1.I.00 Page 1 of 1 9 O: 5/90

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1 1.I.00 9 O: 5/90 Roster It is hospital policy that each Environmental Services employee be notified of a major disaster, and that each reports to the Environmental Services Office for work assignments as soon as possible. F The Hospital Switchboard will call the Environmental Services Department Head and he will call the Environmental Service workers. If the Department Head cannot be located, call next person on the list. Full Time Alfonso Munoz, Environmental Services Department Head Maria Alvarez, Environmental Service Aide Sergio Marcial, Environmental Service Aide Roberta Munoz, Environmental Service Aide Part Time Roger Ramirez, Environmental Service Aide Francis Salomon, Environmental Service Aide (623) Martha Acosta, Environmental Service Aide Reviewed: 02/99, 01/04, 10/05, 12/06, 11/07, 10/08, 09/13, 06/14 Revised: 06/90, 06/02, 01/04, 06/04, 10/05, 12/06, 11/07, 10/08, 09/13, 06/14

2 1.I.01 O. 5/90 Quality Assurance It is the policy of the Environmental Services Department to participate in the overall hospital program of evaluation and improvement of patient care services. To that end, the Department of Environmental Services will be represented on the hospital's Quality Assurance Committee by the Environmental Services Department Head. Reviewed:/Revised: 02/99, 06/04, 01/04, 06/04, 10/05, 12/06, 11/07, 11/08, 09/13, 6/14

3 1.I.02 O: 8/82 Work Schedule and Covered Areas The Environmental Services Department Head will on a monthly basis make out a schedule for the department employees. First shift will work from 05:00 to 13:30 and 2 nd shift will work from 07:00 to 15:30 and afternoon employee from 14:00 to 22:30 and the employee on call will be on call until 05:00 of the following day. Employees who need to change the schedule will discuss it with the department head who will accommodate those needs if possible. Excessive absenteeism, tardiness, failure to complete assigned tasks, or follow policies will be reported to Administration for required disciplinary action. Day Shift: Afternoon Shift: Both Day and Afternoon: Emergency Department Halls Spot Check Receiving and Distribution (Linen) Hall and Waiting Room Lobby Emergency Room Acute Care Acute Care Lobby Laboratory Emergency Department Restrooms Pharmacy Registration Medical Records Purchasing Meeting Room Mammography Halls Surgery Reviewed: 08/82, 01/86, 02/99, 01/04, 10/05, 12/06, 11/07, 11/08, 12/13, 6/14 Revised: 08/82, 06/90, 06/02, 06/04, 10/05, 11/07, 11/08, 12/13, 6/14

4 1.I.03 DEFINITION Basic Technique Basic technique is used to provide a clean environment to reduce infections. POLICIES Each patient is considered an individual unit. Each patient upon admission is issued clean utensils which include bed pan, urinal, wash basin, emesis basin and water pitcher. Disposable paper cups are used for drinking. All equipment and supplies used in the care of the patient are to be clean and free from contamination by pathogenic organisms. The floors of all units are considered contaminated. All faucets and inner surfaces of sinks throughout the hospital are considered contaminated. The proper hand washing technique must be used by all employees before and after making any contact with patients. Reviewed: 09/82, 01/86, 11/87, 10/88, 06/90, 02/99, 0/02, 01/04, 10/05, 12/06, 11/07, 11/08, 09/13, 6/14 Revised: 09/82, 06/04, 6/14

5 1.I.04 O: 8/82 Disposal of Syringes and Needles It is the responsibility of Environmental Services personnel to retrieve all full and sealed used needles and syringe storage containers from the dirty utility rooms in all hospital areas. These same assigned personnel will then transport the storage boxes, using extreme care and caution to the enclosed waste holding bin, to be held until taken by a biohazard-waste management company. The holding bin is located on the north back end of the hospital. Reviewed: 07/01, 05/02, 06/02, 01/04, 10/05, 12/06, 11/07, 11/08, 09/13, 6/14

6 Revised: 12/95, 06/04, 6/14 1.I.05 O: 8/82 Procedures for Trash Removal All trash shall be placed in receptacles provided. Those with grey plastic liners are for noninfectious trash and those with red liners are for infectious wastes. Trash bags will be adequately tied or secured before removal. Environmental services staff will remove trash from within the hospital to designated areas for pickup between 0500 to Between 2230 and 0500, if the trash needs to be removed from within the hospital, it is the responsibility of the department in which it is located to take the properly secured bags to the enclosed trash collection points. From 1530 to 2230, environmental services is staffed by only one person. This person has the responsibility for cleaning in Emergency Room, Admitting, and West Wing areas. Employee will generally remove trash from within the nursing service areas during this shift and will dispose of it in the trash bin located outside to the north side of the hospital. Environmental services is not staffed from 2230 to However, any person desiring to have trash removed from within the hospital during these hours may take it to the enclosed trash collection points, which are West Wing dirty utility room and Emergency Department janitor s closet. For infection control purposes, trash shall not be placed outside the hospital except in the enclosed trash collection points, where employee will pick up before the shift ends. Reviewed: 08/94, 05/02, 06/02, 01/04, 10/05, 12/06, 11/07, 11/08, 09/13, 6/14 Revised: 06/00, 07/01, 01/04, 06/04, 10/05, 11/07, 11/08, 09/13, 6/14

7 1.I.06 O: 8/82 Exchange of Equipment Usually exchanges and replacements of equipment and supplies, such as furniture, mattresses, etc., are requisitioned through the Environmental Services Department. Central Supply may also issue new equipment. Reviewed: 08/82, 12/85, 11/87, 10/88, 06/90, 02/99, 06/02, 01/04, 10/05, 12/06, 11/07, 11/08, 11/13, 6/14 Revised: 08/82, 06/04, 6/14

8 1.I.07 Handling of Contaminated Linen All used linen is considered contaminated and should be handled in a safe and sanitary manner as follows: PROCEDURE The hamper with white plastic liner is in the hallway near the door. Environmental Services personnel will close the white liner and place in soiled linen area; bag is not to be dragged across floor. Linen bag is to be closed tightly and soiled linen will be removed after morning care and/or whenever it is one-half to two-thirds full. The bag should be light enough for one person to carry. The white plastic liner will be replaced after emptying. Hands will be washed. Reviewed: 09/82, 12/85, 11/87, 10/88, 06/90, 02/99, 06/02, 01/04, 10/05, 12/06, 11/07, 11/08, 11/13, 6/14 Revised: 09/82, 02/99, 06/04, 6/14

