TERMINAL CLEANING OF PATIENT CARE UNIT

TERMINAL CLEANING OF PATIENT CARE UNIT

• The sanitation of the bed, bedside cabinet, and general area of the patient care unit with a detergent/germicidal agent after the patient is discharged or transferred from the nursing care unit
• Performed at every patient care unit before the area is prepared for the next patient

Reasons for Terminal Cleaning of the Patient Care Unit

• Prevention of the spread of microorganisms
• Removal of encrusted secretions from framework or bedside rails
• Removal of residue of body wastes from the mattress
• Deodorizing of the bed frame, mattress, and pillow

Guidelines for Terminal Cleaning

• Review wards standard operating procedure (SOP) for specific procedures
• Use only authorized disinfectant/detergent or germicidal solution for cleaning
• Check to ensure the bedside cabinet is cleared of any valuables belonging to the patient
• Check bed linens for personal items (dentures, contact lenses, money, jewelry, etc.) belonging to the patient
• Prevent spread of microorganisms by carefully removing linen from the bed
• Use caution when cleaning the under frame and bedsprings
• Replace any torn mattress or pillow covers
• Allow the mattress and pillow to air-dry thoroughly before remaking the bed

Rules for use of disposal or non-reusable items:

• Do not attempt to reuse (for another patient) or re-sterilize disposables
• Sterile disposables are considered sterile providing the wrapper is not broken or torn or the expiration date has not passed
• Sterile disposables with torn or broken wrappers must be discarded

Use disposables for the specific purpose(s) for which they were designed

Follow manufacturer’s directions when using disposables

Terminal Cleaning Procedure

• Assemble the equipment in the utility room and take it to the patient unit
• Clear the bedside cabinet (and over bed table if used). Check for any personal articles left by the patient and turn them into the ward master. Place all utensils and any reusable treatment equipment on the cart. Discard waste in the waste bucket. Place any unused linen in the unit in the laundry hamper.
• Strip the bed. Remove the pillow, placing the pillow on the chair and the pillowcase in the hamper. Lower the Gatch bed. Loosen the bedding all around, walking around the bed and lifting the mattress edge to release the linens without snagging it on the bedsprings
• Check to see that no articles are concealed in the linen folds. Roll each piece toward the foot of the bed. Check the pocket of discarded pajamas and bathrobe. Place all linens in the hamper. Fold woolen blankets, if used, and place them on the cart for special laundry
• Clean the bed. Wash the top of the plastic mattress cover and inspect it for any tears. Rinse the cloth frequently and use it damp but not dripping wet. Replace any damaged cover. Turn the clean surfaces of the mattress together, toward the head of the bed. Wash the bottom half of the bed frame and all crevices. Lower the Gatch bed at the knee. By grasping the clean fold of the mattress, lift and swing its clean side crosswise on the clean half of the spring and wash the exposed surface
• Place the pillow on the unwashed upper half of the spring. Wash the top surface of the pillow. Place the pillow clean side down on the clean mattress surface and wash the other side. Wash the upper spring, raising the head portion of the bed, to complete bed cleansing.
• Wash the cabinet, inside and out. Complete the unit cleaning by washing the chair, bed lamp (cord unplugged), signal cord, and over bed table.
• If you responsible for the floor, sweep and mop it and wash the windowsills. Wash hands when the cleaning is completed and remake the bed for a new occupant
• Discard the waste. If cleaning cloths are to be reused, place them in the laundry hamper
• Wash the collected utensils and place them in the utensil boiler (sanitizer) for a 30-minute boiling period. Wash the utility cart and return it to the storage place
• Wash hands
• Remove the clean utensils from the utensils boiler. Dry and return them to the storage shelf

CARE OF PATIENT UNIT

TYPES OF WARDS IN PATIENT UNIT & PRINCIPLES OF CLEANLINESS

DISINFECTION OF THE PATIENT UNIT