What Lies Beneath Healthcare Estates 7 October 2014

32
Envirosafe UK Ltd What Lies Beneath Healthcare Estates 7 th October 2014

Transcript of What Lies Beneath Healthcare Estates 7 October 2014

Page 1: What Lies Beneath Healthcare Estates 7 October 2014

Envirosa

fe U

K L

td

Wh

at

Lie

s B

en

eath

Healt

hcare

Esta

tes

7th

Octo

ber

2014

Page 2: What Lies Beneath Healthcare Estates 7 October 2014

Envirosa

fe U

K L

td

Co

nte

nt

�In

tro

du

cti

on

to

th

e s

pe

ak

er

�G

RP

tan

ks

�S

teri

lisati

on

tech

niq

ues

�P

seu

do

mo

nas A

eru

gin

osa in

new

syste

ms

�Q

uesti

on

s

Page 3: What Lies Beneath Healthcare Estates 7 October 2014

Envirosa

fe U

K L

td

Da

vid

Ta

mb

lyn

�B

SC

Ho

ns.

Deg

ree i

n C

hem

istr

y &

Man

ag

em

en

t

�5 Y

ears

as a

Ch

em

ical W

ate

r T

reatm

en

t R

ep

–esp

. S

team

Bo

ilers

in

Ho

sp

itals

.

�6 Y

ears

pre

do

min

an

tly C

om

merc

ial

Wate

r T

reatm

en

t –

Leg

ion

ell

a C

om

pli

an

ce

�3 Y

ears

-C

om

merc

ial

& I

nd

ustr

ial W

ate

r T

reatm

en

t

�8 Y

ears

MD

& C

on

su

ltan

t fo

r E

nvir

osafe

UK

Ltd

–W

ate

r R

isk A

ssessm

en

ts a

nd

Co

nsu

ltan

cy.

Page 4: What Lies Beneath Healthcare Estates 7 October 2014

Envirosa

fe U

K L

td

Wh

y G

RP

Tan

ks?

Page 5: What Lies Beneath Healthcare Estates 7 October 2014

Envirosa

fe U

K L

td

Wh

y G

RP

Tan

ks?

Page 6: What Lies Beneath Healthcare Estates 7 October 2014

Envirosa

fe U

K L

td

Wh

y G

RP

Tan

ks?

Be

fore

Afte

r

Page 7: What Lies Beneath Healthcare Estates 7 October 2014

Envirosa

fe U

K L

td

Wh

y G

RP

Tan

ks?

Mo

uld

gro

win

g in

po

orl

y m

ixe

d p

ain

t

Page 8: What Lies Beneath Healthcare Estates 7 October 2014

Envirosa

fe U

K L

td

Typ

es o

f G

RP

Tan

ks

Ho

t P

resse

d

Se

ctio

na

l

Ha

nd

la

id-u

p

on

e p

iece

Page 9: What Lies Beneath Healthcare Estates 7 October 2014

Envirosa

fe U

K L

td

Pro

ble

ms w

ith

GR

P T

an

ks

Ea

rly e

xa

mp

les b

led

se

ala

nt a

nd

co

uld

le

ak

Re

su

lte

d in

re

co

atin

g w

ith

fle

xib

le p

ain

t

Page 10: What Lies Beneath Healthcare Estates 7 October 2014

Envirosa

fe U

K L

td

Pro

ble

ms w

ith

GR

P T

an

ks

Mild

Ste

el B

olts –

ca

usin

g

mo

st o

f th

e d

eb

ris in

th

e ta

nk!

Ha

lf p

lastic c

oa

ted

bo

lts –

wh

ere

’s th

e lo

gic

?

