Chlor-Clean Tablets Training Presentation

Guest Medical
30 Jan 201811:55

Summary

TLDRThe video script outlines the Department of Health's guidance on environmental disinfection using chlorine-based cleaning agents. It introduces 'Crawl Clean Chlorine,' a solution that cleans and disinfects simultaneously, saving time and improving efficiency. The script provides detailed instructions on preparing, using, and disposing of the solution, emphasizing safety, proper ventilation, and protective measures. It also addresses the disinfection of blood spills and the importance of not mixing the solution with other chemicals. The effectiveness of 'Claw Clean Solutions' is highlighted, with independent testing confirming its ability to kill harmful microorganisms, making it suitable for various disinfection tasks in healthcare settings.

Takeaways

  • 🧼 Chlorine-based cleaning agents are recommended for environmental disinfection during outbreaks, with a strength of 1000 parts per million available chlorine.
  • 🧽 Cleaning and disinfection are different processes; cleaning removes dirt and some microorganisms, while disinfection destroys harmful microorganisms.
  • 💧 Traditional disinfection involved a three-step process: cleaning surfaces, rinsing detergent residues, and wiping with a chlorine solution.
  • 🔝 The introduction of chlorine tablets containing a surfactant simplifies the disinfection process by combining cleaning and disinfection in one step.
  • 📝 Always read the instructions provided with the chlorine tablets and wear protective gear when preparing and using the solution.
  • 🌡️ Prepare the chlorine solution with cold water to avoid a strong, unpleasant smell and potential irritation.
  • ⏱️ Allow the tablets to dissolve for 10 to 12 minutes and ensure the solution is mixed gently and remains active for 24 hours.
  • 📋 Use a disinfectant wipe or a chart to record when the solution was made to ensure freshness.
  • 🧹 Apply the solution with disposable cloths or mops and avoid rinsing off after cleaning, except for specific cases where metal surfaces are exposed.
  • 🚮 Dispose of used cloths and mop heads according to clinical waste policies and always wash hands after handling.
  • 🛡️ Claw clean solutions are proven to kill harmful microorganisms and are not suitable for disinfecting blood spills, which require a different procedure.
  • ⚠️ Do not mix claw clean solutions with other chemicals and store the tablets and prepared solution safely, away from patients and the public.

Q & A

  • What is the purpose of the Department of Health's guidance on environmental disinfection and decontamination during outbreaks?

    -The purpose is to provide a method for using chlorine-based cleaning agents at a strength of 1000 parts per million for effective environmental disinfection and decontamination to combat harmful microorganisms during outbreaks.

  • What is the difference between cleaning and disinfection as mentioned in the script?

    -Cleaning involves the removal of dirt, grease, detritus, and some microorganisms but does not kill them. Disinfection, on the other hand, is the process that destroys harmful microorganisms.

  • Why was the traditional three-stage disinfection process considered time-consuming and tedious?

    -The traditional process involved cleaning surfaces with detergent and water, rinsing away detergent residues, and then disinfecting with a chlorine solution, which was labor-intensive and often not performed properly.

  • How do chlorine tablets with a special surfactant improve the disinfection process?

    -Chlorine tablets with a special surfactant dissolve in water to create a solution that cleans and disinfects simultaneously, saving time and improving the efficiency of the disinfection process.

  • What precautions should be taken when preparing the chlorine solution?

    -One should read the instructions, improve ventilation, wear a protective apron and gloves, check the expiry date on the chlorine tablets, and use only cold water to dissolve the tablets to avoid a strong unpleasant smell.

  • How long does the prepared chlorine solution remain active for use?

    -The prepared chlorine solution remains active for 24 hours, so it should be freshly made up every day.

  • What should be recorded on the 'Clau clean makeup chart'?

    -The time and day when the chlorine solution was made up should be recorded on the 'Clau clean makeup chart' to ensure the freshness of the solution.

  • How should the chlorine solution be applied to clean and disinfect surfaces?

    -The solution should be applied with disposable cloths or mops to clean surfaces, floors, or equipment, leaving them clean and moist but not wet. The surfaces should then air dry without rinsing off the solution.

  • What should be done with used cloths or disposable mop heads after cleaning?

    -Used cloths or disposable mop heads should be discarded into the clinical waste stream according to the trust policy, and reusable mop heads should be sent to the laundry.

