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If you dont use either thermal or chemical disinfection for individual patient loads, then I believe that you would then need to have a process to clean the machine between each load.
Best Wishes
Pene Dobell-Brown
Healthcare Certification – Key Client Manager
DNV GL Business Assurance
Level 7, 124 Walker Street
North Sydney NSW 2060
http://www.dnvgl.com________________________________
Hi All,
I dont believe there is any evidence or requirement to use a detergent that provides chemical disinfection at low temperatures for individual patient loads in a Domestic-type washing machine for patient personal use.
In addition from the NHMRC recommendation below individual patients loads could be washed on either a hot or cold cycle.
Regards
Glenys
Glenys Harrington
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
E: infexion@ozemail.com.auEven if you are doing individual patient loads, a complication can also occur if the washing machine is plugged into water attached via a thermostatic mixing valve (TMV) that restricts the temperature the wash will reach. Unless the machine has its own heat cycle you may need to use a detergent that provides chemical disinfection at low temperatures. These are usually available through your normal chemical supplier.
Regards
Pene Dobell-Brown
Healthcare Certification – Key Client Manager
DNV GL Business Assurance
Level 7, 124 Walker Street
North Sydney NSW 2060
http://www.dnvgl.com________________________________
Hi Jenny,
We dont have a particular procedure however as stated in the NHMRC Australian Guidelines for the Prevention and Control of Infection in HealthCare:
* Domestic-type washing machines must only be used for a patients personal items (not other linen). Washing must involve the use of an appropriate detergent and hot water. If hot water is not available, only individual patient loads can be washed at one time. Clothes dryers should be used for drying.
* Used linen must not be rinsed or sorted in patient-care areas or washed in domestic washing machinesIm sure you have already seen this but just in case!
Regards
Janine Egart
Clinical Nurse Consultant – DDHHS
Clinical Governance Unit
p: 07 46166206 | m: 0400704118 (SD: 1947)
a: Pechy Street, Toowoomba, Qld 4350
e: Janine.egart@health.qld.gov.au | w: Darling Downs Hospital and Health Service[DDHHS]
Hi
I am looking for information form an infection control point of view for domestic washing/dryer machine being installed on an acute medical ward
This is for patients own use for personal clothing as our laundry is now being sourced from outside and personal clothing will no longer be washed on site
I am looking for any information that will help with the smooth running of this potential implementation of washer /dryer on the ward
I was wondering if anyone had any protocols or policy they are willing to share
Thank you
regards jennyJenny Garland
Quality Risk &Infection Control Officer
Mater Health Services North QueenslandEmail secured by Check Point
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Even if you are doing individual patient loads, a complication can also occur if the washing machine is plugged into water attached via a thermostatic mixing valve (TMV) that restricts the temperature the wash will reach. Unless the machine has its own heat cycle you may need to use a detergent that provides chemical disinfection at low temperatures. These are usually available through your normal chemical supplier.
Regards
Pene Dobell-Brown
Healthcare Certification – Key Client Manager
DNV GL Business Assurance
Level 7, 124 Walker Street
North Sydney NSW 2060
http://www.dnvgl.com________________________________
Hi Jenny,
We dont have a particular procedure however as stated in the NHMRC Australian Guidelines for the Prevention and Control of Infection in HealthCare:
* Domestic-type washing machines must only be used for a patients personal items (not other linen). Washing must involve the use of an appropriate detergent and hot water. If hot water is not available, only individual patient loads can be washed at one time. Clothes dryers should be used for drying.
* Used linen must not be rinsed or sorted in patient-care areas or washed in domestic washing machinesIm sure you have already seen this but just in case!
Regards
Janine Egart
Clinical Nurse Consultant – DDHHS
Clinical Governance Unit
p: 07 46166206 | m: 0400704118 (SD: 1947)
a: Pechy Street, Toowoomba, Qld 4350
e: Janine.egart@health.qld.gov.au | w: Darling Downs Hospital and Health Service[DDHHS]
Hi
I am looking for information form an infection control point of view for domestic washing/dryer machine being installed on an acute medical ward
This is for patients own use for personal clothing as our laundry is now being sourced from outside and personal clothing will no longer be washed on site
I am looking for any information that will help with the smooth running of this potential implementation of washer /dryer on the ward
I was wondering if anyone had any protocols or policy they are willing to share
Thank you
regards jennyJenny Garland
Quality Risk &Infection Control Officer
Mater Health Services North QueenslandEmail secured by Check Point
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
********************************************************************************
This email, including any attachments sent with it, is confidential and for the sole use of the intended recipient(s). This confidentiality is not waived or lost, if you receive it and you are not the intended recipient(s), or if it is transmitted/received in error.
Any unauthorised use, alteration, disclosure, distribution or review of this email is strictly prohibited. The information contained in this email, including any attachment sent with it, may be subject to a statutory duty of confidentiality if it relates to health service matters.
If you are not the intended recipient(s), or if you have received this email in error, you are asked to immediately notify the sender by telephone collect on Australia +61 1800 198 175 or by return email. You should also delete this email, and any copies, from your computer system network and destroy any hard copies produced.
If not an intended recipient of this email, you must not copy, distribute or take any action(s) that relies on it; any form of disclosure, modification, distribution and/or publication of this email is also prohibited.
