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Thank you for clarifying this Matthias, this was my understanding, and we were also advised this was in accordance with the European standards and the manufacturer’s guidelines. ACORNs latest guidelines also state this method.
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.auDear Colleagues,
A few remarks. I have seen it stated occasionally that the first surgical hand preparation of the day should be done water and (antiseptic) detergent-based, and alcohol-based preparation only for subsequent procedures (but not for the first). This is INCORRECT. You may refer to the WHO 2009 hand hygiene guideline, pages 54-60, where surgical hand preparation is described. Detergent and water-based wash is necessary (followed by towel drying before applying the alcohol) when the hands are visibly dirty, but the first hand preparation of the day can still be done with alcohol.
Alcohol-based preparation has a few advantages over detergent and water-based:
(1) It achieves much greater microbial reduction factors on arms/hands than detergent-based scrubbing, thus providing an advantage in terms of residual germs on hands/arms.
(2) It requires much shorter application times than detergent-based scrubbing, saving time for the surgeons and the surgical teams.
(3) If adequate preparations with good emollients are used, it leads to substantially less damage/irritation on hands/skin.
(4) It is ecologically more friendly, because it saves a lot of running water.A large French clinical trial of alcohol-based versus antiseptic detergent-based surgical hand preparation has shown equivalence in terms of surgical site infection (SSI) rates:
Parienti JJ, Thibon P, Heller R, Le Roux Y, von Theobald P, Bensadoun H, et al. Hand-rubbing with an aqueous alcoholic solution vs traditional surgical hand-scrubbing and 30-day surgical site
infection rates: a randomized equivalence study. JAMA 2002; 288: 722-7. doi:10.1001/jama.288.6.722
http://www.ncbi.nlm.nih.gov/pubmed/12169076On one past occasion, I have taken the liberty to publish a small letter to the editor that emphasizes the need for proper technique:
Maiwald M. Technique is important for alcohol-based surgical hand antisepsis. Healthcare Infection 17(3) 106-107.
http://www.publish.csiro.au/paper/HI12028.htmIn my personal opinion, human learning is better when following an example or when something is personally shown/taught than when something has to be learnt from reading manuals or policy and procedure documents (there are so many around already). So, I think it would be a good choice for an organization to have a senior person (e.g. scrub nurse or surgeon) who is familiar with the technique and is able to show this, by personal example, to every newcomer to the facility (or to established staff when the technique is newly introduced) as part of operating theatre introduction/orientation.
And to confirm what Michael has stated, in some settings alcohol-based surgical hand preparation has been done for a long time. When I did my surgical internship in 1986 (this shows my age), it was already the established standard of care.
Best regards, Matthias.
—
Matthias Maiwald, MD, FRCPA
Consultant in Microbiology
Adj. Assoc. Prof., Natl. Univ. Singapore
Department of Pathology and Laboratory Medicine
KK Women’s and Children’s Hospital
100 Bukit Timah Road
Singapore 229899
Tel. +65 6394 8725 (Office)
Tel. +65 6394 1389 (Laboratory)
Fax +65 6394 1387Hi Fran
Not sure if you are referring to use of alcohol hand gels/rubs in procedural areas for social handwashing, or use of waterless alcohol as a scrub agent.
We have been doing both here for a number of years. There are some surgical disciplines where the use of waterless alcohol based scrub agents has been embraced with a gusto. And some surgical disciplines where waterless alcohol based scrub agents are still frowned upon.
I would say 70% of all of our surgical scrubbing is now down with waterless alcohol based products. It has generally been well received. My only reservations are bout the professional societies not having good guidance on their use. ACORN has recently released some better guidance, but none of the surgical colleges have any specific guidance about how to use waterless agents, when you need to wash with soap and water, or anything. This to me makes to hard to enforce good practice across all disciplines. But then again, I have recently discovered that RACS doesn’t even have a procedure on how to do a water based surgical scrub!
