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Hi,
Just a Friday afternoon question:
Can anyone provide me with evidence in regards to how long we should leave a room prior to cleaning an airborne precaution room
o In our local procedure we have 2 hours
However, I thought that had been decreased to 30minutes
o I’m aware of the airchanges etc in our negative pressure rooms but this query has come from our Emergency Department.
Any help greatly appreciatedRegards
Janine Egart
Clinical Nurse Consultant – DDHHS
Clinical Governance Unit
p: 07 46166206 | m: 0400704118 (SD: 1947)
a: Pechy Street, Toowoomba, Qld 4350
e: Janine.egart@health.qld.gov.au | w: Darling Downs Hospital and Health Service[DDHHS]
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Hi Janine,
The time to remove airborne contaminants from a room is dependent on the number of air changes per hour (ACHR). There is a handy table in the Victorian Guidelines for the classification and design of isolation rooms in health care facilities (2007) on page 21 “Air changes per hour (ACHR) and time in minutes required for various airborne contaminant removal efficiencies” (snapshot of the table below) which will help answer how long you should leave a room before entering the room without appropriate PPE (i.e. P2 respirator). The link to this document is here: https://www2.health.vic.gov.au/about/publications/policiesandguidelines/Guidelines-for-the-classification-and-design-of-isolation-rooms-in-health-care-facilities-Victorian-Advisory-Committee-on-Infection-Control-2007
[cid:image002.png@01D3A1BE.A64738E0]
Note that the room does not need to be “cleared” before cleaning can commence. The cleaners can be wearing appropriate PPE while cleaning the room during this time. This will reduce the turn-around time for the room if cleaning takes place during the “airborne contaminant removal” period.
My understanding, at least in Victoria, of the timeframes you quote were in relation to the exposure follow up time period after someone had been in a room/area with measles. We used to follow up measles exposures for a period of 2 hours after the person had left an area, but this was reduced to 30 minutes some years ago.
Regards,
DonnaDonna Cameron
Infection Control Consultant
T +61 (0) 3 8344 3574 (Monday, Wednesday & Friday); +61 (0) 3 9096 5233 (Tuesday & Thursday)
donna.cameron@unimelb.edu.au
Microbiological Diagnostic Unit Public Health Laboratory
The Peter Doherty Institute for Infection and Immunity
792 Elizabeth Street | Melbourne | Victoria | Australia | 3000
doherty.edu.auHi,
Just a Friday afternoon question:
Can anyone provide me with evidence in regards to how long we should leave a room prior to cleaning an airborne precaution room
o In our local procedure we have 2 hours
However, I thought that had been decreased to 30minutes
o I’m aware of the airchanges etc in our negative pressure rooms but this query has come from our Emergency Department.
Any help greatly appreciatedRegards
Janine Egart
Clinical Nurse Consultant – DDHHS
Clinical Governance Unit
p: 07 46166206 | m: 0400704118 (SD: 1947)
a: Pechy Street, Toowoomba, Qld 4350
e: Janine.egart@health.qld.gov.au | w: Darling Downs Hospital and Health Service[DDHHS]
********************************************************************************
This email, including any attachments sent with it, is confidential and for the sole use of the intended recipient(s). This confidentiality is not waived or lost, if you receive it and you are not the intended recipient(s), or if it is transmitted/received in error.
Any unauthorised use, alteration, disclosure, distribution or review of this email is strictly prohibited. The information contained in this email, including any attachment sent with it, may be subject to a statutory duty of confidentiality if it relates to health service matters.
If you are not the intended recipient(s), or if you have received this email in error, you are asked to immediately notify the sender by telephone collect on Australia +61 1800 198 175 or by return email. You should also delete this email, and any copies, from your computer system network and destroy any hard copies produced.
If not an intended recipient of this email, you must not copy, distribute or take any action(s) that relies on it; any form of disclosure, modification, distribution and/or publication of this email is also prohibited.
Although Queensland Health takes all reasonable steps to ensure this email does not contain malicious software, Queensland Health does not accept responsibility for the consequences if any person’s computer inadvertently suffers any disruption to services, loss of information, harm or is infected with a virus, other malicious computer programme or code that may occur as a consequence of receiving this email.