Page 11: What Lies Beneath Healthcare Estates 7 October 2014

Envirosa

fe U

K L

td

Pro

ble

ms w

ith

GR

P T

an

ks

Co

nce

ale

d S

tru

ctu

res

DH

EF

A/2

01

3/0

04

HS

G2

74

Pa

rt 2

Fig

2.1

2 M

od

era

te

Ris

k

Re

pla

ce

me

nt w

ith

S

tain

less S

tee

l S

up

po

rts

Photo

By e

xpre

ssw

ate

rtanks.c

o.u

k

Page 12: What Lies Beneath Healthcare Estates 7 October 2014

Envirosa

fe U

K L

td

Pro

ble

ms w

ith

GR

P T

an

ks

Gel C

oat

Fail

ure

–H

SG

274 P

2. F

ig 2

.12 H

igh

Ris

k

Ta

nk in

sta

lled

in

2

01

3

Ge

l co

at fa

ilure

in

20

13

o

n s

ide

ha

tch

on

ly

Page 13: What Lies Beneath Healthcare Estates 7 October 2014

Envirosa

fe U

K L

td

Pro

ble

ms

wit

h G

RP

Ta

nk

sG

el C

oa

t F

ailu

re

On

e S

ectio

n is fin

e, th

e a

dja

ce

nt o

ne

is c

ove

red

in

cysts

Page 14: What Lies Beneath Healthcare Estates 7 October 2014

Envirosa

fe U

K L

td

Pro

ble

ms

wit

h G

RP

Ta

nk

sG

el C

oa

t F

ailu

re

On

e p

iece

ta

nk –

co

rne

rs o

fte

n fa

il d

ue

to

eith

er

inco

nsis

ten

t b

rush

a

pp

lica

tio

n o

f g

el co

at re

sin

or

insu

ffic

ien

t p

ressu

re w

he

n r

olli

ng

ou

t th

e a

ir b

etw

ee

n la

ye

rs o

f fib

reg

lass.

Bu

bb

led

/blis

tere

d s

urf

ace

is

the

fir

st sig

ns o

f o

sm

osis

Page 15: What Lies Beneath Healthcare Estates 7 October 2014

Envirosa

fe U

K L

td

Ge

l C

oa

t F

ail

ure

On

e m

ec

ha

nis

ms

of

failu

re

Page 16: What Lies Beneath Healthcare Estates 7 October 2014

Envirosa

fe U

K L

td

Ge

l C

oa

t F

ail

ure

Wh

y s

ho

uld

we

ca

re?

Page 17: What Lies Beneath Healthcare Estates 7 October 2014

Envirosa

fe U

K L

td

Ge

l C

oa

t F

ail

ure

Wh

y s

ho

uld

we

ca

re?

Page 18: What Lies Beneath Healthcare Estates 7 October 2014

Envirosa

fe U

K L

td

Ne

ma

tod

es

& b

iofi

lm

Page 19: What Lies Beneath Healthcare Estates 7 October 2014

Envirosa

fe U

K L

tdTa

nk

Cle

an

ing

�N

atu

rall

y,

wh

en

faced

wit

h w

orm

s s

wim

min

g a

rou

nd

in

yo

ur

co

ld w

ate

r sto

rag

e t

an

k, th

e f

irst

resp

on

se i

s

to c

lean

th

e t

an

k.

�U

nfo

rtu

nate

ly w

e f

ou

nd

th

at

the c

ysts

(an

d w

orm

s)

were

vis

ibly

back w

ith

in 2

weeks.

�C

hlo

rin

ati

on

tri

ed

at

do

ub

le t

he r

eco

mm

en

ded

co

ncen

trati

on

of

ch

lori

ne f

or

do

ub

le t

he t

ime

(>100m

g/l

fre

e c

hlo

rin

e f

or

2 h

ou

rs)

–cysts

rem

oved

fr

om

th

e t

an

k s

urf

ace p

rio

r to

ch

lori

nati

on

.

�N

em

ato

de w

ith

in t

he b

iofi

lm s

till

ali

ve u

p t

o 3

6 h

ou

rs

in 1

00m

g/l

ch

lori

ne!

