1. How to Keep Restrooms from Becoming Cross-Contamination Hot Zones

2. Introduction You will learn the “why’s” and “how’s” of restroom cleaning Learn some basic microbiology as it relates to disease transmission Sell your customers (internal and external) on the benefits of clean & sanitary restrooms

3. Agenda “Bill of Rights” for restroom users Hands-free is worry-free Why restroom sanitizing is important The “dirt” on unsanitary restrooms-some basic microbiology Choosing the right disinfectant Best practices in restroom sanitation Selling “CLEAN and SANITARY” Questions & Answers

4. Overview A properly designed restroom, a comprehensive cleaning program and the use of best practices can reduce the potential for cross-contamination throughout a restroom The topics fit together like pieces of a puzzle Clea n barrie rs SALE! Design Why? SAFE pla n training tools

5. Vocabulary Glossary of terms 1. Clean 2. Sanitary 3. Disinfectant 4. Hot zones 5. Cross-contamination 6. Design for maintainability

6. “BILL of RIGHTS” for restroom users 1. Not to be grossed out 2. Handicapped accessible 3. Well lighted 4. Clean and fresh smelling 5. Free of graffiti 6. Adequate supplies 7. Not to get a disease 8. The “Best Seat in the House”

7. Hands-free is Worry-free 1. Toilets and urinal flushers 2. Rotating toilet seat cover 3. Soap dispensers/hand sanitizers 4. Faucets 5. Paper towels v. Electric Blowers 6. Trash cans 7. Doors: Sprayers, openers or none 8. Sanitary napkin disposal 9. restroom cleaning-pressure washers

8. Why restroom sanitizing is important Reduces the possibility of cross- contamination from user to user Reduced absenteeism Perception of building’s cleanliness Minimize complaints from building occupants Increased morale Greater productivity

9. The “dirt” on unsanitary restrooms-some basic microbiology 50% of public’s complaints-dirty restrooms Public awareness of disease transmission as it relates to unsanitary conditions in restrooms Cross-contamination “hot zones” What’s that growing in the grout? The toilet plume-”I study toilets-that takes guts.” Charles P. Gerba (aka Dr. Germ) Where do ladies put a purse? The role of decaying bacteria and odors

10. The “dirt” on unsanitary restrooms-some basic microbiology (continued) Remove biofilm Germs-don’t feed ‘em, don’t move ‘em Remove germs rather than kill them Get microbiologist-vision! 1. Non-porous 2. High touch 3. Moisture 4. Air vent cleaning

11. Choosing the Right Disinfectant Definition of disinfectant Read the label 1.EPA registration 2.Dwell or contact time 3.Organic load 4.Water hardness 5.Dilution rate Target organisms Universal precautions

12. Choosing the Right Disinfectant (CONTINUED) Sterilants, disinfectants, sanitizers…oh my! Profiling Disinfectant Types 1.Household bleach 2.Phenolics 3.Quaternary ammonium compounds (quats) OSHA Bloodborne Pathogen Standard Bacteria becoming resistant to disinfectants? Green disinfectants?

13. Best Practices in Restroom Sanitation Establish a “Standard of Appearance” for restrooms Cleaning is a process with clearly-defined steps Choose the right cleaning chemicals Train employees on the importance of cleaning for health, not appearance Remove graffiti as soon as it appears Floor scrubbing

14. Best Practices in Restroom Sanitation (CONTINUED) High pressure washers Vapor Cleaning Install the largest dispensing system possible Get rid of refillable soap dispensers Buy the best quality paper goods and soap your budget will allow Provide sanitizing wipes Service the restroom often Don’t use “Cleaning Schedule”on the restroom door

15. Selling “CLEAN and SANITARY” By reducing or eliminating cross- contamination, an employer or building owner will: Meet customer expectations Improve employee retention Improve morale Improve attendance Improve occupancy rates

16. Summary Lessons learned How will you apply what you have learned? Questions?

17. Where to Get More Information “Microbiology for Cleaning Workers Simplified” by John Walker, ManageMen, Inc. “Frugalisms: Creative Ideas on Leadership in Facilities and Housekeeping Operations”, by Alan and Linda Bigger, an I.E.H.A., Inc. publication “Infection Control for Dummies”, by J. Darrel Hicks, an I.E.H.A. publication Consulting services by J. Darrel Hicks, BA, REH, CHESP