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Hello brains trust
It seems our local health services and state health infrastructure are intending to put wall paper in clinical areas in part of our new builds …such as birthing unit.
My infection control sense is really twitching with concerns as they don’t see any infection control issues at this time without more rationale re risks that would sway them to reconsider doing this (as they believe it will give them the homey feeling they are after in their new model of care) …So …..in the spirit of trying to be informed and with the times in understanding & working proactively to support these new model of care needs ……can anyone else provide any advice of their experience with this being installed and any pros and cons …I am screaming ‘no don’t ‘ inside for a number of reasons (we have a warm humid climate here on the coast in summer) … so I am hoping for any wise words or publications , commentary from this group around the use of wallpaper in clinical areas if anyone has any to help us with
Many thanks as always
Kind regards
Lindy
Lindy Ryan
District Infection Prevention & Control CNC | Clinical Governance & Information Services MNCLHD
Level 1 Coffs Specialist Centre, Pacific Hwy, Coffs Harbour
Office 66911984 or Mob 0419 990 693 | lindy.ryan@ncahs.health.nsw.gov.au
http://www.health.nsw.gov.au[http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Mid-North-Coast-LHD.jpg]
“Wise and humane management of the patient is the best safeguard against infection”
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Hi Lindy,
I have no literature to back this up (but I will go and look), I too am internally screaming no don’t! I can’t see how you can effectively clean wall paper and given the harsh environment that a health service is, no matter how homely it feels, it is going to peel, rip and look bad very quickly. Unless there is some super wall paper that I am not aware of (probably anti-microbial as well…).
Cheers MattLecturer
School of Nursing, Midwifery & Paramedicine
USC
Ph +61 7 5456 5191
mmason1@usc.edu.au
USC, Locked Bag 4, Maroochydore DC, Queensland, 4558 Australia.
CRICOS Provider No: 01595D
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Hi Lindy,
The simple answer is that wall paper cannot be cleaned nor when necessary
disinfected which may be required in a birthing suite.I think if the supplier or manufacturer of the wall paper was asked they
will advise that the wall paper will not tolerate water nor chemical
disinfectants such as sodium hypochlorite (i.e. household bleach).Your architects may not be familiar with current Australasian Health
Facility GuidelinesSection – 04 SURFACES AND FINISHES
04.01 General
“All surfaces in patient care areas should be smooth and impervious, and
easily cleanable. Unnecessary horizontal, textured, moisture-retaining
surfaces or inaccessible areas where moisture or soil can accumulate should
be avoided”Regards
Glenys
Glenys Harrington
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
Lindy Ryan (Mid North Coast LHD)
adviceHello brains trust
It seems our local health services and state health infrastructure are
intending to put wall paper in clinical areas in part of our new builds
.such as birthing unit.My infection control sense is really twitching with concerns as they don’t
see any infection control issues at this time without more rationale re
risks that would sway them to reconsider doing this (as they believe it
will give them the homey feeling they are after in their new model of care)
.So …in the spirit of trying to be informed and with the times in
understanding & working proactively to support these new model of care
needs ..can anyone else provide any advice of their experience with this
being installed and any pros and cons .I am screaming ‘no don’t ‘ inside
for a number of reasons (we have a warm humid climate here on the coast in
summer) . so I am hoping for any wise words or publications , commentary
from this group around the use of wallpaper in clinical areas if anyone has
any to help us withMany thanks as always
Kind regards
Lindy
Lindy Ryan
District Infection Prevention & Control CNC | Clinical Governance &
Information Services MNCLHDLevel 1 Coffs Specialist Centre, Pacific Hwy, Coffs Harbour
Office 66911984 or Mob 0419 990 693 |lindy.ryan@ncahs.health.nsw.gov.au
http://www.health.nsw.gov.auhttp://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Hea
lth-Mid-North-Coast-LHD.jpg“Wise and humane management of the patient is the best safeguard against
infection”(Florence Nightingale Circa 1860)
This message is intended for the addressee named and may contain
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(without the quotes) to listserv@aicalist.org.auMESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
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My speciality is sterilisation but I am also involved with licensing of private facilities and doing facility inspections prior to approval. I have seen a number of things that sound good in principle but aren’t practical.
