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  • #69057
    Nicola Swindells
    Participant

    Author:
    Nicola Swindells

    Position:

    Organisation:

    State:

    Hi All,

    We currently follow the Australian Guidelines for the Prevention and
    Control of Infection in Healthcare Guidelines regarding cleaning
    schedules, using a detergent for most surfaces and a TGA – registered
    disinfectant with label claims specifying its effectiveness against
    specific infectious organisms for isolation rooms.

    My question is the hospital is wishing to switch to a bleach product for
    the purposes of isolation rooms can anyone offer any evidence for or
    against a bleach product to assist me in my discussions, one of my
    concerns is the aspect of OH&S when using bleach regularly.

    Thank you for your responses in advance.

    Kind Regards

    Nicky Swindells CNC

    Infection Control Coordinator/Wound Management

    Mater Hospitals Central Queensland

    Rockhampton Yeppoon Gladstone

    nswindells@mercycq.com

    07 49313420

    This email does not necessarily constitute an official representation of Mercy Health and Aged Care Central Queensland Limited. Any unauthorised use of the email or contents is strictly prohibited. Emails may be interfered with, may contain computer viruses or other defects and may not be successfully replicated on other systems. It is your responsibility to scan this message and any attachments for computer viruses or other defects and Mercy Health and Aged Care Central Queensland Limited gives no warranties in relation to these matters.

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    #69059
    Fiona de Sousa
    Participant

    Author:
    Fiona de Sousa

    Position:

    Organisation:

    State:

    Hi Nicky,

    We use a combination of disinfectants for isolation patients depending
    on why the patient is in isolation, what sort of clean (daily or
    terminal) and what sort of room it is they are in.

    Where possible we use a hydrogen peroxide disinfectant for terminal
    cleans of infectious patient rooms, if not (e.g. an open room) it is
    either bleach or triclosan. I have had reports from our Cleaning
    Manager the staff are really on board with hydrogen peroxide
    disinfection as their chemical exposure has been reduced.

    Kind Regards,

    Fiona De Sousa

    Infection Prevention & Control Coordinator

    Sydney Adventist Hospital

    Fiona.Desousa@sah.org.au

    185 Fox Valley Road, Wahroonga, NSW, 2076

    ________________________________

    Behalf Of Nicola Swindells

    Hi All,

    We currently follow the Australian Guidelines for the Prevention and
    Control of Infection in Healthcare Guidelines regarding cleaning
    schedules, using a detergent for most surfaces and a TGA – registered
    disinfectant with label claims specifying its effectiveness against
    specific infectious organisms for isolation rooms.

    My question is the hospital is wishing to switch to a bleach product for
    the purposes of isolation rooms can anyone offer any evidence for or
    against a bleach product to assist me in my discussions, one of my
    concerns is the aspect of OH&S when using bleach regularly.

    Thank you for your responses in advance.

    Kind Regards

    Nicky Swindells CNC

    Infection Control Coordinator/Wound Management

    Mater Hospitals Central Queensland

    Rockhampton Yeppoon Gladstone

    nswindells@mercycq.com

    07 49313420

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    #69060
    Kevin Griffin
    Participant

    Author:
    Kevin Griffin

    Position:

    Organisation:

    State:

    Fiona

    How are you monitoring Hydrogen Peroxide levels in the room after disinfection ?

    In Europe

    The SWL (Safe Working Limit) for Hydrogen peroxide is 1ppm for a (TWA) Time Weighted Average 8 hour exposure over a 24 hour period.

    The STEL (Short Term Exposure Limit) is 2ppm for 15 minutes with a maximum of 4 exposures in a 24 hour period.

    The Safe Work Australia standards (http://www.safeworkaustralia.gov.au/sites/SWA/AboutSafeWorkAustralia/WhatWeDo/Publications/Documents/237/AdoptedNationalExposureStandardsAtmosphericContaminants_NOHSC1003-1995_PDF.pdf)

    Have set the TWA limit at 1ppm with no STEL established

    As Hydrogen Peroxide is odourless and colourless it is extremely difficult to detect at lower concentration levels ( < 5ppm) which would be well above the SWL or even the European STEL. This is especially important in rooms with porous surfaces which will outgas for some time and particularly so as patients are in these rooms for 24 hours a day.

    Regards

    Kevin

    Kevin Griffin
    Bioquell Asia Pacific Pte Ltd

    207 Henderson Road,#01-05

    Singapore 159550

    T: +65 6592 5145
    F: +65 6227 5878
    M: +65 8511 3733

    E: Kevin.Griffin@bioquell.com

    W: http://www.bioquell.asia

    Hi Nicky,

    We use a combination of disinfectants for isolation patients depending on why the patient is in isolation, what sort of clean (daily or terminal) and what sort of room it is they are in.

