Toilet lids

[Anonymous]

Hi everyone,

We are currently building a 10 storey hospital here in Hobart. The redevelopment team have recommended against installing lids on the toilets.

The Infection Prevention and Control team have recommended that all toilets have lids. We have based this decision on the evidence of toilet plume and the potentially increased risk of transmitting pathogenic organisms through environmental contamination.

We are interested in the approach taken in other hospitals.

If you are working in a newly developed hospital that has recommended toilets lids on all toilets we would particularly like to hear from you including what influenced your decision making.

Furthermore, we have heard that there are a number of new hospitals built or being built around Australia where toilet lids are either not installed, or installed only in specific locations. If you are working in a facility that did not recommend installing toilet lids in all locations, can you please share your rationale for this?

Thank you in advance.

Leah
……………………………………………………………………………………………
Leah Van Someren
Clinical Nurse Consultant
Infection Prevention and Control Service

THS- Southern Region
Intranet page: http://www.dhhs.tas.gov.au/intranet/stho/cccs/infection_prevention_and_control

Level 3 I Marine Board Building I 1 Franklin Wharf I Hobart 7000

________________________________

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[Anonymous]

I think the lack of toilet lids is very widespread. After advising staff to put the lid down to flush during an outbreak I was advised there were no lids. I have been taking note when I am in other facilities in the last few years and have found that most places I have seen do not have them. Considering what we now know about plume and MRO’s becoming more difficult to treat I am surprised this has not come up more often. Current design of over toilet chairs and equipment would make it difficult for lids to close for flushing.

I have seen toilet systems overseas where there is a vacuum system of evacuating contents with minimal water used. I would assumes that there would be less plume generated with these, but have not seen any research/study on them.

Keen to hear of other approaches also.

Kelly

Kelly Barton
Infection Prevention & Control Officer
Monday- Friday
P Reduce, re-use, recycle. Please consider the environment before printing this e-mail.

Hi everyone,

We are currently building a 10 storey hospital here in Hobart. The redevelopment team have recommended against installing lids on the toilets.

The Infection Prevention and Control team have recommended that all toilets have lids. We have based this decision on the evidence of toilet plume and the potentially increased risk of transmitting pathogenic organisms through environmental contamination.

We are interested in the approach taken in other hospitals.

If you are working in a newly developed hospital that has recommended toilets lids on all toilets we would particularly like to hear from you including what influenced your decision making.

Furthermore, we have heard that there are a number of new hospitals built or being built around Australia where toilet lids are either not installed, or installed only in specific locations. If you are working in a facility that did not recommend installing toilet lids in all locations, can you please share your rationale for this?

Thank you in advance.

Leah
……………………………………………………………………………………………
Leah Van Someren
Clinical Nurse Consultant
Infection Prevention and Control Service

THS- Southern Region
Intranet page: http://www.dhhs.tas.gov.au/intranet/stho/cccs/infection_prevention_and_control

Level 3 I Marine Board Building I 1 Franklin Wharf I Hobart 7000

________________________________

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.
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.

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Alpine Health, 30 O’Donnell Av, Myrtleford, Victoria, Australia, 3737 | ph (administration): 03 5751 9300 | fax (administration): 03 5751 9396 |
http://www.alpinehealth.org.au

Alpine Health acknowledges the Traditional Custodians of the land on which we stand and pay our respect to the Elders both past, present and future.
________________________________
This communication is intended only to be read or used by the addressee. The information contained in this communication may be confidential information. If you are not the intended recipient, any use, interference with, distribution, disclosure or copying of this material is unauthorised and prohibited. The confidentiality attached to this communication is not waived or lost by reason of the mistaken delivery to you. If you have received this communication in error, please destroy it and notify Alpine Health ICT Department – (03) 5751 9388.
________________________________

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.

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[Terri Cripps (SCHN)]

I think that the lack of toilet lids is due to them being attributed to increased falls in the toilet when the patient is opening and closing the lids. The act of opening and closing the lids cause the patient to become unsteady and lead to falls. So to reduce the falls risk, the lids have been removed.

