National ReUse Conference 2009 Atlanta, GA Presented by Chris Brand President/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