    Where possible we use a hydrogen peroxide disinfectant for terminal cleans of infectious patient rooms, if not (e.g. an open room) it is either bleach or triclosan. I have had reports from our Cleaning Manager the staff are really on board with hydrogen peroxide disinfection as their chemical exposure has been reduced.

    Kind Regards,

    Fiona De Sousa

    Infection Prevention & Control Coordinator

    Sydney Adventist Hospital

    Fiona.Desousa@sah.org.au

    185 Fox Valley Road, Wahroonga, NSW, 2076

    _____

    Hi All,

    We currently follow the Australian Guidelines for the Prevention and Control of Infection in Healthcare Guidelines regarding cleaning schedules, using a detergent for most surfaces and a TGA – registered disinfectant with label claims specifying its effectiveness against specific infectious organisms for isolation rooms.

    My question is the hospital is wishing to switch to a bleach product for the purposes of isolation rooms can anyone offer any evidence for or against a bleach product to assist me in my discussions, one of my concerns is the aspect of OH&S when using bleach regularly.

    Thank you for your responses in advance.

    Kind Regards

    Nicky Swindells CNC

    Infection Control Coordinator/Wound Management

    Mater Hospitals Central Queensland

    Rockhampton Yeppoon Gladstone

    nswindells@mercycq.com

    07 49313420

    This email does not necessarily constitute an official representation of Mercy Health and Aged Care Central Queensland Limited. Any unauthorised use of the email or contents is strictly prohibited. Emails may be interfered with, may contain computer viruses or other defects and may not be successfully replicated on other systems. It is your responsibility to scan this message and any attachments for computer viruses or other defects and Mercy Health and Aged Care Central Queensland Limited gives no warranties in relation to these matters.

    If you are not the intended recipient you are hereby notified that any dissemination, distribution or reproduction of this message
    is prohibited. If you have received this message in error please notify the sender immediately, then destroy the original message.
    Any views expressed in this message are solely those of the individual sender, except where the sender is specifically authorised
    by Sydney Adventist Hospital to state that they are the views of Sydney Adventist Hospital.
    _____________________________________________________________________
    This e-mail has been scanned for viruses by Symantec Hosted Services
    Scanning Services – powered by MessageLabs. For further information
    visit http://www.messagelabs.com

    Click here to report this email as spam.

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

    Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

    Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

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    Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

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    The message was checked by ESET NOD32 Antivirus.

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    Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

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    #69062
    Fiona de Sousa
    Participant

    Author:
    Fiona de Sousa

    Position:

    Organisation:

    State:

    Hi Kevin,

    We have been guided by the manufacturer in relation to wait times prior
    to rooms being available for occupancy. These have been verified with
    the use of a hydrogen peroxide meter that records as low as 1ppm.

    Kind Regards,

    Fiona De Sousa

    Infection Prevention & Control Coordinator

    Sydney Adventist Hospital

    Fiona.Desousa@sah.org.au

    185 Fox Valley Road, Wahroonga, NSW, 2076

    ________________________________

    Behalf Of Kevin Griffin

    Fiona

    How are you monitoring Hydrogen Peroxide levels in the room after
    disinfection ?

    In Europe

    The SWL (Safe Working Limit) for Hydrogen peroxide is 1ppm for a (TWA)
    Time Weighted Average 8 hour exposure over a 24 hour period.

    The STEL (Short Term Exposure Limit) is 2ppm for 15 minutes with a
    maximum of 4 exposures in a 24 hour period.

    The Safe Work Australia standards
    (http://www.safeworkaustralia.gov.au/sites/SWA/AboutSafeWorkAustralia/Wh
    atWeDo/Publications/Documents/237/AdoptedNationalExposureStandardsAtmosp
    hericContaminants_NOHSC1003-1995_PDF.pdf)

    Have set the TWA limit at 1ppm with no STEL established

    As Hydrogen Peroxide is odourless and colourless it is extremely
    difficult to detect at lower concentration levels ( < 5ppm) which would
    be well above the SWL or even the European STEL. This is especially
    important in rooms with porous surfaces which will outgas for some time
    and particularly so as patients are in these rooms for 24 hours a day.

    Regards

    Kevin

    Kevin Griffin
    Bioquell Asia Pacific Pte Ltd

    207 Henderson Road,#01-05

    Singapore 159550

    T: +65 6592 5145
    F: +65 6227 5878
    M: +65 8511 3733

    E: Kevin.Griffin@bioquell.com

    W: http://www.bioquell.asia

    Description:
    C:UserscjacobAppDataRoamingMicrosoftSignaturesBioquell_logo_3D_CM
    YK_email2.jpg

    Behalf Of Fiona de Sousa

    Hi Nicky,

    We use a combination of disinfectants for isolation patients depending
    on why the patient is in isolation, what sort of clean (daily or
    terminal) and what sort of room it is they are in.

