Measures of Central Tendency: Mean, Median and Mode
cleaning and disinfection.pdf
1. Gadikoppa Shivamogga
577201
Cleaning and
Disinfection Monitoring
E /NABH/NLC/HIC1c
Page 1 of 16
A. Cleaning and disinfection protocol
1. Floor cleaning:
Dusting: Dust all the walls, instruments, cot, window and furniture using a dry duster
before cleaning the floor.
Mopping and regular scrubbing
2. Patient care area cleaning:
Take 1 liter of concentrated phenol from central supply and add 50liters of water to get
2% of Phenol for moping & Dip the mop in the solution, use wringer to squeeze the
mop and mop the floor using S shaped strokes.
Change the solution when it is dirty.
Frequency of mopping will be three times a day/more if required.
Scrubbing of floors in the critical areas/ICUs is done once a month.
Thorough cleaning, scrubbing by using 2% Bacillocid special in the OT Once a
day/after each case.
3. Other area
Mopping of other areas like reception counter, corridors, stair case and lift will be
mopped with 2% of phenol three times a day /more if required.
Thorough scrubbing other area is done once a week/more if required.
4. Scrubbing :
OT, CCU/MICU/ ITU/ ISOLATION ROOM: Scrubbing is done by using 2%
Bacillocid special on weekly basis.
Dilution of Bacillocid: 200 ml of Bacillocid special to 10 ltr of water.
5. Toilet Cleaning.
Cleaning is done three times a day using soap solution and phenol (2%) and Outer
portion of the flush tank is cleaned with soap solution once a day.
Commode is treated with Harpic for 20 minutes and cleaned water.
2. Gadikoppa Shivamogga
577201
Cleaning and
Disinfection Monitoring
E /NABH/NLC/HIC1c
Page 2 of 16
Floor is cleaned and mopped with 2% phenol three times in a day and as when
required. Side wall tiles are scrubbed with soap solution and cleaned with water.
Floor is mopped as and when required with disinfectant.
Flush tank is cleaned with Harpic balls once in a month.
Buckets, Mug & stool are cleaned with detergent twice a day.
Exhaust fans are cleaned with brush and wiped with cloth once in 10 days.
6. Cleaning Of Water Commode and Flush Tank:
All the toilets are cleaned thoroughly once in a month. The procedure is as follows:
Flush the tank thoroughly.
Drain the water completely.
If any stains in commode, clean with Harpic solution and brush and keep it for 20
minutes.
Clean with water and flush it.
Fill the tank with water and check.
7. Protocols for frequent touching surfaces and general areas
The frequent touching surfaces like Cots, chairs, Table, nursing counter, phone,
cardiac table, door knob, fan regulator, switch board, ventilator, monitor
(surrounding of screen by 70% of Isopropyl alcohol, screen by dry duster) will be
cleaning by using 70% of Isopropyl alcohol on daily basis and
Wheel chair and stretcher are cleaned by 70% Isopropyl alcohol after each patient
use.
8. The general areas like
Fan and Lights, Wall clock will be cleaned by dry and damp dusting, once in a
week.AC ducts are cleaned with soft brush, once in month. In case of Isolation
room, after discharge of each patients
Windows, wall, doors will be cleaned by soap solution.
3. Gadikoppa Shivamogga
577201
Cleaning and
Disinfection Monitoring
E /NABH/NLC/HIC1c
Page 3 of 16
Window curtains are sent for washing once in 15 days & whenever fumigation is
done or curtains are soiled. Same details will be documented in curtain register
Cobweb will be removed by 15 days once /more if required.
9. Patient care equipment cleaning and disinfection
Patient care equipment cleaning schedule (ICU/ wards)
1 Stethoscope 70% Isopropyl alcohol Always clean in between patient
use
2 BP Apparatus
with cuff
70% Isopropyl alcohol Always clean in between
patient use
3 Cardiac Monitor Outer surface with 70% Isopropyl
alcohol Screen wipe with damp cloth
(squeeze entire water content)
Daily and in between patient
use
4 Cardiac
Table/Patient
bed side table
70% Isopropyl alcohol Daily , whenever visibly soiled
and in between patient use
5 Defibrillator
and
paddles
Outer surface with 70% Isopropyl
Alcohol, Screen wipe with damp cloth
(squeeze entire water content)
Daily , whenever visibly soiled
and in between patient use
6 Ventilator Clean machine Outer surface
with 70% alcohol,
Screen wipe with damp cloth
(squeeze entire water content)
Change tubing/filters every 48
Hours/Visibly soiled (single
Use). Ensure tubing is single
patient use
7 Crash cart 70% Isopropyl alcohol Daily, whenever visibly soiled
and in between patient use
8 Oxygen
Humidifier
Wash the entire humidifier bottle in a
solution of mild dish soap and warm
water (NO antibacterial Soaps).
Always clean in between
Patient use. Store in a clean
Area when not in use.
9 Transducer
cable
70% Isopropyl alcohol Daily , whenever visibly soiled
and in between patient use
4. Gadikoppa Shivamogga
577201
Cleaning and
Disinfection Monitoring
E /NABH/NLC/HIC1c
Page 4 of 16
10 Syringe pump /
Infusion
pump
Clean machine Outer surface
with 70% alcohol,
Screen wipe with damp cloth
(squeeze entire water content)
Daily , whenever visibly soiled
and in between patient use
11 Power code Clean electric socket with dry cloth
and cable with 70% Isopropyl alcohol
Daily , whenever visibly soiled
and in between patient use
12 Bed Rails,
Mattress
70% Isopropyl alcohol Daily , whenever visibly soiled
and in between patient use
13 ECG Cable 70% Isopropyl alcohol Daily , whenever visibly soiled
and in between patient use
14 Probes 70% Isopropyl alcohol Daily , whenever visibly soiled
and in between patient use
15 Patient Trolley 70% Isopropyl alcohol Daily , whenever visibly soiled
16 Dressing
Trolley
70% Isopropyl alcohol Daily , whenever visibly soiled
and in between patient use
17 Water bed
/alpha bed
Clean with Mild detergent In between patient use and
whenever visibly soiled
18 Suction
Equipment
Clean with warm water and soap,
Soak it in disinfectant solution
(Sodium Hypochlorite) for one hour,
and again rinse it with Clean water.
