Housekeeping- Need to Maintain in Our Workplace

7/25/2019 Housekeeping- Need to Maintain in Our Workplace

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H O U S E K E E P I N G

Housekeeping

Although microorganisms are normal contaminants of walls, oors, and othersurfaces, these environmental surfaces rarely are associated with transmission

of infections to patients or personnel. Therefore, extraordinary attempts todisinfect or sterilize these environmental surfaces are rarely indicated.However, routine cleaning and removal of soil are recommended. The actualphysical removal of microorganisms by scrubbing is very important.

Note. Areas that are not covered under contractor services must adhere to thesame cleaning standards as specied in this section.

Staf

Handwashing. Hands are washed before and after patient contactand after cleaning each area.

!mployee Health. !mployees having signs or symptoms of activeinfections "i.e., s#in lesions, diarrhea, respiratory tract infections$,must report to their supervisor, who will determine appropriateaction. !mployees with active infections should not have directcontact with patients.

%ta& will routinely practice '(niversal)%tandard *recautions+ onall patients.

loves will be worn by house#eeping employees for touching bloodand body uids or for handling items or surfaces contaminated withblood and body uids.

-arrier *recautions. All patients admitted to or treated at

NA/!01!N and its constituent clinics shall be assumed to carrypotential pathogens, which are transmitted by blood and body uids.Therefore, all patients are on '(niversal)%tandard *recautions+regardless of the patients2 diagnosis. House#eeping personnel willwear gloves routinely for touching blood, body uids, or handlingitems, or cleaning surfaces soiled with blood and body uids.

Guidelines

Hospital grade disinfectant detergent registered by the !*A andapproved by the 3nfection 1ontrol 1ommittee will be used forenvironmental surface cleaning.

1leaning schedules and methods vary according to the area of thehospital, type of surface to be cleaned, and the amount and type ofsoil present.

Horizontal surfaces "i.e., bedside tables, ooring$ in patient care

areas are cleaned on a daily basis, when soiling or spills occur, andwhen a patient is discharged.

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1leaning of walls, blinds, and curtains is done on a routine basisand if they are visibly soiled. -edside, privacy curtains will bechanged after discharge of patients who have been in any type ofisolation precautions. Nursing will notify House#eeping of thisnecessity when patient is discharged from the room. 3t will be the

responsibility of Nursing to ta#e down the soiled)torn)or contaminatedcurtain "in the case of isolation d)c$ while noting the curtain sizelocated on the vertical strip at the edge of the curtain. The curtain isplaced in a blue plastic %oiled 4inen bag by itself and then ta#en tothe large dirty linen cart located in the 0irty)%oiled (tility room.Nursing should call H5 for a replacement curtain, giving them the taginformation obtained from the soiled curtain. H5 sta& will see that areplacement curtain is brought to the ward)clinic for Nursing sta& tohang. -edside)privacy curtains will be routinely changed out per theHouse#eeping rotation schedule which will be no less than annually.

1leaning will be done from least contaminated to most

contaminated areas. 1lean from top to bottom. All loose dirt)debriswill be removed before washing or mopping.

3n the event of inadvertent exposure to patients with acommunicable disease or an occupational in6ury "needlestic#)sharps$,the employee will report the incident immediately to their supervisorand will be referred to 7ccupational Health for evaluation.

Specic ProceduresThe contract personnel must follow NA/!01!N*T%A3N%T 8989.:H and theeneral 3solation *recautions. -oth are available in the 3nfection 1ontrol/anual.

own Techni;ue. To protect the contractor personnel againstpossible clothing contamination.

/as# Techni;ue. To prevent the transfer of pathogenic organismsinto the respiratory tract.

love Techni;ue. To protect the s#in from possible pathogens.

Handwashing Techni;ue. To prevent the transfer ofmicroorganisms via the hands.

Occupied Room Cleaninget mop and handle

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/op buc#et with wringer

-owl mop and caddy

Hand buc#et

/aterials

!*A hospital approved disinfectant

*aper towels

Toilet tissue

*lastic trash can liners

0isinfectant bowl cleaner

%pray bottle of glass cleaner

Hospital approved hand soap

%pray bottle of All *urpose 1leaner*reparation and set?up

!;uipment and materials

1hec# the cart to ma#e sure all e;uipment and materials arepresent before going into patient2s room.

@ill mop buc#et with cold water and add approved germicide.

Transport cart to the door of the unit to be cleaned. /a#e surethat the cart is close to the wall so that it does not bloc# thecorridor or doorway.

%tandard method of cleaning

1hec# for isolation sign on door of room to be cleaned, if none,#noc# gently on the door, greet the patient pleasantly, tell him)heryour name and the reason you are there.

1arry e;uipment and supplies into the room to be cleaned.

*roceed as follows ipe the outside of the wastebas#et with a cloth dampened with a germicidal solution and re?line.

0ust mop the oors.