9 1.I.08 Handling Clean Linen All clean linen should be handled in a safe and sanitary manner. PROCEDURE All employees wear clean uniforms. Frequent hand washing after handling any soiled supplies is required. All linen is kept away from the clothing of the employees during handling. Clean linen is never to be stored on the floor, regardless of whether it is wrapped or not. All linen closets are to be kept closed when not in use. Linen shelves are to be cleaned on a periodic basis by Environmental Services personnel. Reviewed: 09/82, 12/85, 11/87, 10/88, 06/90, 02/99, 06/02, 01/04, 10/05, 12/06, 11/07, 11/08, 11/13, 6/14 Revised: 09/82, 06/04, 6/14

10 1.I.09 Room Cleaning - Patient Unoccupied Unoccupied patient rooms should be cleaned to maintain clean, hygienic rooms for admittance of a new patient. REQUIRED SUPPLIES AND EQUIPMENT Ø Treated dust mop and hand duster Ø Treated dust cloths Ø Cleaning cloths Ø Lobby pan and brush If a room is unoccupied for more than three (3) days, it should be damp mopped every day. Supplies required: double mopping outfit, germicide-detergent solution, 16 oz. mop. PROCEDURE Dust furniture and fixtures: use treated cloth, hand duster for high places, include all surfaces including small items such as switch plates, door handles, outlets. Dust mop floors: see Dust Mop procedure. Clean windows, interior: using cleaning preparation and soft cloths. Dust bathroom fixtures: use treated cloth, dust all fixture surfaces including pipes under sink, mirror, towel box, etc. Damp mop room and bath: use well wrung out mop, follow same procedure as for wet mopping. Reviewed: 09/82, 12/85, 11/87, 10/88, 06/90, 02/99, 06/02, 01/04, 10/05, 12/06, 11/07, 11/08, 11/13, 6/14 Revised: 09/82, 06/04, 6/14

11 1.I.10 Page 1 of 2 Room Cleaning - Patient Occupied All patient rooms should be cleaned and serviced using the following: PROCEDURE Clean and service the area by performing the following operations. Duties Empty wastebaskets and wash inside and outside with germicidal solution. Place clean plastic liners in baskets. Damp dust with cloth; chairs, lamps, dressing table, overhead lamps, beside table and overbed table. Damp dust window, window sills, door, door frames, handles, light switch, vents inside closet and walls. Spot wash walls when needed. Dust mop floor starting from the farthest corner and work toward the door. Pick up dirt and place into plastic bags placed by the door. Damp mop floor, starting at far corner and work toward the door. Dispose of mop in dirty linen hamper. Wipe door, door handles, and mop handle with damp cloth treated with germicidal-detergent solution. Wash hands thoroughly. Also see procedure for Room Cleaning - Bathrooms (1.I.11). Effective Date: 09/82 Reviewed: 09/82, 12/85, 11/87, 10/88, 06/90, 02/99, 06/02, 01/04, 10/05, 12/06, 11/07, 11/08, 11/13, 6/14 Revised: 09/82, 06/04, 6/14

12 1.I.11 Room Cleaning - Bathrooms To maintain clean and hygienic bathrooms. REQUIRED SUPPLIES AND EQUIPMENT Ø Double mopping outfit Ø 24 oz. wet mop Ø Germicidal-detergent solution Ø Treated dust mop Ø Cleaning cloths Ø Germicidal bowl cleaner Ø Toilet brush Ø Dust pan and brush Ø Cellulose sponge Ø Rubber gloves Ø Putty knife PROCEDURE Don rubber gloves. Empty trash receptacles: seal bag, wipe inside and out with solution. Damp wipe all fixtures: use cloth dipped in solution, include mirror, light fixtures, pipes under sink, etc. Toilets and urinals: clean inside with brush and bowl cleaner, hold swab over bowl and pour cleaner on it, clean seat with sponge, clean outside of fixture with damp cloths, clean bottom of seat, rinse with damp cloth and solution, flush toilets and urinals. Bath, wash basin, etc.: scour with cleanser inside and out, rinse with cloth, wet solution, polish all fixtures and pipes with soft cloth, damp wipe all tile surfaces. Replenish supplies: paper towels, toilet paper, soap, dispensing machine supplies. Dust mop floor: see Dusting procedures. Wet mop floor: see Wet Mopping procedures. Reviewed: 09/82, 12/85, 11/87, 10/88, 06/90, 02/99, 06/02, 01/04, 10/05, 12/06, 11/07, 11/08, 10/13, 6/14 Revised: 09/82, 06/04, 6/14

13 1.I.12 Room Cleaning - Isolation Upon discharge of a patient from an isolation room in order to follow Infection Control guidelines, these steps shall be taken: ü Remove from the room all unnecessary supplies that cannot be reused or reprocessed, i.e., non-disposable pillows with cover. ü ü Check towels and antiseptic soap in dispenser. Be sure that linen hamper and wastebasket have plastic liners. ü Place isolation cart or table outside door. Place I.V. pole outside of door. Isolation cart should be stocked with paper and plastic bags, color coded biohazard bags, disposable isolation gowns, masks, gloves, and roll of isolation stickers for marking contaminated items. Reviewed: 09/82, 12/85, 11/87, 10/88, 06/90, 02/99, 06/02, 01/04, 10/05, 12/06, 11/07, 11/08, 10/13, 6/14 Revised: 09/82, 06/04, 6/14

14 1.I.12a Room Cleaning - Isolation, Patient Occupied To clean occupied isolation room without disrupting patient care. REQUIRED SUPPLIES AND EQUIPMENT Ø Gown Ø Mask Ø Rubber gloves Ø Isolation plastic bags Ø Isolation unit room cleaning equipment PROCEDURE Room is cleaned in normal manner for patient-occupied room with the following exceptions: _ Use cap, gown, gloves, mask: Don before entering room, dispose of same before leaving in patient s laundry bag, mask in trash bag. Wash hands: wash hands before and after leaving room. Avoid patient: do not touch the patient, bed or bedside table except to clean. _ Use special containers for trash: use special isolation containers for trash. Dispose of trash immediately. _ Use special bags for equipment: take equipment to janitor s closet, soak mop in germicidal detergent solution. Wash all other equipment in same solution, wash hands after cleaning equipment, place cloths used in cleaning in bag marked Isolation and send to laundry, wash hands. Reviewed: 09/82, 12/85, 11/87, 10/88, 06/90, 02/99, 06/02, 01/04, 10/05, 12/06, 11/07, 11/08, 10/13, 6/14 Revised: 09/82, 06/04, 6/14

