Cleaning Manual Appendices

8/8/2019 Cleaning Manual Appendices

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Appendix 1 Photographs of Cleaning Equipment..........................199

Appendix 2 Colour Code for Hygiene............................................206

Appendix 3 Patient Equipment Cleaning Responsibility Form...207

Cleaning Checklist for Isolation Rooms .....................208

Appendix 4 Glossary.......................................................................212

Appendix 5 References....................................................................213

Appendix 6 Cleaning Manual Group (2002/3) ..............................214

197The NHS Healthcare Cleaning Manual

Appendices


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The following photographs are designed to help identify some of the many

types of cleaning equipment used.


Appendices

APPENDIX 1

Photographs of Cleaning Equipment

Abrasive Pad/Scouring Pad

Apron

Automatic Scrubber Dryer

Bowl

Bottle Brush

Local protocol should be followed for

cleaning/replacement


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Appendices

Bucket

Carpet Shampoo Machine

Cleaning Trolley

Cloth

Crevis Tool

Curtain Hook


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Appendices

Dust Control System

(Applicator Tool and DisposableStatic Cloth)

Dust covers

Dustpan and Brush

Edge Cleaning Tool

Fan

Local protocol should be

followed for cleaning and

maintenance.

Floor Maintenance Machine

Floor Pad for Floor Cleaning Machine

Gauntlet Gloves/Safety Gloves


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Appendices

Household Gloves

High Dusting Mop

Knee Pad

Ladder

Laundry Bag

Mask

Mask must have a fluid repellent

layer for staff protection.


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Appendices

Masking Tape

Mop Handle

Mop Head

Paper Towel

Platform Steps

Safety Glasses


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Appendices

Safety Goggles

Scraper

Spray Bottle

Squeegee Blade

Standard Speed Rotary Machine

Steam Cleaner

Suction Vacuum Cleaner


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Appendices

Vacuum Cleaner (Upright)

Toilet Paper

Toilet Brush

Warning Signs

Waste Bags

Wringer


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Based on the National Colour-Coding System for the British Institute of

Cleaning Science

THE GOLDEN RULE: WORK FROM THE CLEANEST AREA

TOWARD THE DIRTIEST AREA. THIS GREATLY REDUCES THE

RISK OF CROSS CONTAMINATION.

1. The aim of a colour coding system is to prevent cross contamination.

2. It is vital that such a system forms part of any employee induction or

continuous training programme.

3. A minority of people are colour blind in one or more colours. Some

individuals may not know this and colour identification testing should

form part of any induction training.

4. Always use two colours within the washroom/sanitary area.

5. The colour-coding system must relate to all cleaning equipment, cloths

and gloves

Monitoring of the system and control of colour-coded disposable items against

new stock release is extremely important.


Appendices

APPENDIX 2

Colour Code for Hygiene

SANITARYAPPLIANCES &WASHROOM

FLOOR

RED(DISPOSABLE)

GENERAL AREAS(inc. wards, depts, office& Communication areas)

BLUE

KITCHENS(dept & ward)

GREEN

ISOLATIONROOMS

WHITE(DISPOSABLE)

WASHBASINS& WASHROOM

SURFACES

YELLOW

OPERATINGTHEATRES &

ANTE ROOMS

WHITE(DISPOSABLE)


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Appendices

APPENDIX

3

Pat

ientEquipm

ent

CleaningResponsib

ilityForm

Itemof

Responsibility

Cleaningprocess

Frequenc

y

Comments

Equip

ment

(Domestic,

(Agent/Method)

Maintenance

orNursing)


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Universal/Standard infection control precautions apply; isolation

precautions are in addition to these.

Hand hygiene is the single most effective method of preventing cross

infection - always wash your hands or use an alcohol gel prior to entering

and on leaving the room/area.


Appendices

CLEANING CHECKLIST FOR ISOLATION ROOMS

DISPOSABLE

APRON YES/NO

DISPOSABLE

GLOVES YES/NO

MASK YES/NO

LINEN INFECTED/NON-INFECTED

WASTE CLINICAL WASTE BAG

EQUIPMENT COLOUR-CODED MOP AND

BUCKET ALLOCATED TO A

SINGLE PATIENT

(note this equipment should

be stored in the patients room

for the period of isolation)

SUPPLIES PAPER TOWELS,

LIQUID SOAP,

ALCOHOL HANDRUB etc.

GENERAL

SURFACE

CLEANER

AND/OR SPECIFY TYPE

GENERAL

PURPOSE

DETERGENT


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Appendices

WHO REGULAR CLEANING TASKS SIGNATUREFOR ISOLATION ROOMS

Put on personal protective clothing.

Clean all furniture and fittings withGeneral Purpose Detergent (referto manufacturers instructions).Disinfect using a chloride-releasingagent, rinse and dry whereappropriate.

Clean curtain tracks and all highlevel ledges with General PurposeDetergent (refer to manufacturersinstructions). Disinfect using achloride-releasing agent, rinseand dry.

Damp dust door handles andstructural surfaces first, thenfurnishings.

