Rank: Super forum user
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Sorry about the title but this concerns a disabled person's changing room at school where a bucket of vomit is occasionally left in the room, with no cover.
This is in a Hospital school where the pupils all have different medical issues and one of them vomits in class.
My concern is potential for disease being spread from whatever is in the bucket.
Please advise.
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Rank: Super forum user
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FS, what are you proposing as the likely route of transmission? Always supposing that there is anything transmissible in the vomit, how will it get from the bucket to anybody else? Not saying I like the idea of buckets of sick (I know, call me strange), but there would have to be a transmission route involved. It could get kicked over, and whoever then had to clean up would be at risk, that would be the big issue for me,
John
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Rank: Super forum user
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jwk I I ask the question because I don't know.
Are you suggesting there is no transmissable infection in the vomit?
There must be a reason for the child being sick and I just thought there may be something that could pass to others maybe by an airborne route?
What is the recommended disposal procedure or do they just throw it into the bin?
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Rank: Super forum user
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Well it depends on why the person is vomiting. Vomiting is usually a reaction to a gastric infection; basically the body is trying to get rid of whatever microorganism is causing the infection. Norovirus, sometimes known as the winter vomiting bug, is notorious for its ability to cause an infection in small doses. Some virologists believe that the way it causes projectile vomiting is an adaptation to make is spread further. Tiny fragments of vomit can be carried some distance from the infected person, where they settle and someone else can pick them up for example off a door handle. Even if the vomiting is not caused by an infection a bucket of vomit makes a good environment for microorganisms to grow so I would dispose of it as quickly as possible and not leave it lying around for someone else to knock over. I am surprised that they are using a bucket in a hospital environment as I thought that in most places they now used disposable cardboard receptacles, which can be bagged and sent for incineration. If they are using a bucket, after getting rid of the vomit (down sluice I suppose- do hospitals still have those?) you would have to sterilise and wash the bucket before replacing back in the toilet.
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Rank: Super forum user
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Thank you for the replies.
The school is not in a hospital, it is for kids with all sorts of issues and usually following hospital stays.
They did have cardboard recepticles but they ran out hence the bucket.
I don't know why the child was vomiting, that was my biggest concern, and the bucket was available so it was used.
The situation has been resolved, a procedure drawn up and staff instructed, tons of cardboard receptacles and bags on order and will be dotted around, the bin is on a weekly contract for emptying.
The school were not aware of the problem, they are now.
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Rank: Super forum user
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Yes sounds like a vulnerable place. Note that although Norovirus is called the winter vomiting bug it can strike at any time of the year and outbreaks tend to take place where there are people in close proximity, including cruise ships, schools and hospitals. This page from Public health England, https://www.gov.uk/gover...idance-data-and-analysis gives more background information. The main thing you need to do is to clear up asap using suitable disinfectants ( bleach seems to be the best).
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Rank: Super forum user
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the school has a right to know about the child's individual situation [I worked with such schools for years] in order that they can manage it and its a poor culture where they did not know about the problem
the school should know about each child and have systems in place to manage those children/those children's needs
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Rank: Super forum user
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Am I missing something really obvious here? Why on Earth would you want to buy 'tons' of 'special receptacles' and (presumably) pay for them to be disposed of? Surely the cheapest, and safest option, is to dispose of the vomit by flushing down the toilet (if you don't have a dedicated sluice)? (Using appropriate barrier techniques as necessary to minimise any possible infection risks)...
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Rank: Super forum user
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Quote=Steve e Ashton]Am I missing something really obvious here? Why on Earth would you want to buy 'tons' of 'special receptacles' and (presumably) pay for them to be disposed of? Surely the cheapest, and safest option, is to dispose of the vomit by flushing down the toilet (if you don't have a dedicated sluice)? (Using appropriate barrier techniques as necessary to minimise any possible infection risks)... You need to clean the bucket as well. Not just rinse it out but sterilise it. Easiest thing is to get rid of the whole thing.
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Rank: Super forum user
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The "teenager" who was being sick is a home education lad who was attending school for exams.
The teacher in the room during the exam reacted to the lad being sick by securing a bucket once all the available cardboard receptacles had been used up.
The room she placed the bucket in was the best room she could think of, but simply forgot to tell anyone about the vomit being in the bucket in the room.
There was no procedure for dealing with such an occurrence.
There is now however and the cart is now firmly behind the horse.
Thanks for all your thoughts.
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Rank: Super forum user
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Hi FS,
I wasn't suggesting there would be no transmission route, just asking what you considered it might be. I take Andy's point about projectile vomitting, but this is sick in a bucket, and past the point of production (or even projection). I see it as more of a nuisance than as a risk, once it's in the bucket, though happy to be corrected,
John
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Rank: Super forum user
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The key thing is that you need a process rather than just leaving it up to staff to make it up and as in this case just leaving a bucket of vomit for someone else to clear up. Some of the enteric bugs are very persistent, so I would not recommend leaving it lying around for someone else to knock over etc. it’s not rocket science just basic housekeeping.
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Rank: Super forum user
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Andy,
See my initial response, the bucket getting kicked over would be my main worry. Once the vomit is out of the bucket, then you have a risk. So yes, shift it immediately and dispose of safely, but the vomit in the bucket is contained and relatively low risk,
John
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Rank: Super forum user
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Yes it would be safe in bucket as long as it stays there. Lots of things are safe in a bucket including concentrated sulphuric acid and some chemical warfare agents but I don’t recommend leaving them lying around like that especially in a school scenario. The fact that was a gap in the system was of more concern. Note the original poster said that they had disposable sick receptacles, but had run out and not replaced them. So someone had recognised the risk but had allowed a gap to come into existence.
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