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help please – contamination risk of gloves stored in resident ensuite

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  • #77537
    Robyn Russell
    Participant

    Author:
    Robyn Russell

    Position:
    Client Safety and Quality Consultant

    Organisation:
    Helping Hand

    State:
    SA

    Hi there
    Hoping you can post this question for me

    A number of our residential sites store gloves in holders in the resident ensuite
    I am looking for any evidence that identifies the risk of contamination to the gloves and boxes they are stored in, from toilet flushing (we don’t have lids in the main to allow for toilet seat raises to be in place)
    My other concern is that staff then use the resident hand basin in the ensuite to undertake hand hygiene before and after glove use

    For the same reason of contamination of the environment from toilet flushing and different levels of personal hygiene of residents I want to remove gloves from ensuites
    I am having difficulties locating the evidence needed to convince managers that gloves should be located at clinical hand basins or with the wall mounted ABHR stations in corridor areas

    I understand in acute settings gloves are generally wall mounted by the clinical hand basin in the patient’s room, but we only have hand basins in the ensuite.
    We generally do not have ABHR in each resident room for the safety of residents living with dementia
    We also try our best to provide a home like environment, not cluttered with clinical equipment.

    I hope this makes sense

    Kind regards
    Robyn

    [http://www.helpinghand.org.au/hhsig.png]Robyn Russell
    Client Safety & Quality Consultant
    34 Molesworth Street, North Adelaide SA 5006
    T. (08) 8224 7851
    M. 0424 167 101
    F. (08) 8267 2690
    http://www.helpinghand.org.au
    [cid:image001.png@01D6C18B.FD9AE4D0]

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    #77538
    sixdunns@OPTUSNET.COM.AU Subject: Re: help please – contamination risk of gloves stored in resident ensuite In-Reply-To:
    Participant

    Author:
    sixdunns@OPTUSNET.COM.AU Subject: Re: help please – contamination risk of gloves stored in resident ensuite In-Reply-To:

    Position:

    Organisation:

    State:

    Hi Robyn,

    I’m looking at the same thing in the Aged Care that I work in, so I’ll be
    pleased to see what answers you receive.

    I was thinking the opposite to you however, and was looking at getting the
    holders for gloves placed on the walls of the ensuites, as at the moment the
    gloves are not fixed and end up everywhere. I was also going to have paper
    towels dispensers placed next to the gloves, mainly for staff use.

    Am I on the wrong track?

    Catherine

    Catherine Dunn RN1

    IPC student

    Fairway Bayside Aged Care

    Russell
    gloves stored in resident ensuite

    Hi there

    Hoping you can post this question for me

    A number of our residential sites store gloves in holders in the resident
    ensuite

    I am looking for any evidence that identifies the risk of contamination to
    the gloves and boxes they are stored in, from toilet flushing (we don’t have
    lids in the main to allow for toilet seat raises to be in place)

    My other concern is that staff then use the resident hand basin in the
    ensuite to undertake hand hygiene before and after glove use

    For the same reason of contamination of the environment from toilet flushing
    and different levels of personal hygiene of residents I want to remove
    gloves from ensuites

    I am having difficulties locating the evidence needed to convince managers
    that gloves should be located at clinical hand basins or with the wall
    mounted ABHR stations in corridor areas

    I understand in acute settings gloves are generally wall mounted by the
    clinical hand basin in the patient’s room, but we only have hand basins in
    the ensuite.

    We generally do not have ABHR in each resident room for the safety of
    residents living with dementia

    We also try our best to provide a home like environment, not cluttered with
    clinical equipment.

    I hope this makes sense

    Kind regards

    Robyn

    Robyn Russell
    Client Safety & Quality Consultant
    34 Molesworth Street, North Adelaide SA 5006
    T. (08) 8224 7851
    M. 0424 167 101
    F. (08) 8267 2690
    http://www.helpinghand.org.au

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    #77539
    Tommy Widjaja
    Participant

    Author:
    Tommy Widjaja

    Position:

    Organisation:

    State:

    Hi Robyn,

    Hope you are well today. This journal about bioaerosol may be relevant to your case. Thank you

    Kind regards,
    Tommy Widjaja
    Assistant Manager of Clinical Services
    Regents Garden Four Seasons