I would think that walls and all surfaces in clinical areas should be easily cleaned without damage to the surface. Don’t think wall paper can withstand this. A humid environment wouldn’t help!
You may find information of use in the Australasian Health facilities guidelines which detail the types of surfaces for different clinical areas. I’m sure you will get more info from the rest of the brains trust.
https://healthfacilityguidelines.com.au/standard-components
Best wishes
Sylvia
Sylvia Morris
Sterilising and Reusable Medical Device Reprocessing State Coordinator
Infection Control Service
Communicable Disease Control Branch
Public Health and Clinical Systems
SA Health
Government of South AustraliaHCW infection prevention: http://www.sahealth.sa.gov.au/infectionprevention
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Hello brains trust
It seems our local health services and state health infrastructure are intending to put wall paper in clinical areas in part of our new builds …such as birthing unit.
My infection control sense is really twitching with concerns as they don’t see any infection control issues at this time without more rationale re risks that would sway them to reconsider doing this (as they believe it will give them the homey feeling they are after in their new model of care) …
So …..in the spirit of trying to be informed and with the times in understanding & working proactively to support these new model of care needs ……can anyone else provide any advice of their experience with this being installed and any pros and cons …I am screaming ‘no don’t ‘ inside for a number of reasons (we have a warm humid climate here on the coast in summer) … so I am hoping for any wise words or publications , commentary from this group around the use of wallpaper in clinical areas if anyone has any to help us with
Many thanks as always
Kind regards
Lindy
Lindy Ryan
District Infection Prevention & Control CNC | Clinical Governance & Information Services MNCLHD
Level 1 Coffs Specialist Centre, Pacific Hwy, Coffs Harbour
Office 66911984 or Mob 0419 990 693 | lindy.ryan@ncahs.health.nsw.gov.au
http://www.health.nsw.gov.au[http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Mid-North-Coast-LHD.jpg]
“Wise and humane management of the patient is the best safeguard against infection”
(Florence Nightingale Circa 1860)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.
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Hi Lindy,
I have had similar issues with other surfaces for clinical areas in the past (usually soft furnishings, not wallpaper). I have found that a visual demonstration can be helpful. Such as accessing a sample and then subjecting it to the cleaning that it will undergo once it is placed in a hospital. A daily clean over a period of a week or two often helps to demonstrate the unsuitability of certain products.
Kind regards,
Fiona De Sousa CICP-E| Nurse Manager | Infection Prevention & Control Unit
Launceston General Hospital, Level 2, Launceston TAS 7250
phone: 6777 6715 | mobile: 0408 487 197 | fax: 6777 5170 | email: fiona.de.sousa@ths.tas.gov.au |
intranet: http://www.dhhs.tas.gov.au/intranet/thon/infection_controlIPCU – ‘By working together we promote a culture of safety to reduce preventable infections and transmission of multi-resistant organisms’
Hi Lindy,
The simple answer is that wall paper cannot be cleaned nor when necessary disinfected which may be required in a birthing suite.
I think if the supplier or manufacturer of the wall paper was asked they will advise that the wall paper will not tolerate water nor chemical disinfectants such as sodium hypochlorite (i.e. household bleach).
Your architects may not be familiar with current Australasian Health Facility Guidelines
Section – 04 SURFACES AND FINISHES
04.01 General“All surfaces in patient care areas should be smooth and impervious, and easily cleanable. Unnecessary horizontal, textured, moisture-retaining surfaces or inaccessible areas where moisture or soil can accumulate should be avoided”
Regards
Glenys
Glenys Harrington
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
E: infexion@ozemail.com.auHello brains trust
It seems our local health services and state health infrastructure are intending to put wall paper in clinical areas in part of our new builds …such as birthing unit.
