Laundry detergent

[Lesley Lewis]

I know this is a tangent thread to the original question – however
The laundry service described is within the scope of AS/NZS4146:2000, because it meets the definitions of either Category a commercial (nursing homes and hospitals: products serviced include personal clothing), Category c (hospitals-private, public and extended care facilities or general care facilities: products serviced include patient apparel) or Category e on premises (nursing homes and private hospitals providing a service for own internal use).
As Paul said the thermal and or chemical disinfection requirements for soiled linen (section 3.5) are quite clear, and I believe, should apply. There may be a ambiguity if use of the washing machine is restricted to only personal use by the individuals in rehab. However once staff and other purposes become involved (and inevitably they do) then the purpose and the setting will bring the service within the scope of the standard.
commercial relationship – The definitions use agency type and products serviced rather than payment.
Coin operated laundries – included within the scope of the standard.
Normalization of a home like environment – is a great philosophy and goal, however the infection risk matrix changes when many people (including people at risk of infection and people with infections/ colonization’s) are accommodated in a communal living environment. It must be recognized that this environment poses a higher risk of infection transmission than a residential home occupied by a small healthy family; and therefore enhanced infection prevention practices may be necessary.
My thoughts,
Lesley Lewis
Regional Infection Control Consultant
HRICRCS
Lesley.lewis@hume.org.au

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From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of AICALIST automatic digest system
Sent: Thursday, 09 August, 2012 12:00 AM
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There are 8 messages totaling 4223 lines in this issue.

Topics of the day:

1. Special care nursery
2. Laundry detergent (7)

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Date: Wed, 8 Aug 2012 06:40:25 +1000
From: Margaret Evans
Subject: Re: Special care nursery

Hi Rebecca
I have included a couple of posters we have had for quite a number of years now. We do allow siblings to visit & do not appear to have a problem. Only once did we have RSV come into the unit but that could have been from staff or other adult visitors (this baby did not have siblings).

I believe babies in NICU have more bugs of concern that those in the community. Hand hygiene can never be underestimated and parents, children or staff who are sick should be educated not to come into NICU or SCN.

Margie Evans
Infection Prevention & Control CNC
Royal Hospital for Women
LMB 2000
Randwick 2031
page 44075 or ph. 02 9382 6339

From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Rebecca O’Donnell
Sent: Tuesday, 7 August 2012 11:24 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Special care nursery

Good morning,

I would love some feedback regarding restrictions of visitors to Special care nurseries.

Who do you restrict? Other siblings?

I feel as long as Hand hygiene is performed and the visitor is well I personal feel that there is no real significant risk.

Some of our staff feel that in the case of twins, one goes home and one stays in the nursery then the well twin shouldn’t visit as the baby might pose a threat to the babies in Special care (perhaps from a whooping cough point of view).

Thanks,

Rebecca O’Donnell | Infection Control Co-ordinator
St Vincent’s Hospital Toowoomba | 22-36 Scott Street TOOWOOMBA 4350
T 07 4690 4042 | F 07 46904400
E rebecca.o’donnell@stvincents.org.au | W http://www.stvincents.org.au

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Date: Wed, 8 Aug 2012 13:23:27 +1000
From: “SAWMH.ICC”
Subject: Laundry detergent

Good afternoon Everyone,

Our Rehab Unit has purchased a washing maschine as part of their rehab program for inpatients. I need to find a detergent with disinfecting qualities. Is there anyone that can help me with the name of a product or company that I can contact?

Thank you

Marlize Senekal
Infection Prevention and Control Coordinator
St. Andrew’s War Memorial Hospital
457 Wickham Terrace, Spring Hill
Brisbane
Ph. 07-3834 4444
Ext. 4328, Pg. 0328

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Date: Wed, 8 Aug 2012 05:35:08 +0000
From: Michael Wishart
Subject: Re: Laundry detergent

Hi Marlize

I suppose the question has to be asked: what will they be washing in this washing machine? If it is their own personal clothes, why do you require a disinfecting additive? If it is not a commercial washing machine with automatically dispensed and monitored chemical (which I would think would be unsuitable for a rehabilitation program, unless they were all laundry workers or return to work programs….), and is not used for commercial washing (eg someone pays for the service provided) then it only needs to be similar to domestic standards, not commercial. That is my understanding, anyway. If the patients were using a Laundromat they would not need to use a disinfectant, and someone else’s clothes have been washed in the previous cycle.

Just my thoughts. If you are still wanting a commercial grade chemical disinfectant for laundries, I would be contacting a commercial laundry for some suggestions.

