Isoflurane Side Effects & Long-Term Exposure

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Isoflurane is a general inhalation aesthetic. In healthcare settings, it has two main uses:

  • As a sedative agent, where it’s administered with air or pure oxygen to either induce anaesthesia, or to maintain a state of general anaesthesia that’s been induced by a different drug.
  • As a bronchodilator for patients with acute severe asthma.

Though isoflurane is one of the World Health Organisation’s Essential Medicines, it carries certain risks for both patients and practitioners.

Isoflurane Side Effects

Inhaling isoflurane in its vapour form can lead to a range of side effects, including:

  • Anxiety and irritability
  • Chest tightness, coughing, and breathing difficulties
  • Confusion along with seeing, hearing or feeling things that aren’t there
  • Unusual levels of excitement, nervousness or restlessness, along with sleeping problems

On rare occasions, inhaling isoflurane can lead to a rapid heartbeat, fainting, blurred vision, dizziness, headaches, and seizures.

Isoflurane is a liquid at room temperature, and in its liquid form its irritating and corrosive. So you should avoid contact with the eyes, skin, or any mucous membranes, and you should follow the manufacturer’s safety instructions should any isoflurane come into contact with these areas.

Isoflurane – Long-Term Exposure

Long-term exposure to isoflurane can lead to a range of chronic conditions. These will vary from person to person, but they may include:

  • Hepatic necrosis and failure
  • Gastrointestinal difficulties
  • Respiratory conditions
  • Hypersensitivity
  • Malignant hyperthermia
  • Psychiatric conditions including agitation, delirium, altered mood, and mental impairment

Other Isoflurane Safety Considerations

Some studies have raised concerns about the effect that general anaesthetics such as isoflurane might have on young children. When isoflurane is used in combination with anaesthetics such as nitrous oxide, there may be an increased risk of neurodegeneration.

With elderly patients, there are concerns that inhaled anaesthetics, such as isoflurane, may accelerate the onset of Alzheimer’s disease.

Finally, some patients are allergic to isoflurane, and may have a negative reaction if exposed to any levels.

Isoflurane Exposure Risks

If isoflurane is not stored, handled or disposed of properly, it can lead to exposure risks. You should store isoflurane bottles in a well-ventilated area at temperatures between 15 and 30°C, and you should return isoflurane to the storage location immediately after use, always ensuring the bottle’s closed tightly. You can read our full guide to isoflurane storage, handling and disposal.

Beyond this, the risks of isoflurane exposure can come either as a result of a leak (due to faulty equipment, for example), or as a result of human error. Some of the vapour may escape from the ventilator mask before it’s applied to the patient, for instance.

Managing Your Isoflurane Exposure Levels

Workplace exposure monitoring will help you meet your COSHH obligations, and identify whether your staff are being exposed to isoflurane and other hazardous substances wherever they’re stored, used, or disposed of.

We offer a specialist workplace exposure monitoring services that can test for isoflurane exposure levels in your hospital or healthcare settings. Using both continuous monitoring and personal sampling techniques, we can demonstrate how isoflurane levels in the workplace atmosphere vary over the monitoring period. We’ll then provide a comprehensive report including discussions and recommendations based on our findings.

Get in touch for more information about our bespoke air quality monitoring service, or to get a quote.

25% of Hospitals in Dangerously High Levels of Air Pollution Areas

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The World Health Organisation (WHO) advises a maximum concentration of fine particulate matter (PM2.5) of 10μg/m3 for the annual average. Fine particulate matter is a hazardous air pollutant. So when concentrations exceed the WHO’s recommended limits, it represents a major public health concern.

25% of Hospitals in Dangerously High Levels of Air Pollution Areas

Unfortunately, a recent report revealed that far too many UK hospitals are situated in areas with dangerously high levels of air pollution. The report, Toxic Air at the Door of the NHS, found that over 2,000 UK health centres are located in areas where the atmospheric concentration of PM2.5 exceeds the WHO’s recommended limits.

According to the report, 248 UK hospitals are located in highly polluted areas. This accounts for around 25% of all hospitals in the UK.

Want to know whether your local hospital’s in an affected area? Check our guide to the best and worst areas in the UK for air pollution.

The Risks of Fine Particulate Matter

What is Fine Particulate Matter?

When we talk about “fine particulate matter”, we’re referring to a huge variety of chemical compounds and materials that are less than 2.4 micrometres in diameter. Some of them are natural and organic. Others are man-made, and some are toxic.

