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Hi everyone,
I have request by builders to put jumbo toilet roll holders – that hold large round rolls- in ensuite rooms on a new ICU build. My thoughts are no it is an infection control risk but I thought I would ask my more experience learned colleagues in case you have done this?.
Yep sure am covering the big issues today!!!Cate Coffey | Clinical Nurse Consultant
Infection Prevention and Control Unit | Central Australia Health Service
Northern Territory Government
Alice Springs Hopsital, Gap Rd, Alice Springs
GPO Box 2234, Suburb, NT Postcode
p … 08 89517737
e … cate.coffey@nt.gov.au http://www.nt.gov.au/healthOur Vision: Better health outcomes for all Central Australians
Our Values: Community at the Centre | Equity and Integrity | We are Accountable | We are Relevant Today and Ready for Tomorrow | We are Committed to High Quality Care | We Value our PartnershipsCentral Australia Health Service is a Smoke Free Workplace
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It is not something you are putting onto a sterile or even particularly clean site, so I don’t really think its an infection control risk.
Kelly
Kelly Barton
Infection Prevention & Control Officer
Monday- Friday.[Flu_Movie_sticker]
P Reduce, re-use, recycle. Please consider the environment before printing this e-mail.30 O’Donnell Ave
Myrtleford, Vic. 3737.[Description: Alpine Health Logo 1]
Hi everyone,
I have request by builders to put jumbo toilet roll holders – that hold large round rolls- in ensuite rooms on a new ICU build. My thoughts are no it is an infection control risk but I thought I would ask my more experience learned colleagues in case you have done this?.
Yep sure am covering the big issues today!!!Cate Coffey | Clinical Nurse Consultant
Infection Prevention and Control Unit | Central Australia Health Service
Northern Territory Government
Alice Springs Hopsital, Gap Rd, Alice Springs
GPO Box 2234, Suburb, NT Postcode
p … 08 89517737
e … cate.coffey@nt.gov.au http://www.nt.gov.au/healthOur Vision: Better health outcomes for all Central Australians
Our Values: Community at the Centre | Equity and Integrity | We are Accountable | We are Relevant Today and Ready for Tomorrow | We are Committed to High Quality Care | We Value our PartnershipsCentral Australia Health Service is a Smoke Free Workplace
The information in this e-mail is intended solely for the addressee named. It may contain legally privileged or confidential information that is subject to copyright. If you are not the intended recipient you must not use, disclose copy or distribute this communication. If you have received this message in error, please delete the e-mail and notify the sender. No representation is made that this e-mail is free of viruses. Virus scanning is recommended and is the responsibility of the recipient.
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The only issue in my view would be from a discharge cleaning perspective. If you normally dispose of paper (non-wipeable) products after an MRO in the room, for example, this would potentially increase wastage.
Otherwise, I would agree it is not an infection control issue.
Cheers
MichaelMichael Wishart
Infection Control Coordinator
Holy Spirit Northside Private Hospital
627 Rode Road, Chermside, Qld 4032
t: (07) 3326 3068 | f: (07) 3326 3523
e: Michael.Wishart@hsn.org.au
w:www.holyspiritnorthside.org.au
Please consider the environment before printing this email
________________________________It is not something you are putting onto a sterile or even particularly clean site, so I dont really think its an infection control risk.
Kelly
Kelly Barton
Infection Prevention & Control Officer
Monday- Friday.P Reduce, re-use, recycle. Please consider the environment before printing this e-mail.
30 ODonnell Ave
Myrtleford, Vic. 3737.Hi everyone,
I have request by builders to put jumbo toilet roll holders that hold large round rolls- in ensuite rooms on a new ICU build. My thoughts are no it is an infection control risk but I thought I would ask my more experience learned colleagues in case you have done this?.
Yep sure am covering the big issues today!!!Cate Coffey | Clinical Nurse Consultant
Infection Prevention and Control Unit | Central Australia Health Service
Northern Territory Government
Alice Springs Hopsital, Gap Rd, Alice Springs
GPO Box 2234, Suburb, NT Postcode
p … 08 89517737
e … cate.coffey@nt.gov.au http://www.nt.gov.au/healthOur Vision: Better health outcomes for all Central Australians
Our Values: Community at the Centre | Equity and Integrity | We are Accountable | We are Relevant Today and Ready for Tomorrow | We are Committed to High Quality Care | We Value our PartnershipsCentral Australia Health Service is a Smoke Free Workplace
The information in this e-mail is intended solely for the addressee named. It may contain legally privileged or confidential information that is subject to copyright. If you are not the intended recipient you must not use, disclose copy or distribute this communication. If you have received this message in error, please delete the e-mail and notify the sender. No representation is made that this e-mail is free of viruses. Virus scanning is recommended and is the responsibility of the recipient.
