September 02, 2009 | Steve MacArthur | Comments 1
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Even with electronic water temperature control, an argument for mixing valves

I caught wind of an organization that uses an electronic water temperature control system that keeps the water temp at 110° F. There’s been some pushback from facilities folks about whether they still need to install a mixing valve.

I would suggest that if the organization has a risk assessment finding that indicates a mixing valve is not necessary, then things are going in the right direction (ultimately, the documented risk assessment is the key).

However, the ANSI definition of tepid water for eyewash stations and emergency showers indicates a range of 65° F to 90° F, which 110° F exceeds. Now it may be that the temperature of the delivered flushing liquid is within that range, which means the hospital is fine without a mixing valve, but it would need to periodically check that temperature (it can be a sample).

The other thing to do is to check the MSDSs for stuff used in house and identify whether a temperature of 110° F would result in an exacerbated effect on a chemical exposure or even flushing temperatures for eyewashes.

I recognize this is nothing but a big pain in the tuchus, but it is the organization’s responsibility to make sure it is adequately prepared to manage an accidental chemical release. Just ask OSHA.

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Steve MacArthur About the Author: Steve MacArthur is a consultant for The Greeley Company, a division of HCPro. He brings 30 years of healthcare management and consulting experience to his work with hospitals, physician offices, and ambulatory care facilities across the country. He is the author of HCPro's Hospital Safety Director's Handbook and is contributing editor for Briefings on Hospital Safety. Contact Steve at smacarthur@greeley.com.

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  1. If the facility stores it’s hot water in storage tanks, mixing valves would be critical to keeping the temperature in the tank elevated above 140 degrees to prevent waterborne pathogens from multiplying and possibly contaminating the distribution system. Instantaneous water heaters are obviously the better design, but maintaining hot water below 122 degrees can be mighty risky…

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