Basic outline of healthcare project and the cleaning methodology with JCI standard, will make to understand hospital standard color coding of cleaning tools used on day to day operation.

1. HEALTH CARE PROJECT
SASIKUMAR NATARAJAN

2. WHAT IS HEALTH CARE
The act of taking preventative or necessary medical procedures to improve a person's well-being. This may be
done with surgery, the administering of medicine, or other alterations in a person's lifestyle. These services are
typically offered through a health care system made up of hospitals and physicians.

3. DIFFERENT AREAS IN HOSPITAL
GENERAL AREA (RECEPTION, LOBBY, CORRIDOR, STAIRCASE, WAITING ROOM, ENTRANCE
CRITICAL /ISOLATION AREA (EMERGENCY, OT, SCAN, XRAY, CSSD, BLOOD BANK)
PATIENT AREA (IP WARD, PHARMACY, NURSE STATION
EXTERNAL AREA (CAR PARKING, ELECTIRCAL ROOM, LOADING AREA
WASHROOM

4. COLOR CODING

5. PPE
• Masks cover your mouth and
nose.
• Eye protection includes face
shields and goggles
• Clothing includes gowns, aprons,
head covering, and shoe covers.

6. HAND HYGIENE

7. DONNING
DONNING AND DOFFING IS THE PRACTICE OF
HEALTH CARE EMPLOYEES PUTTING ON AND
REMOVING WORK-RELATED PROTECTIVE
GEAR, CLOTHING, AND
UNIFORMS. DONNING REFERS TO PUTTING
ON WORK CLOTHES, GEAR, AND EQUIPMENT,
WHILE DOFFING MEANS REMOVING THEM

8. DOFFING
DONNING AND DOFFING IS THE PRACTICE OF
HEALTH CARE EMPLOYEES PUTTING ON AND
REMOVING WORK-RELATED PROTECTIVE
GEAR, CLOTHING, AND
UNIFORMS. DONNING REFERS TO PUTTING
ON WORK CLOTHES, GEAR, AND EQUIPMENT,
WHILE DOFFING MEANS REMOVING THEM

9. CLEANING METHODS

10. CLENAING EQUIPMENT FOR DUSTING & DAMP WIPPING
• CLEANING
CLOTH
• SPRAY BOTTLE
• DISINFECTANT
CHEMICAL

11. CLENAING EQUIPMENT FOR WASHROOM • CADDY
• RED MOP TROLLY
• MOP STICK
• RED TOWEL
• TOILET BRUSH

12. • SCRAPER
• WIPER
• APPLICATOR
• TOWEL
• BLUE BUCKET

13. CLENAING EQUIPMENT FOR MOP & SWEEP
• DUST CONTROL MOP
• MOP TROLLY
• MOP STICK
• DUSTPAN

14. WASTE DISPOSAL
YELLOW – INFECTION WASTE
RED - BIO MEDICAL WASTE
BLACK – GENERAL WASTE
WHITE – OFFICE ROOM WASTE

15. SHARP BOX
A sharps container is a hard-plastic container
that is used to safely dispose of hypodermic
needles and other sharp medical instruments,
such as IV catheters and disposable scalpels.
This minimizes the distance the containers
have to travel and the number of people to
come in contact with the sharps waste.

16. SPILL RESPONSE
Types of spill
• Chemical spill
• Oil spill
• General Spill
• Human fluid spill
• Mercury Spill
• Biohazard Spill

17. SPILL RESPONSE
Pads and Rolls
• By far, these are the most common type of sorbents
• Easy-to-use, good absorption and easy to-dispose-of
• Rolls often have perforations for easy dispensing
Booms or Socks
• Ideal for use around machines to keep the areas clean, safe and dry
from leaks, drips and spray
• Also used to keep larger spills from spreading
• Many styles are reusable
Pillows
• May be used for absorbing large amounts of spilled liquids
• Ideal for absorbing spills in tight spaces
Loose Sorbents or Granules
• Formulated to maximize absorption and minimize dust
• May be used to absorb liquids in heavy traffic areas

18. MEDICAL SPILL KIT
Biohazard Spill Kits
Biohazard Spill Kits are ideal for use in surgeries, hospital
wards, labs, clinics, leisure centers and any other
environment where a sudden and unexpected spillage of
blood or other body fluid can cause danger and distress.
Mercury Spill Kit (Thermometer)
Mercury Spill Kit consists of a special absorbent capable of
absorbing mercury in quantities corresponding to its own
weight (1:1) and convert it into a relatively harmless
substance. The resulting compound emits practically no
harmful vapors and is safe to store for collection and
disposal.
A mercury spill kit should be kept in close proximity wherever
any equipment containing mercury is stored or used. This
ensures that risks to employees, patients, visitors and the
environment are minimized.

