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wall paper in clinical areas – any advice

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  • #75145
    Lindy Ryan
    Participant

    Author:
    Lindy Ryan

    Position:

    Organisation:

    State:

    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)

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    #75150
    Matthew Mason
    Participant

    Author:
    Matthew Mason

    Position:
    Lecturer

    Organisation:
    University of the Sunshine Coast

    State:
    QLD

    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 Matt

    Lecturer
    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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    #75146
    Glenys Harrington
    Participant

    Author:
    Glenys Harrington

    Position:
    Consultant

    Organisation:
    Infection Control Consultancy (ICC)

    State:

    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.au

    Lindy Ryan (Mid North Coast LHD)
    advice

    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-Hea
    lth-Mid-North-Coast-LHD.jpg

    “Wise and humane management of the patient is the best safeguard against
    infection”

    (Florence Nightingale Circa 1860)

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    #75148
    Morris, Sylvia (Health)
    Participant

    Author:
    Morris, Sylvia (Health)

    Position:

    Organisation:

    State:

    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 Australia

    HCW infection prevention: http://www.sahealth.sa.gov.au/infectionprevention
    General public: http://www.sahealth.sa.gov.au/hospitalinfections

    This email may contain confidential information, which also may be legally privileged. Only the intended recipient(s) may access, use, distribute or copy this email. If this email is received in error, please inform the sender by return email and delete the original. If there are doubts about the validity of this message, please contact the sender by telephone. It is the recipient’s responsibility to check the email and any attached files for viruses.

    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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    #75152
    Anonymous
    Inactive

    Author:
    Anonymous

    Position:

    Organisation:

    State:

    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_control

    IPCU – ‘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.au

    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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    #75154
    Lindy Ryan
    Participant

    Author:
    Lindy Ryan

    Position:

    Organisation:

    State:

    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 advice

    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
    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.
    This email is confidential. If received in error, please delete it from your system.
    MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

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    #75160
    Teresa Holland (Western NSW LHD)
    Participant

    Author:
    Teresa Holland (Western NSW LHD)

    Position:

    Organisation:

    State:

    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.
    Teresa

    Teresa 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 advice

    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 advice

    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
    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.
    This email is confidential. If received in error, please delete it from your system.
    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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    #75161
    marjenes@OPTUSNET.COM.AU Subject: Re: wall paper in clinical areas – any advice In-Reply-To:
    Participant

    Author:
    marjenes@OPTUSNET.COM.AU Subject: Re: wall paper in clinical areas – any advice In-Reply-To:

    Position:

    Organisation:

    State:

    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 Services

    website. http://www.marjenes.com.au
    email. marjenes@optusnet.com.au

    mob. 0404 088 754
    fax. 03 9439 2436

    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

    Wise 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
    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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    #75162
    Chelsea Kop
    Participant

    Author:
    Chelsea Kop

    Position:

    Organisation:

    State:

    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

    https://aushfg-prod-com-au.s3.amazonaws.com/download/Part%20D%2004%20Surfaces%20and%20Finishes_7_1.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
    [DPH_logo]
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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 email

    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: wall paper in clinical areas – any advice

    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.
    Teresa

    Teresa 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 advice

    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 advice

    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
    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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    #75172
    Anonymous
    Inactive

    Author:
    Anonymous

    Position:

    Organisation:

    State:

    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 advice

    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.
    Teresa

    Teresa 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 advice

    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 advice

    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
    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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    #75168
    Glenys Harrington
    Participant

    Author:
    Glenys Harrington

    Position:
    Consultant

    Organisation:
    Infection Control Consultancy (ICC)

    State:

    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

    E: infexion@ozemail.com.au

    Lindy Ryan (Mid North Coast LHD)
    advice

    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-Hea
    lth-Mid-North-Coast-LHD.jpg

    “Wise and humane management of the patient is the best safeguard against
    infection”

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    #75174
    Emma Trippe
    Participant

    Author:
    Emma Trippe

    Position:

    Organisation:

    State:

    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.au

    Hospitality | Healing | Stewardship | Respect
    Continuing the Mission of the Sisters of the Little Company of Mary

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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 Australia

    HCW infection prevention: http://www.sahealth.sa.gov.au/infectionprevention
    General public: http://www.sahealth.sa.gov.au/hospitalinfections

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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.

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