Transcript Cleaning procedures - Public Health Ontario

Best Practices for Environmental Cleaning
Module 4 – General Cleaning
Part B - Cleaning Procedures
Learning Objectives
1. To identify factors that determine frequency of cleaning.
2. To correctly sequence tasks for cleaning.
3. To demonstrate proper procedures for different cleaning
applications.
4. To describe other considerations in environmental management
(e.g. waste handling, sharps safety, biological spill cleaning)
2
Sequencing of Cleaning Tasks
Before Cleaning:
1. Check for Additional Precautions signs; follow
precautions indicated
2. Follow the manufacturer’s instructions for proper
dilution and contact time for cleaning and disinfecting
solutions
3. Ensure sufficient cleaning supplies and materials are
readily available
4. Clean hands using ABHR and put on gloves before
entering the room
3
Sequencing of Cleaning Tasks
During Cleaning
• Clean from the least soiled areas (low-touch) to the
most soiled areas (high-touch) and from high surfaces
to low surfaces
• Remove gross soil prior to cleaning and disinfection
• Dry mop prior to wet/damp mop - never shake mops
• No ‘double-dipping’ of cloths
• Change cloths and mop heads frequently
4
Sequencing of Cleaning Tasks
After Cleaning:
• Clean tools used for cleaning and disinfecting
between uses
• Launder mop heads and cloths daily; all washed mop
heads and cloths must be dried thoroughly before reuse
• Clean housekeeping cart and carts used to transport
waste daily
• Do not overstock rooms
5
General Cleaning Requirements
• If using a bucket, change cleaning solutions as per
manufacturer’s instructions:
 more frequently in heavily contaminated areas;
 when visibly soiled; and
 immediately after cleaning blood and body fluid spills
• Containers for liquid soap, cleaners/disinfectants are
disposable;
 the practice of ‘topping up’ is not acceptable since it can
result in contamination of the container and solution
• Vacuum carpets using vacuums fitted with a HEPA
filter
6
General Cleaning Requirements
• Be alert for needles and other sharp objects;
 Pick up sharps using a mechanical device e.g.
tongs/forceps and place into sharps container;
 Report incident to supervisor
• Collect waste, handling plastic bags from the top (do
not compress bags with hands)
• Remove gloves and clean hands on leaving the room
7
Mopping Floors –
Dry/Dust Mopping
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Remove any gross soilage e.g. feces, urine
Work from less soiled areas to more soiled areas
Remove debris from floor
Remove gum or other sticky residue from floor
Do not lift dust mop off the floor once you have
started; use swivel motion of frame and wrist to
change direction
• Move furniture as required and replace after dust
mopping, including under and behind bed
• Carefully dispose of debris, being careful not to stir
up dust
8
Mopping Floors –
Wet Loop Mop and Bucket
• Place ‘wet floor’ caution sign outside of room or area
being mopped
• Immerse mop in cleaning solution and wring out
• Work from clean to more heavily soiled areas
• In open areas, use a figure eight stroke, overlapping
each stroke; turn mop head over every five or
six strokes
• Mop a three metre by three metre (nine feet
by nine feet) area, then rinse and wring mop
• Repeat until entire floor is done
9
Mopping Floors –
Wet Loop Mop and Bucket
• Change the mop head when heavily soiled and at the
end of the day
• Change cleaning solution frequently enough to
maintain appropriate concentration of solution (e.g.,
every four rooms and when heavily soiled)
• Send all soiled mop heads for laundering at the end
of the day
10
Mopping Floors – Microfibre Mop
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Use a facility approved cleaning solution
Attach microfibre pad to mop head frame
Work from clean to more heavily soiled areas
Remove pad when soiled and set aside for laundering
Send soiled microfibre pads for laundering at the end of
the day
11
Washrooms Hospital clean required
Working from clean areas to dirty areas:
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Remove soiled linen from floor; wipe up any spills; remove waste
Clean gross soilage (e.g. feces, urine) and set aside cloth for
laundering
Clean door handle and light switch
Clean chrome wall attachments and mirror
Clean all dispensers and frames
Clean call bell and cord
Clean support railings, ledges/shelves
12
Washrooms –
Hospital clean required
• Clean shower/tub faucets, walls and railing, scrubbing as
required to remove soap scum:

