ICU Maintenance Protocols

The following are short sections describing procedures which must be run in order to maintain the ICU as an efficient, safe, and effective clinic.



  • Do not overload washing machine (typically 10-15 items max)
  • Check laundry for poop or other solids which should be cleaned off first.
  • Make sure towels are evenly distributed to avoid washer stopping. Only add 5 towels at the most.
  • Use 1/2 cup detergent and 1/4 cup bleach.
  • Leave door open when not in use to prevent mold buildup.


  • Clean lint filter before every use.
  • Dryer is a fire hazard so stop dryer when leaving at night.
  • Do not overfill
  • Do not place soaked towels in drier. If "Spin" function of washer is broken, set to washer to complete a second drain and spin part of the cycle.  If towels are still soaked, air dry towels, then place in drier for 10-20 minute to soften. 

Trash and Recycling

  • Tie up full bag of trash and spray entire surface with trifectant, including bottom of bag and ties.
  • Double bag trash with new bag and spray outer surface of bag, again.  DO NOT LET second bag touch any surface or floor after second spray. Allow full contact time and place bag outside of quarantine area.


  1. Mechanically remove all visible organic material (feces, food, etc)
  2. Scrub all crate surfaces with water and a detergent (soap, certain disinfectants). These first two steps removes 90% of pathogens
  3. Chemically remove (kill) virus with disinfectant: spray onto clean and relatively dry surface for appropriate contact time

Sweeping and Mopping

Sweeping and mopping should be executed once a week.

  • Sweep entire areas (pick up stuff to get full floor swept) and collect in dustbin then put in trash.
  • Mop with warm soapy water starting in cleanest area first and move to dirtiest.
  • Once dried, spray all floor surfaces with disinfectant. Let dry.
  • Spray the dryer, fridge, washer, and toilet with disinfectant 


All sharps (needles only) must be discarded in the red Sharps container. Please do not overfill. 
Once full, close container, disinfect, and place outside the ICU. 
Inform medical techs that a sharps container must be picked up and ask for a new one.