Durable Medical Equipment cleaning/sanitizing

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Durable Medical Equipment cleaning/sanitizing

• National ReUse Conference 2009
• Atlanta, GA
• Presented by Chris Brand
• President/CEO
• Friends of Disabled Adults and Children, Too!

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Overview

• Review Standards
• Different products and methods for cleaning and
  sanitizing.
• Discuss wet-room layout.
• Separate or cover cleaned equipment from donated
  equipment.

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Follow Recommendations

• Manufacturers
• DME Vendor standards
• Hospitals and Rehab policies
• Medicare/Medicaid
• The Joint Commission on Accreditation of
  Healthcare Organizations (JCAHO) Accreditation
  program-Home Care

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JCAHO Home Care-Infection Prevention and Control

• The organization plans for preventing and
  controlling infections.
• 1. When developing infection prevention and
  control activities, the organization uses
  evidence-based national guidelines or, in the
  absence of such guidelines, expert consensus,
  or, in the absence of both, a review and
  evaluation of the health care literature.

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Evidence Based

• Guideline for Disinfection and Sterilization in
  Healthcare Facilities, 2008 (CDC)
• Types of devices
• Identify cleaners and methods
• Create work area

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JCAHO Home Care-Infection Prevention and Control

• Based on the identified risks, the organization
  sets goals to minimize the possibility of
  spreading infections.
• The organization reduces the risk of infections
  associated with medical equipment, devices, and
  supplies.
• 1. The organization implements infection
  prevention and control activities when doing the
  following Cleaning and disinfecting medical
  equipment, devices, and supplies.

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JCAHO Home Care-Equipment Management

• The organization receives and stores medical
  equipment and supplies at its site(s).
• The organization designates clearly identified,
  separate areas for storing each of the following
  types of equipment
• - Obsolete equipment
• - Equipment requiring maintenance or repair
• - Dirty equipment
• - Clean equipment
• - Patient-ready equipment

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Guideline for Disinfection and Sterilization in
Healthcare Facilities, 2008 (CDC)

• Non-critical items
• Definitions
• Clean-detergents and water
• Disinfection-wiping with chlorine and
  disinfectants
• Sanitization-steam sterilization

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Guideline for Disinfection and Sterilization in
Healthcare Facilities, 2008 (CDC)

• Keep in mind
• contact times of disinfectants
• cleaning materials, washers, rags, etc.
• Policies and procedures for cleaning and
  disinfecting that will be used by staff
  specifying required training a safety policy
  regarding attire and use of accessories in work
  area

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Cleaning Electrical DME

• Electric Wheelchairs and Hospital beds
• Vacuum or blow with compressed air
• Clean with detergent product by hand
• Spray and wipe with cleaning disinfectant
• Steam sterilization (optional)
• Cover or move to cleaned area

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Cleaning Non-electrical DME

• Manual Wheelchairs and larger items
• Clean with detergent product by wiping, brushing
  and pressure washing, or Hubscrub
• Spray and wipe with cleaning disinfectant
• Steam sterilization (optional)
• Cover or move to cleaned area

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Cleaning Non-electrical DME

• Hand held and smaller AT items
• Steam sterilization preferred
• Spray and wipe with cleaning disinfectant
• Cover or move to cleaned area

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