FCM Summer 2022 by MediaEdge

SERVING THE FACILIT Y CLE ANING & MAINTENANCE INDUSTRY

SUMMER 2022

OFFICIAL PUBLICATION OF ISSA CANADA

� BRIDGING THE LABOUR GAP � KILLING GERMS WITH UVC DISINFECTION � HAND HYGIENE AND SMART WASHROOM TECH

HOUSEKEEPING IN GOOD HANDS

How the CHHA met pandemic pain with progression PA R T O F T H E

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� CONTENTS SUMMER 2022

INFECTION PREVENTION & CONTROL 16 Show the science Killing germs and role of UVC light disinfection devices by Dr. Gavin Macgregor-Skinner

2022 ISSA SHOW CANADA 20 Show recap The 2022 show ticked all the boxes when it came to tech, education, and networking 22 Product spotlight Five companies’ products that are helping to raise the bar 26 Where do we go from here? A keynote BSC and PM discussion on key industry issues around staff and tech

COVER STORY 12 Keeping housekeeping services in good hands The Canadian Healthcare Housekeeping Association has observed pandemic pain – and progression by Tom Nightingale

IN EVERY ISSUE 4

Editor’s Letter Spotlighting the present and future of health and care

ISSA News Canada Night is back in 2022! By Tanja Nowotny

8 Expert Q&A Technology, workers, and BSCs: Bridging the gap by Tom Nightingale 38 Clean Matters GBAC STAR Registered Technology list adds two smart tech solutions

INFECTION PREVENTION AND CONTROL 28 The importance of air purification Assessing a sustainable and practical solution to indoor air pollution by David L. Smith

EQUIPMENT 32 Using tech to improve hygiene Washrooms cannot be overlooked when it comes to health and safety by Anthony Hall

TECHNOLOGY 34 Evolving technologies for evolving healthcare New tech and data-informed decisions will drive the future of cleaning by Ron Roopchansingh

BEST PRACTICES 36 Removing barriers is critical to proper healthcare hand hygiene Make it easy for staff to stay clean by Ronnie Phillips

/ editor’s letter /

SPOTLIGHTING THE PRESENT AND FUTURE OF HEALTH AND CARE

acilities such as hospitals, long-term care homes, and other health and care institutions continue to learn from the challenges and the pain of the pandemic and to look to safeguard the future. Our issue this summer focuses on those facilities but the analysis and lessons on the pages ahead by no means apply exclusively to health and care. There are features on the cleaning and real estate industries’ labour troubles, the disinfecting power of UVC light, how technology is enhancing cleanliness in the washroom and beyond, hand hygiene, air purification, and more. Our cover story sees us chat to Wendy Boone and Julie Hoeflaak of the Canadian Healthcare Housekeepers Association (CHHA) about the great work the organization does within the sector and how the pandemic has altered the terrain. In our Expert Q&A, we grilled Hallmark Housekeeping Services’ Chris King on how technology, labour, and training intertwine, and there are great features from industry experts such as Global Biorisk Advisory Council (GBAC) senior director Gavin MacgregorSkinner. We also dedicate some pages to recapping a fantastic summer in Toronto. The 2022 REMI Show and the ISSA Show Canada were held concurrently at the Metro Toronto Convention Centre a few weeks ago, reuniting the industry after too long apart and with much to discuss. We present an ISSA Show Canada recap, there’s an in-depth feature on the exceptional “Where Do We Go From Here?” panel session featuring numerous leading building service contractors and property management personnel, and we spotlight some of the excellent products and technologies currently paving the way in commercial cleaning and hygiene. Ultimately, the message of the issue is that while challenges certainly persist — and are unlikely to wane any time soon — a combination of compassion, diligence, and technological adoption and advancement can ensure facilities across Canada stay hygienic, healthy, and safe. As always, thanks for reading.

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Sales Sean Foley seanf@mediaedge.ca Contributing Writers Anthony Hall Gavin MacgregorSkinner Tanja Nowotny Ronnie Phillips Ron Roopchansingh David L. Smith Circulation

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Costa advised that he no longer wished to occupy his role as president. The emergency meeting took place at the defendant’s (MTCC 1292’s) premises. At the emergency meeting, the plaintiff and Mr. Da Costa entered into a heated argument, which led Mr. Da Costa to “lose it” and strike the plaintiff on the head with a chair. Mr. Da Costa was charged by the police and received a conditional discharge for assault with a weapon. iff commen The plaintiff commenced a civil action against Mr. Da Costa fo for his use of force as well as MTCC TCC 1292 for fo failing to ensure her safety and nd failing to employ security meet measures at board meetings. MTCC 1292 brought a motion summary judgment otion for su to dismiss the plaintiff’s plaintiff’ claim against it nly opposed by Mr. Da Costa which was only given his crossclaim against MTCC 1292 ossclaim ag on and indemnity. inde for contribution

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HOW TECHNOLOGY TRANSFORMS COMMERCIAL CLEANING Cleaning professionals are under mounting pressure to work faster and more efficiently to meet customer demands. This can be difficult in a time of labour shortages, budget restraints, and intensifying public health standards. As within many industries, however, commercial cleaning leaders are rising to the challenge and growing their businesses with the support of technology. “The pandemic reinforced the demand for clean and hygienic environments, and that led building owners and managers to lean even heavier on their cleaning partners,” says Chris Coulter, enterprise sales consultant with Aspire Software, noting, “The expectations are high, but tech can lessen the load.” A single source of truth for businesses Managing janitorial teams across disparate properties is no small feat. Doing so effectively requires visibility into all activities at all moments, which can be difficult to achieve with old-school, analog processes.

“Visibility is extremely important, especially today when a cleaning company may be working with many contracts and need to confirm their employees are hitting expectations,” says Coulter. “But if you’re working off of static whiteboards, physical notes, and end-of-day reports, you’re likely not getting the whole picture.” Understanding this, Coulter says one of the greatest strengths of Aspire’s own janitorial business management software is the ease with which it collects and streamlines data from job sites into one digital platform. This provides users with a holistic, real-time view of their operations as it applies to inventory, budgeting, scheduling, workflow management, and other key functions. “The whole design philosophy around tech like ours is to give our clients the tools to run their business with confidence,” Coulter adds. “By having access to ‘one source of truth’ on a computer or mobile device, they can easily look up where their employees are and what they’re doing at any point in time. And, if problems do come up, they can respond in the moment rather than find out at the end of the day.”

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The push for greener, more energy-efficient building operations is at an all-time high. There is a competitive advantage for commercial cleaning companies who can demonstrate they have their clients’ eco-interests at heart. “That goes back to having the data,” says Coulter. “If you can come to the client with a report showing that you’re using eco-friendly chemicals, equipment, and processes, that will give you an advantage.”

(e.g., photos, videos, reports, etc.) from site inspections in one secure, cloud-based location. This enables the company to spot where employee training or intervention is required. “At the end of the day, this is still a people-driven business,” he says, adding, “Labour is such a critical part of a janitorial contract, so anything you can do to support teams and incentivize performance is valuable.” Property managers also love their numbers. Herein, Coulter notes that service providers who can back their performance with hard data stand out from the competition: “It’s one thing to have glowing testimonials and a solid bid, but there is a definite advantage to coming to a client with cold, hard data showing how you can deliver on every one of their needs.”

Improving communication and sales opportunities There are benefits to staying connected on the job. Here again, tech has a role in giving janitorial crews the means to connect instantly with their teammates on-site or in the office via apps on their mobile devices. Using mobile communication tech in this manner keeps everyone working on the same page and ensures vital information is passed to the right people at the right time. Moreover, it reduces the risks of miscommunications and delays that can crop up when relying on paper-based notes and reports. “There are also the upsell opportunities to consider,” adds Mark Layton, enterprise sales consultant with Aspire. “For instance, you might have a day porter who sees that the client’s kitchen floors really need to be redone but forgets to mention it at the end of their shift. Through a platform like ours, they can open the Aspire app on their device, tag that potential job, and send it to someone on the team who will follow up with the client.” Backing decisions with hard data With greater visibility comes the opportunity to enhance service delivery. Here again, there is value in using digital tools that can collect and assess data across multiple teams in multiple locations. “You can do a lot with those aggregated insights,” explains Layton. “Combining data from cleaning teams across various properties allows a user to see how long it takes their teams to perform specific jobs across different buildings, what resources those jobs require, and other factors that impact profitability and quality outcomes.” It’s also about driving better team performance, Layton continues. Through a janitorial business management platform, companies can collect, assess, and track all evidence

Promoting better work/life balance There can be a reluctance to invest in tech. Even when the benefits of stronger efficiency, visibility, and data-driven business decisions are clear, some companies may still be hesitant to take the digital plunge. It’s during these discussions that Coulter, Layton, and the Aspire team reiterate the work/life balance that comes with any tech upgrade. “A lot of cleaning business owners spend way too much time in the business versus being on the business,” Coulter says. “When I see this, I ask, ‘What price are you willing to pay to have the freedom and flexibility to manage more and worry less? What would you pay for the ability to go on vacation and only have to look at a simple dashboard with all your business metrics on it to know that everything is running smoothly?’” “We can all benefit from stepping back and working smarter, and technology like Aspire gives you the opportunity to do that,” he adds. Learn more about Aspire’s business management platform at aspirejanitorial.com or by calling 866.727.7473.

