cleaning

[Jude Searles]

Hi Folks
I have just been asked by one of our cleaners about the possibility of getting a ‘bomb’ to clean our infectious rooms. What she described was something akin to a flea bomb that you set off and then close the door. Does anyone know if this is a thing and how much they cost?

Cheers

Jude Searles RN
Infection Prevention & Control
Co-ordinator Undergraduate Education
Dialysis Clinical Lead
Cohuna District Hospital
Committed to Excellence in Rural Healthcare
148-155 King George Street, Cohuna, Victoria, 3568
T: Wk: (03) 54565300, Mob: +61409235654, Fax: (03) 5456 2627
E: jsearles@cdh.vic.gov.au W: http://www.cdh.vic.gov.au
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[Anonymous]

Hi Jude,

As a supplier of cleaning and disinfection products, I do not know of any
such product however, there are a few that purport to work this way, but I
would question how well it would do the job.

There is nothing that really substitutes the cleaning process and that is
the only way that you can ensure that all surfaces have been cleaned and/or
disinfected.

We do work with organisations that use a bio-misting machine to go over the
area they have cleaned and disinfected to ensure that nothing has been
missed.

Another factor to consider is that if a surface is not cleaned properly,
many disinfectants are not effective on dirty surfaces.

I understand the desire to have a product that does it all especially in an
infected room, but nothing will work better than a good cleaning and
disinfecting protocol which requires mechanical action.

If a product did exist, I would certainly question its effectiveness.

I hope this is helpful.

Kind Regards

Ana Robinson

Director

ana@anaeron.com.au |
http://www.anaeron.com.au

PO Box 22 Forestville NSW 2087 | 20/8 Tilley Lane, Frenchs Forest NSW 2086

Searles

Hi Folks

I have just been asked by one of our cleaners about the possibility of
getting a ‘bomb’ to clean our infectious rooms. What she described was
something akin to a flea bomb that you set off and then close the door. Does
anyone know if this is a thing and how much they cost?

Cheers

Jude Searles RN

Infection Prevention & Control

Co-ordinator Undergraduate Education

Dialysis Clinical Lead

Cohuna District Hospital

Committed to Excellence in Rural Healthcare

148-155 King George Street, Cohuna, Victoria, 3568

T: Wk: (03) 54565300, Mob: +61409235654, Fax: (03) 5456 2627

E: jsearles@cdh.vic.gov.au W:
http://www.cdh.vic.gov.au

We acknowledge and pay our respects to the traditional Aboriginal custodians
of this land and to the Elders past and present.

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[kfelstead@unitingsa.com.au]

Hi,

I would think that in the current climate with COVID, I would be hesitate to use such a device. I have never heard of anything in Acute care or Aged care being used.

Kind Regards

Kathleen Felstead
Clinical Quality & Education Consultant
[cid:UNDERLINE_68327c9b-3c07-4c4d-9eea-964ffe1b0063.jpg]
Corporate Services
70 Dale St * Port Adelaide, SA 5015
M. 0436 619 720
E. kfelstead@unitingsa.com.au
W. unitingsa.com.au
Follow us on: Facebook * LinkedIn * Instagram * Twitter

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UnitingSA acknowledges the traditional owners of country throughout South Australia, their spiritual heritage, living culture and our walk together towards reconciliation.

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Hi Folks
I have just been asked by one of our cleaners about the possibility of getting a ‘bomb’ to clean our infectious rooms. What she described was something akin to a flea bomb that you set off and then close the door. Does anyone know if this is a thing and how much they cost?

Cheers

Jude Searles RN
Infection Prevention & Control
Co-ordinator Undergraduate Education
Dialysis Clinical Lead
Cohuna District Hospital
Committed to Excellence in Rural Healthcare
148-155 King George Street, Cohuna, Victoria, 3568
T: Wk: (03) 54565300, Mob: +61409235654, Fax: (03) 5456 2627
E: jsearles@cdh.vic.gov.au W: http://www.cdh.vic.gov.au
[cid:image001.jpg@01D7AE37.3C2E2390]
[cid:image002.jpg@01D7AE37.3C2E2390]

[cid:image003.gif@01D7AE37.3C2E2390]

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[Amanda Edwards]

hi Jude,

We used to use these at Castlemaine during outbreaks. You could probably
give Sue Wyatt a call there. I do recall something down the track about
them not being great for some reason so I’d check first. They did cut down
cleaning time significantly although you still need to do surfaces. It was
more for the soft furnishings etc.