apply disinfectant to interior surfaces of shower/tub, including soap
dish, faucets and shower head;

ensure sufficient contact time, rinse and wipe dry;

inspect and replace shower curtains monthly and as required
• Clean bedpan support, entire toilet including handle and
underside of flush rim
• Remove gloves and perform hand hygiene on leaving the room
• Replenish paper towel, toilet paper, waste bag, soap and ABHR
as required
• Report mould and cracked, leaking or damaged areas for repair
13
Discharge/Vacancy/Transfer
Cleaning Procedures
1. Check for Additional Precautions signs and follow the
precautions indicated
2. Ensure sufficient cleaning supplies and materials are readily available
3. Clean hands using ABHR and put on gloves before entering the room
4. Remove dirty linen:
 Strip the bed, discarding linen into soiled linen bag; roll sheets
carefully to prevent aerosols
 Inspect bedside curtains and window treatments; if visibly soiled,
clean or change
 Check privacy curtains for visible soiling and replace if required
 Remove gloves and clean hands using ABHR
5. Apply clean gloves and clean the room; work from less soiled to more
soiled and from high to low areas of the room
Note: Allow surfaces to air dry to maximize contact time
14
Discharge/Vacancy/Transfer
Cleaning
6. Use fresh cloth(s) for cleaning each patient/resident bed space:
7. If a bucket is used, do not ‘double-dip’ cloth(s) back into
cleaning solution once used

Change the cleaning cloth when it is no longer saturated with
disinfectant and after cleaning heavily soiled areas such as toilet
and bedpan

If there is more than one patient/resident bed space in the room,
use fresh cloth(s) for each and complete the cleaning in each bed
space before moving to the next
8. High dust room/vacuum window coverings – launder/wipe clean
if visibly soiled
9. Clean doors, door handles, push plate and touched areas of
frame
15
Discharge/Vacancy/Transfer
Cleaning
10. Check walls for visible soiling and clean if required; remove
tape from walls, clean stains
11. Clean light switches and thermostats
12. Clean wall mounted items (e.g., ABHR dispenser, glove box
holder)
13. Clean all glass and mirrors
14. Clean all furnishings both vertical and horizontal surfaces.
Clean inside drawers.
15. Clean inside and outside of patient/resident closet
16
Discharge/Vacancy/Transfer
Cleaning
16. Clean the bed

Check for cracks or holes in mattress - replace as required

Clean entire mattress - inspect for pests
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Clean exposed platform and frame

Clean foot board, headboard, bed rails, call bell, bed controls
and all cords; pay particular attention to areas that are visibly
soiled and surfaces frequently touched by staff

Clean all lower parts of bed frame, including casters
17
Discharge/Vacancy/Transfer
Cleaning
17.Clean washroom (see washroom cleaning
procedure). In addition:
 Clean high dust areas
 Clean piping under sink
 Clean interior/exterior of medicine cabinet/shelves
 Clean interior of dispensers
 Replenish supplies
 Dispose of toilet brush
18
Discharge/Vacancy/Transfer
Cleaning
18. Remove gloves and clean hands with ABHR; if hands are
visibly soiled, wash with soap and water;
19. DO NOT LEAVE ROOM WEARING SOILED GLOVES
20. Remake bed and replenish supplies as required (e.g., gloves,
ABHR, soap, paper towels, toilet brush) and other items as per
your operational needs
21. Disposal

Place soiled cloths in designated container for laundering

Place obvious waste in receptacles

Close waste bags and remove; clean waste can/holder and
add a clean bag
22. Clean floors (see floor cleaning procedure)
19
Learning Checkpoint
20
Learning Checkpoint
1. When using a loop mop and bucket, cleaning solutions should
be changed:
a) More frequently in heavily contaminated areas
b) When visibly soiled
c) Immediately after cleaning blood and body fluid spills
d) All of the above
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Learning Checkpoint Answer
• Correct answer is d. In the first three examples,
solutions become contaminated and should be
changed.
22
Thank You!
23
Image Sources –
Module 4B
• Microsoft Clipart used in slides 12 & 20
• Images in slides 9 & 19 are © PHO 2013