Cleaning and Disinfection Instructions
38 Pages
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Hill-Rom® Bed and Mattress Cleaning and Disinfection Instructions From Hill-Rom
166717 REV 1
2012 by Hill-Rom Services, Inc. ALL RIGHTS RESERVED. No part of this text shall be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or by any information or retrieval system without written permission from Hill-Rom Services, Inc. (Hill-Rom). The information in this manual is confidential and may not be disclosed to third parties without the prior written consent of Hill-Rom. First Edition First Printing January 2012 Affinity®, Duo®, Hill-Rom®, Stow and Go®, and TotalCare® are registered trademarks of Hill-Rom Services, Inc. The information contained in this manual is subject to change without notice. HillRom makes no commitment to update or keep current, the information contained in this manual. Hill-Rom reserves the right to make changes without notice in design, specifications, and models. The only warranty Hill-Rom makes is the express written warranty extended on the sale or rental of its products. To order additional copies of this manual (166717), refer to the back cover for contact information. For countries not listed on the back cover, contact your distributor. NOTE: The back cover is a comprehensive list of Technical Support contact information for Hill-Rom. The product discussed in this manual may not be available in all of the countries listed.
Hill-Rom® Bed and Mattress Cleaning and Disinfection Instructions (166717 REV 1)
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NOTES:
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Hill-Rom® Bed and Mattress Cleaning and Disinfection Instructions (166717 REV 1)
Table of Contents Chapter 1: Bed Frames Purpose... 1 - 1 Audience... 1 - 1 Document Symbols... 1 - 1 Beds... 1 - 2 Cleaning Frequency... 1 - 2 Cleaning Warnings and Cautions... 1 - 3 Cleaning Materials... 1 - 4 General Bed Frame Cleaning Instructions... 1 - 5 TotalCare® Bed System... 1 - 6 Clean... 1 - 6 Disinfect... 1 - 9 Affinity® Birthing Bed... 1 - 10 Clean... 1 - 10 Disinfect... 1 - 15 Chapter 2: Mattresses Mattress Cleaning... 2 - 1 Cleaning Frequency... 2 - 1 Steam Cleaning... 2 - 1 Cleaning Warnings and Cautions... 2 - 2 Cleaning Materials... 2 - 3 Air Mattress Cleaning and Disinfecting Instructions... 2 - 4 Clean... 2 - 4 Disinfect... 2 - 5 Low Air Loss Coverlets... 2 - 6 Wipe Down... 2 - 6 Machine Wash... 2 - 6 Foam Mattress Cleaning... 2 - 8 Clean... 2 - 8 Hill-Rom® Bed and Surface Cleaning and Disinfection Instructions (166717 REV 1)
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Disinfect... 2 - 9 Affinity® Birthing Bed Mattress Cleaning... 2 - 10 Clean... 2 - 10 Disinfect... 2 - 11
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Hill-Rom® Bed and Surface Cleaning and Disinfection Instructions (166717 REV 1)
Chapter 1 Bed Frames Purpose This manual gives detailed cleaning and disinfecting procedures for Hill-Rom® Beds and Mattresses. The instructions in this manual are recommendations and are not designed to replace more appropriate cleaning and disinfection protocols created by your facility for particular infection situations. This manual has two chapters: one for bed frames and one for mattresses.
Audience This manual is intended for use by facility-approved persons only. To ignore this restriction could cause severe injury to people and serious damage to equipment.
Document Symbols This manual contains different typefaces and symbols to make the content easier to read and understand: •
Standard text-used for regular data.
•
Boldface text-emphasizes a word or phrase.
•
NOTE:-sets apart special data or important instruction clarification.
•
WARNING or CAUTION
–
A WARNING identifies situations or procedures that can have an effect on patient or user safety. To ignore a warning could cause patient or user injury.
–
A CAUTION identifies special procedures or precautions that persons must obey to prevent equipment damage.