Cheers, Amanda

*Amanda Edwards,MHSM, GAICD, PGDAN (Mid, Emerg), RN, RM*

*Executive Director*
OnePassport *M* +61 408 554 823
*P* +61 3 9108 1510
*E* amandae@onepassport.co
*W* http://www.onepassport.co

On Mon, Sep 20, 2021 at 3:52 PM Jude Searles
wrote:

> Hi Folks
>
> I have just been asked by one of our cleaners about the possibility of
> getting a bomb to clean our infectious rooms. What she described was
> something akin to a flea bomb that you set off and then close the door.
> Does anyone know if this is a thing and how much they cost?
>
>
>
> *Cheers*
>
>
>
> *Jude Searles RN*
>
> *Infection Prevention & Control*
>
> *Co-ordinator Undergraduate Education*
>
> *Dialysis Clinical Lead*
>
> *Cohuna District Hospital*
>
> Committed to Excellence in Rural Healthcare
>
> 148-155 King George Street, Cohuna, Victoria, 3568
>
> T: Wk: (03) 54565300, Mob: +61409235654, Fax: (03) 5456 2627
>
> E: jsearles@cdh.vic.gov.au W: *www.cdh.vic.gov.au
> *
>
> [image: cid:image001.jpg@01D4F518.384170A0]
>
> *[image: Description: CDH_logo]*
>
> *[image: Description: cid:_1_0DBBAE000DBBAB94000B01D9CA257E14]*
>
> *We acknowledge and pay our respects to the traditional Aboriginal
> custodians of this land and to the Elders past and present.*
>
> *DISCLAIMER*
>
> *Confidentiality:** This communication is to be treated as confidential
> and the information in it may not be used or disclosed except for the
> purpose for which it has been sent. If you have reason to believe that you
> are not the intended recipient of this communication, please contact the
> sender immediately. This e-mail and any attachments may not be copied or
> forwarded without express permission from the CDH sender.*
>
>
> MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO
> NOT REPRESENT THE OPINION OF ACIPC.
>
> The use of trade/product/commercial brand names through the list is
> discouraged by ACIPC. If you wish to discuss specific reference to products
> or services by brand or commercial names, please do this outside the list.
>
> Archive of all messages are available at http://aicalist.org.au/archives
> – registration and login required.
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[cpolson1278@gmail.com]

Hi Jude

I hope you’re doing well.

The cleaner is likely referring to disinfectant fogging bombs such as
this one
https://www.starhygiene.com.au/king-mist-disinfectant-fogger-250ml/?gclidCj0KCQjwv5uKBhD6ARIsAGv9a-zpjTOtkZlvbGYIkqUXJyGEFof494LVW2k1rhtVMuaAWPIH8kE0uW4aAmpCEALw_wcB

These are not appropriate, especially in a healthcare setting. In the
context of COVID, the Vic DH does not recommend the use of disinfectant
fogging in any form. You can find IPC guidelines here
that
mention fogging.

And keep in mind that all cleaning/disinfectant products must be
TGA-approved.

I hope this helps.

Cheers
Crystal Polson
Infection Control Coordinator
University of Melbourne
crystal.polson@unimelb.edu.au

Sent from my iPad

On 20 Sep 2021, at 4:03 pm, Jude Searles wrote:

Hi Folks

I have just been asked by one of our cleaners about the possibility of
getting a bomb to clean our infectious rooms. What she described was
something akin to a flea bomb that you set off and then close the door.
Does anyone know if this is a thing and how much they cost?

