Combined EMS Standard Operating Procedures for Contracted Janitorial Services.doc

Combined EMS Standard Operating Procedures, Ref for contracted janitorial services:

EMS 1, SOP for MGT OF ENV TECH CLOSETS AND CLEANING CARTS EMS 2, SOP for PERSONAL PROTECTIVE CLOTHING AND EQUIPMENT

EMS 3, SOP for SANITATION OP AND PROC PATIENT AREAS

EMS 4, SOP for USE AND MAINTENANCE OF ENV TECH EQUIP

EMS 5, SOP for WASTE MANAGEMENT

EMS 6, SOP for EMS QUALITY IMPROVE PRG

EMS 9, SOP for FREQUENCY OF CLEANING SCHEDULE

EMS 10, SOP for SANITATION OP AD PROC PUBLIC AND HIGH VISIBILITY AREAS

EMS 11, SOP for SANITATION OP AND PROC STRIPPING AND REFINISHING FLOOR CARE EMS 12, SOP for SANITATION OPS FOR CARPETED AREAS

EMS 13, SOP for DISCHARGES AND BED WASHING Nursing Procedure, Category 2: Environmental Cleaning in Surgical Practice Setting

EMS 14, SOP for SPD CLEANING EMS 20, SOP for UV Disinfection System

1. References made within about EMS Supervisors, Housekeeping Supervisors, Work Coordinators, Work Leaders or Trainers in the context of the contracted Janitorial Services should be translated to mean Contracted Janitorial Supervisors.

2. References made within about EMS Housekeepers, Housekeeping Aides, Environmental Technicians, in the context of the contracted Janitorial Services should be translated to mean Contracted Janitorial Housekeepers, Porters or Attendants.

W.G. (BILL) HEFNER VA MEDICAL CENTER

SALISBURY, NORTH CAROLINA

ENVIRONMENTAL MANAGEMENT SERVICE September 30, 2014

STANDARD OPERATING PROCEDURES

EMS 1

MANAGEMENT OF ENVIRONMENTAL TECHNICIAN

CLOSETS AND CLEANING CARTS

1. PURPOSE. To establish policies and procedure for maintaining janitorial (utility) closets and cleaning carts located throughout the medical center.

2. POLICY. Environmental Technicians will maintain the closet(s) and cleaning carts located in the assigned area according to standards outlined in this policy. Closets and cleaning carts are to be clean and secure. They are to be locked at all times unless being accessed or used by the environmental technician at that time. They are not to be left unlocked if unattended.

3. RESPONSIBILITY.

a. Environmental Technician Supervisors and Work Coordinators will train all Environmental Technicians on content and purpose of these closets and carts. Training will be provided to new staff during initial orientation and annually thereafter. Each supervisor will routinely inspect closets and cleaning carts located in his/her assigned area to ensure these standards are maintained.

b. Environmental Technician Work Coordinators and Environmental Technicians will maintain the closet(s) and cleaning carts located in their assigned area according to these established standards.

4. PROCEDURE.

a. The following items should be kept in each Environmental Management Service (EMS) janitorial (utility) closet. Items should be stored in a neat and clean manner to provide for easy accessibility. Closets are stocked by the EMS Supply Clerk weekly. If additional supplies are needed during the week, technicians should contact the EMS Supply Clerk or a supervisor.

Paper Towels

Paper Trash Can Liners

Toilet Paper

Dust Pan and Brush

Receptacle Liners (plastic bags)

Caution Cones or Wet Floor Signs

Plastic Pail

Bowl Brush

Micro-Fiber Water Bucket & Mop Handle Rags

Micro-Fiber Mop Heads

Putty Knife

Scouring Pad

Bowl Cleaner (non-acid)

Spray Bottle

Gloves

Scouring Cleanser

Furniture Polish

Germicidal Detergent and Dispensers

Corner Brush

Glass Cleaner Product

Protective Eye Wear

Polypropylene (fiber) Broom

Material Safety Data Sheet (MSDS)

Spray Bottle of Germicidal Solution

Manual

b. In areas where scrubbing machines and vacuums are located, the following additional supplies should be kept.

Disposable Vacuum Bags

Spray Buff Bottle

Polishing Pads

Stripping Pads

c. No food or drink will be kept in any janitorial (utility) closet.

d. All chemical products will be labeled and stored in cabinets within each closet. Chemicals will not be stored in overhead shelving. Any products not labeled should be removed immediately. Storage cabinets in the closets will be locked when not being directly accessed to replenish supplies. Any lock that is damaged or not working for any reason will be reported to the supervisor immediately.

e. Supply items should not be stored directly on the floor but placed in the cabinet or on a shelf.

f. No standing water or wax should be left in buckets, in equipment, on the floor, in sinks, or in floor drains. The only exception to this will be for those areas where a "spill bucket" is prepared each day for use by the nursing staff on off tours.

g. Waste receptacles, walls, wall mounted items, soap dispensers and floors should be clean, disinfected and free of dust, scum and washable stains per the attached standard procedure.

h. When not in use, cleaning carts will be rolled into the closets and secured behind a locked door. No carts or supplies should be left in hallway, etc., unattended unless it is locked and not blocking an egress.

i. No food or drink will be carried on cleaning carts.

j. Trash should not be left in janitorial (utility) closets, but should be removed to collection points (dumpster, etc.) after collection.

k. All closets in patient care areas should have a spray bottle of germicidal solution for use by nursing staff in case of blood spills.

l. All cleaning carts will be cleaned on Fridays or sooner if needed. This includes buckets and other tools/supplies.

m. Excess supplies or equipment will not accumulate in closets. Unused or excess items will be disposed of appropriately, i.e. turned in.

n. No supplies will be stored in lockers or locker rooms.

o. Contaminated trash containers will be kept in the designated room on each unit.

