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COVID-19 Cleaning Protocols

DISINFECTION CHECK-LIST LOCATION:

EXAM ROOM

** FREQUENCY: AFTER EACH PATIENT

** CLEANING AGENT: -OPTIM 33B (in spray bottle in each exam room labelled)

START AT

  1. SLIT LAMP

-exam chair and arms

-slit lamp table, switch, joystick, light adjustment knobs, shield, magnification wheel, chin and forehead rest, px handles

  1. Lamp and slit lamp arm

-on/off button, arm and table on arm

  1. Phoropter

-dials, shields, forehead rest, near rod and card

  1. Stool

-doctor seat and height adjustment handle

  1. Computer

-keyboard, mouse, wires, around plugs

  1. Accessory equipment

-paddle (recommend using tissue or pxs hand), pens, near card, stereo glasses and stereo test, perkins, perkins probe (clean with alcohol swab and soak in hydrogen peroxide 3%), remote controls for screens

  1. Table

-counter top, switches under table

  1. Room

-cabinet handles, light switches, taps, soap dispenser, extra guest chair and handles, door handles (inside and out)

DISINFECTION CHECK-LIST LOCATION:

WORKSTATION

**FREQUENCY:

-Every Morning

-Hourly (OR more if patient uses it/touches it)

-at end of shift.

** CLEANING AGENT: -OPTIM 33B (in spray bottle in each exam room labelled) or alcohol wipes if specified for certain equipment.

START AT:

  1. Table top

-drawer, top and cabinet handles near you

  1. Equipment

-Computer: keyboard and mouse, around screens, cpu top and power buttons

-Telephone: phone dials and handle (lift up and clean around ear and mouth pieces)

-Printers/photocopier: power button and keys

-Auto lensometer: base and power switches

-Ipad: switch and cover

– light switches

-moneris terminal

  1. Chair

-seat and arm rest, height adjustment handle

  1. Loose Items

-clipboards, stapler, hole punch, calculator, tape dispenser, scissors, pens, highlighter, measuring tools, white outs

  1. OCT MACHINE /RDP

alcohol wipes for chin rest and forehead rest

– Optim 33 spray for patient chair and handles, keyboard, mouse, on/off switch, table top,

  1. VFL

-alcohol wipes: chin and forehead rest, table top, patient clicker on vf, eye patch and trial lenses.

– vfl bowl: use two squirts of evaporating cleaning spray in bowl

  1. Filing Cabinets and Maureen’s room

-wipe handle drawers and Maureen’s room key entry pad

DISINFECTION CHECK-LIST LOCATION:

DISPENSARY/ADJUSTMENT TABLES

**FREQUENCY:

-Every Morning

-Hourly (OR more if patient uses it/touches it)

-at end of shift.

** CLEANING AGENT: -OPTIM 33B (in spray bottle labelled OPTIM33) or alcohol wipes if specified for certain equipment.

START AT:

 

1) Patient Chair

-handles, seat adjustment arm

2.Dispenser section

-Chair: seat, handle, adjustment arm

-Phone: dials, cord, handle (lift up and wipe ear and mouth areas)

-Computer: keyboard and mouse, wires, top of cpu and buttons

-Plexiglass: barrier and table top

-Pupillometer: plexiglass attached and eye dials and eye piece

-Loose items: pens, stapler, measuring tools, trays

  1. Frames

-put tried on frames in a separate bin labelled dirty, once done with px take to back to thoroughly wash with soap and warm water before putting back on board

-frame board counter top and glass cabinets(if touched or at end of shift)

 

  1. Adjustment area:

-loose tools, cleaning pumps, adjustment table top, back printer and cash terminal, staplers, pens, back sink and handles, sharon’s room handle and door key pad

-Chair: seat, handle, adjustment arm

-Phone: dials, cord, handle (lift up and wipe ear and mouth areas)

-Computer: keyboard and mouse, wires, top of cpu and buttons

-Plexiglass: barrier and table top

DISINFECTION CHECK-LIST LOCATION:

LUNCH ROOM/STAFF WASHROOM

**FREQUENCY:

-Every Morning

-After every use

-at end of shift.

