Re: Advise on bed pan sanitiser, bowl washer s

12/02/2019 at 10:41 am #75086 Quote

Anonymous

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Dear Jayne,
We trialled a macerator in our ED. There were two issues:

1. What staff put into the macerator

2. Length of time required by the company to send out someone to repair the macerator when such incidents occurred.
If both these factors can be managed, then it is very useful to use one.
Kind regards,
Rita

Rita Roy

Clinical Nurse Consultant | Infection Control
Hornsby Ku ring gai Health Service, Palmerston Road, Hornsby NSW 2076
Tel (02) 94856581 | Rita.Roy@health.nsw.gov.au
http://www.health.nsw.gov.au

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Thanks Lindy, very helpful,I’m investigating both systems at the moment and also hoping our newer sanitisers could be retrofitted with some sort of soft wear so we can monitor for compliance.
Last I heard from Sydney water they were now able to cops with the demand of the pulp produced by the macerated but yes we d need to be careful/ aware of what is being put in them ahhhh.
Many thanks
Jayne

Sent from my iPhone

On 11 Feb 2019, at 6:50 pm, Lindy Ryan (Mid North Coast LHD) <Lindy.Ryan@health.nsw.gov.au> wrote:
Hello Jayne

Our LHD have purchased and installed an electronic water based washer disinfector system that records and monitors the temperature of items placed inside the pan/ bowl washer disinfector each cycle .
You can visualise the cycle readout as it progresses …as they are pre set cycle selections we set up … If it fails to reach the cycle requirements then it will not pass the cycle (not sure anyone on the wards etc reads this or is interested like me ….. they just put the equipment in and close it up and press the button…it will not open if the cycle has failed without a resetting……& then they complain its is broken if they dont understand why it needs to be reset ….)

All these machines are connected to our BMS & so are also monitored remotely by our maintenance department and has set ranges to alarm & notify of any failures that need rectification.
We can run quality control reports anytime we need one as it is continuous remote monitoring program (we have 7 sites where these are installed currently and mostly linked via IT/ Wi-Fi to the large 2 facilities works…but I believe there may still be some issues with the wifi at our smaller sites back to the larger sites due to IT & the intelligence of the system we purchased ……. so not perfect yet but working on it!! …one day!?)…you have reminded me I must review the trends and see how we have progressed with the Wi-Fi issues !!

The district have also as part of the transition purchased a preventative maintenance program for all sites as well where the machines are services and validated at least annually (? Maybe quarterly …I cant recall) but I have seen the last reports & no major problems with processes at this tie…just need more staff education !! 🙂

Maceraters ….mmm I had believed that a number of years ago Sydney water had recommend against using macerator machines for large sewerage services such as health due to the risk to the waterways and blockage build up/ risk…given what we try to throw down them I am not surprised at all….. & the age and tenderness of Sydney water infrastructure etc . I don’t think it was in all states that this was an issue I think it was Ok in WA & looks Like QLD from Michaels response….. but I did recall reading something about Sydney when I looked at it a few years back…you may need to check with them again to be sure.

Hope this feedback useful

Kind regards

Lindy

Lindy Ryan

District Infection Prevention & Control CNC | Clinical Governance & Information Services MNCLHD
Level 1 Coffs Specialist Centre, Pacific Hwy, Coffs Harbour
Office 66911984 or Mob 0419 990 693 | lindy.ryan@ncahs.health.nsw.gov.au
http://www.health.nsw.gov.au

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“Wise and humane management of the patient is the best safeguard against infection”
(Florence Nightingale Circa 1860)

Dear Brains trust,

Could you please advise as to how you monitor temperatures on your bed pan and bowl washers, do you keep a record and how is this monitored, or do you use macerators? If you use macerators in your facility have any you had any major problems with them, do you like or not.

Many thanks in advance

Jayne O’Connor RN ,BSc.,Inf.Cont
IPC Co-Ordinator
Sydney Adventist Hospital | 185 Fox Valley Road, Wahroonga, NSW 2076

p: +61 2 9487 9732 | f: +61 2 9473 8052 | m: +61 0406 752685 | e: jayne.oconnor@sah.org.au
http://www.sah.org.au

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