>ipe down the entire outside surfaces of the overbed table and

bedside stand. 3f patient is not in the room, do not clean table ifpersonal items are present. 0amp wipe the furniture in the room.

1lean patient bathroom using standard procedure.


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1lean?up procedure

3nspect cubicle curtains and draperies for stains and soil mar#s.

1hec# and remove all cleaning materials and e;uipment tocleaning cart.

4eave the room and continue on with the next room.

1hanging the mop and hand buc#et water is of extremeimportance. (nder normal circumstances, this should beaccomplished not less than after every third room or when waterappears dirty.

Anytime a mop must be used for the removal of body uids "i.e.,blood, urine, feces, vomitus$, both the mop head and germicidalsolution will be changed before cleaning another area.

@ollow?up The supervisor will ma#e random inspection of the areas cleanedand will periodically chec# to ensure procedures are being followed properly.

Discharge Room Cleaning

et mop and handle


-owl mop and caddy

Hand buc#et

/aterials


*aper towels

Toilet tissue



%pray bottle of glass cleaner


%pray bottle of All *urpose 1leaner*reparation and set?up


1hec# the cart to ma#e sure all e;uipment and materials arepresent.

Transport cart to the door of the unit to be cleaned. /a#e surethat the cart is close to the wall so that it does not bloc# thecorridor or doorway.

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%tandard method of cleaning

ash theshowerhead and the water control handle. 0amp wipe the inside and

outside of the shower curtain. 1lean inside and outside of the bathtuband all hand xtures and wipe dry. 1leaning cloth should be rinsedfre;uently.

1hange disinfectant solution in the hand buc#et and wash theentire bed including frame, mattress, and pillow.

0amp wipe all surfaces of furniture paying special attention to theinside of drawer slides, hinges, and handles of the bedside stand andover bed tables.

0amp wipe over bed lights, windowsills, closet shelves and anyother horizontal surfaces. %pecial attention should be ta#en whencleaning the room sin#s, counter tops and cabinets, including all

handles and hinges. 1loth should be rinsed fre;uently. %pot wash walls of room, bathroom, closet, and blinds where

obvious spills or spots are present.

0amp mop oors with the disinfectant solution in accordance withprocedure.


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/op buc#et and wringer

Hand buc#et

-owl mop and caddy

3solation cart e;uipment "mas#, gown, and disposable gloves$

/aterials



Toilet tissue

*aper towels


%pray bottle of glass cleaner*reparation and set?up


Assemble all e;uipment and materials for sole use of isolationroom cleaning at the House#eeping 0epartment closet nearest theunit to be cleaned. -efore entering the room, the house#eeper willread the sign posted outside the door and follow all precautions tothe fullest extent. 3f a sign is not posted, the house#eeper willnotify the charge nurse.

7nce all e;uipment and materials are assembled, transport themto the door outside the unit to be cleaned. *osition so as not tobloc# the corridor.


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0amp wipe sin#, shower)tub, and toilet as stated in isolationdischarge and restoc# supplies.

0amp mop the oor using damp mopping procedure.

>hile wearing gloves, remove the wet mop head, and dust coverand double bag it, place it on the house#eeping cart.

0ump water from buc#ets.1lean?up procedures

>ipe all e;uipment ta#en into the room and place onhouse#eeping cart.

*ut used cleaning cloth in plastic bag with mop head and place onhouse#eeping cart.


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Assemble all e;uipment and materials for sole?use isolation roomcleaning at the House#eeping 0epartment closet nearest to theunit to be cleaned.

7nce all e;uipment and materials are assembled, transport themto the door outside the unit to be cleaned. *osition so as not to

bloc# the corridor. 0epending on type of isolation, remove gown, mas#, and gloves

from isolation cart outside patient2s door furnished by hospital sta&and place on body using written procedures. 7nce inside theroom, do not leave the unit with the isolation attire on.

%tandard method of performance

The contractor employee will enter the room carrying alle;uipment and materials. The employee will proceed to bag all linenand trash. -edside)privacy curtains will be ta#en down and removedfrom the room for laundering by Nursing %ervice personnel.

(sing dust mop and cover, mop patient2s room, closet, andbathroom oors using written procedures.

0amp wipe bathroom vent, doors, door#nobs, door frames, andaround light switches and heating units. >ith disinfectant bowlcleaner and bowl mop, clean toilet bowl. 0amp wipe exterior withcloth including pipes and ush handle. 0amp wipe soap dispenserand medicine cabinet and clean mirror with glass cleaner and papertowels.

(sing a clean cloth dampened with disinfectant detergent solution,start at the top of the shower stall walls and wash down the walls tothe oor of the shower stall. >ash the shower head and the water

control handle. 0amp wipe shower oor paying attention to thecorners. 0amp wipe inside and outside of shower curtain. (singdisinfectant solution, clean inside and out of the bathtub and all handxtures and wipe dry. 1leaning cloth should be rinsed fre;uently.

0amp wipe bathroom trash can inside and out

0ump water in hand buc#et and ush and mix new solution.

