[Lalith Ramachandra]

Hello Teresa

Generally an A/C system or a heating system is designed with regard to the
maximum and minimum ambient conditions, specially if you require
ventilation in excess of the AS1668.2. This is particularly the case for
OTs and sterile stores where a positive pressure is required relative to
the surrounding areas i.e. a higher outdoor air is required for room
pressurisation.

In Darwin. where I live, the ambient relative humidity level rarely drops
below 40% so we don’t have a low RH issue. Our issues are at the other end!

But in southern areas the RH level is generally maintained using a steam
injector (using central steam or local electric unit) into the A/C duct.
Water atomisation units are rarely used these days because of Legionella
issues. Probably best not to inject directly into the room as this would
then be by-passing the terminal HEPA filters.

I’m not sure if sterility is affected at 21% but below 40% RH, static
electricity generation may become an issue.

Your 21% RH at 22degC corresponds to a very low moisture content about
3.5gm/kg of dry air with a dew point of 0degC, and to get to, say, 40% RH
(at that temp) the air requires about 6.5gm of water vapour per kg of air,
so you do need to provide humidification (add moisture).

Regards

Lalith Ramachandra
LR Consulting Engineers
for Top End Health Services
PO Box 40968
Casuarina, NT
p 0401117423
e lalith.ramachandra@gmail.com

* To Spot the Expert, Pick the One Who Predicts the Job Will Take the
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On Tue, 3 Dec 2019 at 10:24, Teresa Lewis wrote:

> Hi All
> Further to this:
> What does one do if the relative humidity is lower than 35%?
> Our readings can go as low as 21% with a temperature of 22 degrees for
> example. Its all well and good to monitor but what action needs to be
> taken to make correction so that the relative humidity is kept between
> 35-70%?
> Thank you for your help, if anyone is able to.
> Teresa Lewis
> Newcastle Endoscopy Centre
>
> Sent from my iPhone
>
> On 28 Nov 2019, at 8:13 pm, Terry wrote:
>
>
>
> Hi Everyone,
>
>
>
> Thanks to the responders that have pointed out that dew point is also an
> important factor in ensuring that sterile packs are not compromised by the
> presence of moisture, that if present, allows wicking of the microbes;
> thanks also to the person sharing of the Canadian guidance on humidity in
> sterile stores, along with thanks to the person that drew attention to the
> iteration of the storage requirements in terms of temperature and humidity
> in AS/NZS4187:2014.
>
>
>
> I also should mention that there are commercially sterilised products that
> have temperature and humidity exposure limits that are significantly less
> than the parameters mentioned in AS/NZS41897:2014. In these cases, you need
> to review also the storage limitations of your commercially produced
> sterile products as there are some that cannot withstand a humidity range
> in excess of 60% without compromise to the adhesives used to seal the
> products. Similarly, there are products that can withstand exposure to
> temperature and humidity parameters significantly in excess of those stated
> in AS/NZS4187:2014.
>
>
>
> In other words, please review the stored products on a product by product
> basis in terms of the conditions that they can withstand as some may need
> to be discarded if temperature or humidity exceeded the maximum parameter.
>
> *Kind Regards*
>
> *Terry McAuley*
>
> *Director*
>
> *MSc Medical Device Decontamination *
>
>
>
> *PO BOX 2249, Greenvale, VIC Australia 3059*
>
> *Mobile: +61 (0)438 109 692*
>
> *Email: terry@steamconsulting.com.au *
>
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> *From:* ACIPC Infexion Connexion *On Behalf Of *Kristin
> Ryan-Agnew (Northern NSW LHD)
> *Sent:* Thursday, November 28, 2019 8:39 AM
> *To:* ACIPCLIST@ACIPC.ORG.AU
> *Subject:* [ACIPC_Infexion_Connexion] Humidity/Condensation
>
>
>
>
>
> Dear colleagues,
>
> At what level of humidity and over what time frame would it take for
> condensation to form in a sterile storeroom where temperatures have
> fluctuated between 19 and 26 degrees over a 24 hour period and humidity has
> peaked at 90%?
>
> Reason being, we have been advised that sterile stock is uncompromised at
> 26 degrees unless condensation has formed causing the trays to become damp.
>
> Thanks for your assistance.
>
> Kind regards
>
> Kristin
>
> *Kristin Ryan-Agnew*
>
> *Kristin Ryan-Agnew (MPH/Grad Cert IP&C)*
>
> *Infection Prevention & Control Clinical Nurse Consultant*
>
> *The Tweed Hospital*
>
> *Ph: 0755067406*
>
> *Mobile: 0427112213*
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[Lalith Ramachandra]

G’day

Dampening is a result of condensation!

