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RHQN MEMBERS CONFERENCE CALL “HOW CLEAN IS CLEAN?”. Randy Benson RHQN Executive Director July 9, 2013. “HOW CLEAN IS CLEAN?”. WHOSE DEFINITION? DOH APIC COUNTY HEALTH DEPARTMENT STATE FIRE MARSHAL DSHS. “HOW CLEAN IS CLEAN?”. DOH – GENERAL CLEANLINESS OF ENTIRE HOSPITAL AND CLINICS

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RHQN MEMBERS CONFERENCE CALL “HOW CLEAN IS CLEAN?”


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    1. RHQN MEMBERS CONFERENCE CALL“HOW CLEAN IS CLEAN?” Randy Benson RHQN Executive Director July 9, 2013

    2. “HOW CLEAN IS CLEAN?” • WHOSE DEFINITION? • DOH • APIC • COUNTY HEALTH DEPARTMENT • STATE FIRE MARSHAL • DSHS

    3. “HOW CLEAN IS CLEAN?” DOH – GENERAL CLEANLINESS OF ENTIRE HOSPITAL AND CLINICS APIC – LEVELS OF CLEANLINESS OUTLINED IN THE APIC GUIDELINES, BASED ON INFECTION PREVENTION STANDARDS COUNTY HEALTH DEPARTMENT – USUALLY ASSOCIATED WITH KITCHEN/FOOD HANDLING FIRE MARSHAL – HIGH LEVELS OF FLAMMABLE MATERIALS DSHS – SWING BEDS, SNF, LONG TERM CARE

    4. “HOW CLEAN IS CLEAN?” • DOH STANDARDS OF CLEANLINESS • START AT THE LOBBY • HIGH DUST • BUGS IN LIGHT FIXTURES • SPIDER WEBS • DIRTY/UNKEPT FLOORS • DIRTY SEATING SURFACES • STAINED CARPETS • TOYS?

    5. “HOW CLEAN IS CLEAN?” • DOH (cont.) • FLOORS SEND A MESSAGE • DIRTY, DULL/SCUFFED, LOOK BEHIND HALLWAY DOORS • HIGH DUST • PICTURE FRAMES, TVs, SNACK DISPENSING MACHINES, X-RAY UNITS, AIR VENTS, WINDOW SILLS

    6. “HOW CLEAN IS CLEAN?” • DOH (cont.) • CLEAN AND DIRTY UTILITY ROOMS • RESTROOMS • ALL AREAS OF THE KITCHEN (HOODS) • LABORATORY • PHARMACY • SHIPPING CONTAINERS • HOUSEKEEPING CLOSETS • BLACK LIGHT

    7. “HOW CLEAN IS CLEAN?” • APIC • ALL PATIENT CARE EQUIPMENT (C-ARMS TO IV PUMPS) • BEDS, OVERBED TABLES, SIDE RAILS, IV POLES • WINDOW SILLS (C. difficile) • NEW CONSTRUCTION/REMODELING • IP ROUNDS • PROPER DISPOSAL OF BIO-HAZARDOUS WASTE

    8. “HOW CLEAN IS CLEAN?” • APIC (cont.) • OVERALL AIR FLOW, O.R. AIRFLOW • O.R. CONTAMINATION • ENDOSCOPY SCOPE CLEANING • APPROVAL OF CLEANERS AND DISINFECTANTS • BLACK LIGHT • WHEELCHAIRS

    9. “HOW CLEAN IS CLEAN?” • COUNTY HEALTH DEPARTMENT • FOOD HANDLER CLEANLINESS • STAFF COMPETENCY (FOOD HANDLER CARDS) • HAIR NETS, CAPS, GLOVES, HAND HYGIENE • POTABLE WATER SUPPLY • VERMIN ERADICATION

    10. “HOW CLEAN IS CLEAN?” • STATE FIRE MARSHAL • COMBUSTIBLE MATERIAL STORAGE • ACCUMULATION OF HIPAA WASTE PAPER, COMPRESSED GAS CYLINDERS • HOODS • UNCLUTTERED HALLWAYS • EQUIPMENT PARKED IN FRONT OF ELECTRICAL PANELS

    11. “HOW CLEAN IS CLEAN?” • DSHS – SWING BEDS, SNFs, LONG TERM CARE • INTERFACE BETWEEN DOH AND DSHS • PATIENT ROOM CLEANLINESS • DECORATIONS • FOOD SERVICE STANDARDS • INFECTION PREVENTION ISSUES

    12. “HOW CLEAN IS CLEAN?” • SUMMARY: • FACILITY CLEANLINESS • FIRST IMPRESSIONS • AIR FLOW ISSUES • CONSTRUCTION/REMODELING • COLLABORATION (HOUSEKEEPING, IP, PLANT/ENGINEERING)

    13. “HOW CLEAN IS CLEAN?” QUESTIONS? RANDY BENSON randyb@wsha.org 206 577-1821