My infection control sense is really twitching with concerns as they don’t see any infection control issues at this time without more rationale re risks that would sway them to reconsider doing this (as they believe it will give them the homey feeling they are after in their new model of care) …
So …..in the spirit of trying to be informed and with the times in understanding & working proactively to support these new model of care needs ……can anyone else provide any advice of their experience with this being installed and any pros and cons …I am screaming ‘no don’t ‘ inside for a number of reasons (we have a warm humid climate here on the coast in summer) … so I am hoping for any wise words or publications , commentary from this group around the use of wallpaper in clinical areas if anyone has any to help us with
Many thanks as always
Kind regards
Lindy
Lindy Ryan
District Infection Prevention & Control CNC | Clinical Governance & Information Services MNCLHD
Level 1 Coffs Specialist Centre, Pacific Hwy, Coffs Harbour
Office 66911984 or Mob 0419 990 693 | lindy.ryan@ncahs.health.nsw.gov.au
http://www.health.nsw.gov.au[http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Mid-North-Coast-LHD.jpg]
“Wise and humane management of the patient is the best safeguard against infection”
(Florence Nightingale Circa 1860)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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Hello & thanks Glenys, Sylvia & Matt
We have made both the planners & architects aware of the Healthcare guidelines re this section & they have indicated that they are already aware of this information but that NSW Health infrastructure (who have final say over all approvals from NSW health building ) are apparently supportive of this being used hence me looking for more as they are not concerned about this being an significant risk vs what the risk to achieving their model of care and so are not at this point listening so we continue to debate as Infection prevention advocates
Again many thanks and I am still interested in any feedback / experiences or information however I relieved to note that I am not alone in my gut feelings for no I feel honoured to be in good company
Happy Friday & safe weekend to you allespecially thinking of our Queensland cousins with the cyclone off the coastwe are getting some cooler winds down here already so take care
Kind regards
Lindy
Lindy Ryan
District Infection Prevention & Control CNC | Clinical Governance & Information Services MNCLHD
Level 1 Coffs Specialist Centre, Pacific Hwy, Coffs Harbour
Office 66911984 or Mob 0419 990 693 | lindy.ryan@ncahs.health.nsw.gov.au
http://www.health.nsw.gov.au[http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Mid-North-Coast-LHD.jpg]
Wise and humane management of the patient is the best safeguard against infection
(Florence Nightingale Circa 1860)From: ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] On Behalf Of Matthew Mason
Sent: Thursday, 21 February 2019 5:29 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: wall paper in clinical areas – any adviceHi Lindy,
I have no literature to back this up (but I will go and look), I too am internally screaming no dont! I cant see how you can effectively clean wall paper and given the harsh environment that a health service is, no matter how homely it feels, it is going to peel, rip and look bad very quickly. Unless there is some super wall paper that I am not aware of (probably anti-microbial as well).
Cheers MattLecturer
School of Nursing, Midwifery & Paramedicine
USC
Ph +61 7 5456 5191
mmason1@usc.edu.au
USC, Locked Bag 4, Maroochydore DC, Queensland, 4558 Australia.
CRICOS Provider No: 01595D
Please consider the environment before printing this email.
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Hi Lindy,
We had this problem during the building of the new Parkes Hospital and the Forbes redevelopment of the Acute Care Services. I asked for samples of the wallpaper and the fabric that they wanted to use for the visitor chairs.
I exposed the samples to blood, urine, faeces, sputum & vomit then attempted to clean them using the detergent/disinfectant wipes and/or our disinfectant solution. None of the wallpaper samples were able to be cleaned properly and stained easily so we have no wallpaper. The fabric samples had similar results so they had to source different fabrics.
Is your fire officer aware of this proposal because I remember there being issues with wallpaper and fire compliance.
Hope this helps.
