1. Multi-Clean Health Care Facilities Cleaning and Maintenance Introduction This manual was prepared as a training tool for employees of environmental services to educate employees on basic safety concepts and proper usage of Multi-Clean brand chemicals.

2. Multi-Clean Health Care Facilities Cleaning and Maintenance Introduction The purpose of cleaning is to remove unwanted contaminants from surfaces. The methods of cleaning and the chemical products used are more critical because they often have a dual function of removing soil and killing harmful pathogens.

3. Multi-Clean Health Care Facilities Cleaning and Maintenance Introduction In hospitals, some contaminants are disease causing micro-organisms invisible to the naked eye. In hospitals, the purpose of cleaning is to protect patients health and prevent the spread of disease by removing contaminants from surfaces.

4. Multi-Clean Health Care Facilities Cleaning and Maintenance Terms you should know This term designates the surfaces that you will be cleaning in a hospital. This is a classification system for surfaces that carry a lower risk for disease transmission. There are 2 types of Environmental Surfaces: Housekeeping Surfaces Equipment* Environmental Surfaces Equipment is usually diagnostic equipment such as x-ray machines, CT scanners etc.

5. Multi-Clean Health Care Facilities Cleaning and Maintenance Terms you should know These are environmental surfaces that require regular cleaning including floors, walls, tabletops, fixtures, bedrails, etc. There are two types of housekeeping surfaces you will be charged with cleaning. Each will have different methods and frequency of cleaning. 1.HIGH TOUCH Housekeeping Surfaces 2.MINIMAL HAND CONTACT Surfaces Housekeeping Surfaces

6. Multi-Clean Health Care Facilities Cleaning and Maintenance Terms you should know Surfaces that are frequently touched by patients and staff that require more frequent cleaning. Examples: Doorknobs, bedrails, light switches, wall areas around toilets in patient rooms, edges of privacy curtains, etc. These surfaces must also be cleaned but not as frequently. Examples: Floors, walls, ceilings HIGH TOUCH Surfaces MINIMAL TOUCH Surfaces

7. Multi-Clean Health Care Facilities Cleaning and Maintenance Terms You Should Know Special precautions have to be followed when dealing with materials contaminated with blood or other bodily fluids. Blood or other bodily fluids may contain disease causing micro-organisms (pathogens) that can be transmitted to others that come in direct contact. Bloodborne Pathogens Your supervisor will provide more specific procedures for dealing with small spills of blood or other bodily fluids and/or specialized cleaning operations for larger volumes of bodily fluids that may need to be cleaned.

8. Multi-Clean Health Care Facilities Cleaning and Maintenance Bloodborne Pathogens Bloodborne Pathogens Act The Blood borne pathogens act was implemented to protect workers from potentially infectious diseases contracted from contaminated blood or other bodily fluids. Examples of Bloodborne pathogens: Hepatitis B Virus HIV-1 Virus (AIDS Virus)

9. Multi-Clean Health Care Facilities Cleaning and Maintenance Bloodborne Pathogens Bloodborne Pathogen Safety Precautions Always assume blood or bodily fluid spills are contaminated. To clean, first obtain proper personal protective equipment. Disposal of cleaning materials such as rags, sponges, paper toweling, absorbents, should be placed into a red Bio-hazard bag.

10. Multi-Clean Health Care Facilities Cleaning and Maintenance Bloodborne Pathogens Cleaning Up Bodily Fluid Spills Contaminated work surfaces and/or spills shall be decontaminated with an appropriate disinfectant. 1.Clean up gross filth by collecting with an absorbent material. 2.Spray surfaces with Microcide TB or properly diluted 256 Century Q. 3.Clean surface. 4.Re-apply Century Q 256, allow surface to remain wet for 10 minutes. Remember: Always wear personal protective gear and dispose of cleaning materials properly. Your supervisor will instruct you on specific procedures.