19. PATIENT ROOM CLEANING”(OCCUPIED)
• Always knock and greet the patient and his or her visitors in a friendly
manner and identify yourself explaining why you are there. It is
important to excuse yourself if a doctor, nurse, minister or other clinical
person is in the process of any type of procedure or discussion.
• Empty the trash and bring the filled liner to your cart for disposal. Never
compress the trash in case there are hidden sharps or contaminated
materials inside. Spray the inside and outside of the receptacle with a
spray disinfectant and replace with a clean liner.
• Spray the outside of the toilet and sinks with a disinfectant.
• Move on to the next task allowing the disinfectant to sit for 10 minutes. It is
important to come back and wipe up overspray after the 10 minutes
contact time. Be sure not to let anyone enter the area until you have wiped.
• Damp wipe the outside of all furniture (except the patient’s bed). Use a
disinfectant on all hard non-porous surfaces such as window ledges and
counters. Use a neutral cleaner on porous surfaces. Do not open drawers
or disturb the patient’s belongings.

20. PATIENT ROOM CLEANING”(OCCUPIED)
• Beginning at the door and working clockwise around the room, spot clean all
visible soil from walls with a disinfectant.
• Damp wipe doorknobs, handrails, light switches and push plates with
disinfectant. Be sure to thoroughly damp wipe the phone, cord and dial plate.
• Do not wipe directly over the patient. This includes the over-bed light.
Cleaning cloths should be changed frequently to avoid cross-contamination.
• Return to the restroom. use a spray disinfectant, on areas that people
continually touch such as doorknobs, push plates and handrails.
• Place “Wet Floor” caution sign and begin to dry and wet mop the floor from the
farthest corner to the door. Collect the dirt and debris in a dust-pan at the door
and dispose of it in your cart’s trash bag. Use a disinfectant solution for wet
mopping.
• Before leaving the room make a final inspection to be sure that furniture and
patient belongings are in their original location.
• Check to make sure that you did not leave any spray bottles, bags or
equipment.
• Remove the sign board after the floor completely dry.

21. TERMINAL CLEANING
• Beginning at the door and working clockwise around the room, spot clean all
visible soil from walls with a disinfectant.
• Pay attention on doorknobs, handrails, light switches and push plates with
disinfectant. Be sure to thoroughly damp wipe the phone, cord and dial plate.
• Thoroughly clean the patient locker with a disinfectant. Be sure to wipe all
corners and edges carefully.
• Damp wipe the TV control unit with disinfectant. Never spray chemical on the
controls directly. Spray and wipe all chairs and other furniture. Change the
curtains and bed linen.
• Follow cleaning procedures for fabric chairs. Clean mirrors and windows with
glass cleaner
• Disinfect visible soil from the entrance door, door frame, kick plate, Patient
chart holder, room sign and the general vicinity of the entrance.
• Clean the restroom according to restroom sanitation procedures.
• Dust mop the floor followed by wet mopping with disinfectant. Pay close
attention to baseboards, corners and underneath of furniture.
• Properly remove gloves and wash your hands. Make a final inspection of the
room before you remove PPE.
• Notify the appropriate person that the room is clean and ready for the next
admission.

22. ISOLATION ROOM CLEANING
• Start cleaning from top to bottom that covers such as ceiling light covers,
vents, overhead lights, shades and etc.
• Use Yellow microfiber cloth to clean wall fixtures, windowsill, blinds, oxygen
wall hook-ups, patient intercom unit next to bed and rest of the room
equipment.
• Clean bathroom, toilet and sink (NOTE: use separate mop set and color-coded
cloth for this task). Damp wipe with Red microfiber cloth and keep dry.
• Mop the floor with the figure of eight pattern from the furthest area moving
towards the entrance door.
• For Infection Room: Check the “sharp safe” box if it is full and when full
dispose all medical waste in the room to their corresponding color-coded
biohazard bags, seal the bag and keep outside the room for collection to the
collection point.
• Damp wipe the wall and cupboard from top to bottom. Use telescopic pole if
the height is beyond reach.
• Clear and damp wipe the bins and replace the biohazard bags.
• Dusts mop the floor and collect the dust with dustpan. (NOTE: Ensure to control
the dust to prevent it spreading on air)
• Mop the floor with the figure of eight pattern from the furthest area moving
towards the entrance door.

