INFECTION PREVENTION AND CONTROL MASTER EQUIPMENT CLEANING & DISINFECTING MANUAL

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INFECTION PREVENTION AND CONTROL MASTER EQUIPMENT CLEANING & DISINFECTING MANUAL VCH.0291 May 2018 1

Designation of Responsibilities Direct Care Staff () All healthcare workers WHO WHAT WHEN Equipment used between multiple Between every patient patients Environmental Services Staff () Equipment Depot Staff (EQD) Managers/ Supervisors Other healthcare workers: Equipment that is dedicated to an individual patient Equipment attached to a patient (in use) Staff equipment that is owned or dedicated to their use (e.g. stethoscopes, badges, mobile phones, pages, etc.) Patient equipment not attached to a patient (in use) Equipment used by a patient and in a patient zone at discharge/ transfer Equipment placed in soiled utility rooms IV Pumps, beds, etc. Ensure staff have appropriate training to clean & equipment Assess cleaning & ing processes to ensure adherence to protocols Respiratory Therapists (RT) Respiratory Equipment Aide (REA) Facilities/Maintenance/Operations (FMO) High Touch points between every use Clean & daily and whenever visibly soiled Clean & daily and immediately after contact with patient or patient zone (e.g. stethoscopes, phones, pagers) Clean & daily and whenever visibly soiled Part of discharge/transfer and/ or precaution/isolation clean & procedure Check, clean & items frequently to prevent overcrowding. Tag cleaned & ed equipment with green I am clean s and move to designated clean equipment storage locations. Clean & when placed in designated soiled parking lot or soiled utility room. Tag with green I am clean s prior to placement in clean equipment storage depots. On hire and whenever any new equipment is implemented At least annually 2

Principles of & Disinfecting Equipment 1. ALL equipment must be cleaned & ed. 2. Multi-patient and dedicated equipment must be cleaned & ed between each use. 3. Contaminated/dirty equipment and beds must NOT be moved throughout the hospital. 4. Equipment that is cleaned & ed will be tagged with a green I am clean, otherwise they are to be considered contaminated. After cleaning & ion some equipment will be placed in the designated clean storage. 5. Always remove the green I am clean just before the equipment is used on a patient. 6. Equipment going for repair to Biomed OR FMO must be cleaned & ed and tagged with a green I am clean. 7. Clean and contaminated/dirty equipment must be stored separately with a minimum of 2 meters (6 feet) separation. 8. Nursing Units (i.e. ICU and Emergency) may have their own cleaning & ing protocols for certain specialty items. Always confirm what these protocols are before you start working in those locations. & Disinfecting Products Vancouver Coastal Health will be using 2 wipes to clean & equipment: (Ultra Swipes Plus) - These are to be used on all displays/screens on medical devices and computers. They are also used to clean & some other devices as stated in the Master Equipment List. 3 minute wet contact time. Accelerated Hydrogen Peroxide wipes ( - Accel INTERvention) - These are to be used to clean & most other surfaces on medical devices, computers, beds, and other equipment. 1 minute wet contact time. Keep container caps of wipes closed except when removing wipes. Leaving the caps open allows the wipes to dry out and renders them ineffective for cleaning & ing. How to Clean & Disinfect 1. Clean - Use AHP or alcohol wipes to remove any foreign matter (dust, soil, food, feces, blood, sputum) from the device using friction and rub/scrub motion. Clean from dirtiest to cleanest. Use as many wipes as necessary to get the job done. 2. Disinfect immediately following cleaning using new wipes and friction and rub/scrub motion followed by maintaining a wet contact time. Item then air dries to complete the ion process. 3. If there are any issues with residual product potentially damaging an item or causing hazing or opaqueness a final rinse can be done with a clean/new cloth and plain water (well squeezed out) followed by air drying. 4. Attach green I am clean and place in designated clean storage. 3

