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  • #69479
    Michael Wishart
    Participant

    Author:
    Michael Wishart

    Position:

    Organisation:

    State:

    [Posted on behalf of Skye Mentjox Moderator]

    Hi Michael – I haven’t see this come up on the AICA discussion list but I believe will be of interest to many members.

    Please be advised that the period for public comment on the AS/NZ 4187 draft has been extended to Tuesday, 23 January 2013

    A free Draft can be downloaded from SAI Global at the following link:

    http://infostore.saiglobal.com/store/Details.aspx?ProductID=1595343

    1) Click on Log In Required next to the pdf icon. Then login under Registered User, or Not registered? if its your first time.
    2) Then, click on the Free Download icon directly under the title of the Draft. (This icon appears once you have logged in.) Then save this document.

    Comments from the public may be made on Standards Australia website, using the PUBLIC ACCESS icon, at the following link:

    http://www.hub.standards.org.au/hub/public/

    Skye Mentjox
    Product Manager
    Whiteley Corporation
    m. 0412068053
    e. skye@whiteley.com.au

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    #69480
    Claire Boardman
    Participant

    Author:
    Claire Boardman

    Position:

    Organisation:

    State:

    Thankyou for your posting Skye,
    College members will be invited to participate in a coordinated response to the AS4187 revision which will be lead by the SIG and P&P Committee chairs. Terry McAuley, our long term representative on this AS4197 working group will also be participating in this process.

    More information on how this will occur will be posted shortly.

    Regards,
    Claire

    Claire Boardman
    B. App Sc (nsg), Grad Cert IC, MPH, CICP
    Past President, ACIPC

    Mail: GPO Box 3254, Brisbane Qld 4001
    Mob: 0419 549 834
    Tel: (07) 3211 4695
    Fax: (07) 3211 4900
    Email: admin@acipc.org.au

    >>> Michael Wishart 29/10/12 12:09 pm >>>

    [Posted on behalf of Skye Mentjox Moderator]

    Hi Michael – I haven’t see this come up on the AICA discussion list but I believe will be of interest to many members.

    Please be advised that the period for public comment on the AS/NZ 4187 draft has been extended to Tuesday, 23 January 2013

    A free Draft can be downloaded from SAI Global at the following link:

    http://infostore.saiglobal.com/store/Details.aspx?ProductID=1595343

    1) Click on Log In Required next to the pdf icon. Then login under Registered User, or Not registered? if its your first time.
    2) Then, click on the Free Download icon directly under the title of the Draft. (This icon appears once you have logged in.) Then save this document.

    Comments from the public may be made on Standards Australia website, using the PUBLIC ACCESS icon, at the following link:

    http://www.hub.standards.org.au/hub/public/

    Skye Mentjox
    Product Manager
    Whiteley Corporation
    m. 0412068053
    e. skye@whiteley.com.au

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    #69505
    Kathy Dempsey
    Participant

    Author:
    Kathy Dempsey

    Position:

    Organisation:

    State:

    Hi All,
    I’m after some information / experience with rebuild and design of
    Health care facilities and peoples thoughts around toilet lids or No
    toilet lids. For years I have been told that the toilet lids were
    removed because of Infection Control. Now with the rebuilds there
    continues to be great debate around to have a lid or not to have a lid.
    So would be interested in other’s experiences.
    My other question is around how many of the new ICUs are moving to
    single rooms and what initiatives people may have put in place around
    managing disposal of body wastes. these are rooms with no ensuites and
    the option for a pan rooms is at the furthest point at end of unit.
    looking forward to responses.
    Regards
    kathy

    Kathy Dempsey
    CNC Infection Control & Hospital Epidemiology Department
    ph: 61 2 9845 7501
    mobile:0423 000169
    pager 27230 (M,T,W,T)
    Clinical pager 9868
    Fax: 98459148

    email: kathy.dempsey@swahs.health.nsw.gov.au

    >>> Michael Wishart 10/29/2012 1:09 pm
    >>>
    [Posted on behalf of Skye Mentjox Moderator]

    Hi Michael – I haven’t see this come up on the AICA discussion list but
    I believe will be of interest to many members.

    Please be advised that the period for public comment on the AS/NZ 4187
    draft has been extended to Tuesday, 23 January
    2013

    A free Draft can be downloaded from SAI Global at the following link:

    http://infostore.saiglobal.com/store/Details.aspx?ProductID=1595343

    1) Click on Log In Required next to the pdf
    icon. Then login under Registered User, or Not registered?
    if its your first time.
    2) Then, click on the Free Download icon directly
    under the title of the Draft. (This icon appears once you have logged
    in.) Then save this document.

