/clinical/,/clinical/references/,/clinical/references/infection-control/,/clinical/references/infection-control/infection-control/,/clinical/references/infection-control/infection-control/pest-management/,/clinical/references/infection-control/infection-control/pest-management/resources/,

/clinical/references/infection-control/infection-control/pest-management/resources/UWHealth-Bed-Bugs-guidance.pdf

20170383

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UWHC,UWMF,

Clinical Hub,References,Infection Control,Infection Control,Pest Management,Resources

UW Health Bed Bug Guidance

UW Health Bed Bug Guidance - Clinical Hub, References, Infection Control, Infection Control, Pest Management, Resources



Bed Bug Detection and Control at All UW Healthcare Facilities
Purpose
UW Health facilities are vulnerable to bed bugs due to the number of patient rooms and
exposure to a great amount of people. The Bed Bug Management Plan ensures that all UW
Health sites and our contracted Pest Management Professional (PMP) are demonstrating due
diligence in minimizing the risk of bed bugs.
1. Minimize the probability of bed bugs being brought into the facility.
2. Routinely inspect, clean, and promptly report to prevent bed bug infestation.
3. Prevent movement of bed bugs from room to room, to other facilities, or homes by means
of prompt detection, treatment, and appropriate disposal.
Inpatient Procedure for Suspected Bed Bugs
ξ Do not discuss potential infestation in a location where other patients may overhear. Guide
patient away from the visitor waiting area to a patient’s room (preferably an area with no
fabric furniture or carpet) with a door for bed bug inspection. Patient does not require
isolation procedure; however, gown and gloves may be worn by staff for easier inspection of
crawling bugs until bed bugs are confirmed and contained.
ξ Contact UW Health Environmental Services (UW Health EVS) at 263-1260. EVS or a clinical
staff designee should check the patient’s belongings and bedding for bed bugs.
ξ If no bed bugs are found, a regular turnover clean should be performed. After normal
cleaning procedures the room can be reopened for regular use.
ξ Once the bed bug infestation is confirmed by a trained UW Health EVS staff member, the
patient and/or family member in the infested room shall remove all clothing, shower (if
applicable), don a clean hospital gown, and be relocated to a different room.
ξ If a bed bug is found:
ξ The patient’s clothing should be double bagged and sealed until the patient is
discharged. Alternatively, patient belongings that have been sealed in a double bag
may be sent home with family/visitors as designated by the patient. Patient may be
sent home in disposable scrubs if bed bugs are found on patient’s clothing. UW
Hospital and Clinics staff (UWHC) can order disposable scrubs through UWHC
Central Supplies on U-Connect.
ξ Educate the patient and family members about bed bugs, how to control bed bug
infestation, and provide patient with the Division of Public Health bed bugs fact
sheet https://www.dhs.wisconsin.gov/publications/p0/p00489.pdf
ξ UW Health EVS will be responsible for contacting and arranging treatment with the PMP.


ξ A nursing coordinator should be informed that the room is out of service until it can be
treated by the PMP and cleaned by UW Health EVS.
ξ Bedding should be removed from the bed and double bagged. It should be removed from
the room that the patient was relocated from and placed with the hospital dirty linen.
ξ The door should be pulled closed and sealed off with a towel or tape.
ξ A sign should be placed on the door indicating that the room is closed until it has been
cleared and released by UW Health EVS. (The sign should not say anything about why the
room is closed or that a PMP is involved.)
ξ The PMP will treat the room as appropriate for the type of room.
ξ Once the PMP has treated the room it will be released back to UW Health EVS. The treated
room will be released back into circulation after completing a standard, post
discharge/transfer clean-up.
ξ Continue to monitor the treated room for signs of surviving bed bugs for a few weeks after
treatment by PMP; follow-up treatments may be needed.
ξ If there is a patient with a known bed bug infestation at home who will be coming into a UW
Health facility, instruct the patient to shower and don clothes that have been heat treated
using the highest setting on a dryer for at least 20 minutes prior to coming into the health
facility. Additionally, these patients should be instructed to only bring the necessities with
them.
Ambulatory (Outpatient) Clinic Procedure for Suspected Bed Bugs
ξ Do not discuss potential infestation in a location where other patients may overhear. Guide
patient away from the visitor waiting area to a room (preferably an area with no fabric
furniture or carpet) with a door for bed bug inspection. Patient does not require isolation
procedure; however, gown and gloves may be worn by staff for easier inspection of crawling
bugs until bed bugs are confirmed and contained.
ξ A clinic staff designee should check the area where the patient was seen for any sign of bed
bugs.
ξ If no bed bugs are found, a regular standard turnover cleaning should be performed by clinic
staff. After standard cleaning procedures, the room can be reopened for regular use.
ξ If a suspected bed bug is found:
ξ Contact UW Health EVS at 263-1260 and the ambulatory clinic’s cleaning contractor
to notify them that there is a suspected bed bug situation at your facility. Notify the
cleaning contractor to clean the affected areas where there may have been possible
exposure to bed bugs (waiting area, hallway, elevator, or specific exam/procedure
room). UW Health EVS will contact the contracted PMP to coordinate for the proper
identification of bed bugs and treatment plans for the affected area.