/ cover story /

KEEPING HOUSEKEEPING SERVICES IN GOOD HANDS

The Canadian Healthcare Housekeepers Association, a Division of ISSA, has observed pandemic pain — and progression by Tom Nightingale

ealthcare housekeeping (HSK) and environmental service (EVS) work is a hard job. It is also a crucial job. Those two things should be obvious, but that hasn’t always necessarily been the case. “Typically, in the past, the general understanding has been that HSK/EVS are the folks who come in and cleaned up after everybody,” says Julie Hoeflaak, Education Chair of the Canadian Healthcare Housekeepers Association (CHHA). “There wasn’t the realization that we do more than surface-level cleaning; that we’re essential and we’re vital. Our role as part of the healthcare team was not acknowledged; it was thought not to be integral in disinfection or infection control or preventing transmission. There was even ignorance of the fact there was science and standards and protocols behind what we do.” In that context, the CHHA dedicates itself to embodying, advocating for, and educating and training housekeeping and EVS professionals across Canada. Founded 65 years ago in 1957, the Ontario Healthcare Housekeepers Association Inc. (OHHA) spent decades leading from the front to increase the recognition and under-

12 / FACILITY CLEANING & MAINTENANCE / SUMMER 2022

standing of the integral role of housekeeping and EVS workers as part of the team caring for patients, residents, staff, and visitors in healthcare facilities. In October 2020, OHHA merged with ISSA, the worldwide cleaning industry association, to expand its mission across Canada and better reflect its new national goals. Now, nationwide, it offers opportunities for housekeeping and environmental supervisors, managers, team leads, and frontline staff through standardized educational programs, expanded resources, and networking opportunities. It carries the mission statement of uniting all facets of the Canadian cleaning and sanitary maintenance industry and helping to change the way the world views housekeeping and EVS work. THE PERCEPTION PROBLEM

That mission is an ongoing battle being fought. As Hoeflaak and CHHA Executive Director Wendy Boone emphasize, the lack of recognition for the importance of housekeeping and EVS was not just the sector’s key issue before the pandemic; it is still a key issue today. “The public perception of what our frontline staff do, what the managers and direc-

www.REMInetwork.com / 13

/ cover story /

“It’s not just about recognition; HSK/EVS need the right tools to do their job effectively.” tors do, is unclear,” says Boone. “People in these jobs and careers don’t get the credit they deserve, and there’s also a huge disconnect with salaries. PSWs have had a lot of plaudits during the pandemic — and rightly so — but what about the frontline housekeeper in the same facility?” The bottom line, Boone and Hoeflaak say, is that HSK/EVS is one of the first areas looked at whenever a budget needs to be trimmed or a workflow reshuffle is needed in a facility or network. That can come in the form of cutting frontline staff but also in eliminating leadership and management positions and merging departments — something that can be a real detriment if expertise is lost. A facility may end up with an EVS supervisor whose background is maintenance and who may not have the knowledge or experience needed. HSK/EVS can also be seen as a foot in the door to get on the corporate ladder, but it’s an area that needs total commitment and dedication because of its importance. “From frontline staff to leadership, we see a huge turnaround, which is not good to elevate or improve any department,” says Hoeflaak. As well as budget cuts and instability, that lack of recognition can stymie progress in housekeeping and EVS in another regard: lack of technological development. “It’s not just about recognition; HSK/ EVS need the right tools to do their job effectively,” says Hoeflaak, who works in a large acute healthcare facility. She adds that long-term care was hurt more in that regard than acute care over the last few years and particularly during the pandemic. “People don’t realize that when it comes to HSK/EVS, there is innovative technology to help with our cleaning.” She recalls that access to funds for evolving and present disinfecting was not as readily available for HSK/EVS as it was for acute care before and in the early days of the pandemic. Fast-forward to the pandemic hitting with full force and facilities were scrambling for technology. “Had the pandemic not hit, I probably still wouldn’t have that technology available to me,” she says. “The technology has been

there and has been evolving, but in HSK/ EVS it wasn’t a priority until now.” INCREASED RECOGNITION AND ATTRACTION

All in all, over the course of the pandemic, the public perception of cleaning and disinfection has heightened tenfold. Happily, says the CHHA, that has also encompassed healthcare housekeeping and EVS. “We saw a whole world open up in longterm care,” says Hoeflaak. “If EVS was ignored anywhere, it was in long-term care. It was like a light switched on; the pandemic was tragic, but it was a hit that needed to happen for the future of the long-term care sector. The world needed to see what the people who were cleaning the facility were having to do and what resources they had to work with.” That has even extended to staffing. CHHA and its associated facilities have not been immune to the labour crisis, of course. There was a mass exodus during COVID-19, which stretched already thin resources even further. Hoeflaak and Boone attribute that to the pandemic shifting many people’s priorities away from work and onto their home life and/or their mental health. As Boone puts it: “There is a greater awareness of mental health and work-life balance and what, at the core, is important — health and happiness.” However, more than two years on from the onset of the pandemic, a bright silver lining has emerged. In fact, the situation has been turned somewhat on its head. The CHHA has noticed an increase in the number of people who are directly seeking out a role in HSK/EVS healthcare as a career, rather than as a foot in the door. Hoeflaak notes that her facility, for example, has seen far fewer total applicants for housekeeping and EVS jobs, but far more people who are applying because they have learned that healthcare HSK/EVS can be their career in the long term; that it’s more necessary and vital than they had realized. “More people now want to find somewhere they can make a lasting and a real difference as part of the bigger picture,” she reflects. “They understand the HSK/EVS

14 / FACILITY CLEANING & MAINTENANCE / SUMMER 2022

role is way beyond cleaning and disinfecting. As a staff member, you have a huge impact on our patients that the world never saw until COVID. It’s cleaning, yes, but it’s also true emotional support, keeping patients emotionally intact. It is a 100 per cent purejoy visit and people are now recognizing that and wanting to be a part of it. We complete the circle, really, from the moment people enter to the moment they leave.” TRAINING FOR THE FUTURE

Much of the conversation around the cleaning industry — whether it is disinfection, janitorial, housekeeping, or another role — has been around safeguarding the future of the sector by attracting workers. The CHHA plays a huge role in that via the training and education it offers. The association offers numerous educational programs geared to the healthcare housekeeper and environmental services professional, including the EVS Leadership Course, the EVS Frontline Course, Housekeeping Methodology, Infection Control and Laundry/Linen Technology. CHHA also has a Professional Healthcare Housekeeper certification process. Boone notes that two of the most popular of those courses are the EVS Leadership and EVS Frontline program, and they have only swelled in popularity during the pandemic. CHHA will soon be offering the EVS Frontline Course in French this fall. “What’s great is that many long-term care facilities have made it mandatory for their EVS manager or supervisor to have the EVS Leadership program. I think they realized during the pandemic that maybe the standard required was lacking in some cases. Even with the frontline course, an entry-level training program, we saw a huge increase during COVID-19 and facilities have made it a requirement for their staff. That’s hugely promising for the present and the future of the HSK/EVS profession.” Working together with the industry, the CHHA is working tirelessly to safeguard that future and ensure that healthcare housekeeping and environmental services is are good hands. /

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SHOW THE SCIENCE Killing germs and the role of UVC light disinfection devices by Dr. Gavin Macgregor-Skinner

icrobiological and epidemiological evidence shows that contaminated surfaces can contribute to the transmission of infectious disease-causing germs and allergens. Hospital studies show that staff and new patients have been infected if a prior room occupant had methicillinresistant Staphylococcus aureus (MRSA), vancomycin-resistant enterococci (VRE),

Clostridium difficile, Acinetobacter baumannii, and other pathogens. Naturally, an effective way to overcome or minimize the spread of disease is to inactivate and reduce the number of germs in the environment. Improved surface cleaning and disinfection are key methods, but studies provide critical information on improving air quality and decreasing risk on surfaces

16 / FACILITY CLEANING & MAINTENANCE / SUMMER 2022

that people touch such as in hospitals and care homes as well as hotels, restaurants, airports, convention centres, schools, and public washrooms. Manual processes for cleaning and disinfection are frequently sub-optimal, suggesting that automated disinfection processes might offer an opportunity to improve cleaning efficacy and consistency.

