Neonatal Intensive Care Unit Pseudomonas aeruginosa Outbreak – Lessons Learned
Speaker: Ernie Tarof, Follett LLC, National Technical Support Manager, Healthcare
Chaired by: Michael Castro, MPH, Western Hemisphere Product Manager – Healthcare Water, Pall Medical
Ice and water dispensers are an essential part of the healthcare healing environment, providing hydration to patients, staff, and visitors. A reliable and sanitary ice and water dispenser requires proper installation, operation and maintenance to ensure peak performance. As part of this effort, this webinar will review best practices for installation, location, and cleaning of your ice and water dispensers and how to mitigate waterborne pathogens that may be present in in your water supply from entering your dispenser.
This webinar will identify best practices and guidelines to help you achieve the best possible experience with your ice machines and dispensers.
At the end of this webinar, the participant should understand the following:
- Features in new dispensers that improve sanitation
- Where to install dispensers in the patient care setting and why placement is important
- Proper installation – action items prior to installation, including cleaning the unit and drain line pitch
- Use and maintenance – why it's important to keep organic matter away from the dispenser
- Why it's important to clean and sanitize thoroughly
- Selecting proper water filtration
- Steps to mitigate waterborne pathogens from entering a dispenser
Register and attend to earn 1 CE credit. (CE credit for healthcare professionals with US license numbers only.)
Ernie Tarof is the National Technical Sales Support Manager for Follett’s Healthcare Division. Ernie has been with Follett for twenty-five years in a variety of roles providing customer technical support and participating in new product development. Ernie is active in developing best practices and guidelines for the use of ice and water dispensers in patient care settings. With thirty-eight years of refrigeration experience, Ernie trains hospital engineers, water management teams and factory authorized service providers on appropriate ice dispenser service, maintenance and sanitizing procedures.
Legionnaires’ disease continues to be a global threat to public health. While this discovery is more than 40 years old, the prevention of this manmade disease remains elusive. Some may say this is an audacious goal, but we say it’s achievable! The solution is to control the growth and spread of these waterborne bacteria. Since water is the source, by controlling Legionella in the source, we control the risk for disease.
This CE accredited webinar describes a validated proactive strategy of looking for Legionella in the water before disease occurs. Studies show that this approach is the keystone for prevention. Testing premise water systems using environmental culturing techniques for Legionella is crucial for both the investigation of Legionella outbreaks and routine microbiological surveillance for Legionella. Highlights include:
- Review of interpretation of environmental sampling results, and clinical sampling results
- Average cost of an outbreak, including financial and public relations
- The low cost of routine environmental sampling compared to the price of an outbreak
Speaker: Janet E. Stout, PhD, President and Director, Special Pathogens Laboratory, USA
Chair: Michael Castro, MPH, Western Hemisphere Product Manager – Healthcare Water, Pall Medical
Dr. Janet E. Stout is president and director of Special Pathogens Laboratory, and research associate professor at the University of Pittsburgh Swanson School of Engineering in the Department of Civil and Environmental Engineering. An infectious disease microbiologist, Dr. Stout is recognized worldwide for seminal discoveries and pioneering research in Legionella. Her expertise includes prevention and control strategies for Legionnaires’ disease in building water systems. Dr. Stout’s more than 30 years of research is published in peer-reviewed medical and scientific journals. She has also authored textbook chapters on Legionella and Legionnaires’ disease, including the Legionella chapter in the APIC Text. An advocate for prevention, Dr. Stout assisted in developing the first Legionella prevention guideline (1993) in the United States, which continues to serve as a model for national and global health agencies and organizations. Additionally, she serves on the ASHRAE Legionella standard committee for Legionella Guideline 12 and the SPC 188 committee for ANSI / ASHRAE Standard 188-2015 Legionellosis: Risk Management for Building Water Systems, the first U. S. standard passed in June 2015. Recently, Dr. Stout was elected to the board of the Cooling Technology Institute.
Patient infections, arising from both well-known and emerging waterborne pathogens present in hospital hot and cold water systems, continue to rise. Hospital water network design, installation, commissioning, use and maintenance remain some of the biggest challenges faced by facility managers, infection preventionist and control staff, clinical personnel and patients. Unfortunately this daily challenge frequently goes unrecognised or undervalued.
