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To adapt these guidelines for your own use, click "File" → "Make a copy" to save your own editable version.
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Birth Center Cleaning Procedures
March 2020

Edited by Lizz Fay
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COVID-19 Self-Screening
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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.
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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.
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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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Cleaners and Disinfectants
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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
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Example ProductsUseDirections
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Simple Green All-Purpose Cleaner
Surface cleanser
Toilet
Mop solution
Dilute according to package instructions
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Lysol Brand Clean & Fresh Multi-surface Cleaner
Surface cleanser
Toilet
Mop solution
Dilute according to package instructions
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Pine-Sol All Purpose Cleaner
Surface cleanser
Toilet
Mop solution
Dilute according to package instructions
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Bon AmiAbrasive cleanserSprinkle powder to make a paste, scrub gently, and rinse
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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
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Example ProductsUseDirections
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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
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Lysol Disinfecting WipesDisinfectantContact time: 2 minutes
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Clorox Disinfecting WipesDisinfectantContact time: 4 minutes
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Clorox Multisurface Cleaner + BleachDisinfectantContact time: 1 minute
Do not dilute
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CaviWipesDisinfectantContact time: 3 mintes
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Cavicide SprayDisinfectantContact time: 2 minutes
Do not dilute
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10% bleach solutionDisinfectantContact time: 5-10 minutes, depending on brand
MUST mix fresh for each cleaning: 4 tsp bleach per quart of water in a spray bottle
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Lysol Brand Clean & Fresh Multi-surface CleanerDisinfectantContact time: 3 minutes
Dilute according to package instructions
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Equipment
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Sweeping“Swiffer” sweeper (or similar) with reusable clothes OR broom
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MoppingBucket for mopping solution
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Sponge mop or resuable-cloth mop for damp mopping floor
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CarpetVacuum
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TubSponge Mop
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MiscClean fabric/microfiber towels
Paper towels
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Personal protective equipmentDisposable gloves
Goggles, only if there is risk of splash
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First Steps
Wearing gloves at all times
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Before you start- Turn on all fans
- Turn
on all lights.
- Prepare cleaning equipment & bring to birth room
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LaundryCollect 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.
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Run laundry load if not already running. See separate LAUNDRY instructions.
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Wash laundry on the warmest appropriate water settings and dry completely.
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Put new trash bag as laundry hamper liner.
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Trash Remove trash from birth suites, bathroom, and waiting room.
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InspectInspect room. Report any issues to office manager. Collect "Lost & Found" items.
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DustAs needed, dust all surfaces with a damp cloth (tables, wall lights, window sills, baseboards, etc)
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Spot cleanUsing cleaner, spot clean visible grime from surfaces like walls, light switch areas, table tops.
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Room Disinfection
Wearing gloves at all times
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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
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Entry Points- Doorknobs
- Light switches
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Surfaces
- Trash bin
- Sharps container
- Tables, counters, sinks
- Cabinet handles
- Cabinet fronts
- Drawer handles
- Telephone
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Furniture- Hard chairs
- Bed frame
- Headboard
- Closets
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Mattress CoverAny blood must be cleansed FIRST before using disinfectant.
Use spray disinfectant on mattress cover and plastic-covered pillows.
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EquipmentWipe thoroughly with disinfectant wipes
- Blood pressure cuff
- Stethoscope
- Oxygen tank cart handle
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Bathrooms
Wearing gloves at all times
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Surfaces must be CLEANSED first before wiping down with disinfectant.
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Preliminary toilet prep Squirt spray cleanser under toilet rim and allow to sit
Spray cleanser on top and under side of toilet seat
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Preliminary bathtub prepLift drain cover and check for and remove any debris or blood clots
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Rinse tub with water
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Sprinkle abrasive cleanser around walls of tub
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Use drain brush with abrasive cleanser on it to scrub into drain
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Plug drain and fill tub just so that bottom of tub is covered with hot water
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With tub sponge mop, scrub walls and floor of tub with abrasive cleanser
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Drain tub and rinse well. Wipe to remove any abrasive cleanser residue
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Clean and disinfect tub fixtures
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Finish bathroom and toilet areaWith microfiber cloth dampened with disinfectant solution or disinfectant wipes, wipe down:
- Grab bars
- Light and fan switch
- Toilet handle
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Clean: Scrub toilet bowl with toilet brush. Look under rim and make CERTAIN there is no blood.
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Clean entire exterior of toilet and seat with cleanser and wipe with clean cloth
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Spray seat and toilet tank and base with disinfectant spray or wipe with disinfectant wipes.
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Wipe down wall area behind and beside toilet using cloth dampened with cleanser
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SinkWipe sink and counter with cleanser and a clean cloth
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Spray interior of sink with disinfectant spray or disinfectant wipes.
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Wipe sink fixtures with with cloth damped with cleanser. Follow with disinfecting spray or disinfectant wipes.
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Tub WallsClean tub deck, exterior walls, and surrounding tiles with cleaning solution.
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Check grout carefully for traces of blood and repeat cleaning process if necessary
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Tub Finishing StepsRinse tub again if any powdery residue is detected from abrasive cleanser and wipe dry
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Disinfect: Spray interior of tub or handheld showerhead with disinfectant spray and allow to dry. Do not rinse.
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Shower RoomClean shower as needed using cleaning solution
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Disinfect with disinfectant solution
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Remove glovesWash hands for at least 20 seconds
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Floors
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Birth suite floorsSweep first: Use reusable rag or Swiffer cloth on the Swiffer "broom"
Be sure to get all the way
under all furniture and bed.
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Damp mop: Use reusable towel/rag on Swiffer mop or use a sponge mop. Use diluted cleaner for mop solution.
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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.
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CarpetsVacuum up obvious debris
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Spot treat any carpet stains with carpet stain remover
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Family Waiting Room & Kitchen
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Empty refrigeratorCheck for any left food and discard
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Trash and recycling Empty trash and recycling bins appropriately
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SurfacesClean tables and counters with cleanser, followed by disinfectant
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High-touch areasClean high-touch areas like light switches, door handles, cabinet handles, and sink knobs with cleanser, followed by disinfectant
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KitchenWash any dirty dishes
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Finishing Up
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Remove GlovesRemove disposable gloves and wash hands