Attachment_33_-_Section_J.33_FEMA_MHU_CLEAN_FOR_REUSE_PROCEDURES_Revision_AA__August_18_2017_.pdf

Attachment 33 Section J.33

FEMA

MHU

CLEAN FOR REUSE PROCEDURES

Revision AA – August 18, 2017

FEMA

MHU

CLEAN FOR REUSE PROCEDURES

Procedures Supplied by: Revision AA U.S. Department of Veterans Affairs August 18, 2018

FEMA MHU CLEANING FOR REUSE PROCEDURES

VERSION AA AUGUST 18, 2017

Table of Contents

Table of Contents Table of Contents

Table of Revisions

1.0 Procedures Clean and Make Ready for Reuse

2.0 VHA Cleaning Agents

3.0 VHA Supplies and Equipment Listing

3.1. Supplies:

3.2. Equipment:

4.0 VHA Standards of Cleanliness

5.0 VAMC Carpet Care

6.0 VAMC Door Cleaning and Polishing

5.0 VAMC Equipment Care and Cleaning

6.0 VAMC Floor Care

8.0 VAMC Heat Convectors, Radiators and Vent Cleaning

9.0 VAMC Light Fixture Cleaning

10.0 VAMC Mini-Blind Cleaning

11.0 VAMC Patient Room (Isolation) (Terminal/Discharge) Cleaning

Table of Revisions

Version Date Revision AA 8/18/2017 Initial Document

1.0 Procedures Clean and Make Ready for Reuse

Clean and Make Ready for Reuse is a process by which previously occupied MHUs are cleaned so that new disaster survivors (and families) can safely move in, or the MHU can be returned to the ready MHU inventory. Since FEMA is not an expert in industrial cleaning, it is utilizing long-standing procedures from the Veteran’s Administration (VA). The VA operates many health care facilities and has provided FEMA with sample procedures and processes outlining specific areas of cleaning, which are included in Section J, Attachment J.33.

The following documents are taken from the VA’s Veterans Health Administration’s (VHA) Environmental Services Program Service Policies Infection Control Program (ICP). The purpose of the ICP is “to establish policies, procedures and guidelines to provide a clean and sanitary environment for patients, staff and visitors in order to prevent cross-contamination and transmission of hospital-acquired (nosocomial) infectious disease”. The ICP contained the following sections which are included in this document:

• VHA Cleaning Agents;

• VHA Cleaning Supplies and Equipment Listing; and,

• VHA Standards of Cleanliness.

In addition to the VHA Environmental Services Program Service Policies ICP, the VA provided FEMA with sample Veteran’s Administration Medical Center (VAMC) Standard Operating Procedures (SOPs) that the VA provides to each of its medical center facilities, that describes how to clean specific areas and parts of the facility. FEMA has reviewed the VAMC SOPs and will incorporate those that the Agency deems applicable to cleaning an MHU into the clean and make ready for reuse process. The following are the VA Sample Cleaning Procedures that FEMA deems applicable:

• VAMC Carpet Care SOP

• VAMC Door Cleaning and Polishing SOP

• VAMC Equipment Care and Cleaning SOP

• VAMC Floor Care SOP

• VAMC Heat Convectors, Radiators and Vent Cleaning SOP

• VAMC Light Fixture Cleaning SOP

• VAMC Mini-Blind Cleaning SOP

• VAMC Patient Room Cleaning SOP

The SOPs listed above shall be followed in whole or in part as indicated below. FEMA will not change any of the SOPs; however, there are differences between FEMA’s MHUs and a VA facility. Therefore FEMA has adapted the SOPs to take into account the differences between a VA facility and a FEMA MHU.

In order not to soil previously cleaned areas, the contractor will clean the MHUs in a logical and orderly fashion that prevents the transfer of dirt from cleaning items or employees. VAMC

Equipment Care and Cleaning SOP provide directions on the VA methods for cleaning and maintaining the cleaning equipment. This SOP, when used in conjunction with the VHA Cleaning Agents; VHA Cleaning Supplies and Equipment Listing; and, VHA Standards of Cleanliness, forms the basis for cleaning FEMA MHUs. The contractor will maintain their cleaning equipment using the VAMC Equipment Care and Cleaning SOP as well as the VHA procedures.

VAMC Patient Room (Isolation) (Terminal/Discharge) Cleaning SOP provides the general instructions for cleaning the MHU with the following changes and exceptions which accounts for the differences between VA facilities and FEMA MHUs. FEMA will not provide a vendor with a MHU to be cleaned that has been used for isolation, had an occupant that was terminal or contaminated in such a way that reuse would not be practical or reasonable. When cleaning an MHU all personal property including items such as white goods, i.e. sheets and towels and any other item that FEMA provides in a living kit shall be removed and disposed of in accordance with applicable FEMA guidance.

Section of the SOP (Patient Rooms)

Applicable Not Applicable Change

SOP Section Five (5) Procedure – a Isolation Notice

X

SOP Section Five (5) Procedure – c Patient’s Bed

X Remove all bedding as well as mattresses and box springs and replace mattresses and box springs with new mattresses and box springs.

SOP Section Five (5) Procedure – g Clean interior and exterior surfaces

X Shall include all items in the kitchen and all appliances in addition to the items stated in the SOP.

SOP Section Five (5) Procedure – h Spot Clean walls

X The words “Spot cleaning” shall be replaced with “Cleaning all”.

SOP Section Five (5) Procedure – i Change cubicle curtain

X Remove shower curtain.

SOP Section Five (5) Procedure – j Restock paper and soap products

X Provide new FEMA living kit appropriate for the MHU.

SOP Section Five (5) Procedure – k Clean sinks, toilets and showers

X “If applicable” is changed to “always”.

SOP Section Five (5) Procedure – n. Prepare bed for the next patient

X Place new mattresses and box springs on bed frames.

All other sections X

In addition to the SOP for cleaning a patient’s room, which shall be used for cleaning an MHU, the VA has also provided FEMA with SOPs for specific areas and components within an MHU.