Unless stated otherwise, this email represents only the views of the sender and not the views of the Queensland Government.
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Sorry Janine,
I also forgot to add that if you don’t know the air changes per hour you should speak to your Engineering Dept. They should be able to give you this information.
Regards,
DonnaHi Janine,
The time to remove airborne contaminants from a room is dependent on the number of air changes per hour (ACHR). There is a handy table in the Victorian Guidelines for the classification and design of isolation rooms in health care facilities (2007) on page 21 “Air changes per hour (ACHR) and time in minutes required for various airborne contaminant removal efficiencies” (snapshot of the table below) which will help answer how long you should leave a room before entering the room without appropriate PPE (i.e. P2 respirator). The link to this document is here: https://www2.health.vic.gov.au/about/publications/policiesandguidelines/Guidelines-for-the-classification-and-design-of-isolation-rooms-in-health-care-facilities-Victorian-Advisory-Committee-on-Infection-Control-2007
Note that the room does not need to be “cleared” before cleaning can commence. The cleaners can be wearing appropriate PPE while cleaning the room during this time. This will reduce the turn-around time for the room if cleaning takes place during the “airborne contaminant removal” period.
My understanding, at least in Victoria, of the timeframes you quote were in relation to the exposure follow up time period after someone had been in a room/area with measles. We used to follow up measles exposures for a period of 2 hours after the person had left an area, but this was reduced to 30 minutes some years ago.
Regards,
DonnaDonna Cameron
Infection Control Consultant
T +61 (0) 3 8344 3574 (Monday, Wednesday & Friday); +61 (0) 3 9096 5233 (Tuesday & Thursday)
donna.cameron@unimelb.edu.au
Microbiological Diagnostic Unit Public Health Laboratory
The Peter Doherty Institute for Infection and Immunity
792 Elizabeth Street | Melbourne | Victoria | Australia | 3000
doherty.edu.auHi,
Just a Friday afternoon question:
Can anyone provide me with evidence in regards to how long we should leave a room prior to cleaning an airborne precaution room
o In our local procedure we have 2 hours
However, I thought that had been decreased to 30minutes
o I’m aware of the airchanges etc in our negative pressure rooms but this query has come from our Emergency Department.
Any help greatly appreciatedRegards
Janine Egart
Clinical Nurse Consultant – DDHHS
Clinical Governance Unit
p: 07 46166206 | m: 0400704118 (SD: 1947)
a: Pechy Street, Toowoomba, Qld 4350
e: Janine.egart@health.qld.gov.au | w: Darling Downs Hospital and Health Service[DDHHS]
********************************************************************************
This email, including any attachments sent with it, is confidential and for the sole use of the intended recipient(s). This confidentiality is not waived or lost, if you receive it and you are not the intended recipient(s), or if it is transmitted/received in error.
Any unauthorised use, alteration, disclosure, distribution or review of this email is strictly prohibited. The information contained in this email, including any attachment sent with it, may be subject to a statutory duty of confidentiality if it relates to health service matters.
If you are not the intended recipient(s), or if you have received this email in error, you are asked to immediately notify the sender by telephone collect on Australia +61 1800 198 175 or by return email. You should also delete this email, and any copies, from your computer system network and destroy any hard copies produced.
If not an intended recipient of this email, you must not copy, distribute or take any action(s) that relies on it; any form of disclosure, modification, distribution and/or publication of this email is also prohibited.
Although Queensland Health takes all reasonable steps to ensure this email does not contain malicious software, Queensland Health does not accept responsibility for the consequences if any person’s computer inadvertently suffers any disruption to services, loss of information, harm or is infected with a virus, other malicious computer programme or code that may occur as a consequence of receiving this email.
Unless stated otherwise, this email represents only the views of the sender and not the views of the Queensland Government.
**********************************************************************************
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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.
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Hi Janine,
The Centers for Disease Control. Guidelines for Preventing the Transmission of Mycobacterium tuberculosis in Health-Care Settings, MMWR Recommendations and Reports. 2005; 54 (17):1-141 has a good table.
It depends on the air exchanges as to when its free of 99.9% of contaminants.
