Chapter 8 EVT CLEANING.ppt (1).pptx for Facility level

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1. Chapter 9 Environmental cleaning

2. Outline 2 By the end of this chapter you will be able to apply proper environmental cleaning in primary health care setting. Chapter Objective

3. Enabling Objective 3

4. Chapter outline Importance of environmental cleaning Principles of environmental cleaning in primary health care setting s Preparation of environmental cleaning and disinfecting solutions Cleaning methods Area risk categorization and cleaning schedule Summary

5. 8. 1 Introduction Environmental cleaning practices in the healthcare facilities including: The compound , the floors, walls, various type of equipment, tables and other surfaces. I t is cleaning of environmental surfaces and maintenance of cleanliness.

6. Activity 8.1. Think-Pair-Share Discuss the benefits of environmental cleaning in healthcare facilities for patients, staffs and visitors with the person sitting next to you and reflect your answer to the larger group. Time : 5 min

7. Purpose of general environmental cleaning Reduce number of microorganisms that may come in contact with patients, visitors, staff and the community; Provide a clean and pleasant atmosphere for patients and staff.

8. 8.2 General principles of cleaning and disinfection F rom the least soiled areas to the most soiled areas Dry sweeping and dusting should be avoided Instructions should be strictly be followed for preparation of cleaning agents Cleaning methods based on the type of the surface W ritten cleaning schedules depending on the extent of the soil present and the purpose of the area . PPE for c leaning staff

9. 8.3 Preparation of cleaning and disinfecting solution Cleaning products: include liquid soap, enzymatic cleaners, and detergents Disinfectants: Used after cleaning and are not substitutes for cleaning . E. g 0.5% Chlorine solution

10. Preparation cont … Always follow manufacturer’s instructions for preparation. Most cleaning products work at an optimum dilution Use proper PPE during preparation of solutions Provide training and simple instructions for preparation

11. Preparation of 0.5 % chlorine solution a dilute solution from a concentrated solution Check concentration (% concentrate) of the chlorine solution. Determine total parts of water using the formula below. Mix 1part concentrated bleach with the 9 parts of water required

12. Activity 8.2 . Group Discussion Discussion questions 1. Categorize your primary health care setting different areas/units in three risk categories? 2 . The recommended cleaning schedule for each listed area? Time: 10 min

13. R isk area categorization and cleaning schedule Low-Risk Areas: Waiting Rooms, Administrative Areas Clean with mop dampened with detergent and water at least once daily Intermediate Risk Areas: Patient Wards S hould be cleaned daily and right after patient is discharged High Risk Areas: Isolation wards, intensive therapy units, operating room Clean and disinfect after each procedure and whenever visibly soiled

14. 8. 4 Cleaning methods Cleaning of frequently surfaces General cleaning process

15. Cont.. Wet Mopping Method-(Preferable for Floor Cleaning) Single-Bucket (Basin) Technique: - Double-Bucket Technique: - Triple-Bucket Technique: - Flooding Followed by Wet Vacuuming Method Wet dusting Dry Vacuuming

16. Cleaning Method cont... Methods that produce m inimal mists and aerosols should be avoided S olutions will be contaminated almost immediately during cleaning. Replace frequently. Don't leave cleaning cloth or mop head soaking in dirty cleaning solutions. Buckets should be washed with detergent and warm water and stored dry after each use . Mops should be cleaned and disinfected then thoroughly dried daily.

17. Activity 8.3 . Think-Pair-Share Discussion Question 1. Imagine that while you are working in health Center if you face the below situation and how do you manage/clean the area: - Small, large blood spills and other body fluids ? Blood spills with broken glass? Time Allowed: 8 min

18. Management of small blood/ spills Procedure Wear non-sterile gloves for this procedure . Wipe the area immediately with paper towel and clean with water and detergent Disinfect the area with a towel soaked in 0.5% hypochlorite (household bleach) solution;

19. Management of large blood spills Clean gloves, single use apron, foot wear Remove blood with paper towel then dispose it in hazardous bag Clean thoroughly, using detergent and warm water solution. Disinfect with 0.5% chlorine solution, amount depending on the size of the spill) are adequate for disinfecting spills A llow the disinfectant to remain wet on the surface for 10 minutes R inse the area with clean water to remove the disinfectant residue

20. Chapter Summary Dust, soil and microbial contaminants on environmental surfaces are potential source of HAIs . Cleaning methods and schedules are necessary to maintain a clean and healthy environment Cleaning should start with the least soiled area and extend to the most soiled area and from high to low surfaces. It is important to train staff on environmental cleaning