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Best Practices for Environmental Cleaning Module 4 – General Cleaning Part C - Other Considerations.

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Presentation on theme: "Best Practices for Environmental Cleaning Module 4 – General Cleaning Part C - Other Considerations."— Presentation transcript:

1 Best Practices for Environmental Cleaning Module 4 – General Cleaning Part C - Other Considerations

2 2 Learning Objectives 1.To identify factors that determine frequency of cleaning. 2.To correctly sequence tasks for cleaning. 3.To demonstrate proper procedures for different cleaning applications. 4.To describe other considerations in environmental management (e.g. waste handling, sharps safety, biological spill cleaning)

3 3 Categories of Waste Biomedical  Includes:  Anatomical  Microbiological  Fluid (e.g. blood)  Sharps General Cytotoxic Chemical Pharmaceutical

4 4 Storage of Waste Placed in appropriate container at or near point of origin Store in a designated enclosed room with access only by authorized staff Biomedical waste  Placed in a locked area  Refrigerated space (4°C) if stored > 4days Contingency plan needed for:  Excess waste  Disruption of refrigerated area  Disruption of waste removal services

5 5 Transportation of Waste ALL waste should be transported within the health care setting incorporating the following procedures:  Clearly define transport routes  Minimize manual handling of waste  Avoid crossing through clean zones, public areas or patient/resident care units  If dedicated elevator not available – avoid transporting on same elevator as patients/residents or food serving carts  Waste should not be transported at same time as patients/residents are transported  Transport waste in leak-proof carts which are cleaned daily

6 6 Cleaning of Biological Spills Assemble materials required for dealing with the spill prior to putting on PPE Inspect the area around the spill thoroughly for splatters or splashes Restrict the activity around the spill until the area has been cleaned and disinfected and is completely dry Put on gloves; if there is a possibility of splashing, wear a gown and facial protection (mask and eye protection or face shield) Confine and contain the spill Wipe up any blood or body fluid spills immediately using either disposable towels or a product designed for this purpose

7 7 Cleaning of Biological Spills Dispose of materials by placing them into regular waste receptacle, unless the soiled materials are so wet that blood can be squeezed out of them, in which case they must be segregated into the biomedical waste container (i.e., yellow bag). Disinfect the entire spill area with a hospital-grade disinfectant and allow it to stand for the amount of time recommended by the manufacturer. Wipe up the area again using disposable towels and discard into regular waste. Care must be taken to avoid splashing or generating aerosols during the clean up. Remove gloves and perform hand hygiene.

8 8 Sharps Handling Sharps are devices that are capable of causing a cut or puncture wound All sharps must be handled with care to prevent injury

9 9 Sharps Handling Prevention of sharps injuries may be achieved by:  Using safety engineered medical devices, such as needle-less devices;  Never re-capping a used needle;  Never reaching into waste or sharps containers;  Providing rigid, puncture-resistant sharps containers at or near the point-of-use to permit safe one-handed disposal;  Replacing sharps containers when they are three-quarters full or the sharps have reached the fill line and securely closing the lid;  Handling laundry with care; and  Educating staff about the risks associated with sharps, including safe disposal of sharps in puncture-resistant containers if found in the environment (e.g. sharps in laundry, waste, bedside, floor).

10 10 Safe Disposal of a Sharp Put on a pair of gloves Ideally, take a sharps container to the needle and syringe NEVER re-cap a needle and syringe even if a cap is available Use tongs/forceps, or similar implement, to pick up the needle and syringe. If no implement is available, carefully pick up the needle and syringe with the needle furthest away from your fingers and body Carefully place the needle and syringe into the sharps container Report the incident to your supervisor or manager

11 11 Non-critical Equipment Non-critical medical equipment within the client/patient/resident environment and that is used between clients/patients/residents requires cleaning and disinfection after each use Policies and procedures should clearly define the frequency and level of cleaning required for each piece of equipment plus assign responsibility for cleaning Examples:  Person taking the equipment to use must clean prior to using or;  Person using the equipment cleans after use Selection of new equipment must include considerations for cleaning and disinfection

12 12 Non-critical Equipment Low-level disinfection should be used for all non-critical equipment Examples of non-critical equipment include:  Bath seat and raised toilet seat  Resuscitation cart  Blood pressure cuff  Commode chairs  IV pumps  ECG machine and cables  Transfer boards  Stethoscope

13 13 Learning Checkpoint

14 14 Learning Checkpoint True or False 1.Waste may be transported on an elevator at the same time as patients/residents. 2.To neutralize a blood spill, apply the disinfectant before wiping up. 3.Laundry should be handled with care to avoid a sharps injury due to sharps being left in the laundry. 4.Commodes within the patient/resident environment and that are used between patients/residents require cleaning and disinfection after each use

15 15 Learning Checkpoint Answers 1.False – waste should not be transported on an elevator at the same time as patients/residents to minimize the risk of contamination. 2.False – blood spills should be contained and material wiped up before applying the disinfectant. Disinfectants will be ineffective if applied before cleaning the spill. 3.True – Sharps, accidentally left in bedding, may pose a risk to healthcare workers. Care should be taken when handling all linen. 4.True – All non-medical equipment that is shared between patients/residents should be cleaned and disinfected before being used with another patient/resident.

16 16 When you return to your job, what will you do differently as a result of this session? 16

17 17 Thank You!

18 Image Sources – Module 4C Getty Images used in slide 12 Microsoft Office Clipart used in slide 13 Images in slides 9 & 19 are © PHO 2013


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