With 12 to 15 air exchanges we say 30 minutes before its safe for staff to enter and clean without wearing a mask.[cid:image001.gif@01D3A1C1.C6529FA0]
Kind Regards
Marija Juraja |Nurse Unit Manager -CALHN Infection Prevention & Control Unit|
Division of Acute Medicine (RN, GCNS Inf Ctrl, CICP-E)
t: +61 8 7074 2810 (RAH) 8222 7588 (TQEH)| M: 0466 379 821|e:marija.juraja@sa.gov.au |
Adjunct Clinical Lecturer | University of South Australia | Division of Health Sciences
[cid:image002.jpg@01D3A1C1.C6529FA0]Hi,
Just a Friday afternoon question:
Can anyone provide me with evidence in regards to how long we should leave a room prior to cleaning an airborne precaution room
o In our local procedure we have 2 hours
However, I thought that had been decreased to 30minutes
o I’m aware of the airchanges etc in our negative pressure rooms but this query has come from our Emergency Department.
Any help greatly appreciatedRegards
Janine Egart
Clinical Nurse Consultant – DDHHS
Clinical Governance Unit
p: 07 46166206 | m: 0400704118 (SD: 1947)
a: Pechy Street, Toowoomba, Qld 4350
e: Janine.egart@health.qld.gov.au | w: Darling Downs Hospital and Health Service[DDHHS]
********************************************************************************
This email, including any attachments sent with it, is confidential and for the sole use of the intended recipient(s). This confidentiality is not waived or lost, if you receive it and you are not the intended recipient(s), or if it is transmitted/received in error.
Any unauthorised use, alteration, disclosure, distribution or review of this email is strictly prohibited. The information contained in this email, including any attachment sent with it, may be subject to a statutory duty of confidentiality if it relates to health service matters.
If you are not the intended recipient(s), or if you have received this email in error, you are asked to immediately notify the sender by telephone collect on Australia +61 1800 198 175 or by return email. You should also delete this email, and any copies, from your computer system network and destroy any hard copies produced.
If not an intended recipient of this email, you must not copy, distribute or take any action(s) that relies on it; any form of disclosure, modification, distribution and/or publication of this email is also prohibited.
Although Queensland Health takes all reasonable steps to ensure this email does not contain malicious software, Queensland Health does not accept responsibility for the consequences if any person’s computer inadvertently suffers any disruption to services, loss of information, harm or is infected with a virus, other malicious computer programme or code that may occur as a consequence of receiving this email.
Unless stated otherwise, this email represents only the views of the sender and not the views of the Queensland Government.
**********************************************************************************
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.
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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.
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HI Derrick,
I suggest you look at the Australian Guidelines for the Prevention and Control of Infection in Healthcare, Section 3.1.3 Routine management of the physical environment. Both mental health & aged care are considered as healthcare facilities so the standards apply. https://www.safetyandquality.gov.au/our-work/infection-prevention-and-control/guidelines/australian-guidelines-prevention-and-control-infection-healthcare-2019Regards,
Kelly
I acknowledge the traditional owners of the land on which we work and live, and respect their ongoing custodianship of the land. I pay respect to Aboriginal people, and Elders past and present.Kelly Barton
Infection Prevention & Control Officer
RN BHSc (Nursing). Grad Cert (Infection Control)(Advanced Acute Care). Nurse Immuniser. Cert IV T&A
Email: kelly.barton@alpinehealth.org.au
Office: 03 5751 9364
Mobile: 0409 885 002
Fax: 03 5751 9396
Address: 30 ODonnell Ave, Myrtleford VIC 3737
Website:www.alpinehealth.org.au
Reduce, re-use, recycle. Please consider the environment before printing this e-mail.—–Original Message—–
From: ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] On Behalf Of Derrick H
Sent: Tuesday, 30 June 2020 6:02 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: [ACIPC_Infexion_Connexion] Environmental cleaningHi all
Just wanted to know if anyone has policy or knows of any journals for environmental cleaning in communal living facilities like aged care or mental health facilities.
Thank you.
Best regards,
Derrick Hor
RN
Armadale Health Service.
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.
