No

Area Type

1

Indoor Area

(Like Cabins, Corridor, Halls, Medical Rooms, Service Rooms, Class Rooms, Staircase etc)

2

High Intensive Area

(Like Washrooms, Entrance Lobbies/Receptions etc)

3

Outdoor Area

(Like Lawns, Playground, Garages, Parking, Roads inside the campus etc)

4

Exterior of the Building

5

Seating Area (Stadiums)

Area/Items

Item/Equipment

Process

Method/ Procedure

Clinical Area

General clinical areas

Floors (clinical areas) – daily mopping

Dust mops Mop

(No broom will be used for sweeping)

Detergent/ sanitizer–hot water, sodium hypochlorite(1%)

Three buckets (one with plain water and one with detergent solution;

one bucket for sodium hypochlorite(1%)

Sweeping Cleaning

Daily mopping

·         Sweep with the dust mop or damp mop to remove surface dust. Sweep under the furniture and remove dust from corners. Gathered dust must be removed using a hearth brush and shovel.

·         The sweep tool should be cleaned or replaced after use.

·         Prepare cleaning solution using detergent with warm water

·         Use the three-bucket technique for mopping the floor, one bucket with plain water and one with the detergentsolution.

·         First mop the area with the warm water and detergent solution.

·         After mopping clean the mop in plain water and squeeze it.

·         Repeat this procedure for the remaining area.

·         Mop area again using sodium hypochlorite 1% after drying the area.

·         In between mopping if solution or water is dirty change it frequently.

·         Mop the floor starting at the far corner of the room and work towards thedoor.

·         Clean articles between cleaning.

Note: Mopping should be done

twice a day

Ceiling and Walls

Sweeping tool Duster

Bowl/ small bucket of soap solution Plain water

Damp dusting

·         Damp dusting with a long handledtool for the walls and ceiling done with very little moisture, just enough to collect thedust.

·         Damp dusting should be done in straight lines that overlap one another.

·         Change the mop head/cover when soiled.

Note: Should be done once a week or

after examining a suspect case

Care of mop

Hot water Detergent Sodium hypochlorite 1%

·         Clean with hot water and detergent solution, disinfect it with sodium hypochlorite and keep for

drying upsidedown.

Doors and door knobs

Damp cloth or Sponge squeeze mop Detergent

Thorough washing

·         The doors are to be washed with a brush, using detergent and water once a week (on one defined day); gently apply cloth to soiled area, taking care not to remove paint, then wipe with warm water to remove excess cleaningagent.

·         Door knobs and other frequently touched surfaces should be

cleaned daily.

Isolation room

Detergent/ Sanitizer– warm water, sodium hypochlorite (1%)

Three buckets (one with plain water and one with detergent solution);

separate bucket for sodium hypochlorite (1%)

Terminal cleaning

·         Before cleaning an isolation room, liaise with infection control team for details of any special requirements. Staff will be instructed on specific cleaning procedures required with reference to

·         Safety uniform to be worn.

·         Chemicals or disinfectants to be used.

·         Also, if bed screen and shower screen are to be cleaned or changed, refer cleaning in

isolation rooms.

All clinical areas/ Laboratories/ Wherever spill care is required

Sodium hypochlorite (1%)

Rag piece Absorbent paper Unsterile gloves Spill care kit Mop

Hot water

Blood and body fluid spill care

·         Wear non-sterile gloves.

·         For large spills, cover with absorbent paper/ rag piece

·         if any broken glass and sharps, using a pair of forceps and gloves, carefully retrieve.Use a large amount of folded absorbent paper to collect small glass splinters. Place the broken items into the puncture proof sharps container.

·         Cover the spill with sodium hypochlorite(1%)for 10–20 minutes contact time.

·         Clean up spill and discard into infectious waste bin, and mop area with soap and hot water.

·         Clean the mop and mop area with 1% sodium hypochlorite.

·         Wash mop with detergent and hot water and allow it to dry.

Stethoscope

Alcohol-based rub/Spirit swab

Cleaning

·         Should be cleaned with detergent and water.

·         Should be wiped with alcohol based rub/spirit swab before each patient contact.

BP cuffs and covers

Detergent Hot water

Washing

·         Cuffs should be wiped with alcohol- based disinfectant and regular laundering is recommended for the cover.

Thermometer

Detergent and water

Alcohol rub Individual thermometer holder

Cleaning

·         Should be stored dry in individual holder.

·         Clean with detergent and tepid water and wipe with alcohol rub in between patient use.

·         Store in individual holder inverted.

·         Preferably one thermometer for each patient.

Injection and dressing trolley

Detergent and water

Duster Disinfectant (70% alcohol)

Cleaning

·         To be cleaned daily with detergent and water.

·         After each use should be wiped with disinfectant.

Refrigerators

Detergent and water

Absorbent paper or clean cloth

Cleaning (weekly)

·         Empty the fridge and store thingsappropriately.

·         Defrost, decontaminate and clean with detergent.

·         Dry it properly and replace the things.

·         Weekly cleaning is recommended.

 Area/Items

 Item/Equipment

Process

 Method/ procedure

Lodging area

General cleaning

Detergent and

Daily mopping

·         Scrub floors with hot water and detergent with using minimal water. (Do not pour thewater.)

·         Clean with plainwater.

·         Allow to dry

·         Hypochlorite 1% mopping canbe done.