  • How do Clau clean solutions perform in independent laboratory testing?

    -Clau clean solutions have been proven to effectively kill harmful microorganisms, including MRSA, other staphylococci, GRE, enterococci, E. coli, Pseudomonas, Klebsiella, fungi, and viruses like norovirus, as well as bacterial spores like Clostridium difficile.

  • What is the recommended procedure for disinfecting blood spills as per the Department of Health and Health and Safety Executive guidelines?

    -The recommended procedure is to disinfect the spill with chlorine at 10,000 parts per million, mop up the liquid with paper towels, and discard it as clinical waste. The area should then be properly disinfected using disinfectant wipes or a Clau clean solution.

Outlines

00:00

🧼 Chlorine-Based Cleaning and Disinfection Process

This paragraph outlines the Department of Health's guidance on environmental disinfection during outbreaks, emphasizing the use of chlorine-based cleaning agents at 1000 parts per million. It distinguishes between cleaning, which removes dirt and some microorganisms, and disinfection, which destroys harmful microorganisms. The traditional three-stage disinfection process is described as time-consuming and often not done properly. The introduction of chlorine tablets with a surfactant allows for a simultaneous cleaning and disinfecting solution, improving efficiency. Safety precautions, such as wearing protective gear and checking expiry dates, are highlighted, along with instructions for making up the solution with cold water and ensuring it is freshly prepared daily.

05:06

🚫 Precautions and Proper Use of Chlorine Solutions

The second paragraph focuses on the proper use of chlorine solutions to avoid irritation and ensure effective disinfection. It advises against using chlorine in spray bottles due to the risk of aerosol formation. After cleaning, surfaces should air dry without rinsing, as the solution is safe for various materials but can corrode exposed metal if the protective layer is damaged. The paragraph also details the disposal of used cleaning materials and solutions, emphasizing the importance of hand hygiene after tasks are completed. It mentions the effectiveness of the solution against various harmful microorganisms, including bacteria and viruses, and provides guidance on disinfecting blood spills and body fluid spills.

10:09

📘 Storage, Usage, and Additional Guidance on Chlorine Solutions

The final paragraph provides guidance on the storage of chlorine tablets and the safe handling of the prepared solution. It clarifies that the solution does not require locked storage but should be kept out of public reach. The paragraph also addresses potential bleaching effects on natural fibers and provides reassurance for modern hospital fabrics. It advises on when to consult with supervisors or infection prevention teams regarding the use of the solution. Instructional materials such as posters, charts, and reminder cards are mentioned as available resources. The paragraph concludes by emphasizing the time-saving and efficiency-improving benefits of the solution for various cleaning scenarios in healthcare settings.

Mindmap

Keywords

💡Chlorine-based cleaning agents

Chlorine-based cleaning agents are solutions that contain chlorine as the active ingredient for disinfection. In the video, these agents are specified to be used at a strength of 1000 parts per million available chlorine, emphasizing their importance in environmental disinfection during outbreaks. The script mentions that these agents are crucial for both cleaning and disinfecting surfaces, which is central to the video's theme of effective outbreak management.

💡Cleaning vs. Disinfection

The video clearly distinguishes between 'cleaning' and 'disinfection'. Cleaning is defined as the removal of dirt, grease, and some microorganisms, but it does not kill them. Disinfection, on the other hand, is the process that destroys harmful microorganisms. This distinction is vital for understanding the comprehensive approach to environmental hygiene discussed in the video.

💡Surfactant

A surfactant is a detergent-like chemical that helps in the cleaning process by reducing the surface tension of water, allowing it to mix with oils and dirt, thus facilitating their removal. In the context of the video, chlorine tablets contain a special surfactant that is compatible with chlorine, enabling the solution to clean and disinfect simultaneously, which is a key innovation highlighted in the script.

💡Dilution

Dilution refers to the process of mixing a concentrated solution with water to achieve a desired strength or concentration. The script instructs on how to properly dilute chlorine tablets to make a disinfecting solution, emphasizing the importance of using cold water to prevent the release of strong chlorine odors and ensuring the effectiveness of the disinfectant.

💡Disinfection process

The video outlines a three-stage disinfection process that includes cleaning surfaces with detergent and water, rinsing away detergent residues, and then disinfecting with a chlorine solution. This process is highlighted as being time-consuming and tedious, which is why the introduction of chlorine tablets is presented as an efficiency improvement.