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Hello Derrick
Yes There is a lots out there is can spin your head ..I know ,not sure if this is what you are particularly after with these areas but forwarding just fyi ……hoping you will find what you are after via these links
I have also attached some NSW health links but figure you should already have local state docs like we seem to have
https://www.health.nsw.gov.au/Infectious/covid-19/Pages/community-outpatient.aspx
keep up the great work in Armadale…we all need to stick together and support each other hey!?
Best of luck & 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@health.nsw.gov.au
http://www.health.nsw.gov.au“Wise and humane management of the patient is the best safeguard against infection”
(Florence Nightingale Circa 1860)—–Original Message—–
Hi all
Just wanted to know if anyone has policy or knows of any journals for environmental cleaning in communal living facilities like aged care or mental health facilities.
Thank you.
Best regards,
Derrick Hor
RN
Armadale Health Service.
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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This message is intended for the addressee named and may contain confidential information. If you are not the intended recipient, please delete it and notify the sender.
Views expressed in this message are those of the individual sender, and are not necessarily the views of NSW Health or any of its entities.
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
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Hi
Thank you to Helen, Kelly and Lindy for replying with some great information. I am trying to write a recommendation to my managers for some guidelines in our mental health ward.
This has been a great place for resource. Thanks again
Best regards,
Derrick Hor
RN
Armadale Health Service> On 1 Jul 2020, at 1:20 pm, Lindy Ryan (Mid North Coast LHD) wrote:
>
> Hello Derrick
>
>
> Yes There is a lots out there is can spin your head ..I know ,not sure if this is what you are particularly after with these areas but forwarding just fyi ……hoping you will find what you are after via these links
>
>
> https://www.health.gov.au/resources/collections/coronavirus-covid-19-resources-for-health-professionals-including-aged-care-providers-pathology-providers-and-health-care-managers
>
>
> https://www.health.gov.au/resources/publications/coronavirus-covid-19-environmental-cleaning-and-disinfection-principles-for-health-and-residential-care-facilities
>
> https://www.health.gov.au/resources/publications/coronavirus-covid-19-information-about-routine-environmental-cleaning-and-disinfection-in-the-community
>
> https://www1.health.gov.au/internet/publications/publishing.nsf/Content/cda-cdna-norovirus.htm-l~cda-cdna-norovirus.htm-l-app4
>
>
> https://www.safeworkaustralia.gov.au/covid-19-information-workplaces/industry-information/general-industry-information/cleaning
>
>
>
> I have also attached some NSW health links but figure you should already have local state docs like we seem to have
>
> https://www.health.nsw.gov.au/Infectious/covid-19/Pages/community-outpatient.aspx
>
>
> http://cec.health.nsw.gov.au/__data/assets/pdf_file/0004/587164/COVID-19-Infection-Prevention-and-Control-Advice-on-Cleaning-and-Disinfection-in-the-Workplace.pdf
>
>
> keep up the great work in Armadale…we all need to stick together and support each other hey!?
>
> Best of luck & 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@health.nsw.gov.au
> http://www.health.nsw.gov.au
>
>
>
> “Wise and humane management of the patient is the best safeguard against infection”
> (Florence Nightingale Circa 1860)
>
>
>
> —–Original Message—–
> From: ACIPC Infexion Connexion On Behalf Of Derrick H
> Sent: Tuesday, 30 June 2020 6:02 PM
> To: ACIPCLIST@ACIPC.ORG.AU
> Subject: [ACIPC_Infexion_Connexion] Environmental cleaning
>
> Hi all
>
> Just wanted to know if anyone has policy or knows of any journals for environmental cleaning in communal living facilities like aged care or mental health facilities.
>
> Thank you.
>
> Best regards,
>
> Derrick Hor
> RN
> Armadale Health Service.
> 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.
>
> Replies to this message will be directed back to the list. To create a new message send an email to acipclist@acipc.org.au
>
> To send a message to the list administrator send an email to admin@acipc.org.au
>
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>
> This message is intended for the addressee named and may contain confidential information. If you are not the intended recipient, please delete it and notify the sender.
>
> Views expressed in this message are those of the individual sender, and are not necessarily the views of NSW Health or any of its entities.
>
> 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.
>
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>
> Replies to this message will be directed back to the list. To create a new message send an email to acipclist@acipc.org.au
>
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