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Post Outbreak Deep CleanExample ChecklistStandard: Care homes aim to provide a place where people feel at home and the arrangements to keep the environment clean must take this into account. Care homes should have access to cleaning manuals that include the specifications of how items and areas are routinely cleaned. Definition of the end of an outbreak: (discuss with PHE Health Protection Team if not clear)Outbreak of diarrhoea and/or vomiting – 48 hours post last new case and all residents have recoveredOutbreak of Influenza like illness – 5 days post last new caseOutbreak of Covid-19 - 14 days post last new case TASK TO BE COMPLETEDResponsibility(complete as necessary)TICK WHEN COMPLETEDOnce outbreak is deemed over inform housekeeping supervisor of need to commence the post outbreak deep clean. The deep clean should start from the least affected area/unit of the home progressing to the most affected area/unit.Manager/deputy ManagerWash hands and wear appropriate personal protective equipment (PPE) such as gloves and aprons. PPE /washing hands will need to be renewed when moving from dirty to clean tasks. Follow local guidance.Discard unused disposable patient-care itemsIf items cannot be appropriately cleaned, consider discarding these itemsRemove all curtains. Place curtains in a red water-soluble bag and send for laundering. If unable to launder clean as per manufactures recommendationsRemove bed linen, place in a red water-soluble bag and send for laundering.Remove and dispose of paper handtowels, gloves and aprons from isolation roomsRemove all crockery, cutlery, water jugs, glasses and cups. All crockery to be washed in dishwasher located in kitchen.In communal spaces where possible move all furniture to the centre of the room to assist effective cleaning of floors/corners and walls (where indicated).High dust the environment, especially curtain tracks, high window ledges, walls above hand height, ceiling corners and light fittingsDamp dust the periphery of the room/area, especially notice boards, lamps, pipework, radiators.Thoroughly clean all surfaces (residents rooms and communal areas and staff rooms) with a neutral detergent or consider the use of ultra-heated dry steam vapour cleaning. Items include (but list not exhaustive).;- Mattress / bed rail and protector and bed frames- furniture (bedside tables/wardrobe/chest of drawers/chairs)- Doors, handles, window ledges and rails- All sanitary ware (residents rooms and communal facilities) to be cleaned thoroughly.- Radiators - Inspect radiators, clean/disinfect surface and if required remove cover and clean inside- Buzzer/call bell, TV remote etc.- Carpets and hard floors- Telephones and computers/keyboards (as per manufacturer’s instructions) After cleaning (with detergent), rinse then disinfect with 0.1% sodium hypochlorite (1000 ppm available chlorine) leave to dry. If surfaces are chipped/not intact then rinse those areas with clean fresh water after 15 mins contact time and dry. Consider replacing items which have surfaces that are chipped/ non intact. Clean and disinfect (detergent followed by 1000ppm of available chlorine) all shared equipment in accordance with manufacturer’s instructions (i.e. weighing scales, hoists, commodes, pressure reliving cushions, Zimmer frames, wheelchairs etc.) Steam clean upholstered furniture and bed mattresses present in rooms and carpets (where appropriate). If blinds present clean as per instructionsTie all clinical and domestic waste bags, remove from clean area and leave in appropriate collection point. Clean/disinfect bins. Then remove PPE and wash handsReplenish supplies of hand soap, toilet tissue etc. and reline waste bins with appropriate coloured disposable bags Redress beds Re-hang clean curtains. Move all furniture back to its original place. Clean and disinfect all cleaning equipment before storing away Remove PPE and wash handsOnce post outbreak deep clean completed nominated staff member (Manager or deputy manager or senior staff for area) should spot check cleaning standards prior to re-openingStandards MetYes/NoSignedResidents rooms (beds/equipment and furniture) are cleanCurtains, hung correctly, can fully close, stain freeFloors are clean including edgesRadiators are clean and free from dust and debrisAll supplies replenishedDate Completed ……………… Cleaning checked by…………………………………… Local Policies/guidance should cover:- how to clean the different areas of the environment, fixtures, fittings and specialist equipment (for example a hoist); - what products and equipment to use when cleaning; - what to do and what products to use if there is a spillage of blood or body fluids; and - what training staff need to implement the policyThe cleaning of a resident’s room, the furniture and equipment must be undertaken in a methodical manner. Detergent followed by chlorine-based disinfectant made to 1,000 parts per million (PPM) will need to be used for a post outbreak deep clean. Room should be well ventilated whilst using disinfectants.Disinfectants should be made up and used according to safety data sheets. Make up daily.References1. Guidelines for the management of norovirus outbreaks in acute and community health and social care settings 2. Department of Health, Prevention and Control of Infection in Care Homes – An Information Resource: ................
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