5. REFERENCES. Joint Commission Standards

6. RESCISSION. Environmental Technician Memorandum 1, dated September 30, 2011

7. FOLLOW-UP RESPONSIBILITY. Chief, Environmental Management Service

8. AUTOMATIC RESCISSION DATE. September 30, 2017

9. ANNUAL REVIEW.

a. FIRST YEAR REVIEW:

Responsible Official

Date

b. SECOND YEAR REVIEW:

BRUCE E. HAYES

Chief, Environmental Management Service Attachment (Procedure) Distribution:

EMS Supervisors

EMS Administrative Officer

EMS Supply Clerk

STANDARD PROCEDURE

Janitorial (Housekeeping) Closet Cleaning PURPOSE: To establish a procedure and proper techniques for the cleaning of Janitorial (Housekeeping) Closets

EQUIPMENT & SUPPLIES:

· Micro-Fiber Mopping System

· Dust mop assembly

· Personal Protective Equipment (PPE) – Gloves (goggles for high cleaning)

· Abrasive pad

· Counter brush

· Dustpan

· Wiping cloths

CLEANING PRODUCT: Combination detergent, germicidal, odor counteractant

PROCEDURES

KEY POINTS

b. Damp dust all counter tops or shelves and wipe dry.

c. Clean all walls and baseboards to prevent accumulation of splash marks and watermarks.

d. Dust mop floor using a clean dust mop head. Pick up debris with dustpan and counter brush, depositing in waste receptacle.

e. Mop entire area using the Micro-Fiber system. Empty and clean buckets.

W.G. (BILL) HEFNER VA MEDICAL CENTER

SALISBURY, NORTH CAROLINA

ENVIRONMENTAL MANAGEMENT SERVICE JUNE 21, 2014

STANDARD OPERATING PROCEDURE

EMS 2

PERSONAL PROTECTIVE CLOTHING AND EQUIPMENT

1. PURPOSE. To establish policy and procedures for

· reducing the possibility of cross contamination,

· avoiding infections, and

· providing employee protection against injury.

2. POLICY. Environmental Management Service (EMS) staff will utilize personal protective clothing and equipment as outlined in this policy.

3. RESPONSIBILITY.

a. EMS Supervisors will provide training for EMS Work Coordinators and Environmental Technicians on proper utilization of personal protective clothing and equipment. Through routine rounds and inspections in their assigned areas, supervisors will insure that protective clothing and equipment is properly utilized to prevent cross contamination, infection, or injury

b. EMS Work Coordinators and Environmental Technicians will utilize personal protective clothing and equipment according to these procedures.

4. PROCEDURES.

a. The following equipment and supplies will be considered personal protective clothing and equipment utilized by Environmental Technicians.

· Disposable gloves

· Disposable isolation gown (apron)

· Eye wear - goggles

· Disposable mask

· Safety shoes

· Respirators

· Rain ponchos

b. Isolation clothing will be put on as follows:

(1) Wash hands after removing jewelry, rings and wristwatch.

(2) Employees entering respiratory isolation rooms (negative pressure rooms) must be fit-tested for the N-95 respirator, and these will be worn when entering these isolation rooms. Mask will be changed if it becomes moist or otherwise unusable.

(3) Hold gown up by neck with the opening toward you after insuring gown has all required ties and is free of holes or tears. Put gown on with opening at back. Lap back of gown one side over the other, bring ties around waist and tie in front. Gown or apron will be worn only when uniform may be soiled with blood or body fluids.

(4) Put on gloves, covering cuff of gown. Gloves will be needed for all cleaning.

c. Isolation clothing will be removed as follows:

(1) Untie gown in back.

(2) Outside of gown, including ties, are contaminated. Inside of gown is relatively clean. Using gloved hand “pinch-up” glove at wrist and peel glove off, turning inside out as it is removed.

(3) Insert base finger of that hand inside wrist of other glove, peel off in same manner, and put gloves in trash.

(4) Wash hands before untying neck ties. Grasp gown by shoulder seams and remove it. Hold gown at arm’s length, roll it up inside out. Do not shake gown as this will spread dust and bacteria into the air.

(5) Place gown in trash bag.

(6) Wash hands, remove mask and place in trash. Mask should not be pushed onto top of head, dangled under chin, or tucked in pocket.

(7) Wash hands thoroughly.

(8) When cleaning rooms that are contaminated with high-risk organisms, PPE should be put on prior to entering the room and removed prior to exiting the room.

d. Gloves will be utilized as follows:

(1) Disposable gloves will be worn for cleaning Respiratory Isolation Rooms. These should be discarded in regular trash when cleaning is completed.

(2) Disposable gloves should be worn when cleaning spills outside of course of routine duties. These are discarded in regular trash.

