PATIENT ROOM CLEANING CHECKLIST: TERMINAL CLEAN

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PATIENT ROOM CLEANING CHECKLIST: TERMINAL CLEANNAME:PATIENT ROOM BATHROOMCLEANING PROCEDURESROOM:TIME:DATE: lean the mirror using a blue MicrofiberCglass clothPREPARATION AND SETUP lean the sink area, including the counter,Cfaucet and handles, and sink basin with aclean yellow Microfiber cloth repare equipment and load High SecurityPCleaning Cart with everything needed forthe task on the appropriate attire and PersonalDProtective Equipment (PPE)BASIC PROCEDURES erform hand hygiene and don glovesPbefore entering the room e aware of signage that indicatesBspecial precautions lways knock and enter slowly, whileAgreeting the patientLeave the High Security Cleaning Cartin the hall and set up Safety SignPATIENT ROOM CLEANINGPROCEDURES urvey the room, straighten furnishingsSand pick up loose debrisDust curtain rods, tops of doors andrecessed lightsSpot clean walls with a green Microfiber cloth lean other surfaces of the bathroomCwith a clean yellow Microfiber cloth amp clean all vertical surfaces, counters,Dledges and sills Disinfect toiletClean the window with a blue Microfiberglass clothEmpty and line waste containers ith a red Microfiber cloth, wipe all surfacesWof the headboard, including all railings, cords,and remotes ipe down the entire bed frame and frameWsupporting the mattress lean and disinfect the mattress andCcoated pillowsWith a red Microfiber cloth, wipe all surfacesof the footboard Restock consumable supplies ust mop floor, beginning in the far cornerDof the room, with the green Microfiberfringed dust mop amp mop patient room floor with aDblue Microfiber damp mop, then mopbathroom floor Remove gloves and perform hand hygiene Inspect room and complete quality checklist lean and disinfect nightstand and over-bedCtables, including legs and wheelsClean the mirrors with a blue Microfiberglass cloth ipe any furnishings and otherWhigh-touch areas Clean vents and returns Empty and line waste containers Inspect privacy curtains for soiled areas Remove all soiled linens Remove gloves, perform hand hygiene erform high dusting with MicrofiberPFlexible Dusting Wand hange gloves to remake bed, according toCfacility policyThis checklist is consistent with the AHE Practice Guidancefor Healthcare Environmental Cleaning: 2nd Edition.Always use the cleaning chemicals and proceduresspecified by your supervisor.

PATIENT ROOM CLEANING CHECKLIST: OCCUPIED CLEANNAME:PATIENT ROOM BATHROOMCLEANING PROCEDURESROOM:TIME:DATE:Clean the mirror using a blue Microfiberglass clothPREPARATION AND SETUP lean the sink area, including the counter,Cfaucet and handles, and sink basin with aclean yellow Microfiber cloth repare equipment and load High SecurityPCleaning Cart with everything needed forthe task on the appropriate attire and PersonalDProtective Equipment (PPE)BASIC PROCEDURES erform hand hygiene and don glovesPbefore entering the roomBe aware of signage that indicatesspecial precautions lways knock and enter slowly, whileAgreeting the patientLeave the High Security Cleaning Cart in thehall and set up Safety SignPATIENT ROOM CLEANINGPROCEDURESSurvey the room, straighten furnishingsand pick up loose debris lean other surfaces of the bathroomCwith a clean yellow Microfiber cloth Disinfect toiletEmpty and line waste containers Restock consumable suppliesClean bed rails and over-bed table witha red Microfiber clothEmpty and line waste containers»» Clean only if visibly dirtyWith a green Microfiber cloth, wipedoor frame, furniture bumpers, chairsand chair armsDust mop floor beginning in the far cornerof the room with the green Microfiberfringed dust mopWipe window sill and spot clean windowsDamp mop patient room floor with ablue Microfiber damp mop, then mopbathroom floorSpot clean walls amp clean all vertical surfaces, counters,Dledges and sills lean the window with a blue MicrofiberCglass cloth Remove gloves and perform hand hygieneInspect room and completequality checklistWith a red Microfiber cloth, wipe the topand front of the footboard ipe desktops, bedside tabletops andWtelephone, arm chairs, door and cabinethandles, light switches, handles and otherhigh-touch areasThis checklist is consistent with the AHE Practice Guidancefor Healthcare Environmental Cleaning: 2nd Edition.Always use the cleaning chemicals and proceduresspecified by your supervisor.