15 1.I.12b Room Cleaning - Isolation, Patient Discharge To thoroughly clean isolation room prior to admittance of next patient. REQUIRED SUPPLIES AND EQUIPMENT Ø Gown Ø Mask Ø Cap Ø Gloves Ø Germicide Ø Special isolation bags PROCEDURE Linen, etc.: normally handled by nursing service prior to environmental services. Use cap, gown, gloves, mask, done before entering, dispose in isolation bag on exit. Fog the rug: see Fogging procedure. Remove drapes, linens, curtains, pillows, trash: drapes, linens, curtains, pillows are bagged in special isolation bags and sent to laundry, supplies are put in special trash bags along with other trash. Immediately soak bedside utensils then bag for sterilization, take to utility room. Wash wall if necessary: nursing service will advise if wall washing is necessary. Clean the room: follow Normal Patient Discharge procedures, stronger germicidal solution is ordinarily used in isolation rooms, floors scrubbed and rewaxed per procedure for same. Replace drapes, curtains, etc., use clean items. Prepare to leave the room: bag cleaning equipment, place cloths, etc., in isolation laundry bags, place gown and cap in isolation laundry bag, dispose of mask in trash bag. Service equipment: take to janitors closet after wiping with germicidal-detergent solution and bagging, soak mop in solution, was hall other equipment in solution, remove gloves, and wash thoroughly, wash hands thoroughly as prescribed above. Reviewed: 09/82, 12/85, 11/87, 10/88, 06/90, 02/99, 06/02, 01/04, 10/05, 12/06, 11/07, 11/08, 10/13, 6/14 Revised: 09/99, 06/04, 6/14

16 1.I.12c Page 1 of 2 O: 9/80 Room Cleaning - Isolation, Terminal Isolation rooms shall be terminally cleaned using precautions required by category of isolation. Nursing service shall be responsible for stripping the bed, bagging linen, and preparing equipment for disinfection. Environmental Services personnel shall wear gown, mask and gloves if indicated by category of isolation. PURPOSE To ensure a safe environment free of infectious disease. PROCEDURE 1. Wash hands, wrists, and forearms thoroughly with germicidal soap. 2. Put on mask, gown and gloves as indicated. 3. Strip beds, bag linen. 4. Spray mattress with germicidal cleaner, turn and clean underside. 5. Spray and scrub entire bed. Use small nylon brush soaked in germicidal solution for small crevices, springs, narrow holes, corners, casters, braces, etc. 6. Clean wastebaskets inside and out with germicidal solution and replace plastic liner. 7. Spray all furniture with germicidal detergent solution. Clean inside of drawers and legs as well as outside area. 8. Clean telephone with germicidal solution; dry. Spray with disinfectant spray. 9. Clean inside of all windows. 10. Remove cubicle curtains and place in bag; transport to Environmental Services for laundering. 11. Wash ceiling and walls with disinfectant solution including blinds if isolation was contact or multi-drug resistance category C and D. 12. Damp mop with hospital approved cleaner. 13. Clean bathroom with disinfectant solution including walls and ceiling.

17 ü using particularly ü ü germicidal Clean commode. Scrub inside of toilet bowl with 1:10 bleach solution, swab brush. Allow cleanser to remain in bowl for 3-4 minutes. Clean well under the rim. Flush toilet using swab brush to thoroughly rinse bowl. clean and scour all pipes under the sinks. Clean sinks with germicidal solution and scouring powder followed by rinse.

18 1.I.12c Page 2 of 2 O: 9/80 ü ü Scrub bathtub or shower with germicidal solution and scouring powder. Remove and replace shower curtain if applicable. 14. Clean floor with germicidal solution and let stand for five (5) minutes. 15. Replace furniture in proper place. Spray with disinfectant spray. 16. Place clean mattress on bed and make bed. 17. Hang cubicle curtains. 18. Wash all cleaning equipment with germicidal solution. Dispose of germicidal solution in toilet bowl. 19. Remove mop head and place it into a plastic bag; send to laundry. Bag all trash, including disposables. 20. Remove gown, mask, and gloves and deposit in the final trash bag. 21. Wash hands, wrists and forearms thoroughly with germicidal solution. 22. Notify supervisor room is ready to go over checklist. Reviewed/Revised: 02/90, 05/94, 01/00, 07/01, 05/02, 06/02, 01/04, 06/04, 10/05, 12/06, 11/07, 11/08, 5/12, 10/13, 6/14

19 1.I.13 Room Cleaning - Surgery To maintain surgery in clean, aseptic condition. REQUIRED SUPPLIES AND EQUIPMENT Ø Cap Ø Shoes (plus mask in surgery) Ø Gown Ø Double mopping outfit and wringer Ø Germicidal-detergent solution Ø Clean rinse water Ø Treated dust mop Ø Hand duster Ø Dust cloths Ø Clean cloths Ø Pan and brush Ø 24 oz. wet mop Ø Cleanser Ø Metal Polish Ø Wet vacuum Ø Floor scrubbing machine PROCEDURE Put on cap, gown, mask, gloves and shoe coverings. Remove equipment, linens: equipment is to be moved outside room, linen sent to laundry if not removed by nursing service. Clean scrub sinks, etc. thoroughly; see Bathroom procedure. Clean room, lights, walls, cabinets, etc., using sponge mop, clean overhead lights first, clean walls using sprayer or sponge mop, wash all door and cabinet surfaces, wipe all surfaces dry. Clean the floor: flood with germicidal solution using either a sprayer or pouring from the bucket, scrub with machine, pick up with wet vacuum, making sure that floor is left free of any residue. Clean the equipment: outside the room clean all equipment removed from room, see procedures for Cleaning Equipment, outside door of room spill some germicide solution and wheel the equipment through it as you bring it back in the room, wash out all waste receptacles

20 inside and out with germicide solution. Reviewed: 09/82, 12/85, 11/87, 10/88, 06/90, 02/99, 01/04, 10/05, 12/06, 11/07, 11/08, 6/14 Revised: 09/82, 06/02, 06/04, 6/14

21 1.I.14 Room Cleaning - Daily Maintenance, Public Areas Daily maintenance is to be done in all public areas of the hospital in order to maintain clean, attractive and hygienic public areas. REQUIRED SUPPLIES AND EQUIPMENT Ø Mask Ø Straight germicidal solution Ø Gloves Ø Gown Ø Cap PROCEDURE Service receptacles: screen sand and replace if necessary, empty trash receptacles, wipe or wash as required. Dust mop walls: use special wall dust mop. Clean windows, interior: using cleaning preparation and soft cloths. Spot soiled wall areas: use spray bottle or dampened rag. Dust mop floors: see procedure for Dust Mopping. Wet mop floors: follow Buffing procedure. Machine buff floors: follow Buffing procedure. Polish metal: door knobs, handles, kick plates, light fixture switches, see Metal Cleaning procedure. Straighten furniture per established arrangement. Carpet-covered floors: see Carpet Maintenance procedure.

