Guidelines for washing machines in hospital setting

[Derrick H]

Hi all

Just wondering if anyone has a policy/procedure/guidelines for washing machines in their facilities?

We have a few domestic machines in our mental health wards for patient use. It has been brought to our attention that there are concerns of cross infections as these are domestic machines and the requirements for cleaning of machines in between patient uses.

Is there any guidelines on this? Any standard that dictate that we need to use commercial machines instead with a specific heat setting to avoid cross infections?

And cleaning in between patients? This will include the dryers.

We have been asked to produce a guideline for our wards to address this and any help will be greatly appreciated. Thank you in advance.

Best regards,

Derrick Hor
A/CN
Armadale Health Service
WA
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[Leeanne Atkinson]

Hi Derrick, AS/NZS 4146:2000 Laundry Practice contains all the information you require to answer your questions. Have a read of the guideline, I also think you will find that you are going to need to have a commercial washer and commercial dryer.
Cheers
Leeanne

Leeanne Atkinson
Coordinator
Infection Control
East Grampians Health Service
PO Box 155, Ararat, Victoria, 3377
Phone : (03) 5352 9332
Email :leeanne.atkinson@eghs.net.au
Web : http://www.eghs.net.au

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—–Original Message—–
From: ACIPC Infexion Connexion On Behalf Of Derrick H
Sent: Wednesday, 28 October 2020 8:11 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: [ACIPC_Infexion_Connexion] Guidelines for washing machines in hospital setting

*** Please Note – This email has come from an email source external to EGHS ***

Hi all

Just wondering if anyone has a policy/procedure/guidelines for washing machines in their facilities?

We have a few domestic machines in our mental health wards for patient use. It has been brought to our attention that there are concerns of cross infections as these are domestic machines and the requirements for cleaning of machines in between patient uses.

Is there any guidelines on this? Any standard that dictate that we need to use commercial machines instead with a specific heat setting to avoid cross infections?

And cleaning in between patients? This will include the dryers.

We have been asked to produce a guideline for our wards to address this and any help will be greatly appreciated. Thank you in advance.

Best regards,

Derrick Hor
A/CN
Armadale Health Service
WA
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[Anonymous]

Derick

We have 3 Mental health units, all with domestic machines, washers and dryers. We provide the chemicals for clothes washing and it is in a metered dose from an automatic dispenser, which patients cannot access. The water temperature is also set.

Email me and I will send you more details.

Helen

Helen Bear
INFECTION CONTROL/STAFF HEALTH COORDINATOR

Warners Bay Private Hospital
Nursing Admin
Phone:
02 49413 786
Email:
BearH@ramsayhealth.com.au
Web:
http://www.ramsayhealth.com
Address:
Fairfax Road, Warners Bay NSW 2282

—–Original Message—–

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Hi all

Just wondering if anyone has a policy/procedure/guidelines for washing machines in their facilities?

We have a few domestic machines in our mental health wards for patient use. It has been brought to our attention that there are concerns of cross infections as these are domestic machines and the requirements for cleaning of machines in between patient uses.

Is there any guidelines on this? Any standard that dictate that we need to use commercial machines instead with a specific heat setting to avoid cross infections?

And cleaning in between patients? This will include the dryers.

We have been asked to produce a guideline for our wards to address this and any help will be greatly appreciated. Thank you in advance.

Best regards,

Derrick Hor
A/CN
Armadale Health Service
WA
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

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[Unlimited Quality Systems]

Hi Derrick

Notwithstanding the relevant Australian Standards applicable to laundry, in
mental health you face similar challenges to those of us working in the Aged
Care sector. In AC its all about choice, that includes having provision for
residents to be able to complete their laundry where they have the capacity
– we simply can’t say “you have no choice, you have to use our service” –
same issue comes to the fore when families decide they are going to do their
relatives laundry – how on earth would we control how ‘clean’ their machine
is, or what they do between loads.

There are products on the market that facilitate the cleaning of washing,
but I am not aware of any Australian standard or documented process that
would address trying to ‘normalise’ things for those who can do them during
a pandemic – the pandemic is something we hope will be a once in a lifetime
experience.

With residents I am lucky enough to care for there have been no issues to
date – but I would hate to think the solution is an institutional one,
thereby taking away more independence, which I believe would equally apply
in a mental health setting.

At the end of the day the approach I take is a risk based one and go from
there. At this point in time, no COVID in the locale – in fact nothing for
the last 5 months, so likelihood is way down on the scale – RESULT – Risk
managed, happy residents.

