Optima Hygiene Solutions Procedures in which we adhere to Scottish Health Board recommendations.
CLEANING INSTRUCTIONS PROVIDED BY HEALTH BOARD
1. Environmental cleaning following a suspected case Once a suspected case has been transferred from the premises, the room where the patient was placed/isolated should not be used. The room door should remain shut until it has been cleaned with detergent and disinfectant. Once this process has been completed, the room can be put back into use immediately.
2. Preparation The person responsible for undertaking the cleaning with detergent and disinfectant should be familiar with these processes and procedures:
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Collect all cleaning equipment and clinical waste bags before entering the room;
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Any cloths and mop heads used must be disposed of as single use items;
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Before entering the room, perform hand hygiene then put on a disposable plastic apron and gloves.
3. On entering the room:
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Keep the door closed with windows open to improve airflow and ventilation whilst using detergent and disinfection products;
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Bag all items that have been used for the care of the patient as clinical waste, for example, contents of the waste bin and any consumables that cannot be cleaned with detergent and disinfectant;
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Remove any fabric curtains or screens and bag as infectious linen;
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Close any sharps containers, wipe the outer surfaces with either a combined detergent disinfectant solution at a dilution of 1000 parts per million (ppm) available chlorine (av.cl.) or a neutral purpose detergent followed by disinfection (1000 ppm av.cl.).


4. Cleaning process: Use disposable cloths/paper roll/disposable mop heads, to clean and disinfect all hard surfaces/floor/chairs/door handles/reusable non-invasive care equipment/sanitary fittings in the room, following one of the 2 options below:
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1. Use either a combined detergent disinfectant solution at a dilution of 1000 parts per million (ppm) available chlorine (av.cl.);
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2. Or a neutral purpose detergent followed by disinfection (1000 ppm av.cl.):
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follow manufacturer’s instructions for dilution, application and contact times for all detergents and disinfectants;
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any cloths and mop heads used must be disposed of as single use items.
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5. Cleaning and disinfection of reusable equipment:
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Clean and disinfect any reusable non-invasive care equipment, such as blood pressure monitors, digital thermometers, glucometers, that are in the room prior to their removal;
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Clean all reusable equipment systematically from the top or furthest away point.
6. Carpeted flooring and soft furnishings If carpeted floors/items cannot withstand chlorine-releasing agents, consult the manufacturer’s instructions for a suitable alternative to use following, or combined with detergent cleaning.
7. On leaving the room:
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Discard detergent/disinfectant solutions safely at disposal point;
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Dispose of all waste as clinical waste;
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Clean, dry and store re-usable parts of cleaning equipment, such as mop handles;
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Remove and discard PPE as clinical waste as per local policy;
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Perform hand hygiene.
8. Cleaning of communal areas If a suspected case spent time in a communal area, for example, a waiting area or used toilet facilities, then these areas should be cleaned with detergent and disinfectant (as above) as soon as possible, unless there has been a blood/body fluid spill which should be dealt with immediately (guidance is available at Appendix 9 of the National Infection Prevention and Control Manual). Once cleaning and disinfection have been completed, these areas can be put back into use immediately.