Page 20: What Lies Beneath Healthcare Estates 7 October 2014

Envirosa

fe U

K L

td

BS

85

58

:20

11

/ H

SG

28

4 P

art

2 2

01

4C

hlo

rin

ati

on

�B

S8558:2

011 T

ab

le 1

3

Init

ial

fre

e c

hlo

rin

e

co

nc

en

tra

tio

nm

g/L

Co

nta

ct

pe

rio

dh

:min

Min

imu

m r

es

idu

al

fre

e

ch

lori

ne

me

as

ure

d a

t th

e e

nd

of

the

co

nta

ct

pe

rio

dm

g/L

3.1

16

:00

1.9

51

0:0

03

10

05

:00

6

15

03

:20

9

20

02

:30

12

25

02

:00

15

30

01

:40

18

40

01

:15

24

50

01

:00

30

Page 21: What Lies Beneath Healthcare Estates 7 October 2014

Envirosa

fe U

K L

td

BS

85

58

:20

11

/ H

SG

28

4 P

art

2 2

01

4C

hlo

rin

ati

on

�T

he c

hlo

rin

e c

on

tact

tim

e t

ab

le w

as d

eri

ved

fro

m

testi

ng

th

e e

ffecti

ven

ess o

f ch

lori

ne o

f fr

ee f

loati

ng

b

acte

ria i

n a

lab

ora

tory

en

vir

on

men

t.

�H

un

dre

ds o

f p

ap

ers

have b

een

wri

tten

, h

igh

-lig

hti

ng

th

e p

oo

r p

erf

orm

an

ce o

f ch

lori

ne a

gain

st

bio

film

s.

�T

he w

ate

r tr

eatm

en

t in

du

str

y h

as s

pen

t th

e p

ast

20+

years

ad

vo

cati

ng

alt

ern

ati

ves t

o c

hlo

rin

e d

ue t

o its

sh

ort

co

min

gs.

�B

rom

ine, am

mo

niu

m b

rom

ide, ch

lori

ne d

ioxid

e &

h

yd

rog

en

pero

xid

e h

ave a

ll b

een

used

to

rep

lace

ch

lori

ne (

on

ly t

he latt

er

2 in

dri

nkin

g/p

ota

ble

wate

r).

Page 22: What Lies Beneath Healthcare Estates 7 October 2014

Envirosa

fe U

K L

td

Lo

w-t

ec

h b

ioc

ide

co

mp

ari

so

n s

tud

y

Tim

e t

ak

en

un

til

de

ad

N

em

ato

de

wo

rms

are

fi

rst

no

ted

Tim

e t

ak

en

un

til

all

N

em

ato

de

wo

rms

are

d

ea

d

So

diu

m H

yp

oc

hlo

rite

@

10

0m

g/l

28

Ho

urs

78

Ho

urs

+

Bro

min

e (

fro

m B

CD

MH

) @

10

0m

g/l

a

s C

l3

Ho

urs

20

Ho

urs

As

hla

nd

Ge

ne

rox

10

0 s

tab

ilis

ed

C

lO2

@1

00

mg

/l a

s C

l3

ho

urs

20

Ho

urs

B&

V A

bu

lox

Hyp

oc

hlo

rou

s a

cid

s

olu

tio

n @

10

0m

g/l

20

Ho

urs

78

Ho

urs

Aq

ua

tre

at

Pe

rox

ys

il 5

0

Sta

bil

ise

d h

yd

rog

en

pe

rox

ide

s

olu

tio

n @

20

0m

g/l

1 H

ou

r8

Ho

urs

Hu

wa

Sa

n T

R5

0S

tab

ilis

ed

hyd

rog

en

pe

rox

ide

s

olu

tio

n 1

00

mg

/l1

Ho

ur

78

Ho

urs

Page 23: What Lies Beneath Healthcare Estates 7 October 2014

Envirosa

fe U

K L

td

Ta

nk

Cle

an

ing

-F

ield

Tri

al

�P

ero

xysil

50 o

n 4

tan

ks a

t 1000m

g/l

fo

r 16 h

ou

rs.

