This action states

The health service organisation has processes to maintain a clean and hygienic environment – in line with the current edition of the Australian Guidelines for the Prevention and Control of Infection in Healthcare, and jurisdictional requirements – that:

  1. Respond to environmental risks
  2. Require cleaning and disinfection in line with recommended cleaning frequencies
  3. Include training in the appropriate use of specialised personal protective equipment for the workforce

Intent

Health service organisations identify and respond to environmental and infection risks by providing a clean environment for patients and the workforce.

Reflective questions

What processes are used to maintain a clean and hygienic environment in line with the current edition of the Australian Guidelines for the Prevention and Control of Infection in Healthcare and with state or territory requirements?

How does the health service organisation ensure that the workforce is trained in the appropriate use of specialised personal protective equipment?

Key tasks

  • Identify the environmental cleaning hazards in the organisation and include these in the organisation’s risk management strategies.

  • Review or develop policies, procedures and protocols to include effective strategies to provide a clean environment in the organisation.

  • Use the implementation and evaluation strategies for environmental cleaning to ensure that cleaning and disinfection processes are in line with recommended cleaning frequencies appropriate to the health service organisation.

  • Provide training to the workforce undertaking environmental cleaning activities and include the use of specialised personal protective equipment if required.

  • Evaluate environmental cleaning practices for compliance with policies, procedures and protocols, and measure outcomes of cleaning processes.

  • Review duty lists, position descriptions or contract specifications as part of the appraisal or contract review process, and provide feedback to the relevant person or group on achievements or areas for improvement.

Strategies for improvement

Hospitals

Include environmental cleaning risks in the organisation’s risk management strategies, and ensure that cleaning processes have the support of the governing body and executive.

Implementation strategies for a clean environment should be evidence based and have a risk management focus. Strategies may include:

  • Workforce and contractor education
  • Version control and standardised formats for
    • policies
    • procedures
    • position descriptions
    • duty lists
    • contract specifications (for contracted cleaning services)
  • Processes to assess effectiveness
  • Evaluation of the cleaning program.

The governing body is responsible for overseeing contracted cleaning services. Contract development, documentation and record keeping should include consultation with key groups, including:

  • The cleaning manager
  • Infection prevention and control
  • Corporate services
  • Governance.

Develop cleaning and disinfection schedules that meet the requirements outlined in the Australian Guidelines for the Prevention and Control of Infection in Healthcare1 and relevant state or territory requirements. These schedules should include:

  • Frequency and type of activity
  • Product and equipment to be used
  • Specialised personal protective equipment, if required
  • Safety instructions.

Ensure that position descriptions and duty lists are current, and consistent with the environmental cleaning and disinfection schedules used in the organisation.

Monitor performance

Identify areas that require audit and evaluation of environmental cleaning and disinfection processes, and use audit and evaluation tools that effectively assess compliance with policies, procedures and protocols used in the organisation. Report to the governing body on improvements achieved and areas in which further improvement is needed as part of the quality improvement program.

Include environmental cleaning and a process to deal with any identified issues in the organisation’s incident management and investigation system. Review the incident management and investigation system to identify any incidents relating to environmental cleaning activities and act to prevent incidents recurring.

Day Procedure Services

Include environmental cleaning risks in the organisation’s risk management strategies, and ensure that cleaning processes have the support of the governing body and executive.

Implementation strategies for a clean environment should be evidence based and have a risk management focus. Strategies may include:

  • Workforce and contractor education
  • Version control and standardised formats for
    • policies
    • procedures
    • position descriptions
    • duty lists
    • contract specifications (for contracted cleaning services)
  • Processes to assess effectiveness
  • Evaluation of the cleaning program.

The governing body is responsible for overseeing contracted cleaning services. Contract development, documentation and record keeping should include consultation with key groups, including:

  • The cleaning manager
  • Infection prevention and control
  • Corporate services
  • Governance.

Develop cleaning and disinfection schedules that meet the requirements outlined in the Australian Guidelines for the Prevention and Control of Infection in Healthcare and relevant state or territory requirements. These schedules should include:

  • Frequency and type of activity
  • Products and equipment to be used
  • Specialised personal protective equipment, if required
  • Safety instructions.

Ensure that position descriptions and duty lists are current, and consistent with the environmental cleaning and disinfection schedules used in the organisation.

