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Hi Heather
I have been involved in many construction / refurbishment projects within acute hospitals, and a ‘builder’s clean’ in NEVER thorough! We recently had a cardiac theatre here refurbished including new installation of a ceiling, and the ‘builder’s clean’ only removed debris from the floor only!
A thorough clean of all horizontal and vertical surfaces, and commissioning of all plant (which includes cleaning of air conditioning ducting where new) is required. Some of this requires special cleaning (eg cleaning of air conditioning ducts or pipework), but most of the cleaning prior to occupancy and use if done by the facility cleaning team, and includes walls, ceiling and any horizontal or vertical surface.
Rarely have I been involved in purposeful disinfection of the environment on commissioning, and this only in specific instances such a clean rooms or transplant units where there was a higher level of routine environmental disinfection anyway. In most instances a thorough clean with detergent and water is all that has been necessary. However, if the facility process is for routine disinfection of ALL environmental surfaces, then this is then the process prior to occupancy in a new or refurbished area.
The actual term ‘decontamination’ used in the AHCFG in this setting probably needs to be clarified. I would take it to mean physical removal of debris as in ‘cleaning’, not specifically disinfection. It seems to be mainly used in the AHCFG for decontamination of equipment (eg reprocessing).
My thoughts, anyway.
Cheers
MichaelMichael Wishart
Infection Control Coordinator
Holy Spirit Northside Private Hospital
627 Rode Road, Chermside, Qld 4032
t: (07) 3326 3068 | f: (07) 3607 2226
e: Michael.Wishart@svha.org.au
w:www.holyspiritnorthside.org.au
Please consider the environment before printing this email[http://www.interactivejam.com.au/images/ACIPC-conference.jpg]
Hi
I would like to place a post on the discussion forum as below.The Construction and Renovation section of the Australasian Health Facility Guidelines discuss the responsibilities of the commissioning team to ensure that a newly constructed or renovated area complies with the standards for occupation. In relation to environmental cleanliness it states ” thorough cleaning and decontamination of all surfaces including walls, ceilings, windows, ventilation systems, services cavities and ceiling spaces;”
We would like to know how other hospitals interpret this especially the requirement for decontamination.
I understand the builders do a builders clean and often facilitate a preoccupancy clean by contracted cleaners.
1. Does your hospital cleaning team re-clean all surfaces?
2. Are the surfaces disinfected after the initial clean?
3. Can you please share what process and type of products you use? i.e. a one step clean or two step clean (with a disinfectant)Kind regards
HeatherHeather Craigie
CNC Infection Prevention and Control,
Mersey Community Hospital,
Tasmanian Health Organisation – North West
Phone 6426 5443 or 0400 351 706________________________________
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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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Hello Heather
We do very similar approach to what Michael’s response indicated . I agree wholeheartedly that a ‘builders clean’ leaves a lot to be desired I have actually seen what filthy equipment they attempt to use to clean their floors with …yuk…. ‘not ok” .
after a clinical area is signed off and handed over to us we undertake what we call ‘a clinical clean’ and inspection / audit post clean . The cleaning is done by our hospital cleaning staff just before opening (as they know what needs to be done and also gives them a better idea of what they will actually need to continue to do and locate all the nooks and crannies etc before we put pts. in this area) & I am often involved in the inspection.
however just be aware that sometime you may need to do more than one clinical clean if it is not up to scratch or if the handover time has a delay to actual pt. occupation date… Also need to consider what you will allow in the area before the clinical clean is done (i.e. additional fixtures, brackets, wall hanging, beds, bed curtains etc. are all often needing to be bought in and added after the building has been handed over as part of commissioning process.
I will not permit any pharmacy or sterile items to be delivered into the ward at all before the clinical clean is completed & Oked. Other items they want to bring in to set up are upon negotiation. I am not sure how others fare but once we get a building handed over to us there is always a mad rush to get everything into the area and get it open ASAP so lots of pressure and time constraints to get it all sorted ..
Also any old equipment / furniture that is being re- used (we don’t always get the luxury of all new equipment for all our builds) and transferred across from other wards etc has to be thoroughly cleaned & inspected to ensure its still Ok before it is allowed into the new area
Cant say we are perfect but it’s a big job that we aim for the best with what we can (but its better than a builders clean!!!)