Why is Fine Particulate Matter Harmful?

When a person inhales fine particulate matter, because the particles are so small, they can enter the bloodstream. And once these particles are in the bloodstream, they may make their way to the lungs, brain, heart, and other organs.

As a result, even short-term exposure to PM2.5 can aggravate existing conditions, including asthma and allergies. But long-term exposure can lead to the development of serious conditions including heart disease, strokes, and lung cancer.

The Effect of Pollution on Hospitals

Every single day, hundreds of people spend extended periods of time in hospitals. Staff at all levels work long shifts. For patients, even a short-term visit can last hours. And long-term patients will also invite visitors, who may themselves spend hours onsite.

So if the hospital’s located in an area with high levels of air pollution, every day hundreds and hundreds of people will be exposed to dangerously high levels of toxic particles.

For the staff, who spend longer than anyone else onsite, this could lead to a variety of serious health problems in the long-term. For patients, many of whom are already in a vulnerable condition, air pollution could aggravate existing symptoms, or even give them new health risks to contend with.

And for visitors, who might show up to the hospital feeling perfectly well, onsite air pollution could ensure they leave feeling significantly worse.

Besides endangering staff, patients and visitors, air pollution also gives hospitals plenty of other problems in both the short- and the long-term. According to one study, up to 20,200 respiratory and cardiovascular hospital admissions each year can be linked to air pollution.

At a time when NHS waiting lists are posing a serious concern, anything that can add to patient waiting times must be viewed as a major issue that requires our immediate attention.

Which Areas of the Hospital Are Most at Risk From Air Pollution?

When it comes to air pollution, some hospitals will have more to worry about than others – for example, inner-city hospitals, and any health centre located near a major road.

But for all hospitals, the most at-risk areas will be:

  • Any location frequented by members of the public, including receptions and waiting rooms.
  • Areas where the most vulnerable patients stay, including wards and communal spaces, such as gardens.
  • Any part of the hospital used by children and young people.
  • Any room of the hospital with a window facing a road.

What Can Hospitals Do To Reduce the Risks of Air Pollution?

The Asthma and Lung UK charity recently made a few suggestions for initiatives that could help address the high levels of air pollution around UK hospitals:

  • The UK government should enshrine the WHO’s recommended PM2.5 limits into law.
  • There should be more Clean Air Zones in towns and cities across the UK, where traffic flow is controlled to reduce air pollution. Read our full guide to the link between speed limits and air pollution.
  • Hospitals could start air quality monitoring schemes in places where their most vulnerable patients congregate.

How to Get Cleaner Air in Your Hospital Today

A high quality air filtration system can help you significantly improve the air quality in your hospital – and quickly.

Our Blueair HealthProtectTM air purifiers are fitted with advanced HEPASilent technology. This is capable of catching 99.97% of particles down to 0.1 microns, which includes PM2.5 fine air particles. But at the same time, they’ll capture many other hazardous and toxic air pollutants. And crucially for a hospital, they can also capture and kill 99% of viruses and bacteria.

Take a look at our specialist air purification systems for hospitals.

 

How Long is the Short Term Workplace Exposure Limit?

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Control of Substances Hazardous to Health (COSHH) is a UK law requiring employers in all industries to prevent or reduce workers’ exposure to certain hazardous substances.

The law regulates workplace exposure limits (WELs) for around 500 hazardous substances. These are legal limits of exposure, measured in concentrations of the hazardous substances in the air (usually mg.m³), averaged over a given timeframe.

COSHH legislation requires that workers are only exposed to a certain amount of a hazardous substance in a specified period of time – the time weighted average (TWA).

What is the Short Term Workplace Exposure Limit?

The short term workplace exposure limit is 15 minutes. A short term exposure limit (STEL) is the concentration to which workers can be exposed continuously to a hazardous substance before it starts to affect their health.

What is the Long Term Workplace Exposure Limit?

The long term exposure limit (LTEL) considers an eight hour reference period. COSHH law requires that the short term exposure limit must take priority over the long term exposure limit.

Short Term vs. Long Term Exposure

The long term exposure limit is there to protect workers from concentrations of harmful substances – the sort of substances which, over an extended period of time, could result in long-term chronic health conditions.

On the other hand, the short term exposure limit is concerned with peak exposure incidents. It’s there to protect workers against immediate ill health effects, whether that’s nausea, dizziness, inflammation, or more serious conditions.

