Educational Facility Disinfection

Educational Facility Disinfection
Educational Facility
Disinfection
Training Library
Workbook
For More Information, Contact:
©2010 Betco Corporation
All Rights Reserved.
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Toledo, Ohio 43607-0127
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Item #90881-92
Contents
1.
Introduction to Educational Facility Disinfection
2.
Types of Disinfectants
3.
Safety Precautions
4.
Preparation
5.
Location
Classroom
Nurse’s Office/Infirmary
Locker Rooms and Showers
Cafeteria
Gymnasium
Stairways and Hallways
Drinking Fountains
6.
Summary
7.
Supply Checklist
8.
Certification Exam
Appendix
Glossary of Terms
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Section 1.
Introduction to Educational Facility Disinfection
Proper disinfection in an educational facility is extremely
important to limit and control the growth of harmful
microorganisms and the spread of infection and disease.
Thorough cleaning and disinfection helps decrease
absenteeism of students and teachers and ensures a
healthier environment.
You play an important role in the health and safety of your
facility. By learning and practicing the proper disinfecting
procedures and knowing how these procedures affect
cleanliness, you become a vital part in the well-being of
the people around you.
This training module, which is one in the Betco Resource
& Process Management™ (RPM) series, focuses on proper
disinfection procedures and recommendations within
educational facilities, including universities, schools and
daycare settings.
The purpose of this overview is to provide a basic
knowledge on what types of surfaces should be
disinfected and how often. It is important to remember
that this module addresses disinfecting common surfaces
and locations. It does not cover complete cleaning
applications or techniques for the entire room or surface.
This module will cover:
Types of Disinfectants
Safety Precautions
Preparation
Disinfecting recommendations for the following
locations:
• Classroom
• Nurse’s Office/Infirmary
• Locker Rooms and Showers
• Cafeteria
• Gymnasium
• Stairways/Hallways
• Drinking Fountains
Summary
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Betco has over 300 specialty cleaning products and a full
line of equipment and accessories. We recommend using:
• Quat-Stat™- broad spectrum disinfectant excellent
for meeting the requirements of the OSHA
Bloodborne Pathogen Standard.
• Glybet™ – disinfectant spray
• Clario® UltraBlue™ Antibacterial Foaming Skin Cleanser
Section 2.
Types of Disinfectants
A disinfectant is an agent that destroys, or inhibits the
growth of disease causing microorganisms. It is important
to understand the different types of disinfectants that are
available.
The most popular types of surface disinfectants are:
• Synthetic phenols
• Quaternary ammonium products, commonly referred to
as quats
• Chlorine, also called bleach
• Iodine
• Alcohol
See the “Glossary” for further definitions.
Disinfecting reduces the risk of cross-contamination. Most
germs must hitchhike to get around and since we touch
so many surfaces throughout the day, the likelihood that
we will pick up germs is virtually guaranteed. Be aware
that a microorganism can hitchhike in various ways. Skin
to skin, on materials such as laundry or sponges, droplets
from coughing and sneezing, airborne dust particles, food,
water and insects and animals are all ways infectious microorganisms can be transmitted.
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Section 3.
Safety Precautions
Before beginning with any cleaning task be sure that
you fully understand how to use the chemicals and
equipment required for the job. It is regulated by OSHA
that every employee has a right to know about chemical
hazards within their workplace. A material safety data
sheet, commonly called a MSDS will provide information
regarding the chemicals within your building. Read and
understand the MSDS, as well as the product label for
every product that you use. Your supervisor will show you
where to find your MSDS information and will also help
you to read and understand each sheet.
Be careful not to use cleaning chemicals on any surface
for which they are not intended. Be especially cautious
when using acid cleaners. Never mix chemicals, it could
cause serious or even fatal injury.
Practice universal precautions when cleaning any blood
or body fluid spills, or soiled materials that could contain
these or other potentially infectious substances.
Refer to OSHA’s Bloodborne Pathogen standards for
more information. Betco provides a Bloodborne Pathogen
training module within the RPM Training Library series.
Accidents will be limited when the proper caution signs
are posted prior to cleaning, such as “Wet Floor” signs.
Always wear the proper Personal Protective Equipment
or PPE to protect yourself from exposure to cleaning
chemicals. Gloves and goggles will prevent chemical
splashes from coming into contact with your skin and
eyes.
One of the best ways to reduce cross-contamination,
besides proper disinfection, is frequent hand washing.
The physical action of hand washing will greatly reduce
the number of bacteria on the skin, and reduce the
chances of cross-contamination. The less contamination,
the healthier the environment. Be sure to thoroughly wash
your hands after every cleaning task.
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Section 4.
Preparation
Gather the proper equipment for the cleaning tasks
planned for that day. Load the cart with all cleaners that
will be needed.