*Cheers*

*Jude Searles RN*

*Infection Prevention & Control*

*Co-ordinator Undergraduate Education*

*Dialysis Clinical Lead*

*Cohuna District Hospital*

Committed to Excellence in Rural Healthcare

148-155 King George Street, Cohuna, Victoria, 3568

T: Wk: (03) 54565300, Mob: +61409235654, Fax: (03) 5456 2627

E: jsearles@cdh.vic.gov.au W: *www.cdh.vic.gov.au
*

[image: cid:image001.jpg@01D4F518.384170A0]

*[image: Description: CDH_logo]*

*[image: Description: cid:_1_0DBBAE000DBBAB94000B01D9CA257E14]*

*We acknowledge and pay our respects to the traditional Aboriginal
custodians of this land and to the Elders past and present.*

*DISCLAIMER*

*Confidentiality:** This communication is to be treated as confidential and
the information in it may not be used or disclosed except for the purpose
for which it has been sent. If you have reason to believe that you are not
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[Catherine McGovern]

Hi Jude

The Australian Commission on Safety and Quality in Health Care have released a guideline – Environmental Cleaning: Emerging Technologies and have made recommendations for exploring emerging cleaning technologies as an adjunct to traditional environmental cleaning programs, considering the objective of their use and current evidence for the effectiveness. It is also recommend to consider the effectiveness existing infection prevention and control strategies and assess the risk of infection within the organisation and any gaps in the organisation’s existing environmental cleaning programs.
Table 1 summarises common emerging cleaning technologies, including the benefits and limitations of their use including work health and safety considerations
Additional information on the use of emerging cleaning technologies is provided in the Australian Guidelines for the Prevention and Control of Infection in Healthcare

https://www.safetyandquality.gov.au/publications-and-resources/resource-library/environmental-cleaning-emerging-environmental-cleaning-technologies

In relation to the chemical your cleaner has suggested I have heard of the Sterri Matt Gienie – I am not recommending or endorsing this product and recommend you undertake your own organisational risk assessment
https://sterrimatt.com/gienie-clinical/

Kind regards

Catherine McGovern
Head of Clinical Practice
P 08 8305 9141 M 0474 151 666

[cid:image001.png@01D7AE3B.31AE9EF0]

Hi,

I would think that in the current climate with COVID, I would be hesitate to use such a device. I have never heard of anything in Acute care or Aged care being used.

Kind Regards

Kathleen Felstead
Clinical Quality & Education Consultant

Corporate Services
70 Dale St * Port Adelaide, SA 5015
M. 0436 619 720
E. kfelstead@unitingsa.com.au
W. unitingsa.com.au
Follow us on: Facebook * LinkedIn * Instagram * Twitter

UnitingSA acknowledges the traditional owners of country throughout South Australia, their spiritual heritage, living culture and our walk together towards reconciliation.

This email is for the intended recipient(s) only. It may be confidential and contain information that is legally privileged and subject to copyright. Acceptance of the email is at the recipient’s risk, including any computer or data virus or corruption. Any views or opinions presented are solely those of the author. If you are not the intended recipient please notify the sender immediately and delete/destroy all copies including attachments.

Hi Folks
I have just been asked by one of our cleaners about the possibility of getting a ‘bomb’ to clean our infectious rooms. What she described was something akin to a flea bomb that you set off and then close the door. Does anyone know if this is a thing and how much they cost?

Cheers

Jude Searles RN
Infection Prevention & Control
Co-ordinator Undergraduate Education
Dialysis Clinical Lead
Cohuna District Hospital
Committed to Excellence in Rural Healthcare
148-155 King George Street, Cohuna, Victoria, 3568
T: Wk: (03) 54565300, Mob: +61409235654, Fax: (03) 5456 2627
E: jsearles@cdh.vic.gov.au W: http://www.cdh.vic.gov.au
We acknowledge and pay our respects to the traditional Aboriginal custodians of this land and to the Elders past and present.
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[Glenys Harrington]

Hi All,

In Victorian Guidelines Dry and wet fogging is NOT recommended

Coronavirus (COVID-19) cleaning guidelines for workplaces, Information for business owners, managers and cleaners

*Fogging means using systems that can apply a disinfectant under high pressure, with a droplet size less than 10 microns (dry fogging), or between 20 to 100 microns (wet, cold or Ultra Low Volume fogging or misting). The department does not recommend the use of dry or wet fogging disinfection for COVID-deep cleans.

https://www.dhhs.vic.gov.au/infection-prevention-control-resources-covid-19

regards

Glenys

Glenys Harrington

Consultant

Infection Control Consultancy (ICC)

P.O. Box 6385

Melbourne

Australia, 3004

M: +61 404816434

E: infexion@ozemail.com.au

Hi Jude

I hope you’re doing well.