    Hi Robyn,
    I’m looking at the same thing in the Aged Care that I work in, so I’ll be pleased to see what answers you receive.
    I was thinking the opposite to you however, and was looking at getting the holders for gloves placed on the walls of the ensuites, as at the moment the gloves are not fixed and end up everywhere. I was also going to have paper towels dispensers placed next to the gloves, mainly for staff use.
    Am I on the wrong track?
    Catherine
    Catherine Dunn RN1
    IPC student
    Fairway Bayside Aged Care

    Hi there
    Hoping you can post this question for me

    A number of our residential sites store gloves in holders in the resident ensuite
    I am looking for any evidence that identifies the risk of contamination to the gloves and boxes they are stored in, from toilet flushing (we don’t have lids in the main to allow for toilet seat raises to be in place)
    My other concern is that staff then use the resident hand basin in the ensuite to undertake hand hygiene before and after glove use

    For the same reason of contamination of the environment from toilet flushing and different levels of personal hygiene of residents I want to remove gloves from ensuites
    I am having difficulties locating the evidence needed to convince managers that gloves should be located at clinical hand basins or with the wall mounted ABHR stations in corridor areas

    I understand in acute settings gloves are generally wall mounted by the clinical hand basin in the patient’s room, but we only have hand basins in the ensuite.
    We generally do not have ABHR in each resident room for the safety of residents living with dementia
    We also try our best to provide a home like environment, not cluttered with clinical equipment.

    I hope this makes sense

    Kind regards
    Robyn

    [http://www.helpinghand.org.au/hhsig.png]Robyn Russell
    Client Safety & Quality Consultant
    34 Molesworth Street, North Adelaide SA 5006
    T. (08) 8224 7851
    M. 0424 167 101
    F. (08) 8267 2690
    http://www.helpinghand.org.au
    [cid:image001.png@01D6C18B.FD9AE4D0]

    ________________________________

    This e-mail may contain confidential information which may also be legally privileged. Only the intended recipient(s) may access, use, distribute or copy this e-mail. If this e-mail is received in error, please inform the sender by return e-mail and delete the original. If there are doubts about the validity of this message please contact the sender by telephone. It is the recipient’s responsibility to check the e-mail and any attached files for viruses.

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    #77543
    Manager (Fitzgerald Aged Care Facility)
    Participant

    Author:
    Manager (Fitzgerald Aged Care Facility)

    Position:

    Organisation:

    State:

    Hi, I have worked in a number of aged care facilities and never seen gloves
    stored in residents ensuite, always in a corridor near the designated staff
    sink. Ensuite sinks should never be used by staff for hand hygiene as u have
    no idea what a resident has done in it!

    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

    recipient specified in message only. It is strictly forbidden to share any
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    sixdunns@OPTUSNET.COM.AU
    gloves stored in resident ensuite

    Hi Robyn,

    I’m looking at the same thing in the Aged Care that I work in, so I’ll be
    pleased to see what answers you receive.

    I was thinking the opposite to you however, and was looking at getting the
    holders for gloves placed on the walls of the ensuites, as at the moment the
    gloves are not fixed and end up everywhere. I was also going to have paper
    towels dispensers placed next to the gloves, mainly for staff use.

    Am I on the wrong track?

    Catherine

    Catherine Dunn RN1

    IPC student

    Fairway Bayside Aged Care

    Russell
    gloves stored in resident ensuite

    Hi there

    Hoping you can post this question for me

    A number of our residential sites store gloves in holders in the resident
    ensuite

    I am looking for any evidence that identifies the risk of contamination to
    the gloves and boxes they are stored in, from toilet flushing (we don’t have
    lids in the main to allow for toilet seat raises to be in place)

    My other concern is that staff then use the resident hand basin in the
    ensuite to undertake hand hygiene before and after glove use

    For the same reason of contamination of the environment from toilet flushing
    and different levels of personal hygiene of residents I want to remove
    gloves from ensuites

    I am having difficulties locating the evidence needed to convince managers
    that gloves should be located at clinical hand basins or with the wall
    mounted ABHR stations in corridor areas

    I understand in acute settings gloves are generally wall mounted by the
    clinical hand basin in the patient’s room, but we only have hand basins in
    the ensuite.

    We generally do not have ABHR in each resident room for the safety of
    residents living with dementia

    We also try our best to provide a home like environment, not cluttered with
    clinical equipment.

