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Hello Heather
We do very similar approach to what Michael’s response indicated . I agree wholeheartedly that a ‘builders clean’ leaves a lot to be desired I have actually seen what filthy equipment they attempt to use to clean their floors with …yuk…. ‘not ok” .
after a clinical area is signed off and handed over to us we undertake what we call ‘a clinical clean’ and inspection / audit post clean . The cleaning is done by our hospital cleaning staff just before opening (as they know what needs to be done and also gives them a better idea of what they will actually need to continue to do and locate all the nooks and crannies etc before we put pts. in this area) & I am often involved in the inspection.
however just be aware that sometime you may need to do more than one clinical clean if it is not up to scratch or if the handover time has a delay to actual pt. occupation date… Also need to consider what you will allow in the area before the clinical clean is done (i.e. additional fixtures, brackets, wall hanging, beds, bed curtains etc. are all often needing to be bought in and added after the building has been handed over as part of commissioning process.
I will not permit any pharmacy or sterile items to be delivered into the ward at all before the clinical clean is completed & Oked. Other items they want to bring in to set up are upon negotiation. I am not sure how others fare but once we get a building handed over to us there is always a mad rush to get everything into the area and get it open ASAP so lots of pressure and time constraints to get it all sorted ..
Also any old equipment / furniture that is being re- used (we don’t always get the luxury of all new equipment for all our builds) and transferred across from other wards etc has to be thoroughly cleaned & inspected to ensure its still Ok before it is allowed into the new area
Cant say we are perfect but it’s a big job that we aim for the best with what we can (but its better than a builders clean!!!)
Cheers
Lindy
Lindy Ryan
Infection Prevention & Control Clinical Nurse Consultant | Nepean Hospital, NBM LHD
Infection control Service, PO Box 63 Penrith, 2751, NSW
Tel (02) 4734 2228 | Fax (02) 4734 2517 | lindy.ryan@health.nsw.gov.au
http://www.health.nsw.gov.auInfection Prevention and control is everyones business
Clean hands – safest care….take a moment & practice the five moments[http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Nepean-Blue-Mountains-LHD.jpg]
Hi Heather
I have been involved in many construction / refurbishment projects within acute hospitals, and a ‘builder’s clean’ in NEVER thorough! We recently had a cardiac theatre here refurbished including new installation of a ceiling, and the ‘builder’s clean’ only removed debris from the floor only!
A thorough clean of all horizontal and vertical surfaces, and commissioning of all plant (which includes cleaning of air conditioning ducting where new) is required. Some of this requires special cleaning (eg cleaning of air conditioning ducts or pipework), but most of the cleaning prior to occupancy and use if done by the facility cleaning team, and includes walls, ceiling and any horizontal or vertical surface.
Rarely have I been involved in purposeful disinfection of the environment on commissioning, and this only in specific instances such a clean rooms or transplant units where there was a higher level of routine environmental disinfection anyway. In most instances a thorough clean with detergent and water is all that has been necessary. However, if the facility process is for routine disinfection of ALL environmental surfaces, then this is then the process prior to occupancy in a new or refurbished area.
The actual term ‘decontamination’ used in the AHCFG in this setting probably needs to be clarified. I would take it to mean physical removal of debris as in ‘cleaning’, not specifically disinfection. It seems to be mainly used in the AHCFG for decontamination of equipment (eg reprocessing).
My thoughts, anyway.
Cheers
MichaelMichael Wishart
Infection Control Coordinator
Holy Spirit Northside Private Hospital
627 Rode Road, Chermside, Qld 4032
t: (07) 3326 3068 | f: (07) 3607 2226
e: Michael.Wishart@svha.org.au
w:www.holyspiritnorthside.org.au
Please consider the environment before printing this email[http://www.interactivejam.com.au/images/ACIPC-conference.jpg]
Hi
I would like to place a post on the discussion forum as below.The Construction and Renovation section of the Australasian Health Facility Guidelines discuss the responsibilities of the commissioning team to ensure that a newly constructed or renovated area complies with the standards for occupation. In relation to environmental cleanliness it states ” thorough cleaning and decontamination of all surfaces including walls, ceilings, windows, ventilation systems, services cavities and ceiling spaces;”
We would like to know how other hospitals interpret this especially the requirement for decontamination.
I understand the builders do a builders clean and often facilitate a preoccupancy clean by contracted cleaners.