Clean equipment as set out inSection 6 with General PurposeDetergent (refer to manufacturersinstructions). Disinfect using achloride-releasing agent, rinse anddry where appropriate.

Clean all bathrooms/shower roomfixtures and fittings with GeneralPurpose Detergent (refer to

manufacturers instructions).Disinfect using a chloride-releasingagent, rinse and dry whereappropriate.

Mop the floor with GeneralPurpose Detergent (refer tomanufacturers instructions).Disinfect spillages using achloride-releasing agent, rinseand dry.


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When the room is no longer being used for isolation the following tasks should

be undertaken in addition to the daily cleaning tasks.


Appendices

WHO REGULAR CLEANING TASKS SIGNATUREFOR ISOLATION ROOMS

Place all waste into a clinicalwaste bag. Empty waste bin andreline with new clinical waste bag.Mark waste according to localpolicy and place for disposal afterleaving isolation room.

Thoroughly clean all cleaningequipment and allow to dry.

Replenish supplies as necessary.

Remove apron and gloves anddiscard into a clinical waste bag.

Wash hands or use a clinical gel.


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Notes

Wall washing is not routinely necessary.

The room can be used immediately after the cleaning has been

completed


Appendices

WHO TERMINAL CLEANING SIGNATURE

Remove and dispose of allunwanted/unused disposableequipment.

Clean all furniture and fittingswith General Purpose Detergent(refer to manufacturersinstructions). Disinfect using achloride-releasing agent, rinse anddry where necessary(see Section 2 Spillages).

Take down curtains and send forlaundering according to localpolicy for infected linen and inaccordance with advice of theInfection Control Team.

Strip bed and remove linenaccording to local policy forinfected linen. Wash mattress and

flat base of the bed with GeneralPurpose Detergent (refer tomanufacturers instructions).

Where necessary, disinfect using achlorine- releasing agent, rinse anddry.

Suction clean the floor.

Hang clean curtains.


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BICSc The British Institute of Cleaning Science

CHIP Chemicals (Hazard Information and Packaging for Supply)

Regulations 2002

CHPAG Clean Hospitals Programme Advisory Group

COSHH Control of Substances Hazardous to Health

HAI Healthcare Acquired Infections

ICT Infection Control Team

PASA Purchasing and Supply Agency

PAT Portable Appliance Testing

PCT Primary Care Trust

PEAT Patient Environment Action Team

PPE Personal Protective Equipment

PPC Personal Protection Clothing

RIDDOR Report on Injuries, Disease or Dangerous Occurrences

Regulations, 1985


Appendices

APPENDIX 4

Glossary


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Control of SUbstances Hazardous to Health Regulations 2002

Electricity at Work Regulations 1989

Health and Safety at Work etc Act 1974

Management of Health and Safety at Work Regulations 1992


Appendices

APPENDIX 5

References


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Ean Coates, Former ADM Chair Person

Liz Collins, Clinical Nurse Specialist Infection Control, BUPA Hospital

Leicester

Paul Cryer, Head of Hospitality Services, NHS Estates

Karen Egan, Clinical Nurse Specialist Infection Control, Mid Cheshire

Hospitals NHS Trust

Marion Gildert, Domestic Services Manager, Lancashire Teaching Hospitals

NHS Trust

John Graham, Deputy Hotel Services Manager, East Kent Hospitals NHS

Trust

John Harmer, Facilities Support Manager, Thurrock Mental Health Trust

Patty Hempshall, Infection Control Nurse Specialist, Sheffield Teaching

Hospital

Judith Hudson, Domestic Services Manager, South Tyneside Healthcare NHS

Trust

Beryl Jordan, Hotel Services Manager, Peterborough Hospitals NHS Trust

Gordon Kochane, Project Co-ordinator, NHS Estates

June Levick, Hospitality Advisor, NHS Estates

Andrew Matthews, Support Services Manager, Royal Cornwall Hospitals NHS

Trust


Appendices

APPENDIX 6

Cleaning Manual Group (2002/3)


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Alison McCree, Hotel Services Manager, Darlington Hospital, County

Durham and Darlington Acute Hospitals Trust

Susan McHugh, CINTO/BICSc Council Member and ADM Member/QFT

Denise Potter, Senior Nurse Infection Control, Barnsley District General

Hospital

Jean Rain, Domestic Services Manager, The Pennine Acute Hospitals NHS

Trust

Ian Robinson, Hospitality Advisor, NHS Estates

Paul Schofield, Project Support Manager, NHS Estates

Michelle Slater, Domestic Services Manager, ISS Fairfield Hospital, Bury

Linda Smith, Domestic Services Manager, Sheffield Teaching Hospitals NHS

Trust

Mike Sweeney, Chief Executive, British Institute of Cleaning Science

Liz Walters, Strategic Advisor (Facilities), NHS Estates


Appendices


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Crown CopyrightProduced by the Department of Health34335 1P 1k Mar 04 (ESP)CHLORINE FREE PAPER

The text of this document may be reproduced withoutformal permission or charge for personal or in-house use.

First Published: March 2004

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Cleaning Manual Appendices