💡Protective equipment

The script stresses the importance of wearing protective equipment such as aprons and gloves when handling chlorine solutions. This is a crucial safety measure to prevent skin and respiratory irritation, illustrating the video's emphasis on safety during disinfection procedures.

💡Expiration date

Checking the expiration date on chlorine tablets is mentioned in the script as an important step to ensure the effectiveness of the disinfectant. Expired chemicals may lose their potency, which is critical to consider in maintaining the high standards of disinfection discussed in the video.

💡Ventilation

The script advises improving ventilation when preparing and using chlorine solutions. Proper ventilation helps to disperse any potentially harmful fumes and maintain air quality, which is essential for the safety of those working in the disinfected area.

💡Disposal

The video provides instructions on the proper disposal of used cleaning materials and expired solutions, emphasizing the need to follow trust policies and safety regulations. This includes flushing the sluice or sink before and after discarding to prevent chemical mixing, which is an important aspect of maintaining a safe and hygienic environment.

💡Corrosion

The script warns that chlorine solutions can cause corrosion on exposed metal surfaces if the protective enamel or chrome is chipped or worn away. This is an important consideration when using chlorine for disinfection, as it relates to the maintenance of equipment and infrastructure in healthcare settings.

💡Independent laboratory testing

The video mentions that the disinfectant solutions have been tested by independent laboratories to ensure their effectiveness against harmful microorganisms. This testing is conducted according to European norm standards, which adds credibility to the product's claims and is a key point in the video's message about the reliability of the disinfection method.

Highlights

Department of Health guidance recommends using chlorine-based cleaning agents at a strength of 1000 parts per million for environmental disinfection during outbreaks.

The distinction between cleaning and disinfection is clarified, with cleaning removing dirt and some microorganisms, but not necessarily killing them, while disinfection destroys harmful microorganisms.

Traditional disinfection process involved three stages: cleaning with detergent, rinsing to remove detergent residues, and disinfecting with a chlorine solution.

Crawl clean chlorine tablets contain a surfactant compatible with chlorine, allowing for a simultaneous cleaning and disinfecting solution.

Instructions emphasize the importance of reading the provided materials and improving ventilation when preparing and using disinfectant solutions.

Protective measures such as wearing an apron and gloves are mandatory when handling chlorine disinfectant solutions.

Chlorine tablets should be used before their expiry date and only with cold water to prevent a strong unpleasant smell.

The preparation of the disinfectant solution involves dissolving one tablet per liter of cold water and allowing it to dissolve for 10 to 12 minutes.

Once tablets have dissolved, the solution must be properly mixed and remains active for 24 hours, requiring daily preparation.

The disinfectant solution should be stored in a cool place, away from heat sources and out of patient access.

Disposable cloths or mops should be used for cleaning with the solution, and surfaces should be left moist but not wet after cleaning.

Claw clean solutions do not require rinsing off after cleaning and are safe for various surfaces including stainless steel and chrome.

For items with chipped or worn enamel or chrome, a 15-minute contact time with the solution is recommended before rinsing with fresh water.

Used cloths or mop heads should be discarded according to clinical waste policies, and hands should be washed after handling.

Claw clean solutions have been independently tested and proven effective against a range of harmful microorganisms, including MRSA, E. coli, and other bacteria and fungi.

Special disinfection guidance is provided for blood spills, requiring a higher concentration of chlorine and subsequent cleaning with paper towels.

Claw clean solutions are not suitable for disinfecting blood spills and should not be mixed with other chemicals or cleaning products.

The made-up solution does not require locked storage but should be kept out of sight from patients or the public.

Chlorine solutions may bleach natural fibers but are unlikely to affect modern fabric coverings with a high proportion of man-made fibers.

Instruction posters, makeup wall charts, and reminder cards are available for staff to ensure proper use of claw clean solutions.

