Sanitation and Disinfection Protocols
THE ANGEL OF WATER® CM-1 SURROUND MUST BE DISINFECTED BETWEEN EACH
PATIENT ACCORDING TO THE PROTOCOLS SET FORTH.
Safety Comes First
Safety is your first responsibility. At the beginning of each day, using
the pre-session disinfection protocol outlined
below, disinfect the Angel of Water® even though you disinfected
the System at the end of the previous
day. Then, use the post-session disinfection protocol to disinfect the
Angel of Water® after each patient. This
prepares the System for the next patient.
Rectal Nozzles, Flex Tubes, Disinfectants, Sanitizers, Tools and Procedures
for the Operation, Cleaning,
and Disinfection of the CM-1 Surround:
The rectal nozzles, flex tubes, disinfectants, sanitizers, and tools
and procedures described below are to be used
in exact accordance with the instructions provided on the product labeling
(LD-007; LD-008; LD-011) and in
this manual for the operation, care, and upkeep of your System.
CAUTION: The FDA and other regulatory bodies have cleared for use the
disposable rectal nozzles
and flex tubes; disinfectants and sanitizers; and tools and procedures
listed here for the use, disinfection,
and cleaning of the CM-1 Surround for the safety of patients and for
the safe upkeep of the
equipment.
Rectal Nozzles and Flex Tubes cleared for use on the Angel of Water®
CM-1 Surround
1) Angel of Water® CM-1 sterile rectal nozzles
Single use nozzles (50 ct. per box). Sterility is guaranteed unless
package is open or damaged.
2) Angel of Water® CM-1 clean-packed flex tubes
Pre-cut, bulk-packaged, extruded PVC flex tubes (50 ct.per bag).
Disinfectants and Sanitizers cleared for use on the Angel of Water®
CM-1
1) Zep DZ-7 (Dyna Quat 64 for Canada):
Broad-spectrum hospital-grade disinfectant with label claim for virucidal
activity against HIV used for the presession
preparation and the post-session cleaning and disinfection of the basin
of the System.
2) Zep Air Fair Conquer:
Deodorizer used during the post-session cleaning and disinfection of
the basin of the System.
Instructions for Use/Sanitation and Disinfection
3) Zep Z Green Degreaser:
Degreaser to be used with the tether mop in the degreasing of the viewing
tube from build-up of petrolatum
residues.
NOTE: DZ-7, Air Fair Conquer, and Z Green Degreaser are products of
Zep Manufacturing Company and
are available through Lifestream Purification Systems, LLC in the U.S.
Dyna Quat 64 is the DZ-7 equivalent in
Canada and is available through Zep Manufacturing Company of Canada.
Follow the Instructions for Use on
the label.
4) Metrex Cavicide:
Intermediate-level disinfectant with tuberculocidal activity for post-session
cleaning and disinfection of the
main tank and exit line of the System.
5) Chlorine bleach (sodium hypochlorite):
Deodorizer and stain remover used during the post-session cleaning and
disinfection of the basin of the System.
Tools
In addition to the above disinfectants, the following tools are included
in the starter sanitation kit:
1) Tether Mop for periodic cleaning of Viewing Tube, Bowl Brush, and
Multi-use Scrub Brush
2) Bucket (one gallon size) / with Soft Mops - for DZ-7 or Dyna Quat
64 mixture
3) Body Protection - protective gloves, safety goggles
4) Miscellaneous - 2 spray bottles (one for DZ-7 or Dyna Quat 64 mixture
and one for chlorine bleach
solution); funnel for safe pouring; flex tube line stopper; wastebasket;
measuring cup; small plunger
Additional items for successful sessions to be provided by clinic/healthcare
practitioner:
1) White cotton towels for drying basin
2) Cotton balls and q-tips for difficult-to-reach areas
3) Moist towelettes; paper towels for used nozzle and flex tube; facial
and toilet tissue
4) Petrolatum lubricant
5) Respirator for lung protection
6) Waste can liners
7) Non-slip floor rug
WARNING: Do not spray Zep DZ-7 or any other cleaner directly onto the
CM-1 Surround electrical plates or
Mixing Valve Plate. Spray DZ-7 disinfectant onto a cloth to wipe down
plates. The electrical plates are built to
withstand the use of quaternary ammonium compounds (DZ-7) under low
stress/short duration use. Do not
expose electrical or Mixing Valve Plates to rubbing alcohol or any other
substance.
