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Hello,
We are in the process of reviewing our water quality testing. Having re-read the Qld Government Guidelines (2013), I note they also suggest you sample the toilets. We are small one theatre day surgery, and only do elective surgery. We have 17 water outlets (14 x TMV / 3 x toilets). I was just wondering how many samples other similar size day surgeries are doing and their frequency. The Guidelines suggest quarterly, but the Chief Health Officer’s letter suggested annually if you were considered low risk. The Guidelines appear to be geared more towards larger public/private hospitals.
Are other sites sampling the toilets? Obviously, this isn’t a TMV and I would have to check with the lab how we do this, as you can’t do the triplicate test the Guidelines suggest.
Look forward to some feedback.
Regards
Tina Owens
Director of Nursing[cid:9E350D6D-535C-4698-891D-F55ACC3FBEB3@tci.local]
M 0419 026 091 T 07 5613 2000
t.owens@thecosmeticinstitute.com.au
98 Marine Parade, Southport, QLD 4215
[cid:28BB8E47-FA99-4957-98F0-001299011A63@tci.local] [cid:0695DACD-A5A1-4802-8717-C1B1DE0F7CFC@tci.local] [cid:AA704435-49C1-4C20-AC86-9DF777D87F69@tci.local] [cid:3131B61C-C776-4A69-85FF-8DD35192640A@tci.local] thecosmeticinstitute.com.auMESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
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Hi Tina
My interpretation of the guidelines where it says 2. Collect random samples from other locations such as wash basins, bath tubs, toilets, service taps, sinks, and other water spigots” is that it is looking a cold water inflow (where there is only cold water feed, such as a toilet), not water in the toilet bowl. So, if you want to sample these sites, try getting water from the inflow feeding these devices. And the main idea of looking at cold water would be looking at total plate counts rather than just Legionella, as well as residual chlorine levels, to ensure your water system is maintaining an appropriate disinfectant level when supplying outlets.
In my mind it is about looking at the whole water circulation system, not just the outlet, and what the water quality is that is feeding each outlet.
You could also specifically ask the Water Quality team in Queensland Health for any advice on this for your facility, as well. They are quite helpful.
Cheers
MichaelMichael Wishart
Infection Control CoordinatorA 627 Rode Road, Chermside QLD 4032
P (07) 3326 3068 | F (07) 3607 2226 | E michael.wishart@svha.org.au | W http://www.hsnph.org.au
[cid:image001.png@01D01926.61F1C2B0]
P Please consider the environment before printing this emailHello,
We are in the process of reviewing our water quality testing. Having re-read the Qld Government Guidelines (2013), I note they also suggest you sample the toilets. We are small one theatre day surgery, and only do elective surgery. We have 17 water outlets (14 x TMV / 3 x toilets). I was just wondering how many samples other similar size day surgeries are doing and their frequency. The Guidelines suggest quarterly, but the Chief Health Officer’s letter suggested annually if you were considered low risk. The Guidelines appear to be geared more towards larger public/private hospitals.
Are other sites sampling the toilets? Obviously, this isn’t a TMV and I would have to check with the lab how we do this, as you can’t do the triplicate test the Guidelines suggest.
Look forward to some feedback.
Regards
Tina Owens
Director of Nursing[cid:9E350D6D-535C-4698-891D-F55ACC3FBEB3@tci.local]
M 0419 026 091 T 07 5613 2000
t.owens@thecosmeticinstitute.com.au
98 Marine Parade, Southport, QLD 4215
[cid:28BB8E47-FA99-4957-98F0-001299011A63@tci.local] [cid:0695DACD-A5A1-4802-8717-C1B1DE0F7CFC@tci.local] [cid:AA704435-49C1-4C20-AC86-9DF777D87F69@tci.local] [cid:3131B61C-C776-4A69-85FF-8DD35192640A@tci.local] thecosmeticinstitute.com.au______________________________________________________________________
For the purposes of protecting the integrity and security of the SVHA network and the information held on it, all emails to and from any email address on the “svha.org.au” domain (or any other domain of St Vincent’s Health Australia Limited or any of its related bodies corporate) (an “SVHA Email Address”) will pass through and be scanned by the Symantec.cloud anti virus and anti spam filter service. These services may be provided by Symantec from locations outside of Australia and, if so, this will involve any email you send to or receive from an SVHA Email Address being sent to and scanned in those locations.
