2.3 Safe Management of the Care Environment

Routine environmental decontamination

Patient isolation/cohort rooms/area must be decontaminated at least daily using either:

Increased frequency of decontamination should be incorporated into the environmental decontamination schedules for areas where there may be higher environmental contamination rates e.g.

Equipment used for environmental decontamination must be either single-use or dedicated to the affected area then decontaminated following use e.g. mop and bucket.

Terminal decontamination

Following patient transfer, discharge, or once the patient is no longer considered infectious:

Remove from the vacated isolation room/cohort area, all:

The room should be decontaminated using either:

The room must be cleaned from the highest to lowest point and from the least to most contaminated point. Manufacturers’ guidance and recommended product "contact time" must be followed for all cleaning/disinfection solutions .

Further information can be found in the environmental decontamination and terminal cleaning literature review.

6Scottish Ambulance Service (SAS) and Scottish National Blood Transfusion Service adopt practices that differ from those stated in the National Infection Prevention and Control Manual.