Index 1. Analyzer, oxygen 2. Arctic Sun patient cooling unit 3. Backboard, clamshell 4. Backboard, wooden 5. Bed/chair check alarm 6. Beds and attachments 7. Beds going out for repair 8. Bed, Billie/blanket/UV Light 9. Bladder scanner (various models) 10. Blood pressure gauge, manual (at bedhead) 11. Blood pressure gauge, manual, portable 12. Bronchoscope 13. Bronchoscope disposable, monitor 14. Cables, patient (sent to Biomed for repair) 15. Calf compressor(scd) 16. Cane, single point and quad canes 17. Cart, bedside (ICU) 18. Cart, bedside/supply (ED, various models) 19. Cart, bronchoscopy 20. Cart, crashcart (ACLS) Code Blue 21. Cart, crashcart (BLS) nursing unit 22. Cart, isolation 23. Cart, medicine (med cart) 24. Cart, procedure 25. Chairs, Geri & Broda 26. Commodes (includes bariatric) 27. Commodes, shower 28. Compressor (various models) 29. Computer 30. Computer, workstation on wheels (WOW) 31. Cooling/warming unit 32. Crutches 33. Defibrillator (various models) 34. Doppler, hand held (various models) 35. Doppler, portable (various models) 36. ECG machine 37. Electrocautery (ESU) 38. Fax machine 39. Flowmeter, oxygen/air 40. Fridge, medication 41. Fridge, patient nourishment 42. Fridge, staff 43. Glidescope 44. Glidescope Ranger 45. Glucometer 46. Home ventilator alarm stand 47. Incubator, Drager Caleo 48. Incubator, neonatal 49. Infuser, rapid (rapid infuser) 50. Inomax Nitric Oxide Delivery unit 51. Intubation box 52. Lamp, portable 53. Laryngoscope, video (various models) 54. Lift, patient, ceiling mounted 55. Lift, patient, portable 56. Mattress (only when being exchanged or replaced) 57. Mattress, specialty 58. Monitor, bedside (various models) 59. Monitor, central patient 60. Monitor, Dinamap 61. Monitor, Edwards EV1000 62. Monitor, Edwards Vigilance 63. Monitor, ETC02 (various models) 64. Monitor, fetal 65. Monitor, Masimo Rad87 66. Monitor, Masimo RDS1 67. Monitor, Masimo Root 68. Monitor, pulse oximeter (various models) 69. Monitor, transport (various models) 70. Monitor, vital signs (various models) 71. Nebulizer 72. Nitronox blender 73. Omnicell (various models) 74. Ophthalmoscope 75. Oxygen concentrator (various models) 76. Oxygen tank, Grab N Go 77. Pacemaker 78. Parallel bars 79. Plinths and pillows 80. Pole, IV (single and multi) 81. Power bars, portable (on stand) 82. Pressure bag (reusable) 83. Pressure manometer 84. Printer 85. Prismaflex 86. Probe, TEE (and stand) 87. Pump, breast (Medela) 88. Pump, epidural 89. Pump, feeding (Kangaroo) 90. Pump, infusion (single and double) 91. Pump, PCA 92. Radio (hospital owned) 4

93. Rehab equipment 94. Restraints 95. Scale, portable 96. Seizure pads (fall mats) 97. Sliding board 98. Sling 99. Stretchers (including mattresses) 100. Stethoscope 101. Suction, portable 102. Suction, regular wall mount 103. Table, procedure (various models) 104. Telemetry pack 105. Telephone 106. Television, ceiling mounted & remote 107. Television, mobile & remote 108. Thermometer, Exergen 109. Thermometer, Welch Allyn, Alaris, IVAC 110. Toilet seat, raised 111. Toys 112. Tubs 113. Ultrasound, diagnostic (various models) 114. Uninterruptable power supply (UPS) battery pack 115. V.A.C. unit 116. Ventilator, AVEA 117. Ventilator, CPAP, Remstar 118. Ventilator, Draeger Evita 2 119. Ventilator, Draeger Evita 4 120. Ventilator, Legendaire 121. Ventilator, Maquet Servio-i 122. Ventilator, Mark 7, BIRD 123. Ventilator, Optiflow 124. Ventilator, PB560 125. Ventilator, PB840 126. Ventilator, Sensormedics 3100B HFO 127. Ventilator, Trilogy 128. Ventilator, Visions BiPAP 129. Walkers (various models) 130. Warmer, blanket (various models) 131. Warmer, blood/iv fluid (various models) 132. Warmer, infant (Panda ires) 133. Warmer, patient (Bair Hugger) 134. Warmer, radiant over-head 135. Warmer, Sage Wipe 136. Wedges 137. Wheelchairs and cushions (includes bariatric) 138. Workstation on Wheels (WOW) 139. X-ray viewing station 5