In any case, employers have a legal responsibility to ensure that every employee is not exposed to any concentration of any substance that exceeds the substance’s WELs. And if you run a school, a university or a healthcare establishment, you’ll also have to consider exposure risks for your students, patients, and other visitors.

Exposure Limits in Your Workplace

Many substances will list WEL values on their packaging. However, you must not assume that a substance that does not specify a WEL is necessarily safe to use in all environments for any period of time.

Potentially, all workplaces will make use of hazardous substances with WELs. For example, it’s common to find cleaning products in schools and offices which, if used for too long in a poorly ventilated area, can lead to a range of health problems.

But hazardous substances are so widespread in some sectors that workers may risk excess exposure as a matter of course. In healthcare, for example, employers must meet COSHH exposure regulations for a huge number of substances, including isoflurane, Entonox, formaldehyde, inhalable dust, and a wide range of hazardous chemicals too numerous to mention.

Meeting Your COSHH Obligations

All workers must pay attention to the WELs for every substance they work with. At the same time, you must supply your staff with adequate PPE for each task they undertake, while maintaining an adequate air ventilation system for your workplace.

Yet even with these measures in place, your workforce may still get exposed to dangerous concentrations of hazardous substances. Faulty equipment can lead to a leak. PPE can get damaged or compromised. And a small accident can lead to a substantial chemical spill, the effects of which could last long after the spill’s been cleaned.

But we can help you fulfil your COSHH obligations wherever your staff are exposed to hazardous substances with our bespoke workplace exposure monitoring report. Our comprehensive reports include clear and actionable recommendations, so you’ll know exactly what you’ll have to do to protect your staff.

We specialise in healthcare settings, where we can employ both continuous monitoring and personal sampling processes for operating theatres, endoscopy suites, pathology laboratories, maternity wards, fracture clinics, and more.

Head here to learn more about out workplace exposure monitoring services, and find out how we can help in your department.

Penthrox vs. Entonox for Long Term Exposure

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Penthrox and Entonox are both used for pain management in healthcare – particularly in trauma or emergency settings.

In this post we’ll examine the benefits and risks of each.

What is Penthrox?

Penthrox is a disposable inhaler containing a drug called methoxyflurane. When you pour this drug into the device, a gauze inside soaks it up, allowing patients to inhale the vapours. Penthrox is mostly used to offer short-term relief from trauma pain until practitioners can establish a more long-term pain management solution.

It’s also useful for providing relief during brief, painful procedures, like wound dressing.

Penthrox inhalers weigh about 100g and are approximately 15cm long. And as they’re not pressurised, they can be transported on airplanes with no issue. As such, Penthrox is a lot more portable than other pain management solutions, which is why it’s often used in ambulances.

What is Entonox?

Entonox comes in a cannister containing 50% oxygen and 50% nitrous oxide (N₂O). Inhaling this gas mixture provides effective short-term pain relief during certain investigations and procedures.

Entonox cannisters are refillable, though they’re fitted with disposable mouthpieces that must be changed between use for better infection control. They contain built-in regulators, meaning that they can be set up and applied quickly in an emergency. All you have to do is attach a hose and a valve, and it’s ready to use.

What Are The Risks of Penthrox and Entonox?

Both Penthrox and Entonox are effective at providing pain relief. Which option you choose will depend on your budget, along with certain practical considerations, such as space and portability.

However, both Penthrox and Entonox pose certain risks, particularly when it comes to long-term exposure.

The Risks of Penthrox

Some people are hypersensitive to methoxyflurane, the drug contained in Penthrox. It can also pose risks to patients with underlying hepatic conditions, and to elderly or other patients with risk factors for renal disease.

Even small doses of Penthrox can cause dizziness, headaches, sleepiness and nausea. But excessive doses can lead to renal failure.

Maximum Dose of Penthrox

The manufacturers recommend that doses should not exceed 6ml in a day or 15ml in a week. But they also claim that “the frequency at which Penthrox can be safely used is not established”. You can read the full safety information for Penthrox on the manufacturer’s website.

The Risks of Entonox

Practitioners do not administer Entonox to patients suffering from certain conditions. For example, as Entonox can cause a rise in intracranial pressure, it’s not suitable for use with patients with head injuries. Nor should it be used if the patient has any air trapped in the body, such as with blocked bowels or restricted airways.

Short Term Exposure of Entonox

In the short-term, Entonox can cause dizziness, sleepiness, nausea, and even hallucinations. But these side effects usually stop quickly once the patient stops breathing the gas mixture.