�T

he t

an

ks w

ere

cle

an

ed

(cysts

were

rem

oved

) p

rio

r to

ch

lori

nati

on

to

exp

ose t

he G

RP

su

rface t

o t

he

bio

cid

e.

�T

his

str

en

gth

of

bio

cid

e is a

dvo

cate

d f

or

co

oli

ng

to

wers

wh

ere

bio

film

s a

re o

ften

pre

sen

t.

�O

ne t

an

k w

as p

oo

rly b

ala

nced

an

d c

ysts

reg

rew

w

ith

in a

mo

nth

(ta

nk w

ate

r w

as a

t 25°C

)

�R

em

ain

ing

3 t

an

ks a

re m

uch

im

pro

ved

bu

t n

ot

100

%

cle

ar

aft

er

1 y

ear.

Page 24: What Lies Beneath Healthcare Estates 7 October 2014

Envirosa

fe U

K L

tdTa

nk

re

co

ati

ng

Be

fore

Afte

r £

40

00

!B

ette

r b

ut n

ot 1

00

%

Page 25: What Lies Beneath Healthcare Estates 7 October 2014

Envirosa

fe U

K L

td

Su

pp

lem

en

tary

Do

sin

g

�C

hlo

rin

e D

ioxid

e is w

idely

used

in

ho

sp

itals

to

su

pp

ort

th

e w

ate

r h

yg

ien

e r

eg

ime, esp

ecia

lly a

s

do

wn

serv

ice c

hlo

rin

ati

on

s a

re o

ften

im

pra

cti

cal.

�T

he r

esu

lts s

een

so

far

are

vari

ab

le. W

here

a g

oo

d

(po

ssib

ly a

bo

ve p

ota

ble

level)

reserv

e i

s m

ain

tain

ed

th

e c

ysts

are

co

ntr

oll

ed

. W

here

ClO

2 r

eserv

es a

re

bo

rderl

ine c

ysts

may r

efo

rm a

fter

cle

an

ing

.

Page 26: What Lies Beneath Healthcare Estates 7 October 2014

Envirosa

fe U

K L

td

Ps

eu

do

mo

na

s A

eru

gin

os

a &

ne

w i

ns

tall

ati

on

dis

infe

cti

on

�B

ack i

n 2

009 w

e s

tart

ed

wo

rkin

g w

ith

Ho

mert

on

H

osp

ital &

th

e H

PA

fo

llo

win

g t

he r

efu

rbis

hm

en

t o

f th

eir

SC

BU

ward

.

�T

he p

lum

bin

g c

on

tracto

r h

ad

fail

ed

to

carr

yo

ut

an

ad

eq

uate

ch

lori

nati

on

of

the p

ipew

ork

an

d a

bio

film

h

ad

been

all

ow

ed

to

beco

me e

sta

bli

sh

ed

.

�W

ork

ing

wit

h t

he H

PA

we a

gre

ed

on

wh

at

levels

of

pseu

do

mo

nas a

eru

gin

osa w

ere

deem

ed

to

be

accep

tab

le –

these l

evels

were

th

en

ad

op

ted

by t

he

HP

A a

nd

have s

ince b

eco

me H

TM

04 a

dd

en

du

m.

Page 27: What Lies Beneath Healthcare Estates 7 October 2014

Envirosa

fe U

K L

td

Ps

eu

do

mo

na

s A

eru

gin

os

a &

ne

w i

ns

tall

ati

on

dis

infe

cti

on

�C

hlo

rin

ati

on

No

1 -

>80m

g/l

ch

lori

ne f

or

1 h

ou

r•

Re

su

lts w

ere

po

or

aft

er

5 d

ays.

