ICE MACHINES

[Joanne Bird]

Hello All,

I am enquiring if other hospitals use bench top dispensable ice machines in ward areas and if you may have Policy/ Guideline that you are willing to share?

Looking forward to some responses,

Joanne Bird
Infection Control Nurse
Katherine and Gove Hospital
PH:89 739266 Mobile: 0427394492

Didya wash ya hands ? NO GERMS ON ME!

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[Glenys Harrington]

Joanne,

The following is a summary of findings from a literature review of Infection
Control issues associated with the use of ice machines. There are a number
of reported outbreaks and clusters of infections that have been associated
with ice machines. The two main sources of micro-organisms are from
a)potable water (the water source used to make the ice) and b)organisms from
hands of staff/patients.

Common Organsisms

POTABLE WATER*

Legionella species, Non-Tuberculous mycobacteria, Pseudomonas species,
Burkholderia cepacia, Stenotrophomonas species and Flavobacterium.

HAND TRANSFER*

Acinetobacter species, Coagulase Negative Staphylococcus, Salmonella and
Cryptosporidium species.

*Guidelines for Environmental Infection Control In Health Care Facilities,
Centers for Disease Control and Prevention, 2003.

It is important to minimise the risk of acquiring micro-organisms from the
ice machines.

If an ice machine is purchased for a ward a regular cleaning and maintenance
schedule is required in accordance with manufacturer instructions.

The Centers for Disease Control and Prevention (CDC)1 recommend the
following cleaning and maintenance procedures for ice machines;

*If using a chest type machine on a weekly basis empty and clean the
chest with soap and water, rinse with water then a dilute solution of Sodium
Hypochlorite and allow all surfaces to dry.
*On a monthly to quarterly basis remove removable parts for cleaning
and check for breakage.
*Sanitise the machine by circulating Sodium Hypochlorite solution
through the ice making and storage system for 2 to 4 hours, then drain and
flush with fresh tap water.

In addition all staff should be instructed on appropriate handling of ice
from the machine including the following;

*Frequent hand washing
*Use a scoop to remove ice from the machine not hands
*Ice machine scoop/s should be smooth, impervious, and be kept on a
tray when not in use (i.e. dry) and routinely cleaned and disinfected.

Ice machines that dispense ice directly into a portable container provide a
more sanitary method to store and obtain ice, however they do not eliminate
the potable water as a source of contamination.

If the unit decides to purchase an ice machine (chest type or self
dispensing) the unit should liaise with Engineering Services and Cleaning
Services to ensure;

a) Recommended maintenance procedures are in place

b) Recommended cleaning procedures are in place

Regards

Glenys

Glenys Harrington

Consultant

Infection Control Consultancy (ICC)

PO Box 5202

Middle Park

Victoria, 3206

Australia

H: +61 3 96902216

M: +61 404 816 434

infexion@ozemail.com.au

ABN 47533508426

Joanne Bird

Hello All,

I am enquiring if other hospitals use bench top dispensable ice machines in
ward areas and if you may have Policy/ Guideline that you are willing to
share?

Looking forward to some responses,

Joanne Bird

Infection Control Nurse

Katherine and Gove Hospital

PH:89 739266 Mobile: 0427394492

Didya wash ya hands ? NO GERMS ON ME!

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

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the quotes) to listserv@aicalist.org.au

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[Joe-Anne Bendall]

Hi Donna
We have one
http://www.seslhd.health.nsw.gov.au/Policies_Procedures_Guidelines/Clinical/Infection_Control/Documents/SESLHDPR362_IceforHumanConsumption.pdf

Thank you

Joe-Anne Bendall
Joe-Anne Bendall
Clinical Nurse Consultant Infection Prevention and Control
(Including vaccination and screening)
Monday – Friday 0730 – 1600
Sydney Hospital and Sydney Eye Hospital
8 Macquarie St
SYDNEY NSW 2000
|* ph +61 2 9382 7199 |?page 22070 via switch 9382 7111| 7 Fax 93827510 |
?Mobile 0418984255 | * Joe-anne.Bendall@SESIAHS.HEALTH.NSW.GOV.AU

Hello All,

Does anyone have any policy surrounding Ice Machine use in hospitals? Does anyone use scoop ice machines? If so, do you have a policy surrounding their use and cleaning? Any information would be useful.

Thanks,

Donna Goltz
Infection Control Coordinator
Mater Misericordiae Hospital Rockhampton
Ward Street, ROCKHAMPTON QLD 4700
T: 07 49313420 |Email: dgoltz@mercycq.com | http://www.mercycq.com
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