Long Term Exposure to Entonox

Long-term exposure to Entonox can affect the body’s ability to absorb vitamin B12. This can result in damage to nerves and red blood cells.

So long as the patient uses controlled doses of Entonox only when needed, there should be no risk of any long-term effects. However, Entonox can pose an occupational risk to healthcare workers. Cannisters can leak, and some of the gas mixture may escape through the patient’s mouthpiece.

Risk to Hospital Staff

Entonox is often used in maternity wards to provide pain relief during labour. There have long been concerns about midwives’ occupational exposure to Entonox, and the long-term health risks this may pose.

How to Manage Penthrox and Entonox Risks In Your Hospital

When it comes to Penthrox, the manufacturers recommend that patients self-administer using an Activated Carbon (AC) Chamber, and that they always exhale through the inhaler’s mouthpiece. Yet even with these measures in place, some methoxyflurane may still escape, posing occupational risks to practitioners.

Similarly, you can reduce the occupational risks of Entonox through carefully controlling dosages, and through advising patients on safe and effective use. Though if patients are self-administering Entonox, they’ll be doing so while in a state of acute pain and stress. So it’s almost inevitable that some potentially-harmful N₂O may leak and circulate.

Test Staff Exposure Levels

So if you want to significantly reduce the occupational risks of Penthrox and Entonox, it’s best to test your staff’s exposure levels before establishing a reliable air purification system.

We specialise in exposure monitoring for healthcare settings. Using both continuous monitoring and personal sampling techniques, we’ll produce a comprehensive workplace exposure monitoring report for any hazardous substances in your hospital, including methoxyflurane and N₂O.

Get in touch to discuss how we can help you control the occupational risks in your healthcare setting.

 

Long-Term Effects of Chlorine Exposure

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The chemical element chlorine has been used for years in sanitation, disinfection, and antisepsis.

What is Chlorine Used For?

In the form of hypochlorous acid, chlorine is used to kill bacteria in water treatment plants and public swimming pools. Chlorine is also a major element of disinfectants and bleach, so it can be found in many domestic, commercial, and industrial cleaning products.

But chlorine has also historically been used as a weapon. It was used on the battlefields of the First World War, and more recently as a chemical weapon in Iraq and Syria.

Despite its ubiquity and its life-saving role in sanitation and disinfection, chlorine is a highly toxic gas. Short-term exposure can cause certain health hazards. Long-term exposure can be lethal.

Short-Term Effects of Chlorine Exposure

You might have noticed the short-term effects of chlorine exposure from spending a little too long in a swimming pool: Blurred vision, a burning sensation in the eyes, throat or skin, a shortness of breath, chest pains, and nausea.

If chlorine can cause this much damage in the short-term, then imagine what it can do in the long-term.

The Long-Term Effects of Chlorine Exposure

The long-term effects of chlorine exposure can include the development of chronic lung problems, including bronchitis and asthma, and even some cancers.

Even a short, single exposure to high concentrations of chlorine can cause immediate lung damage, which could be irreparable. Breathing high concentrates can also lead to a build-up of fluid in the lungs, which can result in suffocation and death.

Who’s At Risk of Long-Term Chlorine Exposure?

Anyone who works in any industry that makes use of chlorine is at risk of exposure. This might include:

  • Commercial cleaning staff, and cleaning personnel in hospitals, schools, universities, and other public buildings.
  • Anyone who works around or near a swimming pool, including health club staff, lifeguards, and professional swimmers and their coaches.
  • Sewage treatment and water purification workers.
  • Workers involved in plastics manufacturing and bleach, chemical and pharmaceutical production.

How to Manage the Risks of Long-Term Chlorine Exposure

  • Learn to spot the signs. Chlorine has a distinctive, highly unpleasant smell, so you should have no trouble detecting a leak. But you should also be able to recognise the symptoms of both short- and long-term exposure, in both yourself and your colleagues.
  • Use adequate PPE. Ensure that anybody who handles chlorine in your workplace has adequate personal protection equipment (PPE) for the task at hand. Read our guide to choosing the right PPE.
  • Follow the procedures. Abide by the COSHH guidelines when it comes to short- and long-term exposure limits. And have a thorough cleaning and containment procedure in place in the event of a leak or spillage.
  • Keep things ventilated. A good air filtration system can cycle the air in a room, removing any potentially harmful gases. This can help reduce the risks of exposure from cleaning products, for example.

Chlorine Exposure Monitoring Services

For total peace of mind that you’re doing all you can to protect your staff from exposure to chemicals, we offer workplace exposure monitoring services.