(3) Heavy duty household type gloves will be worn for routine cleaning. These should be washed when the cleaning of each unit is completed. These will be inspected for tears, etc., and replaced if not in tact.

e. For protection of eyes, safety glasses/goggles will be utilized when mixing chemicals.

f. Safety shoes will be worn when moving furniture to clean carpets and floors, when stripping and waxing floors, and by staff assisting the moving crew. Employees routinely assigned to complete these duties will be issued safety shoes annually through the Medical Center Safety Office. Safety Shoes will be issued to employees upon the recommendation of supervisors and based on sufficient justification. When not in use, safety shoes will be stored in employee's locker to insure availability at all times.

g. Respirators

(1) Respirators may be furnished for employees who are occupationally exposed to concentrations of physical or biological agents or chemical substances in the work environment which may be harmful to their health. Respirator protection will be provided for employees who, in the course of performing their duties, have the potential for being exposed to TB.

(2) Using staff are responsible for inspecting respirator before any use to insure there are no defects that would affect the fit.

(3) Cleaning and disinfecting of respirators shall be in accordance with manufacturer's recommended practices, including, but not limited to removal of used filters, cartridges, or canisters, washing of face piece and breathing tube in cleaner disinfectant solution, rinsed completely in clear water, and air dried in a clean area. Upon completion of cleaning, new filters must be inserted and respirator properly stored.

(4) Staff who are issued respirators are responsible for the proper use and maintenance of this equipment. Respirators shall be stored in a plastic bag or other closed container and will be protected from dust, sunlight, heat, extreme cold, moisture, damaging chemicals or mechanical injury.

(5) TB respirators may be worn a full day and should be disposed of as non-infectious waste unless contaminated with blood, body fluid, or known TB contaminating material. It should be replaced if dirty, damaged, or otherwise unable to maintain a proper fit.

(6) In accordance with MCM 659-138-2, supervisors will be responsible for periodically inspecting respirators and for monitoring the employee’s use of the respirator to insure compliance. EMS Supervisors will complete the Respirator Inspection Checklist (attached to this policy) on a quarterly basis for each respirator user.

5. REFERENCES.

a. MCM 659-138-2, Hazardous Materials and Waste Management Program.

b. Medical Center Infection Control Manual

6. RESCISSION. Environmental Memorandum 2, dated June 21, 2011

7. FOLLOW-UP RESPONSIBILITY. Chief, Environmental Management Service

8. AUTOMATIC RESCISSION DATE. June 21, 2017

9. ANNUAL REVIEW.

a. FIRST YEAR REVIEW:

b. SECOND YEAR REVIEW:

/s/ Bruce E. Hayes

BRUCE E. HAYES

Chief, Environmental Management Service

Attachment

Form OP-138-95

Industrial Hygiene and Environmental Monitoring Procedures

Attachment 1

(Form OP-138-95)

RESPIRATOR INSPECTION CHECKLIST

Department of Veterans Affairs Medical Center

Salisbury, North Carolina

DATE:

SERVICE/SHOP:

INSPECTOR:

TYPE OF RESPIRATOR

CONDITION

EMPLOYEE

(Disposable, Half Mask, Full Mask) (Good, Poor)

STORED PROPERLY

CORRECTIVE ACTION:

1.

Supervisors are required to conduct a random check of respirator users on a quarterly basis for the above mentioned items. It is only necessary to check a few users per quarter and report the results in the Service Safety Committee Minutes. You may use this checklist to complete your reporting requirements.

2.

This is a requirement of the OSHA Standard 29CFR1910.134 and compliance is mandatory.

W.G. (BILL) HEFNER VA MEDICAL CENTER

SALISBURY, NORTH CAROLINA

ENVIRONMENTAL MANAGEMENT SERVICE JULY 29, 2014

STANDARD OPERATING PROCEDURE

EMS 3

SANITATION OPERATIONS AND PROCEDURES - PATIENT AREAS

1. PURPOSE. To establish policy and procedures for sanitary operations to ensure that all medical center safety and infection control guidelines are followed to promote safe and sanitary patient areas.

2. POLICY. It is the policy of Environmental Management Service (EMS) to maintain all patient areas in a clean and sanitary manner.

3. RESPONSIBILITY.

a. This policy applies to all EMS supervisors, work leaders, and environmental technicians.

b. EMS supervisors and work leaders will ensure that all environmental technicians are trained in the appropriate use and maintenance of all chemicals and/or equipment that are used in the performance of duties.

c. All environmental technicians are responsible for the:

(1) Safe use of all chemicals and equipment

(2) Adherence to manufacturers' directions for mixing chemicals/cleaning products

(3) Proper use and maintenance of any personal protective equipment which has been issued

(4) Proper operation and maintenance of equipment

(5) Immediately reporting any equipment malfunction to supervisor or work leader

(6) Familiarity and adherence to all medical center fire and safety policies

4. PROCEDURE. Sanitation operations and procedures will be performed in accordance with specific standards listed in attachments 1 - 12.