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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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Thanks Michael. Will contact the water quality team for further advice. We were originally told to just sample the TMVs, specifically showers which are rarely used.
Cheers
Tina Owens
Director of Nursing[cid:9E350D6D-535C-4698-891D-F55ACC3FBEB3@tci.local]
M 0419 026 091 T 07 5613 2000
t.owens@thecosmeticinstitute.com.au
98 Marine Parade, Southport, QLD 4215
[cid:28BB8E47-FA99-4957-98F0-001299011A63@tci.local] [cid:0695DACD-A5A1-4802-8717-C1B1DE0F7CFC@tci.local] [cid:AA704435-49C1-4C20-AC86-9DF777D87F69@tci.local] [cid:3131B61C-C776-4A69-85FF-8DD35192640A@tci.local] thecosmeticinstitute.com.auHi Tina
My interpretation of the guidelines where it says 2. Collect random samples from other locations such as wash basins, bath tubs, toilets, service taps, sinks, and other water spigots” is that it is looking a cold water inflow (where there is only cold water feed, such as a toilet), not water in the toilet bowl. So, if you want to sample these sites, try getting water from the inflow feeding these devices. And the main idea of looking at cold water would be looking at total plate counts rather than just Legionella, as well as residual chlorine levels, to ensure your water system is maintaining an appropriate disinfectant level when supplying outlets.
In my mind it is about looking at the whole water circulation system, not just the outlet, and what the water quality is that is feeding each outlet.
You could also specifically ask the Water Quality team in Queensland Health for any advice on this for your facility, as well. They are quite helpful.
Cheers
MichaelMichael Wishart
Infection Control CoordinatorA 627 Rode Road, Chermside QLD 4032
P (07) 3326 3068 | F (07) 3607 2226 | E michael.wishart@svha.org.au | W http://www.hsnph.org.au
[cid:image001.png@01D01926.61F1C2B0]
P Please consider the environment before printing this emailHello,
We are in the process of reviewing our water quality testing. Having re-read the Qld Government Guidelines (2013), I note they also suggest you sample the toilets. We are small one theatre day surgery, and only do elective surgery. We have 17 water outlets (14 x TMV / 3 x toilets). I was just wondering how many samples other similar size day surgeries are doing and their frequency. The Guidelines suggest quarterly, but the Chief Health Officer’s letter suggested annually if you were considered low risk. The Guidelines appear to be geared more towards larger public/private hospitals.
Are other sites sampling the toilets? Obviously, this isn’t a TMV and I would have to check with the lab how we do this, as you can’t do the triplicate test the Guidelines suggest.
Look forward to some feedback.
Regards
Tina Owens
Director of Nursing[cid:9E350D6D-535C-4698-891D-F55ACC3FBEB3@tci.local]
M 0419 026 091 T 07 5613 2000
t.owens@thecosmeticinstitute.com.au
98 Marine Parade, Southport, QLD 4215
[cid:28BB8E47-FA99-4957-98F0-001299011A63@tci.local] [cid:0695DACD-A5A1-4802-8717-C1B1DE0F7CFC@tci.local] [cid:AA704435-49C1-4C20-AC86-9DF777D87F69@tci.local] [cid:3131B61C-C776-4A69-85FF-8DD35192640A@tci.local] thecosmeticinstitute.com.au______________________________________________________________________
For the purposes of protecting the integrity and security of the SVHA network and the information held on it, all emails to and from any email address on the “svha.org.au” domain (or any other domain of St Vincent’s Health Australia Limited or any of its related bodies corporate) (an “SVHA Email Address”) will pass through and be scanned by the Symantec.cloud anti virus and anti spam filter service. These services may be provided by Symantec from locations outside of Australia and, if so, this will involve any email you send to or receive from an SVHA Email Address being sent to and scanned in those locations.
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
______________________________________________________________________
For the purposes of protecting the integrity and security of the SVHA network and the information held on it, all emails to and from any email address on the “svha.org.au” domain (or any other domain of St Vincent’s Health Australia Limited or any of its related bodies corporate) (an “SVHA Email Address”) will pass through and be scanned by the Symantec.cloud anti virus and anti spam filter service. These services may be provided by Symantec from locations outside of Australia and, if so, this will involve any email you send to or receive from an SVHA Email Address being sent to and scanned in those locations.
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
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