We’ll employ both continuous monitoring and personal sampling processes to help you understand the exposure risks in your workplace. We’ll then produce a comprehensive report including clear and actionable recommendations, so you’ll know exactly what to do to safeguard your staff.

Head here to learn more about our workplace exposure monitoring services, and find out how we can help you manage the risks of chlorine in your organisation.

 

Operating Theatre Temperature & Humidity Guidelines For Patient Safety and Infection Control

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Good air ventilation is an integral part of effective infection control in operating theatres. But while it’s important to keep the air circulated, it’s equally important to ensure the air is at the optimum temperature and humidity.

Why is Temperature and Humidity Important in an Operating Theatre?

For temperature and humidity levels to be right, there are three crucial needs:

  1. To avoid humidity levels that could cause risks with the anaesthetic.
  2. To ensure that operating theatre staff can work comfortably and efficiently.
  3. Perhaps most crucially, to ensure the patient’s not so cold that they risk developing hypothermia or cardiac arrhythmia, but not so hot that they experience heat stress.

Both staff and patients will potentially spend many hours in an operating theatre environment. And while in the theatre, the staff will be undertaking intensive, high-pressure work, while the patient will be in a profoundly vulnerable state. So the temperature and humidity in an operating theatre needs to be just right.

Operating Theatre Temperature and Humidity Guidelines UK

The Association for Perioperative Practice (AfPP) and The National Institute for Health and Care Excellence (NICE) have both issued guidelines for temperature and humidity control in operating theatres.

To best suit the needs of both staff and patient:

  • The temperature should be maintained between 18 and 25°C, varied within this range depending on the patient and the procedure.
  • The relative humidity should be 50%, to allow for tolerable working conditions for the long-term with no risk of anaesthetic issues.

NICE also outlines that theatre staff should measure a patient’s temperature every 30 minute during their operation, and that their temperature should be at least 21°C at any times when they’re not covered.

Other Safety Measures in Operating Theatres

Maintaining the correct temperature and humidity in the operating theatre is essential for both staff and patient safety.

But this is just one aspect of a safe and productive operating theatre. In addition to temperature control, the following measures are crucial:

Zoning for Infection Control

The theatre complex should be zoned based on cleanliness levels, the presence of microorganisms, and the types of procedures carried out. There must also be separate areas for all the key processes – preparation, disposal, scrubbing, gowning, and equipment storage, sterilisation, and washing.

Operating Theatre PPE

Staff should use the appropriate PPE for the procedure. They should apply their PPE in the correct order, and in a dedicated area, while thoroughly washing their hands at key points throughout the procedure. Also, any PPE they use should be properly fitted to ensure its effectiveness.

Equipment Cleaning

Any reusable surgical equipment should be thoroughly cleaned before use. And once processed, all surgical equipment must be correctly stored in a sterile environment, and not handled until it’s ready to be used on patients. Absorbent mats can also be used to capture fluids during procedures for quick disposal afterwards.

For more, you can read our complete guide to cleaning for infection control in operating theatres.

Support For Infection Control in Operating Theatres

It’s up to your hospital management and your theatre teams to maintain the optimum temperature and humidity settings in your theatre environments. But we can help you with many other aspects of infection prevention and control, helping you to meet all relevant standards while keeping your staff and patients as safe and as comfortable as possible.

Our services include:

  • Air purification consultations and solutions.
  • Face-fit testing.
  • Fluid management and washroom hygiene solutions.
  • Comprehensive infection control solutions, such as cleaning equipment and sanitising chemicals.

Get in touch to talk to our friendly team of expert infection control consultants and we’ll help you find a solution that works for you.

 

Health & Safety in Operating Theatres – Hazards & Precautions

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Just like any other working environment, working in an operating theatre comes with numerous occupational hazards. However, in an operating theatre, these hazards can mean life or death. Even the smallest accident could seriously jeopardise the patient’s safety.

The question of health & safety in operating theatres is a deep one. Organisations such as the National Institute for Health and Care Excellence (NICE) regularly produce extensive documents advising on theatre safety on both an operational and a managerial level.

So in this post, we’ll provide an essential overview of the sort of hazards theatre staff may face, and the sort of precautions that could help them manage risk. Please note that in this post we’ll focus on staff safety rather than patient safety.

Also be sure to check out our introduction to improving quality and efficiency in operating theatres.

