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    Sony SO
    Participant

    Author:
    Sony SO

    Email:
    sony@HA.ORG.HK

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    Dear All,

    I would like to know the recommended practices for Low temperature laundry wash, in particular for the temperature setting and the concentration of bleach, if use. At present, our recommended practices is as below.

    Regards,

    Sony SO
    Nursing Officer, Infection Control Team
    Kwong Wah Hospital
    Hong KONG SAR, CHINA
    Tel:+ 852 3517-2409 Fax: +852 2332-3348 email:sony@ha.org.hk
    Please consider the environment before printing this e-mail

    1. Main wash: It combines the mechanical action and either thermal or chemical disinfection cycle should be used:
    (a) Hot temperature wash: 710C (160F) for at least 3 minutes is preferable if it is practical or 650C (150F) for at least 10 minutes[1]. With both options, mixing time must be added. Wash loads of 0.056kg/litre or less will have a mixing time of 4 minutes added to the temperature holding times. Wash loads of more than 0.056kg/litre will have a mixing time of 8 minutes added to the temperature holding times. The wash temperatures will be maintained at:
    71C for at least 3 minutes + mixing time.
    65C for at least 10 minutes + mixing time.
    (b) Low temperature wash: If low temperature (<700C) laundry cycle are used, chemicals suitable for low temperature washing at proper use concentrations, as prescribed by the chemical manufacturer should be used. And it is suitable for the concerned fabrics.
    water 200C with bleach (60-150 ppm available chlorine).

    Ozone washing is a relative new method that allows ambient temperature washing cycle that is 320C to 350C. refer to manufacturers recommendation for set up of ozone concentration

    From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Fiona de Sousa
    Sent: Friday, July 20, 2012 5:46 AM
    To: AICALIST@AICALIST.ORG.AU
    Subject: Re: Management of MROs in the Operating Suite

    Hi Ruth,

    Our facility stopped using alginate bags many years ago as they cause damage to the industrial washing machines at the laundry. Instead we use a large clear plastic bag for infectious / wet linen. The laundry decant out of these bags.
    Kind Regards,

    Fiona De Sousa
    Infection Prevention & Control Coordinator
    Sydney Adventist Hospital
    Mobile: 0408 468 470
    Office: (02) 9487 9732
    Fax: (02) 9472 8053
    Fiona.Desousa@sah.org.au
    185 Fox Valley Road, Wahroonga, NSW, 2076
    ________________________________
    From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Ruth Ryburn
    Sent: Friday, 20 July 2012 5:43 AM
    To: AICALIST@AICALIST.ORG.AU
    Subject: Re: [ACIPC_Infexion_Connexion] Management of MROs in the Operating Suite

    Hi Rebecca,

    Thank you for the excerpt from your MRSA/VRE policy which was interesting.

    I did note that you specify using alginate bags for contaminated linen but I was under the impression these were no longer in vogue. Can anyone confirm or otherwise please?

    Many thanks,

    Ruth Ryburn
    Infection Control Coordinator
    [cid:image002.jpg@01CD663A.84CFA730]
    58 Quirk St
    Dee Why, NSW 2099
    T: +612 8978 5276
    F: +612 9971 7299
    M: 0414 801 660
    The content of this e-mail is the view of the sender or stated author and does not necessarily reflect the view of Delmar Private Hospital. The content, including attachments, is a confidential communication between of Delmar Private Hospital and the intended recipient. If you are not the intended recipient, any use, interference with, disclosure or copying of this e-mail, including attachments is unauthorised and expressly prohibited. If you have received this e-mail in error please contact the sender immediately and delete the e-mail and any attachments from your system.
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    ________________________________
    From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Rebecca O’Donnell
    Sent: Tuesday, 17 July 2012 12:32 PM
    To: AICALIST@AICALIST.ORG.AU
    Subject: Re: Management of MROs in the Operating Suite

    Hi Sue,

    Here is an excerpt from our MRSA / VRE policy. Hope it helps?

    Management of MRSA Positive Patients in the Operating Suite

    Ensure the Infection Control Coordinator is notified

    Ensure MRSA positive patients be admitted directly to the ward, and then transferred to directly theatre. This will avoid unnecessary travel throughout day surgery unit and other areas of theatre department

    For ease of management and cleaning purposes, patients who are known to be colonised or infected with MRSA must be placed last on the theatre list

    Ensure patients with MRSA be recovered in the operating room where possible then transferred directly back to the ward

    If this is not possible, then the patient will be cared for by designated nurse in recovery area

    The operating room and/or recovery area must be thoroughly cleaned with hospital approved cleaning solution for MRSA (see General Cleaning Procedure). This includes the anaesthetic machine, trolley. All horizontal surfaces must be cleaned and walls should be spot cleaned

    Ensure non disposable equipment is wiped down with hospital approved cleaning solution for MRSA (see General Cleaning Procedure) before being returned to general use

    Ensure all linen is discarded in alginate bags then placed in white linen bags

    Ensure all clinical waste e.g. dressings, sputum, blood soaked items be discarded in yellow clinical waste bags/bins

    Kind regards,

    Rebecca ODonnell | Infection Control Co-ordinator

    St Vincent’s Hospital Toowoomba | 22-36 Scott Street TOOWOOMBA 4350

    T 07 4690 4042 | F 07 46904400

    E rebecca.odonnell@stvincents.org.au | W http://www.stvincents.org.au

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    This e-mail and any attachments to it (the “Communication”) is confidential and is for the use only of the intended recipient, and may not be duplicated or used by any other party without the express consent of the sender. The Communication may contain copyright material of St Vincent’s Health & Aged Care (“SVHAC”), or any of its related entities or of third parties. If you are not the intended recipient of the Communication, please notify the sender immediately by return e-mail, delete the Communication, and do not read, copy, print, retransmit, store or act in reliance on the Communication. Any views expressed in the Communication are those of the individual sender only, unless expressly stated to be those of SVHAC. SVHAC does not guarantee the integrity of the Communication, or that it is free from errors, viruses or interference.

    —–Original Message—–
    From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Sue Flockhart
    Sent: Monday, 16 July 2012 5:41 PM
    To: AICALIST@AICALIST.ORG.AU
    Subject: Management of MROs in the Operating Suite

    Hi All,

    We are loking at standardising our approach to the management of patients with known MROs in our operating suite. I am interested to know what other facilites are doing and would you share guidelines/policies etc.

    kind Regards

    Sue Flockhart

    Manager, Infection Prevention & Control Unit Staff Immunisation Clinic Ballarat Health Services Victoria

    0437856349

    sueflock@bhs.org.au

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    ________________________________
    [1] The recommended time and temperature setting are based on those in the UK Health Service Guidelines HSG (95) 18 Hospital Laundry Arrangements for Used and Infected Linen; Standards Australia/Standards New Zealand AS/NZS 4146:2000 Australian/New Zealand Standard Laundry practice 2000.

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