11. Multi-Clean Health Care Facilities Cleaning and Maintenance Protecting Yourself Safety – Working with Cleaning Products The Multi-Clean products you will be working with were developed to be safe as possible for the user. You should always use chemicals as directed and follow prescribed safety precautions. There are several places that you can look to determine appropriate safety equipment which includes container labels, secondary bottle labels and the MSDS. The MATERIAL SAFETY DATA SHEET describes Possible hazards of each chemical and recommended safety precautions for using the products.

12. Multi-Clean Health Care Facilities Cleaning and Maintenance Protecting Yourself Safety – Working with Cleaning Products Safety Glasses: Safety glasses are usually worn when using any chemical product that is designated an IRRITANT or has a NFPA or HMIS rating of 1. Safety Goggles: Goggles protect the eyes from splashes of potentially CORROSIVE chemicals. Very few products, particularly in their diluted form would be corrosive. Gloves: Hand protection is usually suggested for use when cleaning with chemical products. Gloves not only protect hands from cleaning chemical exposure, they also prevent contact with soils, contaminants and potentially harmful bacteria.

13. Multi-Clean Health Care Facilities Cleaning and Maintenance Protecting Yourself Finding information about safe use of products The MATERIAL SAFETY DATA SHEET describes possible hazards of each chemical and recommended safety precautions for using the products. A MSDS for each product used is available for you to review at any time. Material Safety Data Sheet

14. Multi-Clean Health Care Facilities Cleaning and Maintenance Protecting Yourself Finding information about safe use of products The container for each product identifies hazards of the chemical in it’s concentrated form. When using a dispensing system like the Multi-Task dilution control system, additional safety features are built in to the system. For instance, the “no chemical contact” seal on the container prevents accidental contact with the chemical. The locking cabinet prevents contact and / or tampering with the chemical concentrates. Color Coded Labels Number Codes Instructions for Use Health/Safety Precautions

15. Multi-Clean Health Care Facilities Cleaning and Maintenance Protecting Yourself Finding information about safe use of products Secondary Packaging Labels: When a product is diluted into another container for use, OSHA requires the contents are identified on the container. In addition, basic hazards of the diluted chemical should be disclosed.

16. Sick people can spread infectious viral and bacterial agents to others, they are also often more prone to contracting illnesses The spread of infections within a hospital is usually spread by person to person contact. Regular hand washing is essential to help prevent the spread of infection Infections can also be contracted by objects that are frequently touched by individuals. For the purposes of cleaning, these surfaces are referred to as “HIGH TOUCH’ surfaces and special emphasis is given to routine cleaning of these surfaces. ALWAYS wash hands before entering a patient room. Not only does this protect the patients, it also protects YOU! Wear the appropriate safety equipment that is recommended for use with each chemical product you may be using. Multi-Clean Health Care Facilities Cleaning and Maintenance Protecting Patients

17. Slip and fall accidents are among the most common types of injury accident. It is of special concern in a hospital because ill patients may lack the balance and coordination of a healthy individual. Multi-Clean Health Care Facilities Cleaning and Maintenance Floor Safety

18. Some typical reasons why someone may slip and fall? Physical / Mental Condition: The condition of an individual is important. In health care institutions, this is an obvious concern. Footwear: The shoes/socks can influence slip fall accidents. Weather Conditions: Rain/snow tracked onto floors can make floors slippery. Maintenance Operations: Floors undergoing maintenance operations such as stripping, finishing or daily wet cleaning can be slippery when wet. Spills / Contamination; Fluid Spills occur on floors that can make floors slippery. The most common type of spill or contaminant is water and /or beverages. Obstacles in Walking Path: Low profile obstacles can be a tripping hazard. Incorrect Maintenance: Using the wrong products on floors can impact slip resistance. Multi-Clean Health Care Facilities Cleaning and Maintenance Floor Safety

19. What can I do to prevent slip and fall accidents? Multi-Clean Health Care Facilities Cleaning and Maintenance Floor Safety When conducting any wet maintenance procedures on floors you should: Post wet floor signs at the beginning and end of the area. Restrict access to the area while undergoing maintenance by using caution tape or other barriers. Wait until floors are completely dry before removing signs and allowing traffic to proceed.