Europeans have been using waterless based alcohol scrubbing for some time, and there has been no reported changes in SSI rates there.
So, I would give surgeons and theatre nurses the option of using these products, setting some simple ground rules for their use (like soap and water wash before the first waterless scrub of each list).
Good luck.
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 emailDear all,
How many of you out there are currently using an alcohol-based surgical hand rub in the Perioperative Suites? Some Visiting Medical Officers states that they’ve never heard of it and others can’t go without it.
Kind Regards
Franciska Ferreira
Infection Prevention & Control/Wound Management Consultant
Burnside War Memorial Hospital
120 Kensington Road, Toorak Gardens, SA 5056
t: 08 8202 7222 f: 08 8407 8573 e: fferreira@burnsidehospital.asn.au[user] [bHand Hygiene day 16]
“Share the fun not the germs, clean your hands”
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Hi Michael,
ACORN’s latest guidelines state to not use antimicrobial soap and surgical ABHR sequentially, ie use one or the other. It simply states to use a neutral soap and water if hands are soiled – page 280
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 Fran
Not sure if you are referring to use of alcohol hand gels/rubs in procedural areas for social handwashing, or use of waterless alcohol as a scrub agent.
We have been doing both here for a number of years. There are some surgical disciplines where the use of waterless alcohol based scrub agents has been embraced with a gusto. And some surgical disciplines where waterless alcohol based scrub agents are still frowned upon.
I would say 70% of all of our surgical scrubbing is now down with waterless alcohol based products. It has generally been well received. My only reservations are bout the professional societies not having good guidance on their use. ACORN has recently released some better guidance, but none of the surgical colleges have any specific guidance about how to use waterless agents, when you need to wash with soap and water, or anything. This to me makes to hard to enforce good practice across all disciplines. But then again, I have recently discovered that RACS doesn’t even have a procedure on how to do a water based surgical scrub!
Europeans have been using waterless based alcohol scrubbing for some time, and there has been no reported changes in SSI rates there.
So, I would give surgeons and theatre nurses the option of using these products, setting some simple ground rules for their use (like soap and water wash before the first waterless scrub of each list).
Good luck.
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 emailDear all,
How many of you out there are currently using an alcohol-based surgical hand rub in the Perioperative Suites? Some Visiting Medical Officers states that they’ve never heard of it and others can’t go without it.
Kind Regards
Franciska Ferreira
Infection Prevention & Control/Wound Management Consultant
Burnside War Memorial Hospital
120 Kensington Road, Toorak Gardens, SA 5056
t: 08 8202 7222 f: 08 8407 8573 e: fferreira@burnsidehospital.asn.au[user] [bHand Hygiene day 16]
“Share the fun not the germs, clean your hands”
________________________________
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Hi Joanne,
We have started using these products, ACORN recently updated the standards regarding the use of these types of products, which now only require a social hand wash with a non antimicrobial scrub product prior to use (for surgical asepsis), rather than a 5 minute scrub with an antimicrobial scrub (see ACORN update Feb 2016).
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[cid:image001.gif@01D1B81B.5BE001D0]
HiIs anyone using these alcohol-based hand rub products after the first surgical scrub?
Do you have specific criteria for specialities that do use it?
Is it better to install the touch free design or autoclavable dispenser?
Any significant outcomes for patients?
What is your staff satisfaction rate?
Has it improved the efficiency in the operating theatre?
Thank you
Joe-Anne Bendall
Joe-Anne Bendall
Clinical Nurse Consultant Infection Prevention and Control
(Including vaccination and screening)
Monday – Friday 0800 – 1630
Sydney Hospital and Sydney Eye Hospital
8 Macquarie St
SYDNEY NSW 2000
|* ph +61 2 9382 7199 |page 22070 via switch 9382 7111| 7 Fax 93827510 |
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HI Cate,
Not ICU, but we have them in our day hospital, can’t really see why it would be considered an IC risk, it is a toilet after all??
