NSW Ambulance – Make Ready Model Environmental Cleaning: The fight against Healthcare Associated Infections

Ms Tanya Somani1Mr David Morris1

1NSW Ambulance, Rozelle, NSW, Australia


The NSW Ambulance Make Ready Model (MRM) is an innovative ambulance environmental cleaning solution that has been implemented into nine ambulance superstations throughout the Sydney Metropolitan Area. This new way of conducting business has provided a platform to introduce refreshed standards for environmental cleaning specifically for the ambulance. Dedicated logistics staff clean ambulances using evidence-based cleaning practices to achieve hygiene standards in accordance to both the Clinical Excellence Commission and Centre for Disease Control & Prevention assessment guidelines for a health environment.

Prior to the introduction of the MRM, paramedics were required to clean and restock their allocated ambulances during the shift with little standards in place. The standardised practices encompassed by MRM logistics teams aim to reduce the bioburden inside the ambulance potentially reducing the risk of HAI transmission between patients and provide a safer working environment for paramedics.

The MRM is a first for any ambulance service nationally in Australia which currently has 113 ambulance vehicles inducted into the model. Within the first 12 months 24,000 professional cleans have been performed. Auditing and assessment of the cleaning has taken place with visual audits as well as using Adenosine Triphosphate (ATP) testing.

The MRM is an innovative model of operations designed to improve environmental cleaning of ambulances, allowing paramedics to deliver out of hospital care in a safer environment and potentially reduces the risk of HAI’s in the patients who are treated and transported within NSW Ambulances.


David Morris and Tanya Somani are both operational Paramedics with NSW Ambulance, with a combined 20 years operational experience. Both David & Tanya hold a Bachelor of Paramedical Science and David has also completed his Master of Emergency Management through Charles Sturt University. Currently David and Tanya are working within the Paramedic Response Network, Make Ready Model project team. They are both currently undertaking a Graduate Certificate in Clinical Redesign through the Agency of Clinical Innovation with the project focus environmental cleaning of ambulance in the out of hospital setting.

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