Type of precautions
Disease Examples
Solution terminal cleaning of room
Waste
Handling
PPE
OR Room Cleaning after Potentially Infectious Case
Standard
HIV
Hepatitis
Germicidal detergent
Cleaning should progress from clean to dirty areas and from top to bottom areas
Standard & Contact
Multi Drug Resistant
Organisms – MRSA,
VRE, ESBL (E. Coli.,
Klebsiella)
Resistant Acinobacter
Scabies, Lice, Shingles
C Diff
Germicidal detergent
C Diff: :10 bleach solution. Soap and water hand hygiene after completion of cleaning
Cleaning should progress from clean to dirty areas and from top to bottom areas
All waste from room goes into red trash bags
All waste from room goes into red trash bags.
Use Standard
Precautions.
All blood and body fluids and other potentially infectious materials or fluids are handled as if infected with a blood borne pathogen.
Gloves and other barriers are used when needed.
Eye protection
Gown and gloves always required upon entry to room.
Mask used if there is a risk of fluid splash or spray.
Easily transmitted on the hands.
Eye protection
Standard &
Airborne
Standard & Droplet
TB
Measles
Germicidal detergent
Cleaning should progress from clean to dirty areas and from top to bottom areas
Meningitis
Seasonal Influenza
Mumps
Rubella
Pneumonia (Group A
Strep, Mycoplasma,
Adenovirus)
Pertussis
Germicidal detergent
Cleaning should progress from clean to dirty areas and from top to bottom areas
Standard & Airborne
& Contact
MERS
SARS
Chicken Pox
Disseminated Herpes
Zoster
Germicidal detergent
Cleaning should progress from clean to dirty areas and from top to bottom areas
Standard & Droplet &
Contact
Group A strep necrotizing fasciitiis
Pandemic Influenza such as
Influenza A (H1N1)
Standard and Contact
Creutzfeld-Jakob Disease
Germicidal detergent
Cleaning should progress from clean to dirty areas and from top to bottom areas
Bleach-full strength
(8.25%). Flood areas, let stand 1 hour. Mop up, rinse with warm water
Use disposable equipment
Cleaning should progress from clean to dirty areas and from top to bottom areas.
All waste from room goes into red trash bags.
PAPR or
N-95 Respiratory mask if fit tested within the last year
Must be fit tested by
Family Medicine ext
5555
Eye protection
All waste from room goes into red trash bags.
Standard mask within three feet of patient.
Eye protection
All waste from room goes into red trash bags.
Gown and gloves always required upon entry to room. Eye protection
Easily transmitted on the hands.
PAPR or
N-95 Respiratory mask if fit tested within the last year
Must be fit tested by
Family Medicine ext
5555
MERS: Eye protection
= goggles or face shield
All waste from room goes into red trash bags.
Gown and gloves always required upon entry to room.
Eye protection
Easily transmitted on the hands.
Regular mask within three feet of patient.
For H1N1, wear tight fitting goggles with other PPE.
For H1N1, wear N-95 respirator when participating in cough inducing procedures such as intubation, suctioning, etc.
All waste from room goes into red trash bags. Label all trash bags for incineration as soon as possible
Wear PPE- single use impervious gown, gloves, chemical splash goggles, and masks
September 29, 2014

OR Room Cleaning after Potentially Infectious Case
Type of Precaution
Standard Standard & Contact
Standard &
Airborne
Standard & Droplet
Standard & Airborne
& Contact
Standard & Droplet &
Contact
Standard and Contact
Equipment
Cleaning
Disposable or clean well between patients with
Sani-wipes or hospital disinfectant.
Clean the room with germicidal detergent/wipes
Disposable or clean well between patients with Sani-wipes or hospital disinfectant.
Clean the room with germicidal detergent/wipes
For C-Diff , clean room with bleach or bleach cloths. Use soap and water hand hygiene.
Disposable or clean well between patients with Saniwipes or hospital disinfectant.
Allow room to filter for 1 hour, then - clean the room with germicidal detergent/wipes
Disposable or clean well between patients with Sani-wipes or hospital disinfectant.
Clean the room with germicidal detergent/wipes
Disposable or clean well between patients with Sani-wipes or hospital disinfectant.
Allow room to filter for 1 hour, then - clean the room with germicidal detergent/wipes
Disposable or clean well between patients with Saniwipes or hospital disinfectant.
Clean the room with germicidal detergent/wipes
Use disposable equipment
Bleach-full strength
(8.25%). Flood areas, let stand 1 hour. Mop up, rinse with warm water
Standard
When you are in any area that could be the source of a fluid exposure, you should wear eye protection, in addition to these recommendations.
Always use a barrier when you are dealing with any type of body fluids. Usually gloves will be enough but you may have to wear a face shield or fluid resistant gown also.
Standard +Droplet
Standard +Droplet +
Contact
Standard +Contact
Standard +Contact
Standard
+Airborne
Standard +Airborne
+ Contact
Always wear gloves and gown when entering the room that has been used for a pt who is on contact precautions.
PAPR
If you think you will have contact with any type of body fluids, you should wear gloves and gown.
Wear a standard surgical mask when entering the room. This does not require fit testing.
If you think you will have contact with any type of body fluids, you should wear gloves and gown.
PAPR required
Wear gown and gloves for contact precautions.
MERS: Eye protection
Wear a standard surgical mask when entering the room. This does not require fit testing.
Always wear gown and gloves when entering the patient room that is on contact precautions.
Always use a barrier when you are dealing with any type of body fluids.
Chemical splash goggles
September 29, 2014

OR Room Cleaning after Potentially Infectious Case
September 29, 2014