Introduction
Multi-Clean
Health Care Facilities
Cleaning and Maintenance
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.
Introduction
Multi-Clean
Health Care Facilities
Cleaning and Maintenance
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.
Introduction
Multi-Clean
Health Care Facilities
Cleaning and Maintenance
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.
Terms you should know
Multi-Clean
Health Care Facilities
Cleaning and Maintenance
Environmental Surfaces
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*
•Equipment is usually diagnostic
equipment such as x-ray machines,
CT scanners etc.
Terms you should know
Multi-Clean
Health Care Facilities
Cleaning and Maintenance
Housekeeping Surfaces
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
Terms you should know
Multi-Clean
Health Care Facilities
Cleaning and Maintenance
HIGH TOUCH Surfaces
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.
MINIMAL TOUCH Surfaces
These surfaces must also be cleaned but not
as frequently.
Examples:
Floors, walls, ceilings
Terms You Should Know
Multi-Clean
Health Care Facilities
Cleaning and Maintenance
Bloodborne Pathogens
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.
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.
Bloodborne Pathogens
Multi-Clean
Health Care Facilities
Cleaning and Maintenance
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)
Bloodborne Pathogens
Multi-Clean
Health Care Facilities
Cleaning and Maintenance
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.
Bloodborne Pathogens
Multi-Clean
Health Care Facilities
Cleaning and Maintenance
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.
Protecting Yourself
Multi-Clean
Health Care Facilities
Cleaning and Maintenance
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.
Protecting Yourself
Multi-Clean
Health Care Facilities
Cleaning and Maintenance
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.
Protecting Yourself
Multi-Clean
Health Care Facilities
Cleaning and Maintenance
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
Protecting Yourself
Multi-Clean
Health Care Facilities
Cleaning and Maintenance
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
Protecting Yourself
Multi-Clean
Health Care Facilities
Cleaning and Maintenance
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.
Protecting Patients
Multi-Clean
Health Care Facilities
Cleaning and Maintenance
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.
Floor Safety
Multi-Clean
Health Care Facilities
Cleaning and Maintenance
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.
Floor Safety
Multi-Clean
Health Care Facilities
Cleaning and Maintenance
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.
Floor Safety
Multi-Clean
Health Care Facilities
Cleaning and Maintenance
What can I do to prevent slip and fall accidents?
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.
Floor Safety
Multi-Clean
Health Care Facilities
Cleaning and Maintenance
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.
Using Multi-Clean Products
Multi-Clean
Health Care Facilities
Cleaning and Maintenance
You will be using the Multi-Task Dilution Control
System from Multi-Clean to dispense most cleaning
products into buckets or spray bottles.
Buttons to activate
dispenser.
Short hose for filling
spray bottles..
View window shows
which product is
being dispensed.
Long hose for filling
buckets or equipment.
Products:
#256 Century Q
#2 Multi-Shine
#3 Eliminator
#4 Foamy MAC
#5 Century Maintenance
#11 Odor Control
#13 Extraction Cleaner
256 Century Q
Multi-Clean
Health Care Facilities
Cleaning and Maintenance
Description: Disinfectant Cleaner for use
anywhere a disinfectant is required.
Color Code:
Red
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.
2 Multi-Shine
Multi-Clean
Health Care Facilities
Cleaning and Maintenance
Description: Glass and surface cleaner
Color Code: Blue
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.
3 Eliminator
Multi-Clean
Health Care Facilities
Cleaning and Maintenance
Description: Heavy duty spray and
wipe cleaner for tougher cleaning task.
Color Code:
Purple 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:
4 Foamy MAC
Multi-Clean
Health Care Facilities
Cleaning and Maintenance
Description: General purpose restroom,
shower and tub cleaner. Removes hard
water scale, and soap scum.
Color Code:
Green 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.
5 Century Maintenance
Multi-Clean
Health Care Facilities
Cleaning and Maintenance
Description: A neutral floor cleaner for
everyday cleaning of floors where a
disinfectant is NOT required.
Color Code: Lt. Blue 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.
11 Freshence Odor Control
Multi-Clean
Health Care Facilities
Cleaning and Maintenance
Description: Odor neutralizer and
counteractant. Leaves a fresh scent.
Color Code:Lt. Orange 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.
13 Extraction
Multi-Clean
Health Care Facilities
Cleaning and Maintenance
Description: Carpet cleaning product for
Use in extraction equipment.
Color Code: Lt. Green 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.
Floorcare
Multi-Clean
Health Care Facilities
Cleaning and Maintenance
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
Floor Maintenance
Multi-Clean
Health Care Facilities
Cleaning and 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.
Floor Care
Multi-Clean
Health Care Facilities
Cleaning and Maintenance
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
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
Carpet Care
Multi-Clean
Health Care Facilities
Cleaning and Maintenance
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.
Multi-Clean
Health Care Facilities
Cleaning and Maintenance
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
Working safely is important for
your own protection as well as
the protection of fellow
employees, hospital staff,
patients, and visitors.
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
Multi-Clean
Health Care Facilities
Cleaning and Maintenance
Knowing the cleaning products
and how they are used is an
important part of your job.