Professional Documents
Culture Documents
Critical Device enters sterile tissue or vasculature, therefore pose a high risk of infection if contaminated
with microorganisms: Require: Sterilization.
Semi-critical Device comes in contact with mucous membranes or skin that is not intact, therefore pose a
moderate risk of infection if contaminated with microorganisms: Require: High Level Disinfection.
Non-critical Device comes in contact with intact skin but not with mucous membranes, therefore, pose little
to no risk of infection if contaminated with microorganisms: Require: Disinfection.
Generated by Dr Anjum Hashmi MBBS, CCS (USA), MPH. Infection Prevention & Control Director and Employees Health Director
EAST NAJRAN HOSPITAL, MINISTRY OF HEALTH, NAJRAN KSA. Reviewed By Al Scoggins CEO Janus Solutions USA.
E.mail:anjumhashmi61@hotmail.com
Generated by Dr Anjum Hashmi MBBS, CCS (USA), MPH. Infection Prevention & Control Director and Employees Health Director
EAST NAJRAN HOSPITAL, MINISTRY OF HEALTH, NAJRAN KSA. Reviewed By Al Scoggins CEO Janus Solutions USA.
E.mail:anjumhashmi61@hotmail.com
Generated by Dr Anjum Hashmi MBBS, CCS (USA), MPH. Infection Prevention & Control Director and Employees Health Director
EAST NAJRAN HOSPITAL, MINISTRY OF HEALTH, NAJRAN KSA. Reviewed By Al Scoggins CEO Janus Solutions USA.
E.mail:anjumhashmi61@hotmail.com
Use a mop or bucket system with a floor cleaner solution, beginning in the far corner of the area, under the bed and
then moving toward the bathroom and the door.
Mop the floor in 1-2 meter square sections.
Mop edges with straight strokes, and then continue working from side to side in a backwards direction, using a
figure-of-eight pattern on the remainder of the section, turning the mop frequently.
The floor should be fairly dry on completion.
Using a clean mop, mop the entire floor surface, working your way from the far corner back to the entrance.
Visually inspect the room and ensure all surfaces have been cleaned and disinfected.
Then disinfect any cleaning equipment (like mop handles) before returning to the cleaning cart.
Remove PPE and put in a yellow trash bag prior to leaving the room.
Wash your hands.
Return with clean linens and make bed.
Generated by Dr Anjum Hashmi MBBS, CCS (USA), MPH. Infection Prevention & Control Director and Employees Health Director
EAST NAJRAN HOSPITAL, MINISTRY OF HEALTH, NAJRAN KSA. Reviewed By Al Scoggins CEO Janus Solutions USA.
E.mail:anjumhashmi61@hotmail.com
Generated by Dr Anjum Hashmi MBBS, CCS (USA), MPH. Infection Prevention & Control Director and Employees Health Director
EAST NAJRAN HOSPITAL, MINISTRY OF HEALTH, NAJRAN KSA. Reviewed By Al Scoggins CEO Janus Solutions USA.
E.mail:anjumhashmi61@hotmail.com
Isolation Room
Intensive Care Unit (ICU/PICU)
Operating Room
Neonatal Care unit (NICU and Nursery)
Pharmacy IV Preparation room
Delivery Room
Immuno-compromised patients areas
Generated by Dr Anjum Hashmi MBBS, CCS (USA), MPH. Infection Prevention & Control Director and Employees Health Director
EAST NAJRAN HOSPITAL, MINISTRY OF HEALTH, NAJRAN KSA. Reviewed By Al Scoggins CEO Janus Solutions USA.
E.mail:anjumhashmi61@hotmail.com
NO
ITEMS
1
Airways/
ventilator tubes
2
Ambu bags
CLEANING PROCESS
Disposable or disinfect with 100ml of Clorox in 900ml
water solution dip for 10 minutes.
Disposable or disinfect with 100ml of Clorox in 900ml
water solution dip for 5 minutes.
Baby Baths
House-keeping personnel
Bed frames,
cradles etc.