Monitor performance

Identify areas that require audit and evaluation of environmental cleaning and disinfection processes, and use audit and evaluation tools that effectively assess compliance with policies, procedures and protocols used in the organisation. Report to the governing body on improvements achieved and areas in which further improvement is needed as part of the quality improvement program.

Include environmental cleaning and a process to deal with any identified issues in the organisation’s incident management and investigation system. Review the incident management and investigation system to identify any incidents relating to environmental cleaning activities and act to prevent incidents recurring.

It may be appropriate for some day procedure services to work with the overarching corporate organisation to identify the available resources that can support the environmental cleaning program.

Examples of evidence

Select only examples currently in use:

  • Policy documents about a clean and hygienic environment
  • Cleaning and disinfection schedules that meet the requirements outlined in the Australian Guidelines for the Prevention and Control of Infection in Healthcare and relevant state or territory requirements
  • Audit results of cleaning and disinfection practices
  • Committee and meeting records relating to cleaning and disinfection
  • Contracts with external cleaning providers that outline the health service organisation’s requirements for cleaning and disinfection
  • Results of consumer experience surveys, and actions taken to deal with issues identified regarding cleaning and disinfection
  • Training documents for the workforce about the use of specialised personal protective equipment
  • Audit results of the use of specialised personal protective equipment.

MPS & Small Hospitals

MPSs and small hospitals should:

  • Identify the environmental cleaning hazards in the organisation and include these in the organisation’s risk management strategies
  • Review or develop policies, procedures and protocols to include effective strategies to provide a clean environment in the organisation
  • Use the implementation and evaluation strategies for environmental cleaning to ensure that cleaning and disinfection processes are in line with recommended cleaning frequencies appropriate to the health service organisation
  • Provide training to the workforce performing environmental cleaning activities and include the use of specialised personal protective equipment, if required
  • Evaluate environmental cleaning practices for compliance with policies, procedures and protocols, and measure outcomes of cleaning processes
  • Review duty lists, position descriptions or contract specifications as part of the appraisal or contract review process, and provide feedback to the relevant person or group on achievements or areas for improvement.

Develop cleaning and disinfection schedules that meet the requirements outlined in the Australian Guidelines for the Prevention and Control of Infection in Healthcare and relevant state or territory requirements. These schedules should include:

  • Frequency and type of activity
  • Products and equipment to be used
  • Specialised personal protective equipment, if required
  • Safety instructions.

Ensure that position descriptions and duty lists are current, and consistent with the environmental cleaning and disinfection schedules used in the organisation.

Monitor performance

Identify areas that require audit and evaluation of environmental cleaning and disinfection processes, and use audit and evaluation tools that effectively assess compliance with policies, procedures and protocols used in the organisation. Report to the governing body on improvements and areas in which further improvement is needed as part of the quality improvement program.

Include environmental cleaning and a process to deal with any identified issues in the organisation’s incident management and investigation system. Review the incident management and investigation system to identify any incidents relating to environmental cleaning activities and act to prevent incidents recurring.

Hospitals

Include environmental cleaning risks in the organisation’s risk management strategies, and ensure that cleaning processes have the support of the governing body and executive.

Implementation strategies for a clean environment should be evidence based and have a risk management focus. Strategies may include:

  • Workforce and contractor education
  • Version control and standardised formats for
    • policies
    • procedures
    • position descriptions
    • duty lists
    • contract specifications (for contracted cleaning services)
  • Processes to assess effectiveness
  • Evaluation of the cleaning program.

The governing body is responsible for overseeing contracted cleaning services. Contract development, documentation and record keeping should include consultation with key groups, including:

  • The cleaning manager
  • Infection prevention and control
  • Corporate services
  • Governance.

Develop cleaning and disinfection schedules that meet the requirements outlined in the Australian Guidelines for the Prevention and Control of Infection in Healthcare1 and relevant state or territory requirements. These schedules should include:

  • Frequency and type of activity
  • Product and equipment to be used
  • Specialised personal protective equipment, if required
  • Safety instructions.

Ensure that position descriptions and duty lists are current, and consistent with the environmental cleaning and disinfection schedules used in the organisation.

Monitor performance

Identify areas that require audit and evaluation of environmental cleaning and disinfection processes, and use audit and evaluation tools that effectively assess compliance with policies, procedures and protocols used in the organisation. Report to the governing body on improvements achieved and areas in which further improvement is needed as part of the quality improvement program.

