Cleaning Manual Appendices

NHS cleaning manualv2 TXT V6 14/4/04 10:37 am Page 213
Appendices
Appendix 1 Photographs of Cleaning Equipment..........................199
Appendix 2 Colour Code for Hygiene............................................206
Appendix 3 Patient Equipment – Cleaning Responsibility Form...207

Cleaning Checklist for Isolation Rooms .....................208
Appendix 4 Glossary.......................................................................212
Appendix 5 References....................................................................213
Appendix 6 Cleaning Manual Group (2002/3) ..............................214
197
The NHS Healthcare Cleaning Manual
Appendices
APPENDIX 1
Photographs of Cleaning Equipment

The following photographs are designed to help identify some of the many
types of cleaning equipment used.
Abrasive Pad/Scouring Pad
Apron
Automatic Scrubber Dryer
Bowl
Bottle Brush
Local protocol should be followed for
cleaning/replacement
199
Appendices
Bucket
Carpet Shampoo Machine
Cleaning Trolley
Cloth
Crevis Tool
Curtain Hook
200
Appendices
Dust Control System

(Applicator Tool and Disposable
Static Cloth)
Dust covers
Dustpan and Brush

Edge Cleaning Tool
Fan
Local protocol should be
followed for cleaning and
maintenance.
Floor Maintenance Machine
Floor Pad for Floor Cleaning Machine
Gauntlet Gloves/Safety Gloves
201
Appendices
Household Gloves
High Dusting Mop
Knee Pad
Ladder
Laundry Bag
Mask
Mask must have a fluid repellent
layer for staff protection.
202
Appendices
Masking Tape
Mop Handle
Mop Head
Paper Towel
Platform Steps
Safety Glasses
203
Appendices
Safety Goggles
Scraper
Spray Bottle
Squeegee Blade
Standard Speed Rotary Machine
Steam Cleaner
Suction Vacuum Cleaner
204
Appendices
Vacuum Cleaner (Upright)
Toilet Paper
Toilet Brush
Warning Signs
Waste Bags
Wringer
205
Appendices
APPENDIX 2
Colour Code for Hygiene

Based on the National Colour-Coding System for the British Institute of
Cleaning Science
RED
BLUE GREEN
(DISPOSABLE)
SANITARY GENERAL AREAS KITCHENS

APPLIANCES & (inc. wards, depts, office (dept & ward)
WASHROOM & Communication areas)
FLOOR
WHITE YELLOW WHITE

(DISPOSABLE) (DISPOSABLE)
ISOLATION WASHBASINS OPERATING

ROOMS & WASHROOM THEATRES &
SURFACES ANTE ROOMS
THE GOLDEN RULE: WORK FROM THE CLEANEST AREA

TOWARD THE DIRTIEST AREA. THIS GREATLY REDUCES THE
RISK OF CROSS CONTAMINATION.
1. The aim of a colour coding system is to prevent cross contamination.
2. It is vital that such a system forms part of any employee induction or

continuous training programme.
3. A minority of people are colour blind in one or more colours. Some

individuals may not know this and colour identification testing should
form part of any induction training.
4. Always use two colours within the washroom/sanitary area.
5. The colour-coding system must relate to all cleaning equipment, cloths

and gloves
Monitoring of the system and control of colour-coded disposable items against

new stock release is extremely important.
206
APPENDIX 3
Patient Equipment – Cleaning Responsibility Form

NHS cleaning manualv2 TXT V6
Item of Responsibility Cleaning process Frequency Comments

Equipment (Domestic, (Agent/ Method)
14/4/04
Maintenance
or Nursing)
10:37 am
Page 223

207
Appendices
Appendices
CLEANING CHECKLIST FOR ISOLATION ROOMS
DISPOSABLE
APRON YES/NO
DISPOSABLE
GLOVES YES/NO
MASK YES/NO
LINEN INFECTED/NON-INFECTED
WASTE CLINICAL WASTE BAG
EQUIPMENT COLOUR-CODED MOP AND

BUCKET ALLOCATED TO A
SINGLE PATIENT
(note this equipment should
be stored in the patient’s room
for the period of isolation)
SUPPLIES PAPER TOWELS,