Blood-pressure
cuff
Tourniquets
Ceilings
House-keeping personnel
8
9
10
11
Commodes/
urinal
Curtains
Dressing
trolleys
Nursing staff
Nursing staff
Housekeeping personnel
Nursing staff
Maintenance Department
Nursing staff
Generated by Dr Anjum Hashmi MBBS, CCS (USA), MPH. Infection Prevention & Control Director and Employees Health Director
EAST NAJRAN HOSPITAL, MINISTRY OF HEALTH, NAJRAN KSA. Reviewed By Al Scoggins CEO Janus Solutions USA.
E.mail:anjumhashmi61@hotmail.com
12
Nursing staff
13
Examination
couch
Nursing staff
14
Floors
15
Housekeeping
Equipment
Buffers (Floor
polishing
machine)
Pads
Buckets
Mops Heads
16
Incubators
(baby)
House-keeping personnel
House- keeping
personnel
The outside of the machine should be washed with
detergent and water and dried after use.
Buffing pads should be washed with detergent and
water and drip-dried. Pads must not be left under the
machine between uses.
Clean with water and detergent after use. Disinfect with
100ml Clorox in 900ml water. Dry and store inverted.
Disinfect with 100ml Clorox in 900ml of water /Change
daily or send to laundry.
If disinfection required refer to manufacturer's
instructions. As some allow wash with water and
detergent only (better use Savalon) and other allow use
of Clorox solution 1:10 dilution/100ml Clorox in 900ml
of water solution.
Nursing staff
Generated by Dr Anjum Hashmi MBBS, CCS (USA), MPH. Infection Prevention & Control Director and Employees Health Director
EAST NAJRAN HOSPITAL, MINISTRY OF HEALTH, NAJRAN KSA. Reviewed By Al Scoggins CEO Janus Solutions USA.
E.mail:anjumhashmi61@hotmail.com
17
18
19
20
Nursing staff
Nursing staff
House-keeping personnel
House-keeping personnel
Generated by Dr Anjum Hashmi MBBS, CCS (USA), MPH. Infection Prevention & Control Director and Employees Health Director
EAST NAJRAN HOSPITAL, MINISTRY OF HEALTH, NAJRAN KSA. Reviewed By Al Scoggins CEO Janus Solutions USA.
E.mail:anjumhashmi61@hotmail.com
21
22
23
Medical
Equipment
Resuscitation
Trolley
Scales
(weighing)
24
Scissors
25
Sinks/wash
hand basins
Waste bin for
infectious waste
Soap dispenser
26
27
28
29
30
Sphygmomano
meter
Stethoscopes
Suction bottles
31
Telephones
32
Thermometers
Electronic
Nursing staff
Nursing staff
Nursing staff
Nursing staff
Nursing staff
Nursing staff
House-keeping personnel
Nursing staff
House-keeping personnel
Nursing staff
Nursing staff
Nursing staff
Generated by Dr Anjum Hashmi MBBS, CCS (USA), MPH. Infection Prevention & Control Director and Employees Health Director
EAST NAJRAN HOSPITAL, MINISTRY OF HEALTH, NAJRAN KSA. Reviewed By Al Scoggins CEO Janus Solutions USA.
E.mail:anjumhashmi61@hotmail.com
33
Toilets/Bidets
House- keeping
personnel
35
Walls
House-keeping personnel
37
Ventilators
Nursing staff
Wipe the surfaces of the ventilator clean, working from
the top to the bottom. For greasy or stubborn soiling, use
the non-abrasive pad. Wipe the screen with alcohol.
Body can be wiped with alcohol or Clorox 1:10 dilutions.
Allow to dry. Only detergent and water can be used if
advised by manufacturer.
38
Housekeeping personnel
39
Baths (shower
cubicles)
Bedpans
Housekeeping personnel
40
Bowls (patient)
41
Wheelchairs
42
Toys-Hard
(Soft toys not
suitable for
hospital use)
Housekeeping personnel
Housekeeping personnel
Housekeeping personnel
Generated by Dr Anjum Hashmi MBBS, CCS (USA), MPH. Infection Prevention & Control Director and Employees Health Director
EAST NAJRAN HOSPITAL, MINISTRY OF HEALTH, NAJRAN KSA. Reviewed By Al Scoggins CEO Janus Solutions USA.
