Use the disease Kennel cough, also known as canine infectious respiratory disease (CIRD) part 2 – use areas in the hospital: reception area, examination room

🧼 Practice Disinfectant Protocols

Disinfectant/Cleaning Products

⚠ Rescue should be the primary disinfectant for all surfaces. Companion, Diversey Oxivir, and Bleach are alternatives if Rescue is on backorder.

Rescue Ready-to-Use (everyday use – table surfaces, cages, equipment, isolation, floors**)

Effective, convenient choice for everyday use

Bactericidal, fungicidal, virucidal, helps eliminate Staph, Strep, Trichophyton,         Parvo, Distemper, Adenovirus, Bordetella, Leptospira, Salmonella, Influenza, Feline Herpes, Feline Leukemia and many more organisms

AHP is a combination of low levels of hydrogen peroxide, which dramatically  increase its germicidal potency and cleaning performance.

Scent free to avoid masking odors

Surfaces should be visibly wet and have a contact time of 15 mins

Contact Time

The Wipes need 1 minute* contact time for the following:

Daily Use, Bacterial/Fungicidal, Virucidal

5 minutes for Parvo

Ready to Use Formulation needs 1 minute contact time for the following:

Daily Use, Bacterial/Fungicidal, Virucidal

Disinfectant/Cleaning Products Disinfectant Protocols and Guidelines Resource 📚

Practice Disinfectant Protocols 1

Reference sheet on dilution (for remaining stock of Rescue Concentrate) and use: https://learnaboutrescue.com/wp-content/uploads/2018/11/Reference- Sheet_Rescue-Concentrate.pdf

** Ready-To-Use solution can be poured into SPRAY mops (e.g. Swiffer, green Lipman spray mops) with NO dilution. If using bucket mops, please refer to Concentrate details.

The Concentrate needs 5 minute contact time based on the following concentrations:

Daily Use 164 2 oz/gal)

Bacterial/Fungicidal  Parvo 116 8 oz/gal)

Virucidal 164 2 oz/gal)

❗ Rescue Concentrate is being phased out in favor of Ready-to-Use

Knockout Flea Treatment Used for treating fabric/carpeted areas with fleas)

Spray onto the flea exposed areas and allow the surface to dry. Pets should not be on treated surfaces for 2 hours.

Clorox Bleach (optional isolation cleaner or other general cleaner)

ALTERNATIVE CompanionTM Cleaner-Disinfectant If Rescue unavailable, for floors)

❗ Companion is being phased out in favor of Rescue Ready-to-Use Can be used as an alternative if Rescue is unavailable due to shortage, or product being discontinued

Quaternary ammonia

Cleaner and disinfectant combination

Scent: mild citrus

Neutral pH  labeled to not be corrosive or damaging to surfaces WHEN at recommended dilution

Labeled for: Staphylococcus, Pseudomonas, Salmonella, Aspergillus Escherichia coli, Canine parvovirus*, GI parasite eggs and larvae

https://animalsafety.neogen.com/en/companion-cleaner-disinfectant

Practice Disinfectant Protocols 2

ALTERNATIVE Diversey Oxivir Five 16 Concentrate Alternative, for table surfaces, cages, equipment, and isolation cleaner)

❗ Diversey Oxivier Five is being phased out in favor of Rescue Ready-to-Use Can be used as an alternative if Rescue is unavailable due to shortage, or product being discontinued

AHP (accelerated hydrogen peroxide)

Environmentally friendly

Scent: mild HP aroma (otherwise no scents added)

MAY be corrosive to certain surfaces – labeled to not be corrosive or damaging to surfaces WHEN at recommended dilution

Covers the same spectrum of microorganisms as above, though not advertised for veterinary use

http://solutionsdesignedforhealthcare.com/solutions/products/disinfectants/oxivir- five-16

https://www.parish-supply.com/documents/438.pdf

Products Used For Each Task

Tasks Product Dilution Product to Water) Amount of Water

Floors (mop bucket)

CompanionTM

Cleaner-Disinfectant

Diversey Oxivir Five 16 Concentrate

Rescue Concentrate

⅛ cup 1 cup (8oz)1/4 cup (2oz)

1 gallon

1 gallon

1 gallon

Exam room tables/cages/other surfaces (spray bottle)

“ “ “

Practice Disinfectant Protocols 3

Tasks Product Dilution Product to Water) Amount of Water

Isolation (foot bath, floors, cages, other surfaces)

Areas where infectious patients were in contact, including exam rooms

Diversey Oxivir Five 16 Concentrate

OR

Rescue Concentrate

OR

Clorox Bleach

1 cup1 cup (8oz)½ cup

1 gallon

1 gallon

1 gallon

Disinfectant Protocols and Guidelines Exam-Room Cleaning

 Examination tables should be cleaned between each use.