22 Reviewed: 09/82, 12/85, 11/87, 10/88, 06/90, 02/99, 06/92, 01/04, 10/05, 12/06, 11/07, 11/08, 6/14 Revised: 09/82, 06/04, 6/14

23 1.I.15 Page 1 of 2 Glove Technique, Non-sterile Gloves must be worn by hospital personnel for protection against contamination and enteric diseases. PURPOSE To protect hands against contamination by feces, urine, and other articles of patients having enteric diseases, Typhoid, Salmonella, Shigella, Infectious Hepatitis, Contaminated wounds, etc. TO DO TO REMEMBER Grasp right glove by left hand Gloves do not replace hand washing. making a small cuff at top of glove. As you hold the glove firmly in fingers of left hand, slip right into glove. Fit it well over cuff of gown. In the same fashion, make a cuff on left glove, using right hand. Holding this cuff with right fingers slip left hand into glove. Fit well over cuff of gown. Gloves can be washed if contaminated Wash gloves only in patient's To avoid gloves sticking to bed clothes, room during treatment of patient. powder them well on outside with power or cornstarch. Removal of Gloves: TO DO TO REMEMBER Remove gloves before gown, and mask Outside of gloves are contaminated if wearing one. Make a cuff on right glove in downward Do not touch outside of glove with movement using left hand, grasp this hand. Outside contaminated. cuff by left hand, pull glove off.

24 1.I.15 Page 2 of 2 Put fingers of right hand inside of tip of left glove, roll down. Finger should touch only inside of gloves. Grasp the fold and pull off gloves. Throw gloves into wastebasket. Gloves are not to be worn again. Wash and dry hands. Reviewed: 09/82, 12/85, 11/87, 10/88, 06/90, 02/99, 06/02, 01/04, 10/05, 12/06, 11/07, 11/08, 6/14 Revised: 09/82, 06/04, 6/14

25 1.I.16 Glove Technique, Isolation Gloves shall be worn in Isolation Room as indicated by category of isolation and precautions indicated. Sterile gloves shall be worn when replacing sterile dressings or when handling sterile supplies. Non-sterile gloves shall be worn to protect hands against contamination by feces or urine of patients with enteric diseases or when removing contaminated dressings. NOTE: Gloves do not replace hand washing. PROCEDURE Gloves are put on after the gown is donned so that the glove cuffs may be drawn up over the gown sleeves. F F F F Grasp the inside of the cuff on the right glove with the left hand. Insert the right hand and pull the glove into place. The gloved hand is inserted under the cuff of the left glove. Insert the left hand in the left glove and pull it into place. Pull the glove cuff over the wrist of the gown. Gloves should be removed before mask or gown and discarded in the wastebasket. Wash hands after gloves are removed. Reviewed: 09/82, 12/85, 11/87, 10/88, 06/90, 02/99, 06/02, 01/04, 10/05, 12/06, 11/07, 11/08, 6/14 Revised: 09/82, 06/04, 6/14

26 1.I.17 Page 1 of 2 Isolation - Equipment All equipment, including wheelchairs and stretchers, touched by personnel after touching the isolated patient, shall be cleaned and sprayed with disinfectant before being used for another patient. All isolation soiled equipment that is to be transported to central service shall be double bagged first. A list of all equipment inside bag shall be placed outside the bag, marked "Isolation". Articles shall be identified to determine proper decontamination. Paper bags shall be used for steam sterilization and plastic bags for gas sterilization. PURPOSE To protect personnel and the environment from cross contamination during packaging of isolation items as they are prepared for sterilization and until sterilization is completed in Central Service. To prevent these items from being destroyed by improper sterilization due to inadequate or non-existent identification on the bags. PROCEDURE Before entering the room: Wash hands and put on gown. Take two paper towels, pen and a paper or plastic bag (depending on the type of sterilization) into room. Inside the room: To provide a clean area for making the list, place the paper towels on the bedside stand and place sheet of paper on the paper towels. Make the list while hands are still clean. Include category of isolation and room number. Before sending the bag to Central Service: Be sure all items are clean and dry before bagging. After all items have been bagged, fold edge of bag twice.

27 1.I.17 Page 2 of 2 At doorway, the contaminated bag is placed in a clean bag held by an assistant outside. The assistant folds the top of the second bag and seals it with masking tape and tapes list to the bag. Do not contaminate the list when removing it from room. Mark the bag "Isolation" and send to Central Service. Anything that cannot be transported must be decontaminated on unit. Wash all equipment with disinfectant solution. Reviewed: 09/82, 12/85, 11/87, 10/88, 06/90, 02/99, 06/02, 01/04, 10/05, 12/06, 11/07, 11/08, 6/14 Revised: 09/82, 06/04, 6/14

28 1.I.18 Page 1 of 2 Environmental Services Control Hand Washing Remove watch and rings before entering a room. Thorough hand washing is the most important single factor in the prevention of the spread of disease. Handwashing must be done before and after each procedure in patient care and after handling contaminated material and equipment. The length of time required for hand washing is one to two minutes. All faucets are considered contaminated. Turn on faucet. After washing and drying hands, turn off faucet with towel used for drying hands. Apply hand lotion frequently to assure good skin care. PURPOSE To prevent the direct or indirect spread of organisms. EQUIPMENT F F Sink with running water, hot or cold. Bacteriostatic soap, bar or from liquid dispenser. STEPS q sink. Turn on water to a temperature comfortable to hands. Stand well away from q Moisten hands and apply a good lather with hexachlorophene soap, covering well beyond area of contamination. Liquid or cake soap may be used. If cake soap is used, rinse before returning to dish.