Common Hazards in Operating Theatres

Speaking as broadly as possible, we might categorise the common hazards staff face in operating theatres as follows:

  • Accidents, including slips, trips, and falls.
  • Exposure to hazardous substances.
  • Contamination and infection.

Let’s look at each of these hazards in turn, along with some of the precautions that could help prevent accidents.

Accidents in Operating Theatres – Slips, Trips and Falls

Just like in any other workplace, operating theatre staff can slip on spilled fluids, or trip and fall on a loose wire or a misplaced bit of equipment.

One of the many recommendations made in the NHS Productive Operating Theatre strategy concerns the layout of operating theatres. They advise removing any non-essential items from the area, and assigning each object a set place in the room.

These recommendations are primarily in place to ensure operational efficiency. If everyone knows where everything is, then operations can proceed with fewer interruptions.

But a well-ordered operating theatre is also a much safer operating theatre. If there are no non-essential items in the area, and if everything is in its right place, then in theory there’ll be no obstacles for theatre staff to trip over as they carry out their work.

The Importance of Good Theatre Hygiene

The guidelines also recommend regularly cleaning and maintaining the operating theatre environment. This is mainly for patient safety, to reduce the risks of infection. But it can also contribute to staff safety. Promptly cleaning any fluids spilled on the floor makes it less likely that anyone will slip and fall.

The right equipment can make a huge difference here. For example, non-drip absorbent operating theatre floor mats can soak up any spilled fluids before they become a health and safety hazard. Then, after the operation, they can simply be picked up, discarded and replaced. This will reduce the turnaround time between operations while also removing the need to mop, so staff won’t have to worry about wet and slippery surfaces.

Exposure to Hazardous Substances

Operating theatre procedures make use of a number of substances which can pose a health hazard  if staff are exposed to them for long periods.

A key culprit in the operating theatre is Isoflurane, which anaesthetists use to maintain a state of general anaesthesia. If inhaled in its vapor form, Isoflurane can cause headaches, dizziness, and fatigue. But long-term exposure can lead to chronic health conditions, including renal, hepatic, and reproductive disorders.

Like all potentially hazardous substances, so long as it’s properly stored, and so long as your equipment is properly maintained, then Isoflurane should pose no problems. But as the substance is so volatile, even the smallest spillage or leak poses a health hazard.

Prevention, and the Cure

Another key recommendation in the NHS Productive Operating Theatre strategy is to stay on top of your equipment maintenance. Again, this is primarily to ensure patient safety, as you cannot depend on faulty equipment to do the job you need it to do. But it’s also to ensure staff safety, to ensure that, for example, any leaks are fixed before they pose a problem.

Wearing adequate PPE when handling or cleaning substances will also help you manage this hazard. But for total peace of mind, get a workplace exposure monitoring report for any area of your hospital where staff are exposed to hazardous substances.

A comprehensive report will include clear and actionable recommendations, so you’ll know exactly where the risks lie and exactly what to do to protect your staff.

Contamination and Infection in Operating Theatres

Infection control measures in operating theatres put the patient’s needs first, as surgical site infections (SSIs) account for around 20% of all hospital-acquired infections.

But of course, any measure that protects patients from infection will also protect staff from infection.

Operating theatres must be aseptic, highly-sterile, and restricted environments. Achieving this requires good air ventilation, strategic zoning, and numerous infection control precautions.

You can read our full guide to cleaning for infection prevention and control in operating theatres here.

PPE also plays a huge part in protecting both staff and patient from infection. It’s not just a question of selecting the right PPE for the task at hand. Just as important is applying and removing the PPE in the correct order.

Health and Safety in Operating Theatres – Essential Support, Solutions, and Guidance

We offer many services and solutions that can help you stay on top of health and safety in the operating theatre.

Our services include:

  • Air purification
  • Face-fit testing for PPE effectiveness
  • Workplace exposure monitoring services
  • Washroom hygiene solutions
  • Fluid management solutions, including absorbent floor mats
  • Cleaning equipment, disposal containers, and sanitising chemicals

Our experts are always on-hand to discuss your needs. So if you’d like some guidance health and safety in operating theatres, get in touch to talk to an expert today.

 

Do I Need an Asbestos Air Quality Test? A Complete Guide

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According to a recent BBC enquiry, over 90% of NHS trusts report that they have hospitals containing asbestos.

Though the NHS claims that their strict regulations ensure that any asbestos in their buildings is safely contained, this should act as a wake-up call. Not just for healthcare settings, but for schools, universities, offices, and other workplaces. Because asbestos is potentially lethal, and it’s a lot more common than you might realise.

