TMBU & SCBU CLEANING AND DISINFECTION POLICY

This policy is to be used in conjunction with the Brighton and

Sussex University Hospitals NHS Trust Infection Control
Policy

Original Author:
Linda Barrow

Updated by:
Rachel Burton (Infection Control Link Nurse)
Judith Simpson (Infection Control Link Sister)

Date: March 2012

Policy No: IC02

Review Date: March 2013

As agreed by: Infection Prevention and Control Team

 CLEANING AND DISINFECTION POLICY

Clinell Universal Sanitising Wipes are effective against

99.999% of germs and they act as a disinfectant and
detergent wipe for hands, surfaces and equipment. The
wipes are not effective against spores (for example C-
Difficile) so if there is a case on the unit (more likely with
staff or parents / visitors), tristal or anti-sporicidal Clinell
red wipes should be used for cleaning (obtain from ISS /
stores).

Please ensure that 60 seconds is given for the wipes to

work. If after this time detergent is still visible, then the
item can be dried.

Once the item is clean, complete and attach a new yellow

decontamination label.

Follow the guidelines set out in this policy when cleaning

equipment on the Trevor Mann Baby Unit.
Airways
Single patient use. Dispose of after use.

Ambubags
Single patient use. Keep dust free by keeping in dedicated plastic bag.

Baby baths
Clean with Clinell universal sanitising wipes. Store separately and inverted.

Baby / bed linen

All dirty linen to be disposed of into laundry trolleys in the nurseries;
these should be taken to the cot side rather than the linen to the trolley.
Linen should be washed at a minimum temperature of 65oC.
Posey limb covers are disposable and should not be washed for reuse.

Bassinet (plastic) covers

Clean with Clinell universal sanitising wipes.

Bilibed
Dedicated sleep suit to be washed as per instructions for general baby
linen.
Bed to be cleaned with Clinell universal sanitising wipes.

Bili blanket
Clean with Clinell universal sanitising wipes.

Blood warmer
Clean with Clinell universal sanitising wipes.

Bottles and teats

In most cases, disposable bottles and teats are used. In exceptional
circumstances, for example when babies require a squeezy bottle due to cleft
palate, rinse the bottle and teat and place them in either the steam or
microwave steriliser following manufacturer’s instructions.

Breast pump (humilactor)

Cleaned every day by the HCAs with Clinell universal sanitising wipes.
The internal filters (located under yellow flap on top of the pump)
should be removed and cleaned with hot soapy water weekly and when
visibly dirty.
Breast pump accessories are single patient use. Clean after use with
hot water and detergent and wipe over with Clinell universal sanitising
wipes; sterilise at least once a week.

Cerebral function monitor (CFM)

A qualified technician is to maintain the CFM 6000.
Clean the outer case and cable with Clinell universal sanitising wipes.
Periodically check the fan inside the CFM cover and the vents on either
side of the device for accumulation of debris, such as dust and lint.
 If the fan and vents need cleaning, it is to be done by the technician,
John.

Cots
When in use, clean daily with Clinell universal sanitising wipes. After transfer /
discharge, completely dismantle the cot and clean thoroughly with Clinell
universal sanitising wipes.

CPAP machines
All tubing and humidity chamber are disposable and renewed every 7
days (remember to label the humidifier with the date that it is due to be
changed).
Clean machine with Clinell universal sanitising wipes.

Clipboards
Clean with Clinell universal sanitising wipes.

Dummies
Single patient use. Rinse with hot water and place in steam / microwave
steriliser.

Feeding pumps (Neo feed)

Clean daily and in between patient use. Clean using Clinell universal
sanitising wipes paying particular attention to the grooves and recesses of the
pump.

Fibre optic light

Clean with Clinell universal sanitising wipes.

Filters
Depending on item, either changed by technician or included in service by
company. (At PRH filters are changed by the staff on a routine maintenance
programme).

Gas calibration unit for the TCM

Clean with Clinell universal sanitising wipes.

Glass formula bottles (when empty)

Rinse with cold water and dispose of in the glass recycling bin in the sluice.

Graseby apnoea monitors

Probes are single patient use and are disposable. Clean monitor with Clinell
universal sanitising wipes.

Hot cots including gel mattress

Clean with Clinell universal sanitising wipes.

Head boxes
Clean with Clinell universal sanitising wipes.
Heatshields
Clean with Clinell universal sanitising wipes.

Humidifiers (on ventilators, CPAP or Optiflow)

The wires are non-disposable and should be wiped thoroughly with Clinell
universal sanitising wipes. The chamber is disposable and should be
changed every 7 days and a label attached stating when the next change is
due.