29 1.I.18 Page 2 of 2 q Use friction, one hand upon the other with fingers interlaced. Areas between fingers and around and under nails require special attention. When fingers and thumb or both hands are interlaced and moved back and forth, the areas between the fingers are cleaned. q and q q Rinse hands thoroughly under running water, holding elbows higher than hands allowing water to flow from finger tips. Repeat steps 2, 3, and 4 when working in or handling contaminated material. Dry hands and arms with paper towels. Turn off faucet with same towel. The faucet is considered contaminated. Effective Date: 09/82 Reviewed: 09/82, 12/85, 11/87, 10/88, 06/90, 02/99, 01/04, 10/05, 12/06, 11/07, 11/08, 11/13, 6/14 Revised: 09/82, 06/04, 6/14

30 1.I.19 Hand Washing, Isolation Hands shall be washed before entering or leaving isolation room. Strict Hand washing shall be mandatory before and after patient care. PROCEDURE Refer to policy titled "Hand washing" Reviewed: 09/82, 12/85, 11/87, 10/88, 06/90, 02/99, 06/02, 01/04, 10/05, 12/06, 11/07, 11/08, 11/13, 6/14 Revised: 09/82, 06/04, 6/14

31 1.I.20 Page 1 of 2 Hands must be washed: Hand Washing - Infection Control After direct care of individual patient. During performance of normal duties. After personnel use of toilet. After sneezing or coughing. Before eating. At the beginning and on completion of duty. PURPOSE To minimize the possibility of infection. PROCEDURE Stand at comfortable distance from sink, turn on water and adjust to desired temperature. Wet hands and wrists thoroughly, holding them downward over the sink to enable the water to run toward the fingertips. Take a generous portion of soap from dispenser. If bar is used, it must be rinsed before being returned to the dish. Rub hands together vigorously, creating as much friction as possible by interlacing the fingers and moving hands back and forth. Scrub for 1 or 2 times until areas between the fingers, the backs of hands and palms, and areas around fingernails are cleaned. Nails are cleaned by working them against the palms of the hands. Rinse the hands thoroughly by holding them under the running water, with elbows higher than the hand so that the water flows downward to the fingertips. All soap should be carefully removed.

32 1.I.20 Page 2 of 2 Dry wrists and hands with paper towel, working form the area of the wrists to the fingertips. Since the faucet handle is considered contaminated, turn off the water by using a paper towel to cover faucet handle. Reviewed: 09/82, 12/85, 11/87, 10/88, 06/90, 02/99, 06/02, 01/04, 10/05, 12/06, 11/07, 11/08, 11/13, 6/14 Revised: 09/82, 06/04, 6/14

33 1.I.21 Putting on Mask Masks should be worn to protect people from contamination through droplet infection in diseases such as tuberculosis, staphlopneumonia, etc. (Also airborne diseases.) It is preferable to mask patient rather than personnel, as patient is the spreader of disease in this instance. (Both may wear one.) Putting On Mask Wash hands. Masks are put first before gowns or gloves. Grasp mask by strings. Place well over nose and mouth. Tie top strings first, about ear level or higher. Strings are considered not to be contaminated. Pull mask down to cover mouth but still have nose snugly in mask. Tie lower strings. Do not touch front of mask when worn. Front of mask considered contaminated. Wear mask no longer than 30 minutes. Removing Mask Wash hands if contaminated. Strings of mask considered clean. Untie top and bottom strings. Holding mask by stings, drop into wastebasket. Reviewed: 09/82, 12/85, 11/87, 10/88, 06/90, 02/99, 06/02, 01/04, 10/05, 12/06, 11/07, 11/08, 11/13, 6/14 Revised: 09/82, 06/04, 6/14

34 1.I.22 Environmental Service Policies Masks, Isolation Masks shall be worn in isolation rooms to prevent spread of airborne infectious droplets. Masks shall be changed after each use. PROCEDURE Masks may be worn by patient or nurse depending on category of isolation. Adjust mask first when gown and gloves are worn. F F F Wash hands and pick up mask. Adjust mask snugly over the nose and mouth. Tie top strings first to about ear level. Tie bottom strings around neck. No not touch the front of the mask while it is being worn. To remove mask, wash hands, untie top and bottom strings. Hold mask by the strings and drop it into the wastebasket. Reviewed: 09/82, 2/85, 11/87, 10/88, 06/90, 02/99, 06/02, 01/04, 10/05, 12/06, 11/07, 11/08, 11/13, 6/14 Revised: 09/82, 06/04, 6/14

35 1.I.23 Reverse Protective Care Gown Technique The following procedures must be followed when removing a protective gown upon leaving patient rooms. Special care should be taken to avoid contamination of personnel s uniform when leaving the patient s room after gown is removed. Putting on Gown Be sure mask is worn in this technique. Wash hands. Holding the neck of the gown, inside of gown facing you, slip one arm into sleeve, then the other. Draw neckline into place by fitting gown well over the shoulders. Fasten neckband. Gown is put on outside room. Lap gown at back so that you uniform is completely covered. Tie waistband in bowknot. Pull sleeves up to a convenient length not exposing the arms. Be sure the gown feels comfortable before entering the room. Gown is not contaminated. Removing Gown (outside of room) Remove gown and mask outside of room, place in linen hamper. Mask dropped in wastebasket in utility room. Wash hands. IMPORTANT: USE sterile linen and gowns for burn cases. Reviewed: 09/82, 12/85, 11/87, 10/88, 06/90, 02/99, 06/02, 01/04, 10/05, 12/06, 11/07, 11/08, 11/13, 6/14 Revised: 09/82, 06/04, 6/14

36 1.I.24 Dusting Furniture and Equipment All furniture and equipment should be dusted on a regular basis to prevent dust buildup and keep germ free. REQUIRED SUPPLIES Ø Ø Ø Ø Pails, cloths, Germicidal-detergent solution Polish PROCEDURE Varnished surfaces: use dry cloth and polish, fold and refold cloth as surfaces become soiled, dust underside, and backside of objects also. Other surfaces: use cloth and germicidal-detergent solution, wring out cloth well, clean cloths frequently by rinsing in solution and wringing out. Dry surfaces (other): use dry cloth following above step. Caution: Be sure electrical fixtures are disconnected for plug-in type or turned off if fixed to wall or ceiling. Reviewed: 09/82, 12/85, 11/87, 10/88, 06/90, 02/99, 06/02, 01/04, 10/05, 12/06, 11/07, 11/08, 11/13, 6/14 Revised: 09/82, 06/04, 6/14

