Title Page
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Conducted on
SOP for Each room type
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Cleaning Methodology 1-Clean High to low 2-Cleanest to dirtiest 3- Clean in a systematic manner
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PATIENT ROOM CLEANING (STANDARD PRECAUTIONS – TERMINAL/ DISCHARGE)
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PATIENT ROOM CLEANING (ISOLATION – OCCUIPED)
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PATIENT ROOM CLEANING (ISOLATION – TERMINAL)
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PATIENT ROOM CLEANING (ISOLATION – PPE)
SOP UV Light and Quality Inspections
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Upon notification of an isolation room discharge, EMS staff will prepare for terminal cleaning. EMS supervisor or QA personnel will apply a small, discreet amount of fluorescent marking gel to each of the 18 identified high-touch surfaces within the room.
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The marking gel should be applied in a consistent manner to ensure reliable detection.
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Terminal Cleaning: EVS tech will perform the standard terminal cleaning procedures for isolation rooms, ensuring all surfaces are thoroughly cleaned and disinfected.
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UV Inspection:
After cleaning is completed, infection control or designated personnel will use a UV light source to inspect the 18 marked surfaces. The inspection must be performed in a darkened room to ensure accurate detection of any remaining fluorescent gel. Each surface will be assessed as "Pass" (no visible fluorescent gel) or "Fail" (visible fluorescent gel). -
A failure is defined as any visible fluorescent marking gel remaining on a surface after cleaning. The acceptable failure rate is 10% of the 18 surfaces. This means no more than 2 surfaces can fail. If two or more surfaces fail, the room will be considered a failure. If a failure occurs, the EVS tech will be notified immediately, and the room will be recleaned, paying particular attention to the failed surfaces. After recleaning, the UV inspection will be repeated. The reclean and retest will be documented.
High Touch Surfaces
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Room Number
High-touch Room Surfaces
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Are all medical devices cleaned by medical staff covered with a trash bag when EMS staff entered the room?
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Are there any personal items or medications left in the room which were to be removed by medical staff?
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Before beginning the cleaning process take a moment to inspect the room for any damages or broken items which will need to be reported for repair. Example ceiling damaged ceiling tiles, bulbs out, toilet working. If so, report findings to charge nurse and inform supervisor upon completion of the terminal clean.
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Inspect room for any biohazards on wall or ceiling. If so plan to clean and disinfect the visible signs.
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Visual inspection of Floors
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Bedrails
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Headboard
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Armoire shelves
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Bedside table
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Tray Table
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Call button
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Telephone<br>
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T.V.<br>
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Chair
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Room sink<br>
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Light switches (2)<br>
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Doorknobs (room and bathroom, inside and outside)
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Bathroom handrails
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Toilet seat<br>
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Toilet handle<br>
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Bathroom sink<br>
Sign Off
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Monitoring Method Used:
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Additional Comments
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Hospital Housekeeper Name
