Room cleaning

Normal room cleaning and dusting, including equipment attached to the patient such as cardiac monitors and hemofiltration consoles, should continue during occupancy. Units must agree on a cleaning policy. Thoughtful explanation of why and how the isolation procedure is being carried out will allay unwarranted fears and ensure efficient cleaning.

Any equipment taken out of the room should be decontaminated according to the local disinfection policy. If equipment is sent for maintenance, proper labeling will be required to ensure safe handling by others.

When the room is vacated, all surfaces must be thoroughly cleaned with warm water containing detergent and then dried. Disinfectants are generally unnecessary, unless a highly infectious disease is involved or multiple-resistant bacteria (e.g. methicillin-resistant Staphylococcus aureus (MRSA)) are being contained. In this case, use of a phenolic disinfectant as a final surface wipe is recommended. All bed linen and curtains from source isolation should be sent for laundry, bagged as 'infected' in accord with local policy. Equipment in contact with patients should be wiped with water containing detergent followed by either a phenolic or alcoholic surface disinfectant. All materials are discarded as infected waste. The mop head is detached, bagged, and sent for laundry. Cleaning gloves are washed while still being worn, dried, and then placed with the cleaned mop bucket. Hands are thoroughly washed and dried.

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