At 19degC dry bulb and 50% room relative humidity, the air dew point is
9degC so no condensation. If the conditions then change quickly to 20degC
and 60%RH then the new dew point is 12degC. And if the sterile barrier is
still at 19degC – no condensation as its above the dew point of the air.

If the conditions then change quickly to 24degC and 80%RH, the dew point is
21degC. So if the sterile barrier is still at 19degC or just above, say,
there will be condensation as the dew point is above this temperature.

If your room is served by an air handling unit and the compressor suddenly
stops (or the chilled water valve shuts) and the fan continues to run, your
room temperature and RH can increase within 30seconds as the air change
rate for sterile stock rooms is 15ch/hr. This will cause condensation on
any surface which is below the new dew point temperature.

Hope this helps.

Cheers

Lalith Ramachandra
LR Consulting Engineers
for Top End Health Services
PO Box 40968
Casuarina, NT
p 0401117423
e lalith.ramachandra@gmail.com

* To Spot the Expert, Pick the One Who Predicts the Job Will Take the
Longest and Cost the Most!*

On Thu, 28 Nov 2019 at 08:27, Louise Christine Grant
wrote:

> Dear Kirsten,
>
> AS4187:2014 says somewhere (sorry cant find specific section a the moment)
> that the acceptable range for relative humidity for a sterile store room is
> 35 to 70%, with an acceptable temperature range of 18 to 250C. There does
> not have to be condensation on the items for them to be affected by an
> increase in humidity. If the packaging gets damp then the bugs on the
> outside can wick through and contaminate the contents. So Id say with the
> humidity going that high the sterility has been compromised.
>
> It has recently happened in our sterile storeroom when the air
> conditioning stopped working in the specific room where the orthopaedic
> trays are stored. The humidity in the room was elevated and the filter
> papers on the orthopaedic trays had dampened despite the outer metal
> containers not having condensation on them. So all the orthopaedic trays
> had to be resterilised.
>
>
>
>
>
> Regards
>
>
>
> Louise Grant PhD Cand, MCl Sc(Periop)
>
> Project Consultant Reprocessing Compliance
>
> Top End Health Service | Northern Territory Government
>
> Room 221, Building 4, Royal Darwin Hospital,
>
> Rocklands Drive, Tiwi NT 0810 | PO Box 41326 Casuarina NT 0811
>
> t 08 8944 8005 | m 0404 491 183 | e *Louise.Grant@nt.gov.au
> * | http://www.health.nt.gov.au
>
>
>
> *TEHS Vision:* *Building Better Care | Better Health | Better
> Communities Together*
>
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>
>
>
> *From:* ACIPC Infexion Connexion *On Behalf Of *Kristin
> Ryan-Agnew (Northern NSW LHD)
> *Sent:* Thursday, 28 November 2019 7:09 AM
> *To:* ACIPCLIST@ACIPC.ORG.AU
> *Subject:* [ACIPC_Infexion_Connexion] Humidity/Condensation
>
>
>
>
>
> Dear colleagues,
>
> At what level of humidity and over what time frame would it take for
> condensation to form in a sterile storeroom where temperatures have
> fluctuated between 19 and 26 degrees over a 24 hour period and humidity has
> peaked at 90%?
>
> Reason being, we have been advised that sterile stock is uncompromised at
> 26 degrees unless condensation has formed causing the trays to become damp.
>
> Thanks for your assistance.
>
> Kind regards
>
> Kristin
>
> *Kristin Ryan-Agnew*
>
> *Kristin Ryan-Agnew (MPH/Grad Cert IP&C)*
>
> *Infection Prevention & Control Clinical Nurse Consultant*
>
> *The Tweed Hospital*
>
> *Ph: 0755067406*
>
> *Mobile: 0427112213*
>
>
>
> [image: cid:image001.png@01D36E89.D6B88C30] *National Standard 3 :
> Preventing and Controlling Healthcare Associated Infections*
>
>
>
> [image: Description: Description: Description: Description:
> cid:image001.png@01CC899A.70FE88C0]
>
> I acknowledge the Bundjalung people as traditional owners of the land on
> which I work and live.
>
> ‘Bulla Yana Yabur’ Standing Together As One
>
>
>
>
>
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[Lalith Ramachandra]

Hello

Does the AHFG provide any advice on the use of aerators?