Instructions for Use/Sanitation and Disinfection
Pre-Session Disinfection - (done at the first
of each day even though System was disinfected
at close of previous day or done if System left unattended for a length
of time)
1. Turn ON System LIGHTS
2. Inspect and Fill Tank Turn on Mixing Valve and Valve #1, adjust for
proper temp. (99-103F or 37-39C)
3. Attach new Flex Tube Attach to basin nylon nipple
4. Protect Yourself Eyeshields, gloves, respirator or towel over nose
5. Spray Disinfect Spray mist DZ-7 or Dyna Quat 64 on basin and into
Flex Tube to test backflow
prevention valve. Disinfectant contact time is 10 minutes
Directions for Use: In spray bottle provided, mix 1 oz. DZ-7 and add
water to
top. For Dyna Quat 64, follow label instructions
6. Rinse Line and Flex Tube Run tempered water through line by turning
on both CYCLE and FLOW switches
7. Display Unopened Sterilized Nozzle and Lubricant (if serving first
time client) or Install Sterilized Nozzle and
then Lubricate Tip (if serving returning client)
8. Do Final Inspection Place linens, fresh trash liner, etc.
9. Bring Client into Room
Post-Session Disinfection - Basin
1. Protect Yourself Eyeshields, gloves, respirator or towel over nose
2. Remove Soiled Linens Linens or disposable cover cloths placed in
hampers/waste receptacles
3. Spray Disinfect Spray mist DZ-7 or Dyna Quat 64 on basin, foot rails,
etc.
Place towel on basin crest to prevent dripping over edge
4. Pre-Rinse Basin Using personal sprayer, rinse excess waste material
down drain
5. Mop Wash First Time With DZ-7 or Dyna Quat 64 top-side and channel
of basin and used
nozzle. Rinse with personal sprayer
Directions for Use: In mop wash bucket provided, mix 4 oz. of Zep DZ-7
per
one gallon of water. For Dyna Quat 64, follow label instructions
6. Remove Used Nozzle
and Flex Tube Wrap and dispose
7. Rinse out Line Turn on both FLOW switches and run water through nylon
nipple for 10 seconds
8. Conduct View Tube Tether At this time, if needed. Degrease View Tube
when build-up of petrolatum lubricant
Mop Protocol warrants it. Use the tether mop and degreaser to scrub
tube
9. Mop Wash Second Time Mop with DZ-7 or Dyna Quat 64 top-side and channel
of basin AGAIN. Rinse with
personal sprayer. Disinfectant contact time is 10 minutes
10. Deodorize and De-Stain Spray Zep Air Fair Conquer (or equivalent)
onto basin channel and drain to
deodorize room, if needed. De-stain with bleach solution, if needed.
Directions for Use: Bleach Solution - Using spray bottle provided, mix
1 capful of
bleach per one gallon of water for a 200 ppm solution. May use ready-to-use
products
in spray bottle. Solution must contact basin surface for 1 minute to
act as a de-stainer.
Directions for Use: Air Fair Conquer - May be used full-strength or
diluted as
needed for odor control. Spray a fine mist into basin channel and drain
area
to act as a deodorizer ONLY. Towel dry and wipe surfaces dry of excess
chemicals,
per manufacturer’s labeling instructions
Instructions for Use/Sanitation and Disinfection
Post-Session Disinfection - Tank
1. Open #2 Tank Drain Valve Drain excess water from tank
2. Do Maintenance Valve Sequence Open valves #3 and #4, close valves
#2 and #6
3. Attach Flex Tube Line Stopper On basin nylon nipple
4. Pour in Main Tank 8 oz. Verify solution is dripping through FlexTube
Line stopper
of Cavicide Allow 5 minutes contact
5. Open #2 Tank Drain Valve Drain tank AGAIN
6. Remove Flex tube Line Stopper
7. Rinse Tank Use sprayer to rinse tank and lines as necessary. Disperse
all suds from Cavicide
8. Close Valve #2 and open #1 To catch water in Main Tank Valve #1
9. Turn on CYCLE function To recirculate water
10. Open Valve #5 Empty recirculating tank to flush out Cavicide residue.
Disperse
suds and drain. Rinse as necessary with tower sprayer
11. Return valve sequence to
Regular Operation Mode A Close Valves #3, #4, #5, and open
Valve #6
Additional Areas/Room
1. Disinfect Additional Areas Spray DZ-7 or Dyna Quat 64 on a towel
and wipe down back rest,
remote switch panel, any handicap rails, etc., leaving sanitizing film
to air-dry
2. Inspect System and Room Dispose of old trash liner and replace. Continue
to fill tank and rinse line if conducting
for Next Appointment another appointment (otherwise turn System LIGHTS
off). Place new linens on
System, make sure basin and surrounding areas are clean and dry, install
new flex
tube, and display unopened sterilized nozzle or install sterilized nozzle
and lubricate
tip depending on next client to be served (new or returning)
3. Bring Client into Room Start next session
NOTE: Always give a first impression and guarantee of absolute cleanliness
and hygiene.
