EFAVC General Cleaning Policies

Equine and Farm Animal General Cleaning Policies

Per Shift

  • Personnel assigned to a procedure are responsible to strip/clean/scrub and disinfect any surfaces / equipment immediately following use (exam tables, stocks, thermometers, stethoscopes, endoscopes, etc.)
  • Any equipment requiring specialized cleaning / sterilization should be brought to the attention of the technical staff.
  • Pick and re-bed all inhabited stalls following stall cleaning pattern and maintain cleanliness throughout shift; including walls, buckets, etc.
  • Strip, degrease, and disinfect stalls of discharged patients
    • Including feed buckets, toys, and all other items associated with the patient
  • Keep aisles/corridors, feed room, and hay room clean and dry.

Daily

  • Treatment rooms and radiology stripped, degreased, disinfected, and allowed to dry
    • Including all work surfaces, sinks, drains, carts, etc.
  • Check disinfection foam dispensers, paper towel holders, and soap dispensers
  • Bull room (if used) stripped and disinfected

Weekly

  • All aisles, tool room, ice room, medical records, satellite pharmacy, field service garage
  • Random nosocomial cultures performed
  • Breezeway drain scrubbed and disinfected

Monthly

  • Review chart of disinfection tracking (EFAVC Attendant Supervisor)

Restricted

Stall In-patient:

  • Pick and re-bed all inhabited stalls following stall cleaning pattern.
  • Boots, gloves, and gown are to be worn during stall cleaning; in compliance with Restriction PPE policies.
  • Bedding and all trash is discarded in a biohazard container to be incinerated and all equipment used is designated to that patient (i.e. manure fork).  Exterior of biohazard container is to be kept clean at all times and disinfected if contaminated.  Wheels shall be disinfected if cart rolls into the restriction area.
  • Gloves, boots, and gown are discarded after use; in compliance with Restriction PPE policies.
  • Area to be left clean, organized, and totally free of debris in chained area

Discharged Patient Stall

  1. Leave barriers and signs in place to keep the area blocked
  2. All medical supplies are disinfected or discarded by the technician
  3. Boots, gloves, and gown are worn throughout the process.
  4. Bedding and trash are discarded in a biohazard container
  5. Stall/area is stripped, degreased, and disinfected.  All non-porous restriction equipment is to be placed in the stall to be degreased and disinfected along with the stall. (red barriers, supply carts, trash can, etc.)
  6. Disinfection is performed two times.  A gown is not necessary for the second disinfection cycle.
  7. Nosocomial and Salmonella cultures are taken after stall dries. Results are monitored by the Attendant Supervisor to ensure the disinfection process is continuously effective.

Isolation Stall

In-patient:

  • Pick and re-bed all inhabited stalls following stall cleaning pattern.
  • Boots, gloves, and coveralls are to be worn during stall cleaning; in compliance with the Isolation PPE procedures.
  • Bedding and all trash is discarded in a biohazard container to be incinerated and all equipment used is designated to that patient (i.e. manure fork).  Exterior of biohazard container is to be kept clean at all times and disinfected if contaminated.  Wheels shall be disinfected if cart rolls into the Isolation area.
  • Gloves, boots, and coveralls are discarded after use; in compliance with the Isolation PPE procedures.

Discharged Patient Stall

  1. Leave barriers and signs in place to keep the area blocked
  2. Flip door sign to “Dirty”
  3. All medical supplies are to be disinfected or discarded by the technician
  4. Boots, gloves, and coveralls are worn throughout the process; in compliance with the Isolation PPE procedures.
  5. Bedding and trash are discarded in a biohazard container
  6. Stall/area is stripped, degreased, and disinfected.  All non-porous equipment is to be placed in the stall to be degreased and disinfected along with the stall. (red barriers, supply carts, trash can, etc.)
  7. Disinfection is performed two times. Coveralls are not necessary for the second disinfection cycle.
  8. Nosocomial and Salmonella cultures are taken after stall dries. Results are monitored by the Attendant Supervisor to ensure the disinfection process is continuously effective.
  9. Flip door sign to “Clean”

Definitions

  • Strip – remove all loose debris via sweeping, vacuuming, removal by gloved hand, etc.; to expose the surface for degreasing or disinfecting.
  • Degrease – chlorinated degreaser is applied to a surface (per manufacturer guidelines) that has been stripped of any loose debris, allow a minimum of 15 minute contact time, then rinse thoroughly.
  • Disinfect – disinfectant should be applied (per manufacturer guidelines) to a surface free of all debris and allowed a 15 minute contact time.  It is then thoroughly rinsed and the surface allowed to dry. .
    • Rescue is the standard disinfectant and used for all applications.

Housekeeping Cleaning Chart

  • Outline of the cleaning protocol and frequencies of offices, bathrooms, reception areas, conference rooms, break rooms, and corridors maintained by NC State Facilities Housekeeping.

Suspect Infectious Patient in General Population Area (i.e. main tx room)

  1. Contain persons, equipment, and patient immediately; within the contaminated area.
  2. Contact EFAVC Operations Manager and EFAVC Supervisors
    1. Supervisor is in charge of
      1. Developing a strategy for all personnel to decontaminate and exit the area.
      2. Ensuring area, equipment, supplies, are appropriately cleaned and disinfected.
      3. Ensuring patient ultimately ends up in appropriate housing and is appropriately transported through the hospital; followed by appropriate disinfection of any potentially contaminated areas.
  3. All medical supplies are to be disinfected or discarded by a technician
  4. Boots, gloves, and coveralls shall be worn throughout the process; in compliance with the Isolation PPE procedures.
  5. Bedding and trash are discarded in a biohazard container
  6. Area is stripped, degreased, and disinfected.  All non-porous equipment is to be left in the area to be degreased and disinfected.
  7. Disinfection is performed two times. Coveralls are not necessary for the second disinfection cycle.
  8. Cultures are taken if potential for contamination is a high probability.