Cheers
Michael

Michael Wishart
CNC Infection Control
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
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From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of SAWMH.ICC
Sent: Wednesday, 8 August 2012 1:23 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Laundry detergent

Good afternoon Everyone,

Our Rehab Unit has purchased a washing maschine as part of their rehab program for inpatients. I need to find a detergent with disinfecting qualities. Is there anyone that can help me with the name of a product or company that I can contact?

Thank you

Marlize Senekal
Infection Prevention and Control Coordinator
St. Andrew’s War Memorial Hospital
457 Wickham Terrace, Spring Hill
Brisbane
Ph. 07-3834 4444
Ext. 4328, Pg. 0328

_________________________________________________________________

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Date: Wed, 8 Aug 2012 15:37:33 +1000
From: “EDMONDS, Deidre”
Subject: Re: Laundry detergent

Eltra by Ecolab is used in some of our facilities that do “in house”
washing .

Regards
Deidre Edmonds l Clinical Nurse Consultant
Infection Control l Austin Health
Level 7 HSB l Austin Campus
Email: deidre.edmonds@austin.org.au
Telephone 9496 3798
Pager 2603
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On
Behalf Of SAWMH.ICC
Sent: Wednesday, 8 August 2012 1:23
To: AICALIST@AICALIST.ORG.AU
Subject: Laundry detergent

Good afternoon Everyone,

Our Rehab Unit has purchased a washing maschine as part of their rehab
program for inpatients. I need to find a detergent with disinfecting
qualities. Is there anyone that can help me with the name of a product
or company that I can contact?

Thank you

Marlize Senekal
Infection Prevention and Control Coordinator
St. Andrew’s War Memorial Hospital
457 Wickham Terrace, Spring Hill
Brisbane
Ph. 07-3834 4444
Ext. 4328, Pg. 0328

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Date: Wed, 8 Aug 2012 15:44:10 +1000
From: Paul Smollen
Subject: Re: Laundry detergent

Marlize,

If the patient is washing their own clothes then a disinfectant is not
required. I would imagine it is a domestic washing machine that you have
purchased and not a commercial washing machine. AS4146 is quite clear
about chemical disinfection. Most commercial washing machines achieve
disinfection through thermal methods of above 65degrees. I would say if
you require the items to be disinfected I would use a commercial company
to do it as you would have to conducting monitoring and testing.

A cheap and efficient way to disinfect clothing is to use a tumble
drier, it can reduce bacteria in clothing by a 100fold.

Paul Smollen

Project Manager, HAI

Clinical Excellence Commission | Level 14/227 Elizabeth Street, Sydney
NSW 2000

T: (02) 9269 5586 l F: (02) 9269 5599 | E:
Paul.Smollen@cec.health.nsw.gov.au

http://www.cec.health.nsw.gov.au

From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On
Behalf Of SAWMH.ICC
Sent: Wednesday, 8 August 2012 1:23 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Laundry detergent

Good afternoon Everyone,

Our Rehab Unit has purchased a washing maschine as part of their rehab
program for inpatients. I need to find a detergent with disinfecting
qualities. Is there anyone that can help me with the name of a product
or company that I can contact?

Thank you

Marlize Senekal

Infection Prevention and Control Coordinator

St. Andrew’s War Memorial Hospital

457 Wickham Terrace, Spring Hill

Brisbane

Ph. 07-3834 4444

Ext. 4328, Pg. 0328

_________________________________________________________________

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Date: Wed, 8 Aug 2012 15:37:31 +0930
From: “Tozer, Jennifer (Health)”
Subject: Re: Laundry detergent

It’s my understanding that once the wash and rinse cycle is completed there is no need for the machine to have either a wipe out or empty wash cycle before the next user. Our rehab units utilise domestic washing machines and use the same parameters for washing their clothes as you would in the home. Most bio-load (but maybe not stains) is lost in the wash cycle as combination of sudsing effect and surfactant effect from the detergent combined with the movement of the water, then rinsed off and away in the rinse cycle [99% lost in the wash…] No need for disinfectant. Some of our clients have in the past done an empty cycle before using the machine for their own clothes. But, why would you if you’re willing to put items into a commercial wash house – washing machine. Might I also say that the water to washing machines is not through a mixer and so the machine (if modern) will mix the water to the parameters of the wash cycle on the individual machine. Another thing, rehab units are about normalisation, there philosophy is in my experience ‘if you don’t do in your normal environment (the home) don’t bring it into the rehab unit’ and we have this philosophy embedded policies for rehabilitation sites. Jen