TeresaTeresa Holland
WHS Coordinator, IP&C and Staff Health Nurse
Lachlan Health Service Forbes & Parkes
Forbes ph: 68507100, fax: 68502245
Parkes ph: 68612400, fax: 68623921
Teresa.Holland@health.nsw.gov.au[http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Western-NSW-LHD.jpg]
From: ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] On Behalf Of Lindy Ryan (Mid North Coast LHD)
Sent: Friday, 22 February 2019 9:08 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] wall paper in clinical areas – any adviceHello & thanks Glenys, Sylvia & Matt
We have made both the planners & architects aware of the Healthcare guidelines re this section & they have indicated that they are already aware of this information but that NSW Health infrastructure (who have final say over all approvals from NSW health building ) are apparently supportive of this being used hence me looking for more as they are not concerned about this being an significant risk vs what the risk to achieving their model of care and so are not at this point listening so we continue to debate as Infection prevention advocates
Again many thanks and I am still interested in any feedback / experiences or information however I relieved to note that I am not alone in my gut feelings for no I feel honoured to be in good company
Happy Friday & safe weekend to you allespecially thinking of our Queensland cousins with the cyclone off the coastwe are getting some cooler winds down here already so take care
Kind regards
Lindy
Lindy Ryan
District Infection Prevention & Control CNC | Clinical Governance & Information Services MNCLHD
Level 1 Coffs Specialist Centre, Pacific Hwy, Coffs Harbour
Office 66911984 or Mob 0419 990 693 | lindy.ryan@ncahs.health.nsw.gov.au
http://www.health.nsw.gov.au[http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Mid-North-Coast-LHD.jpg]
Wise and humane management of the patient is the best safeguard against infection
(Florence Nightingale Circa 1860)From: ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] On Behalf Of Matthew Mason
Sent: Thursday, 21 February 2019 5:29 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: wall paper in clinical areas – any adviceHi Lindy,
I have no literature to back this up (but I will go and look), I too am internally screaming no dont! I cant see how you can effectively clean wall paper and given the harsh environment that a health service is, no matter how homely it feels, it is going to peel, rip and look bad very quickly. Unless there is some super wall paper that I am not aware of (probably anti-microbial as well).
Cheers MattLecturer
School of Nursing, Midwifery & Paramedicine
USC
Ph +61 7 5456 5191
mmason1@usc.edu.au
USC, Locked Bag 4, Maroochydore DC, Queensland, 4558 Australia.
CRICOS Provider No: 01595D
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Fri
Dear Lindy to give this some context for NSW health infrastructure, while the wall paper is most likely not going to be involved in infection transmission (approx 8-10% of infection coming from environmental surfaces), it is the fact that this surface simply cant be cleaned as necessary – as others have alluded to. I have this same argument with managers about carpet in some areas of office based practice. I say no it doesnt often become involved in transmission, its just hard to clean and doesnt look good with repeated staining and will need replacing . This approach seems to resonate better with non-medical professionals whose focus is on aesthetics and finance and who correctly understand that transmission via such surfaces is not common.
I would be indicating that the very aesthetics that NSW health infrastructure are trying to achieve will be destroyed by blood that cannot be removed (or by your 6 monthly washing etc.)
I would be costing the inevitable replacement of wallpaper under maintenance of aesthetics in the budget for your unit and the hospital.
Just one other thought, while there are low toxicity paints, do you have any information about the adhesive used in wallpapers that may make them less than acceptable in this setting?
Regards,
Margaret Jennings
Marjen Education Serviceswebsite. http://www.marjenes.com.au
email. marjenes@optusnet.com.aumob. 0404 088 754
fax. 03 9439 2436Hello & thanks Glenys, Sylvia & Matt
We have made both the planners & architects aware of the Healthcare guidelines re this section & they have indicated that they are already aware of this information but that NSW Health infrastructure (who have final say over all approvals from NSW health building ) are apparently supportive of this being used hence me looking for more as they are not concerned about this being an significant risk vs what the risk to achieving their model of care and so are not at this point listening so we continue to debate as Infection prevention advocates
Again many thanks and I am still interested in any feedback / experiences or information however I relieved to note that I am not alone in my gut feelings for no I feel honoured to be in good company
Happy Friday & safe weekend to you allespecially thinking of our Queensland cousins with the cyclone off the coastwe are getting some cooler winds down here already so take care
Kind regards
Lindy
Lindy Ryan
District Infection Prevention & Control CNC | Clinical Governance & Information Services MNCLHD
Level 1 Coffs Specialist Centre, Pacific Hwy, Coffs Harbour
Office 66911984 or Mob 0419 990 693 | lindy.ryan@ncahs.health.nsw.gov.au
http://www.health.nsw.gov.auWise and humane management of the patient is the best safeguard against infection
(Florence Nightingale Circa 1860)
Hi Lindy,
I have no literature to back this up (but I will go and look), I too am internally screaming no dont! I cant see how you can effectively clean wall paper and given the harsh environment that a health service is, no matter how homely it feels, it is going to peel, rip and look bad very quickly. Unless there is some super wall paper that I am not aware of (probably anti-microbial as well).
