Equipment Cleaning Guidelines Template All patient care equipment must be wiped down and disinfected between each patient. The recommendations for /disinfecting frequency listed below are the minimal standards for : Contact times for disinfectants: Please refer to product label for manufacturer s recommended time. It is important to always allow the solution to air dry. Reapplication may be necessary to meet the required contact time. URMC/Highland: Dispatch = 1 minute (inpatient setting) Virex = 5 minutes Caviwipes = 3 minutes (outpatient setting) All portable equipment and equipment that will travel from patient to patient is to be cleaned in the patient s room or in the hallway. If equipment cannot be cleaned and disinfected immediately it should be removed to the Soiled Utility area until it can be cleaned and disinfected. Each hospital will identify a method to identify clean vs. dirty equipment o bagged or tagged to identify clean and ready for use. o At Highland after equipment is sanitized, a tape is applied identifying a clean item. All equipment is cleaned with hospital approved disinfectant/wipe and the disinfectant is allowed to remain on the item for the manufacturer-recommended contact time. Blood and Body Fluid Spills Each unit or department must ensure that all spills are wiped up immediately (PPE must be worn to do so) and then cleaned with an EPA and hospital approved disinfectant. /Wipe A disinfectant that has been approved for use by the Infection Prevention Committee. Bleach wipes should be used for patient care equipment unless otherwise contraindicated in the inpatient setting Unit-specific items will be cleaned according to procedures and schedules maintained on the unit. Backboards (code cart) Sterile Processing or nursing Bathrooms BP Cuffs Discard when visibly contaminated or environmental services if wall mounted
Beds/Bedrails and upon discharge Bed Alarms Bladder scanner Between Patients Nursing Call light and cords and upon discharge Canes Between individual patient use Disposable Carts Emergency Isolation Medication Top Drawers After each use SPC or nursing SPC or nursing Pharmacy Monthly 3-Tier (Lakeside) metal cart Weekly and when visible contaminated Chart Racks Weekly and when visibly contaminated Commodes Between patients or sterile processing (Nursing to empty contents) Highland is only SPD After, will be labeled with a paper strip or plastic bag Continuous Passive Motion Machines( CPM) Between patients **covered with plastic bag after Chair Scale Bed Scale Computer on wheels and daily User between patients Workstations on wheels Stationary - Environmental Services Croup Tent Respiratory Care Frame and storage cubicle Respiratory Care Defibrillator After each use Doorknobs in patient room Doppler Between Patients Nursing unit Dynamap Between Patients Nursing unit EKG Machine Nursing unit Cables Electronic Thermometer 2
Fan Outer surfaces Environmental Weekly Facilities Flashlight ** Unit Technician Floors and when visibly contaminated Geri Chair Between each patient use and daily Environmental/Nursing U nit Glucose Machine Glucometer and if visibly soiled ** Unit Technician Patient Lifting Device Frame Sling SPD/ Laundry AID to Hospital Laundry Service Straps SPD/ laundry Hyperthermia Machine/Graymar cooling machine Hypothermia Machine Bairhuggers Ice Machine (disinfectant of spill tray) IV Poles and between patients **covered with plastic bag or use hospital specific method other after IV Trays Specialty trays Laptops (Patient use) Bedside printing or labeling Between use. Wipe key board and other touch areas Nursing unit/ tech Bleach wipe Document on log and return to nursing office Light Switches Linen Hamper Monthly and when visibly contaminated Mattresses Standard Special Care Vendor Medication Preparation Area After each use Medication dispensing ( PYXIS, TBD Nursing/ Pharmacy DocuMed) Monitors Patient Room After patient discharge Cables Corridors, Nurses Station Weekly O 2 Flowmeters / Nursing 3
O 2 Sat Machines Tabletop versions: Materials Mgmt Machine and finger probe cable Probe Alcohol Pad Pillows Between patients Portable ultrasound machines Between patients Nursing or dept specific Portable X-ray Machine Between patients Radiology Pumps Alaris and Channels Epidural Infusion Patrol Feeding Pumps (Kangaroo) PCA Refrigerators Dietary Medication and when soiled and when soiled and when soiled and when soiled and when soiled SPD/ ** covered with a plastic bag after Staff Weekly & as needed per hospital policy Monthly PRN Weekly & as needed Dietary Pharmacy Department Staff Scales Between patients Nursing SCD machines & tubing Shower Rooms Between Patients Nursing unit pick up used patient items then spray floor with disinfectant Sink Slide boards or lifting boards Soap Dispensers Step Stools Between patients Stethoscopes Patient specific Stretchers Housewide Unit based At discharge Disposable Caregiver, Environmental services or sterile processing Discard Patient transport Unit technician Alcohol wipe?? 4
Suction Gomco Wall mounted (leave meter in wall) **covered with plastic bag after SPC (wipe down meter) Measurement and removal of canister and liner ** Unit technician Table Bedside Overbed Telephone Thermometer ( tympanic, electronic) Thermostat Toilet Towel Dispenser Trapeze Physical Therapy Tub ** needs to be notified of need to clean Physical Therapy Staff Whirlpool (3800) Physical Therapy VAC Machines (KCI) Vendor Ventilators and as needed Respiratory Care Staff Walkers Physical Therapy Waste Containers Trash Cart (in Utility Room) When emptied In corridors Monthly and when visibly contaminated In patient rooms and when visibly contaminated Wheelchairs When visibly soiled.or between individual User patients Workstation on wheels (WOW) Computer on wheels and daily Workstations on wheels Cart wash User between patients Stationary - 5
Chief Patient Care Executive Building Services Administrator Infection Prevention Committee/Cdiff Prevention Team Date Date Date 6