E.mail:anjumhashmi61@hotmail.com
43
Dialysis Unit
noncritical
surfaces (e.g.,
dialysis bed,
external
surfaces of
dialysis unit )
44
Cardiac
Monitor
Nursing staff
45
Diagnostic
Imaging
Portable Machine
Portable portable grid/
film cassette
Mammography
- paddles
ECG Machine
and Cables
Glucometer
Ophthalmoscope
Otoscope
Handle
Ear speculum
Reflex Hammer
Defibrillator
X ray technician
46
47
48
49
50
51
Nursing staff
Version 3 May 2013; Centre for Healthcare Related Infection Surveillance and
Prevention & Tuberculosis Control, Queensland Australia
Between patients
Damp wipe with 100ml Clorox in 900ml water solution.
ECG technician
Nursing staff
Nursing staff
Nursing staff
Nursing staff
Nursing staff
Generated by Dr Anjum Hashmi MBBS, CCS (USA), MPH. Infection Prevention & Control Director and Employees Health Director
EAST NAJRAN HOSPITAL, MINISTRY OF HEALTH, NAJRAN KSA. Reviewed By Al Scoggins CEO Janus Solutions USA.
E.mail:anjumhashmi61@hotmail.com
52
Stretcher
53
Suction
Machines
54
55
56
57
58
59
Housekeeping staff
Stethoscope
Doctor/Nursing staff
Telemetry
Equipment
Monitor and
Cables
Tourniquet
Ultrasound
Transducers
Handle and
Cable
External
Wall-mounted
Oxygen and
Suction Fixtures
Intravenous
(IV)
Pumps, Poles,
Warmers
Nursing staff
Nursing staff
Ultrasound technician
Nursing staff
Nursing staff
Nursing staff
High Risk
Clean contact points
each use, 1 full clean
daily & between patient
use
Oxygen Cylinders
1 full clean
Moderate Risk
Clean contact
points each use, 1
full clean
daily & between
patient use
1 full clean
daily and
between
patient use
1 full clean
daily and
between
patient use
1 full clean
daily and b/w
patient use
1 full clean
daily
1 full clean daily
and between
patient use
NA
NA
1 full clean
daily
1 full clean
daily
Generated by Dr Anjum Hashmi MBBS, CCS (USA), MPH. Infection Prevention & Control Director and Employees Health Director
EAST NAJRAN HOSPITAL, MINISTRY OF HEALTH, NAJRAN KSA. Reviewed By Al Scoggins CEO Janus Solutions USA.
E.mail:anjumhashmi61@hotmail.com
Low Risk
NA
NA
NA
NA
NA
NA
1 full clean
weekly
10
Walls
11
Ceiling
Wash yearly
Wash yearly
12
All doors
13
14
15
Mirrors
16
Television
17
18
Floor - polished
19
Floor - Non-slip
20
NA
NA
NA
Check clean
weekly, wash
yearly
Wash yearly
Generated by Dr Anjum Hashmi MBBS, CCS (USA), MPH. Infection Prevention & Control Director and Employees Health Director
EAST NAJRAN HOSPITAL, MINISTRY OF HEALTH, NAJRAN KSA. Reviewed By Al Scoggins CEO Janus Solutions USA.
E.mail:anjumhashmi61@hotmail.com
Check clean
weekly, wash,
every third yearly
Wash every third
yearly
1 full clean
weekly
1 full clean
weekly
1 full clean every
3rd yr
Full clean daily
1 full clean
weekly
1 full external
clean monthly &
full clean yearly
1 clean check
daily
1 full cleans
weekly
1 full cleans
weekly, 1 clean
check daily
1 check clean
daily, 1 full clean
weekly, wash
yearly
21
1full clean
weekly
22
1 check clean
weekly & 1 full
clean monthly
23
Cleaning equipment
24
High surfaces
25
Low surfaces
26
27
28
29
30
31
Generated by Dr Anjum Hashmi MBBS, CCS (USA), MPH. Infection Prevention & Control Director and Employees Health Director
EAST NAJRAN HOSPITAL, MINISTRY OF HEALTH, NAJRAN KSA. Reviewed By Al Scoggins CEO Janus Solutions USA.