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 everyone,
I have request by builders to put jumbo toilet roll holders – that hold large round rolls- in ensuite rooms on a new ICU build. My thoughts are no it is an infection control risk but I thought I would ask my more experience learned colleagues in case you have done this?.
Yep sure am covering the big issues today!!!Cate Coffey | Clinical Nurse Consultant
Infection Prevention and Control Unit | Central Australia Health Service
Northern Territory Government
Alice Springs Hopsital, Gap Rd, Alice Springs
GPO Box 2234, Suburb, NT Postcode
p … 08 89517737
e … cate.coffey@nt.gov.au http://www.nt.gov.au/healthOur Vision: Better health outcomes for all Central Australians
Our Values: Community at the Centre | Equity and Integrity | We are Accountable | We are Relevant Today and Ready for Tomorrow | We are Committed to High Quality Care | We Value our PartnershipsCentral Australia Health Service is a Smoke Free Workplace
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Hi Michael,
Yes that’s the one. I’ve just expanded on it to include other types of water control we undertake at our facility.
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
Is this the Legionella guidelines you used as a template?
The basic components of any WQRMP are those included as chapters in that national document. You can expand on them as much as you require.
The other point that cannot be stressed enough is that this has to be a multidisciplinary team effort. You must include your maintenance staff, contractors (eg plumbers), clinical staff (especially and infection control staff or consultants), and executive team.
The Queensland Health Private Health Regulation Unit will most likely refer to the above document when reviewing submitted WQRMPs
Hope this helps.
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,
I am presently drafting a WQRMP. I was using the template for the Legionella RMP, just wondering if anyone has a template or would share their WQRMP suitable for a small day surgery. Just finding some of the questions quite beyond my qualifications.
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______________________________________________________________________
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Thanks Michael, personally never seen it, not sure who put in place, but I don’t really want to have to spend unnecessary dollars on something we don’t really need.
Thanks for your insight.
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
Unless there is something in the pendant suction system that needs protecting form overflow (doubtful there is), I would agree an inline filter in that instance is unnecessary – even for an ‘infectious patient’ actually.
The only issue different from the recovery setup may be overflow valves on the suction canister you are using in theatres…. If you need to protect the external suction unit from fluid (why?) you may need an inline filter.
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 emailHi Darryl
Thanks for your response to my enquiry. The in line filter is attached to suction tubing which connects directly to our theatre pendant, which would be plumbed to our external suction unit, which does have its own filtering system. This tubing then connects directly with a suction canister. All other tubing in our recovery unit is connected the same way (ie from a gas panel to the suction canister). These do not have in line filters, as when you are suctioning a patient, the contents go directly into the canister, which is then changed between patients.
I note you mention that infectious patients would need to have one, which I can understand, but we are a day surgery performing elective surgery and we would not accept patients who had a highly infectious disease.
So from my understanding of your response concerning the wall suction, the in line filter is unnecessary?
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.auHi Tina
The vacuum source is not clear from the enquiry but there are two cases.Suction Pump
An inline antibacterial filter between the jar and the pump is essential for infection control as this potentially contaminated
air is exhausted to the room.
For infectious patients the filter should be replaced after each use.
Otherwise, it rather depends on the actual usage but the filter should be replaced every month or when damp or discoloured.Wall Suction
Again, for infectious patients an antibacterial filter should be used and replaced after each use.
Otherwise, an inline antibacterial filter is not always used, as the potentially contaminated air is exhausted to the pump room
which would have its own filtering system.There is generally a sintered bronze filter fitted to wall suction controllers and nozzles to protect the piping system from solids
and heavy fluids in the event of a jar overflow, in which case the bronze filter should be cleaned immediately.
A greenish discoloration is usually an indication that cleaning is required.