Transcripts

play00:00

[Music]

play00:11

Department of Health guidance for

play00:13

general environmental disinfection and

play00:15

decontamination of the environment

play00:17

during outbreaks is to use chlorine

play00:19

based cleaning agents at a strength of

play00:22

1000 parts per million available

play00:24

chlorine in this context it is important

play00:27

to remember the difference between

play00:28

cleaning and disinfection cleaning is

play00:32

the removal of dirt grease detritus and

play00:35

some microorganisms but cleaning does

play00:37

not kill microorganisms disinfection is

play00:42

the destruction of microorganisms that

play00:44

are harmful to us but disinfectants do

play00:47

not necessarily clean in the days before

play00:51

we developed crawl clean chlorine

play00:53

disinfection of the environment

play00:55

consisted of a three-stage process first

play00:58

cleaning the surfaces with detergent and

play01:00

water then rinsing away all detergent

play01:03

residues which would otherwise

play01:05

inactivate the chlorine and thirdly

play01:08

disinfecting the area by wiping all over

play01:11

it again with the chlorine solution this

play01:14

process was both time-consuming and

play01:16

tedious and for those reasons it was

play01:19

rarely done properly chlorine tablets

play01:23

contain a special surfactant a detergent

play01:26

like chemical that is compatible with

play01:28

the chlorine so that they dissolve in

play01:30

water to make a solution that will both

play01:32

clean and disinfect at the same time

play01:35

thus chlorine saves on cleaning time and

play01:38

considerably improves the efficiency of

play01:40

the disinfection process

play01:44

before you start read the instruction

play01:50

poster or reminder card supplied free of

play01:52

charge from the guest medical offices

play01:56

wherever possible improve ventilation in

play01:59

the area where you make up the solution

play02:01

and where it will be used always wear

play02:06

protective apron and gloves

play02:09

[Music]

play02:12

always check the expiry date on the tub

play02:15

of chlorine tablets only use the

play02:19

dedicated chlorine diluted to make up

play02:22

the solution note for decontamination of

play02:25

large areas or in outbreak situations a

play02:28

5 liter die liter is available as well

play02:30

as the standard 2 liter dilute ER check

play02:36

that the cult app is running cold and

play02:42

then fill the die later to the

play02:44

appropriate fill line the special

play02:49

surfactant or cleaning agent in chlorine

play02:52

is designed to clean surfaces using cold

play02:55

water so never use hot or even warm

play02:58

water to dissolve the tablets because it

play03:01

will make the chlorine smell

play03:02

unpleasantly strong this may not affect

play03:05

you but others may be less tolerant add

play03:09

one claw clean tablet for each liter of

play03:12

cold water in the dilute err

play03:18

and replace the cap loosely set the dye

play03:23

litre to one side and allow the tablets

play03:25

to dissolve don't forget to replace the

play03:28

lid on the tablet container this may

play03:31

take as much as 10 to 12 minutes so it

play03:34

may be a good idea to make up the

play03:36

solution first thing in the morning

play03:38

before you are likely to need it in some

play03:41

hospitals the night staff make up the

play03:43

solution before they go off shift so

play03:45

that it is ready for the day staff when

play03:47

they start work once the tablets have

play03:52

dissolved the solution must be properly

play03:54

mixed screw the cap down tightly and mix

play03:58

very gently by inverting the diluted two

play04:01

or three times do not shake the dilute

play04:05

to mix this solution will now remain

play04:09

active for 24 hours so it is important

play04:12

to ensure that it is freshly made up

play04:14

every day use the guest claw clean

play04:17

makeup chart to record the time and day

play04:19

when the solution was made up to use the

play04:24

claw clean solution pour it from the

play04:26

dilute er into your bowl or bucket only

play04:30

pour as much as you need for the current

play04:31

task and keep the remaining solution in

play04:34

the die liter for future use

play04:37

keep the made up solution in a cool

play04:40

place away from windows and radiators

play04:44

avoid areas where patients can access it

play04:50

use the solution with disposable cloths

play04:53

or mops to clean surfaces floors or

play04:55

equipment

play05:05

leave surface is clean and moist but not

play05:08

wet never use coal or clean or similar

play05:24

products in a spray bottle because it

play05:26

will create fine aerosol droplets of

play05:28

liquid chlorine in the area of work that

play05:30

can cause irritation to the eyes nose

play05:32

and throat once surfaces are clean they

play05:37

will be disinfected as well allow them

play05:39

to air dry as a general rule you do not

play05:42

need to rinse off the solution after

play05:44

cleaning for example claw clean

play05:48

solutions will not corrode stainless

play05:50

steel chrome or enamel frames such as

play05:53

commodes or bed frames neither will it

play05:57

harm mattress covers properly sealed

play05:59

wood or flooring surfaces however on

play06:03

items where the outer covering of enamel

play06:06

or Chrome has been chipped or worn away

play06:07

the solution will cause corrosion to the

play06:10

base metal that is exposed in such

play06:15

circumstances after 15 minutes contact

play06:18

time only rinse off those exposed metal

play06:22

areas with clean fresh water

play06:24

[Music]