5. REFERENCES. Infection Control Manual

MSDS Manual

6. RESCISSION. Environmental Sanitation Memorandum 3, dated July 29, 2011

7. FOLLOW-UP RESPONSIBILITY. Chief, Environmental Management Service

8. AUTOMATIC RESCISSION DATE. July 29, 2017

9. ANNUAL REVIEW.

FIRST YEAR REVIEW:

______/s/ Bruce Hayes ___________7/27/15____

SECOND YEAR REVIEW:

BRUCE E. HAYES

Chief, Environmental Management Service

Attachments (12)

1. STANDARD OPERATING PROCEDURE - Routine Room Cleaning

2. STANDARD OPERATING PROCEDURE - Dry Mopping Floors

3. STANDARD OPERATING PROCEDURE - Wet Mopping Floors

4. STANDARD OPERATING PROCEDURE - Spray Buffing

5. STANDARD OPERATING PROCEDURE - High Speed Burnishing

6. STANDARD OPERATING PROCEDURE - Shower Stalls

7. STANDARD OPERATING PROCEDURE - Low Dusting

8. STANDARD OPERATING PROCEDURE - High Dusting

9. STANDARD OPERATING PROCEDURE - Fan Washing

10. STANDARD OPERATING PROCEDURE - Baseboard Cleaning

11. STANDARD OPERATING PROCEDURE - Light Fixture Cleaning

12. STANDARD OPERATING PROCEDURE - Utility Sinks

Distribution:

EMS Supervisors & Work Leaders

Infection Control

Environmental Management Service Standard Operating Procedure, EMS 3 July 29, 2014

Attachment 1

STANDARD OPERATING PROCEDURE

ROUTINE ROOM CLEANING

EQUIPMENT AND SUPPLIES:

Complete Micro-Fiber mopping unit

Rags

Disposable trash receptacle liners

Toilet supplies

Germicide/detergent product

Hand spray bottle

Paper Products

Soap Dispenser Refills

Gloves should be changed after each room and hands washed prior to entering the next room. Gloves should not generally be worn in hallway unless transporting contaminated materials.

2. Take only needed supplies and equipment into room.

3. Collect trash in plastic bag. Damp-wipe receptacles and replace can liners.

5. Clean restroom facilities, using a spray bottle, germicide/detergent solution and applicator and pot brush.

6. Replenish paper products.

7. Replenish soap in dispensers and check for outdated supplies.

ROUTINE ROOM CLEANING, CONTINUED

9. Upon completion, rags and mops are to be returned for laundry.

Environmental Management Service Standard Operating Procedure, EMS 3 July 29, 2014

Attachment 2

STANDARD OPERATING PROCEDURE

DUST MOPPING FLOORS

EQUIPMENT:

Micro-Fiber Dust mop head and handle

Dustpan

Brush

1. Attach Micro-Fiber Dust mop head to mop handle

2. Go over floor area with dust mop.

3. Whenever significant amount of refuse is accumulated, pick up with dustpan and brush and empty into covered trash receptacle

4. Install clean mop head when needed. Place used mop head in plastic bag and place in container for laundering.

Use a smooth pushing motion.

Identify and keep the leading edge of the dust mop continuously pushing the dirt in one direction until you have it in a your intended dust pile.

Be sure to keep mop head flat on floor.

Do not shake dry mop in an attempt to remove excess soil.

Attachment 3

STANDARD OPERATING PROCEDURE

WET MOPPING FLOORS

Complete Micro-Fiber mopping unit consisting of:

Housekeeping Cart

Mop Bucket

One Micro-Fiber Mop head and Handle

Two Wet Floor Caution Signs

CLEANING PRODUCT: Combination germicide/detergent

WET MOPPING FLOORS, CONTINUED

5. Start at corner farthest away from entrance door, and pull mop along floor in line with walls for approximately ten feet. Mop away from walls approximately 10’ by 10’ using Figure 8 motion in open areas. Mop under radiators and other objects wherever possible. Ensure you get into corners to thoroughly clean. Use a long handled corner brush or abrasive pad on a handle or pole (doodle bug) to agitate and remove stubborn dirt and debris in the corners and along the bottoms of the baseboards.

6. Upon completion, return all equipment to utility room. Clean and store it in an orderly manner. Remove the soiled mop head and place it in plastic bag. All soiled mop heads will be turned in daily for laundering pick-up. The bag of soiled mops used that day will be tied closed and placed in the Building 3, ground floor soiled linen collection bin, in the vicinity of the EMS 1st shift supervisor’s office.

This step applies cleaning solution to floor. Floor should be moderately wet, not flooded. Use care to avoid splashing baseboard and furniture with germicidal solution. Pull beds and similar items away from wall so mop can get behind them.

In large areas, Micro-Fiber mop heads can dry out while mopping and area. Never return a soiled Micro-Fiber mop to the clean mop bucket to re-wet or immerse in more germicidal solution. With clean latex gloves on, you may pick up and wring out more germicidal solution from a clean mop head immersed in solution on to the floor and replace the clean mop in the bucket. If you don’t have another mop head available in the bucket you can obtain a small Dixie cup to dip into the solution at pour small amounts of the solution on the floor, but you must throw this cup away after you are done with the room to ensure there isn’t a perception that you have a personal drink on your cart.

When mopping corridors, always clean one side at a time, leaving the other side dry and clear of equipment for traffic.

Never leave mop water in the bucket or soiled wet mop heads in the housekeeping aid closet at the end of your shift. Either will sour and create odor problems.