23. LABORATORY CLEANING
• Dispose medical waste in biohazard bag, seal the bad and keep outside
of the room.
• Check the "Sharp Safe" box if it is full then seal it, put in to medical
waste bag. Seal the bag and place outside of the Infection room.
• Damp wipe the exterior surface of wall, cupboards beginning from high
to low level. Spot clean walls and door , if necessary.
• Wet the washbasin apply disinfectant cleaner on surface and scrub it
using abrasive pad.
• Finally damp wipe the exterior of the waste bin and replace new bag
(general/biohazard).
• Dust mop the floor and collect dust outside the Lab with a dustpan and
brush. (Do not lift up the dust mop or shake out, as this practice will
promote the spread of dust)
• Place "Wet Floor" sign at room entrance, Mop all floor surfaces
beginning from the corner working towards the entrance using figure 8
motion.
• Use biohazard trolley to dispose medical waste. Use sanitizer and wash
hands thoroughly before commencing work in another area.

24. OPERATION THEATER CLEANING
• Place sign board at the entrance of the room
• Prepare fresh hospital approved disinfectant solution according to manufacturer’s
instructions, Clean hands and put on gloves
• Collect and remove waste and all soiled linen
• Clean hands and change gloves
• Clean and disinfect lights and ceiling-mounted tracks all door handles, push
plates, light switches and controls
• Clean and disinfect telephones and computer keyboards and Spot-check walls for
cleanliness
• Clean and disinfect all exterior surfaces of machines and equipment (e.g.,
anaesthesia carts), allowing adequate drying time for the disinfectant before
storage
• Clean and disinfect all furniture including wheels/casters
• Clean and disinfect all surfaces, scrub sinks and surrounding walls
• Mop floor, making sure the OT table is moved and the floor is washed underneath;
move all furniture to the centre of the room and continue cleaning the floor; apply a
sufficient amount of disinfectant/detergent to ensure that the floor remains wet
for five minutes; use a fresh mop/mop head and fresh solution for each room
• Replace all furniture and equipment to its proper location
• Wash the colour coded bins, dry them and put colour coded bags once it is dried
• Clean and store cleaning equipment

25. BLOOD SPILL CLEANING
• Use appropriate personal protective equipment
such as Disposable gown, gloves, Use appropriate
personal protective equipment such as Disposable
gown, gloves,
• Cover spill with the absorbent disposable material
(paper, towel/ Powder) Change the hand gloves after
every process and dispose in biohazard containers.
• Once blood or body fluid have been removed from
the surface or object do the following:
• Damp mop the floor with detergent and disinfectant
( Mop should be changed for each process).
• Discard all regulated water.
• Dispose used personal protective equipment in
Biohazards Container
• Wash hand thoroughly with hand cleaner and
Sanitizer.
• Resume normal cleaning schedule for other area.

26. TREATMENT ROOM CLEANING
• Fill Blue damp dusting bucket with cold water and Disinfecting
chemical.
• Wear disposable gloves and apron.
• Damp dust all surfaces, fixtures, fittings and ledges including doors and
door handles.
• Wipe around curtain rails with disposable towel, re-hanging any
curtains that are looped or soiled.
• Clean all parts of the patient table including the rails and control box.
• Mop under bed, table and push back to wall ensuring brake has been
put back on.
• Using a green scouring pad clean sink, removing all body fats.
• Clean under sink with disposable towel.
• Empty bin and clean frame.
• Mop floor with blue bucket and mop handle.
• Remove mop head and place in clear bag and put out for laundry.
• Clean doctors table, chair, and all equipment with disinfecting
chemical.
• Sanitize most patient touch point in the treatment room
• Remove disposable gloves and apron and wash hands thoroughly.
• When the floor is dry return the hazard sign to the cleaning cupboard.

27. WEAR/REMOVE METHOD - GLOVES
•

28. DO’S & DON’TS
• USE PROPER PPE
• PLACE THE SIGN BOARD AT VISIBLE AREA
• DON’T DISTURB THE PATIENT
• AVIOD MOBILE AT WORKPLACE
• AVOID WRISTWATCH AND HAND BAND
• DON’T TOUCH THE ISOLATED AREA
• DON’T HANDLE THE PATIENT
• PLACE THE CLEANING EQUIPMENTS AT THE RIGHT PLACE
• FOLLOW COLOR CODING
• USE SPILL KIT FOR HUMAN FLUID
• AVOID SPRAYING CHEMICALS DIRECTLY ON SURFACE

29. THANK YOU
SASIKUMAR NATARAJAN