Implementation of a ‘Red and Green’ Cleaning Program for Isolation Room Discharges

Sue Flockhart 1, Catrice Grahame 2, Allison Hodge 3

Ballarat Health Services, Redan, VIC, Australia

Ballarat Health Services, Miners Rest, VIC, Australia

Ballarat Health Services, Ballarat North, VIC, Australia


Introduction: The introduction of the National Safety and Quality Health Service Standards in 2012, and an escalating number of isolation room discharge cleans prompted Infection Prevention and Control to review its isolation room cleaning program, and found a major review of both practice and product was warranted.

Methods: Reviewing the isolation room discharge cleaning programs strengths, weaknesses, opportunities and threats presented areas for improvement. These included a colour coded cleaning program, a change of cleaning product, an education program and the addition of a visual inspection audit tool utilising UV gel. This program was implemented in the acute care areas with a train-the-trainer program of core cleaning staff, whilst nursing and support staff received education on the program.

Results: Prior to the revised program there were up to 130 isolation cleans per month. Post implementation there was an initial decrease of 30% however this has increased to around 20% due to seasonal illnesses. Utilising the UV gel as part of a visual inspection audit has improved cleaning compliance from 40% to an average of 81%.

Conclusion: Since the implementation of the revised isolation room discharge cleaning program, it has been embraced by all staff and is now to be introduced into other areas of the health service. It was important to give ownership of this project to the cleaning staff and once they knew why they were cleaning and how to clean it provided them with an improved understanding of the role the environment plays in the transference of infection.


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