Doc Active Date: 10/15/2012 Doc Review Date: 10/15/2013 Standard Operating Procedure (SOP) Cross Referencing: Honeywell acceptable cleaners/disinfectants; Honeywell return procedure for infected equipment; Honeywell Monitor Removal; Agency specific Policy and Procedure for infection control of reusable equipment taken in and out of patients home. Bill of materials (BOM) from Telehealth Guide Purpose: Cleaning of Honeywell HomMed monitors (Sentry, Genesis Classic, Genesis DM and Genesis Touch) and Honeywell HomMed branded peripherals to remove surface soiling. For your reference also see, C2285.01 Honeywell HomMed Monitor Cleaning Solutions. Definitions: Antiseptic: substance that prevents or arrests the growth or action of microorganisms by inhibiting their activity or by destroying them. The term is used especially for preparations applied topically to living tissue. Cleaning: a process, usually involving removal, usually with detergent and water or enzyme cleaner and water, of foreign material (e.g. dirt or microorganisms). Cleaning is the most essential prerequisite to ensure effective disinfection. Contaminated: state of having actual or potential contact with microorganisms. As used in health care, the term generally refers to the presence of microorganisms that could produce disease or infection. Decontamination: use of physical or chemical means to remove, inactivate, or destroy bloodborne pathogens on a surface or item so that it is no longer capable of transmitting infectious particles and the surface or item is rendered safe for handling, use, or disposal. Decontamination area: area of a health-care facility designated for collection, retention, and cleaning of soiled and/or contaminated items. Disinfectant: usually a chemical agent (but sometimes a physical agent) that destroys disease-causing pathogens or other harmful microorganisms but might not kill bacterial spores. It refers to substances applied to inanimate objects. C4001.02 10/2012 1
Disinfection: Any process, chemical or physical, that destroys pathogens such that an item is safe to handle for its intended use. Disinfestation: destruction of insects, rodents, or other animal forms present and which may transmit disease. Infestation: the state of being invaded or overrun by pests or parasites. Materials: Soap and water or waterless hand hygiene agents for hand washing Disposable gloves Honeywell acceptable cleaners/disinfectants Several lint-free clean cloths or applicators Dirty and clean area in which to work with appropriate ventilation waste receptacle Applications and Restrictions: Please note that each agency should follow their own guidelines for infection control procedures for medical equipment taken into the home. Procedure Description: 1. Take bagged unit to be cleaned to decontamination area where there is a work surface on which to do cleaning. If infestation is suspected: o Check date on bag and make sure that monitor has been in bag for 48-72 hours (If infestation is suspected). o Observe inside of bag for any signs of bugs. If present, do not open. Call customer service 888 353 5404 and follow directions for monitor disinfestations found in the SOP Equipment Infestation. 2. Wash and dry hands and put on gloves, open bag and remove monitor and peripherals, discard bag in appropriate receptacle. Check to make sure that all pieces of monitoring kit have been returned, if not, make note and report to appropriate person that unit is incomplete. Do not plug in. Observe all pieces of equipment for signs of organic material Use lint-free cloth with one of the acceptable cleaners in Appendix I to remove any organic material. If using a disposal cloth discard in appropriate receptacle or if using a reusable cloth process for cleaning as per agency policy. Use clean lint-free cloth with one of the acceptable cleaners in Appendix I to clean every surface of the monitor, tubing, scale, pulse ox and BP cuff. Pay special attention to the underside of items and the inside of the pulse ox. Do C4001.02 10/2012 2
not spray any cleaners onto monitor. If a spray is used, spray on cloth and then apply to monitor. Change gloves and wipe each piece of cleaned equipment with a clean lintfree cloth dampened with water or alcohol to remove any residuals and either air dry or dry with a soft lint-free cloth. If using alcohol, air dry it is not necessary to damp or dry wipe after cleaning with alcohol. The fabric of BP cuff can be separated from the internal bladder by opening the Velcro closure. The fabric of BP cuff can be hand or machine washed in laundry detergent. Drip dry. Do not put in dryer. The bladder can be cleaned using one of the acceptable cleaners in Appendix I. Change gloves and use clean lint-free cloth dampened in water or alcohol to remove any residuals and soft cloth to dry clean equipment. If using alcohol, air dry it is not necessary to damp or dry wipe after cleaning with alcohol. Once dry replace the bladder as before. Follow agency procedures for infection control of reusable equipment Remove and dispose of gloves Wash and dry hands Return equipment to inventory as per agency procedure. 3. Notify clinician that equipment is now available and status must be changed in LifeStream Cleaners for Honeywell HomMed Monitors (Genesis DM and Genesis Touch) and Honeywell HomMed branded Peripherals According to the CDC Guideline for Disinfection and Sterilization in Healthcare Facilities, 2008, patient monitoring equipment is considered a non-critical device. A non-critical device is that whose surfaces only contact intact skin and do not penetrate it. Therefore, it is acceptable to use intermediate or low level disinfection for non-critical devices depending on the nature and extent of contamination. Devices in contact with intact patient skin can usually be effectively prepared for safe reuse by cleaning and low level disinfection. It is always best to consult each manufacturer s documentation and product instructions for precise cleaning and disinfection instructions. Always adhere to manufacturer s directions for use and applicable guidelines for optimal performance of any solution. It is also important to follow your institution s policies and guidelines for infection prevention and control. The outer case of the Genesis DM and Genesis Touch Tablet are made of polycarbonate. This is a durable plastic commonly used in medical equipment. It is compatible with a variety of cleaners and disinfectants; however there are some chemicals that should not be used. The following is a summary of expected chemical compatibilities. It is based on Honeywell HomMed s testing and information verification. Please note that manufacturers of cleaning and disinfecting products may change their chemical formulations at any time. C4001.02 10/2012 3
The Genesis DM nor Genesis Touch Tablet should never be immersed, sprayed or soaked in any liquid. Cleaning/disinfecting should be done with dampened cloth, preferably lint-free. Appendix I Acceptable Chemical Name Common Names or Example Brands Acetic Acid 20% Vinegar (commercial 5%) Alcohols:Isopropyl 60 70% Ammonium Chlorides Formula 409 Antibacterial Citric Acid 10% Detergents (alkylbenzenesulfonates) Formaldehyde 40-100% Ethanol Hydrogen Peroxide Oils:Citric (not orange) Oils:Olive Oils:Pine Soap Solutions Sodium bicarbonate Baking Soda Sodium Borate Borax Water Silver (Elemental) Steriplex SD Peroxyacetic Acid o-phenylphenol 0.28% Certol ProSpray Wipes o-benzyl-pchlorophenol 0.03% Diisobutylphenoxyethyl dimethyl benzyl ammonium chloride Metrex Caviwipes Towelettes Hydrogen peroxide Benzyl alcohol Clorox Healthcare Hydrogen Peroxide Cleaner Disinfectant Wipes Not Acceptable Chemical Name Acetone Ammonia Calcium Hypochlorite Ketones (including Methyl Ethyl Ketone) Sodium Hydroxide (50%) Turpentine Acetaldehyde (including glutaraldehyde) Mineral Spirits Caustic Soap Common Names or Example Brands Cidex, Sporicidin C4001.02 10/2012 4
Oils: Orange Phenols Sodium Hypochlorite Iodine Vesphenell SE,LpH bleach Wescodyne, Betadine C4001.02 10/2012 5