/ infection prevention and control /

Light that is visible to humans is part of the light spectrum from 380 to 740 nanometres. Ultraviolet-C (UVC) light, between about 200 and 280 nm, is known to be harmful to microorganisms and can be used as a disinfection method. Using UVC light against microorganisms is not a new idea, but the COVID-19 pandemic increased the development and deployment of UVC light and violet-blue light disinfection technologies that are available and used as commercial systems. ISSA receives many questions about the use of these lamps for disinfection; education and training should be provided on any technologies to incorporate them into existing cleaning processes. The Global Biorisk Advisory Council (GBAC) team provides guidance on the adoption and implementation of technologies by ensuring that efficacy, as well as logistical and safety issues, are established in real-world indoor spaces. ARE UVC LIGHT DISINFECTION SYSTEMS CURRENTLY IN USE?

UVC radiation is a known disinfectant for air, water, and nonporous surfaces. UVC radiation has effectively been used for decades to reduce the spread of bacteria, such as tuberculosis, and has been shown to destroy the outer protein coating of bacteria and viruses. This destruction ultimately leads to inactivation of the microorganism. For this reason, UVC lamps are often called “germicidal” lamps. In addition to understanding whether UVC light is effective as a disinfectant, its efficacy is dependent upon the organic load and microorganisms, the intensity and time of exposure, the distance from the surface, and whether the surface is within direct line of sight. Direct exposure: UVC light can only inactivate a germ if the germ is directly

“Multiple variables affect the amount of UVC delivered and the reduction of infectious agent achieved.” exposed to the light. Therefore, the inactivation of bacteria and viruses on surfaces may not be effective due to blocking of the UV radiation by soil, shadow, or obstruction by other contaminants such as body fluids. Dose and duration: UVC light requires sufficient duration of exposure to be effective and this can vary for different microorganisms. WHAT ARE THE DIFFERENT TYPES OF LAMPS FOR UV LIGHT DISINFECTION SYSTEMS?

Not all UVC lamps are the same. Lamps may emit specific wavelengths or a broad range, and some also emit visible and infrared radiation. The wavelengths emitted by the lamp may affect the lamp’s effectiveness at inactivating microorganisms and may impact the health and safety risks associated with the lamp. UV light disinfection systems both commercially available and being researched include: 1. Ultraviolet-C (UVC) light (254 nm), the most common type of lamp used, is a low-pressure mercury lamp that continuously delivers wavelengths of UV light with a peak emission around 254 nm. 2. Pulsed-xenon ultraviolet (PX-UV) light (200-1100 nm) systems use xenon gas bulbs that emit a broader spectrum of light (including UV, visible, and infrared) in short pulses ranging from 200 to 1100 nm. This

range covers the germicidal spectrum of 200 to 280 nm. 3. Far-UVC light (222 nm), such as Krypton Chloride (KrCl) excimer lamps, has been shown to inactivate bacteria and viruses and are much less likely to induce adverse reactions on skin and eyes and have the potential to be safer for humans. 4. High-Intensity Narrow Spectrum (HINS) light (380 to 420 nm) devices use LEDs that emit a very narrow wavelength of visible violet-blue light with at least one peak wavelength of 380 to 420 nm. This narrow bandwidth with peak output usually of 405 nm induces inactivation of a range of bacterial pathogens. WHAT ARE THE SAFETY CONSIDERATIONS?

UVC for surface and air decontamination must consider health and safety issues as well as the risk of incomplete inactivation of bacteria and viruses. Risk depends on the UVC wavelength, dose, and duration of exposure. The risk may increase if the unit is used by untrained individuals. • Direct exposure of skin and eyes to UVC radiation from some UVC lamps may cause painful eye injury and burn-like skin reactions. Never look directly at a UVC lamp source, even briefly. There are no immediate warning symptoms to indicate overexposure to UVC radiation. • Some UVC lamps generate ozone, which can be irritating to the airway when inhaled. • UVC can degrade certain materials, such as plastic, polymers, and dyed textile. • Some UVC lamps contain mercury. Because mercury is toxic even in small www.REMInetwork.com / 17

/ infection prevention and control /

amounts, extreme caution is needed in cleaning a lamp that has broken and in disposing of the lamp. Personnel must not enter a room while the UV light system is operating. If there is a risk of exposure, the appropriate PPE must be worn that protects the eyes and skin and includes gloves, clothing with no skin showing, and a UV-resistant face shield. There is no Occupational Safety and Health Administration (OSHA) standard from the U.S. Department of Labor regarding exposure to UVC light, but the OSHA general duty clause states the employer must provide a workplace free of recognized hazards that may cause death or serious physical harm. ARE THERE ANY PRACTICAL OR LOGISTICAL CONSIDERATIONS?

There are multiple variables that affect the amount of UVC delivered to surfaces and the resulting reduction of infectious agent achieved; these include the amount of irradiance generated by the UVC device, the distance from the device to the exposed surface, the angle at which the UVC strikes the surface, and whether the surface is in direct line of sight of the device or receives light that has been reflected off other objects (i.e. surfaces in shaded areas). These factors must be taken into consideration when assessing the potential effectiveness of a UVC device. • Use of UVC light systems for surface disinfection should only be undertaken following completion of a manual clean as residual dirt can reduce efficacy. • Prior to a UVC light system being considered, an assessment of the area to be disinfected must be undertaken to ensure the area can be sealed and the use of UVC light made safe. • Manufacturers’ instructions for use must be followed to ensure all surfaces are adequately disinfected to reduce the risk of sub-optimal UV light dosage on microorganisms. This could result in mutation of the remaining microbes. • UV light systems in use must be maintained in good working order and a

system of programmed maintenance in place with documented evidence. • A quality assurance mechanism should be in place to monitor the functionality of the UV light system using samples before and after cleaning. • Risk assessments should be in place for possible exposure of people and animals to UVC light. • Ensure appropriate time is given to the UVC light disinfection process. To learn more about UV light disinfection devices, you should: • Ask for education and training opportunities. • Ask the manufacturer about the device’s health and safety risks. • Ensure you understand the instructions for installation, use, cleaning, and maintenance.

• Test the lamp to determine whether the lamp emits other wavelengths and if so, how much. • Ask what kind of material is compatible with UVC disinfection. • Ask whether the device generates ozone. • Ask whether the lamp contains mercury. Studies have concluded that using a UVC light system in combination with standard cleaning was more effective at reducing infectious disease-causing germs and decreasing risk of infection than standard cleaning alone. But many of these studies do not define the standard cleaning performed. Recommendations have included that UVC light systems should be utilized by dedicated cleaning personnel who have been educated and trained on their use. It is important to consider that creating a safe and healthy indoor space requires a combination of multiple interventions. /

Dr. Gavin Macgregor-Skinner is a senior director of the Global Biorisk Advisory Council™ (GBAC), a division of ISSA. As an infection prevention expert and epidemiologist, he works to develop protocols and education for the global cleaning industry.

18 / FACILITY CLEANING & MAINTENANCE / SUMMER 2022

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ISSA SHOW CANADA 2022 delivers ON EDUCATION, NEW TECH The 2022 show ticked all the boxes when it came to technology, educational opportunities, and networking events.

The anticipation of reconnecting with the industry came to fruition last week when ISSA Show Canada – held June 8-9, 2022 – made its return to an in-person exposition. Only the second live event since the show’s launch in 2019, the 2022 edition, held at the Metro Toronto Convention Centre in downtown Toronto, ticked all the boxes when it came to delivering on new technology, educational opportunities, and networking events. “Although the COVID pandemic continues, our industry proved it was ready to re-connect and meet again face-to-face,” said ISSA Canada Executive Director Mike Nosko. “Judging by the feedback we’ve received thus far from both exhibitors and attendee delegates, we were all ready for the ‘reset’.” With a theme of “Reset for the New Clean,” this year’s trade exposition focused on educating and inspiring the industry following the transformation experienced during the COVID pandemic. The show kicked off with an inspirational panel discussion featuring some of the leading ladies in the industry. Moderated by Shannon Hall, Vice president of Sales, Dustbane Products Ltd., and captain of the ISSA

Hygieia Network Canada Region, the Breakfast & Panel Discussion featured wise words from Laura Craven (Imperial Dade Canada), Sandra Hudon (Polykar), Margo Hunnisett (Bunzl), Judith Virag (Clean Club Calgary) and Kathy Kroupa (United Services Group). With over 100 delegates in attendance, the skilled panelists detailed their personal journeys to achieve the success they have today. Additionally, they each provided words of wisdom on how to recruit and, more importantly, retain more women in the cleaning industry. The ISSA Hygieia Network is an ISSA Signature Charity focused on advancing the careers of women (and men) in the cleaning industry. The organization provides education, mentoring, networking, and support programs to help women succeed in the workplace. Following the ISSA Hygieia Breakfast was the highly anticipated keynote session sponsored by the ISSA Canada Building Service Contractor Council. Featuring professionals from the property management and commercial cleaning sectors, the 125 delegates who packed the room were certainly not disappointed. Moderated by Philippe Mack (Bee-Clean Building Maintenance), BSC representatives Roberta Polyak (Bee-Clean), Chris King (Hallmark Housekeeping Services), and Tony Raposo (GDI Integrated Facility Solutions); and property management professionals John Castelhano (BGIS), Elspeth Evans (QuadReal Property Group), and Kimberly Train (OMERS), provided insight into the question many are currently asking: where do we go from here? Representing both industry sectors, the packed room listened to the panelists as they detailed the latest technologies they have implemented in their facilities, the challenges they currently face in terms of labour, and the pain points experienced by property managers. Of particular interest was the conversation regarding attracting, developing, and retaining quality people, the capability of providing a living wage, and the challenges of poor service delivery/scope degrading resulting from inflationary circumstances.

