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.

Laundry

Washer

  • 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.

Dryer

  • 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.

Crates

  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 

Sharps

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.

Dishes

  1. When possible dishes should be rinsed and returned to the same kennel.
  2. If the dish is too dirty and needs to be washed with a sponge, leave the dish in the sink until the end of the shift and give the kennel a new clean dish from the cupboard...NOT FROM THE DRYING RACK.
  3. If the sink becomes too full during a shift, wash all the dishes and as they are cleaned dip them in a 1:20 bleach bath just before setting them on the drying rack.  Alternatively if you need to only bleach a few dishes, you may also spray the entire surface of the dish with the bleach spray bottle.  Once done with the dishes, rinse the sponge in the bleach bath and set to dry.
  4. The bleach bath should be made up fresh for each shift.
  5. Dishes must be completely dry before removing from the drying rack and placing into the cupboard.
  6. At the end of the PM shift, throw the sponge in the laundry.  Sponges must go through the laundry once per day.
  7. Dishes should be washed and left to dry in the ward they are being used. E.g. Do not bring a dish from ward 2 and wash it in the ward 1 sink.