Patient Room Procedures

1. Patient Room Procedures Introduction The cleaning procedures for Patient Rooms are broken into 2 groups. • Occupied- Daily The room is occupied by a patient. • Occupied- Weekly The room is occupied by a patient. • Between Patients: The room has vacated, and will be prepared for the arrival of a new patient. Note: Special procedures including more intensive cleaning procedures may be required in isolation areas or in areas housing immuno compromised individuals.

2. Patient Room Procedures Overview Patient Room – Daily Cleaning Patient Room – Weekly Cleaning Patient Room – Between Patients Specialty – Critical Care Units Specialty – Isolation Rooms Announce Yourself: Gently knock on the door, if the patient is alert, politely ask if it is a good time to clean your room. Set Up Safety Signs: Place a wet floor sign outside and inside the door. Equipment: Be sure to have on proper safety equipment which means gloves and protective eyewear Only bring into the room the equipment needed, leave the cart outside the room.

3. Patient Room Procedures Overview These are the procedures you will use in cleaning patient rooms. • High Dusting • Dusting – Wet or Dry • Disinfecting • Wall Cleaning & Wall Spotting • Restroom Cleaning • Empty Trash – Bio-Hazard and Regular • Floor Dry Mop and Wet Disinfecting • Inspecting Your Work

4. Patient Room Procedures Equipment and Supplies Occupied Patient Room Getting Started….Gather your supplies Wiping Cloths Mop Bucket with Century Q Solution Floor Mops Wall Mops High Duster Spray bottle, labeled 2 Multi-Shine Cleaner. Bucket with Century Q Solution Spray bottle, labeled Century Q Solution Trash Can Liners (standard, general waste) Bio-Hazard Bags (for hazardous materials) Wet Floor Signs

5. Patient Room Procedures Daily Cleaning • Announce Yourself Always knock, politely announce yourself as housekeeping staff and ask if it is OK if the room is cleaned. • Wet Floor Signs Place wet floor signs in the hallway in front of the room entrance, and inside the room. • Enter room with supplies. Do not bring the cart into the room, carry in only the supplies you will need. • Empty Trash / Medical Waste Containers Always wear gloves. Put on new gloves when waste is properly sealed and placed in proper receptacles. Disinfect trash containers before replacing with fresh liners. • Clean Bathrooms*See detailed procedures • Check and Fill Dispensers. Towel dispensers, soap and sanitizer dispensers need to be filled. • High Dust. Dust all horizontal surfaces above your shoulder. • Clean High Touch Surfaces Use Century Q to wipe down all patient contact surfaces bedrails, tables, light switches, door knobs, window sills and all horizontal surfaces. Spot clean walls as needed. • Dust Mop Floors. Collect debris, scrape any items from the floor as needed. • Damp Mop Floors. Use a Century Q solution to mop floors.

6. Patient Room Procedures Daily Cleaning Checklist for Daily Room Cleaning Cleaning and Disinfecting • Bedside Rails • Bedside Table • Telephone • Door Knobs and handles • IV Pumps and Poles • Overbead table, drawers and handles • Ledges • Spot clean walls • Nurse call button • Light Switch • Sinks and faucets • TV Remote

7. Patient Room Procedures Restroom Cleaning Restrooms: These procedures apply to all patient rooms every time they are cleaned. Please follow the restroom cleaning procedures located under the restroom cleaning section of this manual.

8. Patient Room Procedures Weekly Cleaning In addition to the daily cleaning tasks, once a week do the following: • Clean/Disinfect with proper solution Walls (use a wall mop if available) Ceiling Vents TV cabinets, trays, and brackets • Clean the blinds • Clean corners and along baseboards with disinfectant cleaner.

9. Patient Room Procedures Between Patient Cleaning Follow the daily and weekly tasks, in addition do the following; • Strip and Clean the bed. Clean headboard, side rails, legs with disinfectant cleaner. Place soiled linens in proper receptacles. • Clean and Disinfect Walls and ceiling Bed Lights Furniture.

10. Patient Room Procedures Critical Care Areas

11. Patient Room Procedures Isolation Rooms Isolation practices are implemented when a patient has a potentially contagious ailment. Most hospitals follow the CDC Isolation practices guidelines. Isolation precautions are broken into four categories. • Standard Precautions • Contact Precautions • Droplet Precautions • Airborne Precautions Reference the CDC website for more info. www.cdc.gov/ncidod/dhqa/gl_isolation.html