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Macerators v Pan flushers

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  • #70802
    Anita Lovegrove
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    Author:
    Anita Lovegrove

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    Hi all,

    We are currently in the planning phase of the new Monash Children’s Hospital in Victoria. The issue of macerators versus pan flushes has raised some debate. From an infection control perspective we favour macerators. Engineering has evaluated the maintenance issues to be equal.
    There appears to be a trend toward complete maceration systems in new builds, however I am receiving some comments that there are concerns with some Water authorities anticipating future environmental impacts.

    Can anyone who has completed a recent build with partial or complete maceration systems in place please advise me on any significant issues around their choice.

    Thanks,
    Anita

    Anita Lovegrove
    Snr Infection Control Consultant
    Monash Medical Centre
    Monash Health

    Fax:95946992

    email: anita.lovegrove@monashhealth.org.au

    MonashHealth
    [cid:image001.png@01CF2C94.48EF2D90]

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    #70803
    Anonymous
    Inactive

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    Anonymous

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    Hi all,
    We looked at the Macerators some time ago and were actually asked to speak with Sydney water who had concerns around the waste product going into the water system. As it stands Sydney water has been reluctant with the introduction of Macerators on the impact to the system and any implementation must have approval via Sydney water. We also had a lot of issues with storage of the consumables. The other interesting issue was around for example the pan holders that still required washing in between patients anyway and so we would’ve needed to implement a macerator alongside a washer machine. I think if all those issues could be addressed than the macerator may have some merit. The system was considered not viable for a hospital of our size 760-900beds. Contacting Sydney water may give you some more insight.
    Cheers
    Kathy

    Kathy Dempsey

    Clinical Nurse Consultant / CoManager
    Infection Prevention & Control
    PO Box 533, Wentworthville NSW 2145
    Tel (02) 9845 7501 | Fax (02) 9845 9148 | Mob 0423 000 169 | kathy.dempsey@health.nsw.gov.au
    http://www.health.nsw.gov.au

    [http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Western-Sydney-LHD.jpg]

    Hi all,

    We are currently in the planning phase of the new Monash Children’s Hospital in Victoria. The issue of macerators versus pan flushes has raised some debate. From an infection control perspective we favour macerators. Engineering has evaluated the maintenance issues to be equal.
    There appears to be a trend toward complete maceration systems in new builds, however I am receiving some comments that there are concerns with some Water authorities anticipating future environmental impacts.

    Can anyone who has completed a recent build with partial or complete maceration systems in place please advise me on any significant issues around their choice.

    Thanks,
    Anita

    Anita Lovegrove
    Snr Infection Control Consultant
    Monash Medical Centre
    Monash Health

    Fax:95946992

    email: anita.lovegrove@monashhealth.org.au

    MonashHealth
    [cid:image003.png@01CEC8E3.1012EC10]

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    #70805
    Lindy Ryan
    Participant

    Author:
    Lindy Ryan

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    Dear Anita

    Not sure if you have seen this review from Canada. Its 2009 but may be of interest/ assistance?

    Regards

    Lindy

    Lindy Ryan

    Infection Prevention & Control Clinical Nurse Consultant | Nepean Hospital, NBM LHD
    Infection control Service, PO Box 63 Penrith, 2751, NSW
    Tel (02) 4734 2228 | Fax (02) 4734 2517 | lindy.ryan@health.nsw.gov.au
    http://www.health.nsw.gov.au

    Infection Prevention and control is everyones business
    Clean hands – safest care….take a moment & practice the five moments

    [http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Nepean-Blue-Mountains-LHD.jpg]

    Hi all,

    We are currently in the planning phase of the new Monash Children’s Hospital in Victoria. The issue of macerators versus pan flushes has raised some debate. From an infection control perspective we favour macerators. Engineering has evaluated the maintenance issues to be equal.
    There appears to be a trend toward complete maceration systems in new builds, however I am receiving some comments that there are concerns with some Water authorities anticipating future environmental impacts.

    Can anyone who has completed a recent build with partial or complete maceration systems in place please advise me on any significant issues around their choice.

    Thanks,
    Anita

    Anita Lovegrove
    Snr Infection Control Consultant
    Monash Medical Centre
    Monash Health

    Fax:95946992

    email: anita.lovegrove@monashhealth.org.au

    MonashHealth
    [cid:image003.png@01CEC8E3.1012EC10]

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    #70820
    Jane Hellsten
    Participant

    Author:
    Jane Hellsten

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    Hello All,
    At Bendigo Health we have recommended Macerators for the New Bendigo Hospital(due for completion 2016). We have used macerators for some years across the existing facility in acute, subacute, psychiatry and aged care sites with few issues. Bed pan supports which are used with these systems are required to be sanitised in a utensil washer between patients therefore each unit with a macerator will have a utensil washer. We are ensuring that there is adequate storage for consumables and also considering dedicating bed pan supports (as required) to beds so that they can be reused for single patient use for the duration of the patients stay, this requires a bracket on the bed to hold the bed pan support, the support would then be sanitised on terminal clean/discharge of the patient. We did review the Canadian paper which has previously been referred to on Infexion connexion and found it very useful when presenting this and making the decision.
    Regards,
    Jane

    Jane Hellsten – CICP | Manager – Infection Prevention Control & Infectious Diseases Service
    Loddon Mallee Infection Control Resource Centre | Medical Services – Acute Campus
    Bendigo Health
    PO Box 126 Bendigo Victoria 3552
    p. 03 5454 8417 | f. 03 5454 8419 | m. 0428 630 004

    e. jhellsten@bendigohealth.org.au
    w. http://www.bendigohealth.org.au
    w. http://www.newbendigohospital.org.au
    w. http://www.bhfoundation.org.au

    [cid:image005.png@01CF2D96.4933F580]

    [cid:image006.jpg@01CF2D96.4933F580]

    Hi all,

    We are currently in the planning phase of the new Monash Children’s Hospital in Victoria. The issue of macerators versus pan flushes has raised some debate. From an infection control perspective we favour macerators. Engineering has evaluated the maintenance issues to be equal.
    There appears to be a trend toward complete maceration systems in new builds, however I am receiving some comments that there are concerns with some Water authorities anticipating future environmental impacts.

    Can anyone who has completed a recent build with partial or complete maceration systems in place please advise me on any significant issues around their choice.

    Thanks,
    Anita

    Anita Lovegrove
    Snr Infection Control Consultant
    Monash Medical Centre
    Monash Health

    Fax:95946992

    email: anita.lovegrove@monashhealth.org.au

    MonashHealth
    [cid:image001.png@01CF2C94.48EF2D90]

    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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