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
NHS cleaning manualv2 TXT V6 14/4/04 10:37 am Page 215

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
The NHS Healthcare Cleaning Manual
NHS cleaning manualv2 TXT V6 14/4/04 10:37 am Page 216

Appendices

Bucket

Carpet Shampoo Machine

Cleaning Trolley

Cloth

Crevis Tool

Curtain Hook

200
The NHS Healthcare Cleaning Manual
NHS cleaning manualv2 TXT V6 14/4/04 10:37 am Page 217

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
The NHS Healthcare Cleaning Manual
NHS cleaning manualv2 TXT V6 14/4/04 10:37 am Page 218

Appendices

Household Gloves

High Dusting Mop

Knee Pad

Ladder

Laundry Bag

Mask
Mask must have a fluid repellent
layer for staff protection.

202
The NHS Healthcare Cleaning Manual
NHS cleaning manualv2 TXT V6 14/4/04 10:37 am Page 219

Appendices

Masking Tape

Mop Handle

Mop Head

Paper Towel

Platform Steps

Safety Glasses

203
The NHS Healthcare Cleaning Manual
NHS cleaning manualv2 TXT V6 14/4/04 10:37 am Page 220

Appendices

Safety Goggles

Scraper

Spray Bottle

Squeegee Blade

Standard Speed Rotary Machine

Steam Cleaner

Suction Vacuum Cleaner

204
The NHS Healthcare Cleaning Manual
NHS cleaning manualv2 TXT V6 14/4/04 10:37 am Page 221

Appendices

Vacuum Cleaner (Upright)

Toilet Paper

Toilet Brush

Warning Signs

Waste Bags

Wringer

205
The NHS Healthcare Cleaning Manual
NHS cleaning manualv2 TXT V6 14/4/04 10:37 am Page 222

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
The NHS Healthcare Cleaning Manual
 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

The NHS Healthcare Cleaning Manual

207
Appendices
NHS cleaning manualv2 TXT V6 14/4/04 10:37 am Page 224

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
The NHS Healthcare Cleaning Manual
NHS cleaning manualv2 TXT V6 14/4/04 10:37 am Page 225

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’
instructions). Disinfect using a
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

Purpose Detergent (refer to
manufacturers’ instructions).
Disinfect spillages using a
chloride-releasing agent, rinse
and dry.

209
The NHS Healthcare Cleaning Manual
NHS cleaning manualv2 TXT V6 14/4/04 10:37 am Page 226

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
The NHS Healthcare Cleaning Manual
NHS cleaning manualv2 TXT V6 14/4/04 10:37 am Page 227

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’
instructions). Disinfect using a
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
Purpose Detergent (refer to
manufacturers’ instructions).
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
The NHS Healthcare Cleaning Manual
NHS cleaning manualv2 TXT V6 14/4/04 10:37 am Page 228

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
The NHS Healthcare Cleaning Manual
NHS cleaning manualv2 TXT V6 14/4/04 10:37 am Page 229

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
The NHS Healthcare Cleaning Manual
NHS cleaning manualv2 TXT V6 14/4/04 10:37 am Page 230

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
The NHS Healthcare Cleaning Manual
NHS cleaning manualv2 TXT V6 14/4/04 10:37 am Page 231

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
The NHS Healthcare Cleaning Manual
NHS cleaning manualv2 COV V6 14/4/04 10:35 am Page 1

Estates
NHS
NHS
Estates

The NHS Healthcare Cleaning Manual

The NHS Healthcare Cleaning Manual

© Crown Copyright
Produced by the Department of Health
34335 1P 1k Mar 04 (ESP)
CHLORINE FREE PAPER

The text of this document may be reproduced without

formal permission or charge for personal or in-house use.

First Published: March 2004

If you require further copies of this publication

quote 34335 The NHS Healthcare Cleaning Manual and contact:

Department of Health Publications

PO Box 777
London SE1 6XH
Tel: 08701 555 455
Fax: 01623 724524
E-mail [email protected]

08700 102870 - Textphone (for minicom users) for the hard of hearing
8am- 6pm Monday to Friday

34335 The NHS Healthcare Cleaning Manual can also be made available in braille, on audio
cassette tape, on disk, in large print, and in other languages on request.

34335 The NHS Healthcare Cleaning Manual is available on the department’s website at:
www.dh.gov.uk/