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Hi, regarding new builds or refurbishments of healthcare facilities
Has anyone had any problems with water spraying everywhere (which is a staff and patient safety hazard) when tap aerators have been removed from sensor hand basin taps.
I understand the rationale behind the recommendation to remove aerators but what is the concise reference and evidence that aerators need to be removed? Are there any suggestions as what should be done if they cant be removed due to water spray.
Kind Regards
Linda McCaskill (RN, BN, GC NSC Inf Ctrl)
Infection Control Manager
Ashford Hospital
55 Anzac Highway, Ashford, SA 5035
T : 8375 5209 (external) or ext 4209 (internal)
E : linda.mccaskill@acha.org.auPlease note I work Monday to Thursday
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Hi Linda,
The reference to removing aerators is on page 21 of the Australian enHealth Legionella guidelines. The guideline recommends removing the aerators in higher-risk areas where immunocompromised patients are present. If your sensor taps are not used by at risk patients then you could assess the risk of aerosolisation to the users as low & re-instate them. Obviously you will need to assess the risks according to your Legionella history, quality of incoming water, plumbing infrastructure as well as patient population risk, etc.
If you do decide to re-instate the aerators, then I would advise you to document your risk assessment and mitigation strategies in your water risk management plan or other similar document. Mitigation strategies could be inspect X number of aerators monthly to determine how much corrosion/scale/slime build up is occurring & use this information to guide how often the aerators need to be maintained/replaced and/or document removal and replacement of aerators X monthly/annually following the outcome of your risk assessment.
Reference :enHealth (2015). Guidelines for Legionella control in the operation and maintenance of water distribution systems in health and aged care facilities. Australian Government, Canberra
Regards
Kathy2019 Staff Flu Vaccination Campaign
Working Towards: Safety for our Staff, Patients and Community
[cid:image001.jpg@01D44E80.C47AF580]Kathy Taylor- Infection Control Manager
The Wesley Hospital | 451 Coronation Drive, Auchenflower QLD 4066
t: 07 3232 7558 |m: 0427 607 812 | f: 07 3232 6043 |e: katherine.taylor@uchealth.com.auHi, regarding new builds or refurbishments of healthcare facilities
Has anyone had any problems with water spraying everywhere (which is a staff and patient safety hazard) when tap aerators have been removed from sensor hand basin taps.
I understand the rationale behind the recommendation to remove aerators but what is the concise reference and evidence that aerators need to be removed? Are there any suggestions as what should be done if they cant be removed due to water spray.
Kind Regards
Linda McCaskill (RN, BN, GC NSC Inf Ctrl)
Infection Control Manager
Ashford Hospital
55 Anzac Highway, Ashford, SA 5035
T : 8375 5209 (external) or ext 4209 (internal)
E : linda.mccaskill@acha.org.auPlease note I work Monday to Thursday
[cid:image001.png@01D465FC.9B9FEBA0]
[Back to bedside logo (2)]
________________________________
“IMPORTANT – This email contains confidential information intended only for the person named above and may be subject to legal privilege. If you are not the intended recipient, any disclosure, copying or use of this information is prohibited. ACHA provides no guarantee that this communication is free of virus or that it has not been intercepted or interfered with.If you have received this email in error, please notify the sender by return email, delete this email and destroy any copy. You must destroy the original transmission and its contents. Any views expressed within this communication are those of the individual sender, except where the sender specifically states them to be the views of ACHA. If this document is not required for record keeping purposes please consider the environment before storing or printing. This communication should not be copied or disseminated without permission”.
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.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
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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.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
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I agree Linda,
There are some plumbing fittings that are designed to reduce bacterial growth, but they are much more expensive than standard fittings & are usually not manufactured in Australia.In fact many of the water saving “innovations”, like aerators, that were introduced into the plumbing of buildings in previous decades have resulted in unexpected outcomes because in reducing water use they inherently cause stagnation and reduced flow, which then create the perfect scenario for bacterial & biofilm build up in pipe works.
Cheers
Kathy2019 Staff Flu Vaccination Campaign
Working Towards: Safety for our Staff, Patients and Community
[cid:image001.jpg@01D44E80.C47AF580]Kathy Taylor- Infection Control Manager
The Wesley Hospital | 451 Coronation Drive, Auchenflower QLD 4066
t: 07 3232 7558 |m: 0427 607 812 | f: 07 3232 6043 |e: katherine.taylor@uchealth.com.auThanks Kathy I am aware of that document.
The term immunocompromised is difficult as many of our elderly pts are immuncompromised but not immunosuppressed and are nursed in many areas of the hospital.
I like your RA approach though and will propose that if we cant find an alternative.
Going forward, it would be good if the designers could design taps that dont harbour bacterial growth or generate aerosols therefor reducing the risk for potential infection.
Kind Regards
Linda McCaskill (RN, BN, GC NSC Inf Ctrl)
Infection Control Manager
Ashford Hospital
55 Anzac Highway, Ashford, SA 5035
T : 8375 5209 (external) or ext 4209 (internal)
E : linda.mccaskill@acha.org.auPlease note I work Monday to Thursday
[cid:image001.png@01D465FC.9B9FEBA0]
[Back to bedside logo (2)]
Hi Linda,
The reference to removing aerators is on page 21 of the Australian enHealth Legionella guidelines. The guideline recommends removing the aerators in higher-risk areas where immunocompromised patients are present. If your sensor taps are not used by at risk patients then you could assess the risk of aerosolisation to the users as low & re-instate them. Obviously you will need to assess the risks according to your Legionella history, quality of incoming water, plumbing infrastructure as well as patient population risk, etc.