Cheers Matt
Lecturer
School of Nursing, Midwifery & Paramedicine
USCPh +61 7 5456 5191
USC, Locked Bag 4, Maroochydore DC, Queensland, 4558 Australia.
CRICOS Provider No: 01595D
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Hello,
Its funny that this is currently the discussion going as I have been investigating this for our hospital as well. Our administration office has put up a vinyl, fake brick type wall paper (textured). This is a non-clinical area, and I have found little clarity in what can be placed on walls in a non-clinical area (as per the below policy directives / guidelines). It does not specifically say that we cannot have wall paper in non-clinical areas, but my concern is that it would not only be an infection control concern but also a fire risk.
https://www1.health.nsw.gov.au/pds/ActivePDSDocuments/PD2010_024.pdf
https://www.health.nsw.gov.au/policies/manuals/Documents/prot-people-prop.pdf
04.06 Walls Other than special treatments included as feature face work in public or staff recreation areas, wall finishes should be smooth and easily cleaned, and where in the immediate vicinity of plumbing fixtures, water-resistant.
Would anyone have experience with a similar issue?
Kind Regards,
Chelsea Kop | Quality Manager & Infection Control Coordinator, BSN, GDipNurs(Onc), MCN
Delmar Private Hospital
58 Quirk Street, Dee Why, NSW 2099
T +612 9982 5351 | M 0456 170 099 | F +612 9982 6843
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The content of this e-mail is the view of the sender or stated author and does not necessarily reflect the view of Delmar Private Hospital. The content, including attachments, is a confidential communication between of Delmar Private Hospital and the intended recipient. If you are not the intended recipient, any use, interference with, disclosure or copying of this e-mail, including attachments is unauthorised and expressly prohibited. If you have received this e-mail in error please contact the sender immediately and delete the e-mail and any attachments from your system.
P Please consider the environment before printing this emailFrom: ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] On Behalf Of Teresa Holland (Western NSW LHD)
Sent: Friday, 22 February 2019 9:54 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: wall paper in clinical areas – any adviceHi Lindy,
We had this problem during the building of the new Parkes Hospital and the Forbes redevelopment of the Acute Care Services. I asked for samples of the wallpaper and the fabric that they wanted to use for the visitor chairs.
I exposed the samples to blood, urine, faeces, sputum & vomit then attempted to clean them using the detergent/disinfectant wipes and/or our disinfectant solution. None of the wallpaper samples were able to be cleaned properly and stained easily so we have no wallpaper. The fabric samples had similar results so they had to source different fabrics.
Is your fire officer aware of this proposal because I remember there being issues with wallpaper and fire compliance.
Hope this helps.