Attachment 4

STANDARD OPERATING PROCEDURE

SPRAY BUFFING

SUPPLIES AND EQUIPMENT:

Polishing machine equipped with polishing pads

CAUTION signs

Sweeping equipment (sweeping tools, dust pan, radiator brush, putty knife)

1. Sweep area to be buffed and place sweeping equipment out of the way.

3. Place CAUTION signs.

4. Spray solution onto small area (approximately 2’ x 4’).

6. Upon completion, sweep area again. Buffing will always cause dust to be present on any floor.

7. When finished, clean and store all equipment. Trigger sprayer nozzle is to be cleaned by pumping hot water through it.

NOTE: This procedure is limited to specific areas. Check with your supervisor before using.

When working in corridors or other high traffic areas, always leave traffic lane clear as in mopping procedure.

Attachment 5

STANDARD OPERATING PROCEDURE

HIGH SPEED BURNISHING

SUPPLIES AND EQUIPMENT:

Automatic Scrubber (if needed)

High Speed Burnisher 1500 – 2000 RPM and above with white or tan pad.

Regular floor care equipment

Caution signs

Approved product to bring back shine. (Instant Replay – Reveal)

1. Dust mop area to be burnished.

4. After applying solution, place equipment out of the way before burnishing begins.

5. Two types of burnishers may be used, either battery or electrical.

7. All machines and tools should be cleaned and returned to the proper storage area after burnishing has been completed.

Attachment 6

STANDARD OPERATING PROCEDURE

SHOWER STALLS

EQUIPMENT:

Germicidal chemical

Spray bottle with Germicidal chemical

Micro-Fiber mop unit

Long handle corner brush

Nylon scouring pads and cloths

Gloves

1. Fill micro-fiber mop bucket to the three- gallon mark with lukewarm water. Add germicide detergent to mop bucket. Place and submerge several clean mop heads in the mop bucket to ensure they absorb plenty of germicidal solution.

4. Use corner brush to scrub corners, floor edges, wall joints, and built-up areas. Scrub entire floor of shower with same brush and solution that runs down walls. Use cleaner and nylon pads on floor if stubborn build-up or stains are present.

SHOWER STALLS, CONTINUED

Attachment 7

STANDARD OPERATING PROCEDURE

LOW DUSTING

EQUIPMENT AND SUPPLIES:

Plastic pail containing germicide/detergent solution

Cleaning rags

Gloves

3. Upon completion, clean and store equipment and supplies. Place soiled mops and rags in a small clear trash bag. Turn in soiled micro-fiber mop heads and rags at the end of your shift. These mops are collected daily (Monday-Friday) and sent off to be laundered the following morning.

Attachment 8

STANDARD OPERATING PROCEDURE

HIGH DUSTING

EQUIPMENT AND SUPPLIES:

Vacuum cleaner equipped for dry work

Step ladder (where necessary)

Cleaning rags

Plastic bucket containing germicide/detergent solution

Mask

NOTE: Wherever possible, accomplish high dusting with vacuum. This is the most desirable procedure for the average hospital area.

4. Upon completion, bag up and send rags to laundry for cleaning, clean all equipment and store neatly.

Attachment 9

STANDARD OPERATING PROCEDURE

FAN WASHING - CEILING AND EXHAUST

EQUIPMENT AND SUPPLIES:

Dry Vacuum

Plastic bucket

Stepladder

Mask

4. Use dry rag to dry all surfaces to prevent streaks and water spots.

5. Turn fan back on.

6. Clean and store equipment when task is completed. Send soiled rags to laundry.

NURSING STAFF ARE RESPONSIBLE FOR RETURNING INDIVIDUAL, PERSONAL TYPE FANS TO SPD WHEN CLEANING IS REQUIRED OR THEY ARE NO LONGER NEEDED.

July 29, 2014

Attachment 10

STANDARD OPERATING PROCEDURE

BASEBOARD CLEANING

EQUIPMENT AND SUPPLIES:

Multi-purpose cleaner

Wet floor signs

Corner brush

Double mop unit

Nylon hand-scrubbing pad

Rags

3. Mop up dirty solution with micro fiber mop and use a cleaning cloth to wipe off any excess solution on the base board.

4. Dry with dry rag to prevent water spots and streaks.

5. Upon completion, clean and store equipment. Bag up and at the end of your shift place the clear plastic bag of soiled mop heads and rags in the Building 3, ground floor soiled linen cart in the vicinity of the EMS 1st shift supervisor’s office.

Attachment 11

STANDARD OPERATING PROCEDURE

LIGHT FIXTURE CLEANING

EQUIPENT AND SUPPLIES:

REMINDER:

Stepladder

Facility Management Service Line must be Plastic pail contacted to remove the light fixture for cleaning.

or multi purpose cleaner

Carts

Gloves

2. Turn off lights and remove globe or, if fluorescent fixture, remove bottom light diffuser.

4. Replace globe or diffuser. Be sure they are dry before reinstalling.

5. When task is completed, clean and store equipment. Bag up and send rags to laundry.

Attachment 12

STANDARD OPERATING PROCEDURE

UTILITY SINKS

EQUIPMENT AND SUPPLIES:

Plastic pail

Cleaner

Nylon hand pad

Rags and sponges

Germicide/detergent product

Gloves

3. Wash outside of sink, pipes, and adjacent wall with rags or sponge and cleaning solution. Dry pipes with dry rag. Wipe inside of sink with cleaning solution (detergent/disinfectant).

