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environment of healthcare settings. Infection
control leadership, clinicians, central sterile,
environmental services, and other ancillary support teams have an uphill battle to reduce infection rates from surgeries and clinical procedures
that involve invasive catheters, respirators, and
medical equipment. Where product innovators
and designers can support these employees is
in the physical healthcare spaces that have been
documented to harbor and spread HAIs.
Architects, interior designers, engineers, and
equipment planners can make a notable impact
by being educated on innovative products and
materials that fight HAI pathogens on the front
lines. The design team and others involved in
specifying healthcare materials and systems
must also do their research on the extensive
testing and trials these products have withstood.
Such products are required to go through rigorous testing for safety to humans and the environment, as well as long-term efficacy through
strenuous cleaning procedures. The most notable due diligence steps to look for are:
* Reliable research of chemicals and products
implemented to verify safety for the end user
and general public by having independent,
third-party testing labs validate chemicals or
minerals used in these products. Known labs
with a reputable track record are best.
* EPA registration or FDA approval regarding human and environmental
safety
* Independent third-party lab testing that validates a product's claims
* Clinical trials with a healthcare partner that have validated HAI rates
before and after implementation of the product
* Reliable references from hospitals and other owners that have implemented these products with no adverse effect to people or the environment
* Owners' policies on antimicrobial products and possible product bans,
such as the lengthy list produced by Kaiser Permanente that was updated
in December 2015.
What owners and healthcare operators cannot risk is an experiment with
a new antimicrobial material that could be the next generation of asbestos.
Most healthcare systems have established a vetting process for allowing
new products into specifications for their facilities.
David Pone, system director of facilities operations for Riverside Health
System in Newport News, Va., says, "I want the answer to these questions
when we're reviewing new products for our building finishes, maintenance
products, or cleaning products: (1) Does the product actually do what the
company claims it does? (2) Does the product maintain its efficacy longterm? and (3) What cleaning products or chemicals should not be used on
this product that can negate its performance?"
When it comes to providing safety to the public and environment on his
system's medical campuses, Pone says that a product's EPA registration for
antimicrobial benefits is an essential prerequisite. "We accept the EPA registration credentials as a key part of our overall vetting process. I, however,
want to see the supporting documentation of this registration. We will verify this ourselves before allowing new products-whether they're finishes,

A B OV E : A patient room
designed with a combination of interior finishes
and details that retard or
kill HAI-causing pathogens, as well as enhance
thorough cleaning.
PRE V I OU S PA GE : MRSA
and other pathogens can
easily be spread to people
or surfaces on contact,
as captured in this photograph of contaminated
hands under UV light.

62

HCDMAGAZINE.COM

OCTOBER 2016

equipment, or new cleaning products-in our
buildings," he says.
THE CASE FOR COPPER

After lengthy research and independent lab
testing, the antimicrobial copper industry was
given the green light in March 2008 by the EPA
to officially promote copper and certain copper
alloys as proven antimicrobial materials. Antimicrobial copper and copper alloys, such as
brass, bronze, and zinc, are available in a range
of products for high-touch surfaces that include
door and plumbing hardware, cabinet pulls, bed
rails, grab bars, IV poles, computer keyboards,
and over-bed tables.
Solid copper may present cost limitations for
larger surfaces or may not be the preferred metallic color of choice for overall interior theming.
The industry's response to cost concerns has
been to develop an assortment of copper alloys
that have at least 58 percent of copper content
for accomplishing the same long-term efficacy of
continual microbe kill rates at 99.9 percent.
There are a number of healthcare-grade copper products from the hardware, plumbing,
toiletry dispenser, medical equipment, and
furniture industries that are now more affordable than when first introduced to the market.