Incubators
Airshields Isolette T1500/500 (transport incubators); Ohmeda Giraffe and
Drager Babytherm 8010 (Open Incubator):
When in use damp dust daily with Clinell universal sanitising wipes.
Change weekly (when possible) and completely dismantle and clean
the incubator with Clinell universal sanitising wipes. If the baby has
had an infection, clean incubator as above but any concerns should be
discussed with the Infection Control Link nurse or sister, or the
Infection Control Department (ext 4595).
Humidification chambers are non-disposable and are changed every 7
days with the incubators.
Store covered with a plastic sheet.
Remember that alcohol wipes should never be used on incubators as
they will damage the perspex.

Instruments from sterile packs

Rinse and dry (please be careful with sharp instruments) and place into red
and white striped bag with its’ ID tag and put in the sluice for return to CSSD
for sterilisation.

Intravenous drip stands

Clean with Clinell universal sanitising wipes (remember to clean the base).

IVAC pumps
Wipe thoroughly with Clinell universal sanitising wipes. Pay particular
attention to the grooves and recesses of the pump.

Laryngoscope blades
Single patient use and disposable.

M3/M4 monitor
(These are the small cardiac monitors e.g. transport incubator).
Monitor, SaO2 probe, ECG cable, pressure transducer, temperature probe and
NBP cable can all be cleaned with Clinell universal sanitising wipes. Take
care with the screens as they are more sensitive to touch.

Masks
Ambubag / neopuff masks are non-disposable and should be cleaned
with Clinell universal sanitising wipes.
 Nebuliser masks are single patient use and should be wiped clean with
Clinell universal sanitising wipes and disposed of when no longer
required by the patient.

Multi-function monitors at each bed space (Solar monitors by GE Healthcare

in N1 and N2; Dash monitors by GE Healthcare in N3)
Avoid using alcohol wipes and clean thoroughly with Clinell universal
sanitising wipes. The attached wires, including the BP transducer,
SaO2 probe and cable, temperature probes, NBP cable and
TcPO2/TcPCO2 transducer can all be cleaned with Clinell universal
sanitising wipes.
TCM transducer – the membrane and retaining rings are changed
between patients.

Nebulisers
Single patient use; clean with general purpose detergent and hot water, rinse
and dry. (Difficult to dry areas - leave to air dry as per manufacturers’
instructions)

Nitric Oxide (INOvent)

To be cleaned after each patient use

Remove injection module from the patient’s circuit and remove the
tubing and cable connecting it to the INOvent. Injection module to be
soaked for 30 minutes in 70% methylated spirits (ask technician).
Remove the sample line and NO injection tube from circuit and
INOvent and discard both.
Remove filter from above water trap and discard, replace with new filter
Remove water trap, empty water, wash with Clinell universal sanitising
wipes, replace on the INOvent - do not discard the water trap.
Wipe clean electric sensor cable with Clinell universal sanitising wipes
and retain for next patient - do not discard the cable.
Wipe clean the surfaces of the INOvent with Clinell universal sanitising
wipes.

Optiflow
All tubing and humidity chamber are disposable and renewable every 7 days
(remember a label should be attached to the chamber stating when the
change is next due). Clean machine with Clinell universal sanitising wipes.

Oxygen funnels
Clean with Clinell universal sanitising wipes. Please note if the funnel is in a
poor condition, it should be discarded and new one obtained.

Oxygen tubing
Used from equipment to patient needs to be discarded after patient
discharge / transfer.
 Used from equipment to equipment can be kept unless contaminated,
damaged or dirty.
If baby infected then all tubing discarded.

Phototherapy light
Clean with Clinell universal sanitising wipes (remember to clean the base).

Phototherapy shield
Clean with Clinell universal sanitising wipes.

Razors
Single patient use and are disposable. (The use of razors is soon to be
reviewed and probably discontinued in favour of surgical clippers; be aware of
updates in the near future).

Radiant heater
Clean with Clinell universal sanitising wipes (remember to clean the base).

Saturation monitors
Clean monitor with Clinell universal sanitising wipes.
3 types of probe:
Disposable – single patient use.
Semi-disposable and re-usable - clean with Clinell universal sanitising
wipes.

Scales (small and large)

Clean with Clinell universal sanitising wipes.

Skin temperature probes

Disposable – single patient use.
Non-disposable - clean with Clinell universal sanitising wipes.

Spotlight
Clean with Clinell universal sanitising wipes (remember to clean the base).

