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University of Connecticut Health Center Page 1 of 4 John Dempsey Hospital Infection Control Manual SECTION: PATIENT RELATED INFECTION CONTROL NUMBER: 2.5 CLEANING OF PATIENT ROOMS: INPATIENT AND TEMPORARY PURPOSE: To maintain a clean and safe environment regardless of a patient's diagnosis and to assure personnel safety. SCOPE: Inpatient hospital room: room which patient is assigned to and remains in during the hospitalization. Temporary Room: any room or area where a patient’s use of the room requires a limited stay and/or where there is a succession of patients using the same room/area. Examples include, but are not limited to, the Emergency Department, Ambulatory Clinics, and PACU. POLICY: 1. Patients and employees are entitled to a clean and safe environment. 2. Inpatient hospital rooms and temporary rooms shall be cleaned at least daily and in accordance with Facilities Management policies and procedures. 3. Temporary rooms require cleaning in between patient use only when visibly soiled or when contaminated with blood/body substances. a. Stretcher and exam table mattresses require cleaning between patients only when visibly soiled. b. Linen and exam paper, when changed between each use, provides a clean contact surface for each patient. PROCEDURE: 1. The cleaning of a patient's room should be performed daily by Housekeeping staff with emphasis on bathrooms, sinks, showers, bed, bed rails and patient touch areas such as bed, bed rails, door knobs, faucet handles, monitoring equipment, knobs/buttons/controls, cables and commode. Soap and paper towel dispensers should be refilled as needed. 2. Gross contamination with blood or other body fluids should be promptly contained and discarded by nursing personnel. This should be accomplished by using a blue pad with plastic backing face up for maximal absorbency and health-care worker protection. Housekeeping will clean residual and disinfect by applying a hospital-approved EPA registered disinfectant-detergent. Gloves should be worn during this procedure. 3. Rooms should be cleaned as soon as the patient has been discharged. All used disposable items should be discarded in accordance with the hospital's regulated medical waste policy by nursing personnel e.g., IV tubings, suction canisters and tubings. This must be done prior to cleaning conducted by housekeeping personnel. Disinfection should be directed toward those items which have had direct patient contact or had been in contact with the patient's blood or body fluids. 4. Disinfectant/detergent should be freshly prepared. 5. Housekeeping personnel should use the same precautions to protect themselves during routine cleaning that they would use if the patient were still in the room. Workers who perform the cleaning should wear the appropriate personal protective equipment when contact with body substances is anticipated. 6. All non-disposable items that are contaminated or are likely to be contaminated with infective material will be placed in a plastic bin and sent to Central Sterile Supply for decontamination University of Connecticut Health Center Page 2 of 4 John Dempsey Hospital Infection Control Manual and processing. 7. Stretcher and exam table mattresses should be cleaned with a hospital-approved EPA registered disinfectant-detergent if visibly soiled. Linen and/or exam paper should be changed between each patient. 8. All horizontal surfaces of furniture and mattress covers and all floors should be cleaned/washed with a hospital-approved EPA registered disinfectant-detergent. 9. For the room of patient who is on isolation precautions daily room cleaning must include and have high attention to: all high-touch areas such as: bed, bed rails, door knobs, faucet handles, monitoring equipment, knobs/buttons/controls, cables, commode. 10. When contact/droplet and or enteric isolation precautions are discontinued/or the patient is discharged, the precaution sign must remain posted and precautions followed until the room is terminally cleaned per Environmental services protocol. 11. If precautions are discontinued but patient will remain hospitalized the patient should be moved to a clean room and a clean bed. If this is not possible, the room and bed should be thoroughly cleaned at a time when the patient is not in the room (i.e. when patient is off the unit at a test or procedure). Contact Precautions sign should remain posted until room including high touch areas and the bed are thoroughly cleaned. 12. Routine washing of walls, blinds, and curtains is not indicated, however, these should be washed if they are visibly soiled. Cubicle curtains, blinds and window curtains should be changed if visibly soiled, or may be spot cleaned if appropriate. 13. Cubicle curtains will be taken down and cleaned on a routine basis. 14. The Hospital Epidemiologist should be consulted about the cleaning of a room of a patient who has suspected smallpox, Lassa fever, Ebola fever, or other hemorrhagic fevers, such as Marburg disease. REFERENCES: Siegel JD, Rhinehart E, Jackson M, Chiarello L, and the Healthcare Infection Control Practices Advisory Committee, 2007 Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings, June 2007 http://www.cdc.gov/ncidod/dhqp/pdf/isolation2007.pdf Transmission-Based Isolation, Infection Control Manual, John Dempsey Hospital Section: 02, Policy Number 2.18 APPROVAL: Infection Control Committee REVISION DATES: 8/08, 12/08, 2/09 REVIEWED DATES: University of Connecticut Health Center Page 3 of 4 John Dempsey Hospital Infection Control Manual ROOM CLEANING QUICK REFERENCE APPENDIX A 1. Nursing removes all gross contamination if applicable. 2. Nursing staff must discard all used disposable items such as: a. IV tubings b. Suction canisters and tubing 3. Linen is removed by nursing or housekeeping. 4. Housekeeping cleans the bed surface including under the mattress with disinfectant. 5. Housekeeping makes the bed with proper linen. 6. Housekeeping cleans the bathroom with disinfectant. 7. Housekeeping cleans the floors with disinfectant. 8. Housekeeping will replace the privacy curtains if they are visibly soiled. * The Housekeeping Department must follow the 7 steps of Housekeeping. Developed: August 29, 2008 Revised December 2, 2008 University of Connecticut Health Center Page 4 of 4 John Dempsey Hospital Infection Control Manual EQUIPMENT CLEANING QUICK REFERENCE APPENDIX B Nursing Mobile Equipment including but not limited to: Blood pressure cuffs Pulse oximeters Disposal of contaminated canisters and/or buckets Commode buckets that contain any patient body fluids Housekeeping High Touch Areas in Patient Rooms including but not limited to: Light switches Bed Bed rails Bedside table Overbed table IV poles IV pumps (without tubing and IV bags and not in use) Television controls Call lights Shower chairs Commode chairs (not buckets containing any patient body fluids) Developed: December 2008 Revised: February 2009
"Infection Control Manual"