Another issue top of mind in both the business and consumer markets is the ongoing supply chain issues. Moderated by Tom Fournier, founder of Shade’s Mills Group, the “Valuing the Role of Distribution in the Cleaning Products Supply Chain” session featured professionals from distribution. Giselle Chartrand of Balpex, Brock Tully of Bunzl Canada, and building service contractor David Clementino of Hallmark Housekeeping outlined the measures they took to ensure product continued to flow to ensure end-users had the tools and resources required to battle the unseen enemy. “Everyone assembled in the room, including myself, was awed by the quality of the individuals on the panel both in terms of their knowledge, and their varied perspectives and experiences,” Fournier said. “Afterwards, I was approached by many who spoke about how valuable the session was. “ Speaking of value, the Value of Clean Moving Forward was also a worthy topic of discussion at ISSA Show Canada. Featuring an entertaining and informative presentation by Jim Flieler, Vice President of Global Sales for Charlotte Products, the approximately 60 delegates in attendance were reminded of the critical importance of cleaning as an investment in human health, worker retention and wellness. Additionally, Flieler also touched upon human resources and labour shortages, logistics and supply chain issues, and financial challenges and return on investment. The educational programming was rounded out by two sessions focused on infection prevention and indoor air quality – two areas of critical importance in the battle against COVID-19. The first session featured Dr. Mark Hernandez who addressed several options for improving the quality of indoor air in non-healthcare settings such as schools, recreation facilities, commercial spaces and more. The information provided in this session was based on a recently released peer-reviewed paper from the Global Biorisk Advisory Council (GBAC), a Division of ISSA, of which Hernandez was a co-author.

The final session revolved around the proven technologies that were vital during the pandemic. Featuring Michael Diamond, Senior Director of GBAC, and Shawn Watkins of LuminUltra, delegates were schooled on qPCR testing which became the gold standard in COVID testing and was later adapted to test surfaces and wastewater for the infectious virus. Watkins also discussed how qPCR technology can be deployed either as part of a routine monitoring program to evaluate the efficacy of cleaning protocols and products or as pre-clean as a non-evasive way to routinely monitor regular occupants. Although ISSA Show Canada is built on an extensive educational program, developed by committees representing all facets of the sanitary maintenance and supply industry, the event also featured a large trade show floor and multiple opportunities to connect via various networking receptions – two on the trade show floor and another at the nearby Elephant & Castle. “It’s been a difficult two years of meeting in the virtual space and people were just zoomed out,” Nosko said. “Early in the year, there was fear that ISSA Show Canada could be in jeopardy due to the surge in the Omicron variant. Fortunately, all of our show partners were in agreeance that the show must go on and judging by the turn-out, the industry was also ready for a reset. We are already looking forward to another outstanding event in 2023.” The result of a partnership between ISSA, the International Facility Management Association (IFMA), and REMI Network, ISSA Show Canada provides an ideal forum for facility, property and operations managers, environmental services executives and facility managers in the healthcare, education, government, hospitality, building services and residential sectors to meet leading suppliers of cleaning products and services, keep up with industry trends and share experiences with peers to benefit their buildings, staff, customers and tenants.

PRODUCT SHOWCASE The cleaning and janitorial industry is constantly innovating to provide the latest and greatest products and tools that offer the very highest standards of hygiene and care. Here, we spotlight five companies’ products that are helping to raise the bar.

Swish Maintenance’s Optisolve® Bring innovation to your facility, giving your patients and staff confidence that they are in a safe, clean, and healthy space. Developed in Canada, the award-winning Optisolve® Pathfinder™ provides innovative surface-imaging technology so teams can see their spaces in a new light. Pathfinder™ images identify precise locations of contamination across a variety of surfaces. When combined with Optisolve’s SAVI® quality management platform, you get a fully comprehensive, cloud-based auditing system to automate, assess, analyze, and communicate results efficiently. Optisolve® Pathfinder™ Generate visual images of contamination on surfaces using a combination of proprietary software, Haloimaging hardware, bio-tracker spray, and handheld tablet. • Observe real-time images to identify contaminants • Create intensity maps and scorecards to illuminate cleaning deficiencies • Share images to improve training and develop precision cleaning programs

Optisolve® SAVI® Conduct, track, and report site assessments with innovative, cloudbased management software. • Assess cleaning quality, and environmental monitoring • Create dashboards, and set benchmarks • Make data-informed decisions for improving facility performance • Create evidence-backed, proactive, and preventative solutions This powerful combination of innovative technology from Optisolve® enables health facilities to target highly contaminated surfaces in less time, save money, reduce chemical usage, and validate their cleaning protocols in real-time.

PRODUCT SHOWCASE

Aura Canada’s Integrated Air Purifiers During the pandemic, we learned that airborne viruses like COVID are transmitted when infected individuals exhaled, sneezed, and coughed and expelled small disease-bearing droplets and even smaller aerosols that are inhaled by healthy individuals. Aura Air takes an innovative approach to mitigating IAQ challenges including infection transmission risk. Aura Air is a uniquely comprehensive air quality treatment, monitoring, and reporting tool designed to purify air in high-volume enclosed spaces including meeting rooms, waiting rooms, restaurants, transit, and elevators. Aura Air is based on robust, easily installed, plug-and-play, wall-mounted units designed to be highly visible and strategically effective. Each unit contains a powerful variable speed fan that drives indoor air through a three-stage disinfection process. First, the air is forced through high-performance MERV 17 HEPA filter designed to trap even tiny aerosol particles. The air flow then passes over UV-C ultraviolet light to deactivate surviving viruses and then finally is treated by our unique Sterionizer™ to destroy any remaining active pathogens. Each unit incorporates multiple monitoring devices to test for volatile organic compounds, droplets and aerosols, carbon monoxide, carbon dioxide, and even moisture and temperature – factors in pathogen survival rates. IAQ results are transmitted, at any detail level required, to any number of cell phones or computers employing our proprietary app to generate easy-to-read and actionable conclusions.

PRODUCT SHOWCASE

Lenbrook Canada Solutions’ CAT® Phones We interact with our mobile device thousands of times every day and often press it to our faces, which means that any bacteria, virus, or other germ that is on your phone could transfer to your skin. Whether you’re concerned about the continuing risk of COVID-19 or common flu and cold germs, regularly disinfecting your smartphone will go some way to helping to lower your overall risk of getting ill. The CAT® S42 H+ rugged and hygienic smartphone is the first ever to be fully antimicrobial and has had its military-grade body injected with Addmaster’s Biomaster silver ions to help fight bacteria to the ISO 22196 standard. It has been tested to withstand harsh cleaning chemicals and has gone through repeated bleach wipe tests with 3000 cycles as well as pressurized alcohol abrasion tests at 500gF/cm2 over hundreds of cycles. Reach out to Lenbrook today at info@ lenbrookcanadasolutions.com to ensure that your workforce stays connected and safe with the Cat® S42 H+ smartphone!

OXWELL SOLUTIONS’ E2moxTM Station OXWELL SOLUTIONS has made it possible for companies and institutions to produce their own disinfectant, using the E2moxTM Station, to meet their pressing disinfection needs. The E2moxTM Station is a new disinfection paradigm for health and care facilities, institutions, and personal workspace use. The automated unit allows for the on-site production of OXWELLTM – a hypochlorous acid-based, ready-to-use, environmentally friendly disinfectant which is 99.99 per cent effective against the coronavirus in one minute. OXWELLTM is produced safely, with renewable resources, using patented electrotechnology which transforms water and salt using electricity. This transformation creates a stable solution which respects the environment at each step of the production process and in its usage. The E2moxTM Station is a self-sustaining solution that can produce tens to thousands of litres per day. On-site production means the disinfectant is readily accessible across all functions and areas, allowing for increased frequency of disinfection, and in more areas as needed. Beyond meeting technical facilities’ disinfection needs, it facilitates employee engagement and sense of well-being with respect to safety of personal and shared common work areas.

