Re: Clinical hand basin / prone beds/ ante room or not in N class rooms?

[Lindy Ryan]

Dear Collegues

I have 3 questions that I am hoping someone out there may have some
advice/experince with our solution

1. Clinical hand basins

we are currently in the process of designing and building a new
surgical wing. I have managed to get clinical hand basins located at the
exit entry point to the single rooms directly in the adjacent corridoor
(don’t ask about why they aren’t on the inside of the room at this
location – its a long long story)

anyhow these are planned to be recessed but the decision remains
whether to have them fully reccessed on all sides or to have only on
one side recessed (the other side open to the doorway so basins are in
view as you exit)

I am concerned that if the basins are fully recessed that this will
interfer with the line of sight of the basins for clinical
staff/visitors upon exiting the room – as you wont see them dierctly on
exiting and that fully recessed hand basins may create more difficulty
for cleaning staff to clean around especially on the floor and drains
if they are difficult to get to.

(Note: there will be ABHR at the end of the bed/point of care )

However another collegue has indicated that there are risks re “people
running into them and moving beds around them when not recessed is an
issue but as for hand washing, water does go everywhere but non-slip
flooring would cover this” I believe this is a fair point tooo!

so does anyone have any experience with reccesed hand basins re line
of sight and cleaning or alternatively potenial slip risk with water
splashing from not having fully recessed hand basins?

2.Prone beds
Does anyone know of beds suitable for nursing patient’s prone other
than striker beds ?- given these ones are a nightmare to keep clean.

3. Ante room in N class rooms
building a new ward and negative pressure isolation ….Is an negative
pressure room OK to build without an ante room – what provisons should
be considered…how do you overcome the relationship for enteing and
exiting that having and ante room provides re

the Black (pt area) /
grey (ante room for removal of contaminated PPE prior to entering the
white zone
white (outside area for donning clean PPE and charts etc)

I know when we didn’t have the opportunity to build an ante room we
just tried to separate the white and grey by putting clean PPE and notes
etc on one side of the door and contaminated PPE, bins and equipment
being removed form the room on the other side of the outside door…..
but I had believed that this was a compromise to being able to work with
what you….. have not a preffed option to in build in a new unit?
(hence your thought helpful & welcome)

I am asking this as I being encouraged to support the build of a
negative pressure room without an ante room (just the ventilation being
negative from corridoor to room with 100% exhaust etc …) .as I am
being told that an ante room is considered not necessary for airborne
isolation in a renal dialysis unit if you have the ventilation correct
as it posess a safety risk to viewing and accessing pts undergoing
dialysis (& yes we are all aware of the HCF guidelines for N class room
but I am told they aren’t relavant in this instance)

(ie we have currently designed the ante room to be a side entry so full
visualisation of the pt can be just like a normal s class single
isolation room)..again any advice/thoughts re your experiences and am i
being too pedantic wantinfg the ante room

thanks for your time and expertise/experience in advance – sorry I have
so many questions this time around!!

kind regards

Lindy

Lindy Ryan
Infection Control Clinical Nurse Consultant (CNC)

Nepean Hospital,
Western Cluster
Sydney West Area Health Service

email: ryanl@wahs.nsw.gov.au

“Infection Control is Everybody’s Business”

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[Fiona de Sousa]

Hi Lindy,

In response to recessed clinical basins – we have these in our newer
ward areas (if you want to come for a visit I would be happy to show
you). They were in existence before I started at the facility so am not
sure what discussions were had about them when the wards were being
refurbished.

The recess is floor to ceiling in size and you actually stand on what
would be the edge of the corridor if the wall was still in place. I do
not believe that these areas are any more difficult to clean than the
non-recessed sinks we have in other parts of the facility and the size
of the recess allows for additional PPE to be placed there and for the
rubbish bin to be placed out of the corridor path

Our corridors are quite narrow and if the sinks were not fully recessed
there would be definite OH&S issues.

In response to N class rooms if we were building one I would expect a
complete ante room however we are not building any nad do not have any
either.