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HI Cate,
Not ICU, but we have them in our day hospital, can’t really see why it would be considered an IC risk, it is a toilet after all??
Cheers
Tina Owens
Director of Nursing[cid:9E350D6D-535C-4698-891D-F55ACC3FBEB3@tci.local]
M 0419 026 091 T 07 5613 2000
t.owens@thecosmeticinstitute.com.au
98 Marine Parade, Southport, QLD 4215
[cid:28BB8E47-FA99-4957-98F0-001299011A63@tci.local] [cid:0695DACD-A5A1-4802-8717-C1B1DE0F7CFC@tci.local] [cid:AA704435-49C1-4C20-AC86-9DF777D87F69@tci.local] [cid:3131B61C-C776-4A69-85FF-8DD35192640A@tci.local] thecosmeticinstitute.com.auHi everyone,
I have request by builders to put jumbo toilet roll holders – that hold large round rolls- in ensuite rooms on a new ICU build. My thoughts are no it is an infection control risk but I thought I would ask my more experience learned colleagues in case you have done this?.
Yep sure am covering the big issues today!!!Cate Coffey | Clinical Nurse Consultant
Infection Prevention and Control Unit | Central Australia Health Service
Northern Territory Government
Alice Springs Hopsital, Gap Rd, Alice Springs
GPO Box 2234, Suburb, NT Postcode
p … 08 89517737
e … cate.coffey@nt.gov.au http://www.nt.gov.au/healthOur Vision: Better health outcomes for all Central Australians
Our Values: Community at the Centre | Equity and Integrity | We are Accountable | We are Relevant Today and Ready for Tomorrow | We are Committed to High Quality Care | We Value our PartnershipsCentral Australia Health Service is a Smoke Free Workplace
The information in this e-mail is intended solely for the addressee named. It may contain legally privileged or confidential information that is subject to copyright. If you are not the intended recipient you must not use, disclose copy or distribute this communication. If you have received this message in error, please delete the e-mail and notify the sender. No representation is made that this e-mail is free of viruses. Virus scanning is recommended and is the responsibility of the recipient.
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 Cate,
I am aware that Professor John Ferguson has raised concerns about quality of toilet paper e.g. cheap 1 ply, as used in hospitals, as a potential risk for VRE transmission.
Maybe you could contact him for some further evidence to support not installing jumbo rolls.
I find it intriguing that hospitals install jumbo 1 ply toilet rolls usually in very low wall mounted toilet roll dispensers which are very difficult for patients to use (find the end of the roll) hence contaminate the roll with dirty hands, plus the toilet paper usually ends up on the floor in a long strip which patients will pull up to use.
Surely single leaf toilet paper dispensers mounted at a height that a patient & staff can more easily access would have to be better but are deemed as ‘expensive’ & messy as the leaflets can fall on the floor as does the toilet roll paper but the single leaflets are much harder to pick up!
However single leaf dispensers are easier for patients to use especially if mounted at a correct height plus there is generally less wastage, the paper is better protected from contamination & no sharp edges from the paper cutting edge.
Have you asked the opinion of an occupational therapist? I have previously worked in a small geriatric hospital & it was a very interesting exercise trialling toilet paper – there were many OT issues & the single leaflet paper was definitely the easiest for the patient to use.
We are currently planning our fixtures & fittings for our redevelopment. Our redevelopment team have chosen jumbo toilet roll holders however the toilet paper is dispensed from the centre of the dispenser to reduce risk of contamination by patient hands & the roll of paper falling onto the ground. I will send you a photo.
