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EAST CAROLINA UNIVERSITY
INFECTION CONTROL POLICY
Housekeeping - Brody School of Medicine
Date Originated: July 25, 1990
Date Approved: August 18, 2004
Dates Reviewed: 1.27.93, 3.23.94,
10.20.99, 8.22.01,
8.18.04, 12.02.08
3.5.13
Approved By:
BSOM Administrator/Manager
_______________________________
Chairman, Infection Control Committee
_____________________________________
Infection Control Nurse
I.
Purpose
This policy is established to help safeguard patients and personnel from
transmission of infection between patient and personnel during all patient care
related activities and to ensure appropriate sanitation practices within the East
Carolina University clinical environment.
II.
Personnel:
A.
All new employees will comply with the employment screening as
outlined in the Prospective Health policy. All employee health records
will be maintained by Prospective Health.
B.
Employees who have potential for blood or other potentially infectious
material exposure will be offered hepatitis B vaccine at no charge to the
employee. Employees who have potential for exposure to Mycobacterium
tuberculosis (MTB) will be given PPD skin testing with followup per
Prospective Health protocol.
C.
Any staff who has an exposure to communicable disease through a needle
stick or other means will report that exposure to the appropriate supervisor
and followup will be done per the Bloodborne Pathogen Exposure Control
Plan, Tuberculosis Exposure Control Plan or Prospective Health Policy
depending on the type of exposure.
D.
Employee will receive education on infection control, standard precautions
and OSHA standards upon employment and yearly thereafter.
E.
This policy will be evaluated every three years and as needed due to
change in practice or standards.
III.
Cleaning and Disinfection
A.
Patient Care Areas (examination rooms, treatment rooms and utility rooms)

All soil and dust will be removed daily from surfaces with a clean
cloth and EPA approved disinfectant.

Surfaces include all items in the rooms such as examination tables,
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EAST CAROLINA UNIVERSITY
INFECTION CONTROL POLICY
Housekeeping – Brody School of Medicine
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III.
counter tops, furniture, gooseneck lamps, and intravenous poles.
Handwashing facilities will be cleaned daily. Paper towel dispensers
will be refilled and empty soap dispensers will be replenished.
Walls will be examined for soilage and spot cleaned as needed, with
special attention to the walls in the sink area.
Mirrors will be washed daily with an approved glass cleaner.
Spills with blood or other potentially infectious materials will be
cleaned promptly with an EPA approved disinfectant per the cleanup
of blood spill procedure as stated in the Exposure Control plan, page
16. (See Appendix A)
Uncarpeted floors: Floors will be damp mopped with an approved
EPA disinfectant each evening to remove dust and debris.

A clean mop head will be placed on the mop at the
beginning of each shift and replaced as needed. Dirty mop
heads and cleaning cloths will be hung up to dry, laundered,
and dried before reuse.

The mop detergent solution must be changed at the beginning
of each shift and as needed.
Carpeted areas:

Carpeting in patient care areas will be vacuumed daily and
spot cleaned as needed.

Shampooing of carpet in patient care areas will be done every
month and as needed.
Cubicle curtains will be inspected daily for body fluids or soiling and
replaced when visibly soiled. Housekeeping will have them
laundered at the expense of the clinic.
Upholstered chairs will be brushed and vacuumed monthly and as
needed. Chairs are spot cleaned when needed.
The inside surface of windows will be cleaned semi-annually and
when visibly soiled.
Water fountains will be cleaned daily with an approved disinfectant.
Waste container cleaning:

Biohazard waste containers will be cleaned with an EPA
approved disinfectant on a routine basis and as needed.

The non-contaminated wastebaskets will be cleaned with an
EPA approved disinfectant solution weekly or as needed.
Special Cleaning with Isolation

After a patient who is on isolation is discharged from the clinic, special
cleaning is needed.
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EAST CAROLINA UNIVERSITY
INFECTION CONTROL POLICY
Housekeeping - Brody School of Medicine

Nursing staff will place the red “Isolation Sign” for housekeeping on the
door. (See Appendix B). Nursing staff will indicate on sign if contact or
airborne precautions are needed in addition to standard precautions.
IV.
Bathrooms will be cleaned once a day and as needed.

All horizontal surfaces will be wiped daily with an EPA approved
disinfectant.

