- Statutory and non-statutory documents relevant to the subject
- Health and Safety at Work etc. Act
- Control of Substances Hazardous to Health Regulations
- Water Supply (Water Fittings) Regulations / Byelaws Scotland
- Health Technical Memorandum – Policies and principles of healthcare engineering.
- Health Technical Memorandum 04-01: Supplement. Performance specification D 08: thermostatic mixing valves (healthcare premises).
- NHS D08
- Health Technical Memorandum 04-01 – Safe water in healthcare premises. Part A: Design, installation and commissioning. 2016
- CLP Regulations
- PD 855468
- BS 8558
Compliance of the healthcare estate and Regulations.
- Understand the legislative / local governance and relative Regulations applicable to TMV's
Case studies
- Reflect on issues raised by examples of prosecutions.
Water safety group
- Examples of other healthcare estates who have established WSG which have a positive impact on water hygiene.
Water safety plan
- Examples of other healthcare estates who have established WSP which have a positive impact on water hygiene.
Written control scheme. The compliance requirements, including: Understanding the aims and principles relating to the
HSG 274 & HTMs
Legionella Bacteria
- Identification of legionella bacteria as a pathogen, explanation regarding species, serogroup, nutrients and health implications.
- Areas of water systems where legionella bacteria are likely to proliferate.
Pseudomonas aeruginosa
- Examples of illnesses caused by pseudomonas aeruginosa, the environment in which is derives nutrients. Health implications for specific types of patients within healthcare.
Disinfection procedures
- Understanding of common biocides
- Engineer welfare
- Backflow prevention devices
- Disinfection of TMV, TMTs
- Disinfection of newly installed pipework and fittings
- Disinfection of newly installed cold water storage cisterns and hot water vessels
- Disinfection of contaminated existing pipework and fittings
- Disinfection of contaminated existing cold water storage vessels
- Disinfection of spray taps and showers heads
- Reporting of non-compliant issues
- Record keeping
Thermostatic mixing valves
- Prevention of scalding principles
- Basic understanding of TMVs and working mechanisms.
- Various types of TMVs and TMTs
- Understanding failsafe testing and cleaning as per the NHS D08 guidance documentation.
- Location and accessibility of TMVs
- Commissioning of new TMVs
- Correct temperature monitoring
- Correct temperature setting
- Issues with incorrectly installed TMVs
- Issues surrounding group TMV mixers.
- Importance of reporting non-compliant issues
- Safe isolation of faulty TMVs
- Record keeping