    Where possible we use a hydrogen peroxide disinfectant for terminal
    cleans of infectious patient rooms, if not (e.g. an open room) it is
    either bleach or triclosan. I have had reports from our Cleaning
    Manager the staff are really on board with hydrogen peroxide
    disinfection as their chemical exposure has been reduced.

    Kind Regards,

    Fiona De Sousa

    Infection Prevention & Control Coordinator

    Sydney Adventist Hospital

    Fiona.Desousa@sah.org.au

    185 Fox Valley Road, Wahroonga, NSW, 2076

    ________________________________

    Behalf Of Nicola Swindells

    Hi All,

    We currently follow the Australian Guidelines for the Prevention and
    Control of Infection in Healthcare Guidelines regarding cleaning
    schedules, using a detergent for most surfaces and a TGA – registered
    disinfectant with label claims specifying its effectiveness against
    specific infectious organisms for isolation rooms.

    My question is the hospital is wishing to switch to a bleach product for
    the purposes of isolation rooms can anyone offer any evidence for or
    against a bleach product to assist me in my discussions, one of my
    concerns is the aspect of OH&S when using bleach regularly.

    Thank you for your responses in advance.

    Kind Regards

    Nicky Swindells CNC

    Infection Control Coordinator/Wound Management

    Mater Hospitals Central Queensland

    Rockhampton Yeppoon Gladstone

    nswindells@mercycq.com

    07 49313420

    intended solely for the use of the named recipient(s). If you are not
    the intended recipient(s) of this email you must not copy, distribute,
    disclose, modify or use any of the information contained within. If you
    have received this email in error please notify us at
    support@mercycq.com immediately and permanently delete the email and any
    attachments. Confidentiality and/or privilege in the documents
    transmitted is not waived or lost by reason of any transmission errors.
    Personal information in this email must be handled in accordance with
    the prevailing Privacy legislation in the country of receipt of this
    email.

    This email does not necessarily constitute an official representation of
    Mercy Health and Aged Care Central Queensland Limited. Any unauthorised
    use of the email or contents is strictly prohibited. Emails may be
    interfered with, may contain computer viruses or other defects and may
    not be successfully replicated on other systems. It is your
    responsibility to scan this message and any attachments for computer
    viruses or other defects and Mercy Health and Aged Care Central
    Queensland Limited gives no warranties in relation to these matters.

    information intended for the addressee named above.
    If you are not the intended recipient you are hereby notified that any
    dissemination, distribution or reproduction of this message
    is prohibited. If you have received this message in error please notify
    the sender immediately, then destroy the original message.
    Any views expressed in this message are solely those of the individual
    sender, except where the sender is specifically authorised
    by Sydney Adventist Hospital to state that they are the views of Sydney
    Adventist Hospital.
    _____________________________________________________________________
    This e-mail has been scanned for viruses by Symantec Hosted Services
    Scanning Services – powered by MessageLabs. For further information
    visit http://www.messagelabs.com

    Click here to
    report this email as spam.

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

    Archive of all messages are available at http://aicalist.org.au/archives
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    Replies to this message will be directed back to the list. To create a
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    Replies to this message will be directed back to the list. To create a
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    is prohibited. If you have received this message in error please notify the sender immediately, then destroy the original message.
    Any views expressed in this message are solely those of the individual sender, except where the sender is specifically authorised
    by Sydney Adventist Hospital to state that they are the views of Sydney Adventist Hospital.
    _____________________________________________________________________
    This e-mail has been scanned for viruses by Symantec Hosted Services
    Scanning Services – powered by MessageLabs. For further information
    visit http://www.messagelabs.com

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    Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

    Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

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    #69063
    Kevin Griffin
    Participant

    Author:
    Kevin Griffin

    Position:

    Organisation:

    State:

    Hi Fiona

    I’m glad to hear that you are checking levels.

    There have been a couple of papers recently looking at post cycle concentration of Hydrogen Peroxide. (Fu TY, Gent P, Kumar V. Efficacy, efficiency and safety aspects of hydrogen peroxide vapour and aerosolized hydrogen peroxide room disinfection systems. J Hosp Infect 2012; 80: 199-205.)

    So many factors play a role (temperature, humidity, loading and presence of porous objects) that just waiting a set time isn’t sufficient to ensure peroxide concentrations are within safe levels. The conclusion appears to be that a independent low level electromechanical sensor must be used to confirm levels after each cycle even when forced catalytic aeration is used.

    Regards

    Kevin

    Kevin Griffin
    Bioquell Asia Pacific Pte Ltd

    207 Henderson Road,#01-05

    Singapore 159550

    T: +65 6592 5145
    F: +65 6227 5878
    M: +65 8511 3733

    E: Kevin.Griffin@bioquell.com

    W: http://www.bioquell.asia

    Hi Kevin,

    We have been guided by the manufacturer in relation to wait times prior to rooms being available for occupancy. These have been verified with the use of a hydrogen peroxide meter that records as low as 1ppm.

