Step by Step Birth Center Cleaning Guide

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2	To adapt these guidelines for your own use, click "File" → "Make a copy" to save your own editable version.
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4	Birth Center Cleaning Procedures March 2020 Edited by Lizz Fay
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6	COVID-19 Self-Screening
7	Have you had a fever, cough, shortness of breath, sore throat, headache, runny nose, diarrhea, vomiting, or abdominal pain in the last 7 days?	If these symptoms started in the last 7 days or if it has been less than 72 hours since you have been symptom-free, please do not enter the facility. Please call a back-up or the office manager.
8	In the last 14 days, have you had close contact with someone diagnosed with COVID-19, the disease caused by the novel coronavirus?	If yes, we ask you to refrain from entering the facility. Please call a back-up or the office manager.
9	If you are feeling healthy and well, please do your part to protect our facility by washing your hands for at least 20 seconds upon entry, before putting on gloves, after removing gloves, after coughing or sneezing, after using the restroom, and after touching your face.
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11	Cleaners and Disinfectants
12	Cleaners Cleaners physically remove microbes, dirt, and debris from surfaces; they do not necessarily kill microbes. Surfaces MUST be cleaned before they can be effectively disinfected
13	Example Products	Use	Directions
14	Simple Green All-Purpose Cleaner	Surface cleanser Toilet Mop solution	Dilute according to package instructions
15	Lysol Brand Clean & Fresh Multi-surface Cleaner	Surface cleanser Toilet Mop solution	Dilute according to package instructions
16	Pine-Sol All Purpose Cleaner	Surface cleanser Toilet Mop solution	Dilute according to package instructions
17	Bon Ami	Abrasive cleanser	Sprinkle powder to make a paste, scrub gently, and rinse
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19	EPA-Approved Disinfectants against SARS-CoV-19 Disinfection kills microbes on a surface through a chemical process. Do not rinse after disinfecting Use only one disinfectant at a time. Never mix products with bleach and ammonia
20	Example Products	Use	Directions
21	To view a searchable list of EPA-approved against SARS-CoV-19, click here		"Contact time" is the time a surface must stay visibly wet for effective disinfection
22	Lysol Disinfecting Wipes	Disinfectant	Contact time: 2 minutes
23	Clorox Disinfecting Wipes	Disinfectant	Contact time: 4 minutes
24	Clorox Multisurface Cleaner + Bleach	Disinfectant	Contact time: 1 minute Do not dilute
25	CaviWipes	Disinfectant	Contact time: 3 mintes
26	Cavicide Spray	Disinfectant	Contact time: 2 minutes Do not dilute
27	10% bleach solution	Disinfectant	Contact time: 5-10 minutes, depending on brand MUST mix fresh for each cleaning: 4 tsp bleach per quart of water in a spray bottle
28	Lysol Brand Clean & Fresh Multi-surface Cleaner	Disinfectant	Contact time: 3 minutes Dilute according to package instructions
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30	Equipment
31	Sweeping	“Swiffer” sweeper (or similar) with reusable clothes OR broom
32	Mopping	Bucket for mopping solution
33	Mopping	Sponge mop or resuable-cloth mop for damp mopping floor
34	Carpet	Vacuum
35	Tub	Sponge Mop
36	Misc	Clean fabric/microfiber towels Paper towels
37	Personal protective equipment	Disposable gloves Goggles, only if there is risk of splash
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39	First Steps Wearing gloves at all times
40	Before you start	- Turn on all fans - Turn on all lights. - Prepare cleaning equipment & bring to birth room
41	Laundry	Collect any laundry left in birth room and bathrooms. To contain microbes, do NOT shake dirty laundry or forcefully push into laundry bag. Carry to laundry room in closed bag.
