NVIRONMENTAL SERVICES - Oregon Patient Safety … PATIENT ROOM OCCUPIED PREPERATION 1. Inspect your...
Transcript of NVIRONMENTAL SERVICES - Oregon Patient Safety … PATIENT ROOM OCCUPIED PREPERATION 1. Inspect your...
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ENVIRONMENTAL SERVICES
PATIENT ROOM, OCCUPIED DAILY
CLEANING PROCEDURE
ENVIRONMENTAL SERVICES
PATIENT ROOM, OCCUPIED DAILY
CLEANING PROCEDURE
OUR CAUSE IS HEALTH, OUR PASSION IS SERVICE, WE ARE HERE TO MAKE LIVES BETTER.
OUR CAUSE IS HEALTH, OUR PASSION IS SERVICE, WE ARE HERE TO MAKE LIVES BETTER.
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MATERIALS REQUIRED
1. Personal Protective Equipment as
needed.
*Gloves
*Safety Glasses
2. Housekeeping Cart stocked and ready
( Please refer to the cart setup procedure)
3. Assorted Forms
4. Pens
5. Disinfectant clean
6. Glass Cleaner
7. Multi-Purpose Degreaser
8. Cream Cleaner
9. Neutral Cleaner
10. Quantamary Ammonium
11. Micro Fiber Cleaning Cloths
12. Cleaning Pail
13. Putty Knife
14. High Duster Tools
15. Plastic liners for waste containers,
linen and bio hazard waste
16. Paper Towels
17. Toilet Seat Covers
18. Toilet Tissue
19. Endure 50 cartridge soap
20. Antimicrobial Hand Gel and Lotion
21. Broom
22. Dust pan and small counter brush
23. Bowl Mop or Bowl Brush
24. Micro Fiber mops and mop bucket and
wringer
25. Wall Washer
26. Wet Floor “Caution” Signs
27. Tongs for picking up needles
28. Adhesive Remover
29. Stainless steel cleaner
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PREPERATION
1. Inspect your uniform for general
cleanliness and appearance. If your
uniform is excessively soiled, change into
a clean article of clothing.
2. Attach name badge to your lapel and
remember that your badge must be worn
and in sight at all times during working
hours.
3. Wear appropriate personal protection
equipment.
4. Stock your housekeeping cart with
required equipment and supplies.
5. Always start your day with fresh
Disinfectant Cleaner.
18. FREQUENTLY TOUCH POINTS
1. Toilet Seats
2. Flush Handles
3. Toilet Hand Rails
4. Commodes
5. Shower Faucets
6. Sink Top and Handles
7. Bathroom Light Switches
8. Pull Cords
9. door Knobs and Door Levers
10. Bed Rails
11. Bedside Table and Tray Table
12. Telephones
13. Call Boxes
14. Patient Chairs
15. Patient Room Door Knobs, Door
Levers and area surrounding
Levers and Knobs
16. Patient Room Thermostats and
Light Switches
17. Soap Dispensers
18. Computer Work Stations
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1. Enter the room carefully.
A. Look for infection control signs that
indicate the need for special precautions.
These signs may be printed or there may be
evidence of isolation gowns in waste
containers. If this is the case call dispatch
for clarification of cleaning requirements.
B. Follow protocol for hand hygiene and
use of alcohol based hand rubs. Wash
hands and then put on gloves, and any
other personal protective equipment that
may be necessary.
C. ALWAYS knock and announce yourself
“Hello Housekeeping”. Please refer to the
Customer Service Procedure.
D. Leave your cleaning cart in the hallway
as close as possible to the wall. Take only
the supplies and equipment you need in the
room as you need them.
2. Do a general inspection of the room
A. Survey the area and pick up any loose
trash.
B. Be alert for needles and other sharp
objects. Pick up sharps using a mechanical
device such as tongs, forceps or brush and
dustpan and place them into a sharps
container. Be sure to document any
discovery of any loose needles.
3. Waste Removal
A. Use caution and look for protruding
objects in the waste containers. NEVER
reach into or push on the bag to compress
the trash.
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B. Check for heavy objects in the container
that would prevent safe removal.
C. Close, twist and tie a knot in the top of
the plastic trash liner while it is still in the
container.
D. Remove and place for disposal. Emptied
waste will be disposed of in the appropriate
container: Red waste bags will be placed in
bio hazard waste receptacles and clear bags
in waste receptacles.
E. Wipe inside and outside of container
with micro fiber cleaning cloth from
disinfectant solution pail. Let stand for 10
minutes. Replace liner.
4. Remove Soiled And Used Linen
A. Check for heavy objects in contain that
would prevent safe removal.
B. Use caution and look for protruding
objects in the linen container. NEVER
reach into or push on the bag to compress
the linen in its container.
C. Close, twist and tie a knot in the top of
the linen bag. Place the linen in the
appropriate container for proper transport
to the laundry.
D. Remove gloves and follow protocol for
hand hygiene and use of alcohol based
hand rubs after handling any waste from
the room.
5. Disinfect Computer Workstations
A. Computer workstations are frequently
touched points and are to be cleaned daily.
