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Housekeeping Protocol For
VRE Precautions
1. Rooms of patients on VRE precautions will
be cleaned daily.
Procedure:
- Before entering the room, put on a gown, 2 pair
of gloves
- Bring into the room 4 clean rags and the clean mophead
Each patient's room will be cleaned in three steps:
Step One
Cleaning with facility approved disinfectant and
water:
- In the basin, prepare the correct dilution of the
facility approved disinfectant
- Using one clean rag, clean all the surfaces in the
room, pay special attention to surfaces which come into contact
with hands (eg. Call bell, phone, door and cupboard handles,
bed rails etc.)
- Next, to clean the bathroom, change gloves and clean
the bathroom in the usual manner, with special attention to
surfaces which come into contact with hands (eg. Door handles,
light switches, sink handles, paper towel dispensers, toilet
paper holders, toilet flusher)
- Clean the toilet last. After cleaning the toilet,
discard the facility approved disinfectant and water from the
basin, into the toilet, flush
- Rinse the basin with hot water
- Change gloves again
Step Two
Wiping with facility approved disinfectant
- Start in the patient’s room, spray all the flat
surfaces with facility approved disinfectant and with another
clean rag, wipe all the surfaces
- After wiping all the surfaces in the room, change
gloves and re-clean the bathroom using facility approved disinfectant
- Put on clean gloves
Step Three
Washing the floor:
- Dry mop the floor
- Prepare a fresh solution of facility approved disinfectant
and water in the bucket to clean the floor
- Wash the floor with the clean mop head as per routine
- After the floor is washed, pour the water into the
toilet and flush
- Place the mop heads and rags into a clear plastic
bag to be returned to housekeeping. Keep all other equipment
in the room.
- Remove outer gloves, then the gown and finally the
last pair of gloves
- Wash hands for 30 seconds
- Leave the room and when outside, rub alcohol based
hand rinse agent into hands
2. Rooms of patients on VRE precautions will
be terminally cleaned when patients are discharged .
Procedure:
- All areas of the room will be cleaned as per daily
cleaning protocol for VRE cleaning
- All equipment assigned to the patient (eg. stethoscopes,
thermometers, and flashlights) will be cleaned with facility
approved disinfectant and put into plastic bags. They will be
returned to the infection control office.
- All excess supplies, equipment and solutions will
be assessed by the nursing unit to determine what can be kept,
or discarded. Items which cannot be wiped with a wet cloth will
be discarded (eg. paper wrapped products). The nursing unit
will wipe all equipment to be saved with facility approved disinfectant,
or 70% alcohol TWICE before returning to circulation.
- Room curtains, shower curtains and drapes should
be changed as part of the terminal cleaning.
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©Copyright
1999 Microbiology Department, Mount Sinai Hospital, Toronto, ON, Canada.
All rights reserved. Last Modified
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