ENVIRONMENTAL SERVICES PATIENT ROOM DISCHARGE CLEANING PROCEDURE PROVIDING A CLEAN AND SAFE ENVIRONMENT FOR PATIENTS, VISITORS AND STAFF. OUR CAUSE IS HEALTH, OUR PASSION IS SERVICE WE ARE HERE TO MAKE LIVES BETTER. 1 PATIENT ROOM DISCHARGE 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 cleaner 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 2 PATIENT ROOM DISCHARGE 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 REQUENTLY 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 3 PATIENT ROOM DISCHARGE PROCEDURE 1. Enter the room carefully. A. Call into Dispatch and give room number. B. 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. C. 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. D. ALWAYS knock and announce yourself “Hello Housekeeping” to make sure that the room is unoccupied. E. 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 visual inspection of the room A. Reset the thermostat to the appropriate temperature so the room can adjust prior to the arrival of the next patient. B. Survey the area and pick up any loose trash. 4 PATIENT ROOM DISCHARGE C. Survey the area for leftover tape. Remove tape with adhesive remover if necessary. D. 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. Soiled 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. 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. 5 PATIENT ROOM DISCHARGE 4. Remove Soiled And Used Linen A. Check for heavy objects in container 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. High Dust Wall Articles A. High dust the tops of items along the patient room and restroom walls (picture frames, clocks, etc.) that are at or above your shoulder height. B. Use a long handled high dusting tool and make long slow strokes. 6. Disinfect Computer Workstations A Computer work stations are frequently touched points and are to be cleaned both daily and upon discharge. B. Hand hygiene should be performed between room cleaning and the cleaning of the computer as well as putting on clean gloves. 6 PATIENT ROOM DISCHARGE 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 microfiber cloth. 7. Change Or Inspect Privacy Curtains And Window Treatments. A. Inspect the privacy curtains for spots or stains. B. If soiled set up the stepladder if needed, be sure to place it squarely on a level surface and locking it open before climbing on to it. C. Remove and bag the curtains for laundering or dry cleaning. Be aware of the presence of blood and body fluids and use proper precautions such as gloves. Hold the soiled curtain away form your body to prevent contamination of your clothing. Place the bag in appropriate area for pickup D. Damp wipe the tracks. E. Hang the clean curtain and ensure that it is working properly. 8. Dust mop the floor A. Place the micro fiber on the floor dusting cloth holder. B. Inspect the floor for debris and wet spots. Dry all wet spots. You cannot dust mop a wet floor 7 PATIENT ROOM DISCHARGE C. Remove any gum or other sticky residue form the floor by gently prying it loose with the putty knife (be careful not to scratch the floor finish). D. Use the swivel motion of the frame and wrist action to change direction. Don’t lift the cloth off the floor once you have started. E. Move furniture to one side of the floor, dust and then repeat. F. After dust mopping the entire area, gently sweep the pile of litter and dirt into the dustpan using the small broom. Dispose of the soil into an appropriate trash container. Never leave a pile of debris in a corner for later pick-up. 9. Clean the patient bed A. Clean the mattress with a clean cloth and disinfectant cleaner. Clean the top and sides of the mattress then fold the mattress in half and clean the exposed bottom of the mattress. B. Clean the exposed bed springs and frame. C. Fold the mattress to the other side of the bed and clean the exposed bottom of the mattress, bedsprings and frame. D. Unfold the mattress and re-wipe the top and sides of the mattress. Check for any soiled spots that you may have missed. E. Clean the headboard, footboard, side rails, and bed controls with disinfectant cleaner. Pay particular attention to the areas that are visibly soiled and surfaces frequently touched by the staff and patients. 8 PATIENT ROOM DISCHARGE 10. Damp dust the doors and wall features. A. Damp clean the door and wall features in the patient room. Pay extra attention to the door knob, hand plate, door frame and chart holder. Use stainless steel cleaner on the face of the doors. Remember that “elbow grease” applying friction and removing the spores is the #1 defense in disease control. B. Begin cleaning at the entrance door and work around the room. Damp clean the top of an object first and work down to avoid soiling surfaces you have just cleaned. C. 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. D. Remove micro fiber cloth from disinfectant 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. E. Clean items such as thermostats, light switches and ledges F. Spot clean visible soil from doors, walls windows and blinds. Pay particular attention to heavily soiled and frequently touched points. G. Use a scotch brite pad to clean stubborn spots then re-wipe the area the micro fiber cloth. H. Never shake the cloth. When it becomes soiled simply refold it so a clean surface is available or replace it with a clean one. 9 PATIENT ROOM DISCHARGE H. Never shake the cloth. When it becomes soiled simply refold it so a clean surface is available or replace it with a clean one. 11. 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.