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Fixtures & Accessories COMMERCIAL FIXTURES & ACCESSORIES FOR THE HEALTHCARE SECTOR 2 61869 / HEALTHCARE / 2016 CONTENTS What Does Wonderful Mean 4 The Story Behind Hand Hygiene Sinks 5 What is Z8000 and Z317.1? 7 The Impact Of Poor Hand Hygiene 8 Study: Ozonated water removes bacteria 10 Franke’s Solution 12 Introducing Medi-flo 13 Features & Benefits: Medi-flo 14 Trends and Lessons Learned 15 Optional In-Wall Carrier 16 Study: Activity of ozonated water 17 Intensive Care Unit Solutions 18 Features & Benefits: Hand Hygiene Sink 19 Procedure Room Solutions 20 Redesigned SSU1, SSU2 21 Laboratory Room Solutions 22 Introducing Aereus Shield™ 23 How Aereus Shield Works 24 Semi-Public Washroom Solutions 25 Utility/Janitorial Room Solutions 26 Cafeteria/Kitchen Solutions 27 Did You Know? 28 Public Area Solutions 29 Quick Find Guide 31 www.franke-commercial.com 3 WHAT DOES WONDERFUL MEAN TO US? Wonderful knows to expect big things from the smallest details. It thinks business and pleasure can make the perfect couple. And believes that daily chores should be guilty pleasures. Wonderful breaks the rules. And knows how to make people happy. Wonderful is what our customers expect whether it’s for their homes, or their businesses. It’s the magic we put into every product. It is what we hope we provide with our service and our innovation. Our healthcare portfolio covers any application/room in any medical facility such as hospitals and clinics. We also provide a custom service for those specialist projects. Within, we have detailed just a few of our most popular products suitable for the broad healthcare sector. 4 61869 / HEALTHCARE / 2016 THE STORY BEHIND HAND HYGIENE SINKS Infectious disease control is top-of-mind for administrators at hospitals and healthcare facilities throughout North America today. Ironically, one of the frontline tools put in place to HELP CONTROL INFECTION — hand wash stations — has now been identified as the culprit in several instances where infectious disease has caused not only illness and expense, but also LOSS OF LIFE. With the release of its Z8000 Health Care Facilities Standard in November of 2011, the Canadian Standards Association (CSA) clearly defined specifications for the design and construction of hospitals and other health care facilities, all aimed at increasing health and safety, and limiting the spread of illness. The Z8000 standard was borne out of a clearly identified need to limit patient, staff and visitor exposure to potential infection. Sadly, between December 2004 and March 2006, a prominent Toronto hospital (in Canada), experienced a www.franke-commercial.com 5 deadly, contagious pseudomonas outbreak, leading to 17 deaths and 36 patients developing serious illness while under the hospital’s care. More recently, another hospital, also in Toronto, had 66 patients infected or colonized by a pesky drug- resistant bug called Klebsiella Oxytoca, from the fall of 2006 to the spring of 2011. Although the causes of the infections were different, there was one common factor in all of these cases: the design of the sinks and the bacteria the traps contained. Alarming Facts 1 out of 10 Canadian patients acquires an infection from the hospital; that’s 200,000 people each year 5% die; 10,000 Canadians who acquire infection from a hospital will die1 99,000 Americans annually die from an HAI2 In the United States, the Centers for Disease Control and Prevention estimates there are roughly 1.7 million hospital-associated infections each year2 1. "Our vision is to reduce healthcare acquired infections...by 80% by 2024", CHAIR, Aug-6-2016, Citing Sources: [http://chaircanada.org] 2. "Hospital-acquired infection", Wikipedia, Aug-13-2016, Citing Sources: [https://en.wikipedia.org/wiki/Hospital-acquired_infection.] 6 61869 / HEALTHCARE / 2016 Inn the fall of 2016 thhe nneew addition of the HHealthcarealthcare PlumbinPlumbing SStandard, Z317.1, iss ddue to be released to the public. Plumbingg fifixtures,tures, specificallyy hhand hygiene sinkss, aas defined in Z80000 wwiill bebe covered by tthithhiis nnew standardstandard,, Z317.11. WHAT IS Z8000 (AND Z317.1)? Z8000 is a comprehensive design document for Canadian healthcare facilities, developed by 32 members over a 4 year period, containing evidence based design recommendations. These findings cover all aspects of healthcare design, including planning, construction and facility layout. These guidelines apply to new builds AND existing facilities undergoing addition or renovation. In particular, hospitals, clinics, long- term facilities, etc. are all impacted. The impetus for this document was to help prevent the spread of healthcare acquired infections (HAI's). See inset for details on Z317.1 Did you know that hospital acquired infections ... Directly cost hospitals [in Canada] $4 to $5 billion annually3 Account for more deaths in Canada than car accidents, breast cancer and HIV/AIDs combined4 In the US, the annual economic impact of HAIs was approximately $6.5 billion in 