Appendix 1 Appendix 2 Appendix 3 Appendix 4 Appendix 5 Photographs of Cleaning Equipment...199 Colour Code for Hygiene...206 Patient Equipment Cleaning Responsibility Form...207 Cleaning Checklist for Isolation Rooms...208 Glossary...212 References...213 Appendix 6 Cleaning Manual Group (2002/3)...214 197
APPENDIX 1 Photographs of Cleaning Equipment The following photographs are designed to help identify some of the many types of cleaning equipment used. Abrasive Pad/Scouring Pad Apron Automatic Scrubber Dryer Bowl Bottle Brush Local protocol should be followed for cleaning/replacement 199
Bucket Carpet Shampoo Machine Cleaning Trolley Cloth Crevis Tool Curtain Hook 200
Dust Control System (Applicator Tool and Disposable Static Cloth) Dust covers Dustpan and Brush Edge Cleaning Tool Fan Local protocol should be followed for cleaning and maintenance. Floor Maintenance Machine Floor Pad for Floor Cleaning Machine Gauntlet Gloves/Safety Gloves 201
Household Gloves High Dusting Mop Knee Pad Ladder Laundry Bag Mask Mask must have a fluid repellent layer for staff protection. 202
Masking Tape Mop Handle Mop Head Paper Towel Platform Steps Safety Glasses 203
Safety Goggles Scraper Spray Bottle Squeegee Blade Standard Speed Rotary Machine Steam Cleaner Suction Vacuum Cleaner 204
Vacuum Cleaner (Upright) Toilet Paper Toilet Brush Warning Signs Waste Bags Wringer 205
APPENDIX 2 Colour Code for Hygiene Based on the National Colour-Coding System for the British Institute of Cleaning Science RED (DISPOSABLE) BLUE GREEN SANITARY APPLIANCES & WASHROOM FLOOR GENERAL AREAS (inc. wards, depts, office & Communication areas) KITCHENS (dept & ward) WHITE (DISPOSABLE) YELLOW WHITE (DISPOSABLE) ISOLATION ROOMS WASHBASINS & WASHROOM SURFACES OPERATING THEATRES & ANTE ROOMS THE GOLDEN RULE: WORK FROM THE CLEANEST AREA TOWARD THE DIRTIEST AREA. THIS GREATLY REDUCES THE RISK OF CROSS CONTAMINATION. 1. The aim of a colour coding system is to prevent cross contamination. 2. It is vital that such a system forms part of any employee induction or continuous training programme. 3. A minority of people are colour blind in one or more colours. Some individuals may not know this and colour identification testing should form part of any induction training. 4. Always use two colours within the washroom/sanitary area. 5. The colour-coding system must relate to all cleaning equipment, cloths and gloves Monitoring of the system and control of colour-coded disposable items against new stock release is extremely important. 206
APPENDIX 3 Patient Equipment Cleaning Responsibility Form Item of Responsibility Cleaning process Frequency Comments Equipment (Domestic, (Agent/ Method) Maintenance or Nursing) 207
CLEANING CHECKLIST FOR ISOLATION ROOMS DISPOSABLE APRON DISPOSABLE GLOVES MASK LINEN WASTE EQUIPMENT SUPPLIES GENERAL SURFACE CLEANER AND/OR GENERAL PURPOSE DETERGENT YES/NO YES/NO YES/NO INFECTED/NON-INFECTED CLINICAL WASTE BAG COLOUR-CODED MOP AND BUCKET ALLOCATED TO A SINGLE PATIENT (note this equipment should be stored in the patient s room for the period of isolation) PAPER TOWELS, LIQUID SOAP, ALCOHOL HANDRUB etc. SPECIFY TYPE Universal/Standard infection control precautions apply; isolation precautions are in addition to these. Hand hygiene is the single most effective method of preventing cross infection - always wash your hands or use an alcohol gel prior to entering and on leaving the room/area. 208
WHO REGULAR CLEANING TASKS SIGNATURE FOR ISOLATION ROOMS Put on personal protective clothing. Clean all furniture and fittings with General Purpose Detergent (refer to manufacturers instructions). Disinfect using a chloride-releasing agent, rinse and dry where appropriate. Clean curtain tracks and all high level ledges with General Purpose Detergent (refer to manufacturers instructions). Disinfect using a chloride-releasing agent, rinse and dry. Damp dust door handles and structural surfaces first, then furnishings. Clean equipment as set out in Section 6 with General Purpose Detergent (refer to manufacturers instructions). Disinfect using a chloride-releasing agent, rinse and dry where appropriate. Clean all bathrooms/shower room fixtures and fittings with General Purpose Detergent (refer to manufacturers instructions). Disinfect using a chloride-releasing agent, rinse and dry where appropriate. Mop the floor with General Purpose Detergent (refer to manufacturers instructions). Disinfect spillages using a chloride-releasing agent, rinse and dry. 209