The cleaner is likely referring to disinfectant fogging bombs such as this one https://www.starhygiene.com.au/king-mist-disinfectant-fogger-250ml/?gclidCj0KCQjwv5uKBhD6ARIsAGv9a-zpjTOtkZlvbGYIkqUXJyGEFof494LVW2k1rhtVMuaAWPIH8kE0uW4aAmpCEALw_wcB

These are not appropriate, especially in a healthcare setting. In the context of COVID, the Vic DH does not recommend the use of disinfectant fogging in any form. You can find IPC guidelines here that mention fogging.

And keep in mind that all cleaning/disinfectant products must be TGA-approved.

I hope this helps.

Cheers

Crystal Polson

Infection Control Coordinator

University of Melbourne

crystal.polson@unimelb.edu.au

Sent from my iPad

On 20 Sep 2021, at 4:03 pm, Jude Searles <jsearles@cdh.vic.gov.au > wrote:

Hi Folks

I have just been asked by one of our cleaners about the possibility of getting a bomb to clean our infectious rooms. What she described was something akin to a flea bomb that you set off and then close the door. Does anyone know if this is a thing and how much they cost?

Cheers

Jude Searles RN

Infection Prevention & Control

Co-ordinator Undergraduate Education

Dialysis Clinical Lead

Cohuna District Hospital

Committed to Excellence in Rural Healthcare

148-155 King George Street, Cohuna, Victoria, 3568

T: Wk: (03) 54565300, Mob: +61409235654, Fax: (03) 5456 2627

E: jsearles@cdh.vic.gov.au W: http://www.cdh.vic.gov.au

We acknowledge and pay our respects to the traditional Aboriginal custodians of this land and to the Elders past and present.

DISCLAIMER

MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

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[Anonymous]

Hi Judy,
You will find some disinfectant fogging products online, some of them TGA
approved.
https://www.kingmist.com.au/products/king-mist-disinfectant-bomb-250ml

However, the studies including an RCT published in the Lancet emphasis that
you need standard cleaning plus non-touch methods of terminal cleaning
to get the best outcome. Non-touch cleaning technique is good for soft
surfaces but manual cleaning is still needed for hard surfaces because
bacteria can form biofilm on surfaces or can survive in the dirt. Here is
the reference

Anderson DJ, Chen LF, Weber DJ, Moehring RW, Lewis SS, Triplett PF, Blocker
M, Becherer P, Schwab JC, Knelson LP, Lokhnygina Y, Rutala WA, Kanamori H,
Gergen MF, Sexton DJ; CDC Prevention Epicenters Program. Enhanced terminal
room disinfection and acquisition and infection caused by
multidrug-resistant organisms and Clostridium difficile (the Benefits of
Enhanced Terminal Room Disinfection study): a cluster-randomised,
multicentre, crossover study. Lancet. 2017 Feb 25;389(10071):805-814. doi:
10.1016/S0140-6736(16)31588-4.

*Dr Nahid Choudhury (Md), RN, PhD*
*Researcher *I PA Wellbeing Team
Princess Alexandra Adult Mental Health | *Metro South Health*
228 Logan Road, Woolloongabba QLD 4102
t. 07 3317 1136 m. 0430 504 183
e. Md.Choudhury@health.qld.gov.au | metrosouth.health.qld.gov.au

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On Mon, Sep 20, 2021 at 5:05 PM Amanda Edwards
wrote:

> hi Jude,
>
> We used to use these at Castlemaine during outbreaks. You could probably
> give Sue Wyatt a call there. I do recall something down the track about
> them not being great for some reason so I’d check first. They did cut down
> cleaning time significantly although you still need to do surfaces. It was
> more for the soft furnishings etc.
>
> Cheers, Amanda
>
> *Amanda Edwards,MHSM, GAICD, PGDAN (Mid, Emerg), RN, RM*
>
> *Executive Director*
> OnePassport *M* +61 408 554 823
> *P* +61 3 9108 1510
> *E* amandae@onepassport.co
> *W* http://www.onepassport.co
>
>
> On Mon, Sep 20, 2021 at 3:52 PM Jude Searles
> wrote:
>
>> Hi Folks
>>
>> I have just been asked by one of our cleaners about the possibility of
>> getting a bomb to clean our infectious rooms. What she described was
>> something akin to a flea bomb that you set off and then close the door.
>> Does anyone know if this is a thing and how much they cost?
>>
>>
>>
>> *Cheers*
>>
>>
>>
>> *Jude Searles RN*
>>
>> *Infection Prevention & Control*
>>
>> *Co-ordinator Undergraduate Education*
>>
>> *Dialysis Clinical Lead*
>>
>> *Cohuna District Hospital*
>>
>> Committed to Excellence in Rural Healthcare
>>
>> 148-155 King George Street, Cohuna, Victoria, 3568
>>
>> T: Wk: (03) 54565300, Mob: +61409235654, Fax: (03) 5456 2627
>>
>> E: jsearles@cdh.vic.gov.au W: *www.cdh.vic.gov.au
>> *
>>
>> [image: cid:image001.jpg@01D4F518.384170A0]
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[Anonymous]

I did raise the issue of the room “bomb’s” with a specialist several months ago and he definitely was critical of the suggestion asking if the “fogging” performed overseas worked???

Mary Anne Edwards
Clinical and Operations Manager
Resthaven on Quarry
10 Sands Terrace
North Mackay Q 4740
Postal Address: Resthaven on Quarry
PO Box 3036
North Mackay Q 4740

[cid:image001.png@01D7AEC0.947E7BB0]

[cid:image002.png@01D7AEC0.947E7BB0]

Hi Jude

The Australian Commission on Safety and Quality in Health Care have released a guideline – Environmental Cleaning: Emerging Technologies and have made recommendations for exploring emerging cleaning technologies as an adjunct to traditional environmental cleaning programs, considering the objective of their use and current evidence for the effectiveness. It is also recommend to consider the effectiveness existing infection prevention and control strategies and assess the risk of infection within the organisation and any gaps in the organisation’s existing environmental cleaning programs.
Table 1 summarises common emerging cleaning technologies, including the benefits and limitations of their use including work health and safety considerations
Additional information on the use of emerging cleaning technologies is provided in the Australian Guidelines for the Prevention and Control of Infection in Healthcare

https://www.safetyandquality.gov.au/publications-and-resources/resource-library/environmental-cleaning-emerging-environmental-cleaning-technologies

In relation to the chemical your cleaner has suggested I have heard of the Sterri Matt Gienie – I am not recommending or endorsing this product and recommend you undertake your own organisational risk assessment
https://sterrimatt.com/gienie-clinical/

Kind regards

Catherine McGovern
Head of Clinical Practice
P 08 8305 9141 M 0474 151 666

[cid:image001.png@01D7AE3B.31AE9EF0]

Hi,

I would think that in the current climate with COVID, I would be hesitate to use such a device. I have never heard of anything in Acute care or Aged care being used.

Kind Regards

Kathleen Felstead
Clinical Quality & Education Consultant

Corporate Services
70 Dale St * Port Adelaide, SA 5015
M. 0436 619 720
E. kfelstead@unitingsa.com.au
W. unitingsa.com.au
Follow us on: Facebook * LinkedIn * Instagram * Twitter

UnitingSA acknowledges the traditional owners of country throughout South Australia, their spiritual heritage, living culture and our walk together towards reconciliation.

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Hi Folks
I have just been asked by one of our cleaners about the possibility of getting a ‘bomb’ to clean our infectious rooms. What she described was something akin to a flea bomb that you set off and then close the door. Does anyone know if this is a thing and how much they cost?

Cheers

Jude Searles RN
Infection Prevention & Control
Co-ordinator Undergraduate Education
Dialysis Clinical Lead
Cohuna District Hospital
Committed to Excellence in Rural Healthcare
148-155 King George Street, Cohuna, Victoria, 3568
T: Wk: (03) 54565300, Mob: +61409235654, Fax: (03) 5456 2627
E: jsearles@cdh.vic.gov.au W: http://www.cdh.vic.gov.au

We acknowledge and pay our respects to the traditional Aboriginal custodians of this land and to the Elders past and present.
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[Anonymous]

Hi Everyone,

I believe there is a lot of confusion on “fogging’ or Bio-misting.