42		Run laundry load if not already running. See separate LAUNDRY instructions.
43		Wash laundry on the warmest appropriate water settings and dry completely.
44		Put new trash bag as laundry hamper liner.
45	Trash	Remove trash from birth suites, bathroom, and waiting room.
46	Inspect	Inspect room. Report any issues to office manager. Collect "Lost & Found" items.
47	Dust	As needed, dust all surfaces with a damp cloth (tables, wall lights, window sills, baseboards, etc)
48	Spot clean	Using cleaner, spot clean visible grime from surfaces like walls, light switch areas, table tops.
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50	Room Disinfection Wearing gloves at all times
51	For all of the following: 1) Wipe with clean cloth moistened with cleanser 2) Wipe with cloth dampened with disinfectant spray or with disinfectant wipes
52	Entry Points	- Doorknobs - Light switches
53	Surfaces	- Trash bin - Sharps container - Tables, counters, sinks - Cabinet handles - Cabinet fronts - Drawer handles - Telephone
54	Furniture	- Hard chairs - Bed frame - Headboard - Closets
55	Mattress Cover	Any blood must be cleansed FIRST before using disinfectant. Use spray disinfectant on mattress cover and plastic-covered pillows.
56	Equipment	Wipe thoroughly with disinfectant wipes - Blood pressure cuff - Stethoscope - Oxygen tank cart handle
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58	Bathrooms Wearing gloves at all times
59	Surfaces must be CLEANSED first before wiping down with disinfectant.
60	Preliminary toilet prep	Squirt spray cleanser under toilet rim and allow to sit Spray cleanser on top and under side of toilet seat
61	Preliminary bathtub prep	Lift drain cover and check for and remove any debris or blood clots
62		Rinse tub with water
63		Sprinkle abrasive cleanser around walls of tub
64		Use drain brush with abrasive cleanser on it to scrub into drain
65		Plug drain and fill tub just so that bottom of tub is covered with hot water
66		With tub sponge mop, scrub walls and floor of tub with abrasive cleanser
67		Drain tub and rinse well. Wipe to remove any abrasive cleanser residue
68		Clean and disinfect tub fixtures
69	Finish bathroom and toilet area	With microfiber cloth dampened with disinfectant solution or disinfectant wipes, wipe down: - Grab bars - Light and fan switch - Toilet handle
70		Clean: Scrub toilet bowl with toilet brush. Look under rim and make CERTAIN there is no blood.
71		Clean entire exterior of toilet and seat with cleanser and wipe with clean cloth
72		Spray seat and toilet tank and base with disinfectant spray or wipe with disinfectant wipes.
73		Wipe down wall area behind and beside toilet using cloth dampened with cleanser
74	Sink	Wipe sink and counter with cleanser and a clean cloth
75		Spray interior of sink with disinfectant spray or disinfectant wipes.
76		Wipe sink fixtures with with cloth damped with cleanser. Follow with disinfecting spray or disinfectant wipes.
77	Tub Walls	Clean tub deck, exterior walls, and surrounding tiles with cleaning solution.
78	Tub Walls	Check grout carefully for traces of blood and repeat cleaning process if necessary
79	Tub Finishing Steps	Rinse tub again if any powdery residue is detected from abrasive cleanser and wipe dry
80	Tub Finishing Steps	Disinfect: Spray interior of tub or handheld showerhead with disinfectant spray and allow to dry. Do not rinse.
81	Shower Room	Clean shower as needed using cleaning solution
82	Shower Room	Disinfect with disinfectant solution
83	Remove gloves	Wash hands for at least 20 seconds
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85	Floors
86	Birth suite floors	Sweep first: Use reusable rag or Swiffer cloth on the Swiffer "broom" Be sure to get all the way under all furniture and bed.
87		Damp mop: Use reusable towel/rag on Swiffer mop or use a sponge mop. Use diluted cleaner for mop solution.
88		Mop carefully, reaching into corners, under bed, under furniture, and around toilet (you may have to do toilet area by hand). Mop should be damp, not sopping.
89	Carpets	Vacuum up obvious debris
90	Carpets	Spot treat any carpet stains with carpet stain remover
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92	Family Waiting Room & Kitchen
93	Empty refrigerator	Check for any left food and discard
94	Trash and recycling	Empty trash and recycling bins appropriately
95	Surfaces	Clean tables and counters with cleanser, followed by disinfectant
96	High-touch areas	Clean high-touch areas like light switches, door handles, cabinet handles, and sink knobs with cleanser, followed by disinfectant
97	Kitchen	Wash any dirty dishes
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99	Finishing Up
100	Remove Gloves	Remove disposable gloves and wash hands