LIQUID SOAP,
ALCOHOL HANDRUB etc.
GENERAL
SURFACE
CLEANER
AND/OR SPECIFY TYPE
GENERAL
PURPOSE
DETERGENT
Universal/Standard infection control precautions apply; isolation

precautions are in addition to these.
Hand hygiene is the single most effective method of preventing cross

infection - always wash your hands or use an alcohol gel prior to entering
and on leaving the room/area.
208
Appendices
WHO REGULAR CLEANING TASKS SIGNATURE

FOR ISOLATION ROOMS
Put on personal protective clothing.
Clean all furniture and fittings with

General Purpose Detergent (refer
to manufacturers’ instructions).
Disinfect using a chloride-releasing
agent, rinse and dry where
appropriate.
Clean curtain tracks and all high

level ledges with General Purpose
Detergent (refer to manufacturers’
instructions). Disinfect using a
chloride-releasing agent, rinse
and dry.
Damp dust door handles and

structural surfaces first, then
furnishings.
Clean equipment as set out in

Section 6 with General Purpose
Detergent (refer to manufacturers’
chloride-releasing agent, rinse and
dry where appropriate.
Clean all bathrooms/shower room

fixtures and fittings with General
Purpose Detergent (refer to
manufacturers’ instructions).
Disinfect using a chloride-releasing
agent, rinse and dry where
appropriate.
Mop the floor with General

Disinfect spillages using a
chloride-releasing agent, rinse
and dry.
209
Appendices
WHO REGULAR CLEANING TASKS SIGNATURE

FOR ISOLATION ROOMS
Place all waste into a clinical

waste bag. Empty waste bin and
reline with new clinical waste bag.
Mark waste according to local
policy and place for disposal after
leaving isolation room.
Thoroughly clean all cleaning

equipment and allow to dry.
Replenish supplies as necessary.
Remove apron and gloves and

discard into a clinical waste bag.
Wash hands or use a clinical gel.
When the room is no longer being used for isolation the following tasks should
be undertaken in addition to the daily cleaning tasks.
210
Appendices
WHO TERMINAL CLEANING SIGNATURE
Remove and dispose of all

unwanted/unused disposable
equipment.
Clean all furniture and fittings

with General Purpose Detergent
(refer to manufacturers’
chloride-releasing agent, rinse and
dry where necessary
(see Section 2 – Spillages).
Take down curtains and send for

laundering according to local
policy for infected linen and in
accordance with advice of the
Infection Control Team.
Strip bed and remove linen

according to local policy for
infected linen. Wash mattress and
flat base of the bed with General
Where necessary, disinfect using a
chlorine- releasing agent, rinse and
dry.
Suction clean the floor.
Hang clean curtains.
Notes
• Wall washing is not routinely necessary.
• The room can be used immediately after the cleaning has been
completed
211
Appendices
APPENDIX 4
Glossary
BICSc The British Institute of Cleaning Science
CHIP Chemicals (Hazard Information and Packaging for Supply)

Regulations 2002
CHPAG Clean Hospitals Programme Advisory Group
COSHH Control of Substances Hazardous to Health
HAI Healthcare Acquired Infections
ICT Infection Control Team
PASA Purchasing and Supply Agency
PAT Portable Appliance Testing
PCT Primary Care Trust
PEAT Patient Environment Action Team
PPE Personal Protective Equipment
PPC Personal Protection Clothing
RIDDOR Report on Injuries, Disease or Dangerous Occurrences

Regulations, 1985
212
Appendices
APPENDIX 5
References
Control of SUbstances Hazardous to Health Regulations 2002
Electricity at Work Regulations 1989
Health and Safety at Work etc Act 1974
Management of Health and Safety at Work Regulations 1992
213
Appendices
APPENDIX 6
Cleaning Manual Group (2002/3)
Ean Coates, Former ADM Chair Person
Liz Collins, Clinical Nurse Specialist Infection Control, BUPA Hospital

Leicester
Paul Cryer, Head of Hospitality Services, NHS Estates
Karen Egan, Clinical Nurse Specialist Infection Control, Mid Cheshire

Hospitals NHS Trust
Marion Gildert, Domestic Services Manager, Lancashire Teaching Hospitals

NHS Trust
John Graham, Deputy Hotel Services Manager, East Kent Hospitals NHS
Trust
John Harmer, Facilities Support Manager, Thurrock Mental Health Trust
Patty Hempshall, Infection Control Nurse Specialist, Sheffield Teaching