This webinar will explore, step-by-step, examples of waterborne outbreak events – particularly Legionnaires‘ disease. Drawing from several different experiences to share learnings regarding risk recognition and preventative actions. Join this free, one hour webinar to learn more:
- Consequences of poor water system management
- Correctly identifying an outbreak
- The imediate measures that should be undertaken
- What to expect during an investigation
- Communicating to patient’s their family and the media
- Implementing and verifying corrective actions
- Resourcing for a safer water system management plan
Speaker: Dr John V Lee. BSc, PhD, FRSPH, FWMSoc, FPWTAG. Director, Leegionella Ltd. United Kingdom
Chaired by: Dr. Catherine Whapham, Global Portfolio Manager - Healthcare Water, Pall Medical
Dr. John Lee is an independent consultant public health microbiologist, Director of Leegionella Ltd and a Director and past Chairman of the Pool Water Treatment Advisory Group. He retired as a consultant clinical scientist from the Health Protection Agency (now Public Health England) in 2010, after 37 years researching the detection, survival and control of pathogenic microorganisms in the environment, particularly water and air. He has participated in the investigation of over 70 outbreaks, both community and hospital related, and mostly of Legionnaires’ disease. Dr Lee provided a national and sometimes international reference and consultancy service for the prevention of waterborne disease and the environmental investigation and control of outbreaks, particularly Legionnaires' disease and the control of growth of Legionella species in water systems. He has been involved in the development of national and international standards for over twenty years. He has advised the UK Health and Safety Executive, the UK Department of Health, various ministries in several other countries and the World Health Organisation. He advises on the control of micro-organisms in artificial water systems including hot and cold water systems, cooling systems, industrial systems and pools.
Speaker: Dr. Susanne Lee, PhD , FRSB, CBiol, FRSPH, FIHEEM, FWMSoc, MRCSHC. Director and Owner Leegionella Ltd. United Kingdom
Chaired by: Dr. Catherine Whapham, Global Portfolio Manager - Healthcare Water, Pall Medical
Water sampling and testing can be a helpful monitoring tool when assessing drinking water quality, verifying the effectiveness of remediation and control measures, and may be a requirement under local/national guidance.
However it is important to recognise that water sampling and testing is not a control measure. In terms of improving water safety, monies spent on continuous or frequent testing may be better deployed on improving the water system infrastructure, reducing nutrient material availability and scale deposits, ensuring frequent throughput at each water outlet, balancing hot water temperatures and minimising heat gain in cold water temperatures.
Water Safety Teams are eager to understand more and better assess the needs for, and benefits of, microbiological testing and sampling before applying to their Water Safety Plan.
Join this 1 hour webinar to learn more about:
- microbial limits and monitoring frequency,
- verification of control and remediation measures,
- the art of good water sampling practice,
- selecting a test laboratory,
- interpreting test results.
Water safety in buildings applies to the delivery of safe drinking water, and In-Premise Water Safety Plans are the most effective means of consistently ensuring the safety of drinking water at the point-of-use. This 60 minute, free to join webinar will focus on the water system network relevant to the Hospital Water Safety Team, including
- Water System Design – including new build vs renovation projects
- Installation – quality of materials, assessing contractors and avoiding bad practice
- Materials – factors which are critical to selecting materials for drinking water installations
- Commissioning – a 10 point checklist to sign-off when a building, ward or piece of equipment is installed
- Meaningful Drawings - Describing the system with the level of detail needed to be practicable for the water safety team
- Ranking Resources - prioritise the risks, and therefore prioritise the budget
- Preparing a financial review with Senior Management - how best to present water safety plans for adequate funding
Water safety in buildings applies to the delivery of safe drinking water, and In-Premise Water Safety Plans are the most effective means of consistently ensuring the safety of drinking water at the point-of-use. One of the first, and most critical steps in developing a Water Safety Plan is to recruit and develop the best available, cross-functional talent for the Water Team. Drawing from National and International Guidance and Recommendations, this webinar uses relevant examples and case studies to focus on the following key steps regarding
- assembling the team, recruiting the best available and relevant talent, understanding the team roles and responsibilities
- legal aspects of the Water Safety Team
- use of third parties for aspects of water management; accreditation of third parties
- training and education to develop in-house expertise
- team meet structure, agenda and meeting frequencies
- what to document, how to maintain records, recognise when to act
- understanding costs of water system management and budget alignment
Dr Paul McDermott, is a Fellow of the Royal Society of Public Health, a Member of the Water Management Society, a Fellow of the Institute of Healthcare Engineering and Estate Management, a member of the Healthcare Infection Society’s Working Party on water management, Before setting up PJM-HS Consulting in 2014, Paul gained 13 years' experience working as a Specialist Inspector in Great Britain's Health and Safety Executive (HSE). Paul has a strong reputation in the effective management of waterborne infections, in particular Legionella and Pseudomonas aeruginosa, has acted as expert witness in a number of legal cases, and is currently Authorizing Engineer (Water Safety) at a number of National Health Service Trusts.
Opportunistic in-premise waterborne pathogens are recognised as an increasing health concern not just in developing countries but developed countries too (source WHO). The number of waterborne disease outbreaks from drinking water supplies within buildings, particularly those used in healthcare, continue to rise, leading to increased morbidity, mortality, social and economic burdens and legal consequences.
Risks are increased where there are poorly designed, installed and commissioned complex water systems with poor quality plumbing materials and where use is seasonal and/or low. Additional factors implicated in poor quality water include water and energy saving measures, inadequate risk assessments and control measures, reduced maintenance resources and budget constraints.
