SOP for Terminal Cleaning
SOP for Terminal Cleaning
1. Purpose
To guide effective and safe cleaning of in inpatient wards
2. Scope
This SOP is applicable in all inpatient rooms including ICU and isolation room. It
provides specific guidance for all staff directly involved in the cleaning of
premises and equipment in inpatient department.
3. Responsibility
The responsibility for cleaning is for assigned cleaners with ward nurse
supervision
4. Required standard
Floors are cleaned regularly with a frequency that's appropriate to the level of
contamination in each area.
Cleaning staff are trained on proper cleaning procedures, including use of
personal protective equipment (PPE).
6. Risks
Infection
Slip and fall accident
Injuries
8. Time:
Wards / patient room following patient discharge or transfer,
Operation room at least every 24 hour, or more often as necessary.
9. Procedure
Hand hygiene
Put on appropriate PPE / heavy duty glove, gown, apron, head cover,
protective eye wear, boots/
Place warning/hazard signs to indicate that a cleaning task is taking place
Remove soiled/used personal care items for reprocessing or disposal
Remove facility-provided linens for reprocessing or disposal
Inspect window. If soiled, clean blinds on-site, and remove curtains for
laundering.
Reprocess all reusable patient care equipment
Clean all low- and high-touch surfaces with detergent solution
Disinfect all surfaces with 0.1% or 0.5% chlorine solution
Allow the disinfectant to remain wet on thearea for the required contact time
Rinse the area with clean water to removedisinfectant residue.
Allow the area to dry (before removingthe warning or hazard sign).
Clean (scrub) and disinfect handwashing sinks
Dispose of materials as infectious waste.
Remove PPE and dispose of it in infectious wasteif disposable; if it is
reusable (for example, linen) send for laundering
When finished, clean and dry equipment, or leave to dry
Remove PPE
Perform hand hygiene
Page 3of 3
ADET PRIMARY HOSPITAL Effective June/2024-July 2025
from
Review July 2024
STANDARD OPERATING PROCEDURE (SOP) date
TERMINAL CLEANING OF INPATIENT WARDS Version 1
10. References
1. Ministry of health, Ethiopia; National infection prevention and control
reference manual for healthcare service providers and managers, 2023
2. Health Protection Scotland (2016) National Infection Prevention & Control
Manual http://www.nipcm.hps.scot.nhs.uk/ Environmental cleaning and
infection prevention and control in health care facilities in low- and middle-
income countries: modules and resources, 2022, WHO
3. CDC and ICAN. Best Practices for Environmental Cleaning in Healthcare
Facilities in Resource-Limited Settings. Atlanta, GA: US Department of Health
and Human Services, CDC; Cape Town, South Africa: Infection Control Africa
Network; 2019. Available at :http://www.icanetwork.co.za/icanguideline2019/