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Hemodialysis patient room cleaning and disinfection routines (5.1)

Hemodialysis patient room cleaning and disinfection routines (5.1) - Policies, Clinical, UWHC Clinical, Department Specific, Hemodialysis

5.1

University of Wisconsin Hospital and Clinics
Inpatient Hemodialysis
Department 55400
TITLE: Hemodialysis patient room
cleaning and disinfection routines
POLICY #5.1
REVISED: September 2016
Page 1 of 2
Nurse Manager: Joan Watson, MS, RN
Director: Ann Malec, DNP, RN, NEA-BC
Medical Director: Alex Yevzlin, MD
Infection Control: Marc-Oliver Wright
EVS Manager: Wendy Henning
I. PURPOSE
Establish a routine for cleaning and disinfection of the hemodialysis rooms between patients
and to define the roles and responsibilities of the hemodialysis staff in cleaning and
disinfection of hemodialysis rooms.
II. POLICY
A. Cleaning/Disinfection with an EPA registered hospital grade cleaner/disinfectant(s) of areas
between dialysis treatments shall include but are not limited to the following
 Patient transport/station/furniture including wheelchairs, stretchers, beds and bedside tables
 Patient care equipment such as dialysis machines, BP cuff, stethoscope, thermometer and
telemetry module.
 Any surfaces commonly contacted by patients, visitors or healthcare workers including
chairs, countertops, keyboards, call lights.
 Patient room curtains panels are changed whenever they are visibly soiled and between
isolation patients as appropriate.
B. A terminal clean is performed once daily by environmental services at the end of normal
business operations.
• The floor undergoes cleaning/disinfection at the end of the day (terminal clean) unless it is
visibly soiled with potentially infectious medical waste in which case the immediate area is
cleaned and disinfected as soon as possible. Refer to UWHC Clinical Policy 4.1.4
Cleaning of Blood and Body Fluid Spills for more detailed information.
Hemodialysis Staff are responsible for:
 Cleaning and disinfection of the hemodialysis machine
 Cleaning of the procedure area between patients
 Disinfection of all blood and/or body fluid spills in the absence of Environmental Service
Resources.
Environmental Service Staff are responsible for:
 Removal of trash, biohazard and linens, check and remove full sharps containers, restock
towels, hand soap and hand sterilizer throughout the day.
 Cleaning of the procedural area between patients at change of shift between the hours of
12-2 PM.
 Disinfection of all blood and/or body fluid spills as needed.
 Terminal cleaning of all patient care rooms at the end of day.

III. PROCEDURES
Step1: Dialysis Room Cleaning Routines Before Beginning Routine Disinfection:
a. Disconnect and take down used blood tubing and dialyzer from the machine.
b. Discard any materials contaminated with blood, blood products, or other body fluids
inside a RED plastic bag.
c. Clean any visible blood or body fluids on surfaces using an EPA registered hospital
grade disinfectant detergent i.e., Oxycide™, Clorax™ Bleach and/or Cavi-wipes™. For
large spills see UWHC Clinical Policy 4.1.4 Cleaning of Blood and Body Fluid
Spills.
d. Inform environmental services of any blood spills.
e. Discard all single use supplies.
f. Move any reusable equipment e.g., blue plastic clamps, blood pressure cuffs,
stethoscope, to the sink area where they will be cleaned with a disinfectant and allowed
to air dry before being placed in a clean area in the room.
g. Ensure that the patient has left the dialysis room before disinfection of the area begins.
h. Remove gloves and perform hand hygiene.
Step 2: Dialysis Room Cleaning Routines - Disinfection of the Dialysis Room
a. Wear clean gloves
b. Apply an EPA registered hospital disinfectant detergent i.e., Oxycide™, Clorax™
Bleach and/or Cavi-wipes™wipes to all surfaces in the dialysis station using a wiping
motion.
c. Ensure that surfaces are visibly wet with disinfectant for the duration of the contact time
specified by the manufacturer on the production label.
d. Keep contaminated items away from disinfected surfaces.
e. Remove gloves and perform hand hygiene.
Do not bring the patient or clean supplies to the station until the dialysis station has
been disinfected.
IV.RESOURCES
A. Centers for Disease Control and Prevention: Dialysis Safety – Infection Prevention Tools
B. Inpatient Cleaning Standards for Patient Care Equipment
C. Inpatient Room Cleaning Standards by Environmental Services
D. UWHC Clinical Policy 4.1.4 Cleaning of Blood and Body Fluid Spills
REVIEWED: 12/1/2016
Jmw 8/15/16