Be sure that the correct dilution rates are used according
to manufacturer’s recommendations. Betco Chemical
Management Systems ensure that dilution rates are
correct and make your job faster and easier.
Always prepare disinfectant solutions fresh daily or sooner
if visibly soiled in order to ensure their effectiveness.
Remember these tips before beginning your cleaning:
• Clean from top to bottom. Bringing soil to the lowest
level as you go about your routine.
• When wiping, clean in a consistent pattern such as
up and down then back and forth to ensure that you
cover an entire surface. Be sure to overlap your
strokes.
• When cleaning a room begin at the door and work
clockwise around the room. This will make certain
that you don’t overlook an area.
• For proper disinfection, disinfectants require a
specified contact time. Always follow the
manufacturer’s label instructions and be sure to
allow the required contact time for all disinfectant
cleaning throughout this module.
• Before disinfecting remove any gross filth, such as
soap and scum, rust or graffiti with an appropriate
cleaning product for the job.
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Section 5.
Location
Classroom
Following Betco’s RPM recommendations, these areas in a
classroom or office should be cleaned with a disinfectant using a damp wipe procedure, at least once a week:
• Door knobs, push plates and hand rails.
• All nonporous desk tops, table tops and chairs.
• Sinks and fixtures.
• Phones, be sure not to spray directly on the unit, wipe with
a damp cloth.
• The inside and outside of trash receptacles.
For items such as toys, cots, mats or similar items that may
come into contact with children’s hands or mouths, please
refer to the manufacturer’s instructions on cleaning or laundering for that item.
Nurse’s Office/Infirmary
Referring to Betco’s Resource & Process Management™
or RPM recommendations, clean the entire infirmary with a
disinfectant solution. Please consult the OSHA Bloodborne
Pathogen module prior to disinfecting an infirmary.
Spray disinfectant on a clean cloth or sponge and wipe all
hard nonporous surfaces. Spot clean walls, lights and doors,
as needed. Wipe the inside and outside of the trash receptacle with disinfectant after removing the waste. Cleaning cloths
or sponges should be changed frequently to avoid crosscontamination.
As an additional precaution, use a disinfectant spray such as
Glybet™ on areas that people touch such as doorknobs, push
plates and handrails.
Post “Wet Floor” caution sign and wet mop the floor with
disinfectant solution. Begin from farthest corner and work
toward the door.
Be sure to wash your hands when through.
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Locker Rooms and Showers
According to Betco’s RPM recommendations, the following
areas in locker rooms and showers should be cleaned with a
disinfectant on a daily basis by using a spray wipe procedure:
• Shower stalls and fixtures
• Sinks and fixtures
• Towel dispensers
• Toilets and urinals
• Doorknobs and handles
• Benches
It is recommended that all hard floor surfaces are disinfected
on a daily basis using a mop or autoscrub method.
Other periodic disinfecting procedures include:
• Walls
• Lockers
• Grout Scrubbing
For more information on complete restroom cleaning procedures refer to Betco’s Resource & Process Management™
Restroom Sanitation Training Module.
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Cafeteria
Based on Betco’s RPM recommendations, the following
areas in a cafeteria setting should be cleaned with a disinfectant on a daily basis, using a damp wipe procedure.
• Nonporous tabletops and horizontal surfaces
(Tabletops must be rinsed prior to use)
• Chairs and benches
• Doorknobs and handles
• Trash receptacles
• Vending machines
On a periodic basis clean the walls with a disinfectant.
Be sure not to use disinfectant on any areas that come
directly in contact with food. A sanitizer such as
Sanibet™ should be used to sanitize food prep areas.
Gymnasium
It is suggested by Betco’s RPM recommendations, that
the following areas be cleaned with a disinfectant on a
daily or weekly basis:
• Workout and exercise equipment
• Door knobs and handrails
When cleaning exercise mats, follow the exercise mat
manufacturer’s recommendations.
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Stairways and Hallways
Betco’s RPM recommends that the following areas be
cleaned with a disinfectant on a daily basis:
• Doorknobs and handrails.
• All nonporous hard surfaces that are constantly
touched by people.
By wiping and cleaning commonly touched surfaces on a
daily basis, the spread of germs is greatly reduced, which
allows for a healthier environment.
Drinking Fountains
Using Betco’s RPM recommendations, all drinking fountains should be disinfected on a daily basis by wiping all
parts of the fountain including the exterior.
Operate the fountain briefly to flush any of the disinfectant
solution out of the fountainhead.
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Section 6.
Summary
• Proper disinfection is extremely important to limit and
control the growth of germs that spread infection and
disease.
• Understand product labels and MSDS Sheets.
• Prepare disinfectant solutions fresh daily or when
solution is visibly diluted or soiled to ensure
their effectiveness.