Special attention will be given to the sink, faucet handles, commode and door
handles due to high concentration of body fluids that may be present on these
surfaces. Soil and organic matter will be removed prior to disinfection.

Stains on porcelain surfaces will be removed with a cream porcelain cleanser.

Wastebaskets will be cleaned and emptied daily and as needed.

Paper towel dispensers and toilet tissue dispensers will be refilled.

Soap dispensers will be checked daily for proper function and replaced as
needed. Empty soap dispensers will be refilled with sealed bags of soap.
There will be no topping off of soap dispensers.

Mirrors will be washed with an approved solution.
V.
Non-Patient Care Areas (conference rooms, offices, halls, staff lounges, and secretary
areas)

All trash will be removed and wastebaskets emptied daily.

Surfaces (high places, end tables, shelves, X-ray view boxes, etc) will be
dusted weekly.

Carpets will be vacuumed weekly and spot cleaned as needed. Shampooing
will be done per facility schedule or as needed.

Furniture

Vinyl furniture will be wiped weekly with an EPA approved
disinfectant solution or when visible soiled.

Upholstered chairs will be brushed and vacuumed monthly per
facility schedule or as needed.

The inside surface of windows will be washed per facility schedule and when
obviously soiled.

Water fountains will be cleaned daily with an EPA approved disinfectant.
VI.
Occasionally, spills of blood or other potentially infectious body fluid occur in
campus locations other than the Brody School of Medicine clinics i.e. dorms,
classrooms, and recreational facilities. All Housekeeping employees receive
Blood Borne Pathogens training. Housekeeping will have at least one employee
available, on each shift, who has received Hepatitis B vaccination to clean spills
in these locations. If the spill is extensive and cleaning will require more than a
spill kit and /or mops and buckets, contact the ECU Biological Safety Officer at
252-744-2070, Mon-Fri, 8am-5pm. After hours, weekends and holidays, please
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refer to the Prospective Health Emergency Call list. (Appendix C)
Appendix A
Cleaning Spills of Blood and Other Potentially Infectious Material
Use protective gloves and other personal protective equipment
(PPE), gown, mask, and protective eyewear) appropriate for the
task.
a.
To clean a small spill (<20ml)
(1) Don gloves
(2) Carefully remove visible blood or other potentially
infectious material with paper towels or some other
absorbent paper and dispose in biohazard waste
container.
(3) Mechanical means such as forceps should be used to
pick up any contaminated sharps or broken glass and
place in biohazard sharps containers.
(4) Swab the area with a cloth or paper towel moderately
wetted with a disinfectant (an EPA-registered sodium
hypochlorite product such as Dispatch). Allow
disinfectant to sit for 10 minutes.
(5) Wipe with a clean paper towel or air dry.
(6) Dispose of gloves and all contaminated items in a
biohazard waste container.
(7) Wash hands using soap and water.
b.
To clean large amounts of blood (>100ml) or more than can
be absorbed by paper towels:
(1)
Secure the area to prevent employees or visitors
from exposure.
(2)
Report spill to supervisor. Utilize Biohazard spill
kit. Contact housekeeping if assistance is needed.
(3)
Don PPE (gloves, gown, mask and eye protection).
(4)
Mechanical means such as forceps should be used
to pick up any contaminated sharps or broken glass
and place in biohazard sharps containers.
(5)
Remove visible blood or other organic material. A
fluid control solidifier may be sprinkled on the spill.
(6)
Discard all cleaning materials in a biohazard waste
container.
(7)
Apply disinfectant (an EPA-registered sodium
hypochlorite product such as Dispatch) to the spill
area, keeping the area wet for 10 minutes.
(8)
Wipe clean or air dry.
(9)
Remove personal protective equipment and place in
the biohazard waste container.