Hope this helps

Regards

David

David Mallyon-Potter
Clinical and Operational Risk Manager

—–Original Message—–
H
hospital setting

Hi all

Just wondering if anyone has a policy/procedure/guidelines for washing
machines in their facilities?

We have a few domestic machines in our mental health wards for patient use.
It has been brought to our attention that there are concerns of cross
infections as these are domestic machines and the requirements for cleaning
of machines in between patient uses.

Is there any guidelines on this? Any standard that dictate that we need to
use commercial machines instead with a specific heat setting to avoid cross
infections?

And cleaning in between patients? This will include the dryers.

We have been asked to produce a guideline for our wards to address this and
any help will be greatly appreciated. Thank you in advance.

Best regards,

Derrick Hor
A/CN
Armadale Health Service
WA
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[Manager (Fitzgerald Aged Care Facility)]

Hi Derrick,
Bunzl has a laundry powder satchet that washes the clothes and disinfects
the machine at the same time, thats what we use.

Kind regards,

| Anna Whitney | Executive Manager
| t. (02) 4577 2800 | m. 0406 574 042 | f. (02) 4577 2627
| 1 Rum Corp Lane WINDSOR NSW 2756
| w. http://www.fitzgeraldacf.com.au
| Follow us on Facebook

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—–Original Message—–
David Mallyon-Potter
hospital setting

Hi Derrick

Notwithstanding the relevant Australian Standards applicable to laundry, in
mental health you face similar challenges to those of us working in the Aged
Care sector. In AC its all about choice, that includes having provision for
residents to be able to complete their laundry where they have the capacity
– we simply can’t say “you have no choice, you have to use our service” –
same issue comes to the fore when families decide they are going to do their
relatives laundry – how on earth would we control how ‘clean’ their machine
is, or what they do between loads.

There are products on the market that facilitate the cleaning of washing,
but I am not aware of any Australian standard or documented process that
would address trying to ‘normalise’ things for those who can do them during
a pandemic – the pandemic is something we hope will be a once in a lifetime
experience.

With residents I am lucky enough to care for there have been no issues to
date – but I would hate to think the solution is an institutional one,
thereby taking away more independence, which I believe would equally apply
in a mental health setting.

At the end of the day the approach I take is a risk based one and go from
there. At this point in time, no COVID in the locale – in fact nothing for
the last 5 months, so likelihood is way down on the scale – RESULT – Risk
managed, happy residents.

Hope this helps

Regards

David

David Mallyon-Potter
Clinical and Operational Risk Manager

—–Original Message—–
H
hospital setting

Hi all

Just wondering if anyone has a policy/procedure/guidelines for washing
machines in their facilities?

We have a few domestic machines in our mental health wards for patient use.
It has been brought to our attention that there are concerns of cross
infections as these are domestic machines and the requirements for cleaning
of machines in between patient uses.

Is there any guidelines on this? Any standard that dictate that we need to
use commercial machines instead with a specific heat setting to avoid cross
infections?

And cleaning in between patients? This will include the dryers.

We have been asked to produce a guideline for our wards to address this and
any help will be greatly appreciated. Thank you in advance.

Best regards,

Derrick Hor
A/CN
Armadale Health Service
WA
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO
NOT REPRESENT THE OPINION OF ACIPC.

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or services by brand or commercial names, please do this outside the list.

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NOT REPRESENT THE OPINION OF ACIPC.

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or services by brand or commercial names, please do this outside the list.

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[David Purnell]

Hi Derrick,

I agree with David, Helen and Leanne. It really does come down to the
individual situation.
Commercial machines will essentially provide you with the ability to meet
thermal disinfection (65 degrees C for 10 minutes or 71 degrees C for 3
minutes) to AS NZS 4146-2000.
Domestic machines (generally) do not have the ability to program.

You can also look at chemical disinfection via powder or as Helen mentioned
via a dispensing system with a measured dose to meet Australian Standards
Happy to assist further if needed.