PRODUCT SHOWCASE

Bunzl’s WandaNEXTTM Along with enhancing their cleaning programs, healthcare environmental cleaning teams are faced with the challenge of how they can know that cleaning has been done correctly. The WandaNEXTTM digital cleaning management platform was designed to address this critical issue while increasing efficiency and improving facility hygiene. This innovative software makes it easy to validate cleaning programs in three simple steps: 1. Tracking key data at critical points, including completed cleaning tasks, cleaning frequency, supply usage, traffic patterns, and cleaning alerts 2. Verifying cleaning activity completion and compliance using real-time reporting 3. Validating cleaning activities against customized cleaning protocols to ensure a healthy and safe environment for patients, employees, and visitors. WandaNEXTTM eliminates the guesswork. Real-time data is easily accessed through a robust analytics portal with dashboard summaries as well as detailed reporting, allowing to easy verification and validation of cleaning activities and proactive and quick identification, preparation, and management of training issues and detailed reporting. The platform is currently used in a wide range of acute and long-term care settings across Canada, including at Covenant Health in Edmonton, where implementation in washrooms has reduced complaints by 97 per cent. Using the IoT, soap, towel, and tissue dispensers can be connected to monitor consumable use and replenishment requirements, traffic-counting sensors provide space utilization volume and trend data, and ATP reading luminometers can send test result data directly to the analytics dashboard.

CANADA

WHERE DO WE GO

from

HERE?

A building service contractor and property management discussion on the present and the future was a cornerstone of the 2022 ISSA Show Canada program By Tom Nightingale

Over the past two years, building service contractors (BSCs), frontline cleaners, and property management (PM) individuals have performed admirably and remarkably in difficult circumstances to keep facilities and the public safe. Even with the worst of the pandemic behind us, though, BSCs, PMs, and the sanitation and real estate industries are facing major challenges moving forward. Whether it is hiring and retaining workers, increasing operational efficiencies, wages, inflation, education and training, or the balance between several of those factors, these are serious issues that must be spotlighted and addressed. At the recent ISSA Show Canada, held concurrently with the REMI Show in Toronto, a keynote panel made up of leaders in the BSC and PM industries delved into these issues and assessed the potential path forward. Moderated by Phillippe Mack, Senior VP of Customer Service and US Expansion at Bee-Clean Maintenance, the panel consisted of John Castelhano, VP of Strategic Sourcing at BGIS; Elspeth Evans, Director of Office East at QuadReal Property Group; Kimberly Train, Director of Platform Services and Procurement at OMERS; Chris King, Senior VP at Hallmark

Housekeeping Services Inc.; Roberta Polyak, VP of HR at Bee-Clean; and Tony Raposo, Regional VP of Operations at GDI Services Canada. TECHNOLOGY’S ROI FOR CLEANING The discussion kicked off with a look at evolving technologies in the industry and how they can increase return on investment for PMs and BSCs. Hallmark’s King noted that while technological development in the industry has historically been linear –a company or vendor’s new singular product is implemented by service providers for one particular task – now, automation allows for broader application and exponential gains and is redefining cleaning and scheduling. Particular technologies to have grown in prominence in recent years include robots for floor cleaning and vacuuming, unprecedented automation and data collection, and sensory intelligence. Those shifts look set to dominate the landscape in the coming years. Of particular interest to the panelists was IOT-based sensory tech. Utilizing these tools means PMs or cleaning managers and staff can know in real-time which areas of a facility are due for cleaning – for instance, washrooms that have seen high

traffic in a day rather than those that have been barely used. In turn, this allows for dynamic scheduling and deployment of resources instead of static schedules that can end up wasting resources. In short, sensory tech allows workers to concentrate their efforts where they are needed most. BGIS’s Castelhano added that technology and automation are “absolutely critical” for the modern property manager or sanitation provider, and have their place and ROI from top to bottom, proving useful in everything from recruiting and training new employees to procuring products and services and improving and service delivery validation. “On that last point, our clients want service validation, they have been repeatedly telling us that,” Castelhano said. “Tech solutions can certainly help with that, as well as increasing their efficiencies and pushing the boundaries of what they can do.” Castelhano and Mack also both highlighted the role technology and automation can play in streamlining time management and payment processes, as well as quality control. “Moving from manual timekeeping processes to automated time and attendance platforms streamlines process, and the same could apply to manual quality control,” added Mack. “Think of the benefits of replacing manual inspections with real-time tablet-based QA platforms.” OMERS’s Train also emphasized the role that technology can play in visibility and performance reporting. “As a head-office person in PM, I have the luxury of robotics reports but not reports about the fulfillment of cleaning,” Train noted. “Our customers and contractors want that visibility. They – and we – want to ensure that high-priority tasks are fulfilled to the required quality.” Increasing adoption of automation and AI lends itself neatly to that demand by automatically logging and tracking tasks and performances. GDI’s Raposo concluded that while there is still some work to do on the tech front – areas like chemical production,

waste management, and carbon footprint reduction, he says, are often under-utilizing the solutions that can be available – the ROI on these new technologies is clear. “Set against the context of inflation and wage increases, automation can provide a significant boost to your bottom line by streamlining your operations. But we must ensure that we act on the intelligence we derive from technology.” The panelists did have one warning for the industry: technology must be implemented smartly. “We need to adapt robotics to meet the specific needs of sites,” Train told the audience. “Don’t try to do too much; the technology you implement needs to solve an actual problem or deficiency to be worth the investment.” THE LABOUR CONCERN – A BALANCING ACT Meanwhile, the facility management and cleaning industries have been confronting a labour problem that has intensified since the depth of the pandemic. The panelists were unanimous in identifying attracting workers as the foremost challenge faced by BSCs and PMs in mid-2022. Given that Canada’s decades-high rate of inflation does not look like falling back anytime soon, workers are expecting – and in many cases demanding – higher wages than the industry has typically offered. “The applicant pool is shrinking, turnover is rising and quickening,” said King. “Some of the big factors in these challenges include the demand for workers and the need to balance wages against inflation. The industry still has some catching up to do. Money is the big allure.” Bee-Clean’s HR VP Polyak noted it is not just wages that need addressing but the perception of the industry overall. “How do you attract employees and break the stigma and stereotypes that still, unfortunately, surround the cleaning industry?” she asked the panel and the audience.

Polyak called the dilemma ‘The Great Expectation’. “Workers want to know what you are going to do for them,” she added. “That’s a question that employers are increasingly needing to answer right off the bat.” Asked what keeps them up at night these days, the panelists cited the balance between labour constraints and the need to protect the bottom line as a key dilemma – one which is likely to be familiar to anyone in the industry right now. Similarly to Polyak, Train gave the problem a moniker: ‘The Great Squeeze’. “It becomes a question of what has to be reduced or eliminated in order to allow us to raise wages while also delivering what our customers demand,” she said. “Cutting or limiting costs but paying attractively and fairly is an exceptionally difficult line to walk.” The panel session concluded that while technology and automation’s increased ROI can mitigate some of the effects of the labour crunch by reducing employees’ workload and allowing them to focus on specialized tasks without being spread too thin, it is a delicate balance and one that must take workers into account – don’t “techwash,” as Raposo put it. “Technology is naturally concerning for employees as a potential threat to their livelihood,” advised Polyak. “Service providers like us need to show employees and contractors that it is a help, not a threat. Engage staff in discussions about technology and automation – seek their feedback.” When it comes to employee attraction and retention, the best strategy is to pay them enough to get them on board – “meet them with money,” says Polyak – and then create a family culture wherein you take care of your employees and communicate. “As well as the obvious bottom-line concerns, it’s all about the wellbeing of employees,” Polyak added. “The right culture, training, and recognition equate to a stickier relationship with associates, which displays opportunities for

advancement and lowers turnover.” Raposo echoed the declaration that cultivating a warm and welcoming culture is paramount to employee retention. “Your company’s beliefs and values will pass onto your employees if you are vocal and consistent with them.” COLLABORATION IS KEY Doing all this, of course, is not easy. Paying competitive wages and providing the kind of support and flexibility that workers are looking for all while protecting your bottom line and maintaining efficiencies of performance is an almighty challenge. Technology can certainly help, but the panel’s parting advice was on the importance of collaboration. “It’s not just about how tech factors into our staffing model,” said QuadReal’s Evans. “It’s about how we can boost that staff retention and ensure that our cleaners are reflective of us as a company. How can we work with our janitorial provider to share a team feel and culture?” Castelhano added that BSCs and PMs must be sure to invest in and focus on making all the administration and overhead processes as efficient as possible, as well as exploring new efficient methods to deliver training and education, to help offset costs. “That responsibility is not solely on BSCs and it’s not solely on PMs,” he stressed. “It has to be a joint effort.” That was echoed by Raposo, who noted that the pandemic has illuminated the need for a highly transparent and collaborative partnership. “Client happiness, employee care, budget management – this is all a real balancing act,” concluded Polyak. “A new and heightened level of collaboration is required to create a win/win situation for all parties. Increased transparency at all levels is a must, and that’s the key to successful and lasting partnerships and helping to mitigate the unfortunate reality that the pandemic and inflation have imposed upon our industry.”