If you do decide to re-instate the aerators, then I would advise you to document your risk assessment and mitigation strategies in your water risk management plan or other similar document. Mitigation strategies could be inspect X number of aerators monthly to determine how much corrosion/scale/slime build up is occurring & use this information to guide how often the aerators need to be maintained/replaced and/or document removal and replacement of aerators X monthly/annually following the outcome of your risk assessment.
Reference :enHealth (2015). Guidelines for Legionella control in the operation and maintenance of water distribution systems in health and aged care facilities. Australian Government, Canberra
Regards
Kathy2019 Staff Flu Vaccination Campaign
Working Towards: Safety for our Staff, Patients and Community
[cid:image001.jpg@01D44E80.C47AF580]Kathy Taylor- Infection Control Manager
The Wesley Hospital | 451 Coronation Drive, Auchenflower QLD 4066
t: 07 3232 7558 |m: 0427 607 812 | f: 07 3232 6043 |e: katherine.taylor@uchealth.com.auHi, regarding new builds or refurbishments of healthcare facilities
Has anyone had any problems with water spraying everywhere (which is a staff and patient safety hazard) when tap aerators have been removed from sensor hand basin taps.
I understand the rationale behind the recommendation to remove aerators but what is the concise reference and evidence that aerators need to be removed? Are there any suggestions as what should be done if they cant be removed due to water spray.
Kind Regards
Linda McCaskill (RN, BN, GC NSC Inf Ctrl)
Infection Control Manager
Ashford Hospital
55 Anzac Highway, Ashford, SA 5035
T : 8375 5209 (external) or ext 4209 (internal)
E : linda.mccaskill@acha.org.auPlease note I work Monday to Thursday
[cid:image001.png@01D465FC.9B9FEBA0]
[Back to bedside logo (2)]
________________________________
“IMPORTANT – This email contains confidential information intended only for the person named above and may be subject to legal privilege. If you are not the intended recipient, any disclosure, copying or use of this information is prohibited. ACHA provides no guarantee that this communication is free of virus or that it has not been intercepted or interfered with.If you have received this email in error, please notify the sender by return email, delete this email and destroy any copy. You must destroy the original transmission and its contents. Any views expressed within this communication are those of the individual sender, except where the sender specifically states them to be the views of ACHA. If this document is not required for record keeping purposes please consider the environment before storing or printing. This communication should not be copied or disseminated without permission”.
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.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to acipclist@acipc.org.au
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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.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to acipclist@acipc.org.au
To send a message to the list administrator send an email to admin@acipc.org.au
You can unsubscribe manually from this list by sending ‘signoff acipclist’ (without the quotes) to listserv@aicalist.org.au
________________________________
“IMPORTANT – This email contains confidential information intended only for the person named above and may be subject to legal privilege. If you are not the intended recipient, any disclosure, copying or use of this information is prohibited. ACHA provides no guarantee that this communication is free of virus or that it has not been intercepted or interfered with.If you have received this email in error, please notify the sender by return email, delete this email and destroy any copy. You must destroy the original transmission and its contents. Any views expressed within this communication are those of the individual sender, except where the sender specifically states them to be the views of ACHA. If this document is not required for record keeping purposes please consider the environment before storing or printing. This communication should not be copied or disseminated without permission”.
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.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to acipclist@acipc.org.au
To send a message to the list administrator send an email to admin@acipc.org.au
You can unsubscribe manually from this list by sending ‘signoff acipclist’ (without the quotes) to listserv@aicalist.org.au
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.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to acipclist@acipc.org.au
To send a message to the list administrator send an email to admin@acipc.org.au
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Hi all,
We are undergoing a small refurbishment and some hand basins will be relocated.
Are there any advantages installing metal drain pipes as opposed plastic ones for infection prevention and control?
I have not been able to find any guidelines.Thanks,
Elena Donaghy
Manager of Clinical Education & Infection Control
e: Elena.Donaghy@shq.org.au | ph: 08 9227 6177 | f: 08 9227 6871
shq.org.auHi, regarding new builds or refurbishments of healthcare facilities
Has anyone had any problems with water spraying everywhere (which is a staff and patient safety hazard) when tap aerators have been removed from sensor hand basin taps.
I understand the rationale behind the recommendation to remove aerators but what is the concise reference and evidence that aerators need to be removed? Are there any suggestions as what should be done if they cant be removed due to water spray.
Kind Regards
Linda McCaskill (RN, BN, GC NSC Inf Ctrl)
Infection Control Manager
Ashford Hospital
55 Anzac Highway, Ashford, SA 5035
T : 8375 5209 (external) or ext 4209 (internal)
E : linda.mccaskill@acha.org.auPlease note I work Monday to Thursday
[cid:image001.png@01D465FC.9B9FEBA0]
[Back to bedside logo (2)]
________________________________
“IMPORTANT – This email contains confidential information intended only for the person named above and may be subject to legal privilege. If you are not the intended recipient, any disclosure, copying or use of this information is prohibited. ACHA provides no guarantee that this communication is free of virus or that it has not been intercepted or interfered with.If you have received this email in error, please notify the sender by return email, delete this email and destroy any copy. You must destroy the original transmission and its contents. Any views expressed within this communication are those of the individual sender, except where the sender specifically states them to be the views of ACHA. If this document is not required for record keeping purposes please consider the environment before storing or printing. This communication should not be copied or disseminated without permission”.
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.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to acipclist@acipc.org.au
To send a message to the list administrator send an email to admin@acipc.org.au
You can unsubscribe manually from this list by sending ‘signoff acipclist’ (without the quotes) to listserv@aicalist.org.au
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