KERRY FORTH, AIA

In Focus


http://www.HCDMAGAZINE.COM

Table of Contents for the Digital Edition of Healthcare Design - October 2016

Healthcare Design - October 2016
Contenst
EDITORIAL
SHOW TALK
PHOTO TOUR
THE SUITE LIFE
FIRST LOOK
OH, THE PLACES YOU’LL GO
BEYOND THE ROOM
INFECTION CONTROL
PRODUCT SPOTLIGHT
THE CENTER
SPECIAL ADVERTISING SECTION
FACE TIME
Healthcare Design - October 2016 - Healthcare Design - October 2016
Healthcare Design - October 2016 - Cover2
Healthcare Design - October 2016 - 1
Healthcare Design - October 2016 - Contenst
Healthcare Design - October 2016 - 3
Healthcare Design - October 2016 - 4
Healthcare Design - October 2016 - 5
Healthcare Design - October 2016 - 6
Healthcare Design - October 2016 - 7
Healthcare Design - October 2016 - EDITORIAL
Healthcare Design - October 2016 - 9
Healthcare Design - October 2016 - SHOW TALK
Healthcare Design - October 2016 - 11
Healthcare Design - October 2016 - 12
Healthcare Design - October 2016 - 13
Healthcare Design - October 2016 - PHOTO TOUR
Healthcare Design - October 2016 - 15
Healthcare Design - October 2016 - 16
Healthcare Design - October 2016 - 17
Healthcare Design - October 2016 - 18
Healthcare Design - October 2016 - 19
Healthcare Design - October 2016 - 20
Healthcare Design - October 2016 - 21
Healthcare Design - October 2016 - 22
Healthcare Design - October 2016 - 23
Healthcare Design - October 2016 - THE SUITE LIFE
Healthcare Design - October 2016 - 25
Healthcare Design - October 2016 - 26
Healthcare Design - October 2016 - 27
Healthcare Design - October 2016 - 28
Healthcare Design - October 2016 - 29
Healthcare Design - October 2016 - FIRST LOOK
Healthcare Design - October 2016 - 31
Healthcare Design - October 2016 - 32
Healthcare Design - October 2016 - 33
Healthcare Design - October 2016 - 34
Healthcare Design - October 2016 - 35
Healthcare Design - October 2016 - OH, THE PLACES YOU’LL GO
Healthcare Design - October 2016 - 37
Healthcare Design - October 2016 - 38
Healthcare Design - October 2016 - 39
Healthcare Design - October 2016 - 40
Healthcare Design - October 2016 - 41
Healthcare Design - October 2016 - 42
Healthcare Design - October 2016 - 43
Healthcare Design - October 2016 - 44
Healthcare Design - October 2016 - 45
Healthcare Design - October 2016 - BEYOND THE ROOM
Healthcare Design - October 2016 - 47
Healthcare Design - October 2016 - 48
Healthcare Design - October 2016 - 49
Healthcare Design - October 2016 - 50
Healthcare Design - October 2016 - 51
Healthcare Design - October 2016 - 52
Healthcare Design - October 2016 - 53
Healthcare Design - October 2016 - 54
Healthcare Design - October 2016 - 55
Healthcare Design - October 2016 - 56
Healthcare Design - October 2016 - 57
Healthcare Design - October 2016 - 58
Healthcare Design - October 2016 - 59
Healthcare Design - October 2016 - INFECTION CONTROL
Healthcare Design - October 2016 - 61
Healthcare Design - October 2016 - 62
Healthcare Design - October 2016 - 63
Healthcare Design - October 2016 - 64
Healthcare Design - October 2016 - 65
Healthcare Design - October 2016 - PRODUCT SPOTLIGHT
Healthcare Design - October 2016 - 67
Healthcare Design - October 2016 - 68
Healthcare Design - October 2016 - 69
Healthcare Design - October 2016 - 70
Healthcare Design - October 2016 - 71
Healthcare Design - October 2016 - THE CENTER
Healthcare Design - October 2016 - 73
Healthcare Design - October 2016 - 74
Healthcare Design - October 2016 - SPECIAL ADVERTISING SECTION
Healthcare Design - October 2016 - 76
Healthcare Design - October 2016 - 77
Healthcare Design - October 2016 - 78
Healthcare Design - October 2016 - 79
Healthcare Design - October 2016 - FACE TIME
Healthcare Design - October 2016 - Cover3
Healthcare Design - October 2016 - Cover4
Healthcare Design - October 2016 - S1
Healthcare Design - October 2016 - S2
Healthcare Design - October 2016 - S3
Healthcare Design - October 2016 - S4
Healthcare Design - October 2016 - S5
Healthcare Design - October 2016 - S6
Healthcare Design - October 2016 - S7
Healthcare Design - October 2016 - S8
Healthcare Design - October 2016 - S9
Healthcare Design - October 2016 - S10
Healthcare Design - October 2016 - S11
Healthcare Design - October 2016 - S12
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