4. Upon completion, clean and store equipment

W. G. (BILL) HEFNER VA MEDICAL CENTER

ENVIRONMENTAL MANAGEMENT SERVICE

AUGUST 1, 2014

STANDARD OPERATING PORCEDURES

EMS 4

USE AND MAINTENANCE OF

ENVIRONMENTAL MANAGEMENT SERVICE EQUIPMENT

1. PURPOSE. To establish policy and procedure for the safe and effective use and user level maintenance of equipment used in Environmental Management Service operations.

2. POLICY. It is the policy of Environmental Management Service (EMS) that all equipment will be operated in a safe and efficient manner and that equipment will be maintained appropriately.

3. RESPONSIBILITY.

a. EMS supervisors and team leaders are responsible for ensuring that each environmental technician is instructed through hands-on training in the safe operation of any equipment used in his/her assignment and that this training is documented. Supervisors and team leaders will also ensure that staff are instructed in the user level maintenance of equipment and that staff are aware of reporting procedures when equipment malfunctions occur.

b. All environmental technicians are responsible for the safe and efficient use of assigned equipment. Scrubbers, Whirlamatics, or other equipment will be signed out thru a supervisor using a key control log like the attached equipment checkout log (attachment 6). Supervisors will check the equipment in and out and they will ensure the cage door is secured after every equipment issue and turn in.

c. Facilities Management Service staff are responsible for performing all repairs and routine maintenance of equipment after a work order has been placed.

4. PROCEDURE.

a. Environmental technicians will not operate equipment unless they have received hands-on instructions and training. All equipment will be inspected by the user for frayed cords or damage prior to use each day. Equipment will be cleaned on a daily basis or after each use, as appropriate. Environmental technicians will immediately report any equipment damage or malfunctions to the appropriate supervisor or work coordinator.

b. Supervisors or team leaders will submit work orders as appropriate.

c. Equipment will be operated and/or maintained in accordance with Attachments 1 – 6.

5. REFERENCES. None

6. RESCISSION. Environmental Management Service Memorandum 4, dated August 18, 2011

7. FOLLOW-UP RESPONSIBILITY. Chief, Environmental Management Service

8. AUTOMATIC RESCISSION DATE. August 1, 2017

9. ANNUAL REVIEW.

a. FIRST YEAR REVIEW:

Responsible Official Date

b. SECOND YEAR REVIEW:

Responsible Official Date

/s/ Bruce E. Hayes

BRUCE E. HAYES

Chief, Environmental Management Service

6 Attachments

1. Manual Equipment

2. Procedures for Operating Battery Powered Autoscrubber

3. Procedures for Operating Floor Machines and Floor Machine Accessories

4. Procedures for Operation of the Automatic Floor Machine

5. Procedures for Ultra High Speed (UHS) Burnishing

6. Equipment Checkout Log

Distribution:

EMS Supervisors and Work Coordinators

Infection Control

Attachment 1

Environmental Management Service Standard Operating Procedure, EMS 4

August 1, 2014

MANUAL EQUIPMENT

Johnny Mops (also known as Sterile-Swabs): These are miniature mops about 12 inches long that are used for the same purpose as bowl brushes. They are used in the medical center because they are not abrasive to the porcelain in the toilet bowls. The Johnny Mop/Sterile-Swab should be cleaned in a germicidal detergent solution after each use. After cleaning, use the plastic covering on the mop/swab and squeeze out excess moisture and store with the cover off the mop/swab so it can air dry.

Counter Brushes: These are made of horsehair, fiber or nylon filling in a wooden block with a handgrip. This brush is most often used for sweeping soil into dustpans, or for reaching into corners.

Deck Scrub Brushes: This brush may be used by hand or with a long handle for scrubbing floors and other badly soiled, coarse surfaces. A special type of deck brush is the baseboard brush, triangular in shape, which is used to clean the baseboard and adjacent area.

Carts: Carts are used to move materials and equipment from one area to another. They eliminate frequent trips between work and storage areas. Carts can be classified in three basic types -- waste cart, equipment cart, and cleaning operations carts.

Dust Mops: For patient rooms we use a rectangular shaped sweeping tool 5” wide and 22” long on a swivel handle. To this tool is affixed a disposable non-woven cleaning cloth called a “Masslinn” cloth. This cloth picks up and holds dust and dirt, is chemically treated giving it a magnetic action, and is removed when soiled and replaced with a clean cloth. When finished dusting an isolation room, the cleaning cloth is easily removed and placed in a plastic trash bag with other soiled mop heads, and the tool is disinfected before a clean cloth is affixed.

Micro Fiber Wet Mops: The micro-fiber mop heads are specifically designed and well suited for cleaning patient rooms. The principle of the micro-fiber system is to not spread contamination from one patient room to another. Its basic purpose is to transfer liquid to and from floors during sanitation. Mops will be changed at least after every three rooms or after cleaning an isolation room. If you find a worn out mop head that no longer sticks to your mop frame in your daily supplies, don’t use it. Please turn-in the clean/worn out mop head to your supervisor at the end of your shift. Turn in worn out mops to your supervisor. Micro-fiber mop heads are in great demand during daily sanitation operations. Daily, at the end of your shift, you must always turn in your soiled mop heads for offsite laundering. This is important, because these items are expensive and it is difficult to maintain a high volume inventory of micro-fiber mop heads. We have to send the soiled mops off immediately, in order to avoid supply shortages.

