Presentation on theme: "The Health Roundtable Cleaning clinical areas without chemicals Research and methodology Presenter: Elizabeth Gillespie Hospital Code Name: Monash Health."— Presentation transcript:
The Health Roundtable Cleaning clinical areas without chemicals Research and methodology Presenter: Elizabeth Gillespie Hospital Code Name: Monash Health Poster Session HRT1306 – Best Practice Health Service Cleaning 18 th and 19 th April 2013 Sydney
The Health Roundtable KEY PROBLEMS Major delays Two-step cleaning 160minutes & $142 to complete (182 per week) Dry cleaning required for window drapes, significant delays and $100 per window. Evidence of transmission in some areas ?? environment implicated Evidence of 2-step cleaning compromised at times when workforce overloaded and under resourced
The Health Roundtable AIM OF THIS INNOVATION Eliminate the delays. Improve the overall cleaning results – ie removal of environmental contamination at every discharge Reduce OH & S risk Reduce infection risk Reduce environmental footprint
The Health Roundtable BASELINE DATA - Literature search to view latest cleaning options Desktop testing to determine possibilities Assessments incl: visual, flourescence, bioluminescence (ATP) and microbiological Using ATP 10% bioburden remained after cleaning with detergent and water 4% bioburden remained after 2-step cleaning 2% bioburden demonstrated after MFC & steam Development of daily and discharge cleaning protocols Commenced pilot in 32 bed acute ward and 60 bed aged care facility Conducted before and after data collection
The Health Roundtable KEY CHANGES IMPLEMENTED Pilot (microfibre and steam technology) remained on request of cleaning staff and implementation plan developed for remainder of 2150 bed health service Extensive training for cleaning staff Credentialing of cleaning staff - certificate issued Chemicals eliminated Specific protocols/procedures developed - daily, discharge OR, ED Two step cleaning eliminated One discharge procedure regardless of the patient’s perceived risk. OH&S risk reduced Water useage reduced 90% 100 mins [$142] saved per discharge clean (where previously 2-step) Cleaning staff excited & happy Cleaning assessments based on evidence using fluorescent marker & ATP
The Health Roundtable OUTCOMES SO FAR Favourable feedback from cleaning staff via focus groups 2-step discharge cleaning reduced by 100 minutes Water use reduced by 90% ATP testing demonstrated bioburden reduced to 2- 4% for discharge cleans Visual audit result improved from 91% to 96% in acute care Detergent and disinfectant eliminated for environmental cleaning (100% saving) VRE & Clostridium difficile able to be removed Fluorescent marker a positive teaching tool and cleaning assessment methodology Demonstrated success during a gastro outbreak
The Health Roundtable LESSONS LEARNT Collaboration between infection control and cleaning service improves outcomes When cleaning staff are very well trained & credentialed they demonstrate superior cleaning expertise. Careful evaluation of the cleaning process using fluorescent markers – low cost system (~10 cents per room) enables detection of issues. Involvement of infection control in cleaning processes important since 20 – 40% of hospital acquired infections are attributed to cross infection via contaminated environmental surfaces.