 If patient had excessive shedding or nail/fur trim completed in room, the room should be properly “dryˮ-cleaned (sweeping, wiping with cloth, etc.) to remove debris between each use.

 If room has animal blood exposure onto surfaces, these surfaces must be disinfected. “Wetˮ-clean surfaces with hospital disinfectant products.

 At the end of the day, all rooms should receive a complete dry and wet clean. This includes floors, chairs, exam tables and counters. Allow wet areas to air dry – contact time with disinfectants is key to killing microorganisms.

Cage Cleaning (non-isolation)

 A “wetˮ-clean is ALWAYS required between patients. All surfaces of cage (floor, ceiling, sides, bars, etc.) should be properly disinfected and scrubbed, if necessary.

 Ideally, allow areas to air-dry. Disinfectant products require at least 5 minute wet contact time to kill microorganisms.

General Hospital Cleaning

 “Dryˮ-clean surfaces (e.g., sweeping, wiping with disposable microfiber cloth) to remove loose debris, hair, etc.

 “Wetˮ-clean surfaces with disinfectants. Floors should be mopped and surfaces scrubbed, if necessary.

Practice Disinfectant Protocols 4

 Ideally, allow areas to air-dry. Disinfectant products require at least 5 minute wet contact time to kill microorganisms.

Isolation Disinfectant Protocol

Disinfectant Products

Rescue Concentrate AHP in 116 ratio 8oz/1 cup to 1 gallon of water)

OR

Diversey Oxivir Five 16 Concentrate AHP in 116 ratio with water 1 cup concentrate to 1 gallon water)

OR  NOT to be used together)

Bleach 5% sodium hypochlorite) in 132 ratio with water ½ cup bleach to 1 gallon water)

Procedure

 Before entering Isolation area, remove any outerwear (e.g. lab coat) and any equipment (e.g. stethoscope, pens/pencils, watch, cell phone, etc.) and leave outside the isolation room.

⚠ Once items enter the isolation room/unit, they CANNOT leave to be later introduced to other patients

 Gather any supplies needed to take into isolation before putting on PPE (personal protective equipment).

 Wash hands or use alcohol-based hand rub.

 The following PPE should be worn before entering unit:

Booties

Gloves

Mask (if applicable)

 Enter isolation. APPLY GOWN. Attend to patient in isolation as needed, being as careful as possible that protective coverings only come in contact with patient and excrements.

 Clean and disinfect any equipment used while caring for patient.

 Before leaving isolation room, remove PPE

Practice Disinfectant Protocols 5

a Remove gown. If not soiled, hang INSIDE isolation area. Gowns may be re- used with the same patient. If soiled, throw away.

b Remove booties. As each bootie is removed, place shoe into prepared bleach bath at exit. Repeat with other bootie. Dispose of gloves and step out of isolation room. Avoid contact with eternal portions of the door and entrance when exiting the isolation room.

📌 All PPE disposable material should be placed in trash container lined with a biohazard bag in the isolation room.

 Wash hands with soap and water. Disinfect any surfaces (e.g. doorknobs) that may have been accidentally contaminated.

📌 Mop pathway in which pet entered the hospital and exited the hospital ASAP

If there are no booties available, create a foot bath to be used after exiting infected room as to not track anything on our shoes to rest of hospital,

Otherwise, if pet is panting or coughing in room, can consider wiping down the walls as well as the floor

If tech/doctor is wearing facial mask in exam room, change masks so it does not act like a fomite

Products needed for hospital disinfection protocols

Microfiber cloths – white or pale in color

Mop/bucket

Broom and dust pan

Dry mop

Duster

Vacuum

Spray bottles 32 oz) – at least 12

Disposable underpads (will need generally in hospital)

Clorox Regular Liquid Bleach

Practice Disinfectant Protocols 6

Clorox Cleaning Wipes

Rescue Ready-to-Use Spray and/or Wipes

Secondary bottle safety stickers

Resource 📚 Based on 2018 AAHA Infection Control, Prevention, and Biosecurity Guidelines

Practice Disinfectant Protocols 7