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B. Hand hygiene should be performed
between room cleaning and the cleaning of
the computer as well as putting on clean
gloves.
C. Computer keyboards and mice with or
without covers should be cleaned and
disinfected using the standard quaternary
ammonium compound impregnated wipe.
D. Monitors should be wiped with a dry
micro fiber cloth.
6. Room Cleaning
A. Begin cleaning at the entrance door and
work around the room. With a damp clean
micro fiber cloth with disinfectant clean the
top of any and all surfaces starting at the top
and working down to avoid soiling surfaces
you have just cleaned.
B. Fold the micro fiber cloth in a series of
squares to provide a number of potential
cleaning surfaces. A wadded cloth does not
clean efficiently.
C. Remove micro fiber cloth from
disinfectant cleaning pail and wring out the
excess solution to avoid drips. When using
the disinfectant cleaner, wet the surface you
are cleaning and allow to air dry.
D. Clean items such as thermostats, light
switches, and ledges.
E. Never shake the cloth. When it becomes
soiled simply refold it so a clean surface is
available or replace with clean one.
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7. Clean the room furnishings
A. Clean all furnishings in the patient room
including the bedside table, over bed table,
closet, and chairs.
B. Fold the micro fiber cloth in a series of
squares to provide a number of potential
cleaning surfaces. Wadded cloth does not
clean as efficiently.
C. Remove micro fiber cloth from
disinfectant cleaning solution pail and
wring out excess solution to avoid drips.
When using disinfectant cleaner, wet the
surface you cleaning and allow to air dry.
D. Clean the top of an object first and work
downwards to avoid soiling surfaces you
have just clean Use the damp cloth on soil.
Use an abrasive hand pad to clean stubborn
soil then re-wipe surface with the cleaning
cloth.
E. Clean the exterior of all furnishings.
F. Pay particular attention to soiled or
“frequently touched surfaces such as bed
controls, bed rails, and TV control.
8. Clean the telephone
A. Clean the phone, cord and dial plate
using the disinfectant cleaner.
B. Thoroughly clean the hand piece and
push buttons.
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9. Clean and refill the soap dispenser
A. Inspect soap dispensers to ensure that
there is an adequate supply of soap.
B. If a soap dispenser is a disposable unit
and the soap level is low, replace the unit.
C. If a soap dispenser is a reusable unit
follows the instructions for opening,
cleaning, filling and replacing the
dispenser. Be sure to wash and dry the
inside of the dispenser before adding fresh
solution.
D. Clean the exterior of the dispenser with
a damp cloth and disinfectant cleaner.
E. Report any broken or malfunctioning
units to the Dispatcher who will then
contact maintenance or other appropriate
person for repairs.
10. Clean and refill the paper towel
dispenser
A. Open or unlock the dispenser. Be
careful not to let it fall open as it can
scratch the wall or hurt you.
B. As needed remove any paper towels and
clean the inside of the dispenser using a
damp cloth and disinfectant cleaner in
order to remove loose paper dust.
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C. Replace paper towels. For folded paper
towels, be sure to place them folded side
down and interweave the bottom of the
new sheets with the top of the existing
sheets. Add as necessary in order to fill the
unit. Do not overfill as this will make it
difficult to pull the towels out. Check to be
sure the towels release easily. Report
broken dispensers to Dispatcher.
D. Close and lock the dispenser making
sure it is secure and will not fall open and
hurt someone.
E. Clean the outside of the dispenser with a
damp cloth and disinfectant cleaner.
11. Clean and refill the toilet tissue
dispenser
A. Unlock the dispenser
B. Remove the tissue rollers
C. Clean the inside and outside of the
dispenser to remove paper dust using a
damp cloth and disinfectant cleaner.
D. Install the new roll of tissue. Be sure the
tissue unwinds over the top of the roll and
not from underneath since this allows it to
be pulled out more easily and avoids
unrolling and wasted product. Be sure to
start the tissue by pulling the first sheet
loose for the convenience of the patient.
E. Report any broken or malfunctioning
units to the Dispatcher.
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12. Clean the restroom walls and wall
features
A. Fold the cloth in a series of squares to
provide a number of potential cleaning
surfaces. A wadded cloth does not clean as
efficiently.
B. Dampen the cloth in disinfectant cleaner
and wring out all excess solution to avoid
drips. when using the disinfectant cleaner
wet the surface you are cleaning and allow
to air dry.
C. Begin cleaning at the door and work
around the room in one direction.
D. Clean the top of an object first and work
down to avoid contaminating surface just
cleaned.
E. Use a damp cloth on soil. Use an
abrasive hand pad on stubborn soil then re-
wipe the surface with the cleaning cloth.
F. Pay particular attention to soiled and
frequently touched surfaces such as towel
bars, grab rails, pull cords, light switches
and ledges.
13. Cleaning the toilet
A. Flush the commode.
B. Apply disinfectant bathroom cleaner to
the bowl mop.
C. Clean the inside of the toilet with the
bowl mop paying particular attention to the
underside of the flush rim where bacteria
can accumulate and cause unpleasant
odors.