Cheers
Cath WadeClinical Nurse Consultant | Infection Prevention and Control
Level 1, 67 Holden Street Gosford Hospital
Catherine.Wade@health.nsw.gov.au or CCLHD-IPAC@health.nsw.gov.au
[cid:image002.jpg@01D1B28A.E86502E0][cid:image004.jpg@01D1B28A.E86502E0]Hi everyone,
I have request by builders to put jumbo toilet roll holders – that hold large round rolls- in ensuite rooms on a new ICU build. My thoughts are no it is an infection control risk but I thought I would ask my more experience learned colleagues in case you have done this?.
Yep sure am covering the big issues today!!!Cate Coffey | Clinical Nurse Consultant
Infection Prevention and Control Unit | Central Australia Health Service
Northern Territory Government
Alice Springs Hopsital, Gap Rd, Alice Springs
GPO Box 2234, Suburb, NT Postcode
p … 08 89517737
e … cate.coffey@nt.gov.au http://www.nt.gov.au/healthOur Vision: Better health outcomes for all Central Australians
Our Values: Community at the Centre | Equity and Integrity | We are Accountable | We are Relevant Today and Ready for Tomorrow | We are Committed to High Quality Care | We Value our PartnershipsCentral Australia Health Service is a Smoke Free Workplace
The information in this e-mail is intended solely for the addressee named. It may contain legally privileged or confidential information that is subject to copyright. If you are not the intended recipient you must not use, disclose copy or distribute this communication. If you have received this message in error, please delete the e-mail and notify the sender. No representation is made that this e-mail is free of viruses. Virus scanning is recommended and is the responsibility of the recipient.
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Hi Cate,
Agree with the issue in terms of terminal/discharge cleaning and
disinfection of the unit.In addition to prevent contamination of patient hands you might want to
consider how well they work, ease of use, ply of toilet paper etcRegards
Glenys
Glenys Harrington
Consultant
Infection Control Consultancy (ICC)
PO Box 5202
Middle Park
Victoria, 3206
Australia
M: +61 404 816 434
ABN 47533508426
Of Cate Coffey
Hi everyone,
I have request by builders to put jumbo toilet roll holders – that hold
large round rolls- in ensuite rooms on a new ICU build. My thoughts are no
it is an infection control risk but I thought I would ask my more experience
learned colleagues in case you have done this?.Yep sure am covering the big issues today!!!
Cate Coffey | Clinical Nurse Consultant
Infection Prevention and Control Unit | Central Australia Health Service
Northern Territory Government
Alice Springs Hopsital, Gap Rd, Alice Springs
GPO Box 2234, Suburb, NT Postcode
p … 08 89517737
e … cate.coffey@nt.gov.au http://www.nt.gov.au/health
Our Vision: Better health outcomes for all Central Australians
Our Values: Community at the Centre | Equity and Integrity | We are
Accountable | We are Relevant Today and Ready for Tomorrow | We are
Committed to High Quality Care | We Value our PartnershipsCentral Australia Health Service is a Smoke Free Workplace
The information in this e-mail is intended solely for the addressee named.
It may contain legally privileged or confidential information that is
subject to copyright. If you are not the intended recipient you must not
use, disclose copy or distribute this communication. If you have received
this message in error, please delete the e-mail and notify the sender. No
representation is made that this e-mail is free of viruses. Virus scanning
is recommended and is the responsibility of the recipient.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
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the quotes) to listserv@aicalist.org.auMESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
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Hi Cate,
I would suggest that you refer to the Standard Components provided as part of the resources within the Australasian Health Facility Guidelines.
https://healthfacilityguidelines.com.au/standard-components
On referring to the recommendations for ensuite bathrooms there is clear evidence that a small standard toilet roll holder is what is drawn in all ensuite Room Layout Sheets for single, double or 4 bed shared ensuite toilet facilities (described as ‘dispenser toilet paper’)
I think that you would do well to refer your design team to these standard components. I agree that the risk may generally be minor, but think in a broader risk management context that toilets and bathrooms should be regarded as being of higher risk for transmission of important pathogens and recognise that cleaning of complicated larger dispenser may be problematic and potentially ineffective sometimes.
Hope that helps you in your quest of the big issues 🙂
Kind regards
Rachel……………………………………………………………………………..
