NURSING PATIENT CARE POLICY & PROCEDURE
November 25, 2015
Nursing Manual (Red)
Policy #: 8.11
Title: Cleaning of Burn Hydrotherapy
To maintain adequate cleaning of the hydrotherapy unit (shower cart) in the Burn
Center thus ensuring adequate infection control measures.
The shower cart in the Burn Center will be cleaned after each patient use. The hoses
will be disinfected each day after all wound care is completed.
A. Initial Setup
1. Perform hand hygiene according to UWHC Hospital Administrative Policy
13.08, Hand Hygiene and don personal protective equipment, PPE (gloves,
with face shield/gown if splashing is anticipated).
2. Run warm water through all three water hoses for a minimum of five minutes
in order to clear the quaternary ammonium disinfectant cleaner that has
3. Turn off the hoses and prepare the cart for the first wound care.
a. Place clean plastic sheet on the cart, clean plastic cover over the pad,
and clean plastic sleeves on each of the three hoses.
b. Spike drain ring through the plastic sheet after the patient is situated on
c. Perform hand hygiene according to UWHC Hospital Administrative
Policy 13.08, Hand Hygiene.
B. Cleaning Between Patients
1. Upon completion of each wound care, return any patient care items and
belongings to the inpatient room.
2. Notify Housekeeping between each patient, that the tub room is ready for
cleaning per Environmental Service Standards. Including the tub cart, walls
3. Prepare the cart for the next wound care as noted in above Section A-3.
C. Daily Internal Disinfection
1. Internal disinfection of the hydrotherapy unit and hoses is to be done by Burn
Center staff after hydrotherapy is completed on all patients and terminal
cleaning has been performed.
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a. Perform hand hygiene according to UWHC Hospital Administrative
Policy 13.08, Hand Hygiene, and don PPE (gloves, with face shield
and/or gown if splashing is anticipated)
b. Close valve #1
c. Open valve #2 – water will drain through clear hose at floor level
d. When completely drained, close valve #2
e. Open valve #3
f. Open valve cover above valve #3 by pulling it forward (i.e. towards
g. Pour in 1-2 ounces of approved hospital disinfectant and then close
h. Close valve #3
i. Open valve #1
j. Open each hose nozzle allowing water to run until foamy
k. Close each hose nozzle and allow the disinfectant to dwell in the hoses
l. Remove PPE and perform hand hygiene according to UWHC Hospital
Administrative Policy 13.08, Hand Hygiene.
2. Place laminated sign on cart to notify staff the cart has been cleaned and hoses
are filled with disinfectant.
IV. UWHC Cross Reference
A. UWHC Hospital Administrative Policy 13.08, Hand Hygiene
V. REVIEWED BY
Clinical Nurse Manager, Burn Center
Clinical Nurse Specialist, Burn Center
Nursing Patient Care Policy and Procedure Committee, November 2015
Beth Houlahan, DNP, RN, CENP
Senior Vice President Patient Care Services, Chief Nursing Officer