WHO REGULAR CLEANING TASKS SIGNATURE FOR ISOLATION ROOMS Place all waste into a clinical waste bag. Empty waste bin and reline with new clinical waste bag. Mark waste according to local policy and place for disposal after leaving isolation room. Thoroughly clean all cleaning equipment and allow to dry. Replenish supplies as necessary. Remove apron and gloves and discard into a clinical waste bag. Wash hands or use a clinical gel. When the room is no longer being used for isolation the following tasks should be undertaken in addition to the daily cleaning tasks. 210
WHO TERMINAL CLEANING SIGNATURE Remove and dispose of all unwanted/unused disposable equipment. Clean all furniture and fittings with General Purpose Detergent (refer to manufacturers instructions). Disinfect using a chloride-releasing agent, rinse and dry where necessary (see Section 2 Spillages). Take down curtains and send for laundering according to local policy for infected linen and in accordance with advice of the Infection Control Team. Strip bed and remove linen according to local policy for infected linen. Wash mattress and flat base of the bed with General Purpose Detergent (refer to manufacturers instructions). Where necessary, disinfect using a chlorine- releasing agent, rinse and dry. Suction clean the floor. Hang clean curtains. Notes Wall washing is not routinely necessary. The room can be used immediately after the cleaning has been completed 211
APPENDIX 4 Glossary BICSc CHIP CHPAG COSHH HAI ICT PASA PAT PCT PEAT PPE PPC RIDDOR The British Institute of Cleaning Science Chemicals (Hazard Information and Packaging for Supply) Regulations 2002 Clean Hospitals Programme Advisory Group Control of Substances Hazardous to Health Healthcare Acquired Infections Infection Control Team Purchasing and Supply Agency Portable Appliance Testing Primary Care Trust Patient Environment Action Team Personal Protective Equipment Personal Protection Clothing Report on Injuries, Disease or Dangerous Occurrences Regulations, 1985 212
APPENDIX 5 References Control of SUbstances Hazardous to Health Regulations 2002 Electricity at Work Regulations 1989 Health and Safety at Work etc Act 1974 Management of Health and Safety at Work Regulations 1992 213
APPENDIX 6 Cleaning Manual Group (2002/3) Ean Coates, Former ADM Chair Person Liz Collins, Clinical Nurse Specialist Infection Control, BUPA Hospital Leicester Paul Cryer, Head of Hospitality Services, NHS Estates Karen Egan, Clinical Nurse Specialist Infection Control, Mid Cheshire Hospitals NHS Trust Marion Gildert, Domestic Services Manager, Lancashire Teaching Hospitals NHS Trust John Graham, Deputy Hotel Services Manager, East Kent Hospitals NHS Trust John Harmer, Facilities Support Manager, Thurrock Mental Health Trust Patty Hempshall, Infection Control Nurse Specialist, Sheffield Teaching Hospital Judith Hudson, Domestic Services Manager, South Tyneside Healthcare NHS Trust Beryl Jordan, Hotel Services Manager, Peterborough Hospitals NHS Trust Gordon Kochane, Project Co-ordinator, NHS Estates June Levick, Hospitality Advisor, NHS Estates Andrew Matthews, Support Services Manager, Royal Cornwall Hospitals NHS Trust 214
Alison McCree, Hotel Services Manager, Darlington Hospital, County Durham and Darlington Acute Hospitals Trust Susan McHugh, CINTO/BICSc Council Member and ADM Member/QFT Denise Potter, Senior Nurse Infection Control, Barnsley District General Hospital Jean Rain, Domestic Services Manager, The Pennine Acute Hospitals NHS Trust Ian Robinson, Hospitality Advisor, NHS Estates Paul Schofield, Project Support Manager, NHS Estates Michelle Slater, Domestic Services Manager, ISS Fairfield Hospital, Bury Linda Smith, Domestic Services Manager, Sheffield Teaching Hospitals NHS Trust Mike Sweeney, Chief Executive, British Institute of Cleaning Science Liz Walters, Strategic Advisor (Facilities), NHS Estates 215
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