1. Analyzer, oxygen RT, REA between patient use clean & 2. Arctic Sun patient cooling unit after each use clean high touch points and place in soiled utility room Soiled utility room 3. Backboard, clamshell 4. Backboard, wooden 5. Bed/chair check alarm Patient room after each use clean high touch points and place in soiled utility room Soiled utility room 6

6. Beds and attachments clean & daily and on discharge clean For any unoccupied bed that is leaving the nursing unit, must clean the bed and attach green I am clean to the footboard. Equipment Depot EQD after 30 days, re-clean and and attach new green I am clean to footboard 7. Beds going out for repair Patient room Process 1. Nursing unit generates on-line Maintenance Request, prints, and attaches it to the bed. 2. Nursing unit generates request to have clean bed. 3. cleans & s bed but does not make bed up, then attaches green I am clean to footboard. 4. Nursing unit confirms bed is clean and ready to go for repair, and phones Equipment Depot (or designate) for bed pick up. FMO After repair removes any grease/ lubricant and arranges for to clean &. 8. Bed, Billie/Blanket/UV Light Equipment Depot *CLEANED & DISINFECTED BEDS ONLY IN EQD EQD (after repair) clean & bed, attach green I am clean to footboard and deliver to nursing unit or EQD. clean & after use sticker 7

9. Bladder scanner (various models) display, probe, probe cable, and all high touch points and return to designated clean storage 10. Blood pressure gauge, manual (at bedhead) Patient room clean & gauge, cuff, bulb, and tubing daily and on discharge clean 11. Blood pressure gauge, manual, portable and return to designated clean storage 12. Bronchoscope after each use clean high touch points then follow manufacturer s instructions, flush channels, place in transport bin with biohazard and send to MDRD Enzyme based cleaning agent 13. Bronchoscope disposable, monitor and return to designated clean storage 8

14. Cables, patient (sent to Patient room Biomed for repair) after use clean & use rubber band to attach green I am clean and send to Biomed 15. Calf compressor (SCD) after each use remove sleeves, clean and place in soiled utility room Soiled utility room EQD Equipment Depot EQD after 30 days, re-clean and attach new green I am clean 16. Cane, single point and quad canes (including bariatric) Nursing unit storage OT/PT Staff between patient use clean & and place in designated clean storage 17. Cart, bedside (ICU) Patient room discard all excess supplies place plastic cover over cart and place in soiled utility room if cart is used in an isolation room, remove everything on the cart before it is placed in the soiled utility room Soiled utility room Area Supply Staff clean & cart and restock supplies and return to designated clean storage 9

18. Cart, bedside/supply (Emergency, various on patient discharge or after models) each use clean and all interior and exterior surfaces and return to designated clean storage 19. Cart, bronchoscopy Patient room RT and return to designated clean storage 20. Cart, crashcart (ACLS) Code Blue defibrillator, backboard, suction and ETCO2 monitor if used clean & all interior and exterior surfaces on weekly cleaning schedule 21. Cart, crashcart (BLS) nursing unit clean & on cleaning schedule 10

