SEE POLICY: CA.82.01.123 Routine Practices for Client/Facility Contacts (Control of Infectious Diseases)
Category: Clinical Services
Subject: Clinic Room Cleaning
Division: Community Health and Wellness
Procedure Number: CA.72.02.603
Effective Date: October 26, 2017
Clinic rooms will be cleaned as per guidelines set out by the Provincial Infectious Diseases Advisory Committee in the Infection Prevention and Control for Clinic Office Practices (April 2015, or as current).
A cleaning service is contracted by Wellington-Dufferin-Guelph Public Health (WDGPH) to provide end of day cleaning of the clinical areas. Products used for cleaning, and frequency of cleaning is set out in the contract based on the Infection Prevention and Control for Clinic Office Practices (April 2015, or as current).
Cleaning between client appointments is required on the following surfaces if used during client appointment:
- Beds (e.g. examination tables)
- Supply trolley (silver cart that holds medical equipment and specimens)
- Blood pressure cuffs
- Electronic equipment such as keyboards, mice, telephone components
- Electronic monitoring devices if shared (e.g. Glucometer)
- Reflex hammer
- Scales (infant)
- Transportation equipment (e.g. wheelchairs)
Employees must follow the manufacturing instructions of the product provided for cleaning and disinfecting of surfaces.
Other items that come in contact with the client should be replaced or discarded between clients (e.g. examination table paper, sheaths that cover exam lights, disposable speculums).
Non-disposable items that come in contact with non-intact skin or mucous membranes but do not penetrate them require cleaning followed by high level disinfection or sterilization is preferred. These items are cleaned on-site, wrapped, stored in a Tupperware container and taken off-site to Guelph General Hospital for sterilization (e.g. steel vaginal speculums).
Surfaces need to be cleaned and disinfected immediately if they are visibly soiled with blood or body fluids, excretions or secretions (e.g. exam tables, floors, toilets).
Cleaning of body fluid spills:
- Restrict activity around the area until it has been cleaned, disinfected and dried;
- Put on gloves; if there is a possibility of splashing, wear a gown and facial protection (mask and eye shield);
- Confine and contain the spill; wipe up any blood or bodily fluid spills immediately using either disposable towels or a product designed for this purpose. Dispose of materials by placing them into regular waste receptacle, unless the soiled materials are so wet that blood can be squeezed out of them, in which case they shall be segregated into the biomedical waste container (e.g. yellow bag);
- Disinfect the entire spill area with a hospital grade disinfectant and allow to stand for the amount of time recommended by the manufacturer;
- Wipe up the area again using disposable towels and discard into regular waste;
- Care should be taken to avoid splashing or generating aerosols during the clean-up; and
- Remove gloves and perform hand hygiene.
- Ensure availability of products for cleaning and personal protective supplies are available for employees; and
- Ensure employees are trained in the use of cleaning products, personal protective devices and infection control standards under this procedure.
- Be familiar with the transmission routes of various bacteria, viruses and fungi that can cause infectious diseases; and
- Take the necessary precautions to prevent the transmission of disease-causing organisms.
REFERENCES AND RELATED FORMS, POLICIES AND PROCEDURES
Corresponding Policy CA.82.01.123 Routine Practices for Client/Facility Contacts
Infection Prevention and Control for Clinic Office Practices (April 2015, or as current).
CONTACT FOR INQUIRIES
Manager, Clinical Services
Director, Community Health and Wellness