Items for Purchasing that Require Review

Transcription

1 Items for Purchasing that Require Review from Infection Prevention and Control Infection Prevention and Control Program consultation is required when new hospital equipment is being considered for purchase. Products used for cleaning and disinfection must be approved by those responsible for product selection, an individual from OHS and by an individual with IPC expertise (e.g., facility s Infection Control Practitioners). The equipment that is to be cleaned must be compatible with the cleaning and disinfecting agents used in the health care setting and manufacturer s recommendations for cleaning must be followed. Endoscope reprocessors Sterilizers Bed pan washer disinfectors Items that can ONLY be ordered with IPC approval When purchasing new non-critical medical equipment, these points must be taken into account for cleaning: Do not purchase medical equipment that cannot be cleaned and disinfected according to the recommended standards. When purchasing cleaning agents or equipment, consideration must be given to occupational health requirements, patient safety, and IPAC and environmental safety issues. Must include written item-specific manufacturer s cleaning and disinfection instructions. If disassembly or reassembly is required, detailed instructions with pictures must be included. Staff training must be provided on these processes before the medical equipment is placed into circulation (e.g., patient lifts, specialized chairs and beds). Items that are provided by outside agencies and returned to the agency for cleaning and disinfection are subject to the same standards as in-house equipment (e.g., therapeutic beds/mattresses). The PIDAC document on disinfection and sterilization states that IPC shall be one of the stakeholders at the table for sterilizer purchase decisions, but the PIDAC Best Practices for Environmental Cleaning and Disinfection has recommendations for other equipment surfaces and cleanability and purchasing in section I-1 as well. Refer to PIDAC s Best Practices for Cleaning, Disinfection and Sterilization in All Health Care Settings for more information regarding the purchase of new medical equipment. Available at: Updated: November 6, 2012

2 Jetted tubs Interior of tub must be smooth and sealed Hydro sonic tubs Regular tubs 2 main recommendations: o ARJO Rhapsody (hydro-sound) o Parker without jets Cloth furniture, fixtures and fittings Exposed foam products Unsealed wood fabric must be fluid resistant fabric must be able to withstand hospital grade cleaning solutions furniture should be made of material that is easily cleanable with hospital grade cleaners items must be washable or encased in sealed cover foam products that are designated as single use items are acceptable but must be disposed after use by a patient wood on chairs or other furniture must be sealed so that it can be cleaned with hospital grade cleaning solutions Vinyl-covered furniture Metal furniture Review PIDAC Best Practices for Environmental Cleaning and Disinfection Plastic frames Metal frames Ice packs Items designated as single use must be disposed of after use by a patient Cloth-covered wheelchairs Cloth-backed commodes fabric must be fluid resistant fabric must be able to withstand hospital grade cleaning solutions fabric must be fluid resistant with a non-textured finish Vinyl covered wheelchairs Metal wheelchairs Commodes with cleanable backs 1 No-go items for HSSBC means that an alternative can be offered or that the Infection Prevention Control Program must be contacted

3 fabric must be able to withstand hospital grade cleaning solutions seat must have the capacity to be removed for thorough cleaning Carpeting Consult with IPC to discuss suitable locations for carpets (e.g., offices, meeting rooms) as opposed to unsuitable locations e.g., any patient care spaces. Refer to page of the PIDAC Environmental Cleaning guidelines for further information. Vinyl or laminate flooring Ice dispensers An protocol for cleaning and maintenance must be in place Hands free ice dispensers Domestic washers and dryers on units Cloth covered mattresses Multi-patient sheepskin Items Cleaning and disinfecting products with no DIN and not VIHA endorsed Must be commercial grade Must have the ability to monitor and record temperature achieved and length of time that temperature is maintained Follow steps outlined in the Laundering on the Units section of the IPC Surface of mattress must be fluid repellent It is alright if the patient has their own product for personal use Must be hospital grade Must be VIHA approved Must have a DIN Vinyl covered mattresses VIHA-approved products

4 Cloth BP cuffs Vinyl or wipeable material Disposable cuffs Household sinks as dedicated hand hygiene Must comply to hand hygiene sink requirements (CSA Z8000) Many available that comply with CSA Z8000 standards Dremel tools Bits must be single use or must be able to be sterilized High speed drills that can be cleaned Electronic scales (i.e. diaper scales) Podiatry designed tools Must have a dust management system Must be cleaned regularly using hospital grade disinfectant and must have smooth surfaces Plastic plants Must be cleaned regularly Artwork Fish tanks Decorations Must have cleanable/wipeable surface Follow steps outlined in the Posted Signage and Other Posted Materials section of the IPC Must be cleaned regularly using hospital grade disinfectant Water/filter needs to be changed regularly Must be cleanable and stored in a lidded container Follow steps outlined in the Storage of Decorative Items section of the IPC Laminated posters if poster will be up for more than 30 days Piano Must be cleaned regularly using hospital grade disinfectant

5 OT Assessment kits Toys Cork Boards Follow steps outlined in the Play Equipment and Toys section of the IPC Traditional cork boards cannot be used in patient care areas Solid surface must be cleanable with hospital grade disinfectant Washable toys White boards Self-sealing rubber board Sealed cork boards (contact FMO to seal)