durable medical equipment cleaning/sanitizing

National ReUse Conference 2009Atlanta, GA

Presented by Chris BrandPresident/CEO

Friends of Disabled Adults and Children, Too!

Review Standards

Different products and methods for cleaning and sanitizing.

Discuss wet-room layout.

Separate or cover cleaned equipment from donated equipment.

Manufacturers

DME Vendor standards

Hospitals and Rehab policies

Medicare/Medicaid

The Joint Commission on Accreditation of Healthcare Organizations (JCAHO): Accreditation program-Home Care

The [organization] plans for preventing and controlling infections.

1. When developing infection prevention and control activities, the organization uses evidence-based national guidelines or, in the absence of such guidelines, expert consensus, or, in the absence of both, a review and evaluation of the health care literature.

Guideline for Disinfection and Sterilization in Healthcare Facilities, 2008 (CDC)

Types of devices Identify cleaners and methods Create work area

Based on the identified risks, the [organization] sets goals to minimize the possibility of spreading infections.

The [organization] reduces the risk of infections associated with medical equipment, devices, and supplies.

1. The organization implements infection prevention and control activities when doing the following: Cleaning and disinfecting medical equipment, devices, and supplies.

The [organization] receives and stores medical equipment and supplies at its site(s).

The organization designates clearly identified, separate areas for storing each of the following types of equipment:

- Obsolete equipment - Equipment requiring maintenance or repair - Dirty equipment - Clean equipment - Patient-ready equipment

Non-critical items

Definitions: Clean-detergents and water

Disinfection-wiping with chlorine and disinfectants

Sanitization-steam sterilization

Keep in mind: contact times of disinfectants cleaning materials, washers, rags, etc. Policies and procedures for cleaning and

disinfecting that will be used by staff; specifying required training; a safety policy regarding attire and use of accessories in work area

Electric Wheelchairs and Hospital beds:

Vacuum or blow with compressed air Clean with detergent product by

hand Spray and wipe with cleaning

disinfectant Steam sterilization (optional) Cover or move to cleaned area

Manual Wheelchairs and larger items:

Clean with detergent product by wiping, brushing and pressure washing, or Hubscrub

Spray and wipe with cleaning disinfectant

Steam sterilization (optional) Cover or move to cleaned area

Hand held and smaller AT items:

Steam sterilization preferred Spray and wipe with cleaning

disinfectant Cover or move to cleaned area