    Kind Regards,

    Fiona De Sousa

    Infection Prevention & Control Coordinator

    Sydney Adventist Hospital

    Fiona.Desousa@sah.org.au

    185 Fox Valley Road, Wahroonga, NSW, 2076

    _____

    Fiona

    How are you monitoring Hydrogen Peroxide levels in the room after disinfection ?

    In Europe

    The SWL (Safe Working Limit) for Hydrogen peroxide is 1ppm for a (TWA) Time Weighted Average 8 hour exposure over a 24 hour period.

    The STEL (Short Term Exposure Limit) is 2ppm for 15 minutes with a maximum of 4 exposures in a 24 hour period.

    The Safe Work Australia standards (http://www.safeworkaustralia.gov.au/sites/SWA/AboutSafeWorkAustralia/WhatWeDo/Publications/Documents/237/AdoptedNationalExposureStandardsAtmosphericContaminants_NOHSC1003-1995_PDF.pdf)

    Have set the TWA limit at 1ppm with no STEL established

    As Hydrogen Peroxide is odourless and colourless it is extremely difficult to detect at lower concentration levels ( < 5ppm) which would be well above the SWL or even the European STEL. This is especially important in rooms with porous surfaces which will outgas for some time and particularly so as patients are in these rooms for 24 hours a day.

    Regards

    Kevin

    Kevin Griffin
    Bioquell Asia Pacific Pte Ltd

    207 Henderson Road,#01-05

    Singapore 159550

    T: +65 6592 5145
    F: +65 6227 5878
    M: +65 8511 3733

    E: Kevin.Griffin@bioquell.com

    W: http://www.bioquell.asia

    Hi Nicky,

    We use a combination of disinfectants for isolation patients depending on why the patient is in isolation, what sort of clean (daily or terminal) and what sort of room it is they are in.

    Where possible we use a hydrogen peroxide disinfectant for terminal cleans of infectious patient rooms, if not (e.g. an open room) it is either bleach or triclosan. I have had reports from our Cleaning Manager the staff are really on board with hydrogen peroxide disinfection as their chemical exposure has been reduced.

    Kind Regards,

    Fiona De Sousa

    Infection Prevention & Control Coordinator

    Sydney Adventist Hospital

    Fiona.Desousa@sah.org.au

    185 Fox Valley Road, Wahroonga, NSW, 2076

    _____

    Hi All,

    We currently follow the Australian Guidelines for the Prevention and Control of Infection in Healthcare Guidelines regarding cleaning schedules, using a detergent for most surfaces and a TGA – registered disinfectant with label claims specifying its effectiveness against specific infectious organisms for isolation rooms.

    My question is the hospital is wishing to switch to a bleach product for the purposes of isolation rooms can anyone offer any evidence for or against a bleach product to assist me in my discussions, one of my concerns is the aspect of OH&S when using bleach regularly.

    Thank you for your responses in advance.

    Kind Regards

    Nicky Swindells CNC

    Infection Control Coordinator/Wound Management

    Mater Hospitals Central Queensland

    Rockhampton Yeppoon Gladstone

    nswindells@mercycq.com

    07 49313420

    This email does not necessarily constitute an official representation of Mercy Health and Aged Care Central Queensland Limited. Any unauthorised use of the email or contents is strictly prohibited. Emails may be interfered with, may contain computer viruses or other defects and may not be successfully replicated on other systems. It is your responsibility to scan this message and any attachments for computer viruses or other defects and Mercy Health and Aged Care Central Queensland Limited gives no warranties in relation to these matters.

    If you are not the intended recipient you are hereby notified that any dissemination, distribution or reproduction of this message
    is prohibited. If you have received this message in error please notify the sender immediately, then destroy the original message.
    Any views expressed in this message are solely those of the individual sender, except where the sender is specifically authorised
    by Sydney Adventist Hospital to state that they are the views of Sydney Adventist Hospital.
    _____________________________________________________________________
    This e-mail has been scanned for viruses by Symantec Hosted Services
    Scanning Services – powered by MessageLabs. For further information
    visit http://www.messagelabs.com

    Click here to report this email as spam.

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

    Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

    Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

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    The message was checked by ESET NOD32 Antivirus.

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    __________ Information from ESET NOD32 Antivirus, version of virus signature database 7185 (20120531) __________

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    is prohibited. If you have received this message in error please notify the sender immediately, then destroy the original message.
    Any views expressed in this message are solely those of the individual sender, except where the sender is specifically authorised
    by Sydney Adventist Hospital to state that they are the views of Sydney Adventist Hospital.
    _____________________________________________________________________
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    Scanning Services – powered by MessageLabs. For further information
    visit http://www.messagelabs.com

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