37 1.I.25 Cleaning and Polish Metal All furniture and equipment should be cleaned and polished on a regular basis to maintain clean and hygienic surfaces. REQUIRED SUPPLIES AND EQUIPMENT Ø Germicidal-detergent solution Ø Clean rinse water Ø Stripper Ø Cleaning cloths Ø Two-inch paint brush Ø Synthetic sponge Ø Metal polish PROCEDURE Wash metal-- use germicidal solution, apply with sponge. Rinse and dry-- use clean water and clear cloth. Apply metal polish-- use clean cloth, apply polish sparingly, remove excess polish, dry with cloth, polish with soft clean cloth. Reviewed: 09/82, 12/85, 11/87, 10/88, 06/90, 02/99, 06/02, 01/04, 10/05, 12/06, 11/07, 11/08, 11/13, 6/14 Revised: 09/82, 06/04, 6/14

38 1.I.26 Wet Mopping All floors should be mopped regularly and as needed to maintain clean and hygienic floors. REQUIRED SUPPLIES AND EQUIPMENT Two (2) mop buckets and wringers, wet mop (24 oz. for public areas) treated dust mop, lobby dust pan and brush, putty knife, cleaning solution in one (1) pail, clear rinse water in other, set of caution signs, doorway mats. PROCEDURE Prepare area: set up caution signs in public area, place doormats at entrances, move furniture to one side. Dust mop: as per Dust Mopping procedure. Wet mop: in germicidal-detergent solution, wring out partially before applying to floor, mop lengthwise along baseboards, use figure 8" stroke for balance of area, remove rubber marks with heal of mop, avoid splashing, wring out frequently in solution, cover area thoroughly. Rinse and dry: using clear rinse water, use solution bucket to wring out mop, mop thoroughly to pick up water. Clean baseboards: use solution dampened rag along baseboards, pick up excess water in corners, etc. Clean and store equipment: follow procedure for cleaning and storage of equipment. Reviewed: 09/82, 12/85, 11/87, 10/88, 06/90, 02/99, 06/02 01/04, 10/05, 12/06, 11/07, 11/08, 11/13, 6/14

39 1.I.27 Vacuuming Rugs All areas with rugs should be vacuumed regularly or as needed to maintain dirt free rugs. PURPOSE Frequent vacuuming of rugs prevents the accumulation of dirt and grit, the abrasive of which, would otherwise quickly wear out the rug. REQUIRED SUPPLIES AND EQUIPMENT Ø Ø Ø Vacuum cleaner and attachment stain remover damp cloths. PROCEDURE Move furniture to one side, vacuum other, then reverse. Remove spots and stains: use stain remover as prescribed. Damp dust baseboards: use damp rags. Replace furniture, according to established pattern. Reviewed: 09/82, 12/85, 11/87, 10/88, 06/90, 02/99, 06/02, 01/04, 10/05, 12/06, 11/07, 11/08, 11/13, 6/14 Revised: 09/82, 06/04, 6/14

40 1.I.28 Stripping Floors Before applying new floor finishes, the floors should be stripped to remove all soil, wax or synthetic from the floor. REQUIRED SUPPLIES AND EQUIPMENT Floor machine with scrubbing brusk, number two (2) steel wool pad synthetic scrub pad, wet pickup vacuum, set of caution signs, two (2) - 32 quart mop buckets with casters, 2 mop wringers, two (2) -24 oz. Wet mops, treated dust mop, wax stripper, doorway mats, corner brush, dust pan and putty knife. PROCEDURE Prepare area set up caution signs, place mats at entrance. Dust floor per Dust Mopping procedure. Wet floor use warm water with wax stripper, apply liberally, let stand for five (5) minutes. Machine scrub use steel or synthetic pad under brush of machine scrub lengthwise along baseboards, side to side over balance of area, heel machine over badly soiled spots. Pick up water use wet vacuum pick-up, do not allow solution to dry on floor. Rinse and dry use clear warm water, and second mop, pick-up with vacuum, wipe baseboards with rags. Reviewed: 09/82, 12/85, 11/87, 10/88, 06/90, 02/99, 06/02 01/04, 10/05, 12/06, 11/07, 11/08, 6/14 Revised: 09/82, 06/04, 6/14

41 1.I.29 Applying Floor Finish After stripping and cleaning floors, a fresh coat of floor finish will be applied to protect floor surfaces and allow ease in daily maintenance. REQUIRED SUPPLIES AND EQUIPMENT Ø Ø Ø Ø Ø Ø Mop bucket with casters Mop wringer 24 oz. cotton mop for all areas Doormats Caution signs Floor finish material. PROCEDURE Prepare area set up caution signs, place doormats at entrance, move furniture and equipment to one side, be sure floor is clean and dry. Apply first coat using clean mop, immerse in finish solution, wring partially to avoid dripping, apply THIN coat, cover baseboards first, sides of area next, then remainder of floor using figure 8" stroke, avoid splashing, allow to dry approximately 20 minutes. Apply second coat omit baseboards, stay six inches from baseboard, let dry as long as possible before opening to traffic. Machine buff after 24 hours, see Buffing procedure. Reviewed: 09/82, 12/85, 11/87, 10/88, 06/90, 02/99, 06/02, 01/04, 10/05, 12/06, 11/07, 11/08, 6/14 Revised: 09/82, 06/04, 6/14

42 1.I.30 Cleaning Wax Applicators and Brushes Maintenance of equipment is essential to the housekeeping tasks and to economy in use of equipment and supplies. REQUIRED SUPPLIES AND EQUIPMENT Ø Ø Ø Equipment to be cleaned Bucket Detergent. PROCEDURE Shake out items to be cleaned; brushes and dry mops have loose particles in them. Shake these out carefully over the trash can. Rinse using lukewarm water. Clean using mild detergent solution in lukewarm water (dry mops go to laundry for cleaning). Move up and down in the solution until item feels or looks clean. Rinse again in lukewarm water. Shake out excess water and store. Never stand a wet brush on bristles. Reviewed: 09/82, 12/85, 11/87, 10/88, 06/90, 2/99, 06/02, 01/04, 10/05, 12/06, 11/07, 11/08, 6/14 Revised: 09/82, 06/04, 6/14

43 1.I.31 Buffing Floors All floors should be buffed as needed to maintain high gloss and shine, ease of daily maintenance. REQUIRED SUPPLIES AND EQUIPMENT Ø Ø Ø Equipment to be cleaned Bucket Detergent. PROCEDURE Dust mop area follow Dust Mopping procedure. Prepare area for damp mop: set up caution signs, doormats. Damp mop floor: as per wet mopping procedure. Machine buff: use soft polishing brush or number 00 steel wood pad, buff along one side approximately 12 feet (12') and back along opposite side, buff slowly, be careful of baseboards and door frames, use slow side to side motion. Dust mop: follow Dust Mopping procedure. Reviewed: 09/82, 12/85, 11/87, 10/88, 06/90, 02/99, 06/02, 01/04, 10/05, 12/06, 11/07, 11/08, 6/14 Revised: 09/82, 06/04, 6/14