The following SOPs are to be used as they are written:

• VMAC Mini-Blind Cleaning;

• VMAC Light Fixture Cleaning;

• VMAC Heat Convectors, Radiators and Vent Cleaning; and,

• VMAC Door Cleaning (except for wood polish as all MHU doors are either metal/fiberglass or painted wood.)

The SOP for Floor Care is another key cleaning procedure. FEMA MHUs are to be cleaned using the VMAC Floor Care SOP, with the following changes and exceptions which accounts for the differences between VA facilities and FEMA MHUs. Please note that for all Floor Care operations and processes furniture will be removed from the area that is undergoing Floor Care.

Section of the SOP Applicable Not Applicable Change Section 2 Dust Mopping

X

Section 3 Wet Mopping

X

Section 4 Baseboard Cleaning

X

Section 5 Stripping Floors

X

Section 6 Top Scrub in Lieu of Stripping

X

Section 7 Refinishing Floors

X

Section 8 Burnishing X All other sections X

FEMA typically does not procure MHUs with carpet. However, occasionally FEMA purchases MHUs using a method called “off the lot buys” where MHUs are purchased from existing dealer inventory in the local area of the disaster. Some of the MHUs purchased in this manner will have carpet installed. When a MHU has carpet installed, FEMA will use the VMAC Carpet Care SOP in its entirety.

All of the above documents will be used as written unless the contractor is granted approval in writing for a change from either the Contracting Officer or the Contracting Officer’s Representative

2.0 VHA Cleaning Agents

The following is a list of cleaning agents presently used at this facility. Manufacturer’s instructions should be followed precisely when mixing cleaning solutions. There will be no deviation from the manufacturer’s prescribed dilution ratios without specific approval of the supervisor. Every container filled with any cleaning agent must be clearly marked.

2.1. Aluminum Cleaner – Used for cleaning aluminum containers and surfaces.

2.2. Antiseptic Hand Cleaner – Used to clean hands; assists in removing bacteria, viruses or other organisms that cause disease.

2.3. Baseboard Cleaner/Foam Stripper – Used for cleaning soil and wax from baseboards, ceramic wall tiles and other hard-to-reach areas.

2.4. Bowl Cleaner Acid – Chemical that assists in removing lime build up.

2.5. Brass Polish/Cleaner – Used for cleaning and polishing brass and other metals.

2.6. Carpet Cleaner – Used in carpet extractors and with rotary and foam machines.

2.7. Carpet Defoamer – Used in liquid recovery system to eliminate suds.

2.8. Carpet Spot Remover – Used in the removal of spots and stains.

2.9. Cleaner, All-Purpose – Used as a general-purpose cleaner.

2.10. Detergent, General Purpose with Degreasing Agent – Used as an all-purpose cleaner and degreaser.

2.11. Environmental Protection Agency (EPA)-Approved Germicide/Disinfectant – Used as a broad-spectrum germicide/disinfectant solution effective against Hepatitis- B. (Phenols are not recommended.)

2.12. Finish – Top layer or layers of floor coatings that protect the floor and give it an attractive shine.

2.13. Furniture Polish – Used to clean, wax and protect most surfaces except floors.

2.14. Glass Cleaner/Window Cleaner – Used to clean all glass surfaces.

2.15. Neutralizer – Used after rinsing stripper to neutralize PH.

2.16. Non-Abrasive Cleaner – Used for cleaning bathroom surfaces, kitchen equipment, painted walls and other surface types.

2.17. Oven Cleaner – Used for cleaning ovens.

2.18. Restorer – Used with burnishing to maintain high gloss or wet look.

2.19. Sealer – Chemical applied to a floor to penetrate its pores and provide protection prior to applying finish.

2.20. Stripper – Used to remove floor finish build-up and to prepare floors for refinishing.

2.21. Stainless Steel Cleaner – Used for cleaning and polishing stainless steel.

2.22. Tile Cleaner/Lime Build-up Remover – Used to remove stains deposited by hard water, soap residues and for general removal of hard water deposits from walls, fixtures, sinks, shower stalls and floor.

2.23. Toilet Bowl Cleaner – Used to clean and deodorize toilet bowls and urinals. To be used only on porcelain and as directed by supervisor.

2.24. Waterless Hand Sanitizer – Used to sanitize hands when not visibly soiled.

3.0 VHA Supplies and Equipment Listing

The following is a list of supplies and equipment presently used at this facility. Manufacturer’s instructions should be followed precisely when using any of these items.

3.1. Supplies:

Abrasive Pads/Scouring Pads

Antiseptic Hand Cleaner

Nylon Brush/Counter Brush

Paper Towels

Plastic Pail/Double Plastic Pail

Putty Knife or Edging Tool

Spray Bottle

Toilet Brush w/Holder

Toilet Paper

Trash Bags (clear and bio-hazard) (all sizes)

Waterless Hand Sanitizer

Wet Floor/Caution Signs

Wiping Cloths/Hand Mop or Polishing Cloths

3.2. Equipment:

Auto Scrubber

Backpack Vacuum

Broom and Dust Pan

Buffer w/assorted Pads

Burnisher/Hi Speed Floor Machine

Covered Waste and Covered Linen Carts

Doodle Bug and Pad

Double-Bucket Mopping System

Dust Mop

Extractor

Floor Fans

High Pressure Washer

Housekeeping Cart

Personal Protective Equipment (PPE)/Gloves, Goggles, Face Mask

Sweeper

Vacuum HEPA (High Efficiency Particulate Apparatus)

Vacuum Wet/Dry

Wall Washing Wand and Pads

4.0 VHA Standards of Cleanliness

4.1. Ceilings – Clean; free of dust and spots; paint intact; vents clean and free of dust and lint;

light bulbs operable; all ceiling tiles in place.

4.2. Walls – Clean, no lint; paint intact; free of finger marks and stains.

4.3. Floors – Clean, free of dust, lint and stains; no floor finish build-up or accumulation of soil in corners; free of heel and scuff marks; free of discolored floor finish; high luster.

4.4. Cove Bases – Clean and clear; no floor finish build-up; no mop marks; no accumulation of soil in corners; intact around room (firmly affixed to wall with no signs of being loose at juncture with floor.)