    Comments from the public may be made on Standards Australia website,
    using the PUBLIC ACCESS icon, at the following link:

    http://www.hub.standards.org.au/hub/public/

    Skye Mentjox
    Product Manager
    Whiteley Corporation
    m. 0412068053
    e. skye@whiteley.com.au

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    11/05/12 – 14:26:34

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    #69507
    Glenys Harrington
    Participant

    Author:
    Glenys Harrington

    Position:
    Consultant

    Organisation:
    Infection Control Consultancy (ICC)

    State:

    Hi Kathy,

    Toilet seat lids:

    As in your home lids for toilet are probably standard and if closed before flushing will minimise environmental contamination.

    I would also be advocating the following for toilets facilities (toilet seat and other high touch areas) in healthcare settings:

    routine cleaning and disinfection
    more frequent cleaning and disinfection in outbreak settings (i.e. C.difficile, VRE).

    Setting up a new hospital:

    In terms of setting up a new facility it would be wise to avoid the use of sprayers (also called aerated spray wands) in patient toilet facilities(will send you some pictures directly).

    These are hoses with a nozzle which are installed at the back of the toilet and used to rinse out bed pans in the toilet bowl in anteroom toilet/shower facilities (single/multi-bed rooms) and in hoppers ( wall-mounted sinks, with deep basins, large drains, and spray arms that flush like toilets) in dirty utility rooms (see images attached).

    I dont believe they are very common in Australian healthcare facilities for patient toilets although in older facilities you may still find hoppers with spray arms in dirty utility rooms.

    Sprayers seem to be more common in parts of Canada and the US ( mentioned in some of Carlings publications) and have contributed in outbreaks of C.difficile in Canada Preliminary Findings with C.difficile Outbreak in Cape Breton District Health Authority (CBDHA), 21 April 2011, Department of Health and Wellness, Nova Scotia.

    In Quebec it seems that some facilities dont have automated bedpan washers or macerators for processing bedpans. Where such reprocessing machines are not available oxo-biodegradable plastic hygienic bags (bed pan liners) are being used.

    A June 2009 Quebec report (Comparative Analysis of Bedpan Processing Equipment) by the Agence dvaluation des technologies et des modes dintervention en sant (AETMIS now INESSS) recommended that staff must not empty bedpans into sinks or toilets and must no longer use spray wands. The report includes options in terms of appropriate reprocessing methods for bed pans and a cost analysis of each option see link.

    http://www.hygiecanada.com/img/media/Comparative%20Analysis%20of%20bedpan%20Processing%20Equipment.pdf

    Some years ago when reviewing plans to upgraded and retrofit wards we were asked to approve the use of sprayers in patient toilet facilities. The request came from the director of nursing who was from the US and was planning to remove the automated bedpan washers from the wards as they were located outside patient rooms and were very noisy. Because of the risk of environmental contamination they were not approved by infection control and automated bedpan washers were installed in the dirty utility rooms which in the upgrade were located away from patient bedrooms.

    ICU and single rooms:

    The last ICU renovation I was involved in (2008) was the Alfred health unit in Melbourne Victoria. Predominately single and 2 bedrooms.

    You might like to talk to the staff at the Alfred ICU in Melbourne or even better arrange a visit. It is a state of the art 45 bed ICU facility which also has “I-glass” (switchable glass) between some of their single rooms. This glass in its normal form is clear and transparent but when an electric current is passed through it, it becomes opaque. The glass obviates infection control concerns relating to the use of blinds in ICU cubicles and sliding doors which accumulate dust in the runners and are difficult to clean. The glass also allows for easier observation during meal breaks.

    The Architects for the ICU were Billard Leece Partnership Pty Ltd Architects & Urban Planners and you can find some picture of the unit at the following link.
    http://www.blp.com.au/project-detail.php?pageID165&menuno0

    Waste disposal and ICU units:

    In this it – into dirty utility rooms located at strategic positions in the unit. No pan sanitiser in rooms or near rooms as they are too noisy especially at night.

    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

    —–Original Message—–

    Hi All,
    I’m after some information / experience with rebuild and design of Health care facilities and peoples thoughts around toilet lids or No toilet lids. For years I have been told that the toilet lids were removed because of Infection Control. Now with the rebuilds there continues to be great debate around to have a lid or not to have a lid.
    So would be interested in other’s experiences.
    My other question is around how many of the new ICUs are moving to single rooms and what initiatives people may have put in place around managing disposal of body wastes. these are rooms with no ensuites and the option for a pan rooms is at the furthest point at end of unit.
    looking forward to responses.
    Regards
    kathy

    Kathy Dempsey
    CNC Infection Control & Hospital Epidemiology Department
    ph: 61 2 9845 7501
    mobile:0423 000169
    pager 27230 (M,T,W,T)
    Clinical pager 9868

    email: kathy.dempsey@swahs.health.nsw.gov.au

    >>> Michael Wishart 10/29/2012 1:09 pm
    >>>
    [Posted on behalf of Skye Mentjox Moderator]

    Hi Michael – I haven’t see this come up on the AICA discussion list but I believe will be of interest to many members.