1. Does your hospital cleaning team re-clean all surfaces?
2. Are the surfaces disinfected after the initial clean?
3. Can you please share what process and type of products you use? i.e. a one step clean or two step clean (with a disinfectant)Kind regards
HeatherHeather Craigie
CNC Infection Prevention and Control,
Mersey Community Hospital,
Tasmanian Health Organisation – North West
Phone 6426 5443 or 0400 351 706________________________________
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Dear Craig
Happy to share what we have here in NBMLHD doesnt specifically clarify BBE but refers to sleeves being rolled up, no ties and Clothing worn by healthcare workers must allow for adequate and efficient cleaning of the hands and forearms.
This is document is currently under review but there will be no major changes to my knowledge its just time for it to be reviewed mostly ( Infection control do have input).
Have a great day will be interesting to see what other actually do have in place should they share (given we are updating ours here)
Regards
Lindy
Lindy Ryan
Infection Prevention & Control Clinical Nurse Consultant | Nepean Hospital, NBM LHD
Infection control Service, PO Box 63 Penrith, 2751, NSW
Tel (02) 4734 2228 | Fax (02) 4734 2517 | lindy.ryan@health.nsw.gov.au
http://www.health.nsw.gov.auInfection Prevention and control is everyones business
Clean hands safest care.take a moment & practice the five moments[http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Nepean-Blue-Mountains-LHD.jpg]
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Craig Boutlis
Sent: Wednesday, July 09, 2014 7:28 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Bare below the elbows etc. and the RACP exams – do you have a policy?Hi,
Hundreds of nervous medical registrars are about to fan out all over Australia for their Royal Australasian College of Physicians exams from July 25 to August 3, as they do every year. In hot pursuit will be about 150 “National Exam Panel” (NEP) members, of whom I am one. If you are wondering, it definitely is “all beer and skittles”.
Some of you can relax…I ditched my tie years ago, my jacket is left hanging on a chair, sleeves are rolled up, my pedometer has a watch, and there is no lanyard to be seen. For many others though, it is all about the grandest suit and tie they can conjure. Of interest, it’s amazing to see how easily those ties flop on to patients when candidates lean forward, but I digress.
I take it as a given that you all practice the 5 moments and cleaning of reusable equipment between patients. Do any of you in public (or some larger private) hospitals have a dress code (eg, BBE) that we NEPs and exam candidates must respect? Further, is it guidance (“should”) or actual policy (“must”)? Feel free to send on to me.
Best wishes,
Craig
Craig Boutlis
Department Head, Infectious Diseases | IMACS
LMB 8808, SCMC, NSW, 2521
Tel. 02 4222 5898 | craig.boutlis@sesiahs.health.nsw.gov.au[http://www.health.nsw.gov.au/images/communications/e-signatures/images/NSW-Health-Illawarra-Shoalhaven-LHD.jpg]
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Dear Anita
Not sure if you have seen this review from Canada. Its 2009 but may be of interest/ assistance?
Regards
Lindy
Lindy Ryan
Infection Prevention & Control Clinical Nurse Consultant | Nepean Hospital, NBM LHD
Infection control Service, PO Box 63 Penrith, 2751, NSW
Tel (02) 4734 2228 | Fax (02) 4734 2517 | lindy.ryan@health.nsw.gov.au
http://www.health.nsw.gov.auInfection Prevention and control is everyones business
Clean hands – safest care….take a moment & practice the five moments[http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Nepean-Blue-Mountains-LHD.jpg]
Hi all,
We are currently in the planning phase of the new Monash Children’s Hospital in Victoria. The issue of macerators versus pan flushes has raised some debate. From an infection control perspective we favour macerators. Engineering has evaluated the maintenance issues to be equal.
There appears to be a trend toward complete maceration systems in new builds, however I am receiving some comments that there are concerns with some Water authorities anticipating future environmental impacts.Can anyone who has completed a recent build with partial or complete maceration systems in place please advise me on any significant issues around their choice.
Thanks,
AnitaAnita Lovegrove
Snr Infection Control Consultant
Monash Medical Centre
Monash HealthFax:95946992
email: anita.lovegrove@monashhealth.org.au
MonashHealth
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Thanks Cath
Absolutely correct that this is only a safety notice put out by NSW Health as part of the sterilisation group recommendation to ensure standard approach to patient safety and advice given NSW facilities have been requesting more advice .