Note:Recommend general cleaning procedure should

be done twice a day

warm water

floors

Mop

Two buckets Clean

Thorough

utility gloves

washing

Handmops

Lockers, tables, cupboard, wardrobes,

benches, shelves

and cots

Damp duster Warm water Detergent Dry duster

Damp dusting

·         Damp dust with warm waterand detergent.

Railings

Detergent/ Sanitizer–hotwater, sodium hypochlorite 1%

Daily dusting

·         Damp dust with warm water and detergent followed by disinfection with hypochlorite

Three small buckets/ or big bowls

One with plain water

One with detergent solution

One for sodium

hypochlorite 1%

Mirrors and

Warm water

Cleaning

·         Using warm water and a small quantity of detergent and using a damp cloth, wipe over the mirror and surround, then using a dry lint-free cloth, buff the mirror and glass to a clean dryfinish.

Glass

Detergent water/

cleaning solution

Damp cloth Wiper

Sluice room Stainless steel/ Any other sink

Powder cleanser Detergent powder Wiper

Cloth

Cleaning

·         Sinks are to be cleaned witha powder cleanser.

·         Firstwetthesink.Sprinkleonalittle powder cleanser and work around the surface with a cloth, include the plughole.

·         Do not use the powder cleanseron dry sink.

·         After removing spillage and any stains, flush away with

running water. Wipe down the surface of the sink.

Pantry furniture

Duster

Dusting

·         Dampdust

Telephone

Warm water detergent solution Duster

General cleaning

·         Damp dust with warm waterand detergent.

·         Payingspecialattentiontotheear

and mouth piece and dry it properly.

Desks

Damp cloth Furniture polish

Dusting

·         Wipe top sides and draw handles with a damp cloth. Wooden desks should be cleaned with furniture polish and buffed to clear glows. Pen holder etc. to be cleaned

ordusted.

Chairs (Vinyl)

Warm water and detergent

Cleaning

·         Wipe down with warm water and detergent. Remove any marks under arms and seat. Check fordamage

to stoppers, if stopper require replacement, report to maintenance department.

Furniture and fittings

Warm water and detergent

Rag piece

Dusting

·         Using warm water and detergent, damp dust all furniture and fittings, including chairs, stools, beds, tables, cupboards, wardrobes, lockers, trolleys, benches, shelves and storage racks, waste/ bins, fire extinguishers, oxygen cylinders, televisions window sills and dry properly.

Bed tables, bedside lockers

Warm water and detergent

Wiper Duster

Cleaning

·         Wipe down over bed table. Wipe top and underneath base and stand, using warm water and detergent. Dry oncompletion.

·         Wipe down the bedside. Remove marks from fronts of draws and sides. Using warm water and detergent, wash the top to remove any sticky marks anddust.

Light switches and over-bed lights

Damp cloth (never wet)

Detergent Warm water

Cleaning

·         Light switches to be cleaned of dust, spots and finger marks. Clean with a damp cloth (never wet) and detergent.

·         Over-bed lighting to be damp dusted. Clean with warm

water and detergent.

Curtains

Soft clothes Water

Mild soap solution

Cleaning

·         Clean with water and soap for curtains

White clothes

Sodium hypochlorite 1%

Tap water

Washing

·         Should be washed under running water and soaked in 1% sodium hypochlorite for 20minutes.

Note: PPE should be worn while washing soiled linen.

Mattress and pillow covers (cloth)

Tap water

Washing

·         Mattress and pillows should be covered with a reusable mattress cover.

·         It should be changed for each patient and when soiled sent to the laundry according to schedule.

Mattress/ Pillow with rexin cover

Sodium hypochlorite 1%

Terminal

Damp dusting and cleaning

·         If with rexin cover, can be cleaned with 1% sodium hypochlorite before use for next patient

·         If routine mattress, dry it in bright sunlight for 1-2 days before using for next patient

Normal/

without rexin

Sunlight

Drying in sunlight

Water jars

Vim powder Soap and water

Cleaning

·         Recommended boiled water for drinking

·         Water jars should be scrubbed/ cleaned with soap and water and boiled water before filling withwater.

Areas

Agents / Toilet cleaner 

Procedure

Cleaning of toilets

Toilet pot/ commode

Sodium hypochlorite 1%/

Soap powder / long handle angular brush

·         Inside of toilet pot/commode:

·         Scrub with the recommended agents and the long handle angular brush.

·         Outside: Clean with recommended agents; use a nylon scrubber.

Lid/commode

Nylon scrubber and soap powder

·         Wet and scrub with soap powder and the nylon scrubber inside and outside

Toilet floor

Soap powder and scrubbing brush/ nylon broom

·         Scrub floor with soap powder and the scrubbing brush

·         Wash with water

·         Use sodium hypochlorite1% dilution

Tap

Nylon scrubber and soap powder

·         Wet and scrub with soap powder and the nylon scrubber.

Outside sink

Soap powder and nylon scrubber

·         Scrub with the nylon scrubber.

Showers area / Taps and fittings

Warm water Detergent powder Nylon Scrubber

·         Thoroughly scrub the floors/tiles with warm water and detergent

·         Wipe over taps and fittings with a damp cloth and detergent.

·         Care should be taken to clean the underside of taps and fittings.

·         Taps should be dried aftercleaning

Soap dispensers

Detergent and water

·         Daily dusting

·         Should be cleaned weeklywith detergent and water and dried.