Hill-Rom® Bed and Mattress Cleaning and Disinfection Instructions (166717 REV 1)
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Beds Chapter 1: Bed Frames
Beds For purposes of this manual: •
TotalCare® Bed System includes-TotalCare® Bed System, TotalCare® Bariatric Bed, TotalCare® Bariatric Plus Therapy System, and TotalCare® Duo® 2 System
•
Affinity® Birthing Bed includes-Affinity® Three Birthing Bed and Affinity® Four Birthing Beds
Cleaning Frequency Between patient use and during extended patient stays, Hill-Rom recommends that you clean and disinfect the bed. Refer to your facility’s cleaning and disinfection policies for frequency. Daily, Hill-Rom recommends that you clean and disinfect the high touch areas of the bed, such as: siderails, siderail latches, footboard, headboard, patient pendant, and patient helper (if installed). Patient Helper Patient Pendant Headboard Siderail
Siderail Siderail Latch Area
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Footboard
Hill-Rom® Bed and Mattress Cleaning and Disinfection Instructions (166717 REV 1)
Cleaning Warnings and Cautions Chapter 1: Bed Frames
Cleaning Warnings and Cautions WARNING: The potential for electrical shock exists with electrical equipment. Failure to follow facility protocol could cause death or serious injury. WARNING: Failure to unplug the bed from its power source before you clean or disinfect the bed could cause injury or equipment damage. CAUTION: Do not expose the bed to excessive moisture. Injury or equipment damage could occur. CAUTION: Do not steam clean or power wash the bed. Pressure and excessive moisture can damage the protective surfaces of the bed and its electrical components. CAUTION: Do not use harsh or abrasive cleansers, solvents, or scouring pads. Equipment damage could occur. CAUTION: Make sure the bed frame and mattress are dry before you put the mattress on the bed. Failure to do so could cause equipment damage.
Hill-Rom® Bed and Mattress Cleaning and Disinfection Instructions (166717 REV 1)
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Cleaning Materials Chapter 1: Bed Frames
Cleaning Materials Tools:
Personal protective equipment (such as: chemical resistant gloves, goggles, face shield, shoe covers, and apron per facility protocol) (2) clean buckets Soft clothes (2) soft bristle brush (do not use scouring pads)
Recommended Cleaning/Disinfectant Solutions:
See below
Recommended Cleaning/Disinfectants Solutions Chemical Class Quaternary ammonium chloride Quaternary ammonium chloride Phenolic
Phenolic Chlorine releasing agent Alcohol Quaternary ammonium
Active Ingredient
pH
Didecyl dimethyl ammonium chloride = 8.704% Alkyl dimethyl benzyl ammonium chloride = 8.19%
9.0 – 10.0 in use
Alkyl dimethyl benzyl ammonium chloride = 13.238% Alkyl dimethyl ethylbenzyl ammonium chloride = 13.238%
9.5 in use
o-phenylphenol = 7.06% o-benzyl-p-chlorophenol = 10.60% p-tert-amylphenol = 3.62% Ortho-Phenylphenol = 3.40% Ortho-Benzyl-para-Chlorophenol = 3.03 Sodium Dichloroisocyanurate = 1,000 ppm to 5,500 ppm
10.0 in use
3.1 +/- 0.4 in use 5.5 – 7.0
Isopropyl alcohol = 70% 5.0 – 7.0 n-Alkyl dimethyl benzyl ammonium chlorides = 0.105% 11.7 in use n-Alkyl dimethyl ethylbenzyl ammonium chlorides = 0.105%
Hill-Rom recommends the use of a disinfectant with a pH value less than 9, preferably with a neutral pH. Hill-Rom recommends the use of an EPA registered (US only), tuberculocidal, disinfectant. NOTE: The solutions listed can be used to clean and/or disinfect. Refer to the manufacturer’s label for instructions.
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Hill-Rom® Bed and Mattress Cleaning and Disinfection Instructions (166717 REV 1)
General Bed Frame Cleaning Instructions Chapter 1: Bed Frames
General Bed Frame Cleaning Instructions 1. Set the brakes. 2. Raise the bed frame to a comfortable working height. 3. Remove the headboard and footboard. WARNING: Failure to unplug the bed could cause equipment damage or injury. 4. Unplug the bed. 5. Disable the battery or allow the battery to time out. 6. For TotalCare® Bed Systems raise the head of the mattress and disconnect the air hoses and any electrical wires present. NOTE: Some TotalCare® Bed Systems have individual hose connections and some have a single connector with multiple hose connections on it.
7. For Affinity® Birthing Bed, disconnect the air hose on each side of the bed, under the sleep deck.
Hill-Rom® Bed and Mattress Cleaning and Disinfection Instructions (166717 REV 1)
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General Bed Frame Cleaning Instructions Chapter 1: Bed Frames
8. For TotalCare® Duo® 2 Beds, do as follows: a. Disconnect the three fasteners at the foot end of the mattress. b. Disconnect the two straps, one per side, at the foot end of the mattress.
c.
a. b.
c. Put the plastic block through the frame. d. Unzip the top cover. a.
b.
c.
e. Disconnect the two fasteners under the cushions.
c.