Again Cath is more than correct in indicating that this safety notice is for the information of NSW health services and as such being from NSW I welcome the fact that NSW CEC has a structure and processes to provide safety information for it ‘s stakeholders and managers in the diverse health scape across NSW ( we also have safety alerts, recalls, information etc about a plethora of issues from hand hygiene, to CJD, to storage of accountable medicines, bathing of newborn babies, ETOH in OT etc etc…I figure all states will have similar processes and notices for their health employees/ service managers/ clinicians as may be current and relevant for their states )
This safety notice nor any safety notice / advice/information etc put out by the CEC should not be read and is not intended to act as a directive, or a recommendation for any of these items to be used or not…. but simply to provide safety advice and information from its peak expert sterilisation advisory group to the CEC within NSW particularly for sites who perhaps do not have the opportunity to have access to sterilisation or infection control expertise readily and as such have been seeking assistance/ advice from NSW health to provide some framework around concepts for safety with this new and emerging technology.
Personally in overall discussion with my colleagues within and outside of infection prevention and control this new & rapidly emerging technology has raised many queries and much angst within the ever growing demands and pressure on the health dollar and provision of safe pt. servicing efficiency within NSW
For NSW the CEC rather than keep silent when being asked for advice is only at the end of the day responding to requests to provide some useful information and risk minimisation strategies for sites in consideration to using this technology and not just leave sites/ managers to only rely on vendor information or have to look up current literature reviews themselves to have to understand and interpret in hopes to gain some independent insight into this evolving technology.
At the end of the day managers who aren’t sure just want to a framework to be reassured that they are providing safe patient care and although it may seem there is an agenda or this document can be used as a tool by other vendors to put staff on notice re what NSDW has put out …this is not the case for the CEC…I believe they are trying to communicate information to their staff( who have asked for quite some time now around this new technology) based on advice they have from their expert panel in sterilisation and HAI Governance in NSW. I thank our NSW CEC for getting back to all those who wanted to know a bit more regarding what they should be ensuring they consider for their pt. safety framework. (yeh) … I just reckon its nice to know we have a response process that is not dictating just providing risk based frameworks for services to be able to decide for themselves…
I would like to declare however that I do currently not only work as an ICP in my district but have been nominated by my CE to sit on the NSW CEC HAI expert advisory group for NSW (who report to the HAI steering group) & I was aware that this was being developed some time ago …although I had absolutely no input into this document at all . I do know though that it has taken some time to be released to ensure that it was based on pt. safety & not agenda driven
Thanks for those who have continued to read my response with interest to this issue..as at the end of the day it is just my response given I was surprised to see this NSW document distributed on our discussion forum. Who would have thought those outside NSW would have even cared or been interested in what NSW publish here …. …But good to see it has evoked some conversation/interest …
Hope you are all keeping well and bug free
Kind regards
Lindy
Lindy Ryan
Infection Prevention & Control Clinical Nurse Consultant | Nepean Hospital, NBM LHD
Infection control Service, PO Box 63 Penrith, 2751, NSW
Tel (02) 4734 2228 | Fax (02) 4734 2517 | lindy.ryan@health.nsw.gov.au
http://www.health.nsw.gov.auInfection Prevention and control is everyones business
Clean hands – safest care….take a moment & practice the five moments[http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Nepean-Blue-Mountains-LHD.jpg]
Whilst an interesting piece from the CEC ACIPC subscribers should also be reminded that the CEC has authority only in NSW, not nationally and therefore outside of NSW their notices are in no way mandatory.
As an experienced writer of state policy and regulation and guidelines I am always sceptical about what the political motive/ knee-jerk reaction may be behind issuance of documents such as this. What happened somewhere to cause this to be written?
Perhaps what they best reflect is the need for infection prevention guidance to be written in a way that it keeps up with technological and research advancements and for ICPs to be closely engaged when any new product or system is introduced into an organisation as pounds to peanuts some ingenious HCW somewhere will find a new, unimaginable way to use the product and often that way can cause harm or risk.
You gotta love a field that is constantly changing….
Regards
CathDr Cathryn Murphy RN MPH PhD CIC
Executive Director
Infection Control Plus Pty LtdAdjunct Professor
Griffith University, School of Nursing and Midwifery
http://www.infectioncontrolplus.com.au
[Description: twitter logo][Description: FB logo][Description: icp icon]Dear all,
Please find attached the recently published notice from the Clinical Excellence Commission titled:
“Use of Chemical Impregnated Disinfection Wipe Systems for Reusable Medical Devices” 001/14
This notice speaks to all chemical disinfection wipe systems including, the much discussed, Chlorine Dioxide Based 3 Step Wipe System.
I trust the group find this document useful.
Yours Sincerely
Scott Pabst
National Sales Manager
AshMed Pty Ltd
Ph. 0435 843 950
E. scott@ashmed.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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