Jennifer K Tozer
BArts Anthro,RN,MHN,IC cert
Infection Prevention & Control Coordinator
Mental Health Directorate
Adelaide Health Service

Telephone (08) 8282 0474
Facsimile (08) 8282 0499
mobile 0423 782 171

email jennifer.tozer@health.sa.gov.au
________________________________
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Michael Wishart
Sent: Wednesday, 8 August 2012 15:05
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Laundry detergent

Hi Marlize

I suppose the question has to be asked: what will they be washing in this washing machine? If it is their own personal clothes, why do you require a disinfecting additive? If it is not a commercial washing machine with automatically dispensed and monitored chemical (which I would think would be unsuitable for a rehabilitation program, unless they were all laundry workers or return to work programs….), and is not used for commercial washing (eg someone pays for the service provided) then it only needs to be similar to domestic standards, not commercial. That is my understanding, anyway. If the patients were using a Laundromat they would not need to use a disinfectant, and someone else’s clothes have been washed in the previous cycle.

Just my thoughts. If you are still wanting a commercial grade chemical disinfectant for laundries, I would be contacting a commercial laundry for some suggestions.

Cheers
Michael

Michael Wishart
CNC Infection Control
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
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From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of SAWMH.ICC
Sent: Wednesday, 8 August 2012 1:23 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Laundry detergent

Good afternoon Everyone,

Our Rehab Unit has purchased a washing maschine as part of their rehab program for inpatients. I need to find a detergent with disinfecting qualities. Is there anyone that can help me with the name of a product or company that I can contact?

Thank you

Marlize Senekal
Infection Prevention and Control Coordinator
St. Andrew’s War Memorial Hospital
457 Wickham Terrace, Spring Hill
Brisbane
Ph. 07-3834 4444
Ext. 4328, Pg. 0328

_________________________________________________________________

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Date: Wed, 8 Aug 2012 17:43:24 +1000
From: Jennifer Benjamin
Subject: Re: Laundry detergent

I have been having this discussion with a psychiatrie facility. They wish to dispense with the current product that they use which disinfects at low temps as its expensive.
Its the clients who wash their clothes but given that they have dubious personal hygiene and many have blood borne viruses, I am not happy to allow.
Ill find out the product name, but Im not in town at present. Feel free to remind me offline!

Jen Benjamin
Infection Control Consultant
Melbourne Pathology
M: 0402 000 590

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________________________________

From: ACIPC Infexion Connexion on behalf of SAWMH.ICC
Sent: Wed 8/08/2012 1:23 PM
To: AICALIST@AICALIST.ORG.AU
Subject: [ACIPC_Infexion_Connexion] Laundry detergent

Good afternoon Everyone,

Our Rehab Unit has purchased a washing maschine as part of their rehab program for inpatients. I need to find a detergent with disinfecting qualities. Is there anyone that can help me with the name of a product or company that I can contact?

Thank you

Marlize Senekal
Infection Prevention and Control Coordinator
St. Andrew’s War Memorial Hospital
457 Wickham Terrace, Spring Hill
Brisbane
Ph. 07-3834 4444
Ext. 4328, Pg. 0328

_________________________________________________________________

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——————————

Date: Wed, 8 Aug 2012 08:29:08 +0000
From: Judy Forrest
Subject: Re: Laundry detergent

Marlize. Eltra by Ecolab is a laundry powder which is validated to meet the chemical disinfection requirements of ASNZ4146:2000. This product is suitable for top loading domestic type machines and may also be used in commercial machines (although manually dispesensed)

Kind Regards
Judy Forrest
RN,CIC (Syd Hosp), Grad Cert. (Communicable Diseases), FCN
Managing Director
[Description: High Res – Screen]
Bug Control (Aust) Pty Ltd
Infection Control Advisory Service
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From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of SAWMH.ICC
Sent: Wednesday, 8 August 2012 3:23 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Laundry detergent

Good afternoon Everyone,

Our Rehab Unit has purchased a washing maschine as part of their rehab program for inpatients. I need to find a detergent with disinfecting qualities. Is there anyone that can help me with the name of a product or company that I can contact?

Thank you

Marlize Senekal
Infection Prevention and Control Coordinator
St. Andrew’s War Memorial Hospital
457 Wickham Terrace, Spring Hill
Brisbane
Ph. 07-3834 4444
Ext. 4328, Pg. 0328

_________________________________________________________________

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End of AICALIST Digest – 7 Aug 2012 to 8 Aug 2012 (#2012-98)
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