SURGICAL AREA CLEANING CHECKLIST: OPERATING ROOMNAME: lean air intake grills, ducts and filter coversCwith the Microfiber Flexible Dusting Wandand High Performance dust sleeveROOM:TIME:Check walls and spot clean with a greenMicrofiber clothDATE:PREPARATION AND SETUP repare equipment and load High SecurityPCleaning Cart with everything needed forthe taskDon the appropriate attire and PersonalProtective Equipment (PPE) erform hand hygiene and don glovesPbefore entering the roomAlways enter slowly, leaving cleaning cartin the hallUTILITY AREA CLEANINGPROCEDURESWipe sink shelves and surrounding surfaceswith a yellow Microfiber clothClean and scrub sink area, including counter,faucet handles, basin and all piping. Cleanthe spout of the faucetClean floor mats and lift to cleanunderneath matChange gloves, perform hand hygiene andenter the OR suite to be cleanedOPERATING ROOM CLEANINGPROCEDURES lean all furniture and equipment, includingCstands, foot pedals, casters, wheels, cords,light switches and other high-touch surfaces,using fresh red Microfiber clothsas necessary urvey the room for surgical instruments,Swaste involving blood or blood-soakedliners, and alert OR staff to removeUnlock the OR table and break downpads and straps to clean with a redMicrofiber clothPick up and remove loose trash and trashin binsWipe the joints, table attachments, frame,legs and railsRemove infectious wasteTurn down the mattress and wipe the tablebed frame and back of mattress emove all soiled linens, handling carefully,Rper facility policy pot clean any area visibly soiled with smallSamounts of potentially infectious materialwith a green Microfiber cloth ry/damp dust fixed and ceiling-mountedDequipment and surgical lights with theMicrofiber Flexible Dusting Wand and HighPerformance dust sleevePerform other high dusting with theMicrofiber Flexible Dusting Wand and cleanHigh Performance dust sleeve ipe sides of the mattress and change wipeWor cloth as neededThe entire floor of the OR should beflooded using the blue High Absorbencydamp mop and then wet vacuumed witha floor machine emove PPE and immediately perform handRhygiene, don new gloves and wipe downtools used to clean OR suiteComplete quality checklistClean and disinfect operating table lights,including extender arms, and light reflectorswith a red Microfiber cloth lean and disinfect walls, ledges and otherCsurfaces with the Flexible Frame and dampmop coverThis checklist is consistent with the AHE Practice Guidancefor Healthcare Environmental Cleaning: 2nd Edition.Always use the cleaning chemicals and proceduresspecified by your supervisor.

ISOLATION ROOM CLEANING CHECKLIST: OCCUPIED CLEANNAME:ISOLATION ROOM BATHROOMCLEANINGROOM:TIME:Clean the mirror using a DisposableMicrofiber clothDATE:PREPARATION AND SETUP repare equipment and load High SecurityPCleaning Cart with everything needed forthe task on the appropriate attire and PersonalDProtective Equipment (PPE)SPECIAL ISOLATION PROCEDURES erform hand hygiene and don glovesPbefore entering the room, pulling gown cuffsinto gloves to limit exposureReview door sign for isolation condition pecial instructions should include specificSprocedures for isolation condition if needed lways knock and enter slowly, whileAgreeting the patientLeave the High Security Cleaning Cart in thehall and set up Safety SignISOLATION ROOM CLEANINGPROCEDURES urvey the room, straighten furnishings andSpick up loose debrisEmpty and line waste containersRemove infectious waste if needed emove soiled linen, including gown, towelsRand washclothsUsing Disposable Microfiber cloths:»» Spot clean walls»» Wipe door frame, furniture bumpers, chairsand chair arms»» Wipe window sill and spot clean windows»» Damp wipe all vertical surfaces, counters,ledges and sillsClean the window with a DisposableMicrofiber clothUsing Disposable Microfiber cloths:»» Wipe all surfaces of the headboard, railingsand remotes»» Wipe the top and front of the footboard»» Wipe desktops, bedside tabletops andtelephone, arm chairs, door and cabinethandles, light switches, handles and otherhigh-touch areasClean the sink area, including thecounter, faucet and handles, and sinkbasin with a clean DisposableMicrofiber clothClean other surfaces of the bathroomwith a clean Disposable Microfiber clothDisinfect toiletRestock consumable suppliesEmpty and line waste containers ust mop floor, beginning in the farDcorner of the room, with a DisposableMicrofiber mop amp mop room floor, then bathroomDfloor with a Disposable Microfiber mopDispose of used cloths and mops infacility-approved container Remove PPE before leaving the roomPerform hand hygiene and don new glovesClean all tools and equipment andreturn to cartRemove gloves and perform hand hygieneI nspect room and completequality checklistThis checklist is consistent with the AHE Practice Guidancefor Healthcare Environmental Cleaning: 2nd Edition.Always use the cleaning chemicals and proceduresspecified by your supervisor.