44 1.I.32 Cleaning Buffing and Scrubbing Machines Buffing and scrubbing machines are to be cleaned regularly or as needed. Cleanliness plays a major role as to the life expectancy of the machine. These machines are essential to proper performance of housekeeping assignment and to economy in use of equipment and supplies. REQUIRED SUPPLIES AND EQUIPMENT Ø Machine to be cleaned Ø Steel wool (number 00) or abradant pad Ø Cleaning cloth Ø Detergent. PROCEDURE Remove brush: never transport machine with brush attached. Place brushed and pads in cleaning solution and clean: use detergent and hot water, agitate till clean. Rinse brush and store: use clear lukewarm water. Store hanging or with bristles up. Clean machine: clean all exterior surfaces of machine using a cloth and detergent solution. Use steel wool on stubborn spots, wipe off with clean dry cloth. Store: coil cord carefully, examining for defects, loose wires, etc., before storing machine. Caution: Do not allow solution to get in motor areas of machines: use well wrung out cloths in cleaning. Reviewed: 09/82, 12/85, 11/87, 10/88, 06/90, 02/99, 06/02, 01/04, 10/05, 12/06, 11/07, 11/08, 6/14 Revised: 09/82, 06/04, 6/14

45 1.I.33 Cleaning Baseboards Baseboards are to be cleaned on a regular basis to maintain clean hygienic surfaces. REQUIRED SUPPLIES Ø Germicidal-detergent solution Ø Clean rinse water Ø Wax stripper Ø Two- inch paint brush Ø Paste cleanser Ø Synthetic sponge Ø Cleaning cloths Ø Floor finish PROCEDURE Apply Stripper: use two-inch brush, avoid touching painted wall, wall coverings or woodwork, allow to set approximately five (5) minutes. Wash baseboard: use clean cloth and germicidal-detergent solution, spot badly soiled areas, scrub these with paste cleanser and steel wool or abradant pad, wash again with solution. Rinse and dry: use clean water and clean cloth, rinse completely, dry with soft clean cloth. Apply finish: apply with synthetic sponge, one (1) thin coat. Reviewed date: 09/82, 12/85, 11/87, 10/88, 06/90, 02/99, 01/04, 10/05, 12/06, 11/07, 11/08, 6/14 Revised Date: 09/82, 06/04, 6/14

46 1.I.34 Hand Scrubbing a Floor Hand scrubbing is required in small areas such as shower floors and other places where larger tools cannot be used. REQUIRED SUPPLIES AND EQUIPMENT Ø Double bucket outfit Ø Germicidal solution Ø Gloves Ø Scrubbing brush with handle Ø Dust mop Ø Cloths Ø Small wet mop PROCEDURE Dust mop the area: see Dust Mopping procedure. Hand scrub: Put weight on handle after immersing it in cleaning solution. Scrub in motion to an away from yourself, not side to side. Avoid splashing. Overlap each area about 4". Work towards outer door. Rinse with clear water: use wet mop to rinse area, wringing out mop well to pick up excess solution. Reviewed: 09/82, 12/85, 11/87, 10/88, 06/90, 02/99, 06/02, 01/04, 10/05, 12/06, 11/07, 11/08, 6/14 Revised: 09/82, 06/04, 6/14

47 1.I.35 Servicing Dispensers All dispensers are to be maintained in a clean, hygienic, serviceable order. REQUIRED SUPPLIES AND EQUIPMENT Ø Supplies for dispenser Ø Key to dispenser Ø Cleaning cloths Ø Germicidal-detergent solution PROCEDURE Open and unload dispenser: remove any remaining supplies from dispenser. Clean inside: using damp cloth and solution, clean inside of dispenser, wipe dry thoroughly with dry cloths. Fill: be sure that supplies are arranged so that they will dispense properly, use any remaining supplies removed from the machine in step one above, first, add additional supplies from stock as required to fully load dispenser. Close and lock. Clean outside of dispenser: using damp cloth wipe outside thoroughly and then dry thoroughly with dry cloths, be sure machine is locked and in working order. Reviewed: 09/82, 12/85, 11/87, 10/88, 06/90, 02/99, 06/02, 01/04, 10/05, 12/06, 11/07, 11/08, 6/14 Revised: 09/82, 06/04, 6/14

48 1.I.36 Cleaning Light Fixtures Properly cleaned light fixtures are more hygienic and provide better lighting. REQUIRED SUPPLIES AND EQUIPMENT Ø Step ladder Ø Pails Ø Cloths Ø Screwdriver Ø Germicidal-detergent solution PROCEDURE Turn off or disconnect fixture: If fixture is a plug-in type, pull connector plug. If built-in, turn off switch. Remove glass and globe. Use screwdriver if needed but do not exert heavy force, wait till light has been off for a few minutes, otherwise it will be too hot to handle. If bulb cannot be unscrewed from socket easily, call supervisor. Excessive force may cause bulb to break. Be sure that hands are not damp or that you are not standing on damp floor while handling electrical fixtures. Lower bulb and glass portions of fixture: attempting to clean these items while on ladder is dangerous (you may break items). Clean bulb and glass portions of fixture: use damp cloth. Dry thoroughly before reconnecting them to socket or fixture. Do not clean the metal bases of bulbs or tubes. Be especially careful in handling fluorescent tubes as they are fragile and may explode if broken. Clean other parts of fixture: use a dry cloth on areas of fixture away from socket. Do not clean inside of socket, nor too close to the edges of the socket. Be sure that your hands are dry while cleaning fixture. Replace bulb and glass enclosures: be sure hands are dry, reconnect plugs or turn on switch to make sure fixture is operative. Reviewed/Revised: 09/82, 12/85, 11/87, 10/88, 06/90, 02/99, 06/02, 01/04, 10/05, 12/06, 11/07, 11/08, 6/14

49 1.I.37 O: 9/92 Cleaning Windows - Exterior To maintain clean and hygienic windows. REQUIRED SUPPLIES AND EQUIPMENT Ø One 12" squeegee Ø Ten quart pail Ø Chamois Ø Step ladder or scaffolding Ø Razor blade scraper Ø Cleaning solution - 1 TSP vinegar, bluing or commercial glass cleaner PROCEDURE Wet glass: apply cleaning solution with sponge, lightly. Scrub glass: scrub with wet sponge, pick up dirt around frame with sponge. Squeegee, first stroke: start at top corner, tilt so that only about 2 inches of blade touches glass, draw along top edge of window, wipe blade with chamois. Squeegee, second stroke: start on dry surface at top corner, draw squeegee down to about 3 inches from bottom, repeat across surface, overlap each stroke, don t use excessive pressure, wipe blade with chamois after each stroke. Dry bottom of window: use sponge to pick up water pushed to bottom window. Squeegee, stroke three: start at bottom of window, tilt squeegee so that only about 4 inches of blade touches glass, draw along bottom, repeat third stroke, remove excess water with sponge. Note: Be sure to wipe squeegee blade with chamois after each stroke, on large windows do one-half at a time, use pole extension on high windows, outside windows may require a stronger solution, use pumice and acid only as a last resort. Daily maintenance, inside: use commercial preparation and cloth for inside pane and sill.

