Limit search to available items
56 results found. Sorted by relevance | date | title .
Book Cover
E-book

Title Safe water in healthcare : a practical and clinical guide / James T. Walker, Susanne Surman-Lee, Paul J. McDermott, Michael J. Weinbren
Published London : Academic Press, 2023

Copies

Description 1 online resource
Contents Intro -- Safe Water in Healthcare: A Practical and Clinical Guide -- Copyright -- Dedication -- Contents -- Preface -- Acknowledgment -- 1 Importance of leadership and governance -- Overview -- Leadership -- Governance -- In summary -- References -- 2 Design, construction, and commissioning of healthcare water systems -- Introduction to designing safe water systems -- Project water safety plan -- Project governance and accountability -- Project WSG skills and competencies -- Consultation -- Supply water -- Patient risk factors -- Drains -- Supported learning -- Commissioning -- Commissioning plans -- System filling -- Case study: Failures in filling the water system -- Case study: Failures due to partial occupation of a hospital build program -- Handover -- Partial handover -- Examples of checks for commissioning and handover within the project WSP -- References -- 3 Overview and introduction to safe water in healthcare -- Background -- How do bacteria get into buildings' water systems? -- Water supply to healthcare buildings -- Mains water supply -- Case study: Microbial contamination of water supply -- Private water supplies -- Monitoring water supplies -- Maintaining water supply in an emergency -- Bottled water -- Water distribution within healthcare buildings -- Introduction to biofilms -- Case study: Microbial contamination of flexible hoses -- What areas of the water system present microbial risks? -- Learning points -- References -- 4 Cold water systems -- Introduction -- The cold water supply -- Microbial hazards in the supply water -- Water quality within the building -- Why do you need cold water storage? -- Design and construction of cold water storage vessels -- How much cold water should be stored? -- Temperature management of the cold water -- Microbiological risks associated with cold water tanks
Case study: Cleanliness of storage tanks -- Monitoring of the cold water system -- Case study: Excessive cold water temperatures in new build -- Case study: Filling sections prior to completion -- Maintaining cold water supply in an emergency -- Recommendations for cold water systems -- Learning points -- Risk assessing the cold water system -- Guidance, regulations, and further reading relevant for cold water systems -- References -- 5 Hot water heating systems -- Hot water system -- Temperature requirements for hot water calorifier, flow, and returns? -- Balancing the system -- Case study 1 -- System design and temperature monitoring -- How is hot water produced? -- What is stratification? -- Electrical immersion-type calorifiers -- Combination water heaters -- Microbiological problems with calorifiers and hot water systems? -- Case study 2: What to do when a bolus of potentially contaminated material is injected into your hot water system? -- Transmission routes for calorifiers and hot water systems? -- Monitoring hot water systems -- Recommendation for hot water heaters -- Regulations and guidance for hot water heaters -- Risk assessing the hot water system -- References -- 6 Systemic contamination -- Identifying systemic contamination? -- How does systemic contamination occur? -- What are the impacts of systemic contamination? -- Case study involving Legionella -- Case study involving Cupriavidus pauculus -- Case study involving Pseudomonas aeruginosa -- Monitoring systemic contamination -- Recommendation for systemic contamination -- Issues to consider when risk assessing systemic contamination? -- Guidance for systemic contamination -- References -- 7 Peripheral components -- Introduction -- Why are peripheral components colonized? -- Case study: Outbreak associated with peripheral components that were contaminated with P. aeruginosa
Strainers to trap harmful debris -- Thermostatic mixer valves -- What is a thermostatic mixer valve and how does it work? -- What are the different types of thermostatic mixer valves? -- Why are TMVs used? -- What are the risks of scalding? -- Where should you not install TMVs? -- How should TMVs be maintained? -- What are the regulations concerning TMVs? -- Microbial problems associated with TMVs -- Solenoids -- What is a solenoid and how does it work? -- Why and where are solenoids used? -- How should solenoids be maintained? -- What are the regulations in the use of solenoids? -- What microbial problems are associated with solenoids? -- Flexible hoses -- What is a flexible hose? -- What are flexible hoses used for? -- What are the microbiological problems with flexible hoses? -- Outbreaks associated with flexible hoses -- What are the alternatives to EPDM? -- What are the regulations concerning flexible hoses? -- What other types of peripheral components are used? -- External influences on the safe use of water in a wash hand station -- Manual separate hot and cold taps -- Manual operated single-lever taps -- Pedestal taps -- Swan neck taps -- Thermostatic mixer tap -- Elbow levers -- Knee or foot-operated water outlets -- Sensor-operated tap -- Different type of outlets fittings -- Aerators -- Flow straighteners -- Recommendations for peripheral components -- Risk assessment considerations for peripheral components -- Regulations for outlet fittings -- References -- 8 Wash hand stations -- How do wash hand stations become contaminated? -- What are the transmission routes and microbial risks? -- Activity space -- Splashing and dispersal from wash hand basins -- What does a safer wash hand station look like? -- Patient wash hand station -- Recommendation for wash hand stations -- Assessing the risks associated with wash hand basins