    Please be advised that the period for public comment on the AS/NZ 4187 draft has been extended to Tuesday, 23 January 2013

    A free Draft can be downloaded from SAI Global at the following link:

    http://infostore.saiglobal.com/store/Details.aspx?ProductID1595343

    1) Click on Log In Required next to the pdf
    icon. Then login under Registered User, or Not registered?
    if its your first time.
    2) Then, click on the Free Download icon directly
    under the title of the Draft. (This icon appears once you have logged
    in.) Then save this document.

    Comments from the public may be made on Standards Australia website, using the PUBLIC ACCESS icon, at the following link:

    http://www.hub.standards.org.au/hub/public/

    Skye Mentjox
    Product Manager
    Whiteley Corporation
    m. 0412068053
    e. skye@whiteley.com.au

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    11/05/12 – 14:26:34

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    #69514
    Julie Hunt
    Participant

    Author:
    Julie Hunt

    Position:

    Organisation:

    State:

    Hi Kathy,

    We are presently opening a new hospital, I came into the planning late
    & when I asked regarding toilet lids I was told that it was agreed early
    on in the project to not include toilet lids. I understood it was due to
    OHS issues! I haven’t given up & will still work on this…

    In relation to ICU, we opened a 58 bed unit last week consisting of 4
    Pods (2 x 13 bed & 2 x 16 bed), all are single rooms. Each Pod has a
    dirty utility, in addition each 16 bed Pod contains 3 negative pressure
    rooms and 1 positive pressure room. A single negative pressure room is
    provided in each of the thirteen (13) bed pods. Each of these rooms has
    a sub dirty utility plus an ante room. The positive pressure rooms are
    for haematology and burns (we have a Severe Burns Injury Unit)
    patients.

    The Pods have been engineered so that in the event of a pandemic one
    Pod can be ‘locked down’ with separate air handling & entry/exit from
    the rest of the Unit.

    Regards

    Julie

    Julie Hunt
    Clinical Nurse Consultant | Infection Prevention and Control
    Royal North Shore Hospital, Reserve Rd, St Leonards 2065
    Tel 02 9926 4339 or 992604490 juhunt@nsccahs.health.nsw.gov.au

    >>> Kathy Dempsey 5/11/2012
    2:26 pm >>>
    Hi All,
    I’m after some information / experience with rebuild and design of
    Health care facilities and peoples thoughts around toilet lids or No
    toilet lids. For years I have been told that the toilet lids were
    removed because of Infection Control. Now with the rebuilds there
    continues to be great debate around to have a lid or not to have a
    lid.
    So would be interested in other’s experiences.
    My other question is around how many of the new ICUs are moving to
    single rooms and what initiatives people may have put in place around
    managing disposal of body wastes. these are rooms with no ensuites and
    the option for a pan rooms is at the furthest point at end of unit.
    looking forward to responses.
    Regards
    kathy

    Kathy Dempsey
    CNC Infection Control & Hospital Epidemiology Department
    ph: 61 2 9845 7501
    mobile:0423 000169
    pager 27230 (M,T,W,T)
    Clinical pager 9868

    email: kathy.dempsey@swahs.health.nsw.gov.au

    >>> Michael Wishart 10/29/2012 1:09 pm
    >>>
    [Posted on behalf of Skye Mentjox Moderator]

    Hi Michael – I haven’t see this come up on the AICA discussion list
    but
    I believe will be of interest to many members.

    Please be advised that the period for public comment on the AS/NZ 4187
    draft has been extended to Tuesday, 23 January
    2013

    A free Draft can be downloaded from SAI Global at the following link:

    http://infostore.saiglobal.com/store/Details.aspx?ProductID1595343

    1) Click on Log In Required next to the pdf
    icon. Then login under Registered User, or Not
    registered?
    if its your first time.
    2) Then, click on the Free Download icon directly
    under the title of the Draft. (This icon appears once you have logged
    in.) Then save this document.

    Comments from the public may be made on Standards Australia website,
    using the PUBLIC ACCESS icon, at the following link:

    http://www.hub.standards.org.au/hub/public/

    Skye Mentjox
    Product Manager
    Whiteley Corporation
    m. 0412068053
    e. skye@whiteley.com.au

    Message protected by MailGuard: e-mail anti-virus, anti-spam and
    content filtering.
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    party without the express consent of the sender. The Communication may
    contain copyright material of St Vincent’s Health & Aged
    Care(“SVHAC”),
    or any of its related entities or of third parties. If you are not the
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    Any views expressed in the Communication are those of the individual
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