CDC recommends options for thoroughness of cleanliness

By: December 21st, 2010 Email This Post Print This Post

As healthcare acquired pathogens (HAPs) become more frequent, the CDC is recommending all hospitals to create programs that highlight the cleanliness of near-patient surfaces and equipment at the discharge and transfer of a patient.

The CDC recognizes that monitoring cleanliness can be difficult. They have implemented two programs that hospitals can follow to properly monitor the effect of cleanliness: Level I program or Level II program.

The Level I program “will be an infection preventionist/hospital epidemiologist infection prevention and control (IPC) based program internally coordinated and maintained through environmental services management level participation,” according to the CDC. Upon implementing the Level I program, staff should know that it’s a team effort.

Also included in the Level I program are interventions to observe the quality of cleaning and disinfecting in the terminal room.

The Level II program is a similar program, though advanced, the CDC reported. After the environmental services department receives education in Level I, they will use their education to assess the terminal rooms’ thoroughness and cleanliness and then document it. Level II will also schedule monitoring of the thoroughness of cleaning three times a year.

Hospitals in Level I or in Level II should report any of its findings to the Infection Control Committee.

To see each element of Level I program and Level II programs  to download the accompanying toolkit of checklists, visit the CDC’s Options for Evaluating Environmental Cleaning website.

Will your hospital implement one of these programs? Let us know in our comment section.



Please explain why Cubicle Curtains/Privacy Drapes are not included or even addressed in the CDC Environmental Checklist.

Thank you.

By David LaHoda on December 21st, 2010 at 11:01 am

I think you have to pose that question to the CDC:

“At present, the objective monitoring of the cleaning process of certain high touch surfaces (e.g., the curtain that separates patient beds) beyond those outlined in the attached checklist is not well defined.”


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