What is Asbestos?

Asbestos is a silicate mineral composed of long and thin fibrous crystals. Each crystal fibre contains microscopic “fibrils”. If the asbestos is struck, rubbed, or cut, or if the material deteriorates, these microscopic fibrils can be released into the atmosphere.

Why is Asbestos Dangerous?

Inhaling asbestos fibres can lead to numerous lung conditions, including mesothelioma and lung cancer. It can also lead to long-term inflammation and scarring of the lungs, a condition named after the material itself: Asbestosis.

What Buildings Contain Asbestos?

Though we now recognise asbestos as a serious health and safety hazard, unfortunately asbestos was a common building material for decades. Asbestos is solid, stable, a good electrical insulator and highly fire resistant. It wasn’t until the 1970s that we became aware of the health risks. As such, many modern buildings constructed before the 1980s are very likely to contain asbestos as part of their structure.

What is an Asbestos Air Quality Test?

An asbestos air quality test will measure the levels of asbestos fibres in the air. The test can involve background air monitoring to establish the base levels of airborne particles. It can also involve exposure monitoring, which involves testing areas where people are likely to gather and work to assess likely exposure levels.

Following an asbestos air quality test, you’ll receive a detailed report outlining the potential risks on your premises, which should contain some recommendations for how you can improve the air quality for everyone.

If you’d like to know more about how air quality tests work, head here to read our full guide to testing and improving air quality in hospitals, schools and workplaces.

Do I Need an Asbestos Air Quality Test?

Asbestos isn’t really used in construction anymore. But if you work in a building constructed between 1950 and 1990, then it’s very likely that your workplace contains asbestos. And if that asbestos is ever disturbed, or even if it deteriorates, then it could pose a serious health risk.

But even more recently-built workplaces should consider asbestos air quality tests. If an older building was demolished to make way for your workplace, then there may still be asbestos particles lingering in the air. In fact, any demolition in your surrounding area may have released asbestos into the air, which might have been carried by the wind to pose a risk elsewhere.

For decades, asbestos was everywhere. So for total peace of mind, all schools, healthcare settings and workplaces should consider an asbestos air quality test. Because the earlier you know about your exposure risk levels, the earlier you can act to improve the health quality for everyone.

Arrange an Air Quality Test for Your Hospital, School, or Workplace

We specialise in workplace air quality monitoring services. We can monitor your staff’s exposure levels to any potentially harmful substances in your workplace, including asbestos. This will help you to understand your risk levels so you can devise an air quality solution that works for you. Head here to learn more about our bespoke air quality monitoring services.

Air purifiers can filter many harmful particles. You can get small standalone purifiers for single rooms, as well as larger systems for larger rooms, some capable of achieving five air changes per hour. Head here to browse our range of air purifiers for a range of settings.

Best & Worst Air Quality in the UK: Towns and Cities

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What are the most and least polluted towns and cities in the UK?

The World Health Organisation routinely publishes their Ambient Air Quality Database. This lists any areas in the world where fine-particle air pollution levels above 10 micrograms per cubic metre.

Breathing polluted air can make certain health conditions worse, and in serious cases can lead to stroke, heart disease, lung cancer, and respiratory infections.

According to the latest WHO report, 99% of the world’s population live in areas where air pollution exceeds the guideline limit of 10 micrograms per cubic metre. So what are the current best and worst towns for air quality in the UK?

Towns & Cities with the Worst Air Quality in the UK

According to the latest WHO figures, the five worst towns and cities in the UK for air pollution are:

  • Warrington
  • Bristol
  • Stanford-Le-Hope
  • Storrington
  • Swansea

It’s important to remember that air pollution levels are never constant. They can change on a daily basis. So the most polluted towns in the UK at the time of the WHO report might not be the most polluted towns by the time you read this.

Though in total, there are 42 cities across the UK where air pollution is at dangerous levels. In fact, around 97% of homes in the UK exceed the WHO guideline limits.

Towns & Cities with Best Air Quality in the UK

Not one of the 42 at-risk towns and cities in the UK is in Scotland. Cities like Edinburgh and Glasgow still experience air pollution, of course. But the concentrations of harmful pollutants in the air fall below the WHO limits.

Other areas with good air quality include:

  • Devon
  • Peak District
  • Mid Wales
  • Cornwall

What Affects Air Quality?

