Cleaning and Disinfection Instructions
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Hill-Rom® Cleaning and Disinfection Instructions Progressa™ Bed System
This guide gives detailed cleaning and disinfecting procedures for the Progressa™ Bed System by Hill-Rom®, which complements (not replaces) the User Manual. The instructions in this guide are recommendations and are not designed to replace more appropriate cleaning and disinfection protocols created by your facility for particular infection situations.
This guide is intended for use by facility-approved persons only. To ignore this restriction could cause severe injury to people and serious damage to equipment.
www.hill-rom.com ©2016 HillRom Services, Inc. ALL RIGHTS RESERVED. Doc. No: 5EN125823-01, 09 February 2016
Progressa™ Sleep Surface Component Identification
Machine Wash the Topper For a lightly soiled topper, you may wipe it clean as described above. However, when there are signs of heavy soil such as body fluids and/or substances, machine wash the coverlet as follows: 1. Remove the topper from the sleep surface (Image 1 & 2) 1
Unzip the cover from the surface 2.
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Disconnect the two MCM hoses from the surface
Machine-wash the topper at a temperature between 120°F - 140°F (49°C – 60°C) with chlorine bleach (50 ppm to 150 ppm) or detergent and an EPA registered disinfectant solution. (2.5 oz of bleach per 10 gal of water is approximately 100 ppm of available chlorine (Metric equivalent: 1.95ml of bleach per 1 litre)). • Use the bleach or disinfectant as instructed in the manufacturer’s instructions. • To determine the amount of bleach or disinfectant to use, determine the amount of water in the washer, and follow the manufacturer’s dilution instructions. • During the wash cycle, soak the topper in the disinfectant or bleach. • Let the topper rinse thoroughly in clean water.
3. Use the lowest temperature setting on the dryer to dry the coverlet. Do not use high temperatures.
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Clean and Disinfect the Bed and Sleep Surface 1. Unplug the bed 2. Remove all linens 3. If it is necessary to remove the sleep surface, do as follows: a. Adjust the sleep deck to the level position, and fully extend the foot section. b. Disconnect the surface hooks at the head (images 3 -6) and foot ends (images 7-8) of the surface. 3
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c. Disconnect the quick-disconnect connector at the seat section (images 9-12). 9
d. Remove the surface. (image 13)
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4. Use these to clean the bed: • A soft cloth soaked with warm water and a mild detergent. Make sure the cloth is not so wet as to cause the solution to pool or flood the sleep surface or other bed components. • A soft bristle brush to remove stains and resistant soil. Do not use harsh or abrasive cleansers, solvents, or scouring pads.
www.hill-rom.com ©2016 HillRom Services, Inc. ALL RIGHTS RESERVED. Doc. No: 5EN125823-01, 09 February 2016
5. Clean the bed. Give special attention to these areas: - Headboard and footboard-thoroughly clean as these are high-touch areas - Side rails-thoroughly clean the high-touch areas (such as the upper and under sides of siderail releases, pendants, and patient controls) and the latch areas and latch pins of the mount brackets - Bed frame - Casters - Fully-extended IV pole - Bed accessories - All other bed components 6. Disinfect the bed-wipe down all surfaces with an EPA registered disinfectant, used in accordance with the manufacturer's instructions. Give special attention to high-touch areas such as the side rails, upper and under sides of side rail releases, pendants, patient controls, and head and footboards. 7. Wipe down the sleep surface and topper with chlorine bleach (50 ppm to 150 ppm) or a recommended cleaning solution and warm water followed by an EPA registered disinfectant. (2.5 oz of bleach per 10 gal of water is approximately 100 ppm of available chlorine (Metric equivalent: 1.95ml of bleach per 1 litre)). NOTE: The topper can be either wiped down or machine washed. For machine washing, see “Machine Wash the Topper”, NOTE: If you turn the surface to clean it, make sure the cleaner/disinfectant solution does not pool or flow on to the other side or edges of the surface. This may permit fluid to get into the surface air outlets and zipper closures that ordinarily are protected by flaps. 8. Let the bleach or disinfectant remain in contact with the surface as instructed in the manufacturer’s instructions. 