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Beyond Standards Building Infection Prevention into the Building ’ s Infrastructure

Beyond Standards Building Infection Prevention into the Building ’ s Infrastructure. Ottawa May 15, 16 , 2017. Teegor. Consulting Inc. Beyond Standards Building Infection Prevention into the Building ’ s Infrastructure. Roger Holliss Dir. of Engineering St. Mary’s General Hospital.

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Beyond Standards Building Infection Prevention into the Building ’ s Infrastructure

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  1. Beyond StandardsBuilding Infection Prevention into the Building’s Infrastructure Ottawa May 15, 16 , 2017

  2. Teegor Consulting Inc. Beyond StandardsBuilding Infection Prevention into the Building’s Infrastructure Roger Holliss Dir. of Engineering St. Mary’s General Hospital Gordon Burrill President Teegor Consulting Inc. Ottawa May 15, 16 , 2017

  3. Agenda • The magnitude of the HAI challenge • How standards happen • IC in the HCF standards world • Integrating IC into building infrastructure • Beyond standards • Q & A Ottawa May 15, 16 , 2017

  4. Standards: A matter of perspective Ottawa May 15, 16 , 2017

  5. Standards: A matter of perspective Ottawa May 15, 16 , 2017

  6. Timeline of a standard Ottawa May 15, 16 , 2017

  7. The Game Changer: CSA Z317.13-17 • Canadian Standards Association • CAN/CSA Z317.13-17: Infection control during construction, renovation and maintenance of health care facilities • Approved by the Technical Committee for Health Care Facilities Engineering and Physical Plant • Approval – January 03, 2017 • Printed – January 26, 2017 Ottawa May 15, 16 , 2017

  8. Earlier Editions of this Standard • Canadian Standards Association • CAN/CSA Z317.13-03: • Released in May, 2003 • CAN/CSA Z317.13-07 • Released in Dec, 2007 • CAN/CSA Z317.13-12 • Released in Dec, 2012 • CAN/CSA Z317.13-17 • Released in January 26th, 2017 from Revolution to Evolution! Ottawa May 15, 16 , 2017

  9. Changes in Z317.13-17 • Wall materials faced with water-impervious surfaces • Bathrooms/Kitchens/Unconditioned space • Near skylights • Bottom 1200 mm of exterior walls • Contractor training • Training requirements • Provisions for untrained workers • Management of rental CAHU’s • Written IC Plans for construction • “Construction clean” defined (sort of) Ottawa May 15, 16 , 2017

  10. The Big One: CSA Z8000-11 • 1st Canadian national standard • Approved by TSC – July 13, 2011 • Approved by SCC – July 22, 2011 • Currently at Public Review • Anticipated next edition = 2018 Ottawa May 15, 16 , 2017

  11. Proposals for CSA Z8000-18 • Hand hygiene sink locations • Class A healthcare facilities • Class B healthcare facilities • Prohibition of use of HHS as emergency eyewash stations • Use (or not) of forced air hand dryers • Evaluation for number of AIR’s • Laundry chutes & Large diameter p-tube for laundry/waste Ottawa May 15, 16 , 2017

  12. The Unknown (kinda): CSA EXP06-2015 • Express Document • Released December 2015 • Available via COI Ottawa May 15, 16 , 2017

  13. The Unknown (kinda): CSA EXP06-2015 • Check sheet oriented • Ask the right questions • Evaluation tool • Effectiveness • Applicability • Validity of claims Sample Ottawa May 15, 16 , 2017

  14. IPAC & Engineering (background - standards) PIDAC Ottawa May 15, 16 , 2017

  15. Standards Life Cycle Earliest pt. for CSA consideration Typical pt. when imbedded in a std. Ottawa May 15, 16 , 2017

  16. Integrating IC into Bldg. Infras. (Relationship btn. Eng’g., IC & Housekeeping) Ottawa May 15, 16 , 2017

  17. Integrating IC into Bldg. Infras. (Relationship btn. Eng’g., IC & Housekeeping) • Complementary vs. Replacement • Integrated vs. Independent, Ottawa May 15, 16 , 2017

  18. Integrating IC into Building Infrastructure • Disinfection vs. Cleaning, Ottawa May 15, 16 , 2017

  19. Integrating Infection Control into Building Infrastructure Ottawa May 15, 16 , 2017

  20. UV Reflective On-site Coatings Quarternary Salts Residual Sprays Factory Coatings Temporary Coatings H2O2 / O3 H2O2 / Ag H2O2 TiO2 Silver Nano Probiotic Electrostatic Photocatalytic Emerging Technologies Ottawa May 15, 16 , 2017

  21. Engineering Ozonated Water Housekeeping UVC’s Anti-Microbial Materials Chemical Mgt. TiO2 Paints Waste Ottawa May 15, 16 , 2017

  22. Housekeeping Engineering UVC’s Ozonated H2O Chemical Mgt. Waste TiO2 Paint Anti-Microbial Materials ????? clinical Ottawa May 15, 16 , 2017

  23. UVC Applications Ottawa May 15, 16 , 2017

  24. UVC as Part ofInfrastructure • AHU Coil Cleaning: Ottawa May 15, 16 , 2017

  25. UVC as Part ofInfrastructure Ottawa May 15, 16 , 2017

  26. HVAC Coil UV Cleaners 6.8.6.1 Notes: 1) UV systems have been shown to be useful in reducing bio burden on cooling coils. They have also been demonstrated to reduce the number of active micro-organisms in ventilation air when installed in ductwork. Ottawa May 15, 16 , 2017

  27. UVC as Part of Infrastructure 3 mo. after cleaning Ottawa May 15, 16 , 2017

  28. UVC as Part of Infrastructure 3 months after cleaning Ottawa May 15, 16 , 2017

  29. UVC as Part of Infrastructure 6 mo. after cleaning Ottawa May 15, 16 , 2017

  30. 6 months after cleaning Ottawa May 15, 16 , 2017

  31. Ozonated Water Ottawa May 15, 16 , 2017

  32. Anti- Microbial Materials Ottawa May 15, 16 , 2017

  33. Ottawa May 15, 16 , 2017

  34. Ottawa May 15, 16 , 2017

  35. Ottawa May 15, 16 , 2017

  36. Ottawa May 15, 16 , 2017

  37. UV Reflective On-site Coatings Temporary Coatings Factory Coatings Residual Sprays Quarternary Salts Microbicidal Paints H2O2 / O3 H2O2 / Ag H2O2 TiO2 Electrostatic Silver Probiotic Nano Photocatalytic Emerging Technologies Ottawa May 15, 16 , 2017

  38. UV Reflective On-site Coatings Quarternary Salts Residual Sprays Factory Coatings Temporary Coatings H2O2 / O3 H2O2 / Ag H2O2 TiO2 Silver Nano Probiotic Electrostatic Photocatalytic Emerging Technologies Microbicidal Paints Ottawa May 15, 16 , 2017

  39. Don’t be the person that puts the “NO” in Innovation Ottawa May 15, 16 , 2017

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