Attachment+A+-+Cleaning+Protocol.docx

Environmental Cleaning and Disinfection Protocol (Information provided by the CDC)

Purpose:

To guide routine general cleaning and ensure that all areas of the work environment (i.e. waiting areas, offices, group rooms and other public areas) are regularly cleaned to ensure a clean and disinfected environment. Staff or janitorial services undertaking cleaning should follow the protocol and have access to adequate resources and equipment to complete the required standard of cleaning.

Scope:

North Dakota Department of Human Health and Human Services Facilities

Procedures:

Routine General Cleaning Routine cleaning of the work environment should be undertaken at least daily. Thorough cleaning with neutral detergent and water is commonly used. If soiling (with blood and/or bodily fluids) is evident, then general cleaning should be followed with a disinfectant clean (chlorine releasing product/sodium hypochlorite or a chlorine dioxide solution). Always ensure that surfaces that are being disinfected are compatible with the product being used.

Enhanced Cleaning During an outbreak of infection or an unusual increase in the incidence of a particular organism, enhanced routine cleaning (minimum twice daily) is recommended. This will entail cleaning/disinfecting the environment including frequently touched surfaces such as counters, tables, stair rails, the arms of chairs, door handles and push plates, and any area/piece of equipment that may potentially be contaminated. Depending on the type of outbreak, certain areas will require more frequent cleaning and disinfection.

How to Clean:

Surfaces

· If surfaces are dirty, they should be cleaned using a detergent or soap and water prior to disinfection.

· For disinfection, diluted household bleach solutions, alcohol solutions with at least 70% alcohol, and most common EPA-registered household disinfectants should be effective.

· Diluted household bleach solutions can be used if appropriate for the surface. Follow manufacturer’s instructions for application and proper ventilation. Check to ensure the product is not past its expiration date. Never mix household bleach with ammonia or any other cleanser. Unexpired household bleach will be effective against coronaviruses when properly diluted.

· Prepare a bleach solution by mixing:

· 5 tablespoons (1/3rd cup) bleach per gallon of water or

· 4 teaspoons bleach per quart of water

· Products with EPA-approved emerging viral pathogens claimspdf iconexternal icon are expected to be effective against COVID-19 based on data for harder to kill viruses. Follow the manufacturer’s instructions for all cleaning and disinfection products (e.g., concentration, application method and contact time, etc.).

· For soft (porous) surfaces such as carpeted floor, rugs, and drapes, remove visible contamination if present and clean with appropriate cleaners indicated for use on these surfaces. After cleaning:

· If the items can be laundered, launder items in accordance with the manufacturer’s instructions using the warmest appropriate water setting for the items and then dry items completely.

· Otherwise, use products with the EPA-approved emerging viral pathogens claims (examples at this linkpdf iconexternal icon) that are suitable for porous surfaces.

· Novel Coronavirus (COVID-19) Fighting Productspdf iconexternal icon.

Personal Protective Equipment (PPE) and Hand Hygiene:

· Cleaning staff should wear disposable gloves and gowns for all tasks in the cleaning process, including handling trash.

· Gloves and gowns should be compatible with the disinfectant products being used.

· Additional PPE might be required based on the cleaning/disinfectant products being used and whether there is a risk of splash.

· Gloves and gowns should be removed carefully to avoid contamination of the wearer and the surrounding area. Be sure to clean hands after removing gloves.

· Gloves should be removed after cleaning a room or area occupied by ill persons. Clean hands immediately after gloves are removed.

· Cleaning staff should immediately report breaches in PPE (e.g., tear in gloves) or any potential exposures to their supervisor.

· Cleaning staff and others should clean hands often, including immediately after removing gloves and after contact with an ill person, by washing hands with soap and water for 20 seconds. If soap and water are not available and hands are not visibly dirty, an alcohol-based hand sanitizer that contains 60%-95% alcohol may be used. However, if hands are visibly dirty, always wash hands with soap and water.

· Follow normal preventive actions while at work and home, including cleaning hands and avoiding touching eyes, nose, or mouth with unwashed hands.

· Additional key times to clean hands include:

· After blowing one’s nose, coughing, or sneezing

· After using the restroom

· Before eating or preparing food

· After contact with animals or pets

· Before and after providing routine care for another person who needs assistance (e.g., a child)

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