www.cms-berlin.de Page 7 SENIOR’S FACILITY, RETIREMENT HOME OR NURSING HOME? Small diff erence, great impacts on cleaning The requirements for cleaning senior’s facilities, as well as retirement and nursing homes are often underestimated or disvalued, due to non-existing hygiene management. Basi- cally, there are diff erent legal requirements for senior’s facilities than for nursing homes. Those working as building service providers in facilities for seniors, therefore have to deal with a number of questions. Whereas there is no specifi c cleaning or hygiene requirements for senior’s facilities, the legislator, respectively the Robert Koch Ins- titute (RKI) (Robert-Koch-Institut), makes clear recommendations for nursing and rehabilitation facilities. This leads to the following ques- tion: when is a senior’s facility, a nursing home and how can the service provider distinguish? Senior’s facilities: optional instead of mandatory provisi- ons Strictly speaking, senior’s facilities are to be treated like a hotel with additional services required by law; only the infection protection law applies when it comes to hygiene relevant areas. This only applies, though, when relevant diseases oc- cur in a senior’s facility. Cleaning is therefore in most facilities, seen rather like hotel cleaning and con- ducted accordingly. The residents’ rooms mostly have a private cha- racter. Often they are equipped with loosely laid fl oor carpets or Photos: rationell reinigen parquet fl ooring and fi lled with private furniture, so that its’ hygie- nic cleaning can not be carried out by the building service provider. In case a disinfectant cleaning may be necessary, this leads to almost For cleaning in retirement and nursing homes, the Robert Koch Institute has developed the recom- insurmountable problems for the mendation “Infection Prevention in Homes and Nursing Facilities”. For cleaning senior’s facilities, we also recommend building service distributors to follow the current RKI recommendations. building cleaner or administration. Orientation towards the RKI re- current RKI recommendation “Hos- for the users, there is no risk of commendation pital Hygiene and Infection Preven- infection with pathogenic germs. We recommend building service tion”. It applies to rooms that are Personnel, including the cleaning distributors follow the current RKI not resident rooms in the traditi- personnel, must observe a hand recommendation “Infection Pre- onal sense, but nursing measures disinfection routine and wear suita- vention in Homes and Nursing Fa- are carried out regarding infection ble protective gloves. The cleaning cilities” when cleaning senior’s fa- prophylaxis. In this case, they are in hygiene relevant areas should al- cilities. This, inter alia, means to use considered patient rooms. In reti- ways be disinfectant and done with a four colour system for cleaning, rement and nursing homes, various a four colour system, with micro disinfect contact surfaces in public nursing and medical services are fi bre textiles. Cleaning personnel areas, disinfect cleaning utensils provided. As some of them are hy- are subject to the infection preven- and to chose and train their stuff giene relevant interventions on the tion law and therefore have to be according to the infection protec- patient, it must be taken care that instructed, trained and examined tion law. in these areas, no germ transmis- accordingly. Cleaning equipment sion or nosocomial infections can like cleaning trolleys, machines or Nursing homes easier for buil- occur due to insuffi cient cleaning. other equipment have to be suita- ding cleaners Thus in stationary retirement and ble, considering hygienic aspects Clearly easier and more transparent nursing homes, for the building and be disinfected when necessary. for the building cleaner, are reti- cleaner, the same framework con- Cleaning textiles, like in hospitals, rement and nursing homes. Here, ditions apply as on the general should be disinfected, stored and the Robert Koch Institute has de- wards in hospitals: surfaces must brought to use germ-free. veloped the recommendation “In- be disinfected; blood and faeces fection Prevention in Homes and have to be removed by the nursing Information and products for the Nursing Facilities” mentioned abo- or medical staff . Sanitary facilities cleaning of such sensitive areas can ve. In many points it resembles the must be cleaned in such way that be found at the CMS Berlin 2015.
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