E.mail:anjumhashmi61@hotmail.com
NA
1 full clean
weekly
1 full clean
weekly
1 full clean
daily
1 full clean
weekly & 1 deep
clean monthly
32
Clean, change or
Replace yearly. Bed
curtains twice a year
Clean, change or
replace all
curtains yearly
Clean, change or
replace two
yearly
33
Fridge / Freezer
34
1 check clean
daily and 1 full
clean weekly
1 full clean
daily and 1
check clean
daily
35
Baths
36
Showers
37
38
39
40
Computers / Telephones /
Office Equipment
Dirty Utility room
41
42
Entrance / Exit
Generated by Dr Anjum Hashmi MBBS, CCS (USA), MPH. Infection Prevention & Control Director and Employees Health Director
EAST NAJRAN HOSPITAL, MINISTRY OF HEALTH, NAJRAN KSA. Reviewed By Al Scoggins CEO Janus Solutions USA.
E.mail:anjumhashmi61@hotmail.com
43
44
45
External areas
Dishwasher / microwave
46
Kitchen Cupboards /
Presses
Cleaning equipment (Catering)
Daily
Between patients
Between patients
Between patients
Between patients
NA
NA
NA
Between patients
Between patients
Between patients
Between patients
Between patients
Between patients
Between patients
Between patients
Between patients
Between patients
Between patients
Between patients
Between patients
Between patients
Between patients
Daily
Between patients
Between patients
NA
NA
NA
NA
NA
NA
47
48
Diagnostic Imaging
Portable - Machine
Portable - portable grid/
film cassette
Mammography - paddles
49
ECG Machine
Cables
Glucometer
Ophthalmo- scope
Otoscope: Handle and
Ear speculum
Reflex Hammer
Defibrillator
Stretcher
Suction Machines
Stethoscope
Telemetry Equipment
Monitor and Cables
50
51
52
53
54
56
57
58
59
Generated by Dr Anjum Hashmi MBBS, CCS (USA), MPH. Infection Prevention & Control Director and Employees Health Director
EAST NAJRAN HOSPITAL, MINISTRY OF HEALTH, NAJRAN KSA. Reviewed By Al Scoggins CEO Janus Solutions USA.
E.mail:anjumhashmi61@hotmail.com
NA
60
51
62
63
64
Tourniquet
Ultrasound Transducers
Handle and Cable
External
Wall-mounted Oxygen and
Suction Fixtures
Intravenous (IV)
Pumps, Poles, Warmers
Call Bell
Between patients
Between patients
Between patients
Between patients
Between patients
Between patients
NA
NA
Between patients
Between patients
Between patients
NA
Between patients
Between patients
Between patients
NA
Daily /between
patients
Daily
Generated by Dr Anjum Hashmi MBBS, CCS (USA), MPH. Infection Prevention & Control Director and Employees Health Director
EAST NAJRAN HOSPITAL, MINISTRY OF HEALTH, NAJRAN KSA. Reviewed By Al Scoggins CEO Janus Solutions USA.
E.mail:anjumhashmi61@hotmail.com
Generated by Dr Anjum Hashmi MBBS, CCS (USA), MPH. Infection Prevention & Control Director and Employees Health Director
EAST NAJRAN HOSPITAL, MINISTRY OF HEALTH, NAJRAN KSA. Reviewed By Al Scoggins CEO Janus Solutions USA.
E.mail:anjumhashmi61@hotmail.com
INFECTION CONTROL PROCEDURES FOR IMAGING CENTERS AND HOSPITAL RADIOLOGY DEPARTMENTS
The cleanliness of imaging centers and hospital radiology departments is crucial for reducing the spread of MRSA and other
acquired infections. The following are 11 simple procedures to implement that can prevent the spread of these infections.