Squeegees: Squeegees are used to move large amounts of water on a floor. Squeegees can collect water in an area for pickup with a wet/dry vacuum or to move water to a drain. Always wipe rubber blades after each use. Never hang up to dry outside, as rubber blades are damaged by sunlight.

Attachment 2

Environmental Management Service Standard Operating Procedure, EMS 4

August 1, 2014

PROCEDURES FOR OPERATING BATTERY POWERED AUTOSCRUBBER

1. Types of Autoscrubbers: At this medical center we presently operate and maintain the following machines:

· Advance LX240, LX265, 260 & 280 BHd Convertamatic 17B, 3800 Riding scrubber

· Windsor 28 & 20

Operating manuals for all machines are available for review by users through the EMS supervisors or work coordinators. Equipment will not be operated by anyone not having proper training.

2. Operating the Equipment:

a. Use only a soluble type cleaner or NON-FOAMING DETERGENT and dilute according to manufacturer’s instructions.

b. To move machine forward, push forward on rear steering handles sufficiently to obtain the desired speed. To stop machine, release handles. Reverse drive is obtained by pulling back steering handles.

c. For long life batteries:

(1) Keep fully charged in accordance with manufacturer’s recommendations.

(2) Distilled water is to be added weekly.

(3) After the normal operating period of the batteries (8 hours), machine will start slowing down. Operating the machine beyond this point will cause discharge of batteries beyond normal capacity.

d. Some additional key points to observe when operating any of these autoscrubbers:

(1) Be sure that batteries are fully charged before starting.

(2) Always have machine in motion before applying pressure to pads.

(3) Never run stripping pads on a dry floor.

(4) Always sweep floor area first before scrubbing.

(5) Never run vacuum attachment over dry floor.

(6) Empty recovery tank frequently. Rinse tanks out daily.

(7) Do not bump drivehead assembly into walls, radiators, desks, etc.

(8) Never back machine with squeegee in lowered position.

Attachment 3

Environmental Management Service Standard Operating Procedure, EMS 4

August 1, 2014

PROCEDURES FOR OPERATING FLOOR MACHINES

1. Floor machine should be plugged into a suitable wall outlet and properly grounded. DO NOT USE RED OUTLET, AS THESE ARE FOR EMERGENCY POWER ONLY. If extension cord is used, it should be sized at least as large as the cord on the motor, and preferably a size larger.

2. The machine should be kept clean at all times. This is especially important after it has been used for scrubbing. Wipe off unit and cable with a damp cloth.

3. The pad holders should be attached to the machine manually. Hold the pads you have chosen to use in both of your hands (note where the slots are), fit them to clogs on the machine, and give your pad a quarter turn. Don’t ever, under any circumstances, run the head of the machine over the pads so that it catches and goes into position. You can seriously damage both the machine and the brush.

4. Pads should always be removed from machine when it is not in use.

5. Where a floor machine is used in a medical area, the pads should be marked and kept in that area and not used elsewhere. The machine, if transported to another area, should be wiped with a disinfectant solution; these procedures will greatly lessen the possibility of cross infection from this source.

6. Machine should be transported and operated in such a way as to not strike walls, doors, or furniture.

7. Care should be taken, when operating the machine, to keep it off the cord. If the cord winds on the brush it may damage both itself and the machine, as well as shock or otherwise injure the operator.

8. To prevent shock, the use of rubber gloves or rubber shoes is recommended when working with solutions. Employees assigned to stripping and waxing duty are required to wear safety shoes.

FLOOR MACHINE ACCESSORIES

1. Pads – Used on Floor Machines:

a. Nylon Abrasive Floor Pad – Unexcelled for stripping, scrubbing and polishing operations. Pads may be used on both sides, thus doubling their life. They come in three grades, as follows:

· Fine – For polishing and light buffing (Tan or White).

· Medium – For buffing and light scrubbing (Red or Green).

· Course – For heavy duty scrubbing, scouring and stripping (Brown or Black).

2. Spray Method – Using Buffing Pads: Environmental technician, using a spray bottle containing a spray cleaning solution, lightly sprays the floors. He/she then follows with a “Spray-Buff” pad under the machine. Pads remove the dirt and leave a new finish. Spray-Buff pads are made especially for spray-buff method.

3. Holder Pad: These pads mount to the brush block to hold a thick nylon pad. Each consists of a metal mounting plate or plastic mounting plate.

4. Wet/Dry Vacuum Cleaners: The Advance Wet or Dry Vacuum with high efficiency particulate (HEPA) filters is highly recommended for use in hospitals where contamination is an ever-present problem. They are used in all patient areas in our Medical Center, including the Advance machine used exclusively in the O.R. The Advance 55 gallon Wet Pick-Up is recommended for large concentrations of water resulting from inclement weather, mechanical malfunctions, etc.

5. Vacuum Cleaner, Upright: This machine has a nylon brush adjustable in height. Suction and the rotating brush loosen deep-bedded grit and sand from carpets and/or rugs. It then draws grit, etc., into removable filter bag.

