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UNCLASSIFIED
Good Afternoon,
I was wondering where it is actually written that wall mounted sharps
containers should be below eye level and minimum height 1.1m so as out
of reach of young children, can anyone advise?
Much appreciated.
Regards,
Kylie Long
Flight Lieutenant
Infection Prevention and Control
Clinical Governance & Projects
Garrison Health Operations Branch
Joint Health Command
Department of Defenceand is subject to the jurisdiction of section 70 of the Crimes Act 1914.
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Hi Kylie
Sharps containers should be fixed at a height between 900mm and 1100mm, as per the Australasian Health Facility Guidelines Standard Components Room Layout Sheets for; Dirty Utility 10m2, Patient Bay – Recovery, Stage 1, and Patient Bay – Resuscitation.
Cheers
RoelRoel Castillo
Project Officer SSD
[The Chris O`Brien Lifehouse at RPA]
Level 5, 119-143 Missenden Road
Camperdown NSW 2050
PO BOX M5 Missenden Road NSW 2050[Lifehouse Shop]
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*hWK4nY*UNCLASSIFIED
Good Afternoon,I was wondering where it is actually written that wall mounted sharps containers should be below eye level and minimum height 1.1m so as out of reach of young children, can anyone advise?
Much appreciated.
Regards,
Kylie Long
Flight Lieutenant
Infection Prevention and Control
Clinical Governance & Projects
Garrison Health Operations Branch
Joint Health Command
Department of Defence______________________________________________________________________
This email has been scanned by the Symantec Email Security.cloud service.
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______________________________________________________________________
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Hi Roel,
I find this discussion really interesting!
We purchase a well-known brand of disposable sharps containers and these units come with instructions for securing to a wall and they recommend the current NIOSH standards which are that the opening should be 52-56 inches (or approximately 1300-1400mm). I have looked at the AHFG Room Layout sheets you mention and note that the recommended height for the opening is 1100mm (couldn’t see the reference to the 900mm height). I am intrigued to know why the AHFG chose such a low height as 900mm and on what this was based. Anyone aware of this decision making process?
We are currently having a sharps container audit undertaken by the company we obtain our containers from and I have sought their advice and input to this discussion. I will post again when I have information from them.
Cheers
RachelRachel Thomson
Nurse Unit Manager
Infection Prevention & Control Unit
Royal Hobart Hospital
E: rachel.thomson@dhhs.tas.gov.auHi Kylie
Sharps containers should be fixed at a height between 900mm and 1100mm, as per the Australasian Health Facility Guidelines Standard Components Room Layout Sheets for; Dirty Utility 10m2, Patient Bay – Recovery, Stage 1, and Patient Bay – Resuscitation.
Cheers
RoelRoel Castillo
Project Officer SSD
[http://26ce8fadfb6948b4a758-9559b8fa969cb9cd67545a880c32734b.r23.cf2.rackcdn.com/LHRPA2.jpg]
Level 5, 119-143 Missenden Road
Camperdown NSW 2050
PO BOX M5 Missenden Road NSW 2050[http://26ce8fadfb6948b4a758-9559b8fa969cb9cd67545a880c32734b.r23.cf2.rackcdn.com/LifehouseShop2.jpg]
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*hWK4nY*UNCLASSIFIED
Good Afternoon,I was wondering where it is actually written that wall mounted sharps containers should be below eye level and minimum height 1.1m so as out of reach of young children, can anyone advise?
Much appreciated.
Regards,
Kylie Long
Flight Lieutenant
Infection Prevention and Control
Clinical Governance & Projects
Garrison Health Operations Branch
Joint Health Command
Department of Defence______________________________________________________________________
This email has been scanned by the Symantec Email Security.cloud service.
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______________________________________________________________________
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______________________________________________________________________
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________________________________
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Dear Kylie,
There are no national or state regulations stipulating Sharps Container (SC) height in Australia (nor elsewhere that I know of) but there are guidelines. At outset we should agree that it is height of SC aperture in Q. Here are my findings on the matter…
The correct height for SC is one at which staff can safely view down in to the aperture to ensure it is clear and to facilitate safe deposit of sharps and correct activation of tray/door (if present).The Australasian Health infrastructure Alliance shows the aperture of the wall-mounted SC to be approximately 1.3m off the floor in Acute Patient Bays (http://www.healthfacilityguidelines.com.au/standard_components_lz.aspx), however heights above 1.2m are associated with increased sharps injuries (SI) to HCW (Weltman et al ICHE 1995;16:268-274).