1. Have a written infectious control policy to include MRI cleaning procedures as well as the cleaning schedule and have it
posted throughout the center.
2. Implement a mandatory hand washing / hand sanitizing procedure between patient exams for technologists and any others
who come into contact with patients.
3. Clean the MRI tables, inside the bore of the magnet and any other items that come into contact with a patient. Infection control
experts recommend this be done between each patient.
4. Clean all pads and positioners with an approved disinfectant. Infection control experts recommend cleaning after each patient.
5. Periodically inspect the pads with a magnifying glass, particularly at the seams, to identify fraying or tearing. If present, the
pads should be replaced.
6. Regularly check all padding material with an ultraviolet (black) light and make sure that any biological material detected on
the pads can be removed.
7. Replace damaged or contaminated pads with new pads incorporating permanent antimicrobial agents.
8. Use pillows with a waterproof covering that is designed to be surface wiped. Replace pillows when their barrier is
compromised.
9. Promptly remove body fluids, and then surface disinfect all contaminated areas.
10. If a patient has an open wound or any history of MRSA/other infection:
a. Gloves and gowns should be worn by all staff coming in contact with the patient. These barriers must be removed before
touching other areas not coming in contact with the patient, i.e. door knobs, scanner console, computer terminals, etc.
b. The table and all the pads should be completely cleaned with disinfectant before the next patient is scanned, if it is not already
being performed between every patient. For patients with any known infectious process add 10-15 minutes onto the scheduled
scan time to assure there is enough time to thoroughly clean the room and all the pads.
11. All furniture should be periodically cleaned. Ideal surfaces are those that are waterproof and wipe-able. Infection control
experts recommend this be done between each patient.
Disinfectant Used: Bleach solution 1:10 dilution (100ml bleach in 900ml water) wipes can be use or EPA approved use
disinfectant allowed by infection control dept
Generated by Dr Anjum Hashmi MBBS, CCS (USA), MPH. Infection Prevention & Control Director and Employees Health Director
EAST NAJRAN HOSPITAL, MINISTRY OF HEALTH, NAJRAN KSA. Reviewed By Al Scoggins CEO Janus Solutions USA.
E.mail:anjumhashmi61@hotmail.com
Generated by Dr Anjum Hashmi MBBS, CCS (USA), MPH. Infection Prevention & Control Director and Employees Health Director
EAST NAJRAN HOSPITAL, MINISTRY OF HEALTH, NAJRAN KSA. Reviewed By Al Scoggins CEO Janus Solutions USA.
E.mail:anjumhashmi61@hotmail.com
Generated by Dr Anjum Hashmi MBBS, CCS (USA), MPH. Infection Prevention & Control Director and Employees Health Director
EAST NAJRAN HOSPITAL, MINISTRY OF HEALTH, NAJRAN KSA. Reviewed By Al Scoggins CEO Janus Solutions USA.
E.mail:anjumhashmi61@hotmail.com
Generated by Dr Anjum Hashmi MBBS, CCS (USA), MPH. Infection Prevention & Control Director and Employees Health Director
EAST NAJRAN HOSPITAL, MINISTRY OF HEALTH, NAJRAN KSA. Reviewed By Al Scoggins CEO Janus Solutions USA.
E.mail:anjumhashmi61@hotmail.com
Generated by Dr Anjum Hashmi MBBS, CCS (USA), MPH. Infection Prevention & Control Director and Employees Health Director
EAST NAJRAN HOSPITAL, MINISTRY OF HEALTH, NAJRAN KSA. Reviewed By Al Scoggins CEO Janus Solutions USA.
E.mail:anjumhashmi61@hotmail.com
Generated by Dr Anjum Hashmi MBBS, CCS (USA), MPH. Infection Prevention & Control Director and Employees Health Director
EAST NAJRAN HOSPITAL, MINISTRY OF HEALTH, NAJRAN KSA. Reviewed By Al Scoggins CEO Janus Solutions USA.
E.mail:anjumhashmi61@hotmail.com