THE IMPORTANCE OF AIR PURIFICATION A sustainable and practical solution to indoor air pollution by David L. Smith

ver the last few years, the pandemic has affected how we clean to stay safe. The increased use of disinfectants and cleaners has also increased the amount of airborne chemicals. Although facilities have improved their cleaning processes, how we clean

buildings directly affects the air quality inside them. Air purification is an emerging form of cleaning in the world of safety and indoor cleanliness. An air purification system can combat the chemicals and pollutants in the air to ensure cleaner air in your facility.

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A study conducted by the Canada Green Building Council (CAGBC) reported that occupants living in “green buildings”, buildings that keep human health and environmental, economic, and social impact in mind exhibited higher productivity. By breathing in air with lower concentrations of CO2 and

/ infection prevention and control /

volatile organic compounds (VOCs) — pollutants — occupants experienced “fewer sick days and lower asthma rates.” With the ability to choose an air purification solution for your space and as an emerging sustainable cleaning technology, air purification is a practical approach to keeping the environment healthier. INDOOR AIR POLLUTANTS AND HOW THEY AFFECT US

In a report by the United States Environmental Protection Agency (EPA), air pollutants are two to five times higher indoors. Pollen, dust, pathogens, and VOCs are all pollutants commonly found indoors and can be attributed to negative health effects. Sources can include HVAC systems, cleaning supplies, building and furnishing materials, outdoor air pollution, people, and animals. While pollen and dust may trigger allergic reactions and induce symptoms such as sneezing, dizziness, coughing and fever, inhaling mould and VOCs can result in more serious health ramifications. Through the process of “off-gassing” (the release of chemicals into the air), VOCs from paint, air fresheners, cleaning solutions, fabrics, carpets, and other consumer goods can permeate the air throughout a facility. Breathing in the chemicals released by these products can result in both short-term and chronic effects. Short-term exposure to low levels of VOCs may lead to headaches, nausea, and dizziness, while prolonged exposure can be associated with serious disease and central nervous system damage. In spaces where air ventilation is inadequate, the risk of infection from viruses and pathogens also increases, especially in crowded areas. WORKPLACES NEED CLEAN AIR

Buildings with poor air quality can often experience a high rate of Sick Building Syndrome (SBS), a widely used term to describe adverse health effects linked to the time individuals spend in the building. Establishing methods to battle SBS within workplace settings can play a major factor in increasing a company’s efficiency. A study in the Harvard Business Review reported that air purification and good

ventilation “has been shown to reduce SBS symptoms, cut absenteeism, and even reduce infectious disease transmission” within the workplace. Statistics Canada also reports that improved air quality within workplaces can reduce the total number of sick days claimed each year by 19.4 per cent. Air purification technology The base technology in air purification systems is the cleaning of indoor air from air pollutants. Different types of systems change the way air is purified. The most common purification system is the passive air purifier. Passive air purification machines pull indoor air into the system where any air pollutants detected are trapped in a filter and cleaner air is expelled back into the room. The filtration processes in an air purifier varies depending on the type of material used in the filter. Each of the three most common scientifically engineered filters work to trap or inactivate air pollutants: 1. High-Efficiency Particulate Air (HEPA) filter: This filter traps particulates like allergens, pollen, viruses, mould, and bacteria to the fibres of the filter and pushes out cleaner air. 2. Activated carbon filter: Air is absorbed into the porous carbon where organic compounds found in the air react chemically with the activated carbon. This way, the pollutants stick to the filter and the air leaves the filter purified. 3. Ultraviolet (UV) lights: Unlike HEPA and carbon filters, UV lights inactivate pollutants instead of trapping them. Then, cleaner air is pushed back into the room. TIPS FOR CHOOSING AN AIR PURIFIER

Along with understanding the types of filtering available for air purification, there are four other factors to consider when choosing an air purifier fitting for your space: 1. Filtering. Not all machines advertised as “air purifiers” have filters that trap

pollutants and instead just move air around. Look for a system that includes layered filtering to ensure that air is getting cleaned. 2. The size of your space and how many air changes needed within an hour. Air purifiers are not a single machine fix for all spaces. A small room and a larger office space will require different purifiers with different square-foot capabilities. Ideally, your purifier’s square-footage should slightly exceed the size of your space to ensure efficient air purification. The size of your space also determines the air changes per hour, the rate at which all the air in the room is cleaned and replaced within an hour. 3. Noise levels. Since many purifiers use fans to pull in and push air out of the system, it’s important to choose a system whose noise level is appropriate for the space. Air purifiers often run at decibel levels equal to an upright vacuum. Be mindful that your purifier operates at a whisper quiet level, which is anywhere from 15db to 45db. 4. Documentation. Check that your purifier includes documents specifying the system’s capabilities and technical aspects to ensure your indoor air is being purified effectively. According to the EPA, ideal air purification systems for office buildings include multiple filters, an appropriate squarefoot capacity, whisper quiet noise levels, and detailed documentation, such as Surgically Clean Air’s systems. With such capabilities, not only will the air purifier combat the increase of pollutants put into the air, but it will also positively affect the people in the spaces and contribute to a greener cleaning approach. All told, air purification is a practical and sustainable solution to create cleaner air and a safer space. /

David L. Smith is the Cleaning, Hygiene & Sanitation Director at Bunzl Cleaning & Hygiene, Canada’s largest specialist distributor of cleaning and hygiene products and equipment.

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SPONSORED CONTENT

The New Age of

CAMPUS HYGIENE

Ensuring that any type of facility is clean and supports a hygienic environment comes with a host of challenges. However, maintaining a university or college campus has always been a particularly demanding test for the cleaning and janitorial staff. A typical campus is extensive and expansive in nature and contains not only a mixture of residents, visitors, faculty, and staff, but also numerous different high-traffic areas, encompassing dormitories, classrooms, food and beverage and hospitality facilities, washrooms, recreational facilities, common areas, and more. No two buildings are the same – nor are any two post-secondary education facilities – and this poses several acute challenges, including cleaning and maintaining differing areas, while balancing the need for these spaces to remain fully operational and hygienic throughout different hours of the day and week. That was true even before COVID-19, but the pandemic has forced a shift in priorities when it comes to cleaning and sanitizing, putting individuals’ health and safe environments first. In the wake of the pandemic, everyone – from students and faculty to management – has higher expectations, so much so that research

suggests that having a clean campus is key to attracting new students. Nearly half of parents of college-age kids now rank campus cleanliness and indoor air quality in the top three most important factors affecting school selection, according to a JLL Higher Education survey. Meanwhile, in the era of hybrid learning, there is no longer such a thing as a “typical day” for cleaning teams. The shift towards the combination of in-person and virtual classes makes an already challenging facility management job significantly more difficult, as operations managers must now assess how to maintain a high and consistent level of cleaning and hygiene at a time when the number of students and faculty on campus varies widely and shared workspaces and study areas are now of greater concern. The question is: how do you deliver on cleaning quality and hygiene in an agile and more demanding environment without compromising on operational efficiency? SUSTAINABLE HYGIENE THAT IMPROVES THE CAMPUS EXPERIENCE The new Tork Campus Hygiene Package™ from Tork, the global leader in professional hygiene, has everything operations managers need to elevate the experience across campus in one convenient package. It features the

industry-award winning Tork PeakServe Continuous™ Hand Towel systems, as well as sustainable skincare solutions such as the Green Seal-certified Tork Alcohol Gel Hand Sanitizer and Tork Clarity Foam Soap, which supports sustainability goals as 99 per cent of its ingredients are from natural origin. Also included in this package is Tork Vision Cleaning – the world’s leading facility management solution designed to enable cleaning crews to clean when and where it is needed most via realtime data. PRIORITIZE THE BASICS While the challenges are ever-evolving, practising the basics remains a vital aspect of campus hygiene. A key to maintaining a hygienic environment is to make sure you excel on the essentials. For instance, it does not matter how much you clean and disinfect if faculty, staff, and students do not follow proper hand hygiene protocols. As widely known, a reliable way to prevent infection from spreading via surfaces is to regularly wash hands with soap and water and dry hands with paper towels or use alcohol-based hand sanitizer. By offering students, faculty, management, and visitors hygiene systems that are intuitive to use, comply with ADA guidelines, reduce waste due to one-at-a-time dispensing and are high capacity like Tork

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PeakServe, you can help promote better hand hygiene and ensure facilities are operating efficiently while also supporting sustainability goals - all throughout campus. In addition, the use of collaborative workspaces like meeting rooms, lecture halls, labs, and libraries, along with “hot-desking” where students share furniture and equipment, has increased the risk of transmission adding the need for more access to efficacious hand sanitizers that are offered in multiple formats and offer installation flexibility. Also, it is important to educate and encourage all to keep shared spaces clean and sanitized by promoting a “clean desk” environment where users understand they have a role to play in keeping the facility hygienic and thus they help sanitize screens, keyboards, mice, phones, and more high-touch surfaces before and after use. However, developing and implementing a clear cleaning and sanitizing strategy, one that meets the different needs and expectations of the students, faculty, and staff in all areas of the campus is extremely challenging. With the aid of internet-of-things (IoT) technology and the right systems in place, a comprehensive plan can be easily developed, executed, and reported on.

