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Use of ABHR in Dementia Units in Aged Care

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  • #77550
    Anonymous
    Inactive

    Author:
    Anonymous

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    Hello all

    I wondered if anyone has specific research into the installation of wall mounted ABHR units in wings for residents with dementia. Much of the research or reported cases of people drinking ABHR relate to individual bottles of solution and not from wall mounted units. W are currently looking the installation across all of our units and wondered if anyone has undertaken a risk assessment of this or had experience/opinions of this. We naturally want to balance the safety risk for the confused resident with the risk of not have suitable hand hygiene methods available from an IPC perspective.

    Kind regards,

    Helen Finlay
    National Manager Infection Control
    t 0427 110 668 | 03 8518 7356
    e hfinlay@regis.com.au | w http://www.regis.com.au

    Level 2, 615 Dandenong Road, Armadale VIC 3143

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    #77555
    Prudence Hart
    Participant

    Author:
    Prudence Hart

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    Hi Helen,

    I don’t have any specific research but we use an automatic dispenser for handgel on the wall and residents can’t access the product.

    Regards

    Prudence Hart

    Residential Services Manager – Preston
    Preston

    78 Bruce Street Preston 3072
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    Hello all

    I wondered if anyone has specific research into the installation of wall mounted ABHR units in wings for residents with dementia. Much of the research or reported cases of people drinking ABHR relate to individual bottles of solution and not from wall mounted units. W are currently looking the installation across all of our units and wondered if anyone has undertaken a risk assessment of this or had experience/opinions of this. We naturally want to balance the safety risk for the confused resident with the risk of not have suitable hand hygiene methods available from an IPC perspective.

    Kind regards,

    Helen Finlay
    National Manager Infection Control
    t 0427 110 668 | 03 8518 7356
    e hfinlay@regis.com.au | w http://www.regis.com.au

    Level 2, 615 Dandenong Road, Armadale VIC 3143

    [cid:image001.png@01D6764F.D42B74C0]

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    #77552
    Robyn Russell
    Participant

    Author:
    Robyn Russell

    Position:
    Client Safety and Quality Consultant

    Organisation:
    Helping Hand

    State:
    SA

    Hi Helen
    We have had wall mounted ABHR in all of our 10 memory support units installed nearly 3 years ago
    Most facilities were very concerned at the time about the very issue you raised

    We decided that in the event there is a resident either trying to drink the ABHR or constantly using or interfering with the wall mounted unit, that the staff could remove the refill pack from any unit
    In this time we have not had any resident incidents related to the ABHR, nor have any sites had to empty the wall mounted unit

    So no specific research paper, but our experience if that assists

    Regards
    Robyn

    [http://www.helpinghand.org.au/hhsig.png]Robyn Russell
    Client Safety & Quality Consultant
    34 Molesworth Street, North Adelaide SA 5006
    T. (08) 8224 7851
    M. 0424 167 101
    F. (08) 8267 2690
    http://www.helpinghand.org.au
    [cid:image002.jpg@01D6C312.0A1E3DB0]

    Hello all

    I wondered if anyone has specific research into the installation of wall mounted ABHR units in wings for residents with dementia. Much of the research or reported cases of people drinking ABHR relate to individual bottles of solution and not from wall mounted units. W are currently looking the installation across all of our units and wondered if anyone has undertaken a risk assessment of this or had experience/opinions of this. We naturally want to balance the safety risk for the confused resident with the risk of not have suitable hand hygiene methods available from an IPC perspective.

    Kind regards,

    Helen Finlay
    National Manager Infection Control
    t 0427 110 668 | 03 8518 7356
    e hfinlay@regis.com.au | w http://www.regis.com.au

    Level 2, 615 Dandenong Road, Armadale VIC 3143

    [cid:image001.png@01D6C30E.0D158180]

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    #77553
    kfelstead@unitingsa.com.au
    Participant

    Author:
    kfelstead@unitingsa.com.au

    Position:

    Organisation:

    State:

    Hi Helen,

    We had a resident in our MSU at one site who did approach the wall mounted AHBR wall stations. The staff observed her over a period of time and determined which stations were being used. The gel was removed from those stations.
    Recently we increased the amount of stations in all sites including MSU and have not had any concerns with residents approaching these, we have gone for he push button instead of the automatic (as residents were able to access the AHBR in the automatic stations easier than working out a push button).
    We found the residents were more attracted to the single pump bottles which they collected in their travels around the unit.