Sterilisers (steam / microwave)

Clean once a week with Clinell universal sanitising wipes and if necessary
descale once a month.

Stethoscopes
Checked / cleaned daily using Clinell universal sanitising wipes.
Remove ear pieces only. Leave chest piece intact unless visibly dirty.

Suction – reservoir and liners

Reservoir - not disposable – clean between patients with Clinell
universal sanitising wipes.
Liners are disposable and should be discarded when full or dirty, or
between each patient. Dispose of in the box in the sluice for
 incineration (unless they are empty when they can be disposed of in
the clinical waste bin).

Suction tubing
Patient to reservoir - change daily and between patients.
Wall to reservoir - date and change monthly.

Suction catheter
Do not store opened in paper sheaths, too many become contaminated or fall
out; also do not overstock the drawers.

Syringe pump (Alaris)

Clean with Clinell universal sanitising wipes. Remember that alcohol
wipes should not be used as they rub off the writing on the face of the
pumps.
Ensure that all spilt blood, fluids, and drugs are cleaned off the pump
immediately
Pay particular attention to the grooves and recesses of the pump.

TCM monitoring
The module, leads and probes can be cleaned with Clinell universal sanitising
wipes. The probe should be stored covered with the small green protective
cap.

Teats
See Baby bottles and teats.

Tecotherm Neo
Clean before and after use with Clinell universal sanitising wipes.
Clean device bottom side (ventilation holes) generally once every 1 – 2
months and before treatment as part of the system preparation.
Inspect every 3 months that air ventilation holes in the device bottom
side are not covered and free from dust. If so then inform the
technician.
The mattress should be cleaned with Clinell universal sanitising wipes.
Store covered with a plastic sheet.

Thermometers (electronic)
Probe covers are single patient use. Dispose of when patient
discharged or transferred.
Clean case with Clinell universal sanitising wipes.

Trolleys
Silver trolleys should be cleaned before and after use with Clinell
universal sanitising wipes.
Equipment trolleys (such as resuscitation and cannulation) should be
damp dusted daily and thoroughly cleaned weekly with Clinell universal
sanitising wipes.
 Bedside trolleys in the nurseries (cot space) should be damp dusted
daily and thoroughly cleaned weekly with Clinell universal sanitising
wipes; remembering to clean the drawer runners and trays.
Notes trolleys and “COWs” (computers on wheels) should be cleaned
with Clinell universal sanitising wipes.

X-ray lead squares

Clean with Clinell universal sanitising wipes.

VENTILATOR CLEANING
All models can be cleaned with Clinell universal sanitising wipes.

AVEA VENTS

Breathing circuit and water trap are all disposable

OSCILLATOR (Sensor Medics)

Whole of the patient circuit including bellows is disposable.

Filter at back of oscillator (bottom of column) to be inspected and
cleaned as necessary.

SLE (PRH)

All ventilator tubing including humidifier, adaptors and water trap

disposable.

STEPHANIE VENT

1. REUSABLE CIRCUITS (always use disposable circuits if available)

Please keep the CSSD packaging & tags intact to aid processing
P-sensor tubing, IVAC giving set & Braun Luer-Lock set are disposable
Grey T-sensor wire is cleaned with Clinell universal sanitising wipes
Breathing circuit, test lung, flowsensor (& double lumen tube) & patient
module are autoclavable
Refer to unit guide for instructions on how to dismantle the Stephanie and
return reusable parts to CSSD.

2. DISPOSABLE CIRCUITS
Clear breathing circuit including NO t-piece; red striped P-Sensor
tubing & double lumen red striped pressure tubing are disposable
Everything else apart from grey T-sensor wire is returned to CSSD for
processing

Grey T-sensor wire

Remove from breathing circuit
Leave attached to vent
 Clean with Clinell universal sanitising wipes

Auto-Fill Unit – only start if you can finish!

Press 2 clips together and gently pull to remove white section from
rear of Auto-Fill unit
Using 2ml or larger syringe, flush & fill tubing with methylated spirits
[found in cupboard under sink in Tech’s room] & leave for 30 minutes
After 30 minutes, flush air through tubing repeatedly until no more fluid
escapes
Leave for a further 30 minutes to dry & attach red bungs to ends
Press 2 clips together & push gently onto spike to replace Auto-fill unit

Any concerns or queries regarding this policy, please contact either:-

Rachel Burton TMBU Infection Control Link Nurse

Judith Simpson TMBU Infection Control Link Sister
John Caisley TMBU Technician
Clare Morfoot Clinical Practice Educator