1. RHQN MEMBERS CONFERENCE CALL “HOW CLEAN IS CLEAN?” Randy Benson RHQN Executive Director July 9, 2013

2. “HOW CLEAN IS CLEAN?”  WHOSE DEFINITION?  DOH  APIC  COUNTY HEALTH DEPARTMENT  STATE FIRE MARSHAL  DSHS

3. “HOW CLEAN IS CLEAN?”  DOH – GENERAL CLEANLINESS OF ENTIRE HOSPITAL AND CLINICS  APIC – LEVELS OF CLEANLINESS OUTLINED IN THE APIC GUIDELINES, BASED ON INFECTION PREVENTION STANDARDS  COUNTY HEALTH DEPARTMENT – USUALLY ASSOCIATED WITH KITCHEN/FOOD HANDLING  FIRE MARSHAL – HIGH LEVELS OF FLAMMABLE MATERIALS  DSHS – SWING BEDS, SNF, LONG TERM CARE

4. “HOW CLEAN IS CLEAN?”  DOH STANDARDS OF CLEANLINESS  START AT THE LOBBY  HIGH DUST  BUGS IN LIGHT FIXTURES  SPIDER WEBS  DIRTY/UNKEPT FLOORS  DIRTY SEATING SURFACES  STAINED CARPETS  TOYS?

5. “HOW CLEAN IS CLEAN?”  DOH (cont.)  FLOORS SEND A MESSAGE  DIRTY, DULL/SCUFFED, LOOK BEHIND HALLWAY DOORS  HIGH DUST  PICTURE FRAMES, TVs, SNACK DISPENSING MACHINES, X-RAY UNITS, AIR VENTS, WINDOW SILLS

6. “HOW CLEAN IS CLEAN?”  DOH (cont.)  CLEAN AND DIRTY UTILITY ROOMS  RESTROOMS  ALL AREAS OF THE KITCHEN (HOODS)  LABORATORY  PHARMACY  SHIPPING CONTAINERS  HOUSEKEEPING CLOSETS  BLACK LIGHT

7. “HOW CLEAN IS CLEAN?”  APIC  ALL PATIENT CARE EQUIPMENT (C-ARMS TO IV PUMPS)  BEDS, OVERBED TABLES, SIDE RAILS, IV POLES  WINDOW SILLS ( C. difficile )  NEW CONSTRUCTION/REMODELING  IP ROUNDS  PROPER DISPOSAL OF BIO-HAZARDOUS WASTE

8. “HOW CLEAN IS CLEAN?”  APIC (cont.)  OVERALL AIR FLOW, O.R. AIRFLOW  O.R. CONTAMINATION  ENDOSCOPY SCOPE CLEANING  APPROVAL OF CLEANERS AND DISINFECTANTS  BLACK LIGHT  WHEELCHAIRS

9. “HOW CLEAN IS CLEAN?”  COUNTY HEALTH DEPARTMENT  FOOD HANDLER CLEANLINESS  STAFF COMPETENCY (FOOD HANDLER CARDS)  HAIR NETS, CAPS, GLOVES, HAND HYGIENE  POTABLE WATER SUPPLY  VERMIN ERADICATION

10. “HOW CLEAN IS CLEAN?”  STATE FIRE MARSHAL  COMBUSTIBLE MATERIAL STORAGE  ACCUMULATION OF HIPAA WASTE PAPER, COMPRESSED GAS CYLINDERS  HOODS  UNCLUTTERED HALLWAYS  EQUIPMENT PARKED IN FRONT OF ELECTRICAL PANELS

11. “HOW CLEAN IS CLEAN?”  DSHS – SWING BEDS, SNFs, LONG TERM CARE  INTERFACE BETWEEN DOH AND DSHS  PATIENT ROOM CLEANLINESS  DECORATIONS  FOOD SERVICE STANDARDS  INFECTION PREVENTION ISSUES

12. “HOW CLEAN IS CLEAN?”  SUMMARY:  FACILITY CLEANLINESS  FIRST IMPRESSIONS  AIR FLOW ISSUES  CONSTRUCTION/REMODELING  COLLABORATION (HOUSEKEEPING, IP, PLANT/ENGINEERING)

13. “HOW CLEAN IS CLEAN?” QUESTIONS? RANDY BENSON randyb@wsha.org 206 577-1821