Otherwise, under normal conditions they shouldn’t require more than an annual clean or whatever local preventative maintenance
schedule is in place. The most effective method of cleaning the bronze filters is by autoclave.Regards,
Darryl Ellis | Chief Executive Officer
[cid:image001.jpg@01CD0D13.C7B3EE10]
[cid:image002.jpg@01CD0D13.C7B3EE10] [cid:image003.jpg@01CD0D13.C7B3EE10] [cid:image005.jpg@01CD0D13.C7B3EE10]
Medical Australia Limited (ASX:MLA) incorporates:
TUTA Healthcare | BMDi TUTA Healthcare Pty Ltd | Clements Medical EquipmentMedical Australia Limited | Unit 4B, 128-130 Frances Street | Lidcombe | NSW 2141 Australia
T +61 2 9466 5300 | F +61 2 9922 7165 | M +61 417 263 854
W http://www.medaust.com | E darryl.ellis@medaust.com | I info@medaust.comHello Michael
We have always had an in line filter on our main suction line which connects to our suction canister (not the suction tubing we use on the patient) in the operating theatre, I was just wondering if this was a necessary practice to continue and if so, how regularly do the filters need changing? I have only generally ever used these type of filters in endoscopy.
Would appreciate some feedback.
Thanks
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.
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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______________________________________________________________________
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Hi Darryl
Thanks for your response to my enquiry. The in line filter is attached to suction tubing which connects directly to our theatre pendant, which would be plumbed to our external suction unit, which does have its own filtering system. This tubing then connects directly with a suction canister. All other tubing in our recovery unit is connected the same way (ie from a gas panel to the suction canister). These do not have in line filters, as when you are suctioning a patient, the contents go directly into the canister, which is then changed between patients.
I note you mention that infectious patients would need to have one, which I can understand, but we are a day surgery performing elective surgery and we would not accept patients who had a highly infectious disease.
So from my understanding of your response concerning the wall suction, the in line filter is unnecessary?
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.auHi Tina
The vacuum source is not clear from the enquiry but there are two cases.Suction Pump
An inline antibacterial filter between the jar and the pump is essential for infection control as this potentially contaminated
air is exhausted to the room.
For infectious patients the filter should be replaced after each use.
Otherwise, it rather depends on the actual usage but the filter should be replaced every month or when damp or discoloured.Wall Suction
Again, for infectious patients an antibacterial filter should be used and replaced after each use.
Otherwise, an inline antibacterial filter is not always used, as the potentially contaminated air is exhausted to the pump room
which would have its own filtering system.There is generally a sintered bronze filter fitted to wall suction controllers and nozzles to protect the piping system from solids
and heavy fluids in the event of a jar overflow, in which case the bronze filter should be cleaned immediately.
A greenish discoloration is usually an indication that cleaning is required.
Otherwise, under normal conditions they shouldn’t require more than an annual clean or whatever local preventative maintenance
schedule is in place. The most effective method of cleaning the bronze filters is by autoclave.Regards,
Darryl Ellis | Chief Executive Officer
[cid:image001.jpg@01CD0D13.C7B3EE10]
[cid:image002.jpg@01CD0D13.C7B3EE10] [cid:image003.jpg@01CD0D13.C7B3EE10] [cid:image005.jpg@01CD0D13.C7B3EE10]
Medical Australia Limited (ASX:MLA) incorporates:
TUTA Healthcare | BMDi TUTA Healthcare Pty Ltd | Clements Medical EquipmentMedical Australia Limited | Unit 4B, 128-130 Frances Street | Lidcombe | NSW 2141 Australia
T +61 2 9466 5300 | F +61 2 9922 7165 | M +61 417 263 854
W http://www.medaust.com | E darryl.ellis@medaust.com | I info@medaust.comHello Michael
We have always had an in line filter on our main suction line which connects to our suction canister (not the suction tubing we use on the patient) in the operating theatre, I was just wondering if this was a necessary practice to continue and if so, how regularly do the filters need changing? I have only generally ever used these type of filters in endoscopy.
Would appreciate some feedback.
Thanks
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.
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.
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