Fiona De Sousa
Infection Prevention & Control Coordinator, SAH

—–Original Message—–
Behalf Of Lindy Ryan
ante room or not in N class rooms?

Dear Collegues

I have 3 questions that I am hoping someone out there may have some
advice/experince with our solution

1. Clinical hand basins

we are currently in the process of designing and building a new
surgical wing. I have managed to get clinical hand basins located at the
exit entry point to the single rooms directly in the adjacent corridoor
(don’t ask about why they aren’t on the inside of the room at this
location – its a long long story)

anyhow these are planned to be recessed but the decision remains
whether to have them fully reccessed on all sides or to have only on
one side recessed (the other side open to the doorway so basins are in
view as you exit)

I am concerned that if the basins are fully recessed that this will
interfer with the line of sight of the basins for clinical
staff/visitors upon exiting the room – as you wont see them dierctly on
exiting and that fully recessed hand basins may create more difficulty
for cleaning staff to clean around especially on the floor and drains
if they are difficult to get to.

(Note: there will be ABHR at the end of the bed/point of care )

However another collegue has indicated that there are risks re “people
running into them and moving beds around them when not recessed is an
issue but as for hand washing, water does go everywhere but non-slip
flooring would cover this” I believe this is a fair point tooo!

so does anyone have any experience with reccesed hand basins re line
of sight and cleaning or alternatively potenial slip risk with water
splashing from not having fully recessed hand basins?

2.Prone beds
Does anyone know of beds suitable for nursing patient’s prone other
than striker beds ?- given these ones are a nightmare to keep clean.

3. Ante room in N class rooms
building a new ward and negative pressure isolation ….Is an negative
pressure room OK to build without an ante room – what provisons should
be considered…how do you overcome the relationship for enteing and
exiting that having and ante room provides re

the Black (pt area) /
grey (ante room for removal of contaminated PPE prior to entering the
white zone
white (outside area for donning clean PPE and charts etc)

I know when we didn’t have the opportunity to build an ante room we
just tried to separate the white and grey by putting clean PPE and notes
etc on one side of the door and contaminated PPE, bins and equipment
being removed form the room on the other side of the outside door…..
but I had believed that this was a compromise to being able to work with
what you….. have not a preffed option to in build in a new unit?
(hence your thought helpful & welcome)

I am asking this as I being encouraged to support the build of a
negative pressure room without an ante room (just the ventilation being
negative from corridoor to room with 100% exhaust etc …) .as I am
being told that an ante room is considered not necessary for airborne
isolation in a renal dialysis unit if you have the ventilation correct
as it posess a safety risk to viewing and accessing pts undergoing
dialysis (& yes we are all aware of the HCF guidelines for N class room
but I am told they aren’t relavant in this instance)

(ie we have currently designed the ante room to be a side entry so full
visualisation of the pt can be just like a normal s class single
isolation room)..again any advice/thoughts re your experiences and am i
being too pedantic wantinfg the ante room

thanks for your time and expertise/experience in advance – sorry I have
so many questions this time around!!

kind regards

Lindy

Lindy Ryan
Infection Control Clinical Nurse Consultant (CNC)

Nepean Hospital,
Western Cluster
Sydney West Area Health Service

email: ryanl@wahs.nsw.gov.au

“Infection Control is Everybody’s Business”

________________________________________________________________________
______

This electronic message and any attachments may be confidential. If you
are not the intended recipient of this message would you please delete
the
message and any attachments and advise the sender. Sydney West
Area Health Service (SWAHS) uses virus scanning software but excludes
any liability for viruses contained in any email or attachment.

This email may contain privileged and confidential information intended
only for the use of the addressees named above. If you are not the
intended recipient of this email, you are hereby notified that any use,
dissemination, distribution, or reproduction of this email is
prohibited. If
you have received this email in error, please notify SWAHS
immediately.

Any views expressed in this email are those of the individual sender
except where the sender expressly and with authority states them
to be the views of SWAHS.

Messages posted to this list are solely the opinion of the authors, and
do not represent the opinion of AICA.
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

Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of AICA.
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

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