20045 They also lead to long-term disability and increased resistance of microorganisms to antimicrobials.5 3. "Our vision is to reduce healthcare acquired infections...by 80% by 2024", CHAIR, Aug-6-2016, Citing Sources: [http://chaircanada.org] 4. "HAI REDUCTION ROI", CHAIR, Aug-6-2016, Citing Sources: [http://chaircanada.org/about/hai-reduction-roi/#.VcOX5vlVj3Y] 5. "What is the Cost of Healthcare Associated Infections?", Hand Hygiene, Infection Prevention and Food Safety, Blog, Aug-19-2016, Citing Sources: [http://info.debgroup.com/blog/ bid/323079/What-is-the-Cost-of-Healthcare-Associated-Infections.] www.franke-commercial.com 7 THE IMPACT OF POOR HAND HYGIENE In addition to IMPROVED SINK DESIGN, it is also known that the first line of defense to reducing these numbers is through PROPER HAND HYGIENE. Hospitals and Infection Control experts have made huge strides forward to help improve compliance and make an impact. Lots of effort has been put into proper hand washing techniques. Staff are now aware that technique plays a large role in the effectiveness of hand hygiene results. Through the use of ATP (adenosine triphosphate) meters, Infection Control Practitioners can immediately measure results of hand washing and identify areas for improvement. If proper technique is not followed, whether it be by lack of time or by not following the 6-step method, results can be poor. The more difficult challenge they face is with the behavioral aspect of hand hygiene compliance and unfortunately it's not entirely with the staff they influence, but rather with the patients themselves. Studies show that after visiting a washroom only 70% of people wash their hands, with only about 30% of people using soap to do so. Sadly, the 30% of people that do use soap, do not know or follow proper technique. The average person only washes their hands for approximately 10 seconds which only removes about 90% of the germs. The remaining bacteria can then double in less than 20 minutes and, furthermore, continue to grow! Many dangerous pathogens commonly found in hospitals are transmitted via the ‘fecal-oral route’. So how can these end up in the mouths of patients? Staff rarely touch patients’ mouths and if they do, they are very likely to have taken the proper hand hygiene measures prior to such contact. Studies suggest there may be significant benefits to looking at patient hand hygiene. The previous statistics of patient hand washing substantiate this thought. 8 61869 / HEALTHCARE / 2016 www.franke-commercial.com 9 Franke commissioned a university laboratory to conduct experiments assessing the difference between conventional hand washing and hand washing when the water has been ozonated. The results are very interesting. OZONATED WATER REMOVES BACTERIA: A comparative study with commercially available soap solutions6 Four different hand washing treatments (ozonated water, soap and tap water, ozonated water and soap, and tap water) were utilized to study the reduction in total viable bacteria counts. Standard microbiological techniques were employed during the experiment such as sterilizing equipment and media in an autoclave for 30 minutes at 121ºC, changing gloves frequently and working in a biosafety cabinet or near an open flame. Sterile swabs were taken from hands before and after each treatment and diluted in sterile deionized water. The pour plate method was followed and replicate samples were plated for each dilution. Nutrient agar media was used to grow the heterotrophic bacteria and plates were incubated at 25ºC (±2ºC) for 3-6 days. The number of viable bacterial or colony forming units (cfu) were counted for each plate and plates ranging in 30-300cfu were used to calculate the total reduction in viable bacteria. 6Dr. S. Kurissery and Dr. N. Kanavillil, “Efficacy of ozonated water” — a commissioned study, Lakehead University, 2016 10 61869 / HEALTHCARE / 2016 The chart below is the SUMMARY of the study results which can be interpreted for two groups of people; first of all for staff or patients who use the sink and, secondly, for those patients who do not use soap. This last group is where A HUGE POTENTIAL BENEFIT IS SEEN. HAND WASHING METHODS % reduction of biological colonies 80.4% 90% 74.9% 80% 70% 61.9% 60% 50% 40% 33% 30% 20% 10% 0% TAP WATER SOAP & SOAP & OZONATED WATER OZONATED WATER WATER ONLY For a number of reasons, such as visibly soiled hands, Franke’s position is never to discourage the use of soap. The use of ozonated water for hand washing is only intended to improve upon current results. www.franke-commercial.com 11 Franke’s SOLUTION What if a sink DISINFECTED ITSELF preventing the growth of biofilms in the waste with every use? What if we could drastically IMPROVE EFFECTIVENESS of hand washing, even if proper technique was not followed? Now THAT, would be WONDERFUL! Franke has found a way of doing just that. And not by changing the soap you use, the washing technique OR the addition of any secondary cleaners before or after hand washing.
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