An essential step for public health protection is the adoption of the World Health Organisations water safety plan approach to managing water systems from catchment to point of use. Building owners/managers have a duty of care to any persons who may be exposed to both water in distribution and any associated systems/equipment. They therefore need to be aware of the regulatory frameworks within which they must operate, including common law (where appropriate), statues, policies, guidelines and best practice. The World Health Organisation approach to the identification and management of risks from water for all uses and all users within buildings has been internationally accepted and adopted into national legislation and guidance including the United States, Europe and Australia.
The objectives of a water safety plan are to ensure safe drinking water through hazard analysis, HACCP based risk assessment, management and monitoring plans backed up by supplementary programmes; including training, surveillance and communication.
The focus of this webinar is to identify the practical steps needed to develop both an effective Water Management Team and Water Safety Plan, with particular relevance to water use in Healthcare Facilities.
Dr Susanne Lee
Director, Independent Public Health Consultancy
Leegionella Ltd, United Kingdom
Dr Catherine Whapham
Global Product Manager - Healthcare Water
Watch the recorded on-demand webinar on “Biofilms - The Way Microorganisms Organize Their Social Life in Drinking Water” webinar featuring Emeritus Professor Hans-Curt Flemming, Biofilm Centre at the University Duisburg-Essen, Germany. As a pioneering biofilm researcher, his fascination with biofilms and the bacteria life has fueled his more than 30 years of biofilm work and multiple publications.
What You Will Learn
- Why microorganisms form biofilms and their role as a contamination source in drinking water.
- Detection of bacteria and biofilm in water systems.
- Occurrence and relevance of Viable But Non-culturable Cells (VBNC) by clinically-relevant bacteria.
- Influence of plumbing materials on bacterial and biofilm growth.
- Influence of chemical disinfection on bacterial and biofilm growth.
Professor Hans-Curt Flemming
Biofilm Centre, University Duisburg-Essen
Water Academy - Germany
Please provide your contact information to view the webinar.
Nach kurzer Einführung in das Thema „Legionellen“ werden ein paar typische Befunde gezeigt und welche Maßnahmen sich aus diesen Befunden ableiten lassen um mit den Anforderungen der ÖNORM B 5019 konform zu gehen.
- Einführung Legionellen / Biofilm / Mikrobiolgie
- Maßnahmen zur Prävention
- Rechtliche und normative Grundlagen & technische Umsetzung in Österreich
Dr. Milo Halabi, Institut für Pathologie, Mikrobiologie und Infektionsdiagnostik, Krankenhaus der Barmherzigen Schwestern Ried (Österreich), Hygienebeauftragter Arzt
Facharzt für Pathologie mit Schwerpunkt klinische Mikrobiologie und molekulare Diagnostik, weiters Krankenhaushygiene mit dem Schwerpunkt Wasserhygiene und Raumlufttechnik. Standortleiter des Institutes für Pathologie am Krankenhaus Ried im Innkreis in OÖ. Betreibt ein Trinkwasserlabor in Ried im Innkreis und arbeitet in diversen Normungskomitees beim Austrian Standard Institute. Zusätzlich Sachverständiger bei Gericht und bei der Akkreditierung Austria im Bereich ISO 15189. Mitautor des Buches „Wasserhygiene in Gesundheitseinrichtungen“, erschienen im ASI-Verlag.
Dieses Pall webin@r verdeutlicht dem UsI (Unternehmer und/oder sonstiger Inhaber) das rechtliche Anforderungsprofil, das sich aus der AVBWasserV, der TrinkWV 2001 und den Verkehrssicherungspflichten ergibt. Zunächst wird die rechtliche Relevanz der einzuhaltenden anerkannten Regeln der Technik beschrieben und deren Bedeutung in der haftungsrechtlichen Systematik erklärt. Sodann wird anhand entsprechender Urteile die Wichtigkeit der Einhaltung des konkreten technischen Regelwerks veranschaulicht. Schließlich werden Empfehlungen zur Einhaltung der Rechtspflichten sowie zur Gestaltung von Instandhaltungsverträgen ausgesprochen.
Hartmut Hardt, Rechtsanwalt Hartmut Hardt, Essen (Deutschland), www.ra-hardt.de
Nach dem Abitur hat der Referent eine Ausbildung zum Krankenpfleger und zum Desinfektor abgeschlossen. Hiernach absolvierte er das Jurastudium und beendete dieses nach dem Referendariat mit dem erfolgreichen Abschluss des zweiten juristischen Staatsexamens. Herr Hardt ist als Rechtsanwalt zugelassen. Daneben ist er Mitglied des Vorstands der Gesellschaft Bauen und Gebäudetechnik des VDI sowie Mitglied im Fachbeirat FM des VDI.