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Disinfection and Cleaning Technique

Surface Disinfection Procedure for Health care sector :

Use multiple mops during disinfection is essential to ensure proper disinfection of mops as well before getting used again. Three to five mops can be used. Lesser than that will not ensure proper disinfection of mops before getting reused.

Equipment required:1. Personnel protective equipment like plastic gown, gloves, and mask2. Triple basin trolley. 3. Three basins 4. Four color coded or marked mops/ sterile gauzes in case of ultraclean areas (OT) along with sequence chart (e.g., Brown-1st; dark green- 2nd; Parrot greeen-3rd; and yellow-4th). 5. Disinfectant prepared in proper concentration and labeled 6. Water 7. Alcohol hand rub

Steps:

Place three clean basins, 4 clean color coded/marked mops, water, disinfectant, alcohol hand rub, and gloves on the trolley.
Do hand washing or use alcohol hand rub.
Put on gloves.
Put around 2 liters of water in one basin, and 2 liter disinfectant in each of other two basins and label them as side basin and middle basin
According to CDC guidelines any water-disinfectant mixture needs regular changes, and preferably it should be changed after every 3-4 rooms/ beds or after every 60 minutes (whichever is early).
Disinfection should be done from low infected area to high infected area.
Rinse all the four mops in water and put them in side basin.
Take mop 1 do maximum single stroke disinfection possible with single mop. Rinse that mop1 in water, and place in middle basin.
Take mop 2 from side basin , do maximum single strokes of disinfection, rinse in water, and place in middle basin.
Take mop 3 from side basin do maximum single strokes of disinfection and then rinse in water. Take mop 1 out from middle basin with one hand before putting used mop 3 in to that with the other hand. And take mop 4 out from side basin from one hand BEFORE putting the mop 1 in side basin with other hand.
Use mop 4 with maximum single strokes, rinse in water. Take mop 2 out from middle basin with one hand before putting used mop 4 in to that with other hand. And take mop 1 out from side basin with one hand BEFORE putting the mop 2 in to the side basin with other hand.
Use mop 1with maximum single strokes, rinse in water. Take mop 3 out from middle basin with one hand before putting used mop 1 in to that. And take mop 2 out from side basin BEFORE putting the mop 1 in to the side basin now mop 2 is ready to use.
Use the same sequence till the one bed is over.
Pay special attention to disinfect each high touch areas, like ventilator knobs, monitor knobs, infusion pump knobs, bed knobs, flow meter and suction knobs.
Water, disinfectant and gauzes should be changed after 4 beds.
Wash basin and mops in warm water (80⁰C), and sun-dry properly or autoclave the gauzes/ mops.
Do Hand hygiene.

Surface Disinfection Procedure for other sectors :

Disinfection procedure for surfaces other than health care sector are less stringent as the contamination is less. Use of 2 mops will serve the purpose. None the less the mops are to be properly disinfected before getting reused.

Equipment required:1. Personnel protective equipment like plastic gown, gloves, and mask 2. Three buckets 3. Disinfectant prepared in proper concentration and labeled 4. Water 5. Alcohol Hand rub

Steps:
Place three clean buckets, 2 mops, water, disinfectant, alcohol hand rub, and gloves on a trolley.
Do hand washing or use alcohol hand rub
Put on gloves
Put around 2 liters of water in the middle bucket, and 2 litre disinfectant in each of other two left and the right buckets.
As per CDC guidelines any water-disinfectant mixture needs regular changes, and preferably it should be changed after every 3-4 rooms or after every 60 minutes.
Rinse the 2 mops in water and rinse them in the left side disinfectant left side Bucket. Squize off the disinfectant liquid and put the mops in the right bucket.
. Take out 1^st mop do maximum single stroke disinfection possible with single mop. Rinse that mop in water, and place in the left bucket.
Take the 2^nd mop from right side bucket , do maximum single strokes of disinfection, rinse in water, and place in the middle bucket.
Take 1^st mop from left bucket squeeze off the liquid in the bucket dip it in the right bucket with one hand before putting used 2^nd mop with the other hand in the middle bucket. Squeeze off the water and put it in the left bucket.
Use mop 1^st mop with maximum single strokes, rinse in water and put it in left bucket. With the other hand take 2^nd mop out from the left bucket squeeze off the liquid and put it in the right bucket take out the mop and do maximum single stroke cleaning.
Use the same sequence till one room is completed.
In this sequence middle bucket contains water for rinsing the mop. Left bucket contains disinfectant for disinfecting used mop and right bucket contains disinfectant liquid for mopping the floor.
Pay special attention to disinfect each high touch areas, like ventilator knobs, monitor knobs, infusion pump knobs, bed knobs, flow meter and suction knobs
Water, and disinfectant should be changed after every 3-4 rooms
Wash bucket and mops in warm water (80⁰C), and sun-dry properly .
Do Hand hygiene.