–

Stay Safe,

David Purnell

Healthcare Sector Lead Australia Diversey

29 Chifley Street

Smithfield 2164 NSW

Sydney Australia

P:(02) 9757 0397

C: 0411 075 732

On Thu, Oct 29, 2020 at 12:09 PM David Mallyon-Potter
wrote:

> Hi Derrick
>
> Notwithstanding the relevant Australian Standards applicable to laundry, in
> mental health you face similar challenges to those of us working in the
> Aged
> Care sector. In AC its all about choice, that includes having provision for
> residents to be able to complete their laundry where they have the capacity
> – we simply can’t say “you have no choice, you have to use our service” –
> same issue comes to the fore when families decide they are going to do
> their
> relatives laundry – how on earth would we control how ‘clean’ their machine
> is, or what they do between loads.
>
> There are products on the market that facilitate the cleaning of washing,
> but I am not aware of any Australian standard or documented process that
> would address trying to ‘normalise’ things for those who can do them during
> a pandemic – the pandemic is something we hope will be a once in a lifetime
> experience.
>
> With residents I am lucky enough to care for there have been no issues to
> date – but I would hate to think the solution is an institutional one,
> thereby taking away more independence, which I believe would equally apply
> in a mental health setting.
>
> At the end of the day the approach I take is a risk based one and go from
> there. At this point in time, no COVID in the locale – in fact nothing for
> the last 5 months, so likelihood is way down on the scale – RESULT – Risk
> managed, happy residents.
>
> Hope this helps
>
> Regards
>
>
> David
>
> David Mallyon-Potter
> Clinical and Operational Risk Manager
>
>
>
> —–Original Message—–
> From: ACIPC Infexion Connexion On Behalf Of
> Derrick
> H
> Sent: Wednesday, 28 October 2020 7:11 PM
> To: ACIPCLIST@ACIPC.ORG.AU
> Subject: [ACIPC_Infexion_Connexion] Guidelines for washing machines in
> hospital setting
>
> Hi all
>
> Just wondering if anyone has a policy/procedure/guidelines for washing
> machines in their facilities?
>
> We have a few domestic machines in our mental health wards for patient use.
> It has been brought to our attention that there are concerns of cross
> infections as these are domestic machines and the requirements for cleaning
> of machines in between patient uses.
>
> Is there any guidelines on this? Any standard that dictate that we need to
> use commercial machines instead with a specific heat setting to avoid cross
> infections?
>
> And cleaning in between patients? This will include the dryers.
>
> We have been asked to produce a guideline for our wards to address this and
> any help will be greatly appreciated. Thank you in advance.
>
> Best regards,
>
> Derrick Hor
> A/CN
> Armadale Health Service
> WA
> 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
>
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> admin@acipc.org.au
>
> You can unsubscribe manually from this list by sending ‘signoff acipclist’
> (without the quotes) to listserv@aicalist.org.au
>
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> NOT REPRESENT THE OPINION OF ACIPC.
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> The use of trade/product/commercial brand names through the list is
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[Michael Wishart]

Hi Derrick

There have been a number of useful responses already to this great question, but just wanted tio mention there are a number of disinfection chemicals that can be used at both high and low temperature wash cycles that you could look at.

As mentioned, the washing of personal clothing by a resident is a ‘grey area’, but good practice would dictate that disinfection of the washing machine between residents would be of value in reducing any cross-infection risks. This may or may not include use of chemicals which disinfect the machine at the same time as clothes are washed. We can’t mention actual product names or companies in Infexion Connexion (sorry, I let one slip through today, my apologies), but speak to your chemical suppliers, or speak to other similar facilities to see how they manage this as well.

Hope you can find a working process that fits your circumstances, as well as managing infection risk.

Cheers
Michael

Michael Wishart | Infection Control Coordinator, CICP-E

St Vincent’s Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
M +61 448 954 282 | T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
W https://www.svphn.org.au

St Vincent’s Private Hospital Brisbane | 411 Main Street KANGAROO POINT QLD 4169
M +61 448 954 282 | T +61 7 3240 1208 | F +61 7 3240 1166
E michael.wishart@svha.org.au |
W https://www.svphb.org.au

—–Original Message—–

Hi all

Just wondering if anyone has a policy/procedure/guidelines for washing machines in their facilities?

We have a few domestic machines in our mental health wards for patient use. It has been brought to our attention that there are concerns of cross infections as these are domestic machines and the requirements for cleaning of machines in between patient uses.

Is there any guidelines on this? Any standard that dictate that we need to use commercial machines instead with a specific heat setting to avoid cross infections?

And cleaning in between patients? This will include the dryers.

We have been asked to produce a guideline for our wards to address this and any help will be greatly appreciated. Thank you in advance.

Best regards,

Derrick Hor
A/CN
Armadale Health Service
WA
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[Anonymous]

Hi Derrick,

We have been working with laundry facilities and would be happy to discuss
this with you offline as we cannot mention products.

All I can say is that we are able to assist with products that work in cold,
ambient and hot temperatures.