4.5. Doors – Clean, free of marks; finish intact; kick plate clean and shiny; top is free of dust and lint; edges are clean; handle or knob is clear and clean; hinge facing and door frame are clean; door vent is clean and free of dust and lint; window frame is clean and free of dust and lint (inside and outside).

4.6. Windows – Clear and clean, not in need of immediate washing; frame clean; glazing intact, clean; paint in good condition.

4.7. Window Drapes – Free of lint; properly hung on tracks; not faded; no stains, yellowing or tears; pulleys and pull cords intact and working; pins installed correctly in drapes and on carriers.

4.8. Cubicle Curtains – Clean and free of stains; not faded; pulls freely in tracks; properly mounted; no tears; adequate length and width.

4.9. Beds – Headboards and footboards are clean; metal upright and horizontal frame clean;

control unit and cord clean and working; linen clean and free of stains and tears; bed properly made; undercarriage free of lint and soil; wheels clean and free of lint.

4.10. Mattresses – Clean, free of stains and lint; in good repair without rips or tears.

4.11. Over-Bed Tables – Clean and free of dust; elevation controls working properly; drawer and drawer mirror clean and free of dust, lint and streaks; base, frames and wheels clean and free of dust and lint.

4.12. Bedside Console Units – Countertop, shelves and facings clean and free of dust and spots; no accumulation of soil in corners; stainless steel sink and plumbing fixtures clean and free of spots and streaks; clothes closet clean and free of dust and lint.

4.13. Chairs – Clean, free of lint and dust.

4.14. Television Sets – Clean, free of dust and lint; shelf clean, free of dust and lint.

4.15. Toilets – Toilet bowl clean inside and outside; no stains, streaks or residue; toilet seat clean, free of spots, stains or streaks and tightly fastened to toilet; plumbing fixtures clean, free of dust, spots and streaks; plumbing connections to toilet free of alkali buildup and dirt; base of toilet free of soil build-up and stains.

4.16. Sinks – Clean inside, outside and underneath; free of spots and streaks; plumbing fixtures on top and underneath free of dirt, spots and streaks; base of plumbing fixtures free of alkali build-up.

4.17. Mirrors – Clean, free of spots and streaks; frame top and edges free of dust and lint;

shelf clean, free of spots and streaks.

4.18. Shower Stalls – Walls clean, free of soil build-up on caulking; caulking intact; fixtures free of spots and streaks; door frame and glass free of dust, lint, spots and streaks;

horizontal crossbars above door free of dust, lint, spots and streaks.

4.19. Dispensers – Soap and paper towel dispensers are clean, free of dust and lint on top and underneath, free of spots and streaks; supplies replenished.

4.20. Refrigerators – Clean, free of dust spots and stains; shelves and facing clean and free of spots, spills and stains; freezer clear and free of stains; motor vent clean and free of dust and lint. Refrigerator door gasket is clean, intact.

4.21. Countertops – Clean, free of dust, stains and finger marks.

4.22. Telephones – Clean, free of dust and lint; receiver, mouthpiece and dial free of dust and lint.

4.23. Drinking Fountains – Stainless steel free of spots and streaks.

4.24. Vents – Free of dust, fingerprints, marks, stains and spider webs.

4.25. Lights – Dust-free, insect-free, no stains.

4.26. Waste Receptacles – Clean inside and out; liner in place; must not be dented or cracked.

4.27. Housekeeping Closets – Orderly; sink clean; floors and walls clean; equipment clean;

door locked; no boxes on floors; no storage within 18” of ceiling; no personal items.

4.28. Furniture – Clean and polished; cushions clean.

4.29. Carpeting – No stains; dust free.

4.30. Elevators – Metal shined; floors cleaned and litter-free; tracks, buttons and vents clean.

4.31. Fans – Dust free, clean.

4.32. Equipment – Clean, polished, stored properly. Filters, brushes, batteries checked and serviced properly; cords and hardware tight and intact.

4.33. Stainless Steel, Corner Plates, etc. – Clean, shiny; no smudges.

4.34. Stairwells – Dust-free and clean; handrails cleaned.

4.35. Housekeeping Cart – Clean; locks intact; chemicals labeled and locked when not in use.

5.0 VAMC Carpet Care

5.1. Purpose. To establish a procedure for the proper and safe cleaning of carpet.

5.2. Equipment.

Double-bucket mopping system

Extractor/buffer or bonnet buffer (depending on which of 3 methods used)

Nylon carpet brush attachment (when using carpet shampooer buffer)

Personal Protective Equipment (PPE) – Gloves and Mask (if carpet is highly soiled)

Vacuum cleaner

5.3. Cleaning Products.

Carpet shampoo

Defoamer

Spot remover/stain remover

5.4. Supplies.

Brush or cloths

Cloth bonnet pads (2) (when using bonnet buffer system)

Plastic pails (2)

Putty knife

Wet Floor/Caution signs

5.5. Procedures.

5.5.a. Put out Caution signs.

5.5.b. Remove as much furniture as possible from the area to be cleaned. Be careful not to create an obstruction or safety hazard in patient and/or traffic areas.

5.5.c. Vacuum all walk-off mats and carpet.

5.5.d. Use putty knife to remove gum and soil, if necessary.

5.5.e. Spot clean stubborn stains using stain remover according to manufacturer’s instructions. Use brush and wipe dry with cloth. Consult supervisor before using spot remover, as misuse can cause permanent damage to carpet.

5.5.f. Proceed to clean carpet following one of the methods described below:

5.5.f.1) Method #1 - Carpet Shampooer Followed by Extractor Machine (used to deep clean excessively soiled carpet):

5.5.f.1).a) Put shampoo (per manufacturer’s instruction) in shampoo machine. Mix solution in 2-gallon plastic pails before filling machine.

5.5.f.1).b) Attach nylon carpet brush to shampoo machine.

5.5.f.1).c) Do not shampoo/scrub too large an area, because extractor follow-up is a slower procedure.

5.5.f.2) Method #2 - Extractor Machine:

5.5.f.2).a) Use shampoo solution (per manufacturer’s instructions).

