Standard Operating Procedure (SOP) Maintaining a Clean Environment on the Health Bus DOCUMENT CONTROL: Version: 1 Ratified by: Clinical Effectiveness Committee Date ratified: 6 August 2013 Name of originator/author: Bus Services Co-ordinator Name of responsible Clinical Effectiveness Committee committee/individual: Date issued: 9 August 2013 Review date: June 2016 Target Audience Children, Young People and Families and Partner Agencies
1. Aim To ensure the Health Bus complies with the requirements of the Health and Social Care Act (2008) Code of Practice for health and adult social care on the prevention and control of infections and related guidance. To direct all persons delivering services on the Health Bus in the implementation of safe working practices, to protect themselves and others from the potential risks involved in handling blood, body fluid, the patient/service user, materials or equipment contaminated with microorganisms. 2. Scope This SOP covers infection prevention and control management issues for Trust staff within Doncaster Community Integrated Services (DCIS) Children, Young People and Families and others, this includes:- Employees Volunteers Agency Staff Staff from partner agencies All partner agencies must comply with RDaSH Policies. 3. Link to overarching policy and/or procedure This SOP links with the Decontamination Policy. Page 2 of 10
4. Procedure Practitioners complete cleaning procedures following guidance provided. When required practitioners complete cleaning activities specific to the activities they delivered or equipment used. Incomplete checklists retained by driver and forwarded to Health Bus Co-ordinator. Description of issue recorded on debrief sheet. Checklists signed to record cleaning procedures completed. Checklists retained by driver. If unable to complete cleaning procedures driver reports to designated contact phone number. Phone will be answered Monday Friday 9-5 Checklists received, reviewed and retained by Health Bus Services Coordinator. If out of hours and required, contact line manager / Duty Manager via TRH switchboard or Designated Service Manager. Checklists retained for inspection if required. NB Information Governance should be adhered to at all times Page 3 of 10
4.1 Operational responsibilities The chart below details the frequency items / areas must be cleaned and the cleaning products to be used. All cleaning products required will be stored in the locked cabinet beneath the sinks on the bus. Cleaning schedules will be displayed to inform patients/service users of cleaning provisions. All practitioners have responsibility to record when cleaning has been completed. Cleaning checklists will be removed from the bus and retained for inspection. Item Frequency Method Staff responsible Comments General Area Daily(D), After Use (AU), Weekly (W), or When Visibly Dirty (VD) Floors D/VD Disposable mop head, neutral detergent and hot water Health (HB) staff Bus Dispose of mop head into appropriate waste stream/ clean domestic equipment. 1 mop bucket stored in toilet area when in transit. At all other times in driver s cab. Contents emptied down suitable drain. Clean with detergent, dried with paper towels. Walls W/VD Detergent/water/disposable cloth. If patient has or is Spot wipe where necessary Page 4 of 10
Ceilings Twice a year/vd Detergent/water/disposable cloth. If patient has or is Spot wipe where necessary Cupboards inside Monthly/VD Detergent/water/disposable Work tops (kitchen) D/AU/VD Detergent wipes. If patient has or is suspected of having infection, use a wipe (eg Surfaces D/VD Detergent/water/disposable Windows W/VD Window cleaning product. If patient has or is suspected of having infection, use a wipe (eg Doors W/VD Detergent/water/disposable Door handles daily Water heater W/VD Detergent/water/disposable Page 5 of 10
Leaflet holders W/VD Notice board W/VD TV W/VD Dusting / dry wiping Seats D/VD. Table D/AU/VD. Sinks D/AU/VD Easel W/AU/VD. Sand/water tray W/VD Page 6 of 10
Sand will have to be sieved clean etc. Toys AU/VD/M. Coffee machine D/VD. Clinical Area Table D/AU/VD Detergent wipes. If patient has or is suspected of having infection, use a wipe (eg. / clinical staff Chair D/AU/VD Detergent wipes. If patient has or is suspected of having infection, use a wipe (eg / clinical staff Fixed seating D/AU/VD Detergent wipes / clinical staff Curtains Twice a year VD Laundry Curtains will need to be sent to the laundry at TRH Curtain rail W/VD. Page 7 of 10
Toilet Area Floors D/VD Disposable mop head, if patient has or is suspected of having infection, use a wipe (eg. Walls W/VD Spot wipe where necessary Bin general waste D/VD If patient has or is Bin offensive waste stream D/AU/VD If patient has or is / clinical staff Baby changing unit D/AU/VD Detergent wipes Sink D/VD Cupboard M/VD Toilet D/VD infection, use a multi- Page 8 of 10
surface Hand rails D/VD Soap dispenser D/VD. Paper towel dispenser D/VD Toilet holder roll D/VD. Vomit / blood / urine spillage When required Use spill kit provided. Follow Management of Blood and Body Fluid Spillages Policy Drivers cab Area Surfaces W/VD Floor D/VD Sweeping brush. If patient has or is suspected of having infection, use a Page 9 of 10
wipe (eg Steering wheel D/VD Detergent wipes. If patient has or is suspected of having infection, use a wipe (eg 4.2 Audit Checklists will be reviewed on a weekly basis. If issues arise these will be feedback to the agencies involved and steps will be agreed by both parties to resolve the difficulties. Further monitoring may continue. 5. Links to Associated Documents Standard Infection Prevention and Control Precautions Policy Trust Cleaning Policy (In Patients Units) For Environment, Patient Equipment and Medical Devices Infectious Diseases in Day Care Nurseries Hand Hygiene Policy Policy for Protective Equipment (PPE) Waste Policy Policy for the Control of Substances Hazardous To health (COSHH) National Patient Safety Agency Colour Coding Scheme Health and safety Policy Statement Management of Blood and Body Fluid Spillages Laundry Policy Page 10 of 10