(10) Wash hands using soap and water.
c.
As a general guideline, spills larger than 100cc probably
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d.
would be considered large. Those less than 10 to 20cc
would be considered small. For others, the pattern of the
spill would determine the approach to clean up.
For advice or assistance about spills which cannot be
contained by using the Biohazard Spill Kit or which
exceeds the cleaning capability of Housekeeping, contact
Infection Control or Biological Safety at (744-2070). After
hours, weekends, and holidays, please refer to the
Prospective Health Emergency Call List (Appendix C).
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Appendix B
(Front)
ISOLATION
Attention: Housekeeping
Use Standard Precautions, AND
Contact Precautions (GLOVES AND GOWN)
and/or
Airborne Precautions (MASK)
Until ___________ AM/PM
Negative Pressure Room – Wait 30 minutes
Non-Negative Pressure Room – Wait 3 hours
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Appendix B (continued)
(Back)
Disease
Standard
Droplet
Contact
Precautions Precautions Precautions
x
Gloves
Mask
Eye Protection
Gown
Negative Pressure
Room
x
X
N-95/Papra
x
x
x
SARS (Sudden Acute Respiratory Syndrome)
x
Clostridium difficile (C. diff.)
x
x
Chicken Pox (Varicella)
x
x
Conjunctivitis: Gonococcal, Chlamydia Acute
Viral (Acute hemorrhagic)
x
x
Cytomegalovirus (CMV)
x
Epiglottitis: Hemophilus influenzae
Furunculosis, Staphylococcal: Adults Infants
and Young Children
x
x
x
x
x
Gastroenteritis: Diapered or incontinent
Herpes simplex: Neonatal Mucocutaneous,
disseminated
x
x
x
x
x
x
x
x
Impetigo
x
x
x
Influenza
x
Lice (Pediculosis)
x
Measles (Rubeola or "Red Measles")
x
Meningitis, Meningococcal (N. meningitidis)
x
x
x
Meningococcal Pneumonia
x
x
x
Meningococcemia
x
x
x
MRSA (Methicillin - Resistant Staph. Aureus)
x
Mumps
x
x
x
Parvovirus B 19 (5th Disease)
x
x
x
Pertussis (Whooping Cough)
"Strep" Throat ("Group A Strep") Adults Infants
and Young Children
x
x
x
x
x
x
Pneumonia
x
Respiratory Syncytial Virus (RSV)
Rubella ("German Measles") Acquired
Congenital)
x
Scabies (Mites)
x
Scalded Skin Syndrome, Staphyloccoccal
x
Shingles (Herpes Zoster), Disseminated
x
x
Shinges (Herpes Zoster), Localized
x
x
Skin, Wound or Burn Infection, major
x
x
Tuberculosis, known or suspect
x
Vaccinia
x
x
VRE or Other Multi-drup-Resistant Organism,
Infection or Colonization, any site
x
x
x
x
Wound, draininage not contained by dressing
x
x
x
x
x
x
Airborne
Precautions
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
N-95/Papra
x
x
x
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Appendix C
The Brody School of Medicine
Office of Prospective Health
East Carolina University
188 Warren Life Sciences Building ● Greenville, NC 27834
252-744-2070 office ● 252-744-2417 fax
Occupational
Medicine
TO:
Chief Scott Shelton
ECU Police
FROM:
Paul D. Barry, MD, MPH
Director, Office of Prospective Health
DATE:
January 31, 2013
RE:
Revised Emergency Call-Down List: **Please note personnel changes**
Employee Health
Radiation Safety
Infection control
Biological Safety
Radiation Emergency
1. Jeannette
2. Ekwuribe
3. Maharjan
4. Thomas
Biological Emergency
1. Johnson
2. Chaplinski
3. Thomas
4. Shipley
OFFICE OF PROSPECTIVE HEALTH
Employee
Marcus Jeannette
Eddie Johnson
Nicholas Chaplinski
Chinweokwu Ekwuribe
Raj Maharjan
Anthony Thomas
Sharon Shipley
Paul Barry
Facilities Services
Mike Rowe
Ken Yarnell
cc: Maj. Frank Knight
Dr. Rick Niswander
Bill Koch
Ken Yarnell
Sgt. Jermaine Cherry
Cpt. Beth Watkins
(744-2070)
Home Phone
258-8005
937-8590
717-6925
919-449-7313
240-308-0126
931-9309
792-4734
904-495-4721
Beeper
757-5056
551-7492
383-2004
383-2150
757-5356
757-6066
N/A
N/A
Address
2600 B. East 3rd St. Greenville
7207 River Glenn Rd. Rocky Mount
2611 S. Wright Rd, Greenville
1230-D Allen Rd, Greenville
900 Health St. Apt H, Greenville
2512-A Bluff View Ct.Greenville
2455 Brown Rd, Jamesville
308 Bluebeech Ln, Greenville
946-5650
975-6005
383-0297
N/A
411 Fairview Ave, Washington
379 Ridgecrest Dr. Chocowinity