50 Reviewed: 09/82, 12/85, 11/87, 10/88, 06/90, 02/99, 06/02, 10/05, 12/06, 11/07, 11/08, 6/14 Revised: 09/82, 06/04, 6/14

51 1.I.38 Wall Washing To maintain clean and hygienic walls. REQUIRED SUPPLIES AND EQUIPMENT Ø Terry cloth pads (16" x 22") Ø Germicidal solution Ø Clear cold water Ø Scaffold or ladder Ø Small abradant pad Ø Caution signs for public areas PROCEDURE Prepare the area: set out Caution signs in public areas, move furniture and equipment away from walls. Wash wall: work form top down, begin in upper corner and outline section you can reach without moving ladder, wash outlined section with figure 8" motion, use abradant pad on stubborn spots, do not over saturate area. Rinse area: rinse the section previously washed, avoid running into section not covered in wash operation. Reviewed: 09/82, 12/85, 11/87, 10/88, 06/90, 02/99, 06/02, 01/04, 10/05, 12/06, 11/07, 11/08, 6/14 Revised: 09/82, 06/04, 6/14

52 1.I.39 Cleaning Vacuum Cleaners Clean equipment is essential to the housekeeping tasks and to economy in use of equipment. REQUIRED SUPPLIES AND EQUIPMENT Ø Vacuum to be cleaned Ø #00 Steel wool or abradant pads Ø Cloths Ø Cleaning agents Ø Old newspaper PROCEDURE Dry vacuum bag: if machine has inner bag, remove and dispose. If not, empty bag carefully onto a newspaper. Replace bag with new inner bag if applicable). Wet vacuum tanks, open and rain, rinse out loose dirt, scrub and rinse tank inside and out using steel wool or abradant pads. Both types, wipe all surfaces with dry cloth. Store on wet vacuum machines, leave lid partially open. Wipe off coil and all electrical cords carefully. Examine for defective cords or loose wires. Reviewed: 09/82, 12/85, 11/87, 10/88, 06/90, 02/99, 06/02, 01/04, 10/05, 12/06, 11/07, 11/08, 6/14 Revised: 09/82, 06/04, 6/14

53 1.I.40 O: 1/04 Cleaning Materials Used in Maintaining a Clean Environment PRODUCT H-23 Germicidal cleaner Comet cleanser Super Glosswax Detergent Gold Antibacterial Hand Soap rms. Carpet Powder Plus Clorox Bleach blood spills Waxie Glass Cleaner Cutting Edge Stripper Fountainhead 128 Edge Off Baseboard Cleaner Furniture Polish Waxie Bug Off Spring Green Berries Purell Hand Sanitizer Pine Spring Green Fine Mist Aerosol Encore Waxie Swish Magnet Dust Mop Treatment Downy Provon Lotion Comet Creme Reflection Fleur de Lis Insect Killer Bath Brite USE Scrub down toilet and sinks To wax floors Wash clothes for the elderly Used in soap dispensers in restrooms & patient Deodorant powder for carpets Used to wash clothes, bathrooms, and Used to clean windows Used to strip floors Used to shampoo rugs and carpets Used to remove wax from baseboards Used to clean furniture Used to kill flying insects Air dispenser deodorizer Air dispenser deodorizer Waterless hand cleaner Air and fabric deodorizer Air and fabric deodorizer Instant restorer spray buff Aerosol disinfectant cleaner Improves dust pick-up on mops Clothes softener Hand and body lotion Disinfectant cleanser Metal cleaner and polish Hand and body soap Aerosol insect killer (dispenser) Clean toilet bowls Reviewed: 06/04, 10/05, 12/06, 11/07, 11/08, 6/14 Revised: 06/04, 10/05, 6/14

54 1.I.41 Environment Services Policies Laundry and Linen Service Laundry and linens at Cochise Regional Hospital are laundered by an independent contracting laundry service, Milum Textile Services. It is the responsibility of the laundry service to obtain from the hospital soiled linens, including linens used for isolation patients, and process them in an appropriate manner. All linens and laundry will be washed in water that is not less that 180 degrees F. and the ironing temperature will be not less that 325 degrees F. Linens from isolated patients will be given special handling by the linen service. The service will return the clean linens and laundry to the hospital in a manner that will ensure cleanliness. Environmental Services does launder some Emergency Department linen, size 36 dust mops, and clothes of illegal aliens. Reviewed: 09/82, 12/85, 11/87, 10/88, 06/90, 02/99, 06/02, 01/04, 10/05, 12/06, 11/07, 11/08, 6/14 Revised: 09/82, 06/04, 12/06, 6/14

55 Environment Services Policies 1.I.42 Page 1 of 2 Environmental Services Supplies Cochise Regional Hospital uses the following supplies for the use of regular cleaning and maintenance. Other supplies may be used as needed with approval from Supervisor. Swish Disinfectant: Cavicide Wipes & Spray: Comet/Ajax Cleaner: Hand Soap Dispenser: Spray down beds and rooms in hospital. Used to clean surgery Room, beds, bed stands, etc., used in water for mopping hallways, used for anything that needs cleaning. Scrub down toilets and sinks. Are put next to sinks for patients use. Wax: Detergent: Bath Brite: Clorox (Bleach): Carpet Shampoo: Glass Cleaner: Stain Remover: To wax floors. Wash clothes for the elder. Toilet bowl cleaner. Sink and toilet bowl cleaner. Is used to shampoo rugs and carpets. Used to clean windows and mirrors. Stain and spot remover on carpets. Heavy Duty Stripper: Used to strip floors. 23H: Disinfectant cleaner. 5L: Surgery disinfectant cleaner. Disinfectant Spray: Use to Supplement Routine Handwashing: Lysol spray Hand sanitizer