22. Cart, isolation daily clean & surface s once precautions discontinued empty cart, clean &, and replenish cart 23. Cart, medicine (med cart) Nursing beginning of each shift clean & top work surfaces and handles empty garbage Supply room 24. Cart, procedure Outside of patient room clean & outer surfaces daily Area Supply Staff clean & interior and exterior surfaces when restocking supplies, place in supply zone for restocking Cart does not go into patient room 25. Chairs, Geri & Broda daily high touch points between patient use clean & clean & daily and on discharge clean and return to designated clean storage 11

26. Commodes (includes Patient room bariatric) clean & daily and on discharge clean and return to designated clean storage Equipment Depot EQD after 30 days, re-clean and attach new green I am clean 27. Commodes, shower Patient shower room 28. Compressor (various models) Patient room Patient room Soiled utility room clean & daily clean & on discharge clean after each use clean and place in soiled utility room 29. Computer Nursing desk /Unit Clerk daily clean & display/ screen, keyboard, and mouse Bedside daily clean & display/ screen, keyboard, and mouse 12

30. Computer, workstation on Designated clean wheels (WOW) (various location daily clean & display/ models including CST) screen, keyboard, mouse, barcode reader and holder, and microphone if visibly soiled after direct or indirect patient contact bi-weekly deep clean including wheels, stand, top and underside of workstation, mouse pad/tray, keyboard, cables, gel cup holder, microphone, screen and exterior, wipes holder, hand sanitizer pump and holder, drawers (interior/exterior), and code pad. 31. Cooling/warming unit Patient room after each use clean and place in soiled utility room Soiled utility room 32. Crutches between patient use clean & OT/PT clean storage after patient use clean & All parts (unless otherwise specified) AHP wipes Also see: How to Clean & Disinfect a WOW and CST WOW Device & Disinfection Guide 33. Defibrillator (various models) and return to designated clean storage 13

34. Doppler, hand held (various models) 35. Doppler, portable (various models) 36. ECG machine ECG technician 37. Electrocautery (ESU) after each use clean and place in soiled utility room Soiled utility room 38. Fax machine Nursing desk /Unit Clerk daily clean & 14

39. Flowmeter, oxygen/air Patient room on discharge clean & 40. Fridge, medication Nursing Exterior surfaces and handle: clean & daily Interior surfaces: Pharmacy Technician clean & monthly 41. Fridge, patient nourishment Nursing Exterior surfaces and handle: clean & daily Interior surfaces: / clean & monthly - empties fridge and coordinates cleaning with 42. Fridge, staff Lunch room/staff lounge Exterior surfaces and handle: clean & daily Interior surfaces: / clean & monthly - empties fridge and coordinates cleaning with 43. Glidescope RT remove disposables, clean & sticker and return to designated clean storage 15

44. Glidescope Ranger RT remove all disposable items, clean & after each use sticker 45. Glucometer 46. Home ventilator alarm stand REA and return to designated clean storage 47. Incubator, Drager Caleo clean & after each use sticker and return to designated clean storage 16

48. Incubator, neonatal daily and on patient discharge clean & and return to designated clean storage 49. Infuser, rapid (Rapid infuser) Soiled utility room after each use clean and place in soiled utility room 50. Inomax Nitric Oxide Delivery Unit Soiled utility room RT after each use remove disposable items, clean, and place in soiled utility room RT/REA 51. Intubation box after each use place soiled intubation blades and handles in soiled respiratory bin clean box and place in soiled utility room Soiled utility room RT/REA send soiled respiratory bin to MDRD clean and intubation box and return to designated clean storage 17

52. Lamp, portable after each use clean and place in soiled utility room Soiled utility room clean &, attach green I am clean and return to designated clean storage 53. Laryngoscope, video (various models) 54. Lift, patient, ceiling mounted Patient room Soiled utility room Patient room after each use remove disposables, place rigid stylettes in soiled respiratory bin and send to MDRD clean laryngoscope and place in soiled utility room Handles and remote control unit: clean & daily and on patient discharge 55. Lift, patient, portable after each patient use clean & 18

