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I think that the lack of toilet lids is due to them being attributed to increased falls in the toilet when the patient is opening and closing the lids. The act of opening and closing the lids cause the patient to become unsteady and lead to falls. So to reduce the falls risk, the lids have been removed.
It also is easier to get commodes over the toilet if there is no lid.
I agree with you all about the plume when flushing be of concern but it seems that falls outweigh infection prevention and control issues.
Interesting point of discussion.
Thanks,
Terri Cripps | Clinical Nurse Consultant – Infection Prevention and Control | SCHN Medical Diagnostics and HIV/Immunology
t: (02) 9382 1876 | f: (02) 9382 2084 | e: TERRI.Cripps@health.nsw.gov.au | w: http://www.schn.health.nsw.gov.au
p: 47140
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High Street, Randwick 2031, NSW Australia
Please consider the environment before printing this email.From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Kelly Barton
Sent: Monday, 4 December 2017 11:49 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Toilet lidsI think the lack of toilet lids is very widespread. After advising staff to put the lid down to flush during an outbreak I was advised there were no lids. I have been taking note when I am in other facilities in the last few years and have found that most places I have seen do not have them. Considering what we now know about plume and MROs becoming more difficult to treat I am surprised this has not come up more often. Current design of over toilet chairs and equipment would make it difficult for lids to close for flushing.
I have seen toilet systems overseas where there is a vacuum system of evacuating contents with minimal water used. I would assumes that there would be less plume generated with these, but have not seen any research/study on them.
Keen to hear of other approaches also.
Kelly
Kelly Barton
Infection Prevention & Control Officer
Monday- Friday
P Reduce, re-use, recycle. Please consider the environment before printing this e-mail.Ph: 03 5751 9364
Mob: 0409 885 002Fax: 03 5751 9396
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Van Someren, Leah M (THS)
Sent: Monday, 4 December 2017 10:02 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Toilet lidsHi everyone,
We are currently building a 10 storey hospital here in Hobart. The redevelopment team have recommended against installing lids on the toilets.
The Infection Prevention and Control team have recommended that all toilets have lids. We have based this decision on the evidence of toilet plume and the potentially increased risk of transmitting pathogenic organisms through environmental contamination.
We are interested in the approach taken in other hospitals.
If you are working in a newly developed hospital that has recommended toilets lids on all toilets we would particularly like to hear from you including what influenced your decision making.
Furthermore, we have heard that there are a number of new hospitals built or being built around Australia where toilet lids are either not installed, or installed only in specific locations. If you are working in a facility that did not recommend installing toilet lids in all locations, can you please share your rationale for this?
Thank you in advance.
Leah
Leah Van Someren
Clinical Nurse Consultant
Infection Prevention and Control ServiceTHS- Southern Region
PH: 61662704
Mobile: 0417 986 084
Email: leah.vansomeren@ths.tas.gov.au
Intranet page: http://www.dhhs.tas.gov.au/intranet/stho/cccs/infection_prevention_and_controlLevel 3 I Marine Board Building I 1 Franklin Wharf I Hobart 7000
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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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Hi Andrea,
Currently I screen any child who comes into our facility under these circumstances:
– Transfer from any overseas hospital
– Location where there is a known MRO outbreak
– Recent (in the past 12 months) overnight admission to an overseas hospital or residence in a long term care facility
– Admission (expected to be greater than 4 hours) to ICU and discharge from ICU
– Transfer from other facilities in NSW with a known MRO outbreak
– Transfer from a NICU with known prevalence or MRO outbreak
– Prior to solid organ donation
Specimens required:
MRSA nose and perianal and wound, any transcutaneous exit sites, throat
C diff faeces
VRE rectal swab (can do perianal or faecal specimen), urine
MRAB rectal (can do perianal or faecal specimen), urine, sputum
CPE (CRE) – rectal swab (can do perianal or faecal specimen), urineThis is very similar to the proposed NSW Health Infection Prevention and Control Practice Guidelines that are just about to be released.
It can be difficult to capture those children who meet these criteria as I dont always know if a child has been an inpatient in an overseas hospital or residential facility in the last 12 months.
You might not always know where there is a prevalence of MROs in other facilities and NICUs.
But I do it with the information I have at hand or can find out.Hope that helps.
Terri Cripps | Clinical Nurse Consultant – Infection Prevention and Control | SCHN Medical Diagnostics and HIV/Immunology
t: (02) 9382 1876 | f: (02) 9382 2084 | e: TERRI.Cripps@health.nsw.gov.au | w: http://www.schn.health.nsw.gov.au
p: 47140
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High Street, Randwick 2031, NSW Australia
Please consider the environment before printing this email.From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Menzies, Andrea (Health)
Sent: Tuesday, 31 January 2017 9:53 AM
To: AICALIST@AICALIST.ORG.AU
Subject: screening of inter-hospital patients under 16 years [SEC=UNCLASSIFIED]Dear All
May I enquire as to the practices of other hospitals regarding the screening of patients under 16 years of age, transferred from other healthcare facilities including long-term residential care facilities.
At present we screen for MRSA only, no perianal screening.
Any thoughts and comments gratefully accepted.
Kind Regards
Andrea Menzies
RN | Infection Prevention and Control | Health Directorate
Building 10, Level 4 | The Canberra Hospital | Garran ACT 2605
Phone: (02) 6244 2512 | Fax: (02) 6244 4646 | Email Andrea.Menzies@act.gov.auThe very first requirement in a hospital is that it should do the sick no harm.
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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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Views expressed in this message are those of the individual sender, and are not necessarily the views of NSW Health or any of its entities.
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Hi Jayne,
At Sydney Children’s Hospital we have also given awards for hand hygiene – most improved ward, most consistent ward and ward with the highest percentage of compliance. They got a large box of chocolates and a certificate.
We have also given the auditor with the most audits done and the most consistent auditor recognition with a coffee voucher.
They all get their names mentioned in our hospital newsletter online.
Our Hand Hygiene committee decides on these awards at the end of each audit period.
We have also discussed putting up a notice board of recognition of these achievements in the entry foyer but have yet to act on this idea.Yes, it is time consuming and the money for these things needs to come from somewhere as well (despite it not being very much money). However, the rewards are positive reinforcement and have generated some friendly rivalry.
Hope that helps,
Terri Cripps | Clinical Nurse Consultant – Infection Prevention and Control | SCHN Medical Diagnostics and HIV/Immunology
t: (02) 9382 1876 | f: (02) 9382 2084 | e: TERRI.Cripps@health.nsw.gov.au | w: http://www.schn.health.nsw.gov.au
p: 47140High Street, Randwick 2031, NSW Australia
Please consider the environment before printing this email.—–Original Message—–
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Jayne OConnor
Sent: Wednesday, 23 March 2016 3:37 PM
To: AICALIST@AICALIST.ORG.AU
Subject: hand hygiene awardsDear Colleagues,
Just wondering if anyone has an annual hand hygiene award that is awarded to ward/department, and if so what are your criteria for selecting the winners?
We are about to award for the first time in our annual awards, but want the selection to be correct as it is not just about improvement but consistency of improvement, we don’t want to put staff off improving on hand hygiene compliance who have had good results but maybe have not been consistent!! Does that make sense???Anyway happy to hear your advise:)
Kind regards
JayneJayne OConnor RN, BSc.Inf.Cont.
IPC Co ordinator
Sydney Adventist Hospital
185 Fox valley Rd,
Wahroonga 2076
Tel: DD (02)0 9487 9732
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