ISOLATION ROOM CLEANING CHECKLIST: TERMINAL CLEANNAME:ISOLATION ROOM BATHROOMCLEANINGROOM:TIME:DATE:Clean the mirror using a DisposableMicrofiber clothPREPARATION AND SETUPClean the sink area, including the counter,faucet and handles, and sink basin witha clean Disposable Microfiber cloth repare equipment and load High SecurityPCleaning Cart with everything needed forthe task on the appropriate attire and PersonalDProtective Equipment (PPE)SPECIAL ISOLATION PROCEDURES erform hand hygiene and don glovesPbefore entering the room, pulling gowncuffs into gloves to limit exposureReview door sign for isolation conditionSpecial instructions should include specificprocedures for isolation condition if neededAlways knock and enter slowly, whilegreeting the patientLeave the High Security Cleaning Cart in thehall and set up Safety SignISOLATION ROOM CLEANINGPROCEDURESSurvey the room, straighten furnishings andpick up loose debrisEmpty and line waste containersRemove infectious wasteRemove all soiled linensPerform high dusting with the MicrofiberFlexible Dusting Wand and HighPerformance dust sleeveDust curtain rods, tops of doors andrecessed lightsUsing Disposable Microfiber cloths:»» Spot clean walls»» Damp clean all vertical surfaces, counters,ledges and sillsClean the window with a DisposableMicrofiber clothUsing Disposable Microfiber cloths:»» Wipe all surfaces of the headboard, includingall railings, cords, and remotesClean other surfaces of the bathroomwith a clean Disposable Microfiber clothDisinfect toiletRestock consumable suppliesEmpty and line waste containersDust mop floor, beginning in the farcorner of the room, with the DisposableMicrofiber MopDamp mop room floor, then bathroom floorwith the Disposable Microfiber Mop»» Wipe down the entire bed frame and framesupporting the mattressDispose of used cloths and mops infacility-approved container»» Clean the mattressRemove PPE before leaving the room»» Wipe all surfaces of the footboardPerform hand hygiene and don new gloves»» Clean nightstand and over-bed tables,including legs and wheelsClean all tools and equipment and returnto cartClean the mirrors with a DisposableMicrofiber clothRemove gloves and perform hand hygieneInspect room and complete quality checklistWipe any furnishings and otherhigh-touch areasClean vents and returnsInspect privacy curtains to ensure theyare not soiledRemove gloves, perform hand hygiene andchange gloves to remake bed, accordingto facility policyThis checklist is consistent with the AHE Practice Guidancefor Healthcare Environmental Cleaning: 2nd Edition.Always use the cleaning chemicals and proceduresspecified by your supervisor.

PATIENT ROOM CLEANING CHECKLIST: TERMINAL CLEAN PATIENT ROOM BATHROOM CLEANING PROCEDURES Clean the mirror using a blue Microfiber glass cloth Clean the sink area, including the counter, faucet and handles, and sink basin with a clean yellow Microfiber cloth Clean other surfaces of the bathroom

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