** CLEANING AGENT: -OPTIM 33B (in spray bottle labelled OPTIM33)

-warm soap and water

1.BATHROOM:

– Door handles (inside and out), tap handles, light switches, soap dispenser, cabinet handles, flush knob

2.KITCHEN (if used)

-sink handles, microwave knobs and handles, counter top, table tops, seats, cabinets and drawers, fridge door handles

3.Door

-kitchen door handle (both side) and entry buttons

  1. Back door

-handle and alarms buttons (first person and last person)

DISINFECTION CHECK-LIST LOCATION:

VT CLEANING

*FREQUENCY:

-Every Morning

-After every patient

-at end of shift.

** CLEANING AGENT: -OPTIM 33B (in spray bottle labelled OPTIM33)

START AT:

  1. Patient Chair

-arms, heights adjustment handle

  1. Door handles
  1. Light switch
  1. Keyboard and mouse
  1. Stands and holders

. Place used flippers/glasses etc in the marked DIRTY bin

** Reminder:

1) only one caregiver or companion per patient

2) ask patient to wear a mask and if possible new gloves if they have to be worn prior to session

3) ask patient to wash hands/sanitize before therapy session starts

4) place used flippers/glasses /trial frames etc in the marked dirty bin

DISINFECTION CHECK-LIST LOCATION:

PATIENT WAITING AREAS/INNER WAITING

**FREQUENCY:

-Every Morning

-Hourly (or more if required)

-at end of shift.

** CLEANING AGENT: -OPTIM 33B (in spray bottle labelled OPTIM33)

Lysol wipes

START AT:

  1. Waiting areas:

-px chairs and handles, table tops, coat hooks, phone

  1. Vestibule:

-door handles (both doors inside and outside), handicap buttons, sanitizing table, metal sensor, open sign (at end of day)

  1. Bathroom: (lysol wipes)

-door handles (inner and outer), light switches, taps, toilet seat and handle, change table and handicap handle

  1. Thermometers and front screening table:

-clean table tops, wipe down thermometer after every use, used pens/tools in dirty bin

 

UPDATED COVID PROTOCOLS AMENDUM

February 2021

1) Maximum Patients

– allowed in the clinic at one based on square footage = 20 patients (on top of current staff).

2) Patient Entrance Protocol

patients call in when in parking lot to advise they are here

– if doctor is ready for them, they can enter to be screened

-if doctor is not ready for them, either a buzzer or their cell number is given, and staff will call (or buzz) when patient can enter.

-Patients are required to wear a 3 ply disposable mask. Cloth masks alone are not permitted. Patients will be given the appropriate mask if they do not have one.

-No lingering in the waiting room allowed.

-Patients are encouraged and advised to come alone, or with one support person during their visit.

3) Staff PPE and Breaks

staff are all wearing level 2 medical mask as well as a shield.

-doctors are wearing level 3 or KN95 masks in addition to a shield at all times.

-lunch room is maximum of 2 people eating at a time. Staff must quickly eat, not talk while mask is off, and then put the mask back on. Anyone entering the lunch room to heat up food must be masked, and exit quickly.

-all areas in lunch room disinfected after each staff use.

4) COVID test and travel

if anyone or members of the same household are waiting for a covid test, they are not permitted in the office until a negative test result is had.

– if anyone or members of the same household have travelled outside of Ontario, patients must wait 21 days and be symptom free before entering the office.

-If a person or their household members has a positive COVID test, they cannot enter for 21 days from their positive result, and must be symptom free prior to coming in.

-if patient has been in a facility, such as hospital or LTC facility in the last 14 days, with a Covid outbreak, there appointment needs to be delayed, or show a negative test.

5) Public Health Guidelines

We are following public health advice as situations arise in the clinic.