Regulations for wash hand stations -- References -- 9 Sinks in ward kitchens or domestic areas -- What is a sink and what is it used for? -- What are the microbial contamination sources of stainless steel sinks? -- What are the transmission routes? -- Outbreaks associated with stainless steel utility sinks -- A hospital-wide CPE outbreak -- Outbreak 1 -- Outbreak 2 -- Guidance on sinks -- Recommendation on sinks -- Risk assessments for sinks -- Questions on sinks -- References -- 10 Showers -- Showers and accessories -- What are the microbiological risks with showers, hoses, and showerheads? -- Shower controller unit -- Shower hoses -- Shower heads -- Ancillary equipment in showers -- Deluge showers -- Shower trolleys -- Patient risk and risk to patients -- Microbial outbreaks associated with showers rooms -- Microbiological monitoring -- Requirements and recommendations for showers -- Risk assessing showers and their equipment -- Guidance -- References -- 11 Assisted baths -- Assisted baths for patient care -- Microbiological problems associated with assisted baths -- Bath accessories and bath toys -- Monitoring of assisted baths -- Recommendations for assisted baths -- Risk assessing assisted baths -- Guidance for assisted baths -- References -- 12 Birthing pools -- Birthing pools -- What are microbiological risks from using birthing pools? -- How do birthing pools become contaminated? -- Case study 1: Black particle appeared in the birthing pool water -- Case study 2: Birthing pool drain may have resulted in an outbreak -- Case study 3: Inflatable pools used in healthcare facilities -- Microbiological case reports associated with birthing pools -- Regulations and recommendations for consideration for birthing pools -- Risk assessment criteria for birthing pools -- Guidance and regulations relevant for birthing pools -- References
13 Hydrotherapy pools -- What are hydrotherapy/aquatic physiotherapy pools? -- What is aquatic physiotherapy? -- Design -- Commissioning -- Governance -- General -- Hydrotherapy pools -- Bather loads -- How does a hydrotherapy pool function? -- Backwashing -- Day-to-day management -- An overview of the hazards applicable to hydrotherapy pools -- Patient screening -- Fecal pathogens -- Nonfecal pathogens -- Main challenges for hydrotherapy pools -- Emergency action plans -- Outbreak 1 -- Hydrotherapy tanks/tubs/pools used for burns, etc. -- Outbreak 2 -- Whirlpool baths and assisted baths -- Factors to consider in a risk assessment -- Spas, hot tubs, footbaths, etc. -- Outbreak 3 -- Microbiological monitoring of hydrotherapy pools -- Criteria for risk assessing birthing pools -- Guidance and regulations relevant for birthing pools -- Terminology -- References -- 14 Sources of patient drinking water -- Sources of drinking water -- Chilled drinking water dispensers -- Outbreak scenarios -- Outbreak scenario 1 -- Outbreak scenario 2 -- Monitoring of drinking water sources -- Guidance for chilled drinking water fountains -- Requirements and recommendations for chilled drinking water fountains -- Bottled drinking water dispensers -- Recommendations for bottled water dispensers -- Risk assessing water coolers and other drinking sources for patients -- Guidelines for bottled water dispensers -- References -- 15 Drink vending machines -- Drink vending machines -- Microbiological issues associated with drink vending machines -- Monitoring of vending machines -- Recommendations for vending machines -- Risk assessing vending machines -- Regulations for vending machines -- References -- 16 Expansion vessels -- What are expansion vessels? -- Microbiological sources and problems associated with expansion vessels?
Summary Safe Water in Healthcare: A Practical and Clinical Guide enables users from different disciplines to understand all types of waterborne hazards that can pose a risk to those who might be exposed, the events which cause them to be present, what may precipitate an increase in their levels that may cause harm, and how they can be avoided or managed to reduce risk. The handbook highlights microorganisms that can cause infections, modes of transmission, the infections they cause, and risks. The book's authors draw from their extensive practical experience assisting with day-to-day problems that range from minor issues to outbreaks. The book includes case studies on the growth of biofilms and where they cause problems in water systems as well as providing practical answers to a majority of issues that arise in healthcare water and drainage systems. This is an accessible handbook that fills the gaps for those without technical knowledge for a complex but important area of infection control. It provides practical guidance for professionals who are required to design, manage and maintain water systems and help them manage associated infection outbreaks. Discusses waterborne pathogens, their detection, identification and surveillance and describes the extent and range of recognized and emerging waterborne microorganisms as well as the diseases that occur and consequences to patients and staff Covers hazards that can cause harm within water systems and associated equipment, the circumstances or factors that increase the risks, and the multiple modes of transmission of waterborne pathogens Explains the importance of good design, including the type of design, management, hardware and software that can help manage and control the presence of waterborne pathogens. Highlights who needs to be involved at each stage to ensure that patients are kept safe from waterborne pathogens, taking into account current legislation and best practices guidance
Notes Includes index
Bibliography Includes bibliographical references and index
Notes Print version record
Subject Water -- Pollution -- Health aspects
Water -- Microbiology.
Water Microbiology
Water -- Microbiology
Water -- Pollution -- Health aspects
Form Electronic book
Author Walker, James T
ISBN 9780323904933
0323904939