TeresaTeresa Holland
WHS Coordinator, IP&C and Staff Health Nurse
Lachlan Health Service Forbes & Parkes
Forbes ph: 68507100, fax: 68502245
Parkes ph: 68612400, fax: 68623921
Teresa.Holland@health.nsw.gov.au[http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Western-NSW-LHD.jpg]
From: ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] On Behalf Of Lindy Ryan (Mid North Coast LHD)
Sent: Friday, 22 February 2019 9:08 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] wall paper in clinical areas – any adviceHello & thanks Glenys, Sylvia & Matt
We have made both the planners & architects aware of the Healthcare guidelines re this section & they have indicated that they are already aware of this information but that NSW Health infrastructure (who have final say over all approvals from NSW health building ) are apparently supportive of this being used hence me looking for more as they are not concerned about this being an significant risk vs what the risk to achieving their model of care and so are not at this point listening so we continue to debate as Infection prevention advocates
Again many thanks and I am still interested in any feedback / experiences or information however I relieved to note that I am not alone in my gut feelings for no I feel honoured to be in good company
Happy Friday & safe weekend to you allespecially thinking of our Queensland cousins with the cyclone off the coastwe are getting some cooler winds down here already so take care
Kind regards
Lindy
Lindy Ryan
District Infection Prevention & Control CNC | Clinical Governance & Information Services MNCLHD
Level 1 Coffs Specialist Centre, Pacific Hwy, Coffs Harbour
Office 66911984 or Mob 0419 990 693 | lindy.ryan@ncahs.health.nsw.gov.au
http://www.health.nsw.gov.au[http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Mid-North-Coast-LHD.jpg]
Wise and humane management of the patient is the best safeguard against infection
(Florence Nightingale Circa 1860)From: ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] On Behalf Of Matthew Mason
Sent: Thursday, 21 February 2019 5:29 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: wall paper in clinical areas – any adviceHi Lindy,
I have no literature to back this up (but I will go and look), I too am internally screaming no dont! I cant see how you can effectively clean wall paper and given the harsh environment that a health service is, no matter how homely it feels, it is going to peel, rip and look bad very quickly. Unless there is some super wall paper that I am not aware of (probably anti-microbial as well).
Cheers MattLecturer
School of Nursing, Midwifery & Paramedicine
USC
Ph +61 7 5456 5191
mmason1@usc.edu.au
USC, Locked Bag 4, Maroochydore DC, Queensland, 4558 Australia.
CRICOS Provider No: 01595D
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Hi Teresa,
Did you take any photos of your experiments? I would love to see them if that is possible?Cheers,
Kelly[cid:image001.png@01D3593E.B14EC410]
Kelly Barton
Infection Prevention & Control Officer
Email: kelly.barton@alpinehealth.org.au
Office: 03 5751 9364
Mobile: 0409 885 002
Fax: 03 5751 9396
Address: 30 ODonnell Ave, Myrtleford VIC 3737
Website: http://www.alpinehealth.org.au
P Reduce, re-use, recycle. Please consider the environment before printing this e-mail.From: ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] On Behalf Of Teresa Holland (Western NSW LHD)
Sent: Friday, 22 February 2019 9:54 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] wall paper in clinical areas – any adviceHi Lindy,
We had this problem during the building of the new Parkes Hospital and the Forbes redevelopment of the Acute Care Services. I asked for samples of the wallpaper and the fabric that they wanted to use for the visitor chairs.
I exposed the samples to blood, urine, faeces, sputum & vomit then attempted to clean them using the detergent/disinfectant wipes and/or our disinfectant solution. None of the wallpaper samples were able to be cleaned properly and stained easily so we have no wallpaper. The fabric samples had similar results so they had to source different fabrics.
Is your fire officer aware of this proposal because I remember there being issues with wallpaper and fire compliance.
Hope this helps.