Cheers
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.auInfection 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 Heather
I have been involved in many construction / refurbishment projects within acute hospitals, and a ‘builder’s clean’ in NEVER thorough! We recently had a cardiac theatre here refurbished including new installation of a ceiling, and the ‘builder’s clean’ only removed debris from the floor only!
A thorough clean of all horizontal and vertical surfaces, and commissioning of all plant (which includes cleaning of air conditioning ducting where new) is required. Some of this requires special cleaning (eg cleaning of air conditioning ducts or pipework), but most of the cleaning prior to occupancy and use if done by the facility cleaning team, and includes walls, ceiling and any horizontal or vertical surface.
Rarely have I been involved in purposeful disinfection of the environment on commissioning, and this only in specific instances such a clean rooms or transplant units where there was a higher level of routine environmental disinfection anyway. In most instances a thorough clean with detergent and water is all that has been necessary. However, if the facility process is for routine disinfection of ALL environmental surfaces, then this is then the process prior to occupancy in a new or refurbished area.
The actual term ‘decontamination’ used in the AHCFG in this setting probably needs to be clarified. I would take it to mean physical removal of debris as in ‘cleaning’, not specifically disinfection. It seems to be mainly used in the AHCFG for decontamination of equipment (eg reprocessing).
My thoughts, anyway.
Cheers
MichaelMichael Wishart
Infection Control Coordinator
Holy Spirit Northside Private Hospital
627 Rode Road, Chermside, Qld 4032
t: (07) 3326 3068 | f: (07) 3607 2226
e: Michael.Wishart@svha.org.au
w:www.holyspiritnorthside.org.au
Please consider the environment before printing this email[http://www.interactivejam.com.au/images/ACIPC-conference.jpg]
Hi
I would like to place a post on the discussion forum as below.The Construction and Renovation section of the Australasian Health Facility Guidelines discuss the responsibilities of the commissioning team to ensure that a newly constructed or renovated area complies with the standards for occupation. In relation to environmental cleanliness it states ” thorough cleaning and decontamination of all surfaces including walls, ceilings, windows, ventilation systems, services cavities and ceiling spaces;”
We would like to know how other hospitals interpret this especially the requirement for decontamination.
I understand the builders do a builders clean and often facilitate a preoccupancy clean by contracted cleaners.
1. Does your hospital cleaning team re-clean all surfaces?
2. Are the surfaces disinfected after the initial clean?
3. Can you please share what process and type of products you use? i.e. a one step clean or two step clean (with a disinfectant)Kind regards
HeatherHeather Craigie
CNC Infection Prevention and Control,
Mersey Community Hospital,
Tasmanian Health Organisation – North West
Phone 6426 5443 or 0400 351 706________________________________
CONFIDENTIALITY NOTICE AND DISCLAIMER
The information in this transmission may be confidential and/or protected by legal professional privilege, and is intended only for the person or persons to whom it is addressed. If you are not such a person, you are warned that any disclosure, copying or dissemination of the information is unauthorised. If you have received the transmission in error, please immediately contact this office by telephone, fax or email, to inform us of the error and to enable arrangements to be made for the destruction of the transmission, or its return at our cost. No liability is accepted for any unauthorised use of the information contained in this transmission.______________________________________________________________________
For the purposes of protecting the integrity and security of the SVHA network and the information held on it, all emails to and from any email address on the “svha.org.au” domain (or any other domain of St Vincent’s Health Australia Limited or any of its related bodies corporate) (an “SVHA Email Address”) will pass through and be scanned by the Symantec.cloud anti virus and anti spam filter service. These services may be provided by Symantec from locations outside of Australia and, if so, this will involve any email you send to or receive from an SVHA Email Address being sent to and scanned in those locations.
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 aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
______________________________________________________________________
For the purposes of protecting the integrity and security of the SVHA network and the information held on it, all emails to and from any email address on the “svha.org.au” domain (or any other domain of St Vincent’s Health Australia Limited or any of its related bodies corporate) (an “SVHA Email Address”) will pass through and be scanned by the Symantec.cloud anti virus and anti spam filter service. These services may be provided by Symantec from locations outside of Australia and, if so, this will involve any email you send to or receive from an SVHA Email Address being sent to and scanned in those locations.
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 aicalist@aicalist.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.
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