• Practice Universal Precautions when cleaning
blood or body fluid spills.
• Always wear the proper Personal Protective
Equipment.
• Thoroughly wash your hands after cleaning.
Clean from top to bottom.
• Clean in a consistent pattern.
• Begin at the door and clean clockwise when
cleaning rooms.
• Allow the appropriate contact time when disinfecting.
• Continually change cloths and sponges to avoid
cross-contamination.
• Know your daily and weekly cleaning disinfecting
procedures.
The service you provide is very important to the well-being
of students, staff, visitors and yourself. Be proud of the
skills you are developing and know that you truly make a
difference in creating a clean and healthy environment.
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Section 7.
Supply Checklist
Educational Facility Disinfection
Betco Products:
Spray disinfectant - Glybet™
Clario® UltraBlue™ Antibacterial Foaming Skin Cleanser
Disinfectant - Quat-Stat™
Items
Trashcan liners
Cleaning cloths/sponges
Dust mop
High duster
Wet mop
Mop bucket and wringer
“Wet Floor” signs
Dust pan and broom
Paper products
PPE
Gloves
Goggles
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Section 8.
Certification Exam
The following exam will certify you as an official Betco Educational Facility Disinfection Specialist. Please take the time to complete the exam. Fax or mail completed exam to:
Betco Corporation
P.O. Box 3127
Toledo, OH 43607
Fax # 419-321-1954
Attn: Marketing
Exams that are returned to Betco with a grade of 80% or better will receive a certificate of
completion. Exams can also be taken online at www.betco.com.
To earn .20 Continuing Education Units (CEU), please mark the box on the information form.
Exams will then be forwarded to IEHA for accreditation. IEHA will send certificates directly
to the contact.
Please fill out the following information and return it with your completed exams:
Your Name: __________________________________________________________________
Company Name: ______________________________________________________________
Address: _____________________________________________________________________
City ___________________________
State ____________
Zip Code _______________
Phone: ______________________________________________________________________
E-mail address: _______________________________________________________________
Signature: x ________________________________________________________________________
Please forward my exam scores to IEHA for Continuing Education Units.
IEHA Course #10607x .20 CEU’s
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Section 8.
Certification Exam
EDUCATIONAL FACILITY DISINFECTION IEHA Course Number: 10607x Credit Hours: .20 CEU’s
1.
Proper disinfection is extremely important because:
It creates a good smelling environment
It limits and controls the growth of microorganisms
and the spread of infection
It helps make cleaning easier
2.
A disinfectant is an agent that destroys or inhibits
the growth of:
Disease causing microorganisms
Quaternary ammonium products
Airborne dust particles
3.
When cleaning any blood or body fluid spills it is
important to:
Clean the area very well
Practice Universal Precautions
Let the area soak in cleaning solution overnight
Ask your supervisor to handle it
4.
Disinfectant solutions should be prepared on a
weekly basis.
True
False
It depends
5.
The proper way to clean an exercise mat is to:
Scrub it with bleach
Run an automatic scrubber over it
Follow the manufacturer’s recommendations
6.
Which is not one of the three cleaning rules you
should follow when disinfecting?
Clean from top to bottom
Perform dry procedures before wet procedures
When wiping, clean in a consistent pattern
Spray disinfectant on all surfaces
7.
Which is not a type of disinfectant?
Synthetic phenols
Quaternary ammonium
Antiseptic
Iodine
8.
When using cleaning cloths or sponges to disinfect,
it is important to:
Change them frequently to avoid cross
contamination
Rinse them out with warm water between tasks
Soak them in a mop bucket for ten minutes
9.
Which is not an area that you should apply a disinfectant?
Food contact surfaces
Sinks and fixtures
Handrails and door knobs
None of the above
10. Which Betco product is most appropriate for disinfecting?
Deep Blue
Quat-Stat™
Cide-Bet
Stix™
11. Before wet mopping an area, what should you do
first?
Post “Wet Floor” caution sign
Spray the floor with disinfectant
Remove all furniture
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EDUCATIONAL FACILITY DISINFECTION IEHA Course Number: 10607x Credit Hours: .20 CEU’s
15
12. Trash cans should never be wiped with a disinfectant.
True
False
It depends
13. Which safety practice is most appropriate when
disinfecting?
Wear gloves and goggles
Read the MSDS and label before using
Never mix chemicals
All of the above
14. Which location would you most likely not use a
disinfectant cleaner, according to this training?
Locker room
Classroom
Gymnasium
None of the above
15. A disinfectant is the only cleaning chemical needed
for a clean and healthy environment.
True
False
Sometimes
16. According to this training, it is recommended to
use a “damp wipe” method for disinfecting which
surface?
Toilets
Shower Walls
Phones
17. According to this training, it is recommended to
perform which disinfecting task daily?
