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Checklist for terminal cleaning and decontamination of Ebola Care Facilities

Medium 16 items · 30 min
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testuser Published 4 weeks ago
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This checklist helps staff and support teams perform safe terminal cleaning and decontamination of rooms used for Ebola care. It is written for facility cleaning teams, infection control officers, and support staff who need practical, step-by-step actions. Inspired by World Health Organization guidelines. Always consult a qualified healthcare professional.

Inspired by World Health Organization (WHO) guidelines. Always consult a qualified healthcare professional where applicable.

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  1. Wear recommended personal protective equipment (PPE) — Put on gloves, impermeable gown, eye protection, and a respirator or mask per facility rules.
  2. Seal the room and restrict access — Close doors, post ‘do not enter’ signs, and limit entry to essential staff only.
  3. Ensure adequate ventilation during and after cleaning — Increase fresh air where possible and avoid recirculating air without filters.
  4. Remove visible waste and contaminated linens — Gather blood-soiled items and other contaminated materials for safe handling.
  5. Bag contaminated linens separately — Place linens into leak-proof bags without shaking or excessive handling.
  6. Seal and label waste bags — Tie or seal bags and mark them as biohazard per facility rules.
  7. Handle sharps and medical devices per protocol — Place sharps in puncture-resistant containers and tag reusable devices for reprocessing.
  8. Pre-clean surfaces to remove blood and body fluids — Wipe up and remove organic material before applying disinfectant.
  9. Apply an approved disinfectant and allow full contact time — Use facility-approved products and follow manufacturer instructions for concentration and time.
  10. Clean high-touch and patient-contact surfaces last — Work from cleaner areas toward most contaminated zones to avoid recontamination.
  11. Soak or send reusable medical equipment for sterilization — Follow equipment reprocessing steps and transport items in sealed containers.
  12. Decontaminate reusable cleaning tools or discard single-use items — Clean mop heads, buckets, and cloths with disinfectant or use disposable supplies.
  13. Transport sealed waste to secure storage following biohazard rules — Move waste carefully to the designated holding area for safe disposal.
  14. Perform a final inspection and record cleaning details — Check surfaces visually, sign the log, and note products and staff names.
  15. Remove and safely dispose PPE, then perform hand hygiene — Doff PPE carefully to avoid contamination and wash or sanitise hands immediately.
  16. Allow room downtime per facility policy before reuse — Wait the required interval after disinfection before admitting new patients.
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