Durable Medical Equipment cleaning/sanitizing

1. Durable Medical Equipment cleaning/sanitizing National ReUse Conference 2009 Atlanta, GA Presented by Chris Brand President/CEO Friends of Disabled Adults and Children, Too!

2. Overview • Review Standards • Different products and methods for cleaning and sanitizing. • Discuss wet-room layout. • Separate or cover cleaned equipment from donated equipment.

3. Follow Recommendations • Manufacturers • DME Vendor standards • Hospitals and Rehab policies • Medicare/Medicaid • The Joint Commission on Accreditation of Healthcare Organizations (JCAHO): Accreditation program-Home Care

4. JCAHO: Home Care-Infection Prevention and Control The [organization] plans for preventing and controlling infections. 1. When developing infection prevention and control activities, the organization uses evidence-based national guidelines or, in the absence of such guidelines, expert consensus, or, in the absence of both, a review and evaluation of the health care literature.

5. Evidence Based: Guideline for Disinfection and Sterilization in Healthcare Facilities, 2008 (CDC) • Types of devices • Identify cleaners and methods • Create work area

6. JCAHO: Home Care-Infection Prevention and Control Based on the identified risks, the [organization] sets goals to minimize the possibility of spreading infections. The [organization] reduces the risk of infections associated with medical equipment, devices, and supplies. 1. The organization implements infection prevention and control activities when doing the following: Cleaning and disinfecting medical equipment, devices, and supplies.

7. JCAHO: Home Care-Equipment Management • The [organization] receives and stores medical equipment and supplies at its site(s). • The organization designates clearly identified, separate areas for storing each of the following types of equipment: • - Obsolete equipment • - Equipment requiring maintenance or repair • - Dirty equipment • - Clean equipment • - Patient-ready equipment

8. Guideline for Disinfection and Sterilization in Healthcare Facilities, 2008 (CDC) • Non-critical items • Definitions: • Clean-detergents and water • Disinfection-wiping with chlorine and disinfectants • Sanitization-steam sterilization

9. Guideline for Disinfection and Sterilization in Healthcare Facilities, 2008 (CDC) • Keep in mind: • contact times of disinfectants • cleaning materials, washers, rags, etc. • Policies and procedures for cleaning and disinfecting that will be used by staff; specifying required training; a safety policy regarding attire and use of accessories in work area

10. Cleaning Electrical DME Electric Wheelchairs and Hospital beds: • Vacuum or blow with compressed air • Clean with detergent product by hand • Spray and wipe with cleaning disinfectant • Steam sterilization (optional) • Cover or move to cleaned area

11. Cleaning Non-electrical DME Manual Wheelchairs and larger items: • Clean with detergent product by wiping, brushing and pressure washing, or Hubscrub • Spray and wipe with cleaning disinfectant • Steam sterilization (optional) • Cover or move to cleaned area

12. Cleaning Non-electrical DME Hand held and smaller AT items: • Steam sterilization preferred • Spray and wipe with cleaning disinfectant • Cover or move to cleaned area