Include environmental cleaning and a process to deal with any identified issues in the organisation’s incident management and investigation system. Review the incident management and investigation system to identify any incidents relating to environmental cleaning activities and act to prevent incidents recurring.

Day Procedure Services

Include environmental cleaning risks in the organisation’s risk management strategies, and ensure that cleaning processes have the support of the governing body and executive.

Implementation strategies for a clean environment should be evidence based and have a risk management focus. Strategies may include:

  • Workforce and contractor education
  • Version control and standardised formats for
    • policies
    • procedures
    • position descriptions
    • duty lists
    • contract specifications (for contracted cleaning services)
  • Processes to assess effectiveness
  • Evaluation of the cleaning program.

The governing body is responsible for overseeing contracted cleaning services. Contract development, documentation and record keeping should include consultation with key groups, including:

  • The cleaning manager
  • Infection prevention and control
  • Corporate services
  • Governance.

Develop cleaning and disinfection schedules that meet the requirements outlined in the Australian Guidelines for the Prevention and Control of Infection in Healthcare and relevant state or territory requirements. These schedules should include:

  • Frequency and type of activity
  • Products and equipment to be used
  • Specialised personal protective equipment, if required
  • Safety instructions.

Ensure that position descriptions and duty lists are current, and consistent with the environmental cleaning and disinfection schedules used in the organisation.

Monitor performance

Identify areas that require audit and evaluation of environmental cleaning and disinfection processes, and use audit and evaluation tools that effectively assess compliance with policies, procedures and protocols used in the organisation. Report to the governing body on improvements achieved and areas in which further improvement is needed as part of the quality improvement program.

Include environmental cleaning and a process to deal with any identified issues in the organisation’s incident management and investigation system. Review the incident management and investigation system to identify any incidents relating to environmental cleaning activities and act to prevent incidents recurring.

It may be appropriate for some day procedure services to work with the overarching corporate organisation to identify the available resources that can support the environmental cleaning program.

Examples of evidence

Select only examples currently in use:

  • Policy documents about a clean and hygienic environment
  • Cleaning and disinfection schedules that meet the requirements outlined in the Australian Guidelines for the Prevention and Control of Infection in Healthcare and relevant state or territory requirements
  • Audit results of cleaning and disinfection practices
  • Committee and meeting records relating to cleaning and disinfection
  • Contracts with external cleaning providers that outline the health service organisation’s requirements for cleaning and disinfection
  • Results of consumer experience surveys, and actions taken to deal with issues identified regarding cleaning and disinfection
  • Training documents for the workforce about the use of specialised personal protective equipment
  • Audit results of the use of specialised personal protective equipment.

MPS & Small Hospitals

MPSs and small hospitals should:

  • Identify the environmental cleaning hazards in the organisation and include these in the organisation’s risk management strategies
  • Review or develop policies, procedures and protocols to include effective strategies to provide a clean environment in the organisation
  • Use the implementation and evaluation strategies for environmental cleaning to ensure that cleaning and disinfection processes are in line with recommended cleaning frequencies appropriate to the health service organisation
  • Provide training to the workforce performing environmental cleaning activities and include the use of specialised personal protective equipment, if required
  • Evaluate environmental cleaning practices for compliance with policies, procedures and protocols, and measure outcomes of cleaning processes
  • Review duty lists, position descriptions or contract specifications as part of the appraisal or contract review process, and provide feedback to the relevant person or group on achievements or areas for improvement.

Develop cleaning and disinfection schedules that meet the requirements outlined in the Australian Guidelines for the Prevention and Control of Infection in Healthcare and relevant state or territory requirements. These schedules should include:

  • Frequency and type of activity
  • Products and equipment to be used
  • Specialised personal protective equipment, if required
  • Safety instructions.

Ensure that position descriptions and duty lists are current, and consistent with the environmental cleaning and disinfection schedules used in the organisation.

Monitor performance

Identify areas that require audit and evaluation of environmental cleaning and disinfection processes, and use audit and evaluation tools that effectively assess compliance with policies, procedures and protocols used in the organisation. Report to the governing body on improvements and areas in which further improvement is needed as part of the quality improvement program.

Include environmental cleaning and a process to deal with any identified issues in the organisation’s incident management and investigation system. Review the incident management and investigation system to identify any incidents relating to environmental cleaning activities and act to prevent incidents recurring.