5.5.f.2).b) Lever control pumps out the solution; vacuum picks it up.

5.5.f.3) Method #3 - Carpet-Bonnet System:

5.5.f.2).a) Mix shampoo (per manufacturer’s instructions) with water in one side of the double-bucket unit with wall-washing wringer attachment.

5.5.f.2).b) Use other side of mopping unit for rinse.

5.5.f.2).c) Soak bonnet pad in shampoo solution; wring out excess solution, and attach the pad to the underside of the buffer.

5.5.f.2).d) When cloth pad becomes soiled, put it in clean rinse water and put the second pad from solution on the machine.

5.5.f.2).e) Rotate pads from machine to rinse bucket, to solution bucket, and back to machine.

5.5.g. Return furniture to area when carpet is dry.

5.5.h. Return equipment to storage area. Empty and clean equipment, and deposit dirty cloths in soiled linen.

6.0 VAMC Door Cleaning and Polishing

6.1. Purpose. To establish a procedure for the proper and safe cleaning and polishing of doors.

6.2. Equipment.

Personal Protective Equipment (PPE) - Gloves

6.3. Cleaning Products.

EPA-approved germicide/disinfectant

General-purpose cleaner (for kick plates and scuff marks)

Polish (wood)

6.4. Supplies.

Plastic pail

Wiping cloths

6.5. Procedures.

6.5.a. Put one gallon of water into plastic pail, and add proper quantity of EPA-approved germicide/disinfectant.

6.5.b. Damp wash door, using EPA-approved germicide/disinfectant and a wiping cloth. Avoid using an excess amount of solution. If solution drips on floor, clean floor immediately.

6.5.c. Use small amount of general-purpose cleaner on a wiping cloth to remove scuff marks and stubborn stains on kick plates.

6.5.d. Polish wooden doors only if instructed by supervisor. Work along grain following instructions according to the manufacturer. To avoid spilling or spraying polish on the floor (which would create a safety hazard), spray polish directly on rag.

6.5.e. Clean equipment, and return it to proper storage location. Place soiled cloths in plastic bag for transport to the Laundry.

7.0 VAMC Equipment Care and Cleaning

7.1. Purpose. To keep equipment clean, presentable and sanitary. This is an extremely important, yet often overlooked responsibility of all housekeeping personnel. Dirty equipment can harbor germs and spread these germs as the equipment is moved throughout the workday.

Note: Clean each piece of equipment properly after each use and perform user maintenance (lubrication, filter replacement, brush replacement, tightening of nuts and screws, recharging batteries, etc.). Equipment that is clean and in good repair always indicates an effective and productive work force. Therefore, equipment condition is a direct reflection of the individual worker and Environmental Management Service.

7.2. Equipment.

Double-bucket mopping system

Personal Protective Equipment (PPE) – Gloves, Goggles, Face Shield

7.3. Cleaning Products.

Baseboard cleaner/foam stripper

EPA-approved germicide/disinfectant

7.4. Supplies.

Cleaning rags

7.5. Procedures.

7.5.a. Wet Vac Pick-up:

7.5.a.1) Empty and rinse wet vac pick-up tank.

7.5.a.2) Wipe squeegee blades dry after each use.

7.5.a.3) Clean outside of tank and motor casing thoroughly after each use.

7.5.a.4) Leave solution tank lid ajar to prevent musty smell and prevent seal from sticking.

7.5.a.5) Wipe cord clean.

7.5.b. Mop Buckets and Wringers: Empty and clean thoroughly with fresh EPA-approved germicide/disinfectant at the end of each shift.

7.5.c. Scrubbing Machines (Buffers):

7.5.c.1) Empty solution tank, and rinse thoroughly after each use.

7.5.c.2) Inspect with each use to make sure vacuum motor, brushes, belts, etc., are operating properly.

7.5.c.3) Remove scrubber brush or pad, and clean thoroughly.

7.5.c.4) Clean exterior of machine after each use.

7.5.c.5) Remove finish stripper from machine, using foam stripper and scrub brush.

7.5.c.6) Rinse with water.

7.5.c.7) Wipe cord clean.

7.5.d. Automatic Scrubbing Machine:

7.5.d.1) After use, drain pick-up and dispensing tank, and rinse thoroughly.

7.5.d.2) Check batteries for proper water level, and wear proper PPE.

7.5.d.3) Wipe squeegee blades.

7.5.d.4) Leave solution tank lid ajar to prevent musty smell and prevent seal from sticking.

7.5.d.5) Connect charger, making sure top of machine is open and exhaust fan is on.

7.5.e. Carpet Vacuums:

7.5.e.1) Empty filter bag when it is half full to prevent motor damage.

7.5.e.2) With damp cloth, wipe inside of vacuums when changing bags.

7.5.e.3) Clean or replace filters as necessary.

7.5.e.4) Inspect with each use to ensure that vacuum belts, brushes, motor, etc., are operating properly.

7.5.f. Dust Mops:

7.5.f.1) Hang up dust mop with head down and off floor when not in use.

7.5.f.2) When soiled, mop head should be sent to Laundry for cleaning.

7.5.f.3) Be sure that mop frame is of proper size for mop head.

7.5.g. Wet Mops:

7.5.g.1) Do not twist mop in wringer, as it will break or weaken mop strands.

7.5.g.2) Do not let a wet mop touch other equipment while in storage.

7.5.g.3) Rinse and wring wet mop after each use.

7.5.g.4) When soiled, mop head should be sent to Laundry for cleaning.

7.5.h. Push Brooms:

7.5.h.1) Do not lean on handle when broom is in use.

7.5.h.2) Use broom only for purposes for which it was intended - never as a mop, squeegee, lever or hammer.

7.5.h.3) Rotate handle frequently, so as not to wear one side of the brush more than the other.

7.5.h.4) Do not store push broom on the fibers, as it will bend them out of shape and make the broom ineffective.

7.5.h.5) Soiled brushes should be washed in warm neutral detergent solution and rinsed in clear water, shaken to straighten the fibers, and thoroughly dried prior to use.

7.5.i. Squeegees:

7.5.i.1) Wipe squeegee blades dry after each use.

