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Infection Prevention and Control Best Practices - College ...

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INFECTION PREVENTION AND CONTROL BEST PRACTICES<br />

FOR LONG TERM CARE AND COMMUNITY CARE INCLUDING HEALTH CARE OFFICES AND AMBULATORY CLINICS<br />

TABLE 1: LOW LEVEL DISINFECTANTS (LLD)<br />

ChemicalAction Application ExposureTime Comments<br />

Quaternary<br />

ammonium<br />

compounds<br />

Accelerated<br />

hydrogen<br />

peroxide<br />

products<br />

Sodium<br />

hypochlorite<br />

( 1:<br />

100<br />

dilution<br />

of<br />

household<br />

bleach)<br />

LLD<br />

LLD<br />

LLD<br />

Canadian Committee on Antibiotic Resistance<br />

Daily<br />

cleaning<br />

sanitizing<br />

of<br />

surfaces<br />

<strong>and</strong><br />

equipment<br />

Daily<br />

cleaning<br />

sanitizing<br />

of<br />

surfaces<br />

<strong>and</strong><br />

equipment<br />

Daily<br />

cleaning<br />

sanitizing<br />

of<br />

surfaces<br />

<strong>and</strong><br />

equipment<br />

[18]<br />

<strong>and</strong><br />

<strong>and</strong><br />

<strong>and</strong><br />

TABLE 2: CLEANING PROCEDURES FOR COMMON ITEMS<br />

Use<br />

the<br />

as<br />

directed<br />

on<br />

label<br />

As<br />

directed<br />

on<br />

the<br />

label<br />

Until<br />

dry<br />

Fairly<br />

inexpensive,<br />

releases<br />

volatile<br />

organic<br />

compounds<br />

Safe<br />

<strong>and</strong><br />

effective<br />

Disinfectant<br />

but<br />

no<br />

cleaning<br />

properties<br />

SURFACE / OBJECT PROCEDURE SPECIAL CONSIDERATIONS<br />

Horizontal surfaces such<br />

as overbed tables, work<br />

counters, baby weigh<br />

scales, beds, cribs,<br />

mattresses, bedrails, call<br />

bells<br />

Walls, blinds, curtains<br />

Floors<br />

Carpets/ upholstery<br />

Toys<br />

Toilets <strong>and</strong> commodes<br />

1. regular cleaning with detergent<br />

2. cleaning when soiled<br />

3. cleaning between clients <strong>and</strong><br />

after discharge<br />

Should be cleaned regularly with<br />

a detergent <strong>and</strong> as splashes/visible<br />

soil occur<br />

1. regular cleaning<br />

2. cleaning when soiled<br />

3. cleaning between patients<br />

4. damp mopping preferred<br />

Should be vacuumed regularly <strong>and</strong><br />

shampooed as necessary<br />

Should be regularly cleaned,<br />

disinfected with a low level<br />

disinfectant, thoroughly rinsed <strong>and</strong><br />

dried<br />

1. regular cleaning<br />

2. cleaning when soiled<br />

3. clean between clients/after<br />

discharge<br />

4. use a low level disinfectant<br />

Special procedures called<br />

carbolizing are not necessary.<br />

Some environmental surfaces<br />

may require low level<br />

disinfection depending on the<br />

type of invasive procedure being<br />

done (nurseries, pediatric<br />

offices, procedure rooms)<br />

Detergent is adequate in most<br />

settings<br />

Blood/body spill should be<br />

cleaned with disposable cloths<br />

followed by disinfection with low<br />

level disinfectant<br />

For pediatric settings, toys should<br />

be constructed of smooth nonporous<br />

materials to facilitate<br />

cleaning. Do not use phenolics.<br />

Dedicated equipment is best<br />

Source: PHAC H<strong>and</strong>washing, Cleaning Disinfection <strong>and</strong> Sterilization Guideline – 1998, Page 30.

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