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Troubled Waters

Managing hospital risks associated with an interrupted or contaminated water supply

I

nterruption or contamination of a water supply can be caused by a

range of incidents, including natural disasters, malfunctioning wastewater treatment systems, sewer overflows, manufacturing processes, and acts

of terrorism.

Case in point: The Freedom Indus- tries chemical spill in West Virginia in 2014 contaminated the drinking water for 300,000 residents and significantly impacted operations at area hospitals, forcing staff to use workarounds to address key systems such as hand hygiene; cleaning, disinfection, and sterilization of equipment and supplies; and laundry.1

When water interruption disasters occur, hospitals must be prepared to handle the emergency with minimal disruption to normal patient care activ- ities. According to the US Centers for Disease Control and Prevention, water may not be available in hospitals for hand washing and hygiene; drinking at faucets and fountains; food preparation; flushing toilets and bathing patients; laundry cleaning; sterilization of surgical instruments; reprocessing of medical equipment; patient care; fire suppression sprinkler systems; water-cooled medical gas and suction compressors; heating, ventilation, and air-conditioning; and decontamination/hazmat response.2 Consequently, hospitals must have a plan in place to protect occupants from the harmful effects of contaminated water.

“Health care facilities are critical com- ponents of a community’s response and recovery during and following an emer- gency event,” says Mark Kaldahl, HSD, facility support director at Carilion Frank- lin Memorial Hospital, Rocky Mount, Virginia. “Th resiliency of the community depends on the hospital’s ability to main- tain normal operations and provide patient care throughout the emergency.”

Water contaminants

When a hospital’s water source becomes contaminated, the hospital is advised not to use the water unless it is first boiled or disinfected before use. This notification will often be made either by the facil- ity’s water supplier or the local health department. The reason these warnings are issued can usually be summed up in one portentous word: coliforms.

“Coliforms are bacteria that are present in the digestive tracts of humans and animals and are found in their wastes,” Kaldahl says. “They are also found in plant and soil material (see “Defining the Dangers” on page 7 for further definitions).”

Other water contaminates include the following3:


Distress signals

Government agencies issue advisories, notifications, and warnings, which are typically broadcast by the media. Adviso- ries are generally issued if a break in a water main has occurred, or the system has lost pressure. An advisory does not mean bacteria have been found in the water. This is a precautionary statement issued before water testing has been completed. A boil water advisory means a problem may have increased the risk for the water system to be contaminat- ed. A boil water notice, on the other hand, is a notice to the public that tests show coliform bacteria are present in the water system.

“When coliform bacteria are found, additional testing is conducted to see if the contamination includes fecal coli- form bacteria. If fecal coliform bacteria are present, a warning will be issued that the water is contaminated with fecal coliform bacteria,” Kaldahl says.

“Do not drink the water” notifications can be issued for either bacteria or chem- ical contaminants, which indicate the water is so contaminated it should not be consumed, and boiling or disinfecting the water may not offer adequate protection.


Notifying hospital staff

After the hospital learns its water supply has been contaminated, the following steps should immediately be implemented:

  1. The hospital’s Emergency Operations Plan (EOP) should go into effect.

  2. Department leaders or their designees should meet in a predetermined meeting place to await instructions from leadership about the incident.

  3. The incident commander should assign an individual to contact the local water department and/or water provider to determine the status of the incoming water.

  4. After a determination is made about the water quality, the incident com- mander should brief leaders of the situation and outline a plan of response.


Danger zones

Careful preparations need to be made regarding the following activities and areas during a water contamination emergency:

ice makers, soda fountains, drinking fountains, and any other equipment that requires water that might be

ingested. Label all remaining water sources, “Do not drink.” Provide bottled water, juices, or soft drinks for patients and staff. Use only bagged

ice from a source unaffected by the contaminated water alert.

be bathed using disposable bathing washcloths or with a disposal cleanser that can be used without water.


Cleaning the hospital Nonpotable water may be used for cleaning work premises, other than food processing and preparation premises and personal service rooms4 (rooms used for

activities not directly connected with the production of service function performed by the establishment; such activities include, but are not limited to, first aid, medical services, dressing, showering, toilet use, washing, and eating). How- ever, this nonpotable water must not contain concentrations of chemicals, fecal coliform, or other substances which could create unsanitary conditions or be harmful to employees.

“Maintaining a clean sterile environ- ment may be the biggest challenge hos- pitals face during a contaminated water emergency,” Kaldahl adds. “But hospitals can follow several strategies.” These steps include the following:


Proper preparation is key Although water emergencies are relatively rare, they do occur and hospitals must be ready to respond when they do.

“The secret to having a successful outcome is planning for the event before it ever arises,” says Kaldahl. “It’s better

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Troubled Waters

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to have a plan in place, and never use it, than not having a plan and needing it when the event does occur.”

Joint Commission Standards require hospitals to address the provision of water as part of the facility’s EOP and to follow relevant Emergency Management (EM) standards and elements of perfor- mance (EP), including EM.02.02.09, EPs 3, 4, and 8: As part of its EOP, the hospital prepares for how it will man- age utilities during an emergency. This

includes identifying alternative water sources, and the hospital implements the components of its EOP that require advance preparation to provide for utilities during an emergency.

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Proper planning also includes add- ing water emergencies into your hazard vulnerability analysis, particularly if your facility is located in a community where water emergencies often occur. EC


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References

  1. Newsweek. Hospitals Scrambled to Deal with Chemically Contaminated Water in West Virginia. Kloc J. Feb 13, 2014. Accessed Oct 2,

    2015. http://www.newsweek.com/hospitals

    -scrambled-deal-chemically-contaminated

    -water-west-virginia-229010.


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  2. US Centers for Disease Control and Preven- tion. Emergency Water Supply Planning Guide for Hospitals and Health Care Facilities. 2012. Accessed Oct 1, 2015. http://www.cdc.gov

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    /healthywater/pdf/emergency/emergency

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    -water-supply-planning-guide.pdf.

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  3. Living Waters Engineered Water Treatment Solutions. Contaminants. Accessed Oct 2, 2015. http://www.livingwatersway.com/water

    _contaminants.

  4. US Occupational Safety and Health Adminis- tration. (2014). 29 CFR 1910 OSHA General Industry Regulations. [1910.141 Subpart J - General Environmental Controls - (b)(2)(iii) pp. 231]. Davenport, IA: Mancomm.