7.5.i.2) Never store squeegees or spare blades in sunlight, as it can cause deterioration.

7.5.j. Carpet Extractors:

7.5.j.1) Rinse out solution and recovery tanks.

7.5.j.2) Clean any debris from screen filter.

7.5.j.3) Clean outside of machine.

7.5.j.4) Leave solution tank lid ajar to prevent musty smell and prevent seal from sticking.

7.5.j.5) Wipe cord clean.

7.5.k. High-Speed Buffers/Polishers:

7.5.k.1) Remove finish spray from machine, using foam stripper and scrub brush.

7.5.k.2) Rinse with water.

7.5.k.3) Clean exterior of machine after each use.

7.5.k.4) Check and replace dust vacuum bags (if applicable).

7.5.k.5) Wipe cord clean

7.5.l. Ultra High-Speed Burnishers (Battery Operated):

7.5.l.1) Check batteries for proper water level. Use proper PPE (face shield.)

7.5.l.2) Check and replace dust vacuum bags (if applicable).

7.5.l.3) Clean outside of machine.

7.5.l.4) Connect charger, making sure top of machine is open and exhaust fan is on.

Note: All other equipment will be cleaned after each use or at the end of each shift, and then stored in the proper location. Remember - each piece of equipment should be cleaned so that you leave it for the next user the same way you would expect other Environmental Management employees to leave it for you.

8.0 VAMC Floor Care

8.1. Purpose. To establish a procedure for the proper and safe technique for the care of floors, including dust mopping, wet mopping, baseboard cleaning, stripping, top scrubbing in lieu of stripping, finishing and burnishing.

8.2. Dust Mopping.

8.2.a. Equipment.

Dust mop assembly

8.2.b. Cleaning Products.

None

8.2.c. Supplies.

Counter brush

Dust pan

8.2.d. d. Procedures.

8.2.d.1) Begin by placing clean dust mop head on dust mop handle.

8.2.d.2) Once you have placed the dust mop on the floor, it should not be lifted until dusting operations have been completed.

8.2.d.3) Dust the floor by always keeping the dust mop in front of you. Use the swivel motion and action of your wrist to change direction.

8.2.d.4) After dust mopping in an area, use the dustpan and counter brush to pick up debris immediately upon completion. Never sweep debris into a corner to be removed later.

8.2.d.5) Do not dust mop debris from a room into a corridor.

8.2.d.6) Always change dust mops after cleaning Isolation rooms, and after dust mop becomes excessively soiled.

8.2.d.7) Place soiled dust mops in a plastic bag separate from wet mops, and turn in for laundering. Mops will be placed in linen chute, soiled linen cart or designated pick-up area at the end of the shift.

Note: Always use caution while dust mopping to prevent tripping patients or others. Never leave the mop handle unattended by propping it against a bed or in a corner – carelessness causes accidents.

8.3. Wet Mopping.

8.3.a. Equipment.

Double-bucket mopping system

8.3.b. Cleaning Products.

EPA-approved germicide/disinfectant

8.3.c. Supplies.

Putty knife

Wet Floor/Caution signs

8.3.d. Procedures.

8.4.d.1) The double-bucket mopping system is used to ensure the EPA-approved germicide/ disinfectant solution in the mop bucket remains clean for as long as possible during the cleaning process; thus, saving time and making the job easier and extending the efficacy of the EPA-approved germicide/disinfectant.

8.4.d.2) Fill one bucket with four gallons of clean water and EPA-approved germicide/ disinfectant. This will be called the clean bucket. (Note: It is important to use the prescribed amount of EPA-approved germicide/disinfectant solution. Overuse wastes the product, and causes the floor to become sticky, streaked or both.)

8.4.d.3) Fill the other bucket with two gallons of clean water and EPA-approved germicide. This will be referred to as the soiled bucket.

8.4.d.4) Install wringer on the soiled bucket.

8.4.d.5) Put out Caution signs at each end of the area to be mopped, and leave in place until the floor is dry. If cleaning a long corridor, signs may be needed between the two end signs. When wet mopping a corridor, mop only one side at a time. When the first side is dry, the other side can then be mopped.

8.4.d.6) Check the area to be mopped. Any tar, chewing gum, etc., can be removed with the putty knife. Be careful not to damage floor finish.

8.4.d.7) To begin, immerse clean mop into the clean bucket, and wring out. Remember - the wringer is in the soiled bucket. The mop should be wet enough to cover an area about 100 square feet (10x10, 4x25, etc.), so that the floor will remain wet for at least ten minutes. This is necessary to kill bacteria.

8.4.d.8) Mop the entire perimeter of the area; then, using the Figure 8 stroke, mop the outlined area.

8.4.d.9) When the mop head becomes soiled, immerse the mop into the soiled bucket, and slosh up and down three or four times to remove loose soil. Wring mop thoroughly dry (put muscle into it).

8.4.d.10) Immerse the mop into the clean bucket, and then wring mop into the soiled bucket. Mop is now ready to resume mopping.

8.4.d.11) When the water in the clean bucket becomes badly soiled (usually about the time that there are approximately two gallons of solution remaining in the clean bucket and approximately four gallons in the soiled bucket), empty the solution in both buckets and replace with clean solution. Remove the soiled mop head and place in plastic bag. Install a clean mop head. However, if at any time the clean bucket becomes visibly soiled, change the solution in both buckets and mop head at that time.

8.4.d.12) Remember - when wet mopping, always rinse the mop in the soiled bucket, wring out; then dip in a clean bucket and wring out.

Note: All soiled mop heads should be put into the plastic bag and turned in for laundering at the end of the shift.

Mopping with either badly soiled water or a badly soiled mop head is a waste of time. The floor will be left dirt-streaked. Change the mop head and water frequently. Although the system detailed in paragraph 11 above is generally satisfactory, the water and mop head may need changing more often in heavily soiled areas.

8.4. Baseboard Cleaning.

8.4.a. Equipment.

Double-bucket mopping system

Doodle bug and pad

Dust mop assembly

Floor fan

Wet vacuum

8.4.b. Cleaning Products.

Spray foam stripper

8.4.c. Supplies.