Many of the guidelines are generally for work health and safety as
unfortunately many operators have used inferior products or products that
were harmful when used in this way, especially in 2020/21.

Bio-misting has been used for many years in several settings including food
manufacturing and farming and have been found effective in other facilities.
The guidelines also state that if this method has been previously used, it
can be continued to be. This would cover facilities that have been properly
trained in the use of this method and do not need to change their protocols.

There are several products that can be safely used in these machines and are
effective against norovirus and other pathogens without containing bleach.

Bleach should never be used in this method. It can be harmful and damaging,
particularly to soft furnishings.

We have heard some harrowing stories of people mis-using products and
causing harm to themselves or surfaces.

Using correct products with proper training can be a very cost-effective
method to keep areas safe but again, I would stress that this would be only
as part of a comprehensive cleaning and disinfecting protocol and never as a
standalone solution.

I would also like to add that it is crucial to check on the instructions
that come with the product as, for instance, the product mentioned earlier
requires a room to be kept closed for 2 hours after application.

I would suspect that this would not be practical in most settings.

I hope this is information is helpful.

With Kind Regards

Ana Robinson

Director

ana@anaeron.com.au |
http://www.anaeron.com.au

PO Box 22 Forestville NSW 2087 | 20/8 Tilley Lane, Frenchs Forest NSW 2086

Kenny

Hello,

It is called Fogging in Queensland.

We have followed up with several gastro outbreaks in childcare centres (CCC)
and residential aged care facilities (RACF). They often call Public health
to discuss the value of Fogging as it generally costs about $200 per Room.

Our advice is it works best when there is a known pathogen – if it is
Norovirus then the fogging must include bleach. When ask the fogging
companies – the answer is usually no?

We also advised that if Fogging is going to be used then all items must be
surfaced cleaned with detergent to remove any fomites. We recommend that
they clean all areas that are frequently touched including under tables,
chairs etc. Curtains and soft furnishings will need to be removed as they
become wet.

When we discuss this with the facilities they often think- whilst they are
putting in the effort to clean they might as well bleach and save some
money.

I am not sure of any peer review studies available on Fogging. I would like
to know if anyone has sighted any.

Cheers

Alison Kenny

Clinical Nurse | Public Health
West Moreton Health
West Moreton Public Health Unit.

81 Queen Street. Goodna 4300
07 38184700
Alison.kenny2@health.qld.gov.au

Generic email. WM_PHN@health.qld.gov.au

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Traditional Owners of the land, and pays respect to Elders past, present and
emerging.

> On Behalf Of Kathleen Felstead

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_____

Hi,

I would think that in the current climate with COVID, I would be hesitate to
use such a device. I have never heard of anything in Acute care or Aged care
being used.

Kind Regards

Kathleen Felstead
Clinical Quality & Education Consultant

Corporate Services
70 Dale St . Port Adelaide, SA 5015
M. 0436 619 720
E. kfelstead@unitingsa.com.au
W. unitingsa.com.au
Follow us on: Facebook .
LinkedIn .
Instagram .
Twitter

UnitingSA acknowledges the traditional owners of country throughout South
Australia, their spiritual heritage, living culture and our walk together
towards reconciliation.

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ACIPCLIST@ACIPC.ORG.AU> On Behalf Of Jude Searles

Hi Folks

I have just been asked by one of our cleaners about the possibility of
getting a ‘bomb’ to clean our infectious rooms. What she described was
something akin to a flea bomb that you set off and then close the door. Does
anyone know if this is a thing and how much they cost?

Cheers

Jude Searles RN

Infection Prevention & Control

Co-ordinator Undergraduate Education

Dialysis Clinical Lead

Cohuna District Hospital

Committed to Excellence in Rural Healthcare

148-155 King George Street, Cohuna, Victoria, 3568

T: Wk: (03) 54565300, Mob: +61409235654, Fax: (03) 5456 2627

E: jsearles@cdh.vic.gov.au W:
http://www.cdh.vic.gov.au

We acknowledge and pay our respects to the traditional Aboriginal custodians
of this land and to the Elders past and present.

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