How can you ensure healthcare facility surfaces are properly cleaned and disinfected?

1 What is the difference between cleaning and disinfecting?

Cleaning and disinfecting are two distinct but related processes that aim to remove or kill microorganisms on surfaces. Cleaning is the physical removal of dirt, dust, and organic matter that may harbor germs, using water, detergent, and friction. Disinfecting is the chemical inactivation or destruction of germs, using products that are registered by the Environmental Protection Agency (EPA) for use in healthcare settings. Cleaning and disinfecting should be done in a specific order and frequency, depending on the type and level of contamination of the surface.

3 How to clean and disinfect high-touch surfaces?

High-touch surfaces, such as door handles, light switches, faucets, keyboards, phones, bed rails, tables, chairs, and countertops, should be cleaned and disinfected at least once a day. To do this, you must first put on the appropriate personal protective equipment (PPE), such as gloves, gowns, masks, and eye protection. Then you must remove any visible dirt or debris from the surface with a cloth or wipe and a detergent solution or water. Following this, apply a disinfectant solution to the surface with a spray bottle or electrostatic sprayer and make sure the surface stays wet for the required contact time. Afterward, wipe off any excess disinfectant solution with a clean cloth or wipe and let the surface air dry. Finally, dispose of any used materials in a designated waste container and wash your hands with soap and water or use an alcohol-based hand sanitizer.

4 How to clean and disinfect low-touch surfaces?

Low-touch surfaces, such as floors, walls, ceilings, windows, curtains, and vents, should be cleaned and disinfected regularly or when visibly dirty or contaminated. Cleaning and disinfecting these surfaces follows similar steps to high-touch surfaces, but may require different products and equipment. Vacuum cleaners or dust mops can remove dust and dirt from floors, carpets, and upholstery but may need a high-efficiency particulate air (HEPA) filter or a disposable bag to prevent the release of allergens or pathogens. Wet mops or steam cleaners can apply water or a disinfectant solution to hard floors, tiles, and grout but must be rinsed and changed frequently to avoid cross-contamination or re-soiling. Extension poles or ladders are devices that can help you reach high or hard-to-access areas such as ceilings, windows, or vents; however, they must be used properly and safely to prevent falls or injury.

5 How to monitor and improve your cleaning and disinfecting practices?

Monitoring and improving your cleaning and disinfecting practices is essential to ensure that you are following the standards and guidelines for infection prevention and control in healthcare facilities. To do this, it's important to perform regular audits or inspections of the cleanliness and disinfection of surfaces, using visual checks, checklists, feedback forms, or testing methods. Additionally, ongoing training and education should be provided for yourself and your colleagues on the proper techniques, products, and equipment for cleaning and disinfecting surfaces. Finally, seek feedback from other stakeholders, such as patients or visitors, on how to improve the quality and safety of your cleaning and disinfecting practices and implement changes or improvements as needed.