Nylon brush

Plastic pail

Putty knife

Rubber gloves

Wet floor/Caution signs

Wiping cloths

8.4.d. Procedures.

8.4.d.13) 1) Remove furniture and other objects from area.

8.4.d.14) 2) Dust mop area to be stripped.

8.4.d.15) 3) Put three gallons of water into each bucket of the double-bucket unit to be used for rinsing.

8.4.d.16) 4) Put Caution signs at each end of area to be stripped.

8.4.d.17) 5) Attach pad to doodle bug handle.

8.4.d.18) 6) Put on rubber gloves, and avoid skin contact with spray foam stripper.

8.4.d.19) 7) Ensure that area has adequate ventilation before using spray foam stripper (use fan, open window, etc.).

8.4.d.20) 8) Hold can 6-8 inches from surface, and spray stripper along baseboard. Keep sprayed areas small enough to prevent drying (4-6 feet). Wipe any over-spray off painted surfaces immediately with wiping cloths.

8.4.d.21) 9) Allow foam stripper to work at least 3-5 minutes before wet scrubbing with pad, sponge or nylon brush as directed by supervisor. Corners may be cleaned with the nylon brush.

8.4.d.22) 10) Rinse baseboards with clean water from rinse side of mop unit, and dry with wiping cloths.

8.4.d.23) 11) Put soiled mop heads and wiping cloths in plastic bags for laundering. Clean and return all equipment to storage area.

8.5. Stripping Floors.

8.5.a. Equipment.

Doodle bug and pad

Double-bucket mopping system

Dust mop assembly

Rotary buffer/scrubber

Wet vacuum

8.5.b. Cleaning Products.

Stripper

Neutralizer

8.5.c. Supplies.

Putty knife

Stripping pad/brush

Wet Floor/Caution signs

Wiping cloths

Note: Once the stripper has been applied, the floor becomes extremely slippery. Use extreme caution when walking across it, and wipe bottom of shoes and equipment before entering an adjacent waxed area.

8.5.d. Procedures.

8.5.d.1) Remove all furniture.

8.5.d.2) Put out Caution signs.

8.5.d.3) Dust mop entire area.

8.5.d.4) Put three gallons of water into one of the buckets of the double-bucket mop unit. Stripper solution will be in second bucket.

8.5.d.5) Mount the scrubbing pad/brush on the buffer/scrubber wheel.

8.5.d.6) Pour the specified amount of stripper solution into the mopping unit. Mop the stripping solution on the floor area, including the edges and corners. Keep the floor wet with stripping solution while you continue with the next steps to ensure stripper does not dry. Let chemical set the recommended time, per manufacturer’s specifications. Do not use hot water, as this causes excessive fumes. Do not exceed manufacturer’s recommended dilution. Stronger is not better.

8.5.d.7) Place large wiping cloths at any area that is not to be stripped. This will eliminate the stripper from slinging or running into another area that is not to be stripped.

8.5.d.8) Clean baseboards as indicated in paragraph 4 above. Clean corners and any area not accessible for the buffer/scrubber with the doodle bug and stripping mixture.

8.5.d.9) The buffer/scrubber operator is to start the stripper near the rear wall. Beginning at the sidewall corner, work machine and solution inward towards the center of the room. Use only enough solution on the floor to enable efficient removal of old finish without harm to the tile. Use putty knife to remove tile cement, gum, paint, etc.

8.5.d.10) The wet vacuum operator follows the buffer/scrubber operator removing the stripper before it dries. Extreme care must be exercised to ensure that the stripping solution does not dry. If allowed to dry, the stripping procedure must be repeated.

8.5.d.11) Rinse baseboards; “flood” with plain water and pick up with wet vacuum.

8.5.d.12) Wait until floor has dried, and check for any remaining buildup of old finish that was not removed. Remove any remaining buildup with doodle bug, and rinse thoroughly with clean water.

8.5.d.13) Rinse entire floor area with clean mop and clean water or neutralizer to ensure all stripper residue has been removed.

8.5.d.14) It may be necessary to rinse the floor once more. Any stripping solution remaining on the floor will have an adverse effect on the entire refinishing operation.

8.5.d.15) Floor is now ready to be refinished.

8.5.d.16) After finishing your job assignment, thoroughly clean all equipment and return to proper storage area. Place all soiled mop heads and wiping cloths in plastic bags and place in designated area for transport to the Laundry.

Note: Ventilate work area as much as possible by opening windows and using fans.

8.6. Top Scrubbing in Lieu of Stripping.

8.6.a. Equipment.

Double-bucket mopping system

Doodle bug and pad

Dust mop assembly

Rotary buffer/scrubber

Wet vacuum

8.6.b. Cleaning Products.

General-purpose cleaner

8.6.c. Supplies.

Putty knife

Plastic pail

Scrubbing pad/brush

Wet Floor/Caution signs

8.6.d. Procedures.

8.6.d.1) Remove all furniture from the area. In offices, remove all but the file cabinets and desks; in cubicles, remove all but beds and monitoring equipment.

8.6.d.2) Put out Caution signs.

8.6.d.3) Dust mop entire area. If any sticky substances are found, remove them with a putty knife, if possible.

8.6.d.4) Mount the scrubbing pad/brush on the buffer/scrubber wheel.

8.6.d.5) Put one gallon of water in plastic pail. Add general-purpose cleaner in accordance with manufacturer’s instructions.

8.6.d.6) Put three gallons of water into each of the buckets of the double-bucket mop unit.

8.6.d.7) Put water in tank of rotary buffer/scrubber, and add general-purpose cleaner in accordance with manufacturer’s instructions.

8.6.d.8) Clean baseboards as indicated in paragraph 4 above. Use doodle bug and scrubbing solution in plastic pail to scrub any area not accessible to the buffer/scrubber.

8.6.d.9) Pour any remaining scrubbing solution left in pail onto floor.

8.6.d.10) The buffer/scrubber operator is to start the scrubber near the rear wall. Beginning at the sidewall corner, work machine and solution inward towards the center of the room. Use just enough solution and pressure on the machine to remove only the top layer of finish.