�C

hlo

rin

ati

on

No

2 -

>80m

g/l

ch

lori

ne f

or

1 h

ou

r, a

ll

pla

sti

c f

ilte

rs r

em

oved

fro

m M

ark

wik

IR

tap

s a

nd

b

oil

ed

.•

Re

su

lts d

ete

rio

rate

d a

fte

r 2

we

eks (

still

wo

rkin

g o

n <

80

cfu

PA

pe

r m

l b

ein

g a

cce

pta

ble

)

�C

hlo

rin

ati

on

No

3 -

>80m

g/l

ch

lori

ne f

or

2 h

ou

rs,

ou

tlets

bag

ged

an

d s

oaked

fo

r >

1 h

ou

r•

Fre

nch

Lim

its a

do

pte

d –

pse

ud

om

on

as le

ve

ls s

till

too

hig

h

on

co

ld s

erv

ice

s

Page 28: What Lies Beneath Healthcare Estates 7 October 2014

Envirosa

fe U

K L

td

Ps

eu

do

mo

na

s A

eru

gin

os

a &

ne

w i

ns

tall

ati

on

dis

infe

cti

on

Page 29: What Lies Beneath Healthcare Estates 7 October 2014

Envirosa

fe U

K L

td

Ps

eu

do

mo

na

s A

eru

gin

os

a &

ne

w i

ns

tall

ati

on

dis

infe

cti

on

�M

ark

wik

au

to f

lush

ing

sto

pp

ed

du

e t

o N

urs

es

co

mp

lain

ts

�F

lush

ing

po

ints

in

sta

lled

beh

ind

IP

S p

an

els

.

�U

V t

ap

s p

rop

osed

to

Ste

ri-s

pra

y a

t C

om

bati

ng

L

eg

ion

ell

a c

on

fere

nce 2

011

�N

ew

UV

-ta

ps d

evelo

ped

& t

este

d

�B

elf

ast

SC

BU

hit

s t

he n

ew

s

�F

irst

batc

h o

f U

V-t

ap

s d

ivert

ed

to

Belf

ast

by D

H.

Page 30: What Lies Beneath Healthcare Estates 7 October 2014

Envirosa

fe U

K L

td

Ps

eu

do

mo

na

s A

eru

gin

os

a &

ne

w i

ns

tall

ati

on

dis

infe

cti

on

�T

MV

tap

s r

em

oved

fro

m t

he S

CB

U o

n s

ite a

nd

re

pla

ced

wit

h o

ld-f

ash

ion

ed

mix

ers

.•

Re

su

lts im

pro

ve

d,

bu

t still

no

t <

1cfu

/10

0m

l

�C

hlo

rin

ati

on

No

4 –

Ho

t w

ate

r cro

ss l

inked

to

co

ld f

or

the w

ho

le w

ard

. >

100m

g/l

ch

lori

ne f

or

2 h

ou

rs @

60°C

p

lus s

up

ple

men

tary

ClO

2d

osin

g f

ixed

.

�R

esu

lts a

ll c

lear.

�N

ew

sta

nd

ard

ad

op

ted

fo

r all

refu

rbis

hm

en

ts o

n s

ite.

Wh

ere

po

ssib

le a

ll s

erv

ices a

re c

hlo

rin

ate

d a

t h

igh

te

mp

era

ture

s.

Page 31: What Lies Beneath Healthcare Estates 7 October 2014

Envirosa

fe U

K L

td

Ps

eu

do

mo

na

s A

eru

gin

os

a &

ne

w i

ns

tall

ati

on

dis

infe

cti

on

-C

on

clu

sio

ns

�C

hlo

rin

e o

n its

ow

n c

an

no

t p

en

etr

ate

Pseu

do

mo

nas

Aeru

gin

osa b

iofi

lms w

ith

in a

pra

cti

cal ti

me f

ram

e.

�T

he c

om

bin

ati

on

of

therm

al d

isin

fecti

on

an

d c

hlo

rin

e

help

s r

em

ove g

rease &

oil

s f

rom

new

pip

ew

ork

th

at

ch

lori

ne a

lon

e c

an

no

t.

�T

he c

om

bin

ati

on

of

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al d

isin

fecti

on

an

d c

hlo

rin

e

is v

ery

eff

ecti

ve a

t re

mo

vin

g b

iofi

lms.

Page 32: What Lies Beneath Healthcare Estates 7 October 2014

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