Thank you

Regards

Lalith Ramachandra

Sent from LR Consulting Engineers

> On 22 Nov 2019, at 9:03 am, De Sousa, Fiona M wrote:
>
>
> Hi all,
>
> Following a recent audit we identified a number of clinical hand wash basins that did not conform to the Australasian Health Facility Guidelines. Examples of non-compliance include poor tap spout positioning, bench set basins, overflow holes, inappropriate sink size.
>
> My recommendation is that these basins be upgraded to comply with the AHFG as a priority. However I have had responses that that this does not need to occur until the areas are refurbished. Where areas are being refurbished in the next few months I agree with this. However some areas are not likely to be refurbished for many years. I would like to know what others would advise for the clinical handwash basins for these areas.
>
> 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
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[Lalith Ramachandra]

Hello Pam

Is this for a domestic type washer located in a ward or the commercial
washer/extractor in the laundry?

Cheers

Lalith Ramachandra
LR Consulting Engineers
for Top End Health Services
PO Box 40968
Casuarina, NT
p 0401117423
e lalith.ramachandra@gmail.com

* To Spot the Expert, Pick the One Who Predicts the Job Will Take the
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On Wed, 9 Oct 2019 at 11:44, Pamela Ann Boon wrote:

> Good morning everyone.
>
> Does anyone have any opinion on the necessity of disinfecting washing
> machine internal components?
>
>
>
> I have been advised to run a wash cycle containing disinfectant every week
> in order for the internal bowl and piping to be decontaminated.
>
>
>
> The Codes of Practice for Public Healthcare Operated Laundries and
> Linen Services have been quoted as suggesting this however I cannot find
> this recommendation within them.
>
> Any advice is appreciated.
>
>
>
> Kind regards
>
> Pam
>
>
>
> *Pamela Boon | *Clinical Nurse
> Manager
>
> Infection Prevention and Management Unit
>
> Royal Darwin Palmerston Hospitals | Top End Health Service
>
>
>
> Northern Territory Government
>
> LG Floor, Royal Darwin Hospital, Rocklands Drive, Tiwi
>
> GPO Box 41326, Casuarina, NT 0811
>
>
>
> *p …**08 892 28045 *
>
> *f …* *08 892 28889*
>
> *e … *
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> *
>
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[Lalith Ramachandra]

Hello Kris

The AIRAH maintenance standard, DA19, advices that monthly maintenance
should be carried out on domestic type split systems and the filters
cleaned or replaced every 6 months. These types of filters are really not
filters as such but a mesh to catch large dust particles.

I’m no IC expert, but droplet (>5microns) travel distance is around 1m or
so, I think, so could potentially contaminate the evaporator surface, but
unless someone touches it, there’s unlikely to be any transmission to the
person. So, monthly cleaning would be good but maybe slightly over cautious.

But as these types of split system have no provision for fresh air, any air
borne bacteria can be recirculated within the room for some time.

Cheers

Lalith Ramachandra
LR Consulting Engineers (Mechanical Services)
for Top End Health Services
PO Box 40968
Casuarina, NT
p 0401117423
e lalith.ramachandra@gmail.com

* To Spot the Expert, Pick the One Who Predicts the Job Will Take the
Longest and Cost the Most!*

On Tue, 1 Oct 2019 at 09:40, Kristine Ellen-Stewart (Hunter New England
LHD) wrote:

> Hello Everyone,
>
>
>
> I am an IC Coordinator working in a rural hospital in NSW.
>
>
>
> We have split system air conditioners in all our patient rooms, including
> single rooms.
>
>
>
> Currently , the cleaning of these air conditioners is done 2nd monthly by
> an outside contractor.
>
>
>
> As these air conditioners are part of single rooms used for droplet
> precautions, sometimes airborne ( nebulised antibiotics), should the
> cleaning be increased to monthly? Cleaned after each patient is discharged
> who has been on precautions?
>
>
>
> Can you please advise and assist?
>
>
>
> Many thanks
>
>
>
> Kris
>
>
> 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
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