56. Mattress (only when being exchanged or replaced) clean & after patient use Equipment Depot Do NOT place on floor after cleaning! EQD after 30 days, re-clean and attach new green I am clean Do NOT place on floor after cleaning! 57. Mattress, specialty clean at end of patient use Do NOT place on floor after cleaning! must place sheet on mattress before it is moved through the hospital 58. Monitor, bedside (various models) Patient room VENDOR is responsible for final clean Display/Screen: daily and when visibly soiled clean & clean & on patient discharge Equipment housing, patient cables, reusable BP cuffs: clean & daily clean & on patient discharge 19

59. Monitor, central patient Nursing desk /Unit Clerk daily clean & display/ screen, keyboard, mouse 60. Monitor, Dinamap (portable) all high touch points (wall mounted) daily and when visibly soiled clean & clean & on patient discharge 61. Monitor, Edwards EV1000 Patient room after each use clean and place in soiled utility room Soiled utility room 62. Monitor, Edwards Vigilance Patient room after each use clean and place in soiled utility room Soiled utility room 20

63. Monitor, ETCO2 (various models) 64. Monitor, fetal after each use clean and place in soiled utility room Soiled utility room 65. Monitor, Masimo Rad87 Patient room daily and when visibly soiled clean & clean & on patient discharge 66. Monitor, Masimo RDS1 Patient room after each use clean and place in soiled utility room Soiled utility room 67. Monitor, Masimo Root Patient room after each use clean and place in soiled utility room Soiled utility room 21

68. Monitor, pulse oximeter (various models) clean & all high touch points after each use 69. Monitor, transport (various models) and return to designated clean storage 70. Monitor, vital signs (various models) clean & all high touch points after each use 71. Nebulizer Patient room after each use clean and place in soiled utility room Soiled utility room 22

72. Nitronox blender and return to designated clean storage 73. Omnicell (various models) Various locations Exterior surfaces: clean & daily Interior surfaces: Pharmacy technicians clean & monthly 74. Ophthalmoscope clean & ophthalmoscope and otoscope head after each use Patient room clean & housing and cables/handles on discharge clean 75. Oxygen concentrator (various models) Patient room Soiled utility room after each use clean and place in soiled utility room 76. Oxygen tank, Grab N Go All users clean & before and after patient use 23

77. Pacemaker after each use clean and place in soiled utility room Soiled utility room 78. Parallel bars between patient use clean & clean & daily 79. Plinths and pillows between patient use clean & clean & daily 80. Pole, IV (single and multi) Patient room clean & daily on discharge clean high touch points and place in soiled utility room Soiled utility room I am clean Equipment Depot EQD after 30 days re-clean and attach new green I am clean 81. Power bars, portable (on stand) Patient room Soiled utility room after each use clean and place in soiled utility room 24

82. Pressure bag (reusable) Patient room 83. Pressure manometer between patient use clean & 84. Printer Nursing desk /Unit Clerk daily clean & 85. Prismaflex DCs after each use clean and place in soiled utility room Soiled utility room Area Supply Technician 86. Probe, TEE (and stand) after each use clean and place in transport stand/shuttle and send to MDRD 25

87. Pump, breast (Medela) clean & after each use sticker 88. Pump, epidural after each use remove tubing set, clean and place in soiled utility room Soiled utility room I am clean Equipment Depot EQD after 30 days, re-clean and attach new green I am clean 89. Pump, feeding (Kangaroo pump) 90. Pump, infusion (single and double) Soiled utility room Equipment Depot Soiled utility room Equipment Depot after each use remove tubing set, clean and place in soiled utility room I am clean EQD after 30 days, re-clean and attach new green I am clean after each use remove tubing set, clean and place in soiled utility room clean & attach green I am clean EQD after 30 days, re-clean and attach new green I am clean 26

91. Pump, PCA after each use remove tubing set, clean and place in soiled utility room Soiled utility room I am clean Equipment Depot EQD after 30 days, re-clean and attach new green I am clean 92. Radio (hospital owned) Patient room end of patient use clean and place in soiled utility room clean & daily and on discharge clean Soiled utility room 93. Rehab equipment Treatment between patient use clean & and return to designated clean storage 94. Restraints Laundry Laundry after each use 27