play06:31

and then dry carefully with paper towels

play06:35

if you leave moisture behind the area

play06:39

will rust discard all cloths or

play06:44

disposable mop heads into the clinical

play06:46

waste stream according to your trust

play06:48

policy reusable mop heads should be sent

play06:51

to the laundry when discarding used or

play06:55

time expired cloth clean solutions

play06:57

always flush the sluice or sink both

play07:00

before and after discarding to avoid

play07:03

unintentional mixing with other

play07:04

chemicals left in the trap or poured

play07:06

down afterwards

play07:08

keep the dye later and cap safe for the

play07:11

next use

play07:12

[Music]

play07:21

[Music]

play07:37

remove your apron and gloves last of all

play07:42

and discard them into the clinical waste

play07:46

stream according to your trust policy

play07:50

now wash your hands and dry them

play07:53

carefully claw clean Solutions have been

play07:58

proven by independent laboratory testing

play08:00

using European norm standards to

play08:03

effectively kill the microorganisms that

play08:05

are harmful to us including Mrs a and

play08:09

other staphylococci GRE and other

play08:14

enterococci cola forms including ecoli

play08:17

Pseudomonas and Klebsiella funghi

play08:21

testing done on Candida albicans and

play08:24

Canada our Asst viruses including

play08:28

norovirus bacterial spores Clostridium

play08:32

difficile for more details about these

play08:37

standards and how they benefit you

play08:39

please contact our scientific support

play08:41

staff via our offices or through our

play08:44

website

play08:47

Clau clean solutions are not suitable to

play08:50

be used to disinfect blood spells

play08:53

guidance provided by the Department of

play08:55

Health and the Health and Safety

play08:57

Executive for this procedure is to

play08:59

disinfect the spill with chlorine at

play09:01

10,000 parts per million first and then

play09:04

mop up the liquid with paper towels and

play09:06

discard as clinical waste this procedure

play09:12

can be performed safely using has tap

play09:14

products or the guest biohazard wipe

play09:17

pack for spills of body fluids not

play09:21

observably stained with blood guidance

play09:23

is that the liquid should be absorbed

play09:25

with a suitable material such as paper

play09:28

towels or use the guests urine and vomit

play09:30

spill pack and discard as clinical waste

play09:33

first the area should be properly

play09:39

disinfected afterwards using the

play09:41

disinfectant wipe provided in a spill

play09:43

pack or a claw clean solution as shown

play09:46

earlier in this presentation

play09:54

[Music]

play09:58

remember never mix claw clean solutions

play10:02

with any other chemicals or any type of

play10:05

cleaning products never use hot or even

play10:08

warm water to dilute claw clean tablets

play10:11

always store the tablets according to

play10:14

safety regulations the made up solution

play10:25

does not need to be stored in a locked

play10:27

cupboard the CLP hazard warnings do not

play10:30

apply to the made up solution however it

play10:33

should be kept away from areas where

play10:35

patients or members of the public may

play10:38

see or take it

play10:40

chlorine solutions are likely to bleach

play10:43

natural fibers such as clothing but

play10:45

modern fabric coverings for hospital

play10:47

chairs that contain a high proportion of

play10:49

man-made fibers are unlikely to be badly

play10:51

affected if you are not sure try the

play10:55

solution on a surface that is not

play10:57

normally visible when the item is in use

play10:59

if you are not sure about when you

play11:02

should use the claw clean solution check

play11:04

with your supervisor or contact a member

play11:07

of the infection prevention team

play11:09

[Music]

play11:11

instruction posters makeup wall charts

play11:15

and handy reminder cards for new members

play11:17

of staff are available direct from the

play11:19

guest medical offices or through your

play11:21

infection prevention team

play11:27

Clau clean solutions save you time and

play11:31

improve the efficiency of disinfection

play11:33

when performing terminal cleans outbreak

play11:36

cleans isolation cleans equipment

play11:39

disinfection and general environmental

play11:41

disinfection

play11:53

you

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