    Kind Regards

    Kathleen Felstead
    Clinical Quality & Education Consultant
    [cid:UNDERLINE_68327c9b-3c07-4c4d-9eea-964ffe1b0063.jpg]
    Corporate Services
    70 Dale St * Port Adelaide, SA 5015
    M. 0436 619 720
    E. kfelstead@unitingsa.com.au
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    Hello all

    I wondered if anyone has specific research into the installation of wall mounted ABHR units in wings for residents with dementia. Much of the research or reported cases of people drinking ABHR relate to individual bottles of solution and not from wall mounted units. W are currently looking the installation across all of our units and wondered if anyone has undertaken a risk assessment of this or had experience/opinions of this. We naturally want to balance the safety risk for the confused resident with the risk of not have suitable hand hygiene methods available from an IPC perspective.

    Kind regards,

    Helen Finlay
    National Manager Infection Control
    t 0427 110 668 | 03 8518 7356
    e hfinlay@regis.com.au | w http://www.regis.com.au

    Level 2, 615 Dandenong Road, Armadale VIC 3143

    [cid:image001.png@01D6C30E.0D158180]

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    #77551
    Glenys Harrington
    Participant

    Author:
    Glenys Harrington

    Position:
    Consultant

    Organisation:
    Infection Control Consultancy (ICC)

    State:

    Hi Helen,

    In such settings tamper proof dispensers should be utilised.

    Regards

    Glenys

    Glenys Harrington

    Consultant

    Infection Control Consultancy (ICC)

    P.O. Box 6385

    Melbourne

    Australia, 3004

    M: +61 404816434

    E: infexion@ozemail.com.au

    Finlay
    Care

    Hello all

    I wondered if anyone has specific research into the installation of wall
    mounted ABHR units in wings for residents with dementia. Much of the
    research or reported cases of people drinking ABHR relate to individual
    bottles of solution and not from wall mounted units. W are currently looking
    the installation across all of our units and wondered if anyone has
    undertaken a risk assessment of this or had experience/opinions of this. We
    naturally want to balance the safety risk for the confused resident with the
    risk of not have suitable hand hygiene methods available from an IPC
    perspective.

    Kind regards,

    Helen Finlay

    National Manager Infection Control

    t 0427 110 668 | 03 8518 7356

    e hfinlay@regis.com.au | w
    http://www.regis.com.au

    Level 2, 615 Dandenong Road, Armadale VIC 3143

    MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO
    NOT REPRESENT THE OPINION OF ACIPC.

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    #77554
    Anonymous
    Inactive

    Author:
    Anonymous

    Position:

    Organisation:

    State:

    Hi Helen
    We have successfully placed one in our older adult mental unit and happy to provide details privately of the product. This unit has a lot of older people with dementia and we have placed them at the entrance to the room rather than in the room. They have been in place for 5 years and we have had no issues. The company also provide a more secure unit for these types of situations.
    Lucille

    Lucille Ridley | Group Infection Control Coordinator
    St John of God Health Care
    Kings Square 1
    556 Wellington Street Perth
    T: (08 6116 0566) | M: 04277 04877 | E: Lucille.Ridley@sjog.org.au
    http://www.sjog.org.au | Twitter | LinkedIn | Facebook

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    We acknowledge the Traditional Owners of Country throughout Australia and recognise their continuing connection to land, waters and community.
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    Hello all

    I wondered if anyone has specific research into the installation of wall mounted ABHR units in wings for residents with dementia. Much of the research or reported cases of people drinking ABHR relate to individual bottles of solution and not from wall mounted units. W are currently looking the installation across all of our units and wondered if anyone has undertaken a risk assessment of this or had experience/opinions of this. We naturally want to balance the safety risk for the confused resident with the risk of not have suitable hand hygiene methods available from an IPC perspective.

    Kind regards,

    Helen Finlay
    National Manager Infection Control
    t 0427 110 668 | 03 8518 7356
    e hfinlay@regis.com.au | w http://www.regis.com.au

    Level 2, 615 Dandenong Road, Armadale VIC 3143

    [cid:image001.png@01D6764F.D42B74C0]

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