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95 <br />CLEANING AND DISINFECTION OF ISOLATION ROOMS <br />1. All nursing and housekeeping personnel must observe proper <br />masking and gowning procedures as indicated on the card on the <br />resident's door. Proper handwashing should also be observed <br />before and after entering the room. <br />2. In cases of strict, respiratory and protective isolation, a <br />private room must be used and the door should be kept closed. <br />No airing is required before terminal cleaning if the resident <br />is gone from the room. Airing is also not necessary after <br />terminal cleaning and disinfection. <br />NOTE: Do not use a disinfectant fogger. <br />3. The Center for Disease Control recommends wall washing only <br />for "grossly soiled areas." This recommendation is supported <br />by a recent publication which demonstrates that even during <br />known isolation cases, walls are contaminated to an <br />insignificant extent. Therefore, unless the infection control <br />nurse directs otherwise, wall washing need be done only for <br />general cleaning. <br />a. Whenever wall washing is done, follow facility procedures. <br />b. It is also important that all equipment, solutions, mops <br />and towels be reasonably fee of contamination (otherwise <br />the cleaning operation will result in increased <br />contamination on the wall). <br />C. If there are only one or two soiled areas, they can be <br />spot cleaned. <br />4. Use fresh solution, clean equipment and clean mops for each <br />room. <br />