95. Scale, portable after patient use clean & 96. Seizure pad (fall mats) Patient room clean & after patient use Equipment Depot EQD after 30 days, re-clean and attach new green I am clean 97. Sliding board and return to designated clean storage 98. Sling Laundry Laundry after each use 28

99. Stretchers (including All users mattress) between patient use clean & Stationary stretcher clean & on patient discharge Stretcher parking lot clean & once weekly SITE WIDE ALL MADE UP STRETCHERS ARE CONSIDERED CLEAN STRETCHERS 100. Stethoscope All users between use 101. Suction, portable after each use replace cannister liner if used, clean and all surfaces and return to designated clean storage 102. Suction, regulator wall mount Patient room clean & on patient discharge 103. Table, procedure (various models) Patient room and return to designated clean storage 29

104. Telemetry pack Patient room after each use clean and place in soiled utility room Soiled utility room clean & attach green 105. Telephone All locations /Unit Clerk daily clean & 106. Television, ceiling mounted & remote Patient room clean & daily 107. Television, mobile & remote Soiled utility room clean & daily 108. Thermometer, Exergen Patient room between patient use clean & clean & daily clean & on patient discharge 30

109. Thermometer, Welch Allyn, Alaris, IVAC between patient use clean & clean & daily clean & on patient discharge 110. Toilet seat, raised Patient room clean & daily Multi-bed rooms clean & every 4 hours clean & on discharge clean, attach green I am clean Equipment Depot EQD after 30 days, re-clean and attach new green I am clean 111. Toys Patient Services Manager to assign. Soiled toys to be collected and identified for cleaning an ing and placed in designated clean storage 112. Tubs Tub room between residents clean & daily 113. Ultrasound, diagnostic (various models) All users display, probe, probe cable, and all other high touch points and return to designated clean storage 31

114. Uninterruptable power supply (UPS) battery pack and return to designated clean storage 115. V.A.C. unit VGH owned Soiled utility room Equipment Depot after each use remove tubing set, clean and place in soiled utility room I am clean EQD after 30 day, re-clean and attach new green I am clean Vendor owned V.A.C. units are placed in designated vendor pick-up 116. Ventilator AVEA Patient room RT remove disposable items, clean and place in soiled utility room Soiled utility room RT/REA place temperature probes, filters, and casing in soiled respiratory bin and send to MDRD to clean storage 117. Ventilator, CPAP, Remstar Patient room Soiled utility room RT remove disposable items, clean and place in soiled utility room RT/REA to clean storage AHP Wipes Ventilator body, display, heater wire, power cable, and hoses: Ventilator dbody, display, stand, heater, power cables: 32

118. Ventilator, Draeger Patient room RT Evita 2 remove disposable items, clean and place in soiled utility room Soiled utility room RT/REA place flow sensor and manifold in soiled respiratory bin and send to MDRD I am clean to vent and return to clean storage 119. Ventilator, Draeger Evita 4 Patient room Soiled utility room RT remove disposable items, clean and place in soiled utility room RT/REA place flow sensor and manifold in soiled respiratory bin and send to MDRD I am clean to vent and return to clean storage are 120. Ventilator, Legendaire Patient room RT remove disposable items, clean and place in soiled utility room Soiled utility room RT/REA place temperature probes in soiled respiratory bin and send to MDRD to clean storage 121. Ventilator, Maquet Servio-i Patient room Soiled utility room RT remove disposable items, clean and place in soiled utility room RT/REA place temperature probes, omni filters, expiratory cassette, and silicone adapters in soiled respiratory bin and send to MDRD to clean storage Ventilator body, display, manifold, power cable, and hoses: Ventilator body, display, manifold, power cable, and hoses: Ventilator body, display, manifold, power cable, and hoses: Ventilator body, display, manifold, power cable, and hoses: 33