Wipe handrails in stairways
Wet mop hard floor surfaces in locker room
Spot clean walls and doors
18. If you are unsure of how to use a cleaning chemical
you should:
Call the school superintendent
Read the label and MSDS
Use a different cleaner
19. What can you do to reduce your risk of being cross
contaminated from microorganisms?
Take a hot shower after work
Read more training material
Wash hands frequently
20. After learning about disinfecting you should be:
More knowledgeable
Proud
Helpful in creating a safe and healthy work environment
All of the above
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Appendix
Glossary of Common Terms
Associated with Disinfection
“Bloodborne Pathogens” – pathogenic microorganisms that are present in human blood and can cause disease in humans. These pathogens include, but are not limited to, Hepatitis B Virus (HBV) and Human Immunodeficiency Virus (HIV-1).
“Contaminated” – the presence or the reasonably anticipated presence of blood or other potentially infectious
materials on an item or surface.
“Contaminated Sharps” – any contaminated object that can penetrate the skin including, but not limited to,
needles, scalpels, broken glass, broken capillary tubes and exposed ends of dental wires.
“Cross-contamination” – the process of passing bacteria or viruses indirectly from one patient to another
through the use of improper sterilization procedures, unclean instruments or recycling of products.
“Daily Cleaning”– procedures performed on a daily basis such as emptying trash and dust mopping.
“Decontamination” – the use of physical or chemical means to remove, inactivate or destroy bloodborne
pathogens on a surface or item to the point where they are no longer capable of transmitting infectious particles
and the surface or item is rendered safe for handling, use or disposal.
“Detail Clean”– cleaning procedures performed 4 to 12 times per year such as vent cleaning, grout scrubbing
and wall washing.
“Disinfectant” – an agent such as heat, radiation or chemical that destroys, neutralizes or inhibits the growth of
disease carrying microorganisms.
“Disinfection” – the process of cleansing as to destroy or prevent the growth of disease carrying microorganisms.
“Efficacy” – the measure of a disinfectant to produce its desired effect.
“Infectious Materials” – (1) The following human body fluids: semen, vaginal secretions, cerebrospinal fluid,
synovial fluid, pleural fluid, pericardial fluid, peritoneal fluid, amniotic fluid, saliva in dental procedures, any body
fluid that is visibly contaminated with blood and all body fluids in situations where it is difficult or impossible to
differentiate between body fluids; (2) Any unfixed tissue or organ (other than intact skin) from a human (living or
dead); and (3) HIV-containing cell or tissue cultures, organ cultures and HIV- or HBV-containing culture medium
or other solutions; and blood, organs, or other tissues from experimental animals infected with HIV or HBV.
“Project Cleaning”- extensive cleaning procedures performed 1 to 4 times per year such as stripping and
refinishing the floors and carpet extraction.
“Personal Protective Equipment” (PPE) - specialized clothing or equipment worn by an employee for protection against a hazard. General work clothes (e.g., uniforms, pants, shirts or blouses) not intended to function as
protection against a hazard are not considered to be personal protective equipment.
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Appendix
Glossary of Common Terms
Associated with Disinfection
“Universal Precautions” – prudent standard preventive measures to be taken by professional and other
health personnel in contact with persons afflicted with a communicable disease, to avoid contracting the
disease or infection. According to the concept of Universal Precautions, all human blood and certain human body fluids are treated as if known to be infectious for HIV, HBV and other bloodborne pathogens.
“Synthetic phenols” – kill a wide range of organisms and are widely used in operating rooms. They are
excellent products for destroying the tuberculosis organism and do not lose their effectiveness in a soiled
environment. They are corrosive and should never be used around newborns.
“Quats” – the most widely used disinfectant used in the market today due to their versatility and cost effectiveness. They kill a wide range of microorganisms including staph, salmonella, and pseudomonas. Quats
are less corrosive, and are used in schools, institutions, supermarkets and hospital settings.
“Hypochlorite/Bleach” – corrosive and should be restricted in use. It should not be used in general building operations because of the potential of interacting with other chemicals, which can result in a toxic gas.
Although it can be used as a disinfectant or sanitizer, it is not an effective cleaner. Never mix bleach with
another chemical.
“Iodine” – a powerful disinfectant that, when used in the form of iodophors, will kill a wider range of pathogens than quats and phenolics. As a primary use disinfectant it is not desirable due to its staining properties. Because of iodine’s acidic qualities, its use is restricted to specialized areas, such as surgical settings.
“Alcohol” – provides an efficient means of killing pathogens. Typically, ethyl or isopropyl, alcohol is used
for smaller area surface disinfection. These products are usually packaged in sealed aerosols or smaller-use
containers, since alcohol can pose a fire hazard.
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