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Hill-Rom® Bed and Mattress Cleaning and Disinfection Instructions (166717 REV 1)
General Bed Frame Cleaning Instructions Chapter 1: Bed Frames
f. Put the plastic block through the bottom cover on each side.
c.
g. Disconnect the hooks at the head end of the bed.
c.
h. Disconnect the air hoses and power cable. i. Close the top cover. 9. Use these to clean the bed: •
A soft cloth soaked with warm water and a facility-approved general cleaning soap/detergent solution. Make sure the cloth is not so wet as to cause the cleaning solution to pool on the bed components.
•
A soft brush to remove stains and resistant soil. Do not use harsh or abrasive cleansers, solvents, or scouring pads.
Hill-Rom® Bed and Mattress Cleaning and Disinfection Instructions (166717 REV 1)
c.
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General Bed Frame Cleaning Instructions Chapter 1: Bed Frames
10. Clean the bed. Give special attention to these areas: •
Headboard
•
Footboard
•
Siderails-the upper and under sides of the siderail releases, pendants, caregiver and patient controls, and the latch areas and latch pins of the mount brackets
•
Bed frame
•
Casters and brake/steer pedals
•
All other bed components
•
All installed accessories (IV poles, ISS poles, traction adapters, and the like)
•
Roller bumpers
•
Power cord
•
Patient helper (if installed)
11. Refer to the specific bed cleaning sections on the next few pages for further cleaning details. 12. After you clean the bed, disinfect the bed.
Disinfect Repeat the cleaning instructions while you use the facility approved disinfectant. Follow the manufacturer’s instructions for proper use of the disinfectant. After you disinfect the bed, rinse the bed with clean water to remove all disinfectant residue. After you clean and disinfect the bed, install a clean and disinfected mattress. Connect the air hoses and retaining straps as applicable based on the mattress.
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Hill-Rom® Bed and Mattress Cleaning and Disinfection Instructions (166717 REV 1)
TotalCare® Bed System Chapter 1: Bed Frames
TotalCare® Bed System Clean CAUTION: Do not steam clean the bed. Equipment damage could occur. 1. Do not steam clean the bed. 2. Clean the bed. Refer to “General Bed Frame Cleaning Instructions” on page 1-5. 3. Give special attention to these areas: Item Description
Location
B
C
D F G K
I
H
A
J
E
Note: There are additional locations listed in the table that are not shown in the graphic.
A
GCI housing
Hill-Rom® Bed and Mattress Cleaning and Disinfection Instructions (166717 REV 1)
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TotalCare® Bed System Chapter 1: Bed Frames
Item
Description
B
Transport handles
C
Transport handle mount
D
Permanent IV pole mount
E
Footboard/headboard mounts
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Location
Hill-Rom® Bed and Mattress Cleaning and Disinfection Instructions (166717 REV 1)
TotalCare® Bed System Chapter 1: Bed Frames
Item
Description
F
Auxiliary outlet power cord
G
Back of the head section
H
Foot end of the base between the lift arms
Location
Hill-Rom® Bed and Mattress Cleaning and Disinfection Instructions (166717 REV 1)
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TotalCare® Bed System Chapter 1: Bed Frames
Item
Description
I
Top of the base shroud covers
J
Foot extension section
K
Emergency CPR/Trendelenburg and manual pump pedals
Location
Disinfect Repeat the cleaning instructions while you use the facility approved disinfectant. Follow the manufacturer’s instructions for proper use of the disinfectant. After you disinfect the bed, rinse the bed with clean water to remove all disinfectant residue.
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Hill-Rom® Bed and Mattress Cleaning and Disinfection Instructions (166717 REV 1)
Affinity® Birthing Bed Chapter 1: Bed Frames
Affinity® Birthing Bed Clean CAUTION: Do not steam clean the bed. Equipment damage could occur. 1. Do not steam clean the bed. 2. Clean the bed. Refer to “General Bed Frame Cleaning Instructions” on page 1-5. 3. Give special attention to these areas: Item Description
Location
Note: There are additional locations listed in the table that are not shown in the graphic.
A
B
B
F H A
I G
E
D
C
J
Sleep deck-give special attention to the: mattress snaps, screw holes, and splash channel
Hill-Rom® Bed and Mattress Cleaning and Disinfection Instructions (166717 REV 1)
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Affinity® Birthing Bed Chapter 1: Bed Frames
Item
Description
B
Underside of the head section, the top of the frame covers, and the Trend like levers
C
Heel cup, release handle, foot support handle, and calf support
D
Edge of the bellows
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Location
Hill-Rom® Bed and Mattress Cleaning and Disinfection Instructions (166717 REV 1)
Affinity® Birthing Bed Chapter 1: Bed Frames
Item
Description
E
Bellows
F
Calf support release handle
G
Open the calf supports, and clean the splash guard area
Location
Hill-Rom® Bed and Mattress Cleaning and Disinfection Instructions (166717 REV 1)
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