It also is easier to get commodes over the toilet if there is no lid.

I agree with you all about the plume when flushing be of concern but it seems that falls outweigh infection prevention and control issues.

Interesting point of discussion.
Thanks,
Terri Cripps | Clinical Nurse Consultant – Infection Prevention and Control | SCHN Medical Diagnostics and HIV/Immunology
t: (02) 9382 1876 | f: (02) 9382 2084 | e: TERRI.Cripps@health.nsw.gov.au | w: http://www.schn.health.nsw.gov.au
p: 47140
[http://res.schn.health.nsw.gov.au/signatures/sch.gif]
High Street, Randwick 2031, NSW Australia
Please consider the environment before printing this email.

From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Kelly Barton
Sent: Monday, 4 December 2017 11:49 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Toilet lids

I think the lack of toilet lids is very widespread. After advising staff to put the lid down to flush during an outbreak I was advised there were no lids. I have been taking note when I am in other facilities in the last few years and have found that most places I have seen do not have them. Considering what we now know about plume and MROs becoming more difficult to treat I am surprised this has not come up more often. Current design of over toilet chairs and equipment would make it difficult for lids to close for flushing.

I have seen toilet systems overseas where there is a vacuum system of evacuating contents with minimal water used. I would assumes that there would be less plume generated with these, but have not seen any research/study on them.

Keen to hear of other approaches also.

Kelly

Kelly Barton
Infection Prevention & Control Officer
Monday- Friday
P Reduce, re-use, recycle. Please consider the environment before printing this e-mail.

Ph: 03 5751 9364
Mob: 0409 885 002

Fax: 03 5751 9396

From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Van Someren, Leah M (THS)
Sent: Monday, 4 December 2017 10:02 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Toilet lids

Hi everyone,

We are currently building a 10 storey hospital here in Hobart. The redevelopment team have recommended against installing lids on the toilets.

The Infection Prevention and Control team have recommended that all toilets have lids. We have based this decision on the evidence of toilet plume and the potentially increased risk of transmitting pathogenic organisms through environmental contamination.

We are interested in the approach taken in other hospitals.

If you are working in a newly developed hospital that has recommended toilets lids on all toilets we would particularly like to hear from you including what influenced your decision making.

Furthermore, we have heard that there are a number of new hospitals built or being built around Australia where toilet lids are either not installed, or installed only in specific locations. If you are working in a facility that did not recommend installing toilet lids in all locations, can you please share your rationale for this?

Thank you in advance.

Leah

Leah Van Someren
Clinical Nurse Consultant
Infection Prevention and Control Service

THS- Southern Region
PH: 61662704
Mobile: 0417 986 084
Email: leah.vansomeren@ths.tas.gov.au
Intranet page: http://www.dhhs.tas.gov.au/intranet/stho/cccs/infection_prevention_and_control

Level 3 I Marine Board Building I 1 Franklin Wharf I Hobart 7000

________________________________

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.
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

Alpine Health, 30 O’Donnell Av, Myrtleford, Victoria, Australia, 3737 | ph (administration): 03 5751 9300 | fax (administration): 03 5751 9396 |
http://www.alpinehealth.org.au

Alpine Health acknowledges the Traditional Custodians of the land on which we stand and pay our respect to the Elders both past, present and future.
________________________________
This communication is intended only to be read or used by the addressee. The information contained in this communication may be confidential information. If you are not the intended recipient, any use, interference with, distribution, disclosure or copying of this material is unauthorised and prohibited. The confidentiality attached to this communication is not waived or lost by reason of the mistaken delivery to you. If you have received this communication in error, please destroy it and notify Alpine Health ICT Department – (03) 5751 9388.
________________________________
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.

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This message is intended for the addressee named and may contain confidential information. If you are not the intended recipient, please delete it and notify the sender.

Views expressed in this message are those of the individual sender, and are not necessarily the views of NSW Health or any of its entities.

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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