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Spilt System Air Conditioners in patient areas

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  • #77637
    sraffle@hotmail.com
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    sraffle@hotmail.com

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    Hi everyone,

    Is anyone able to please provide me some clarity regarding reverse cycle air conditioners in patient care areas? specifically in outpatient / community based clinic rooms.

    A number of our community health centre clinical rooms (dental & podiatry) are looking at upgrading split system air-conditioning units, however I found some information in the Australian Health Facilities Guidelines (Physical Environment) advising that spit systems should be avoided in patient care areas, I couldn’t find anything in NHMRC guidelines though.

    Is anyone able to please provide some clarity on whether they are appropriate or not? we have more due to be installed this week, so there is a degree of urgency with this.

    Thanks in advance

    Sara Nannery
    OHS, Risk & infection control Coordinator
    Sunbury & Cobaw Community Health

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    #77647
    cpolson1278@gmail.com
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    cpolson1278@gmail.com

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    Hi Sara,

    Hope all is well!

    The Australasian Healthcare Facility Guidelines mention split systems (link
    and excerpt below).

    The WHO explicitly notes on their website

    that systems that recirculate air (which would include most split systems
    and fans) should be avoided due to the risk of spreading droplets/aerosols
    during COVID-19. This can be extrapolated to any setting where
    droplets/aerosols could be potentially exacerbated by recirculated
    air/strong airlows/poor ventilation.

    At the university where I work, we’ve been advising folks not to use split
    systems wherever possible and we’ve been adjusting HVAC systems to maximise
    outdoor air exchanges. Fans are prohibited. If the use of a split system is
    unavoidable (i.e. extreme heat would be problematic), we advise that
    furniture or patient care areas (in our GP clinics) be rearranged so that
    no one is sitting or working directly in the line of the airflow.

    AHF Guidelines:
    https://aushfg-prod-com-au.s3.amazonaws.com/Part%20D%20Whole_7_2.pdf

    SPLIT SYSTEMS:
    The use of split system air conditioners is a common way of resolving local
    cooling problems in newdevelopments or retrofitted facilities. Their use
    should be avoided in patient care areas due to infection prevention issues.
    The following need to be considered:routing of condensate drains; air
    flow and turbulence effects; andmaintenance and adequacy of filters.The
    use of split system air conditioners should be confined to process cooling
    for equipment such ascomputer rooms and MRI equipment rooms, staff only and
    non-patient care areas.RETICULATED WATER SYSTEMSFor further information
    refer to the following documentation:ABCB, 2014, Plumbing Code of
    Australia (PCA); and Standards Australia, 2011, AS/NZS 3666.1:2011

    Hope this helps

    Cheers
    Crystal Polson
    Infection Control Coordinator
    The University of Melbourne
    crystal.polson@unimelb.edu.au

    On Mon, Jan 18, 2021 at 12:40 PM Sara Nannery wrote:

    > Hi everyone,
    >
    > Is anyone able to please provide me some clarity regarding reverse cycle
    > air conditioners in patient care areas? specifically in outpatient /
    > community based clinic rooms.
    >
    > A number of our community health centre clinical rooms (dental & podiatry)
    > are looking at upgrading split system air-conditioning units, however I
    > found some information in the Australian Health Facilities Guidelines
    > (Physical Environment) advising that spit systems should be avoided in
    > patient care areas, I couldn’t find anything in NHMRC guidelines though.
    >
    > Is anyone able to please provide some clarity on whether they are
    > appropriate or not? we have more due to be installed this week, so there is
    > a degree of urgency with this.
    >
    > Thanks in advance
    >
    > Sara Nannery
    > OHS, Risk & infection control Coordinator
    > Sunbury & Cobaw Community Health
    >
    > 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.

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