Equipment must be completely dry
before reassembling.
Daily, whenever visibly soiled
and in between patient use
19 IV Stand 70% Isopropyl alcohol Daily, whenever visibly soiled
and in between patient use.
20 Glucometer 70% Isopropyl alcohol Whenever indicated
21 Wheel Chair Clean with detergent and water
And dry. Wipe with sodium
hypochlorite and dry after
cleaning
Daily and whenever visibly
soiled
5. Gadikoppa Shivamogga
577201
Cleaning and
Disinfection Monitoring
E /NABH/NLC/HIC1c
Page 5 of 16
10. Suction apparatus cleaning and disinfection
Suction canister should have emptied and cleaned every day and as an when needed.
Suction contents are emptied in dedicated wash room and cleaned with detergent
After cleaning with detergent suction container is dipped in 1% sodium hypochlorite
solution for 30 min.
After 30 min suction container is re used.
11. Equipment Cleaning Protocol in ICU/Wards
Urine cans wash with soap and water, with 1% sodium hypochlorite and dried properly
and then given to the patient. They are dedicated to each patient.
Bed pans are washed with soap and water and disinfected with 1% sodium hypochlorite
Spiro meters are for individual patients- to be cleaned with 70% isopropyl alcohol before
use.
Laryngeal blades are washed with soap and water and cleaned with Isopropyl alcohol for
5-10 minutes and keep it dry in a box.
12. Disinfection of Equipment
Re-use instruments, tubing, etc. only after decontamination and sterilization.
Do not touch equipment with soiled gloves or gloves used for patient care. Surfaces of
large equipment should be disinfected with 70% isopropyl alcohol. Heavy soiled
equipment may require additional cleaning with detergent and water.
Gloves must be worn while cleaning the equipment. The disinfection policy for various
equipment and machinery cleaning and decontamination is followed as per the specified
protocol
13. Handling needles and small sharp
Do not recap needles.
Dispose of used needles and small sharps in puncture-resistant container.
6. Gadikoppa Shivamogga
577201
Cleaning and
Disinfection Monitoring
E /NABH/NLC/HIC1c
Page 6 of 16
Which are located as close as possible to the area of use.
Needles should not be recapped, bent or broken by hand.
If a needle has to be removed from a syringe, use forceps or do it with utmost care.
Do not overfill a sharps container. All sharps containers to be discarded when 3/4th
full.
Fill with 1% sodium hypochlorite when the PPC is ¾th
fill, close tightly, label it and send
to biomedical storage area.
Sharps should not be passed from one HCW (Health Care Worker) to another. The
person using the equipment should discard it. If necessary, a tray be used to transport
sharps
14. Cleaning Spills
Mark the area using marker pen, place a board of caution and Wear protective measures
like, gloves etc.
Prepare 1% sodium hypochlorite by adding 40ml water in 10mlsodium hypochlorite
(5%).
Wet the area with Sodium hypochlorite 1% and cover the spillage area with tissue/
newspaper for 15 to 20 min. remove with gloved hand dispose it in yellow biohazard bin.
Clean the area with disinfectant & keep the area dry
15. General environment cleaning schedule
S.no Area/object Cleaning method Frequency of cleaning
1 Walls, windows,
fans, lights, ceiling,
ventilation
windows doors
Spot clean when visibly dirty with a clean
cloth , detergent and water
Once in a week and
whenever visibly
soiled
2 Floors Clean floors frequently with a mop phenyl
and water (1% hypochlorite solution
should be used when contamination is
present such as blood or other body fluid
spills)
Daily and as needed
3 sink Brush with a disinfectant cleaning solution
and rinse with water
Daily and more often
as needed
4 Toilets and latrines Scrub frequently with a separate mop or
brush and a disinfectant cleaning
solution(phenol)
Daily and more often
as needed
7. Gadikoppa Shivamogga
577201
Cleaning and
Disinfection Monitoring
E /NABH/NLC/HIC1c
Page 7 of 16
5 Patient rooms Clean with dry mop and mop the floor
with disinfectant cleaning solution
)phenyl
Daily and after patient
discharge
6 Procedure rooms Clean all equipment’s and furniture’s used
for the procedures with 70% isopropyl
alcohol clean blood or other body fluid
spills according to spillage policy
After each procedure
and whenever visibly
soiled
16. Frequent touch surfaces cleaning schedule
1 Phone 70% isopropyl alcohol Daily
2 Computer 70% isopropyl alcohol
Screen wipe with damp cloth ( squeeze the
water content completely and wipe )
Take care to avoid stains on the screen
Daily
3 Nursing station 70% isopropyl alcohol Daily
4 Chair 70% isopropyl alcohol Daily
5 Table 70% isopropyl alcohol Daily
6 Cupboards 70% isopropyl alcohol Daily
7 Door knobs 70% isopropyl alcohol Daily
8 Fan regulators Clean with dry cloth Daily
9 Switch boards Clean with dry cloth Daily