    I hope this makes sense

    Kind regards

    Robyn

    Robyn Russell
    Client Safety & Quality Consultant
    34 Molesworth Street, North Adelaide SA 5006
    T. (08) 8224 7851
    M. 0424 167 101
    F. (08) 8267 2690
    http://www.helpinghand.org.au

    _____

    This e-mail may contain confidential information which may also be legally
    privileged. Only the intended recipient(s) may access, use, distribute or
    copy this e-mail. If this e-mail is received in error, please inform the
    sender by return e-mail and delete the original. If there are doubts about
    the validity of this message please contact the sender by telephone. It is
    the recipient’s responsibility to check the e-mail and any attached files
    for viruses.

    _____

    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
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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.

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

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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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    #77544
    Anonymous
    Inactive

    Author:
    Anonymous

    Position:

    Organisation:

    State:

    Hi Robyn,
    I think lack of toilet lids is a very common occurrence across both aged and acute care! We had the same issue in our aged care facilities, and it took quite a bit of convincing to get the gloves out of the bathroom. But I eventually did and was also able to put ABHR in every room. Plume from flushing is definitely a thing – see attached articles – has made me rather strict at home with getting the kids to flush with the lid down!

    Aerosol Generation by Modern Flush Toilets David Johnson,Robert Lynch,Charles Marshall,Kenneth Mead &Deborah Hirst Pages 1047-1057 | Received 28 Mar 2013, Accepted 14 May 2013, Accepted author version posted online: 18 Jun 2013, Published online:05 Jul 2013 https://doi.org/10.1080/02786826.2013.814911

    Toilet plume aerosol generation rate and environmental contamination following bowl water inoculation with Clostridium difficile spores. Kathleen A.N. Aithinne, MS, Casey W. Cooper, MS
    Robert A. Lynch, PhD, David L. Johnson, PhD Published: December 14, 2018 DOI: https://doi.org/10.1016/j.ajic.2018.11.009

    Also bathroom sinks are not a clinical hand basins and should not be used for healthcare workers to wash their hands (this was part of my argument to get ABHR in every room)- even in aged care. https://www.safetyandquality.gov.au/our-work/healthcare-associated-infection/national-infection-control-guidelines page: 225

    Happy to chat if you need.

    Kind regards,
    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.

    [cid:image001.png@01D3593E.B14EC410]

    Kelly Barton
    Infection Prevention & Control Officer
    RN BHSc (Nursing). Grad Cert (Infection Control)(Advanced Acute Care). Nurse Immuniser. Cert IV T&A
    P Reduce, re-use, recycle. Please consider the environment before printing this e-mail.

    Hi there
    Hoping you can post this question for me

    A number of our residential sites store gloves in holders in the resident ensuite
    I am looking for any evidence that identifies the risk of contamination to the gloves and boxes they are stored in, from toilet flushing (we don’t have lids in the main to allow for toilet seat raises to be in place)
    My other concern is that staff then use the resident hand basin in the ensuite to undertake hand hygiene before and after glove use

    For the same reason of contamination of the environment from toilet flushing and different levels of personal hygiene of residents I want to remove gloves from ensuites
    I am having difficulties locating the evidence needed to convince managers that gloves should be located at clinical hand basins or with the wall mounted ABHR stations in corridor areas

    I understand in acute settings gloves are generally wall mounted by the clinical hand basin in the patient’s room, but we only have hand basins in the ensuite.
    We generally do not have ABHR in each resident room for the safety of residents living with dementia
    We also try our best to provide a home like environment, not cluttered with clinical equipment.

    I hope this makes sense

    Kind regards
    Robyn

    [http://www.helpinghand.org.au/hhsig.png]Robyn Russell
    Client Safety & Quality Consultant
    34 Molesworth Street, North Adelaide SA 5006
    T. (08) 8224 7851
    M. 0424 167 101
    F. (08) 8267 2690
    http://www.helpinghand.org.au
    [cid:image001.png@01D6C18B.FD9AE4D0]

    ________________________________

    This e-mail may contain confidential information which may also be legally privileged. Only the intended recipient(s) may access, use, distribute or copy this e-mail. If this e-mail is received in error, please inform the sender by return e-mail and delete the original. If there are doubts about the validity of this message please contact the sender by telephone. It is the recipient’s responsibility to check the e-mail and any attached files for viruses.

