HOSPITAL HOUSEKEEPING

OUR LADY OF LOURDES HOSPITAL

INFECTION CONTROL COMMITTEE
MINNELL CASUGA, RN
The primary objectives of hospital cleanliness are
two folds:

1.To disinfect so that the threat of nosocomial

infection is reduced.

2.To create a clean and safe, attractive

environment for patient, staff and visitors.
For maintaining a good housekeeping practice
at least three things are essential:

1.Standardized Housekeeping Products

2.Equipment
3.Technique of cleaning and disinfecting
 CLEANING

Removal of organic matter

that contributes to
proliferation of bacteria and
viruses
 DISINFECTION

The process of removing

significant amount of
pathogens that cause
infection or disease
 HIGH TOUCH SURFACES IN
PATIENT ROOMS

 Considered non-critical
 Must be cleaned then
disinfected on a regular basis
HIGH TOUCH SURFACES IN PATIENT
ROOMS
Bedrails Door knobs
Tv remote IV poles
Overbed table Telephones
Light switches Bedside
equipments
Toilet flush
Call bell
Chairs
 ITEMS REQUIRING CLEANING ONLY

Walls and windows

Chairs and other furniture used by
individuals who are clothed
Offices and other non-patient care areas
Bed curtains should be changed when
soiled and with terminal cleaning
 COMMON ENVIRONMENTAL
DISINFECTANTS
Phenolics
Quarternary ammonium compounds
Iodophors
Chlorine
 PERSONAL PROTECTIVE EQUIPMENTS

• GLOVES/ RUBBER
GLOVES
• GOWN / RUBBER
APRON
• MASK
 MOP COLOR CODING

NURSES Corridor/utility
toilets STATION room

Patients' Room Isolation Room

Implementing Guidelines
1. Environmental Sanitation
1.1 Except for the ceilings, all horizontal surfaces in patient
areas should be wet- cleaned or damp-cleaned daily
with a scrubbing solution.
1.2 Bathroom and toilet, hand washing facilities and service
tanks should be thoroughly cleaned at least twice daily or
as often as necessary. Appropriate disinfectants can be used
to prevent accumulation of bacteria.
1.3 Contaminated drapes and linen should be handled
cautiously to prevent dispersal of organisms.
1.4 Walls need not be routinely cleaned, except for spot
cleaning of all visibly soiled areas. Scrubbing with soap
and water after a highly communicable case must be
done.
2 General Guidelines
2.1 Care of Sinks
2.2 Care of Beds, Rubberized
Mattresses, Tables, Stretchers, Trolleys
2.5 Walls in the ER and OPD
2.5.1 Mechanical scrubbing with soap and water
once soiled with blood and other organic materials.
General scrubbing once a week.

2.6Walls in the Isolation Room and ICU

2.6.1 Mechanical scrubbing with soap and water
every after discharge of patients or immediately when
soiled with blood and other organic materials

2.7 Floors
2.7.1 Use the Double-Bucket System of Mopping
2.7.3 Comfort Rooms
2.7.3.1 Decontaminate first with Benzol solution
and let stay for 30 mins. Start from the cleanest
to the dirtiest area.
2.7.3.2 Pour detergent solution first to the clean
area then inside the toilet bowl.
2.7.3.3 Scrub all areas inside the toilet bowl with
a toilet bowl brush with a long handle.
2.7.3.4 Flush with water.

2.7.4 Care of Housekeeping Gadgets

2.7.4.1 After use, wash with soap and water
and soak with Benzol solution for 30 minutes.
2.7.4.2 Let dry under the sun to make ready for
the next use.
Terminal Cleaning (Communicable Diseases)
3.1 Linens should be stripped from the bed with care. Do not shake them. They
should be rolled away from the person and folded inward into a bundle
then double bagged.
3.2 All reusable items such as drainage bottles, etc. should be rinsed and
decontaminated, double wrapped and sent to CSSR for processing.
3.3 All equipment that do not require CSSR processing, such as IV stands,
should be washed then decontaminated with Benzol solution.
3.4 Mattresses and pillows should be covered with rubber covers and should
be washed thoroughly with Benzol solution.
3.5 Beds should be washed using a small brush soaked in Benzol solution to
gain access to small holes and crevices as well as to areas between springs.
3.6 All furniture, like chairs and bedside tables, should be washed with
Benzol solution including the insides of the drawers.
3.7 Waste baskets should be thoroughly washed with germicidal solution.
3.8 Door knobs and telephones should be cleaned with clean cloth soaked
in germicidal solutions as often as necessary.
5. Liquid Waste from General Patient-Care Areas
5.1 Liquid waste (blood, feces, vomitus, urine, sputum,
and other body fluids) can be flushed down the
sewer.
5.2 Personnel who handle this type of body waste
should always wear gloves. Hand washing should
follow removal of the gloves after handling.
5.3 Particular care must always be observed when
disposing of liquid waste in order to avoid splashing of
waste on walls, furniture, and the immediate
environment. In the event of spillage or splashes, the
area should immediately be cleaned with a
disinfectant solution.
5.4 Personnel should avoid contamination of their
clothing during the handling of liquid waste by
wearing gowns.
7. Handling of Sharps
7.1 The safe handling of sharps must always
be observed:
7.1.1 Dispose of sharps in puncture-proof
receptacles safely.
7.1.2 NEVER recap needles.
7.1.3 Sharps receptacle must be less than
¾ full and must be sealed before disposal.
8. Blood and Body fluid spills
8.1 Wear disposable gloves and apron
8.2 Wipe up spillage with disposable absorbable
paper towel. Dispose off in yellow bag.
8.3 Cover area with 10% Sodium hypochlorite and
leave for 3-5 minutes.
8.4 Scrape spillage mixture into a receptacle and
place into yellow plastic bag for disposal.
8.5 Clean the area with soap and water.
8.6 Remove gloves and apron, place in yellow
plastic bag and discard as per waste disposable
policy.
8.7 Wash hands thoroughly.
 SOLUTION / USE / INDICATION REMARKS
PROCEDURE
1. 1% Na  All floors (patient  Solutions must always be
Hypochlorite rooms, ward corridors, freshly prepared.
(10ml in 1000ml toilets / bathrooms)  Should be used in well
water) ventilated areas
 PPE required while handling
and using undiluted
 Do not mix with strong
acids to avoid release
of chlorine gas
 Corrosive to metals

2. 1% Benzol  Walls and surfaces  Solutions must always be

(2 teaspoonsful or  Scrub brushes freshly prepared.
10ml in 1000ml  Patient articles  Scrub brushes SHOULD BE
water) RINSED with sterile water prior
to use.
HEALTHCARE WASTE
MANAGEMENT
COLOR CODED WASTE
DISPOSAL  Used papers
 News papers
 Tetra packs
 Paper cups
 Boxes
 Cartons
 Glass & plastics
NON- INFECTIOUS  Styrofoam
 Aluminum
 Plastic
 Candy wrapper
 Food wrapper
COLOR CODED WASTE
DISPOSAL
left-over foods
fish entrails
scale and fins
fruits and
vegetables peeling
NON- INFECTIOUS
WET WASTE rotten fruits and
vegetables
 COLOR CODED WASTE
DISPOSAL
Gauze
Tubes
Gloves
Cotton
Catheters
INFECTIOUS AND
PATHOLOGICAL WASTE
Sanitary napkins
Plaster
Disposable diaper
COLOR CODED WASTE
DISPOSAL

Radioactive/ Nuclear
waste
Things contaminated with
ONCOLOGY
these radio-active materials
Used x-ray films,
developers, and fixers
-END-

THANK
YOU!