ElectroluxInfection Control in the Laundry – The Problem & the Solution

NCA 27th September 2011

Linen as a Carrier of Infection

2

Current Recommendations

BS EN 14065 RABC

HA

Hazard Analysis

CCP

Critical Control Points

RA

Risk Analysis

BC

Bio-Contamination Control

Purpose of RABC

• To avoid microbiological contamination of persons & products by laundry operation

• To provide defined microbiological quality of laundered goods

Note,

• It is a valid and accepted Quality Management System to avoid microbiological problems by various measures.

• It is published as a European Standard (BS EN 14065)

• It is primarily for the protection of the consumers and the final users

• It gives the opportunity to work on internal standards and values

Chain of Infection

Origin of Infection Way of Transmission Sensitive Individual

•Human

•Animal

•Air•Alimentary (Food)•Contact (Linen)•Transmissive (insect)

Infection

•Endogen (by Itself)•Exogen (of external origin)

Personal Hygiene

• Humans are the most Critical Factor

Hand Washing and Hand Disinfection are therefore the most important personal hygiene procedure.Be aware of what you are touching!!

Always wear aprons & gloves!

Hygiene

• Laundry is a potential carrier of healthcare acquired infections.

• It is therefore vital to control its flow. Special measures must be taken to ensure hygiene levels are maintained.

• The laundry items themselves must not pose a threat to health and remain harmless at every stage of their storage, use and handling.

• Dirty laundry can spread germs to other areas and therefore the clean linen needs to be handled as carefully as the dirty.

Linen

• The primary way to prevent infection is to destroy harmful micro organisms when they are on vehicles of transmission, such as instruments, linens, gloves, clothes or even hands.

- Therefore wear & then dispose of gloves / aprons regularly

• Bed linen and clothes are primary examples of vehicles of transmission. RABC is a procedure that ensures not only the decontamination of linen but also reduces the risk of recontamination via dirty linen, staff and equipment.

Current Regulations

•Water Regulations:

• All appliances require adequate backflow protection to prevent contamination of the pipe work supplying them – Generally Fluid Category 5 – Highest Risk

• All Electrolux machines are WRAS approved to meet with this

•Healthcare Regulations: • HSG (95) 18 (Hospital laundry arrangements for used and infected linen) Currently

under review– 65oC for not less than 10 minutes– 71oC for not less than 3 minutes

• BS EN 14065 (Laundry processed textiles bio contamination control system).– RABC – risk analysis and biocontamination control– RABC = HACCP, from food industry

• The Health Act 2006 (Code of Practice for the Prevention and Control of Health Care Associated Infections). Laundry aligned with HSG(95)18

Documentation

Tools

The Electrolux SolutionFrom Bed to Bed

12

From Bed to Bed

13

Measures recommended under European Guidelines (RABC)

• Sorting– Sort laundry according to its origin

e.g. use multicoloured lid trolleys

– Collect textiles separately

– Use red bags for soiled and infected linen. These should be in a separate section of the trolley.

– Do not store dirty laundry for long periods

Sorting Cont.

– Always use clean collection bags that close properly, are not overfilled and are in good condition

– Do not bring dirty laundry into contact with clean laundry during transport

– Mixed trolleys (clean and dirty) must never be used.

– Both the dirty & clean laundry collection bag & support trolley must be regularly cleaned and disinfected.

Washing Recommendations

– Decontamination of Linen (HSG 95 18) either 93, 71 or 65 degrees to THERMALLY DISCINFECT

– Sluice washing will prepare the textile for washing and also help remove stains

– Barrier laundry system to stop dirty and clean linen coming into contact with each other.

– Transfer from Washing to Drying – minimise the handling of laundry. Maximum of four times.

Drying & Finishing

• Drying & finishing will also assist with the decontamination of the linen

• Use clean, separate trolleys for transfer back to the room / ward

17

Good Laundry Practice?

The Electrolux SolutionLaundry Flow and Dimensioning

21

22

Traditional Laundry Design

23

Barrier Laundry Design

24

Product Range – Washer Extractors - High Spin

W465H

W475HW4130H W4180H W4240H W4300HW4105HW455H

W4400H W4850H W41100HW4600H

25

Range Overview - Dryers

T4130

T4190 T4250

T5290 T4300S T4350 T5550 T5675 T4900 T41200

Barrier MachinesRange & Examples

26

27

Barrier Washers – Our Range

• Concept.– Total separation of clean and

dirty linen– Eliminates possibility of cross

contamination– Displays clear process for

CQC outcomes

WB4130H WSB4250H

WB4130H13kg

WB4180H18kg

Poc

ket

The Pocket range

2 capacities: 13 & 18kg A unique product line with no competition

Main segments

• 30 to 120 beds Residential,

Nursing homes,assisted living, etc...

• Small hospitals and clinics

10 ft

Some examples

Template solution for a 25 to 30 bed Nursing Home processing personal laundry only in house.

Clean side

13 kg

1.2m1.5m

Some examples

Template solution for a 40 to 50 bed Nursing Home processing personal laundry only in house.

Clean side

13kg

2.4m3.0m

13kg

UK & Ireland Existing Barrier Sites Sept 2011 - 17

Territory Map

33

• 8 Area Sales Managers

• 3 National Account Managers