20. What should I do when a slip or fall occurs? Make sure the person is comfortable. Do NOT move the person. Call healthcare staff for assistance. After the person is taken care of: Make note of any witnesses Note the condition of the floor What type of footwear was the person wearing. Prepare an accident report with the help of your supervisor. Multi-Clean Health Care Facilities Cleaning and Maintenance Floor Safety

21. Multi-Clean Health Care Facilities Cleaning and Maintenance Using Multi-Clean Products You will be using the Multi-Task Dilution Control System from Multi-Clean to dispense most cleaning products into buckets or spray bottles. Products: #256 Century Q #2 Multi-Shine #3 Eliminator #4 Foamy MAC #5 Century Maintenance #11 Odor Control #13 Extraction Cleaner Short hose for filling spray bottles.. View window shows which product is being dispensed. Buttons to activate dispenser. Long hose for filling buckets or equipment.

22. Multi-Clean Health Care Facilities Cleaning and Maintenance 256 Century Q Description: Disinfectant Cleaner for use anywhere a disinfectant is required. Color Code: Number: 256 Where is it used: This product is used for all environmental surfaces, floors, general cleaning / disinfecting of restrooms How is it used properly: Apply solution to surface to be cleaned. To properly disinfect surfaces, the surface should be left wet, and allowed to air dry in order to achieve proper contact time. Safety Precautions in using and handling: Floor Safety: Post wet floor signs and restrict access if possible until floor is dry. Personal Safety: Wear gloves and safety glasses. Red

23. Multi-Clean Health Care Facilities Cleaning and Maintenance 2 Multi-Shine Description: Glass and surface cleaner Color Code: Number: 2 Where is it used: Cleaning glass, mirrors and other polished metal surfaces that do not require disinfecting. How is it used properly: Spray surfaces lightly, then wipe with clean cloth until dry. Safety Precautions in using and handling: Personal Safety: Wear safety glasses and gloves. Blue

24. Multi-Clean Health Care Facilities Cleaning and Maintenance 3 Eliminator Description: Heavy duty spray and wipe cleaner for tougher cleaning task. Color Code: Number: 3 Where is it used: A stronger cleaner that removes fingerprints, ink marks, oily soils. How is it used properly: Dilute into properly labeled spray bottles. Spray unto surface to be cleaned, then wipe with a clean cloth. Safety Precautions in using and handling: Personal Safety: Purple

25. Multi-Clean Health Care Facilities Cleaning and Maintenance 4 Foamy MAC Description: General purpose restroom, shower and tub cleaner. Removes hard water scale, and soap scum. Color Code: Number: 4 Where is it used: Restrooms, sinks, showers, tubs to remove soap scum and hard water scale. How is it used properly: Best used with a Foaming Trigger sprayer to achieve cling on vertical surfaces. Spray surfaces from the top down. Allow to stand 1-2 minutes, scrub with sponge, deck brush, or pad. Safety Precautions in using and handling: Concentrate: Corrosive to eyes, irritating to skin. Diluted Form: Irritating to eyes and skin. Personal Safety: Wear splash goggles and gloves. Green

26. Multi-Clean Health Care Facilities Cleaning and Maintenance 5 Century Maintenance Description: A neutral floor cleaner for everyday cleaning of floors where a disinfectant is NOT required. Color Code: Number: 5 Where is it used: Use on common area floors where disinfecting is not required. Use in buckets for damp mop, or in automatic scrubbing machines. How is it used properly: Lightly mop surfaces and allow to air dry. For scrubbers, fill solution tank with solution. Safety Precautions in using and handling: Floor Safety: Post wet floor signs and prevent access to cleaned area until floor is dry. Personal Safety: Wear safety glasses. Lt. Blue

