Download pdf - ENVIRONMENTAL SERVICES · 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

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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.

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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 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

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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 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

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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.

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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.

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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.

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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

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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.

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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.

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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.

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 interior and exterior of all

furnishings. Be sure to open up and clean

all drawers. On furnishings with cushions

be sure to pull up any and all cushions and

wipe under and around where the cushions

sit.

F. Pay particular attention to soiled or

“frequently touched surfaces such as bed

controls, bed rails, and TV control as well

as any hospital provided information that

could be in the room.

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12. Clean the telephone

A. Clean the phone, cord and dial plate

using the disinfectant cleaner.

B. Thoroughly clean the hand piece and

push buttons.

13. 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

follow 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.

14. 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.

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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.

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.

15. 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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16. 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.

17. 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

18.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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19. 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.

H. Hang new curtain.

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20. 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. Slight friction will remove

debris, too much friction can set off the call

light.

21. 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.

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22. 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.

23. Make the bed

.

C. Put the fitted sheet on the bed, tucking

all corners securely under the mattress. Be

sure it is absolutely smooth.

D. Place the top sheet on the bed with the

wide hem even with the top of the

mattress-seam side should be up so that the

finished side will touch the patient. Be sure

the sheet is centered and that the drop of

both sides of the bed is the same. Do not

tuck in the foot at this time.

E. Place the spread on the bed even with

the top of the mattress-the seam side should

be down so that the finished side shows. Be

sure the spread is centered and the the drop

on both sides of the bed is the same. Tuck

both the spread and the sheet smoothly

under the mattress fat the foot of the bed.

F. Miter both corners at the foot of the bed,

but allow the sides of the spread to hang

loose.

G. Turn the pillow case wrong side-out.

Reach into the case and grab the center

bottom seam. Using the same hand, grab

the center end of the tagged end of the

pillow. The case should now be correctly

placed on the pillow. Smooth the case over

the pillow making sure there are no bulges

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H. Place the pillow on the bed with the

seam of the case toward the head of the bed

and the open end of the pillow away from

the door of the room. Place a second clean

pillow in the closet on the top shelf.

I. Inspect the bed for neatness and smooth

all wrinkles out of the spread.

23. 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.

24. 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.

25. 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

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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

26. 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.

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.

27. Clean up after each room

A. Remove all cleaning supplies form the

room.

B. Wash your hands.

C. Notify the appropriate person that the

room is clean and ready for the next

admission.

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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

and ask for assistance when needed.

8. Always report all maintenance concerns

to appropriate person for repairs.