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D. Let the disinfectant bathroom cleaner
remain on the toilet and continue to the
restroom sink
14.Cleaning the restroom sink
A. Apply disinfectant to the interior
surfaces of the sink. When using
disinfectant cleaner, wet the surface and
allow to air dry.
B. Clean the inside of the sink, the exterior
surface Of the sink, and all metal handles
and faucets using a clean micro fiber cloth
dampened with the disinfectant or
bathroom cleaner.
C. When the sink is visibly soiled use a
white hand pad with the multi surface
cream cleaner to remove stubborn soil.
Always follow the manufacturer’s
recommendations for stain removal,
especially on specialty surfaces.
D. Clean any surfaces around the sink such
as vanities or countertops with a damp
cloth and disinfectant cleaner.
E. Clean the plumbing underneath the sink
using a dampened cloth with disinfectant
cleaner.
F. Wipe all metal fixtures to avoid spotting.
G. Rinse the sink and dry with a clean
cloth.
H. Wipe up any spills.
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15. Cleaning the tub and shower
A. Apply disinfectant bathroom cleaner to a
cleaning cloth and clean the interior
surfaces of the tub and shower including the
curtain or door tracks, doors, walls, soap
dish, faucets and shower head.
B. Use a white hand pad if necessary to
remove soap scum especially from the walls
and floors of a tiled shower stall and from
doors. If the unit is fiberglass, be sure to
follow all manufacturers’ recommendations
regarding both general cleaning and stain
removal.
C. Rinse thoroughly using the shower spray
if possible.
D. Dry all surfaces carefully to prevent slips
and falls.
E. Clean all chrome handles and fittings and
dry with a clean dry cloth to prevent
spotting.
F. Wipe up any spills.
G. Inspect vinyl shower curtain for stains
and or damage. Replace stained or damaged
curtains with a new one. Bag the soiled
curtain according to hospital procedure.
Inspect fabric shower curtains for soil or
damage removing any such curtains
according to hospital procedure for
laundering or dry cleaning and hang a new
one
16. Cleaning the pull cord
A. Apply disinfectant bathroom cleaner to a
cleaning cloth. Starting at the top of the pull
cord, wrap the cleaning cloth around the
pull cord. Hold top of the pull cord while
gently wiping in a downward movement.
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Slight friction will remove debris, too
much friction can set off the call light.
17. Finish cleaning the toilet
A. Clean all exterior surfaces of the fixture
with a clean cloth and disinfectant
bathroom cleaner. Pay close attention to the
toilet seat and lid.
B. Clean all chrome flush handles, grab
rails, etc, then dry with a clean dry cloth to
prevent spotting.
C. Flush the toilet.
D. Dry the exterior, seat and lid of the
commode carefully.
E. Wipe up any spills on the toilet, floor, or
walls.
F. Clean the bedside commodes, take them
apart and clean all sides and underneath.
18. Clean the mirror.
A. Apply glass cleaner to the cloth.
B. Clean the entire mirror removing all
visible dirt. Polish and inspect for spots and
streaks.
19. Leave card and or forms
A. Welcome cards- This small card, signed
and dated by the person who has cleaned the
room is placed on the bedside table.
B. Concierge sign- This small sign informs
The patient of a number they can call for
immediate attention if they have a complaint
or a concern. It is placed by the telephone.
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20. Cleaning Baseboards
A. Using a clean cloth with disinfectant
cleaner beginning at the top, using friction,
wipe all baseboards. The top ledge, the
face, as well as the bottom.
B. Pay close attention to the corners and
heavily soiled areas.
21. Wet mop the floor
A. Place the “Wet Floor” caution sign
outside the room.
B. To enable the reduction of cross
contamination use a clean micro fiber mop
head from the mop bucket.
C. Push the mop around the baseboards
first paying particular attention to removing
soil from the corners. Avoid splashing the
walls and furniture. In open areas, use the
figure eight stroke, overlapping each
stroke.
D. Use only one mop head per room.
E. Repeat these steps until the entire floor
has been mopped.
F. Allow the floor to air dry
22. Clean the room entrance
A. Spot clean visible soil from the room
door with a clean cloth and disinfectant
cleaner. Pay extra attention to the door
knob, hand plate, and chart holders.
B. Look over the room carefully and
mentally check that you have performed all
the required steps and that the room meets
your standards.
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C. Leave the wet floor sign at the room
entrance while you clean the next room. By
the time you need the sign for the
next room, the floor in this room should
be dry.
23. Clean up after each room
A. Remove all cleaning supplies from the
room.
B. Wash your hands.
Safety
1. Follow all the safety precautions
explained in each procedure step.
2. Always read patient door signage.
3. Always use the cleaning chemicals
exactly as directed by the label following
all recommended safety precautions
4. Always practice standard precautions
when handling articles soiled with blood or
body fluids. Using PPE.
5. Always make sure the floor is dry before
removing “Wet Floor” signs.
6. Always wash your hands before and
after cleaning.
7. Be careful not to hurt yourself when
moving furniture or other heavy objects.
Always practice proper lifting techniques