9. Remove the bleach or disinfectant, and rinse with warm water. 10. Let the surface and topper completely air dry. 11. Examine the condition of the surface. If there are holes, tears, or other signs of damage or deterioration, replace the surface. 12. Install the topper on to the surface, if applicable. 13. Make sure the bed frame is dry, and then install the surface on the bed as follows: a. Adjust the sleep deck to the level position, and fully extend the foot section. b. Put the sleep surface on the sleep deck. c. Connect the quick-disconnect connector at the seat section. d. Connect the surface hooks at the head and foot ends of the surface. e. Make sure the surface is extended completely to the footboard. 14. Put the linens on the bed. 15. Plug the bed into an applicable power outlet. www.hill-rom.com ©2016 HillRom Services, Inc. ALL RIGHTS RESERVED. Doc. No: 5EN125823-01, 09 February 2016
Warnings When you clean and disinfect the bed and mattress, follow these safety instructions; otherwise, personal injury or equipment damage could occur: • Hill-Rom recommends that you clean and disinfect the bed and sleep surface between patient uses. • The potential for electrical shock exists with electrical equipment. Failure to follow facility protocol could cause death or serious injury. • Always follow the cleaning product manufacturer’s instructions. • Do not steam clean or power wash the bed or mattress. Pressure and excessive moisture can damage protective surfaces of the bed and its electrical components. • Do not use harsh cleansers/detergents, heavy duty grease removers, solvents such as toluene, xylene, or acetone, and do not use scouring pads (you may use a soft bristle brush). • Do not use high temperatures to dry the topper. Air dry or select a low or non-heat dry cycle such as air fluff. High temperatures could impact the impermeability of the topper. • Do not put the mattress on the bed until the mattress and bed are completely dry.
Cleaning Frequency Recommendation Hill-Rom recommends cleaning and disinfecting the bed and sleep surface between patient use and regularly during extended patient stays. Refer to your facilities cleaning and disinfection policies, as well as the recommendations below: • •
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Clean the sleep surface every 60 days for patients who are on the surface longer than 60 days. Wipe up fluid spills as soon as possible. Always unplug the unit from its power sources before you clean up major fluid spills. Some fluids used in the hospital environment, such as iodophor and zinc oxide creams, can cause permanent stains. Remove temporary stains by wiping vigorously with a lightlydampened sponge or cloth. Use an EPA registered disinfectant and a soft bristle brush to remove difficult spots or stains. If there are no signs of heavy soil such as body fluids and/or substances, use a mild detergent and warm water to clean the bed or sleep surface. For disinfection, we recommend that you use a tuberculocidal disinfectant. See the cleaning and disinfectant solutions in the table below. (For customers in the US, use a disinfectant that is registered with the Environmental Protection Agency.) Refer to the manufacturer’s label for use instructions.
Steam Cleaning Do not use any steam cleaning device on the Progressa™ Bed. Excessive moisture can damage mechanisms in this unit.
Cleaning Hard to Clean Spots To remove difficult spots or stains, use standard cleaners and a soft bristle brush.
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Cleaning Medical Fluid Spills Fluid spills should be wiped up as soon as possible. Always unplug the unit from its power sources before cleaning up major fluid spills. Some fluids used in the hospital environment, such as iodophor and zinc oxide creams, can cause permanent stains. Temporary stains can be removed by wiping vigorously with a lightly-dampened sponge or rag and an approved cleaner/disinfectant solution.
Cleaning Blood and Excreta If possible, wipe up excess blood and excreta when wet since the cleaning process is more difficult after these substances dry. In the presence of visible blood or other body fluids, the use of an intermediate-level (tuberculocidal) detergent/disinfectant is recommended.
Damaged Surface Ticking Tears, holes, and cracks in the sleep surface ticking will compromise surface impermeability and infection resistance. Repairs to the ticking are not recommended. Contact your facility maintenance to replace the ticking.
www.hill-rom.com ©2016 HillRom Services, Inc. ALL RIGHTS RESERVED. Doc. No: 5EN125823-01, 09 February 2016