Dispenser Components & Placement

• The ADA recommends that all "projections off of a wall" be four inches or less.  
• • NFPA standards fall within this as well, which states that projections should be "not more than six inches."  

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• The NFPA governs placement of dispensers, as well as storage of liquids, to ensure that fire-related risks of flammable liquids are mitigated. In summary:
• • Dispensers should be placed no less than 48 inches apart.
  • Dispensers should not be placed less than 1 inch from an ignition source in any direction.
  • Dispensers should be secured against releasing its contents outside of manual or touch-free activation zone, which should be within 4 inches from sensing device.
  • Corridor width (for corridor placement) should be no less that 6 feet wide.
  • All dispensers placements and liquid storage should remain within allowances for a given smoke compartment.

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• International Fire Code dispenser placement and storage requirements also align with those of the NFPA.

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• The Joint Commission allows ABHR dispensers in corridors and rooms, provided that NFPA conditions are met. The Joint Commission also recommends that any devices are "protected against inappropriate access."

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• The CDC's Clinical Safety Index cites the NFPA for their specific placement protocol.  Additionally:
• • General guidelines suggest that ABHR be available at the entrance to the patient’s room or at the bedside, and in other convenient locations. 
  • ICAR surveys observe specific dispenser placement opportunities in the following locations:
  • • Outside patient/resident room;
    • Inside room at threshold;
    • Inside room near the bed(s);
    • Inside patient/resident restroom.

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• The WHO recommends that "the necessary infrastructure is in place" to allow healthcare workers (HCWs) to practice hand hygiene: 
• • Access to a safe, continuous water supply as well as to soap and towels.
  • Readily accessible alcohol-based handrub at the point of care.
  • HCWs should know intuitively where dispensers are placed. They should be as close as possible, (e.g. within arm’s reach) to where patient contact is taking place, to avoid to have to leave the care/treatment zone.

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• The Leapfrog Group follows WHO guidelines for dispenser placement, and further specifies that rooms should have:
• • An alcohol-based hand sanitizer dispenser located at the entrance to the room or bed space; and
  • Alcohol-based hand sanitizer dispenser(s) located inside the room or bed space that are equally accessible to the location of all patients in the room or bed space.

   

Mirador Response

• Guardian™ dispensers were designed with a lock-and-key mechanism to ensure that ABHR is "protected against inappropriate access" per Joint Commission guidelines.
  
  
• Guardian™ dispenser electronics are FCC tested and compliant.
  
  
• Independent testing has confirmed Guardian™ Automatic-Pull Dispensers to be IEC, ETSI & ICES compliant.
  
  
• Guardian™ dispensers comply with NFPA & ADA guidelines for projection and dispense activation.
  
  
• We maintain a comprehensive list of NFPA & ADA placement guidelines and work with your installation team to ensure that Guardians™ meet those guidelines, as well as any internal/facility policies, for placement within rooms and corridors during implementation, including recommendations to manage oxygen-rich environments such as ORs, ICUs and NICUs.  
  
  
• Guardian™ dispensers were designed for use in both corridor and patient contact settings. Placing Guardians™ in the patient contact zone, when able, aligns with CDC, WHO and Leapfrog recommendations. Contact zone placement allows the Mirador system to capture compliance at entry and exit of that zone, which are two observation opportunities identified by the CDC and Leapfrog for Electronic Hand Hygiene Monitoring Systems (EHHMS).