My research indicates that a safe, wall-mounted aperture height is 1.1m – 1.2m above floor level. Epidemiological evidence confirms that staff risk far exceeds child injury risk and at this height I have yet to see a child SI cited.Historically, SC were placed at “ergonomic height for staff to safely use” – there was no ‘recommended height from floor’. However, the fear of child access caused SC to be raised to non-ergonomic heights to the point where numerous SI to HCW have been reported because they could not see that:
* a tray/door had activated correctly
* the aperture was clear
* the SC was not overfilled;
* a sharp was not retained in the vestibule (throat) of a tray/door SC;
* or that a sharp was protruding from the aperture
NB. Karen Daley the President of American Nurses Association said she acquired HIV and HCV through an SI because the SC was mounted too high.
I have written to CDC’s NIOSH to inform them their 1998 guideline on Evaluation, Selection and Use of SC (http://www.cdc.gov/niosh/docs/97-111/ ) needs updating as they recommend a height of “52-56 inches” (1.32 – 1.42m). They will discuss this at the next, yet to be scheduled review.
SC height is compounded in countries with short-stature staff and also compounded in developed countries where nurse shortages have been filled with staff emigrating from Asia, Phillipines, Mexico, etc – all short-stature countries.Finally, sharps containers need be mounted to accommodate an institution’s shortest staff, not their average staff.
I hope this is helpful to you.
Terry Grimmond FASM, BAgrSc, GrDpAdEd
Consultant Microbiologist
Grimmond and Associates
Ph/Fx (NZ): +64 7 856 4042
Mob (NZ): +64 274 365 140
E: tg@gandassoc.com
“This email (including any attachments) is intended only for the use of the individual or entity named above and may contain information that is confidential and privileged. If you are not the intended recipient, you are reminded that any dissemination, distribution or copying of this email or attachments is prohibited. If you have received this email in error, please notify me immediately by return email or telephone and destroy the original message. Thank you.”UNCLASSIFIED
Good Afternoon,I was wondering where it is actually written that wall mounted sharps containers should be below eye level and minimum height 1.1m so as out of reach of young children, can anyone advise?
Much appreciated.
Regards,
Kylie Long
Flight Lieutenant
Infection Prevention and Control
Clinical Governance & Projects
Garrison Health Operations Branch
Joint Health Command
Department of DefenceMessages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.
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Hi Kylie
The Royal Hobart Hospital is currently undergoing major redevelopment, and the issue of where to place sharps containers caused us a few headaches! After exhaustive investigations we found that the Standards Australia HB 260-2003, Hospital acquired infections – Engineering down the risk, provided the information we were looking for. The Standard states… “Optimal placement of sharps bins, especially in areas of public access, includes fixing the container to a wall or trolley with the opening of the container 1.2 metres from floor level”.I find that the AHFG confuse the issue a little. The height of 900mm shown in the room layout data sheet for the Dirty Utility which is obviously not a public access area. However, when looking at the room layout data sheet for an in-patient room, there is no mention of a sharps container at all.
Within all our newly refurbished and newly constructed areas the height specified (in all areas) to our building contractors is as per the Standards Australia HB 260-3003 1200metres from the floor). I hope this helps.
Kind Regards
Sue Draycott
Infection Control Manager
Redevelopment RHH and CCC Services
Southern Tasmania Area Health ServiceLevel 9, A Block, Royal Hobart Hospital
Liverpool Street
Hobart, 7000Hi Kylie
Sharps containers should be fixed at a height between 900mm and 1100mm, as per the Australasian Health Facility Guidelines Standard Components Room Layout Sheets for; Dirty Utility 10m2, Patient Bay – Recovery, Stage 1, and Patient Bay – Resuscitation.
Cheers
RoelRoel Castillo
Project Officer SSD
[http://26ce8fadfb6948b4a758-9559b8fa969cb9cd67545a880c32734b.r23.cf2.rackcdn.com/LHRPA2.jpg]
Level 5, 119-143 Missenden Road
Camperdown NSW 2050
PO BOX M5 Missenden Road NSW 2050[http://26ce8fadfb6948b4a758-9559b8fa969cb9cd67545a880c32734b.r23.cf2.rackcdn.com/LifehouseShop2.jpg]
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*hWK4nY*UNCLASSIFIED
Good Afternoon,I was wondering where it is actually written that wall mounted sharps containers should be below eye level and minimum height 1.1m so as out of reach of young children, can anyone advise?
Much appreciated.
Regards,
Kylie Long
Flight Lieutenant
Infection Prevention and Control
Clinical Governance & Projects
Garrison Health Operations Branch
Joint Health Command
Department of Defence______________________________________________________________________
This email has been scanned by the Symantec Email Security.cloud service.
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______________________________________________________________________
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______________________________________________________________________
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______________________________________________________________________
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