Get in touch if you would be interested.

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

—–Original Message—–
H
hospital setting

Hi all

Just wondering if anyone has a policy/procedure/guidelines for washing
machines in their facilities?

We have a few domestic machines in our mental health wards for patient use.
It has been brought to our attention that there are concerns of cross
infections as these are domestic machines and the requirements for cleaning
of machines in between patient uses.

Is there any guidelines on this? Any standard that dictate that we need to
use commercial machines instead with a specific heat setting to avoid cross
infections?

And cleaning in between patients? This will include the dryers.

We have been asked to produce a guideline for our wards to address this and
any help will be greatly appreciated. Thank you in advance.

Best regards,

Derrick Hor
A/CN
Armadale Health Service
WA
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[Derrick H]

Thank you so much to everyone who responded. Our infection control team has informed me that we do have guidelines set in our service already. And they will assist us in our query for mental health. My mistake for not checking in with them first. Thank you again.

Best regards,

Derrick Hor
A/CN
Armadale Health Service.

> On 29 Oct 2020, at 11:17 am, Ana Robinson wrote:
>
> Hi Derrick,
>
> We have been working with laundry facilities and would be happy to discuss
> this with you offline as we cannot mention products.
>
> All I can say is that we are able to assist with products that work in cold,
> ambient and hot temperatures.
>
> Get in touch if you would be interested.
>
> With Kind Regards
>
> Ana Robinson
> Director
> Mob: 0412 355 456 | tel: 1300 936 044 | fax: (02) 8080 4335
> ana@anaeron.com.au | http://www.anaeron.com.au
> PO Box 22 Forestville NSW 2087 | 20/8 Tilley Lane, Frenchs Forest NSW 2086
>
>
> —–Original Message—–
> From: ACIPC Infexion Connexion On Behalf Of Derrick
> H
> Sent: Wednesday, 28 October 2020 8:11 PM
> To: ACIPCLIST@ACIPC.ORG.AU
> Subject: [ACIPC_Infexion_Connexion] Guidelines for washing machines in
> hospital setting
>
> Hi all
>
> Just wondering if anyone has a policy/procedure/guidelines for washing
> machines in their facilities?
>
> We have a few domestic machines in our mental health wards for patient use.
> It has been brought to our attention that there are concerns of cross
> infections as these are domestic machines and the requirements for cleaning
> of machines in between patient uses.
>
> Is there any guidelines on this? Any standard that dictate that we need to
> use commercial machines instead with a specific heat setting to avoid cross
> infections?
>
> And cleaning in between patients? This will include the dryers.
>
> We have been asked to produce a guideline for our wards to address this and
> any help will be greatly appreciated. Thank you in advance.
>
> Best regards,
>
> Derrick Hor
> A/CN
> Armadale Health Service
> WA
> MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO
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[Mona Schousboe]

Unfortunately, in my experience, many acute hospital wards want a washing
machine to wash some patients nightgowns and other personal clothing items
when their family are unable to provide help. They do not always consult
IP&C.service. They often have little spare housekeeping staff so these
washing machines are risky. It is important to be sure there is dedicated
staff to perform the service.
In the Spinal Injury Unit, I visited regularly, patients might be in
different stages of rehabilitation and therefore want personal clothing. We
instituted one patient one load of washing. Contaminated clothes or if
patients were colonised with resistant bacteria we soaked the inner body
clothes in a bleach solution formulated for clothing. The washing machine
had to be wiped down between patients and receive disinfection run daily.
Mona Schousboe
FRCPA, MPH
Medical Microbiologist ( retired)
Christchurch, New Zealand

On Thu, Oct 29, 2020 at 10:38 AM Derrick H wrote:

> Hi all
>
> Just wondering if anyone has a policy/procedure/guidelines for washing
> machines in their facilities?
>
> We have a few domestic machines in our mental health wards for patient
> use. It has been brought to our attention that there are concerns of cross
> infections as these are domestic machines and the requirements for cleaning
> of machines in between patient uses.
>
> Is there any guidelines on this? Any standard that dictate that we need to
> use commercial machines instead with a specific heat setting to avoid cross
> infections?
>
> And cleaning in between patients? This will include the dryers.
>
> We have been asked to produce a guideline for our wards to address this
> and any help will be greatly appreciated. Thank you in advance.
>
> Best regards,
>
> Derrick Hor
> A/CN
> Armadale Health Service
> WA
> 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
>
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> admin@acipc.org.au
>
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>

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

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