Many things can influence the air quality in an area, including:

  • Heavy traffic
  • Agriculture
  • Industrial activity
  • Burning fuel

Though most air pollution is caused by human activity, pollen and sea spray are also classed as potentially-harmful pollutants.

Wind direction is another major factor, and it’s partially due to the wind that air quality can change in an area on a daily basis.

You can read our full guide to harmful air pollutants, and the activity that creates them.

How to Check the Air Quality in Your Area

Use the IQ Air tool to get a real time map of air quality levels across the UK.

You can also use the Address Pollution tool, which lets you “demand action” if your home exceeds WHO air quality guidelines.

How to Improve the Air Quality in Your Home or Organisation

Local authorities and business owners are actively working to improve the air quality in their towns, cities, and organisations.

One key strategy is to introduce a speed limit for air quality. Head here to read our full guide to the link between vehicle speed and harmful emissions.

Other strategies include working with air quality consultants, and using air purifiers to improve the interior air quality in buildings like schools, universities, offices, hospitals, and private homes.

Want to improve the air quality in your organisation?

We offer bespoke air quality monitoring systems for all kinds of workplaces. We can assess the air quality of your premises and advise on a solution to help your staff and service users breathe cleaner, healthier air. We also stock a range of powerful air purifiers suitable for a range of environments, from open plan offices to operating theatres.

Get in touch to talk to one of our air purification experts today.

 

What is an Air Quality Consultant?

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An air quality consultant assesses the air quality in hospitals, schools, warehouses, offices, and other indoor environments.

Their work will help you ensure that anybody who accesses your premises can breathe cleaner air– whether they’re employees, patients, students or customers. They’ll also help you achieve compliance with certain air quality regulations.

What Does an Air Quality Consultant Do?

An air quality consultant will begin by testing the air quality on your premises. They can test for dust, carbon, pollutants, temperature, humidity, and potentially harmful chemicals.

Head here to read our guide to how air quality consultants test air quality.

Once they’ve assessed the air quality, an air quality consultant will produce a detailed report. This report will highlight any potential causes for concern, and it’ll advise you on actions you can take to improve the air quality on your premises.

Air Quality Regulations UK

The Air Quality Standards Regulations 2010 is the main legislation concerning air quality in the UK. Wales, Northern Ireland and Scotland each have their own separate legislation.

These regulations set legally binding limits for concentrations of certain pollutants in outdoor air. They’re therefore of particular relevance for planners and local government.

The legislation that all businesses and organisations should be aware of is called Control of Substances Hazardous to Health (COSHH).

Under COSHH, all employers have a legal responsibility to reduce their employees’ exposure to hazardous substances. You can read a complete guide to your legal responsibilities when it comes to air quality. But in short, you should monitor for air quality at least once every 12 months to ensure your environment falls within the recommended workplace exposure limits (WELs).

The Benefits of Air Quality Consultations

There are good reasons to work with an air quality consultant beyond achieving COSHH compliancy.

Air pollution makes people sick. It can lead to headaches, nausea, sinus congestion, shortness of breath, irritations, and coughs. It can make asthma, allergies, and other conditions worse. If you work with certain harmful chemicals, prolonged exposure can lead to serious chronic health conditions, or even death.

Cleaner air is crucial to health, happiness, and general wellbeing. So cleaner air means less illness, which means fewer sick days. Help your people breathe cleaner air and you’ll contribute to a more positive and productive environment overall.

Book an Air Quality Consultation

We offer workplace air quality monitoring services. We can monitor your staff’s exposure to any potentially harmful substances in your workplace. This will help you understand your risk levels, so you can devise an air quality solution that works for you.

We specialise in healthcare settings. We’ve helped both NHS and private healthcare settings with bespoke air quality monitoring services, from monitoring Ethyl Chloride levels in anaesthetic rooms to checking cobalt and sodium levels in boiler rooms. In addition, we’ve also carried out dust monitoring in fracture clinic plaster rooms and orthotics laboratories.

But whatever your workplace, we can carry out a bespoke air quality consultation and exposure monitoring service that’s tailored to meet your needs.

Find out more about our Workplace Exposure Monitoring Services or get in touch to talk to one of our experts.

Improving Indoor Air Quality

As well as monitoring your indoor air quality, you will need to take steps to improve it. We have a range of commercial air purification systems designed for workplaces, hospitals and schools can catch 99.97% of particles down to 0.1 microns – this includes viruses and bacteria as well as larger particles related to air pollution from vehicles.

Browse our commercial air purifier range fit for hospitals, healthcare setting, schools and workplaces.