6. Aquaclean Carpet Extractor: This machine cleans carpets by applying cleaning solution, agitating carpet and extracting dirty solution. For more detailed instruction check with supervisor and Operation Manual.

Attachment 4

Environmental Management Service Standard Operating Procedure, EMS 4

August 1, 2014

PROCEDURES FOR OPERATION OF THE AUTOMATIC FLOOR MACHINE

The automatic floor machine (riding), often called the “Autoscrubber” is essentially a combination of the scoop-type vacuum with a floor machine. The machine can only be used in large exposed areas such as long corridors, expansive lobbies, wide aisles, etc. In some instances, greater efficiency can be obtained if a second worker services the autoscrubber operator. This permits the machine to be used without interruption. The support worker removes obstructions, prepares cleaning solution, removes waste solution, mops corners which the machine cannot reach, and removes water spots which it could not pick up, etc.

1. CLEANING PROCEDURES – SCRUBBING INSTRUCTIONS:

a. Check to be sure batteries are charged. (Check battery charge indicator.)

b. Drain all water from dirty water tank.

c. Fill clear water tank to screen level with recommended cleaning solution and cold water. Do not overfill.

d. Be certain floor has been swept or dust mopped.

e. Transport to area to be cleaned.

2. CONTROLS:

a. Brushhead is lowered to floor by releasing brush lift arm. For transport, brush should be in UP position.

b. Squeegee is controlled by an up and down switch. (UP to raise and DOWN to lower.)

c. Turn power switch to ON position.

d. Turn vacuum motor switch to ON position.

e. To go forward move both handles forward. To move in reverse pull back on both handles. Caution: When going into reverse do not jerk handles from forward to reverse. This could cause damage to drive chain. Move from forward to reverse slowly.

f. Use water control handle to feed cleaning solution to cleaning pads. By following sequence above, you will perform general cleaning. This is referred to as single scrubbing.

Attachment 5

Environmental Management Service Standard Operating Procedure, EMS 4

August 1, 2014

PROCEDURES FOR ULTRA HIGH SPEED (UHS) BURNISHING

High Speed (UHS) Burnishing consists of using machine (Burnisher) with speeds of 1000-1500 RPM (Electric) and 1500-2000 RPM (Battery) to polish or burnish resilient tile floor to a high gloss or shine. This procedure reduces the labor involved in maintaining a shine on tile floors using the spray buff method using standard floor maintenance machine.

1. Always clean the floor before any buffing or burning operation. Even light accumulation of soil quickly becomes embedded into the floor finish when burnished.

2. Use of a UHS restorer over the finish is recommended. Application of a restorer is suggested in most cases to add a thin coat or “bring back” the finish to its original condition. Restorer is generally applied over a UHS finish, although it may be applied over a standard type floor finish, with the results not as desirable as a total UHS system, but acceptable.

3. With softer finishes (especially UHS), fresh coats may show swirl marks and scratches when buffed. Use a softer, less aggressive buffing pad or wait until the finish has fully cured.

4. Change and clean buffing pads (use UHS pads) frequently. As they pick up floor finish, dirt and other materials, they become less effective and create excess drag on the machine.

5. There are two types of ultra high-speed burnishers used at this Medical Center. They are to be used as prescribed in the following locations:

a. Battery Powered – To be used in basement and/or non-patient corridors and buildings.

b. Electric Powered – To be used on patient ward corridors or any other corridor as needed.

Attachment 6

Environmental Management Service Standard Operating Procedure, EMS 4

August 1, 2014

ENVIRONMENTAL MANAGEMENT SERVICE

AUGUST 2, 2014

STANDARD OPERATING PROCEDURE

EMS 5

WASTE MANAGEMENT

1. PURPOSE. To establish policy and procedure for removal of all waste generated by the medical center.

2. POLICY. Environmental technicians will handle, transport and dispose of all waste/trash generated by the medical center in accordance with Joint Commission, OSHA, EPA, and State of North Carolina standards and regulations as outlined in this policy.

3. RESPONSIBILITY. Environmental Management Service (EMS) supervisors will provide training for environmental technicians on proper removal procedures of medical center waste and ensure that training is documented. Each supervisor will routinely inspect his/her assigned areas to ensure these procedures are utilized.

4. PROCEDURES.

a. General waste is identified as paper waste generated from administrative activities, non-hazardous biological waste from the Veterans Canteen Service, and waste from patient and clinical areas that is non-infectious/non-contaminated. This waste is removed to improve appearance and safety and to aid in control of odors and pests.

(1) The following supplies and equipment are utilized for general waste collection and removal:

· Portable Trash Cart

· Plastic Bags

· Paper Trash Can Liners

(2) General waste will be collected at the point of generation according to this schedule.

(a) Twice daily pick up of general waste will be completed from all patient areas and vending areas seven days a week.

(b) Administrative area receptacles will have waste pick up daily Monday – Friday.

(3) General waste will be handled as follows:

(a) Clean plastic liners will be placed in trash bags on housekeeping cleaning carts in order to move carts throughout assigned areas to collect waste from waste containers.

(b) Can liners should be placed as necessary in all containers.

(c) When bags are filled, liners will be removed, secured, and placed in trash bags located on housekeeping carts.

(d) Filled bags will be removed…