A DATA-DRIVEN APPROACH TO BETTER HYGIENE In the era of mixed-use hybrid occupancy, analog cleaning protocols are no longer suitable. In order to meet the expectations of an agile environment, utilizing data to inform cleaning routines is a true advantage. Tork Vision Cleaning helps you improve operational efficiency and hygiene in your facility by providing real-time information on refill and cleaning needs. In fact, 100 per cent of existing Tork Vision Cleaning customers say the system helps them improve hygiene in their facility. Key benefits include making sure dispensers are stocked up to 99 per cent of the time, using reporting tools to show adherence to safety regulations, and knowing when and where service is needed to reduce dispenser checks by up to 91 per cent and save up to 20 per cent of cleaning hours. Also, depending on the needs and requirements of your facility, you can choose between three data-driven cleaning offerings, each providing additional benefits and increasing business value.

Because every institution, building, and even area within a college or university has its unique hygiene needs, we understand you need a custom hygiene program. Tork offers the largest assortment of IoT- enabled dispensers in the market, compatible with a broad selection of refills that help meet your facility’s financial and sustainability goals. Campus operations are complex, but your job doesn’t have to be. Talk to a Tork Hygiene Advisor and learn how to elevate the campus experience. Learn more at tork.ca/campushygiene

/ equipment /

USING TECH TO IMPROVE HYGIENE Washrooms cannot be overlooked when it comes to the health and safety of patients, visitors, and staff by Anthony Hall

n the wake of the pandemic, focus on health and hygiene has never been so prevalent. Taking a proactive approach to the hygiene of health and care facilities can help to alleviate more strain on those facilities and their owners and manager, as well as better support the health and safety of patients, visitors, and staff. Technology can play an important role, with materials and mechanisms like filtration helping to improve hygiene in public spaces. Shared washrooms are an important place to start when considering how to improve hygiene within health and care facilities. Our 2021 global hand hygiene survey found that 65 per cent of respondents were more concerned about visiting public washrooms than they were the previous year, highlighting empty paper towel dispensers among their top five frustrations along with a lack of toilet paper, unclean toilets, no soap, and blocked toilets. The survey also found that 24 per cent of Canadians were worried about drying their hands with dirty air from dryers.1 This is where HEPA filters can be beneficial, purifying the air used to dry hands. This filtration technology can catch 99.97 per cent of particles as small as 0.3 microns, including bacteria and viruses.2 Canadians surveyed said that if a washroom did not have any working hand dryers or paper towels, 32 per cent would let their hands dry naturally while 19 per cent would wipe them on their clothes. Both options present risks of undoing the work of cleaning their hands in the first place. Considering damp hands can transfer up to 1,000 times more bacteria than dry hands3, health and care facilities must ensure they are providing hygienic drying solutions so that pa32 / FACILITY CLEANING & MAINTENANCE / SUMMER 2022

/ equipment / giene issues beyond the washroom because dispensers are often found empty, leaving people to dry their hands on their clothes or walk away with damp hands — something we’ve learned is not conducive to preventing the spread of pathogens. Armed with the right information and data, health and care facilities can make informed choices about how to keep their patients, staff, and visitors safe. Technology, such as high-speed hand dryers that hygienically dry hands with HEPA-filtered air, has a role to play in ensuring better hygiene, especially when it comes to washrooms. As we emerge from the pandemic, we need to work together to continue to prioritize hygiene and protect our most vulnerable in as many ways as we can. / tients, visitors, and staff do not need to find alternative ways to dry their hands. With the right technology and a regular cleaning schedule, health and care facilities can alleviate many of these concerns, ensuring their washrooms are more hygienic and ready for visitors. Overall, Canadians are more aware of the cleanliness of shared washrooms year over year, and 57 per cent said last year they were more concerned about visiting a public washroom compared to 2020.4 Part of this shift in expectations also includes sustainability, with 75 per cent of respondents concerned about the environmental impact of single-use disposable products, including paper towels. Therefore, we are likely to see more facilities moving away from these types of products and embracing technology to provide hygienic, sustainable solutions. Shifting to more sustainable alternatives like hand dryers with HEPA filters can both improve the hygiene of the facility and significantly reduce waste. The question of whether to stock washrooms with paper towels or hand dryers became more fraught with the onset of the pandemic, as people began to pay close attention to aerosols and became concerned with the hygiene of hand dryer air. However, independent testing conducted by Airmid Healthgroup showed that hand dryers such as Dyson Airblade are proven to aerosolize no more than paper towels.5 Moreover, paper towels are expensive, have a high impact on the environment, and cause extra washroom maintenance through mess and blockages. They can also create hy-

Anthony Hall is a Lead Design Engineer at Dyson.

1. Based on a global survey conducted in July 21 across 20 countries worldwide with 15,100 respondents in total. In Canada, 500 respondents participated. 2. HEPA filter tested to IEST-RP-CC001.6, by an independent testing laboratory under prescribed conditions. 3. Patrick D, Findon G, and Miller T (1997). Residual moisture determines the level of touch-contact-associated bacterial transfer following hand washing. Epidemiol. Infect. 119: 319-325 4. Based on the July 21 survey. 5. Based on aerosolization measured during hand drying. Testing conducted by independent third-party lab.

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EVOLVING TECHNOLOGIES FOR EVOLVING HEALTHCARE New tech and data-informed decisions will drive the future of cleaning by Ron Roopchansingh

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/ technology/

anada has the highest rate of healthassociated infections (HAIs) in the developed world. Statistics from Public Health Canada show that more than 200,000 patients contract an HAI while receiving care every year, and as many as 8,000 Canadians die as a result. By 2050, HAIs could become the second-leading killer in Canada. Most of these infections are preventable with proper prevention and control; however, many health and care facilities currently do not have enough resources to tackle the growing issue. This systemic problem is made worse by additional budget cuts and staff shortages causing teams to clean more square footage and stretch their materials to the limit. Forward-thinking facility managers, administrators, and physicians can overcome their limited resources, adapt focus, and invest in innovative technologies to keep everyone clean, safe, and productive. While not all are exclusively “new” technology, the following are some of the most influential technologies health and care facilities use to reduce the spread of infections.

TOUCH-FREE TECHNOLOGY

Proper hand hygiene remains one of the most effective methods to avoid crosscontamination; however, people risk recontamination by touching a faucet, soap pump, or forced air dryer after washing. Providing touch-free soap and sanitizer dispensers helps avoid re-contamination and automatically dispenses the appropriate amount of solution. Providing paper products in washrooms is also recommended. To ensure hand hygiene compliance, healthcare facilities can choose to install monitoring systems that electronically track overall usage — not just staff. As a bonus, the software alerts you when the product is running low and can automatically request refills only when needed, saving money due to wasted resources and unnecessary labour hours. Taking the time to select washroom products carefully will

have a massive impact on a facility’s overall safety and reputation. ROBOT HELPERS

In 2022, one cannot speak about cleaning technologies without mentioning robots and autonomous equipment. Manual floor scrubbing and mopping are physically demanding tasks, and robotic cleaning equipment helps reduce employee strain and the risk of workplace injury. Automatic floor scrubbers, for example, are used to help staff become more efficient, automating tasks so they can focus on addressing targeted, high-risk surfaces faster. They foster consistency across different surfaces and accommodate different traffic levels. There are energy and water savings, too, as machines are programmed to use the correct amount of solution and turn off once they have achieved the desired results. Autonomous scrubbers can come with realtime compliance tracking applications and heat mapping systems so facility managers and key stakeholders can see precisely the areas that have been cleaned. Marking systems to zero in on pathogens Historically, it has been challenging to measure cleaning effectiveness. While surfaces appear clean, many pathogens and germs are becoming more resistant, and existing cleaning protocols may no longer be sufficient. Many hospitals and care facilities use Adenosine Triphosphate (ATP) bioluminescence assay to assess the cleanliness of surfaces. ATP is present in all living cells and organic material, and the presence on surfaces suggests microbial or organic material. This validation technique helps employees to see the amount and exact locations of soil on surfaces that still need disinfecting. New technology can generate visual images of contamination using a combination of Halo-imaging hardware, bio-tracking

spray, and handheld tablet, which can be tracked and shared using management software. The real value of this information comes from the visual validation, training, and the creation of more efficient cleaning processes over time. SOFTWARE FOR STRAINED TEAMS