8.6.d.11) The wet vacuum operator follows the buffer/scrubber operator removing the scrubbing solution and old finish. Care must be taken to ensure that the cleaning solution does not dry. If allowed to dry, water must be put on the floor in order to remove the solution and old finish.

8.6.d.12) Rinse baseboards and floor twice with clean mop using double-bucket to ensure all scrubbing solution has been removed.

8.6.d.13) After drying, floor is ready for floor finish.

8.6.d.14) After finishing your job assignment, thoroughly clean all equipment and return to proper storage area. Place all soiled mop heads and wiping cloths in plastic bags and place in designated area for transport to the Laundry.

8.7. Refinishing Floors.

8.7.a. Equipment.

Double-bucket mopping system

8.7.b. Cleaning Products.

Floor finish

8.7.c. Supplies.

Plastic bags

Wet floor/Caution signs

8.7.d. Procedures.

8.7.d.1) The floor is prepared for finish as indicated in paragraph 5 above (Stripping Floors) or paragraph 6 above (Top Scrubbing in Lieu of Stripping).

8.7.d.2) Put out Wet Floor signs.

8.7.d.3) Line one mop bucket with a plastic liner to avoid contamination. Pour finish into liner. Put clean water into the second bucket. Dip presoaked mop head into the finish, and tamp onto the wringer. Do not ring out.

8.7.d.4) When floor is completely dry from the final rinse, apply the first coat of finish. Always use a clean mop head. Immerse the mop head in clean water, and wring out thoroughly. This fills the mop fibers with water, which results in a conservation of floor finish and easier cleaning of the mop head.

8.7.d.5) Dip the mop into the floor finish, and press the wringer until excess dipping stops. Start applying the finish in a corner of the room opposite the door. The first coat will be applied up to approximately eight inches from the baseboard. This will prevent build-up next to the baseboard and will conserve floor finish. There is normally very little traffic next to the baseboard. Coat the edges of an area small enough to cover before the finish begins to dry. Fill in the area between the edges, using overlapping strokes. Dip and wring the mop frequently enough to ensure that the finish is applied evenly.

8.7.d.6) Edge another area, and complete as above. Each area should be covered before the adjoining area is dry. This will ensure a smooth, even application. Continue with this procedure until the entire space to be refinished has been completed.

8.7.d.7) After the first coat is thoroughly dry, apply a second coat. The second coat should be applied up to approximately four inches from the baseboard. The second coat should be applied cross-grain to the first coat. Otherwise, the same methodology is used for the second coat. The third coat will be applied all the way to the baseboard. Exercise care to keep the finish off the baseboard.

8.7.d.8) After the entire space has been completed and is thoroughly dry, remove the Caution signs. Place all furniture back in its proper place, and proceed to the next area to be refinished.

8.7.d.9) If this is the last area of the day to be refinished, dispose of any floor finish remaining in the bucket. Again, resource conservation is essential;

if you have planned properly, there will be no floor finish remaining in the bucket.

8.7.d.10) Place used mop heads in a plastic bag, and place in designated area for transport to the Laundry. Clean all equipment thoroughly, and return all equipment and clean mop heads to storage area.

8.7.d.11) Remember - floor finish application is the most expensive operation performed in EMS, and utmost care must be exercised to ensure that the job is accomplished in the proper manner.

Note: The number of coats and the use of finish will be predetermined by the supervisor. Also, remember to ventilate work area as much as possible by opening windows and doors.

8.8. Burnishing.

8.7.a. Equipment.

Burnisher/high-speed floor machine

Double-bucket mopping system

Dust mop assembly

8.7.b. Cleaning Products.

None

8.7.c. Supplies.

Burnishing pads

Counter brush

Dust pan

Putty knife

Wet Floor/Caution signs

8.7.d. Procedures.

8.7.d.1) Clean the floor as indicated in above paragraph 2 (Dust Mopping Floors) and paragraph 3 (Wet Mopping Floors).

Note: For successful burnishing, a floor must have been properly scrubbed/stripped, refinished and allowed to dry approximately 24 hours before burnishing procedure begins.

8.7.d.2) Use putty knife if needed to remove gum, etc., from floor.

8.7.d.3) Put out Caution signs.

8.7.d.4) After areas along walls have been burnished (16-18 inches), move to center of area farthest from entrance and burnish.

8.7.d.5) Continue to burnish until adequate gloss is achieved.

8.7.d.6) Turn pads over when finish build-up occurs to prevent scratches in finish.

8.7.d.7) After burnishing operations is complete, dust mop the floor and pick up residue with dustpan and counter brush. Dispose of residue in trash receptacle.

8.7.d.8) Return all equipment and unused supplies to proper storage location.

Note: This procedure will not be used without specific approval of the supervisor. Extreme care must be taken not to permit burnisher to bump into and damage walls and furnishings.

9.0 VAMC Heat Convectors, Radiators and Vent Cleaning

9.1. Purpose. To establish a procedure for the proper and safe cleaning of heat convectors, radiators and vents.

9.2. Equipment.

Backpack vacuum

Personal Protective Equipment (PPE) – Gloves (goggles)

Step ladder

9.3. Cleaning Products.

EPA-approved germicide/disinfectant

9.4. Supplies.

Double plastic pail

Nylon brush

Plastic bags

Screwdriver

Wiping cloths

9.5. Procedures.

9.5.a. Put a gallon of water into each side of the double pail. Add the proper quantity of EPA-approved germicide/disinfectant solution into one side.

9.5.b. Clean underneath, behind and between grids with the nylon brush, and place debris in plastic bag.

9.5.c. Using the double-bucket system, saturate a wiping cloth with EPA-approved germicide/ disinfectant solution; wring damp dry, and wipe to remove soil from radiator or convector. Some convectors may be removed for cleaning. Utility sink may be used, if available. Use stepladder when necessary.

9.5.d. Dispose of waste. Ensure that all equipment is cleaned and returned to storage at the end of shift.