TeresaTeresa Holland
WHS Coordinator, IP&C and Staff Health Nurse
Lachlan Health Service Forbes & Parkes
Forbes ph: 68507100, fax: 68502245
Parkes ph: 68612400, fax: 68623921
Teresa.Holland@health.nsw.gov.au[http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Western-NSW-LHD.jpg]
From: ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] On Behalf Of Lindy Ryan (Mid North Coast LHD)
Sent: Friday, 22 February 2019 9:08 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] wall paper in clinical areas – any adviceHello & thanks Glenys, Sylvia & Matt
We have made both the planners & architects aware of the Healthcare guidelines re this section & they have indicated that they are already aware of this information but that NSW Health infrastructure (who have final say over all approvals from NSW health building ) are apparently supportive of this being used hence me looking for more as they are not concerned about this being an significant risk vs what the risk to achieving their model of care and so are not at this point listening so we continue to debate as Infection prevention advocates
Again many thanks and I am still interested in any feedback / experiences or information however I relieved to note that I am not alone in my gut feelings for no I feel honoured to be in good company
Happy Friday & safe weekend to you allespecially thinking of our Queensland cousins with the cyclone off the coastwe are getting some cooler winds down here already so take care
Kind regards
Lindy
Lindy Ryan
District Infection Prevention & Control CNC | Clinical Governance & Information Services MNCLHD
Level 1 Coffs Specialist Centre, Pacific Hwy, Coffs Harbour
Office 66911984 or Mob 0419 990 693 | lindy.ryan@ncahs.health.nsw.gov.au
http://www.health.nsw.gov.au[http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Mid-North-Coast-LHD.jpg]
Wise and humane management of the patient is the best safeguard against infection
(Florence Nightingale Circa 1860)From: ACIPC Infexion Connexion [mailto:ACIPCLIST@ACIPC.ORG.AU] On Behalf Of Matthew Mason
Sent: Thursday, 21 February 2019 5:29 PM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: wall paper in clinical areas – any adviceHi Lindy,
I have no literature to back this up (but I will go and look), I too am internally screaming no dont! I cant see how you can effectively clean wall paper and given the harsh environment that a health service is, no matter how homely it feels, it is going to peel, rip and look bad very quickly. Unless there is some super wall paper that I am not aware of (probably anti-microbial as well).
Cheers MattLecturer
School of Nursing, Midwifery & Paramedicine
USC
Ph +61 7 5456 5191
mmason1@usc.edu.au
USC, Locked Bag 4, Maroochydore DC, Queensland, 4558 Australia.
CRICOS Provider No: 01595D
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Hi Lindy,
This article (abstract below) may be of interest/use. The types of wall
finishes tested included latex-based paint, enamel paint, vinyl,
micro-perforated vinyl (with paper backing) and textured wallpaper.Do you know the specific (generic) type of wallpaper that is proposed? For
example vinyl wallpaper may unintentionally form vapour barriers which can
create an environment where mould is likely to grow.Am J Infect Control. 2006
Jun;34(5):258-63.Assessment of materials commonly utilized in health care: implications for
bacterial survival and transmission.Lankford MG1,
Collins S,
Youngberg L,
Rooney DM,
Warren JR,
Noskin GA.Author information
Abstract
BACKGROUND:
Contaminated environmental surfaces, equipment, and health care workers’
hands have been linked to outbreaks of infection or colonization because of
vancomycin-resistant enterococci (VRE) and Pseudomonas aeruginosa (PSAE).
Upholstery, walls, and flooring may enhance bacterial survival, providing
infectious reservoirs.OBJECTIVES:
Investigate recovery of VRE and PSAE, determine efficacy of disinfection,
and evaluate VRE transmission from surfaces.METHODS:
Upholstery, flooring, and wall coverings were inoculated with VRE and PSAE
and assessed for recovery at 24 hours, 72 hours, and 7 days. Inoculated
surfaces were cleaned utilizing manufacturers’ recommendations of natural,
commercial, or hospital-approved products and methods, and samples were
obtained. To assess potential for transmission, volunteers touched
VRE-inoculated surfaces and imprinted palms onto contact-impression plates.RESULTS:
Twenty-four hours following inoculation, all surfaces had recovery of VRE;
13 (92.9%) of 14 surfaces had persistent PSAE. After cleaning, VRE was
recovered from 7 (50%) surfaces, PSAE from 5 (35.7%) surfaces. After
inoculation followed by palmar contact, VRE was recovered from all surfaces
touched.CONCLUSION:
Bacteria commonly encountered in hospitals are capable of prolonged survival
and may promote cross transmission. Selection of surfaces for health care
environments should include product application and complexity of
manufacturers’ recommendations for disinfection. Recovery of organisms on
surfaces and hands emphasizes importance of hand hygiene compliance prior to
