not think there are many hospitals with these kinds of chutes left in this country.

Cheers
Michael Wishart

Michael Wishart
CNC Infection Control
Holy Spirit Northside Private Hospital
627 Rode Road, Chermside, Qld 4032
t: (07) 3326 3068 | f: (07) 3326 3523
e: Michael.Wishart@hsn.org.au
w:www.holyspiritnorthside.org.au
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________________________________
Dear All,

We are preparing our hospital renovation project, hence we would like to know whether you would use linen chute &/or waste chute.

Your sharing would be a tremendous help.

Regards,

Sony SO
Nursing Officer, Infection Control Team
Kwong Wah Hospital
HONG KONG SAR, CHINA
Tel:+ 852 3517-2409 Fax: +852 2332-3348 email:sony@ha.org.hk
Please consider the environment before printing this e-mail

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