How Safe is the Flooring in your Community? Presented by: Carie-An Brutsman Forbo Flooring Systems Regional Wellness Specialist

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1 How Safe is the Flooring in your Community? Presented by: Carie-An Brutsman Forbo Flooring Systems Regional Wellness Specialist

2 Who is Forbo? Formed in 1928 Roots that go back over 150 years Publicly Traded Swiss Company with 1.3 Billion in Sales Western European Manufacturing Operations North American Headquarters - Hazleton, PA Produce both Resilient and Textile Flooring Solutions Know as the Leader is Sustainability

3 Professional Background Work in Building Industry for 24 years Career has involved Architecture, Design, Environmental and Consulting Experienced in both Carpet and Resilient Options Focused on Senior Care since 2013 I ve visited over 500 communities Met with over 1,000 Senior Care Providers

4 Definition of Safe (sāf) 1. protected from or not exposed to danger or risk; not likely to be harmed or lost: 2. uninjured; with no harm done:

5 Your Safety Concerns Based on the definition of Safe, what are some possible Safety Challenges in your community?

6 Your Safety Concerns Common List of Issues: Slip and Fall Tripping Infections Mobility Issues Product Health Fatigue

7 When Selecting Flooring.. What Attributes are you seeking in flooring for your community?

8 Utopian Wish List: Your Flooring Needs? Attractive Durable Odorless Slip/Fall Resistant No Tripping No Staining or Soiling Mobility Friendly - Walkers, Scooters, and Wheel Chairs Ease of Cleaning and Maintenance Comfort of Home/Quiet Healthy Environment

9 Aesthetics versus Function as a % Independent Living Assisted Living Memory Care Skilled Care Aesthetics Function

10 Can we all Agree? 1. No Flooring meets all your requirements 2. Products needs differ based on the area 3. Aesthetics versus Function varies based on Acuity

11 Show & Tell Typical Flooring Options Ceramic VCT Vinyl Sheet Vinyl Plank Linoleum Tufted Textile Flocked Textile

12 Ceramic

13 Flooring Attributes by Option Attractive Durable Odorless Slip/Fall Resistant Reduces Trips Ceramic Yes Yes Yes No Average

14 Flooring Attributes by Option Reduces Stains & Soil Mobility Friendly Easy to Clean & Maintain Comfortable /Quiet Healthy Ceramic Yes No No No Average

15 Flooring Attributes by Option Attractive Durable Odorless Slip/Fall Resistant Reduces Trips VCT No No No No Average

16 Flooring Attributes by Option Reduces Stains & Soil Mobility Friendly Easy to Clean & Maintain Comfortable /Quiet Healthy VCT Yes Yes No No No

17 Vinyl Sheet

18 Flooring Attributes by Option Attractive Durable Odorless Slip/Fall Resistant Reduces Trips Vinyl Sheet Yes Average Yes No Average

19 Flooring Attributes by Option Reduces Stains & Soil Mobility Friendly Easy to Clean & Maintain Comfortable /Quiet Healthy Vinyl Sheet Average Yes Average No No

20 Vinyl Plank

21 Flooring Attributes by Option Attractive Durable Odorless Slip/Fall Resistant Reduces Trips Vinyl Plank Yes Average Average No Average

22 Flooring Attributes by Option Reduces Stains & Soil Mobility Friendly Easy to Clean & Maintain Comfortable /Quiet Healthy Vinyl Plank Average Yes Average No No

23 The Application of Adhesive

24 Linoleum

25 Flooring Attributes by Option Attractive Durable Odorless Slip/Fall Resistant Reduces Trips Linoleum Yes Yes Yes No Yes

26 Flooring Attributes by Option Reduces Stains & Soil Mobility Friendly Easy to Clean & Maintain Comfortable /Quiet Healthy Linoleum Yes Yes Yes No Yes

27 Tufted Textile

28 Flooring Attributes by Option Attractive Durable Odorless Slip/Fall Resistant Reduces Trips Tufted Textile Yes No No Yes No

29 Flooring Attributes by Option Reduces Stains & Soil Mobility Friendly Easy to Clean & Maintain Comfortable /Quiet Healthy Tufted Textile No No No Yes No

30 Flotex Textile

31 Flooring Attributes by Option Attractive Durable Odorless Slip/Fall Resistant Reduces Trips Flocked Textile Yes Yes Yes Yes Yes

32 Flooring Attributes by Option Reduces Stains & Soil Mobility Friendly Easy to Clean & Maintain Comfortable /Quiet Healthy Flocked Textile Average Yes Yes Yes Average