Hospital
Judith Hudson, Domestic Services Manager, South Tyneside Healthcare NHS

Trust
Beryl Jordan, Hotel Services Manager, Peterborough Hospitals NHS Trust
Gordon Kochane, Project Co-ordinator, NHS Estates
June Levick, Hospitality Advisor, NHS Estates
Andrew Matthews, Support Services Manager, Royal Cornwall Hospitals NHS

Trust
214
Appendices
Alison McCree, Hotel Services Manager, Darlington Hospital, County

Durham and Darlington Acute Hospitals Trust
Susan McHugh, CINTO/BICSc Council Member and ADM Member/QFT
Denise Potter, Senior Nurse Infection Control, Barnsley District General

Hospital
Jean Rain, Domestic Services Manager, The Pennine Acute Hospitals NHS
Trust
Ian Robinson, Hospitality Advisor, NHS Estates
Paul Schofield, Project Support Manager, NHS Estates
Michelle Slater, Domestic Services Manager, ISS Fairfield Hospital, Bury
Linda Smith, Domestic Services Manager, Sheffield Teaching Hospitals NHS

Trust
Mike Sweeney, Chief Executive, British Institute of Cleaning Science
Liz Walters, Strategic Advisor (Facilities), NHS Estates
215
NHS cleaning manualv2 COV V6 14/4/04 10:35 am Page 1
Estates
NHS
NHS
Estates

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NHS cleaning manualv2 TXT V6 14/4/04 10:37 am Page 213

Appendix 1 Photographs of Cleaning Equipment..........................199

Appendix 2 Colour Code for Hygiene............................................206

Appendix 3 Patient Equipment – Cleaning Responsibility Form...207

Appendix 6 Cleaning Manual Group (2002/3) ..............................214

Photographs of Cleaning Equipment

Abrasive Pad/Scouring Pad

Automatic Scrubber Dryer

Carpet Shampoo Machine

Dust Control System

Dustpan and Brush

Floor Maintenance Machine

Floor Pad for Floor Cleaning Machine

Gauntlet Gloves/Safety Gloves

High Dusting Mop

Standard Speed Rotary Machine

Suction Vacuum Cleaner

Vacuum Cleaner (Upright)

Colour Code for Hygiene

SANITARY GENERAL AREAS KITCHENS

WHITE YELLOW WHITE

ISOLATION WASHBASINS OPERATING

THE GOLDEN RULE: WORK FROM THE CLEANEST AREA

1. The aim of a colour coding system is to prevent cross contamination.

2. It is vital that such a system forms part of any employee induction or

3. A minority of people are colour blind in one or more colours. Some

4. Always use two colours within the washroom/sanitary area.

5. The colour-coding system must relate to all cleaning equipment, cloths

Monitoring of the system and control of colour-coded disposable items against

Patient Equipment – Cleaning Responsibility Form

Item of Responsibility Cleaning process Frequency Comments

The NHS Healthcare Cleaning Manual

CLEANING CHECKLIST FOR ISOLATION ROOMS

WASTE CLINICAL WASTE BAG

EQUIPMENT COLOUR-CODED MOP AND

SUPPLIES PAPER TOWELS,

Universal/Standard infection control precautions apply; isolation

Hand hygiene is the single most effective method of preventing cross

WHO REGULAR CLEANING TASKS SIGNATURE

Put on personal protective clothing.

Clean all furniture and fittings with

Clean curtain tracks and all high

Damp dust door handles and

Clean equipment as set out in

Clean all bathrooms/shower room

Mop the floor with General

WHO REGULAR CLEANING TASKS SIGNATURE

Place all waste into a clinical

Thoroughly clean all cleaning

Replenish supplies as necessary.

Remove apron and gloves and

Wash hands or use a clinical gel.

WHO TERMINAL CLEANING SIGNATURE

Remove and dispose of all

Clean all furniture and fittings

Take down curtains and send for

Strip bed and remove linen

Suction clean the floor.

Hang clean curtains.

• Wall washing is not routinely necessary.

BICSc The British Institute of Cleaning Science

CHIP Chemicals (Hazard Information and Packaging for Supply)

CHPAG Clean Hospitals Programme Advisory Group