    ________________________________
    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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    #77547
    Robyn Russell
    Participant

    Author:
    Robyn Russell

    Position:
    Client Safety and Quality Consultant

    Organisation:
    Helping Hand

    State:
    SA

    Thanks everyone for your responses
    It is great to have the evidence for what clearly is not best practice
    I appreciate your time in responding and finding the research to back up my recommendations

    Regards
    Robyn

    [http://www.helpinghand.org.au/hhsig.png]Robyn Russell
    Client Safety & Quality Consultant
    34 Molesworth Street, North Adelaide SA 5006
    T. (08) 8224 7851
    M. 0424 167 101
    F. (08) 8267 2690
    http://www.helpinghand.org.au
    [cid:image002.jpg@01D6C276.EBBD4EB0]

    Hi Robyn,
    I think lack of toilet lids is a very common occurrence across both aged and acute care! We had the same issue in our aged care facilities, and it took quite a bit of convincing to get the gloves out of the bathroom. But I eventually did and was also able to put ABHR in every room. Plume from flushing is definitely a thing – see attached articles – has made me rather strict at home with getting the kids to flush with the lid down!

    Aerosol Generation by Modern Flush Toilets David Johnson,Robert Lynch,Charles Marshall,Kenneth Mead &Deborah Hirst Pages 1047-1057 | Received 28 Mar 2013, Accepted 14 May 2013, Accepted author version posted online: 18 Jun 2013, Published online:05 Jul 2013 https://doi.org/10.1080/02786826.2013.814911

    Toilet plume aerosol generation rate and environmental contamination following bowl water inoculation with Clostridium difficile spores. Kathleen A.N. Aithinne, MS, Casey W. Cooper, MS
    Robert A. Lynch, PhD, David L. Johnson, PhD Published: December 14, 2018 DOI: https://doi.org/10.1016/j.ajic.2018.11.009

    Also bathroom sinks are not a clinical hand basins and should not be used for healthcare workers to wash their hands (this was part of my argument to get ABHR in every room)- even in aged care. https://www.safetyandquality.gov.au/our-work/healthcare-associated-infection/national-infection-control-guidelines page: 225

    Happy to chat if you need.

    Kind regards,
    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.

    [cid:image001.png@01D6C23C.98699190]

    Kelly Barton
    Infection Prevention & Control Officer
    RN BHSc (Nursing). Grad Cert (Infection Control)(Advanced Acute Care). Nurse Immuniser. Cert IV T&A
    P Reduce, re-use, recycle. Please consider the environment before printing this e-mail.

    Hi there
    Hoping you can post this question for me

    A number of our residential sites store gloves in holders in the resident ensuite
    I am looking for any evidence that identifies the risk of contamination to the gloves and boxes they are stored in, from toilet flushing (we don’t have lids in the main to allow for toilet seat raises to be in place)
    My other concern is that staff then use the resident hand basin in the ensuite to undertake hand hygiene before and after glove use

    For the same reason of contamination of the environment from toilet flushing and different levels of personal hygiene of residents I want to remove gloves from ensuites
    I am having difficulties locating the evidence needed to convince managers that gloves should be located at clinical hand basins or with the wall mounted ABHR stations in corridor areas

    I understand in acute settings gloves are generally wall mounted by the clinical hand basin in the patient’s room, but we only have hand basins in the ensuite.
    We generally do not have ABHR in each resident room for the safety of residents living with dementia
    We also try our best to provide a home like environment, not cluttered with clinical equipment.

    I hope this makes sense

    Kind regards
    Robyn

    [http://www.helpinghand.org.au/hhsig.png]Robyn Russell
    Client Safety & Quality Consultant
    34 Molesworth Street, North Adelaide SA 5006
    T. (08) 8224 7851
    M. 0424 167 101
    F. (08) 8267 2690
    http://www.helpinghand.org.au
    [cid:image001.png@01D6C18B.FD9AE4D0]

    ________________________________

    This e-mail may contain confidential information which may also be legally privileged. Only the intended recipient(s) may access, use, distribute or copy this e-mail. If this e-mail is received in error, please inform the sender by return e-mail and delete the original. If there are doubts about the validity of this message please contact the sender by telephone. It is the recipient’s responsibility to check the e-mail and any attached files for viruses.

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

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