Rachel Thomson
Nurse Unit ManagerInfection Prevention & Control Unit
Royal Hobart Hospital
Tasmanian Health Organisation-SouthPlease note that my number has changed from 8th March 2016 to
*: 03 6166 7882/ 6166 8658Level 4, H Block
48 Liverpool Street
Hobart, 7000Hi everyone,
I have request by builders to put jumbo toilet roll holders – that hold large round rolls- in ensuite rooms on a new ICU build. My thoughts are no it is an infection control risk but I thought I would ask my more experience learned colleagues in case you have done this?.
Yep sure am covering the big issues today!!!Cate Coffey | Clinical Nurse Consultant
Infection Prevention and Control Unit | Central Australia Health Service
Northern Territory Government
Alice Springs Hopsital, Gap Rd, Alice Springs
GPO Box 2234, Suburb, NT Postcode
p … 08 89517737
e … cate.coffey@nt.gov.au http://www.nt.gov.au/healthOur Vision: Better health outcomes for all Central Australians
Our Values: Community at the Centre | Equity and Integrity | We are Accountable | We are Relevant Today and Ready for Tomorrow | We are Committed to High Quality Care | We Value our PartnershipsCentral Australia Health Service is a Smoke Free Workplace
The information in this e-mail is intended solely for the addressee named. It may contain legally privileged or confidential information that is subject to copyright. If you are not the intended recipient you must not use, disclose copy or distribute this communication. If you have received this message in error, please delete the e-mail and notify the sender. No representation is made that this e-mail is free of viruses. Virus scanning is recommended and is the responsibility of the recipient.
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
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Dear Cate and colleagues
What an interesting topic. It seems that the only issue raised is wipeable surfaces. Can I please take this opportunity to raise thinking, and likely debate about the adjunct method of disinfection – no waterless disinfection.
As many of you may realise there are now several different types of either hydrogen or xenon-based waterless disinfection system. These systems are now almost routine in US hospitals and are being adopted in the UK and other parts of the world as they become available.
There is good evidence for their effectiveness and contribution to reducing transmission risk and infection. They are NOT an alternative to but an ADJUNCT to cleaning. As a healthcare consumer my hope is that they soon become routine in Australian hospitals.
Happy to talk more about them to anyone who may be interested. I know that summary papers and other research papers have previously been shared here and I am also happy to share those again.
Warm regards
CathCathryn Murphy RN MPH PhD
Executive Director
Infection Control Plus Pty Ltd
PO Box 3079
Burleigh Town 4219
Queensland
AUSTRALIAE: Cath@infectioncontrolplus.com.au
http://www.infectioncontrolplus.com.au
Hi everyone,
I have request by builders to put jumbo toilet roll holders – that hold large round rolls- in ensuite rooms on a new ICU build. My thoughts are no it is an infection control risk but I thought I would ask my more experience learned colleagues in case you have done this?.
Yep sure am covering the big issues today!!!Cate Coffey | Clinical Nurse Consultant
Infection Prevention and Control Unit | Central Australia Health Service
Northern Territory Government
Alice Springs Hopsital, Gap Rd, Alice Springs
GPO Box 2234, Suburb, NT Postcode
p … 08 89517737
e … cate.coffey@nt.gov.au http://www.nt.gov.au/healthOur Vision: Better health outcomes for all Central Australians
Our Values: Community at the Centre | Equity and Integrity | We are Accountable | We are Relevant Today and Ready for Tomorrow | We are Committed to High Quality Care | We Value our PartnershipsCentral Australia Health Service is a Smoke Free Workplace
The information in this e-mail is intended solely for the addressee named. It may contain legally privileged or confidential information that is subject to copyright. If you are not the intended recipient you must not use, disclose copy or distribute this communication. If you have received this message in error, please delete the e-mail and notify the sender. No representation is made that this e-mail is free of viruses. Virus scanning is recommended and is the responsibility of the recipient.
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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[Posted on behalf of member – Moderator]
Hi Cate,
I am under the impression that the toilet paper leaflet dispensers are more cost effective, available in single and multiple ply. These dispensers have no possibility of contamination and the dispenser is cleanable.Richard Bartolo
Manager Infection Prevention
Western Health
Gordon Street, Footscray VIC 3011
Ph. 03 8345 6113
Mob. 0438 560 441
Email. richard.bartolo@wh.org.au
Web. http://www.westernhealth.org.au[2010wh_logo]
C ompassion, A ccountability, R espect, E xcellence, S afetyNotice:
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- The forum ‘Infexion Connexion’ is closed to new topics and replies.