33 Can we all Agree? 1. No Flooring meets all your requirements 2. Products needs differ based on the area 3. Aesthetics versus Function varies based on Acuity

34 Slip and Fall Prevention Use a Textile Product or Slip Resistant Resilient

35 Slip and Fall Prevention Cleaning & Maintenance during Quiet Hours

36 Slip and Fall Prevention Ten Foot of an Absorbent Entry Product

37 Tripping Prevention Look to Eliminate Transition Strips

38 Tripping Prevention Avoid Pressure-Sensitive Type Adhesives

39 Tripping Prevention Understand the Seaming Techniques and Longevity

40 Use Quality Matting Tripping Prevention

41 Infection Prevention Stay away from Products that Absorb or Breath

42 Infection Prevention Look for ease of Cleaning and Maintenance Follow the Personal Protective Equipment (PPE) guidelines for cleaning bodily fluids. This may include gloves, gowns, shoe covers, masks, respirators, eye protection, face shields, and/or goggles. All requirements or recommendations specified by the facility should be followed. If dry, apply clean, cool water to the area. It is not recommended to over flood the area. Allow several minutes for the water to dwell on the flooring, giving it time to penetrate and loosen the urine from the nylon fibers. NOTE: Hot water is not recommended, as it may cause the urine to permanently stain the Flotex. Absorb the excess urine and water by applying heavy pressure with an absorbent material, such as a clean white towel. New towels should be used until no more liquid can be absorbed. All towels should be properly disposed of. If required by local infectious control policies, use a hospital grade neutral disinfectant or sanitizer according to the manufacturers recommended instructions. Allow the disinfectant or sanitizer ten (10) minutes of dwell time and extract the residual disinfectant and urine using a carpet extractor, such as Tennant 1610 Extractor, Clarke Clean Track S16 or equivalent. Best results are when multiple passes are made with the extractor over the affected area. If desired, lightly spray the flooring with a non-detergent based enzymatic urine digester. This can also be added into an extractor and applied to the floor. Let the floor to dry thoroughly before traffic is allowed on the floor surface again.

43 Infection Prevention Use Permanent Adhesives clicks are not an option

44 Infection Prevention Understand Anti-Microbial Properties 1.Antimicrobial 2.An antimicrobial is an agent that kills microorganisms or inhibits their growth. Antimicrobial medicines can be grouped according to the microorganisms they act primarily against. For example, antibiotics are used against bacteria and antifungals are used against fungi. They can also be classified according to their function.

45 Mobility Issues Prevention Look for a Dense low-profile Product

46 Mobility Issues Prevention Understand the surface impact of the Equipment

47 Mobility Issues Prevention Avoid Transition Strips

48 Mobility Issues Prevention Use Permanent Adhesives

49 Mobility Issues Prevention Can Tire Skids be Cleaned effectively

50 Unhealthy Materials Prevention Understand the Product Make-up and Durability

51 The LCA analyzes all phases of a product s life (from raw material extraction to end of life), measuring the effect each element has on each environmental impact category. Process Elements Field to gate Raw materials Pre-processing Gate to gate Production Gate to final disposition (field) Transport Installation Use & maintenance End of life Environmental Impact Categories Ecotoxicity Human Toxicity Abiotic Depletion Acidification Potential Eutrophication Potential Global Warming Potential Ozone Layer Depletion Potential Photochemical Ozone Creation Potential Embodied Energy 16/10/2018 Full Transparency in Product Declarations 51

52 Unhealthy Materials Prevention What Impacts should you expect as the floors ages Off-gassing (also known as out-gassing) refers to the release of airborne particulates or chemicals dubbed volatile organic compounds (VOCs) from common household products. Potential sources of off-gassing range from construction materials to carpeting, cabinetry, furniture, paint, and any number of household goods. Some of the most common chemicals offgassed from household items include formaldehyde, benzene, ammonia, and toluene. While off-gassing can be easily identified by so-called new car and new carpet smells, it can also be odorless

53 Unhealthy Materials Prevention Select VOC Free Products (and Installation method) VOCs are commonly found in flooring and floor materials, dry cleaning solvents, paint thinners and gasoline. One of the most hazardous VOC is formaldehyde, a chemical compound that's often utilized in wall covers, sealants, floor finishes, adhesives and laminated furniture. Not only do VOCs pollute indoor air quality, when emitted into the atmosphere they can damage groundwater and soil.

54 Unhealthy Materials Prevention Try Avoiding Chemicals when Cleaning

55 Fatigue Prevention Seek Foot Comfort in a Product Avoid Cleaning Odors Look for Density in Cushioned Products Noise = Lack of Sleep

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