According to PIDAC (the Provincial Infectious Diseases Advisory Committee), increased cleaning time alone does not necessarily equate to more thorough cleaning. Standardizing training, proper cleaning techniques, and relevant product suggestions (including the correct dilutions) are vital in improving cleaning standards. It is in the communication of the results where progress happens. When healthcare facilities have access to performance data, they can focus on areas of improvement, and managers can implement evidencebased proactive and preventative solutions. Mobile quality management software solutions give teams centralized visual assessments and validation so facilities can exceed monitoring compliance for infection-prevention policies. Software validation technology will add a little time to each room’s processing times; however, the effectiveness against infections makes it worthwhile. LOOKING FORWARD

Significant changes and reforms to combat grim infection statistics will yield results and empower facilities with information. Data-informed decisions allow health and care facilities to learn, convince, and adapt. (Even Florence Nightingale leveraged her data on hand hygiene for hospital administration to take note). The insights from innovative cleaning technologies will bring exciting breakthroughs for health and care facilities and set best practices for other industries. It will be familiar technology, just more evolved. /

Ron Roopchansingh is VP of Sales and Marketing at Swish Maintenance, Canada’s source for quality cleaning supplies and equipment.

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/ facilities /

REMOVING BARRIERS IS CRITICAL TO PROPER HEALTHCARE HAND HYGIENE Make it easy for staff to stay clean by Ronnie Phillips

he World Health Organization (WHO) has long recommended its five moments of point-of-care hand hygiene as a way to reduce the incidence of cross-contamination in healthcare settings. On paper, these moments are logical, obvious, even basic and elementary.

Yet the WHO’s own data shows that, on average, fewer than 40 per cent of healthcare workers follow hand hygiene best practices. With hospitals, medical clinics, senior living facilities, and virtually every kind of healthcare facility spending a substantial amount of time and money to help workers

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comply with infection prevention best practices, why does compliance remain consistently low? Through proprietary research, GP PRO learned that healthcare workers face a number of barriers to proper hand hygiene, including emergencies that require immediate

/ best practices/

attention; a busy workload; malfunctioning, broken, or empty hand sanitizer dispensers; full hands; and difficulty during the gloveon and glove-off process. Understanding that many of these inconveniences are due to the very nature of the work clinicians do, here are three recommendations to help advance hand hygiene among healthcare workers: SEEK INPUT FROM CLINICIANS

For some, the very idea of hand hygiene compliance and monitoring evokes George Orwell’s Big Brother. This is exacerbated when policies and protocols are developed without input from the very people who are expected to follow them, and is exacerbated further when they are developed by someone whose responsibilities do not include day-to-day patient care. Doctors, nurses, orderlies, care assistants, and other clinicians can readily identify the challenges that keep them from performing proper hand hygiene all the time. Those reasons are likely to include the barriers identified in the research as well as many others, such as skin sensitivity, a perception that cleaning hands isn’t necessary if gloves are worn, a sense of overconfidence, frequent entry and exit, or a lack of motivation realized through rewards and consequences. This staff perspective is necessary to help providers feel they are part of the infection prevention solution and not just the problem, and it is invaluable for developing a methodical and multi-faceted program that is set up for success. If, for example, a high percentage of clinicians identify their hands being full as a reason for not sanitizing, this can be addressed by reviewing workflow procedures and making small, easily implemented changes that help ensure items get where they need to go without compromising safety.

critical component of an effective infection prevention program. Frequently, sanitizer dispensers are placed at the entrance to a patient’s room and beside an in-room sink. These placements are perfectly appropriate some and perhaps most of the time. But if a healthcare provider’s hands are full when entering the room, if their first stop is at a bedside table, or if a patient is experiencing an emergency, those dispenser locations become inconvenient and fail to support the clinician’s workflow and the patient’s continuum of care. By putting themselves in clinicians’ shoes and experiencing the job as they do, infection preventionists are in a much better position to identify dispenser locations that are readily accessible regardless of the situation. A well-placed but empty or broken dispenser is setting clinicians up for failure. Many infection prevention policies require healthcare workers to perform a pre-set number of hand hygiene events during a shift but encountering a broken or empty dispenser in mid-emergency or after going out of their way to get to it can lead to complacency. By leveraging smart technology that alerts custodians when dispensers are running low or malfunctioning, healthcare workers benefit from an assured, consistent supply. An option that puts healthcare workers in complete control of their hand hygiene and alleviates issues related to the placement and functionality of wall-mounted dispensers is personal, wearable hand hygiene devices. These always-present wearable sanitizer dispensers fit seamlessly into the clinical workflow, delivering an alcohol hand rub anywhere, anytime. Advanced models incorporate Bluetooth technology to automatically credit hygiene events and provide continuous real-time positive feedback. CREATE HEALTHY COMPETITION

Gamification is the integration of game-like

elements into business strategy. The premise, based on the science of psychology, is that gamification triggers powerful and positive human emotions that can lead to better engagement and loyalty. As it relates to hand hygiene compliance in healthcare, gamification can be individually focused, wherein a worker receives a personal acknowledgement for achieving a pre-set compliance goal; or it can be more peer-focused, with a leaderboard that identifies what teams are reaching compliance goals most frequently. In either case, it provides an opportunity to recognize and reward high performers while helping lower performers identify missed hand hygiene occasions. Among the greatest benefits of gamification is that it creates transparency — healthcare workers know exactly what metrics they are being monitored and measured against, how that monitoring and measurement is taking place, and that their peers are being monitored and measured in the same way. This kind of transparency drives belief in the hand hygiene program, which supports increased and sustained compliance, even when inconvenient. BE PATIENT

Throughout the spectrum of healthcare, patience is necessary to achieve desired results. Those recovering from surgery must be patient as their bodies heal. Those caring for a sick individual must be patient as medications take effect. As it relates to achieving sustained hand hygiene, infection preventionists must be patient as clinicians begin to change their behaviour. The above noted recommendations all require time — time to understand, time to communicate, time to learn new behaviours, time to make mistakes and learn from them. After all, patience is a virtue for a reason. /

WALK IN CLINICIANS’ FOOTSTEPS

The physical placement and location of sanitizer dispensers as well as their proper monitoring and maintenance is another

Ronnie Phillips, Ph.D., is senior director of innovation with GP PRO’s Healthcare division.

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/ clean matters /

GBAC STAR REGISTERED TECHNOLOGY ADDS TWO SMART TECH SOLUTIONS Essity’s Tork Vision Cleaning and Soapy Care Ltd.’s Clean Machine Pro have achieved the designation

he Global Biorisk Advisory Council (GBAC), a Division of ISSA, has announced that two additional organizations, Tork and Soapy Care, have achieved the GBAC STAR Registered Technology & Programs designation. These two organizations’ offerings were assessed by the GBAC Advisory Council Scientific Board for scientific validity, usability, practicality, safety, and efficacy. Tork, an Essity brand, registered its Tork Vision Cleaning, a technology that harnesses the power of real-time data to identify when and where there are service needs in a facility, helping to meet guest expectations while securing the expected hygiene standard. Also joining the list is Soapy Care Ltd.’s Clean Machine Pro, a touchless interface which monitors and educates on proper handwashing with video tutorials and real-time feedback. Powered by computer vision and artificial intelligence (AI) for personal and business hand hygiene compliance, the machine preheats the water to the right temperature for comfort and hygiene, dispenses an exact amount of soap, and can check guests’ temperature if needed. “With the new BA.5 variant recently driving up COVID-19 cases, GBAC is ecstatic to welcome two more products to our list of registered technologies and programs,” said GBAC Executive Director Patricia Olinger. “Facilities can incorporate these innovations knowing they are verified for real-world use and effectiveness.” To achieve GBAC STAR Registered Technology status, organizations must demonstrate that their product or service addresses real problems effectively and provide evidence that the offering will contribute to preventing the spread of COVID-19 or any other diseases. Companies also must show that their offerings improve efficacy, cost, health, and safety over existing offerings on the market. “Even as we enter a post-pandemic climate, the public is still highly concerned with the effectiveness of cleaning technologies and programs,” added Olinger. “Accreditation like the GBAC STAR Registered Technologies & Registered Programs bring facilities who

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install these technologies one step closer to GBAC STAR Facility Accreditation, creating a level of trust with their employees and visitors.” Find accredited technologies and those pursuing accreditation via the GBAC STAR Facility Directory at gbac.org/directory. /

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FCM Summer 2022

Articles inside

Clean Matters

Removing barriers is critical to proper healthcare hand hygiene

Evolving technologies for evolving healthcare

Expert Q&A

The importance of air purification

Where do we go from here?

Using tech to improve hygiene

Show the science

Product spotlight

Show recap

ISSA News