ξ Collect the bed bug in a plastic bag or any available container for identification by
the PMP. Treatment by PMP will not take place until bed bug presence has been
confirmed.
ξ The patient and family members suspected of having bed bugs should be asked to
double bag any of their personal items and leave them sealed until exiting the
facility. If bed bugs are confirmed in personal belongings, the owner should be
advised that their household may be infested. Patient may be sent home in scrubs
(or disposable scrubs) if bed bugs are found on patient’s clothing. Ambulatory clinics
will be able to order disposable scrubs as needed through PeopleSoft after
12/12/16.
ξ Educate the patient and family members about bed bugs, how to control bed bug
infestation, and provide patient with the Division of Public Health bed bugs fact
sheet https://www.dhs.wisconsin.gov/publications/p0/p00489.pdf
ξ The door to the affected room should be closed and sealed off with a towel or tape
until it is treated by the PMP. A sign should be placed on the door “Room out-of-
service” indicating that the room is closed. (The sign should not say anything about
why the room is closed or that a PMP is involved.)
ξ The PMP will treat the room as appropriate for the type of room.
ξ Once the PMP has treated the room, clinic staff should perform standard turnover
cleaning of the treated room before the room can be released for use. UW Health
EVS or the ambulatory cleaning contractor will not be involved with the standard
room turnover cleaning process.
ξ Waiting rooms and common areas that have been treated by PMP should be regularly
inspected for bed bugs by clinic staff. It is important to continue to monitor for signs of
surviving bed bugs for a few weeks after treatment. Inspection should be done in the
morning before the clinic opens or after the clinic closes in order to not alarm patients. If
there are signs of surviving bed bugs, follow-up treatments may be needed.
ξ If there is a patient with a known bed bug infestation at home who will be coming into a UW
Health facility, instruct the patient to shower and don clothes that have been heat treated
using the highest setting on a dryer for at least 20 minutes prior to coming into the health
facility. Additionally, these patients should be instructed to only bring the necessities with
them.

Home Health Provider Tips on Enter a Home with Possible Bed Bugs Infestation
http://www.vdacs.virginia.gov/pdf/bb-healthcare1.pdf



Education
Bed bugs are small reddish-brown insects about the size of an apple seed. These flat insects hide near
sleeping areas and feed primarily on the blood of mammals. Bed bugs are very elusive. They are
nocturnal creatures and do not like to be in the light. Bed bugs do not jump or fly. Additionally, bed bugs
do not like heat and are unlikely to remain on a person or in clothing when they are not feeding. This
means that even if a person has bed bugs at home it is highly unlikely that a bed bug will come into the
facility on that person or their clothing. This is why an area is only treated for bed bugs if the presence of
live bed bugs is confirmed.

For more information about bed bugs please visit:
Wisconsin Department of Health Services information on bed bugs
https://www.dhs.wisconsin.gov/disease/bedbugs.htm
CDC and EPA joint partnership on bed bugs
https://www.epa.gov/bedbugs
Revised 03/24/17
Responsible parties: Infection Control and Environmental Services