10.0 VAMC Light Fixture Cleaning

10.1. Purpose. To establish a procedure for the proper and safe cleaning of light fixtures.

10.2. Equipment.

Backpack vacuum

Personal Protective Equipment (PPE) – Gloves (goggles for high dusting)

Step ladder

10.3. Cleaning Products.

General-purpose cleaner

Window cleaner/glass cleaner

10.4. Supplies.

Double plastic pail

Screwdriver

Wet Floor/Caution signs

Wiping cloths

10.5. Procedures.

10.5.a. Put one gallon of water into each side of the double pail. Add prescribed amount of general-purpose cleaner to the wash side. Proceed to work site.

10.5.b. Turn off the light that is to be cleaned. If ladder is necessary to wash the fixture, set out Caution signs. Remove the light fixture diffuser. (A screwdriver may be required to remove fixture diffuser.)

10.5.c. Vacuum dead bugs, debris, etc., from the fixture. Wash the entire fixture with a wiping cloth saturated with solution from the wash side of the double pail. Rinse with a clean wiping cloth, using water from the rinse side. Wipe dry with a clean wiping cloth.

10.5.d. Take the diffuser to a large utility sink, preferably in the Housekeeping Aid Closet. Wash it thoroughly with general-purpose cleaner. Rinse with clean water, and wipe dry. The spray bottle of window cleaner may be necessary to eliminate any water spots; make sure fixture is completely dry. Re-install diffuser.

10.5.e. Collect all equipment, and proceed to next fixture.

10.5.f. At the end of the shift, clean all equipment and store in proper location. Soiled wiping cloths will be put in plastic bags and placed in designated area for transport to the Laundry.

11.0 VAMC Mini-Blind Cleaning

11.1. Purpose. To establish a procedure for the proper and safe cleaning of window blinds (mini-blinds).

11.2. Equipment.

Personal Protective Equipment (PPE) – Gloves, Goggles (Mask is optional)

High Efficiency Particulate Air (HEPA) vacuum

11.3. Cleaning Products.

EPA-approved germicide/disinfectant

11.4. Supplies.

Plastic pail

Wiping cloths

11.5. Procedures.

11.5.a. Vacuum blinds with a HEPA vacuum cleaner.

11.5.b. Mix EPA-approved germicide/disinfectant in cool water, following manufacturer’s directions.

11.5.c. Lower blind to its full length and close.

11.5.d. Dip wiping cloth into solution; wring out thoroughly.

11.5.e. With one hand, support the underside of the blind; and with the other hand, wipe each slat.

11.5.f. Start with the top slat and work down.

11.5.g. Flip the blinds over, and clean the opposite side in the same manner.

11.5.h. Work with care, as the slats may bend easily.

11.5.i. Wipe off streaks with dry wiping cloth, as needed.

11.5.j. Leave blind in lowered position.

11.5.k. Return equipment to storage area.

Note: Periodically it may become necessary to completely remove the blinds and take them to another area for thorough washing. The supervisor will assign the frequency and method to be used.

12.0 VAMC Patient Room (Isolation) (Terminal/Discharge)

Cleaning

12.1. Purpose. To establish a procedure for the terminal/discharge cleaning of patient isolation rooms.

12.2. Equipment.

Double-bucket mopping system

Personal Protective Equipment (PPE) – Gloves

12.3. Cleaning Products.

EPA-approved germicide/disinfectant

12.4. Supplies.

Antiseptic hand cleaner

Hand mop or polishing cloth

Laundry bag

Paper towels

Plastic bags

Plastic pail

Toilet tissue Wet Floor/Caution signs

Wiping cloths

12.5. Procedures.

12.5.a. Check isolation notice posted outside the patient’s room, and take the proper precautions listed before entering. If you have any doubts about the notice or the proper procedure, contact your supervisor.

12.5.b. Enter the patient’s room with appropriate PPE.

12.5.c. Remove soiled linen from patient’s bed, and deposit in laundry bag (if your facility strips beds). Check the linen hamper for visible soil. Using a clean cloth dampened with disinfectant cleaner, wipe all visible soil from the hamper. Never reach into or push on the bag to compress the linen. Close laundry bag inside the room, and place it in the appropriate container.

12.5.d. Remove all waste from receptacles. General waste should be bagged and disposed of in the general waste stream. Regulated Medical Waste (RMW) will be red bagged and segregated from general waste, and disposed of as infectious waste.

12.5.e. With wiping cloth dipped in EPA-approved germicide/disinfectant solution, clean over-bed table. Clean both sides of pillow, and place on table. Rinse cloth in soiled side of bucket and wring thoroughly; then dip cloth in clean side. Wring out excess water, and continue cleaning.

12.5.f. Clean overhead light, headboard, footboard, side rails, lower parts of bed frame, bed/TV controls and phones. Clean top and sides of mattress. Fold mattress over and clean half of mattress, box spring and all exterior surfaces. Unfold mattress and repeat process at the other end of bed. When finished, turn the mattress over completely so the underside is now the top. (Follow manufacturer’s information, as some mattresses are not meant to be turned.) Cleaning bed first allows the EPA-approved germicide/disinfectant to remain wet for the proper dwell time.

12.5.g. Clean interior and exterior surfaces of all room furniture, bedside chair, closets and/or wall lockers, and waste receptacle using an EPA-approved germicide/disinfectant. Use putty knife, if necessary.

12.5.h. Spot clean walls, cabinets and glass surfaces. Wash soiled walls with EPA-approved germicide/disinfectant.

12.5.i. Change cubicle curtains, if soiled.

12.5.j. Restock paper and soap products.

12.5.k. Clean sinks, toilets and showers, if applicable.

12.5.l. Return all furniture to its proper location.

12.5.m. Set out Wet Floor signs, and begin mopping floor using double-bucket mopping procedure. Mop entire area.

12.5.n. Prepare bed for the next patient. Remove gloves prior to getting clean linen. Make bed using clean linen. Avoid shaking the sheets and blankets to keep the air free from lint.

12.5.o. After cleaning isolation room, change water in mopping unit. Put all soiled wiping cloths in a plastic bag and place in appropriate container.

12.5.p. Conduct visible room inspection to be sure mirrors, blinds and vents are not soiled, and the sharps container is not full.

12.5.q. Wash hands thoroughly.