Although Queensland Health takes all reasonable steps to ensure this email does not contain malicious software, Queensland Health does not accept responsibility for the consequences if any person’s computer inadvertently suffers any disruption to services, loss of information, harm or is infected with a virus, other malicious computer programme or code that may occur as a consequence of receiving this email.
Unless stated otherwise, this email represents only the views of the sender and not the views of the Queensland Government.
**********************************************************************************
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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Most domestic washing machines I see being used in hospitals have been attached to water pipes with a TMV so they don’t heat the water sufficiently to provide thermal disinfection. You also need to use a washing powder designed to provide chemical disinfection in low temperature environments.
Pene Dobell-Brown (iPhone)
DNV-GL Healthcare Certification
PO Box 4161 Forster NSW 2428
0416687257On 3 Aug 2017, at 10:38, Michael Wishart <Michael.Wishart@SVHA.ORG.AU> wrote:
Hi Helen
That is an interesting question. The use of domestic washing machines to reprocess microfibre cloths would not be recommended, as there would be no validation of thermal disinfection of the cloths.
Having said that, the standard for laundry services for healthcare are only specific about laundered items that are costed to a patient/client or used in direct patient care, not about environmental cleaning tools. So there is no real pressure on a facility to use a commercial washing machine for mops heads or microfibre cloths, despite them requiring a thermal disinfection process.
It would be interesting to know if any facilities are using domestic washing machines to clean this type of equipment.
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 emailFrom: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Helen Truscott
Sent: Thursday, 3 August 2017 9:19 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Environmental Cleaning MethodsHi all,
This is such an interesting topic and I am also interested to know how facilities are managing cleaning of the reusable microfibre cloths.I am concerned about use of domestic washing machines as common place to avoid/ reduce the costs of sending to a commercial hospital laundry.
I would appreciate your views and thoughts.
Kind regards
Helen
Helen Truscott
Clinical Nurse Consultant Infection Prevention & Control Service | Nursing & Midwifery Directorate
NNSW LHD
PO Box 904 Tweed Heads NSW 2485
Tel:07 5506 7227 | Fax :07 5506 7282 | Mob:0418 993745 | Helen.Truscott@ncahs.health.nsw.gov.au
http://www.health.nsw.gov.au[Description: Description: cid:image001.png@01CC899A.70FE88C0]
[Clean hands count]
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Glenys Harrington
Sent: Tuesday, 1 August 2017 5:23 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Environmental Cleaning MethodsHi Terry,
Leaving aside the issue of detergents versus disinfectant for routine cleaning purposes (floors) in healthcare facilities my comments are as follows:
Mops with detergent or disinfectant dispensed from the internal channel of the mop handle
I have seen these mops many years ago. The channel in the mop handles could not be adequately cleaned or disinfected. When we cultured the channels they were contaminated as fluid had remained stagnant in the channel over long periods of time and cleaning agents were simply being topped up. Think you will find the same if you sample the channels of such mops today.
Such mops are not suitable for use in healthcare facility.
Disposable microfiber wipe system
Im assuming the wipes are attached to the base of a mop (? Velcro) and disposed of after so many uses?
Microfiber will do a better job at cleaning over other types of mopping materials (cotton/foam mop heads).
It is probably a matter of what is practical, easy and the most cost effective option for an organisation i.e. disposable microfiber or standard non microfiber mop heads which can be reusable or disposable.
Regards
Glenys
Glenys Harrington
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
E: infexion@ozemail.com.auFrom: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Michael Wishart
Sent: Tuesday, 1 August 2017 3:26 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] Environmental Cleaning MethodsHi Terry
I have seen similar systems for use in hospitals. I dont think they are unsuitable, its just a matter of if they are cost-effective or not. If the microfibre wipes are truly charged microfibre material, they dont need detergents to collect dirt and debris. The addition of a disinfectant is simply to reduce bioburden more that simple cleaning will do. In my view this is unnecessary, but not inappropriate, if you understand what I mean.
Cleaning with a normal cloth dipped only in disinfectant with no detergency properties would be inappropriate, but that is not what I have seen with microfibre cleaning with the addition of disinfectants. Microfibre charged cloths will attract soils and debris, so do not need a detergent.
I am not 100% sure I am actually addressing your question though, as I will admit I am not 100% sure what you are asking.
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 emailFrom: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Terry McAuley
Sent: Tuesday, 1 August 2017 3:10 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Environmental Cleaning MethodsHi Everyone,
Im coming across environmental cleaning service providers in the Day Surgery sector that are wanting to mop floors with a disposable microfiber wipe system used in conjunction with a disinfectant that is either supplied by dipping the wipe in the disinfectant solution or alternatively having the disinfectant poured into the handle of the mop and discharged by the press of a button.
The disposable microfiber wipe is discarded between cleaning different areas, however I am not convinced that this method of cleaning is suitable.
Id appreciate some feedback from the brains trust please.
Kind Regards
Terry McAuley
Sterilisation & Infection Prevention and Control Consultant
STEAM Consulting Pty Ltd ACN 604 439 698
Mob: +61 (0)438 109 692
E: terry@steamconsulting.com.au
W: http://www.steamconsulting.com.au
A: PO BOX 779
Endeavour Hills
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