Transcript JHPIEGO PowerPoint Template

Housekeeping
Objectives
KEY CONCEPTS you will learn:
 Why housekeeping is important
 General principles
 How to prepare disinfectant cleaning solutions
 When and how to clean low- and high-risk areas
 How to clean spills of blood and body fluids
 How to clean and store housekeeping equipment
Why It Is Important?
“Accumulation of dust, soil, and microbial
contaminants on environmental surfaces is both
aesthetically displeasing and a potential source of
nosocomial infections. Effective cleaning methods
and schedules are, therefore, necessary to
maintain a clean and healthy environment in
healthcare settings.” (Chou 2002)
General Principles
 Scrubbing (frictional cleaning) is the best way to
remove dirt, debris, and microorganisms.
 Cleaning is required prior to any disinfection
procedure.
 Cleaning products should be selected according
to their use, efficacy, safety, and cost.
 Cleaning should progress from the least to the
most soiled areas and from high to low.
 Dry sweeping, mopping, and dusting should be
avoided.
General Principles…Cont’d
 Mixing instructions should be followed when
using disinfectants, too much or too little of
water may reduce effectiveness
 Cleaning methods and schedules should be
based on the type of surface, amount, and type
of soil and purpose of the area.
 Routine cleaning is necessary; schedules
should be posted.
Cleaning Disinfectant Solution
 Prepare a 0.5% chlorine solution (alternative
disinfectants include 1–2% phenols or 5%
carbolic acid).
 Add enough detergent to the 0.5% chlorine
solution or other disinfectant to make a mild,
soapy cleaning solution.
Cleaning Methods
 Wet mopping is the most common and
preferred method to clean floors:
• Single-bucket (basin) technique;
• The solution must be changed when dirty.
The killing power of the cleaning product
decreased with the increased load of soil and
organic material present
• Double-bucket technique;
• can extends the life of the cleaning solution
• Triple-bucket technique
 Flooding is recommended for the surgical
suite
• This process eliminates mopping and increase
contact time of the disinfectant
Cleaning Methods…Cont’d
 Dusting is the most used method for cleaning
walls, ceilings, doors, windows, furniture, and
other surfaces:
• Wet clean cloths or mops
• The double-bucket (basin) system is
recommended.
• Use a starting point as a reference.
 Dry vacuuming is only recommended for
cleaning carpets
Use of PPE
Handling disinfectants
Cleaning patient care areas
Cleaning heavily
contaminated areas
Handling soiled linen
Handling soiled items and
instruments
Handling or disposing of
waste
When spills or
splashes are expected
Cleaning
Cleaning Schedules and
Procedures
Look at Reference Manual pages 16-6 to 16-8 (specific
areas), and 16-8 to 16-9 (operating room)
Poorly Handled Stretcher
How to Clean Spills of Blood and
Other Body Fluids
 Small spills:
• Wearing gloves, remove visible material
using a cloth soaked with 0.5% chlorine
solution.
• Then wipe clean with a disinfectant cleaning
solution.
 Large spills:
• Wearing gloves, flood the area with 0.5%
chlorine solution.
• Mop up the solution and then clean as usual
with detergent and water.
How to Clean Soiled and
Contaminated Cleaning Equipment
 Decontaminate cleaning equipment by soaking it
for 10 minutes in a 0.5% chlorine solution.
 Wash cleaning buckets, cloths, brushes, and mops
with detergent and water daily, or sooner if visibly
dirty.
 Dry completely before reuse (wet cloths and mop
heads are heavily contaminated with
microorganisms).
Fumigation and the use of UV light
 Are common housekeeping practice in many
health facilities,
 These practices are time consuming, waste
valuable resources, and do not decrease the
risk of infection in your facility
Fumigation (Disinfectant fogging)
 Fumigation with formalin or formaldehyde is an
ineffective method of reducing the risk of
infection,
 It is perfect example of a practice that is not based
on scientific findings,
 Besides being ineffective, these agents are
• toxic and irritating to the eyes and mucus
membranes
• Potential carcinogen
Fumigation…Cont’d.
 Fumigation is time consuming and makes rooms
unavailable for use,
 Thorough cleaning with a disinfectant cleaning
solution and scrubbing should be used instead of
fumigation,
 Can safely be used on surgical endoscopes
(laparoscopes) because 8% formaldehyde will not
corrode metal or damage lensed instruments,
plastics or rubber.
Ultraviolet (UV) light
 In general, this is neither practical nor costeffective,
 In the largest and best-designed scientific study on
this topic, no decrease was shown in the wound –
infection rate when UV light was used,
 UV light is unsatisfactory for general use in health
care facilities because:
UV light…Cont’d
 The killing ability of UV light decreases
sharply:
• If relative humidity is greater than 60-70%
• If dust is present (in the air, on surfaces or on the
bulb itself)
• UV light doesn’t penetrate most substances
(including fluids and organic matter such as
mucus)
UV light…Cont’d
 The intensity of UV light needed to effectively kill
microorganisms is damaging to humans.
Prolonged exposure can lead to reddened skin
and irritated eyes.
 UV light fixtures are expensive to install and
maintain.
 Regular servicing, including dust from the bulbs, is
required.
Take Home Messages
Don’t:
• Dry mop or dust
• Sweep
Do:
• Wet mop and dust
• Terminal cleaning of the surgical unit every 24
hours
• Clean the OR and procedure rooms between
patients
• Decontaminate, wash, and dry cleaning equipment
before reuse