27. Multi-Clean Health Care Facilities Cleaning and Maintenance 11 Freshence Odor Control Description: Odor neutralizer and counteractant. Leaves a fresh scent. Color Code: Number: 11 Where is it used: To control and counteract foul or undesirable odors in trash, soiled linen containers. How is it used properly: Spray directly onto odor causing source including soiled linens, garbage chutes or containers. Safety Precautions in using and handling: Personal Safety: Wear safety glasses and gloves. Lt. Orange

28. Multi-Clean Health Care Facilities Cleaning and Maintenance 13 Extraction Description: Carpet cleaning product for Use in extraction equipment. Color Code: Number: 13 Where is it used: This is used as a cleaner in carpet extraction equipment. How is it used properly: The product is diluted into the solution tank of extractor. Safety Precautions in using and handling: Floor Safety: Keep people off clean carpet until it is dry. Personal Safety: Wear safety glasses. Lt. Green

29. Multi-Clean Health Care Facilities Cleaning and Maintenance Floorcare Vinyl tile, sheet vinyl, terrazzo Floor Finishes are designed to protect flooring and provide a shiny, easy to clean, floor surface. To keep the floor looking clean and shiny, it must be maintained properly. Multi-Clean Finishes include: Decade 100 Splendor Max 33 StoneShield

30. Multi-Clean Health Care Facilities Cleaning and Maintenance Floor Maintenance The 3 R’s of Floor Care Routine Maintenance: Typically done on a daily basis. Keeps up the shine, extends finish life. Dry Dust Mopping: Removes gritty dirt from floor that scratches the finish. Wet Cleaning: Removes adhered dirt, soil, and other contaminants. Burnishing: Restores shine to the floor. Restorative Maintenance: Typically done once every 3-6 months, keeps floor looking bright and shiny, replaces worn out coats of finish. Scrub and Recoat: Removes a single coat of finish to allow application of new coats. Renovative Maintenance: Done as little as necessary. Emphasis on the first 2 R’s helps reduce frequency of stripping. Stripping: This process completely strips all coats of seal and finish. Afterwards, the seal and finish are then reapplied.

31. Multi-Clean Health Care Facilities Cleaning and Maintenance Floor Care Stripping of Floors Stripping off old finish from floors requires special safety precautions. You must ALWAYS Post wet floor signs and restrict access to stripping areas by using appropriate barriers. Stripping solutions are slippery, wear appropriate footwear when stripping. Use cool/cold water for diluting strippers for maximum performance and lowest odor. Wear appropriate eye and skin protection. Clothing (pants, socks, shirts) that get wet with stripper should be removed promptly. Skin irritation or chemical burns could result. Multi-Clean Strippers include: Stampede Ultra Stripper Inferno

32. Multi-Clean Health Care Facilities Cleaning and Maintenance Floor Care Sealing of Floors After stripping, sometimes a sealer is applied before applying floor finish. Sealers help fill porous surfaces and provide a smooth surface for application of finish. Sometimes, sealers are used because they offer special stain resistance properties. Multi-Clean Sealers include: StainLess Acryl-Kote

33. Multi-Clean Health Care Facilities Cleaning and Maintenance Carpet Care Maintenance of carpeting involves 3 different types of procedures…… Routine: Daily maintenance that includes vacuuming and carpet stain removal. Interim: Cleaning of carpet using a bonnet or other type of cleaning tool. Restorative: This is cleaning using a portable hot water extractor. Vacuuming is the single most important maintenance procedure that will keep carpet looking its best and extend its life.

34. There are certain terms used in cleaning and maintaining health care facilities that you need to know and understand. Multi-Clean Health Care Facilities Cleaning and Maintenance

35. Working safely is important for your own protection as well as the protection of fellow employees, hospital staff, patients, and visitors. Multi-Clean Health Care Facilities Cleaning and Maintenance Disclaimer: This training is designed to provide an overview. It is not intended to provide all of the training required to fulfill requirements of government regulations

36. Knowing the cleaning products and how they are used is an important part of your job. Multi-Clean Health Care Facilities Cleaning and Maintenance