cleaning etc

[John Ferguson]

Hi Nicky

The problem with bleach solutions and some other disinfectants is that essentially one has to commit to a triple clean – neutral detergent to remove soil, bleach step and then wash to remove bleach residue. This makes the terminal room cleaning process interminable!

I think the way ahead is really to look at single step detergent and disinfectant products that do not leave any harmful residue.

As an aside, I think it is definitely time for us to endorse the original 2007 CDC formulation of Isolation and Standard precautions which specifies that all near patient touch surfaces (including bathrooms and toilets etc) should be cleaned AND disinfected routinely. The current wording in the Aust guidelines is very wishy washy (so to speak!). The days when adequate assurance of no env danger could be gained by an inspection for visible cleanliness are well and truly over. We know well that a contaminated environment creates a significant risk for all patients and we should act to reduce this risk in a generic way, especially in acute care facilities. We have no way of effectively partitioning patients in to MRO colonised or not etc.

Kind regards
John

Infectious Diseases Physician and Microbiologist, Hunter New England Health, John Hunter Hospital, Newcastle Conjoint Associate Professor, University of Newcastle Tel 61 2 49214444, Fax 61 2 49214440, Mobile 0428

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[Anonymous]

Hi all.

We have moved to a product called Viraclean. It is a disinfectant
(active ingredient alkyl dimethyl benzyl ammonium chloride). We use
this for our 2 step clean on the beds, furniture, and fixtures. Cleaning
staff find it easier to use as less fumes. It is rated as “green”
meaning non hazardous. We don’t measure fumes.

We use a bleach product on the floor. We wait until it is dry to put
someone in the room, but we don’t measure fumes here either. As it is
not used on everything, the fumes tend to not be noticed.

Should we be measuring fumes? I have not come across this before in my
limited experience.

Thanks.

Sandi Millington.

Available Mon, Tue and Thur.Acting Regional Infection Control CN.

Geraldton Hospital. 99562437.

Sandi.Millington@health.wa.gov.au

________________________________

Behalf Of John Ferguson

Hi Nicky

The problem with bleach solutions and some other disinfectants is that
essentially one has to commit to a triple clean – neutral detergent to
remove soil, bleach step and then wash to remove bleach residue. This
makes the terminal room cleaning process interminable!

I think the way ahead is really to look at single step detergent and
disinfectant products that do not leave any harmful residue.

As an aside, I think it is definitely time for us to endorse the
original 2007 CDC formulation of Isolation and Standard precautions
which specifies that all near patient touch surfaces (including
bathrooms and toilets etc) should be cleaned AND disinfected routinely.
The current wording in the Aust guidelines is very wishy washy (so to
speak!). The days when adequate assurance of no env danger could be
gained by an inspection for visible cleanliness are well and truly over.
We know well that a contaminated environment creates a significant risk
for all patients and we should act to reduce this risk in a generic way,
especially in acute care facilities. We have no way of effectively
partitioning patients in to MRO colonised or not etc.

Kind regards

John

Infectious Diseases Physician and Microbiologist, Hunter New England
Health, John Hunter Hospital, Newcastle Conjoint Associate Professor,
University of Newcastle Tel 61 2 49214444, Fax 61 2 49214440, Mobile
0428

Messages posted to this list are solely the opinion of the authors, and
do not represent the opinion of ACIPC.

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[Suzanne Alexander]

Hi all,
We were having problems with our bleach products (smell, correct measurement and two step cleaning). We now use a combined detergent and chlorine product called Chlorclean. This delivers 1000ppm of chlorine for our MRO cleaning and has eliminated some of the OH&S issues we were experiencing with our previous bleach product. As a combined product, it also eliminates the two or three step clean. We found staff were getting confused about which MRO needed which type of products so all of our MRO rooms/equipment are cleaned with Chlorclean. Also very useful for C. diff and gastro outbreaks.
Suzanne

Suzanne Alexander

Clinical Nurse Consultant | Infection Management and Control Service
PO Box 21, Warrawong, NSW 2502
Tel 02 4223 8151 | Fax 02 4223 8451 | Mob 0422 945 154 | Suzanne.Alexander@SESIAHS.HEALTH.NSW.GOV.AU
http://www.health.nsw.gov.au

[cid:image001.jpg@01CD4334.98B9DB90]

Hi all.

We have moved to a product called Viraclean. It is a disinfectant (active ingredient alkyl dimethyl benzyl ammonium chloride). We use this for our 2 step clean on the beds, furniture, and fixtures. Cleaning staff find it easier to use as less fumes. It is rated as “green” meaning non hazardous. We don’t measure fumes.

We use a bleach product on the floor. We wait until it is dry to put someone in the room, but we don’t measure fumes here either. As it is not used on everything, the fumes tend to not be noticed.

Should we be measuring fumes? I have not come across this before in my limited experience.

Thanks.

Sandi Millington.
Available Mon, Tue and Thur.Acting Regional Infection Control CN.
Geraldton Hospital. 99562437.
Sandi.Millington@health.wa.gov.au
________________________________

Hi Nicky

The problem with bleach solutions and some other disinfectants is that essentially one has to commit to a triple clean – neutral detergent to remove soil, bleach step and then wash to remove bleach residue. This makes the terminal room cleaning process interminable!

I think the way ahead is really to look at single step detergent and disinfectant products that do not leave any harmful residue.

As an aside, I think it is definitely time for us to endorse the original 2007 CDC formulation of Isolation and Standard precautions which specifies that all near patient touch surfaces (including bathrooms and toilets etc) should be cleaned AND disinfected routinely. The current wording in the Aust guidelines is very wishy washy (so to speak!). The days when adequate assurance of no env danger could be gained by an inspection for visible cleanliness are well and truly over. We know well that a contaminated environment creates a significant risk for all patients and we should act to reduce this risk in a generic way, especially in acute care facilities. We have no way of effectively partitioning patients in to MRO colonised or not etc.

Kind regards
John

Infectious Diseases Physician and Microbiologist, Hunter New England Health, John Hunter Hospital, Newcastle Conjoint Associate Professor, University of Newcastle Tel 61 2 49214444, Fax 61 2 49214440, Mobile 0428
Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

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