>ash the entire bed including mattress and pillow using written

procedures.

0amp wipe all surfaces of furniture paying special attention to theinside of drawers, inside of bed side stand where the drawers slide,hinges and handles of the bed lights, windowsills, closet shelves, and

any other horizontal surfaces. %pecial attention should be ta#en whencleaning the room sin#s, counter tops and cabinets including allhandles and hinges. 1loth should be rinsed fre;uently.

%pot wash walls of room, bathroom, closet, and blinds whereobvious spills or spots are present.


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0amp mop the oors using written procedures.1lean?up procedures

0ump hand and mop buc#et solution in the toilet and ush.


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Hospital approved hand soap*reparation and setup


1hec# cart to ma#e sure all e;uipment and chemicals are present.

Transport cart into the area to be cleaned. /a#e sure cart is close

to wall and does not bloc# the corridor or room.The following procedures deal with normal daily care of nursery areas,including Intensive Care Nursery, Newborn, and premature areas. Thisprocedure also explains the proper care of the bassinets and terminal cleaningof the nursery.%tandard method of cleaning

ash sin#s, counter tops, telephone, window ledges, shelves,

oxygen outlets, paper towel, and soap dispenser with the clothdampened with disinfectant.

0ust mop the oor.

0amp mop the oor with disinfectant solution.

/a#e sure furniture is arranged properly.%pecial instructions

1leaning of bassinet and isolettes

>ash bassinets and entire isolettes with disinfectant solution anddry with a clean cloth.

>ash shelves, casters, legs of e;uipment, interior and exterior ofbassinet and isolettes.

>ash mattress with disinfectant solution and dry with a cleancloth.

ipe all e;uipment ta#en into the room and place onhouse#eeping cart.

Transport all e;uipment and material to House#eeping.

4eave the room and continue on with the next room.@ollow?up The %upervisor will ma#e random inspections of the areas cleanedand will periodically chec# to ensure procedures are being followed properly.

Intensive Care/Coronary Care nit.


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0ust mop and cover

0ust pan and brush

>et mop and handle


-owl mop and caddy

Hand buc#et

/aterials


*aper towels



Hospital approved hand soap*reparation and setup

1hec# chart to ma#e sure that all e;uipment and chemicals arepresent.

Transport cart into area to be cleaned. /a#e sure that cart isclose to wall and does not bloc# the corridor or door.

@ill mop and hand buc#et with cold water and add disinfectant.%tandard method of performance

!mpty wastebas#ets, damp wipe inside and outside of can withdisinfectant solution and re?line with plastic liners.

0ust mop oors.

>ash sin#, soap, and paper towel dispenser with cloth dampenedwith disinfectant solution.

%pot wash the wall if needed. >alls must be cleaned if they are

visibly soiled. 0amp dust all horizontal surfaces, furniture, and wall attachmentswith disinfectant solution.

0amp dust over bed tables, over bed lights, ledges, wallattachments, chairs, and other furniture with disinfectant solution.

ipe all e;uipment ta#en into the room and place onhouse#eeping cart.

Transport all e;uipment and material to House#eeping.

4eave the room and continue on with the next room.@ollow?up The supervisor will ma#e random inspections of the areas cleanedand will periodically chec# to ensure procedures are being followed properly.

Cleaning and Care o! "ouse#eeping $%uipment

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The following steps are to be performed daily in the care and cleaning ofhouse#eeping e;uipment.

1leaning carts

ash down cart using a cloth dampened with disinfectant solution.

Ta#e a dry cloth and wipe cart until dry. This process will preventrusting.

Hand buc#ets and mop buc#ets

(sing a cloth dampened with a disinfectant solution wipe theinside and outside.

0ry each, using a dry cloth and return to the cart.

/op wringers

>ash thoroughly using a cloth dampened with disinfectantsolution.

ash mop and caddy with disinfectant solution.

>ipe the caddy dry and place in the cart.

%;ueeze as much water as possible out of the mop and place inplastic bag to be removed for cleaning.

-u&ing machine

The bu&er should be thoroughly cleaned and polished and the endof each day. The electric cord is washed and dried with a dry cloth.>heels are also cleaned and oiled and then stored in thehouse#eeping storeroom for the next day.

The bu&ing machine is chec#ed for defects such as loose bolts,bro#en parts, brea#s in cord, etc. by the on?duty house#eepingsupervisor as stated in Cuality 1ontrol program. 3f during an

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inspection a need is found for repairs, the machine is then sent outfor repair.

-u&ing pads

-u&ing pads will be discarded after use.

>et?dry vacuum)carpet soil extractor

0ump all the collections in the house#eeping closet sin#. >ash tan# with the disinfectant solution thoroughly and wipe dry

with dry cloth.

Ta#e the e;uipment to the house#eeping storeroom at the end ofthe shift.

>ritten %ep BDDD

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Housekeeping- Need to Maintain in Our Workplace