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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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PATIENT ROOM OCCUPIED

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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PATIENT ROOM OCCUPIED

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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PATIENT ROOM OCCUPIED

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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PATIENT ROOM OCCUPIED

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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PATIENT ROOM OCCUPIED

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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PATIENT ROOM OCCUPIED

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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PATIENT ROOM OCCUPIED

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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PATIENT ROOM OCCUPIED

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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PATIENT ROOM OCCUPIED

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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PATIENT ROOM OCCUPIED

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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PATIENT ROOM OCCUPIED

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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PATIENT ROOM OCCUPIED

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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PATIENT ROOM OCCUPIED

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