122. Ventilator, Mark 7, Patient room RT/Physio BIRD remove disposable items, clean and place in soiled utility room Soiled utility room RT/REA place circuits in soiled respiratory bin and send to MDRD to clean storage 123. Ventilator, Optiflow Patient room RT clean and place in soiled utility room Soiled utility room RT/REA place temperature probes in soiled respiratory bin and send to MDRD to storage 124. Ventilator PB560 Patient room RT remove disposable items, clean and place in soiled utility room Soiled utility room RT/REA place temperature probes in soiled respiratory bin and send to MDRD to clean storage 125. Ventilator, PB840 Patient room RT remove disposable items, clean and place in soiled utility room Soiled utility room RT/REA place temperature probes and filters in soiled respiratory bin and send to MDRD to clean storage Ventilator body and stand: Ventilator body, stand, heater wire, power supply, cables, and hoses: Ventilator body, display, stand, heater, heater wire, power cable, and hoses: Ventilator body, display, inspiratory filter, heather, heather wire, power cable, and hoses: 34

126. Ventilator, Patient room RT Sensormedics 3100B HFO remove disposable items, clean and place in soiled utility room Soiled utility room RT/REA place temperature probes, filters, and silicone adapters in soiled respiratory bing and send to MDRD to clean storage 127. Ventilator, Trilogy Patient room RT remove disposable items, clean and place in soiled utility room Soiled utility room RT/REA place temperature probes in soiled respiratory bin and send to MDRD to clean storage 128. Ventilator, Visions BiPAP Patient room Soiled utility room RT remove disposable items, clean and place in soiled utility room RT/REA place temperature probes in soiled respiratory bin and send to MDRD I am clean to vent and return to clean storage Ventilator body, heather, heather wire, power cable, and hoses: Ventilator body, display, stand, heather, heater wire, power cable, and hoses: Ventilator body, display, stand, heather, heather wire, power supply, and hoses: 35

129. Walkers Patient room between patient use clean & 130. Warmer, blanket (various models) Equipment Depot Nursing clean & on discharge clean EQD after 30 days, re-clean and attach new green I am clean and return to designated clean storage Exterior surfaces and handle: clean & daily Interior surfaces: clean &, weekly and when visibly soiled 131. Warmer, blood/iv fluid (various models) Patient room Soiled utility room after each use, remove tubing set, clean and place in soiled utility room 132. Warmer, infant (Panda ires) clean & on patient discharge stocker 36

133. Warmer, patient (Bair Patient room Hugger) after each use, clean and place in soiled utility room Soiled utility room 134. Warmer, radiant overhead Patient room Soiled utility room after each use, clean and place in soiled utility room 135. Warmer, Sage Wipe Various locations Exterior surfaces and handle: clean & daily Interior surfaces: clean & when visibly soiled 136. Wedges between patient use clean & Patient treatment between patient use clean & Equipment Depot EQD after 30 days, re-clean and attach new green I am clean 37

137. Wheelchairs and Patient room cushions (includes between patient use clean & bariatric) 138. Workstation on Wheels (WOW) (various models including CST) Wheelchair Depot Equipment Depot Designated clean location clean & daily clean & on discharge clean, attach green I am clean OT/PT staff remove and launder cushion covers EQD after 30 days, re-clean and attach new green I am clean daily clean & display/ screen, keyboard, mouse, barcode reader and holder, and microphone if visibly soiled after direct or indirect patient contact bi-weekly deep clean including wheels, stand, top and underside of WOW, mouse pad/tray, keyboard, cables, gel cup holder, microphone, screen and exterior, wipes holder, hand sanitizer pump and holder, drawers (interior/exterior), and code pad 139. X-ray viewing station Nursing desk /Unit Clerk daily clean & display/ screen, keyboard, mouse All surfaces including cushion: All parts (unless otherwise specified) See also: How to Clean & Disinfect a WOW and CST WOW Device & Disinfection Guide 38