patient contact.Regards
Glenys
Glenys Harrington
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
Lindy Ryan (Mid North Coast LHD)
adviceHello brains trust
It seems our local health services and state health infrastructure are
intending to put wall paper in clinical areas in part of our new builds
.such as birthing unit.My infection control sense is really twitching with concerns as they don’t
see any infection control issues at this time without more rationale re
risks that would sway them to reconsider doing this (as they believe it
will give them the homey feeling they are after in their new model of care)
.So …in the spirit of trying to be informed and with the times in
understanding & working proactively to support these new model of care
needs ..can anyone else provide any advice of their experience with this
being installed and any pros and cons .I am screaming ‘no don’t ‘ inside
for a number of reasons (we have a warm humid climate here on the coast in
summer) . so I am hoping for any wise words or publications , commentary
from this group around the use of wallpaper in clinical areas if anyone has
any to help us withMany thanks as always
Kind regards
Lindy
Lindy Ryan
District Infection Prevention & Control CNC | Clinical Governance &
Information Services MNCLHDLevel 1 Coffs Specialist Centre, Pacific Hwy, Coffs Harbour
Office 66911984 or Mob 0419 990 693 |lindy.ryan@ncahs.health.nsw.gov.au
http://www.health.nsw.gov.auhttp://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Hea
lth-Mid-North-Coast-LHD.jpg“Wise and humane management of the patient is the best safeguard against
infection”(Florence Nightingale Circa 1860)
This message is intended for the addressee named and may contain
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As per below , I think wall paper won’t be impervous ,
Australasian Health Facility Guidelines ;
All surfaces in patient care areas should be smooth and impervious, and easily cleanable.
Unnecessary horizontal, textured, moisture-retaining surfaces or inaccessible areas where moisture or soil
can accumulate should be avoided.
Fixtures and fittings should be designed to allow easy cleaning and to discourage the accumulation of dust.Emma Trippe
Infection Control Consultant
[cid:image001.png@01D4CD15.31CD1C40]
Calvary Riverina Hospital
Hardy Avenue Wagga Wagga NSW 2650
P: 02 6932 1628
E: Emma.Trippe@calvarycare.org.au
http://www.calvary-wagga.com.auHospitality | Healing | Stewardship | Respect
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http://www.calvarycare.org.au.My speciality is sterilisation but I am also involved with licensing of private facilities and doing facility inspections prior to approval. I have seen a number of things that sound good in principle but aren’t practical.
I would think that walls and all surfaces in clinical areas should be easily cleaned without damage to the surface. Don’t think wall paper can withstand this. A humid environment wouldn’t help!
You may find information of use in the Australasian Health facilities guidelines which detail the types of surfaces for different clinical areas. I’m sure you will get more info from the rest of the brains trust.
https://healthfacilityguidelines.com.au/standard-components
Best wishes
Sylvia
Sylvia Morris
Sterilising and Reusable Medical Device Reprocessing State Coordinator
Infection Control Service
Communicable Disease Control Branch
Public Health and Clinical Systems
SA Health
Government of South AustraliaHCW infection prevention: http://www.sahealth.sa.gov.au/infectionprevention
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Hello brains trust
It seems our local health services and state health infrastructure are intending to put wall paper in clinical areas in part of our new builds …such as birthing unit.
My infection control sense is really twitching with concerns as they don’t see any infection control issues at this time without more rationale re risks that would sway them to reconsider doing this (as they believe it will give them the homey feeling they are after in their new model of care) …
So …..in the spirit of trying to be informed and with the times in understanding & working proactively to support these new model of care needs ……can anyone else provide any advice of their experience with this being installed and any pros and cons …I am screaming ‘no don’t ‘ inside for a number of reasons (we have a warm humid climate here on the coast in summer) … so I am hoping for any wise words or publications , commentary from this group around the use of wallpaper in clinical areas if anyone has any to help us with
Many thanks as always
Kind regards
Lindy
Lindy Ryan
District Infection Prevention & Control CNC | Clinical Governance & Information Services MNCLHD
Level 1 Coffs Specialist Centre, Pacific Hwy, Coffs Harbour
Office 66911984 or Mob 0419 990 693 | lindy.ryan@ncahs.health.nsw.gov.au
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“Wise and humane management of the patient is the best safeguard against infection”
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