High Touche Surfaces

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MIDEGA PRIMARY HOSPITAL Effective 22/4/2016

from
Review
STANDARD OPERATING PROCEDURE (SOP) date
CLEANING OF HIGH TOUCH SURFACES
Version 1
SOP for Cleaning of High Touch Surfaces

1. Purpose
To describe the steps for cleaning and disinfection of high touch objects and
surfaces in healthcare facilities. .
2. Scope
Applied to all frequently touched surfaces can harbor and transmit infectious
pathogens, including bacteria, viruses, and fungi. High-touch surfaces include:
 Bedrails and bed frames  Transport equipment (e.g.,

 High-touch areas of other wheelchair handles)
furnishings such as chairs  Doorknobs/handles
 IV poles  Door frames (high-touch
 Sink handles areas)
 Bedside tables  Light switches
 Counters where medications  Moveable lamps
and supplies are prepared  Tray table
 Edges of privacy curtains  Other wall-mounted items
 Ultrasound probe such as alcohol-based hand
 Baby weight scale rub dispenser and glove box
 Monitor control cables, holder
screen, and operating
 Patient monitoring equipment
(e.g., keyboards, control
panels)
3. Responsibility
 Cleaning frequently touched surfaces typically falls under the purview of
environmental services staff, patient assistants, and other healthcare
workers (HCWs).
4. Required standard
 High-touch surfaces are free from soil, smudges, dust, fingerprints, grease,
and spillages
 Surfaces are thoroughly cleaned to remove organic matter using detergent
solutions before applying the disinfectant
 There is a cleaning schedule for cleaning and disinfecting frequently
touched areas regularly at least once per day
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 All cleaning equipment should be properly cleaned before and after each
use.
5. Material requirements
 Personal protective equipment (gloves, gown/apron, protective eyewear,
mask, and head cover) as required
 Detergent (diluted to the manufacturer's specification)
 Buckets (as per color coding requirements)
 Cloth/disposable cloth/microfiber cloth (as per color coding requirements)
 Infectious waste bin/bag, laundry container
6. Risks
 Infections, spills, and injuries
7. Key safety rules

 Wear personal protective equipment (PPE) that is correct for the cleaning
task, and discard or clean and store PPE afterward as required
 Always first consult clinical or nursing staff before disconnecting any
medical equipment
 Install appropriate signage and barriers to maximize public safety during the
cleaning operation
 Always adhere to Standard Precautions, and to Transmission-based
Precautions if required/advised to do so
 Always ensure hand hygiene is performed after each clean and after
removing gloves
 Use the correct manual handling techniques for the task required
8. Procedure
1. Perform hand hygiene.
2. Put on appropriate PPE (glove, gown, and eye protection)
3. Position warning/hazard signs where appropriate to indicate that a cleaning
task is taking place.
4. Remove any debris and sticky tape from the surfaces.
5. Fold the cloth to create several clean cloth surfaces and dampen or rinse the
folded cloth in a detergent solution.
6. Clean all high-touch surfaces with the damp cloth using one swipe.
7. Work systematically from high to low surfaces (and from clean to dirty).
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8. Fold a section of the cloth over to reveal a clean unused surface and wipe,
fold, and continue until all sides have been used. Finally, replace the cloth
and continue.
9. Dispose of used cloths in appropriate waste or laundry bins/containers.
Continue replacing cloths until the task is finished.
10. Remove warning/hazard signs.
11. Remove PPE and dispose of single-use PPE in an appropriate waste
bin/container.
12. Clean and dry equipment (or leave it to dry) and store equipment
appropriately in a dry storeroom.
13. Perform hand hygiene
Reference
1. Ethiopian Ministry of Health. 2023. “National Infection Prevention and Control

(IPC) Reference Manual for Health Care Service Providers and Managers
Volume 1 : General Infection Prevention and Control Third Edition Match 2023” 1
(March).
2. Environmental cleaning and infection prevention and control in health care
facilities in low- and middle-income countries: modules and resources, 2022,
WHO
3. CDC and ICAN. Best Practices for Environmental Cleaning in Healthcare
Facilities in Resource-Limited Settings. Atlanta, GA: US Department of Health
and Human Services, CDC; Cape Town, South Africa: Infection Control Africa
Network; 2019. Available at: http://www.icanetwork.co.za/icanguideline2019/

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Page 1 of 3

MIDEGA PRIMARY HOSPITAL Effective 22/4/2016

SOP for Cleaning of High Touch Surfaces

 Bedrails and bed frames  Transport equipment (e.g.,

7. Key safety rules

1. Ethiopian Ministry of Health. 2023. “National Infection Prevention and Control

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