PROCEDURAL & TRAINING GUIDE

PATHOGENCONTROLMANUAL

USING AN INSTANT FOAMING HAND SANITIZERPROCEDURE HELPFUL HINTS

Apply a small amount of RX200 No AlcoholHand Sanitizer to palm.

Because RX200 does not contain high levels ofalcohol it will not dry out your hands withrepeated use.

Briskly rub, covering hands with RX200 NoAlcohol Hand Sanitizer until dry.

Sanitize with foam so you use half as much asthe gel sanitizers.

Use often toprevent cross

contamination.

Specific procedures for cleaning and disinfecting floor surfaces and touch surfaces and frequency. Have your distributor

do a site survey to advise the materials required to be prepared for the following.

Cleaning & Disinfecting Housekeeping Surfaces

Housekeeping surfaces require regular cleaning and removal of soil and dust. Most, if not all, housekeeping surfaces need

to be cleaned only with soap and water or a detergent/disinfectant, depending on the nature of the surface and the type and

degree of contamination.

Cleaning and disinfection schedules and methods vary according to the area of the facility. type of surface to be cleaned, and

the amount and type of soil present. Disinfectant/detergent formulations (RX75, RX44 ACE, RX Spray N Go, etc.) registered

by EPA are used for environmental surface cleaning, but the actual physical removal of microorganisms and soil by wiping or

scrubbing is probably as important, if not more so, than any antimicrobial effect of the cleaning agent used.

Different surfaces to clean & disinfect

Housekeeping surfaces can be divided into two groups - those with minimal hand-contact (e.g., floors and ceilings) and those

with frequent hand-contact (“high touch surfaces”). The methods, thoroughness, and frequency of cleaning and the products

used are determined by facility policy.

However, high-touch housekeeping surfaces (e.g., doorknobs, bedrails, desks, phones, light switches, wall areas around

the toilet in the bathrooms), should be cleaned and/or disinfected more frequently than surfaces with minimal hand contact.

Infection-control practitioners typically use a risk-assessment approach to identify high-touch surfaces and then coordinate

an appropriate cleaning and disinfecting strategy and schedule with the housekeeping staff.

Horizontal surfaces with infrequent hand contact (e.g., windows sills and hard-surface flooring) in routine areas require clean-

ing on a regular basis, when soiling or spills occur. Cleaning of walls, blinds, and window curtains is recommended when

they are visibly soiled.

Extraordinary cleaning and decontamination of floors in most settings is unwarranted. Studies have demonstrated that

disinfection of floors offers little advantage over regular detergent/water cleaning. Newly cleaned floors become rapidly

recontaminated from airborne microorganisms and those transferred from shoes, equipment wheels, and body substances.

Depending on the infection situation this may require an increased frequency.

Note: Airx® and Airicide® are registered trademarks of:AIRX LABORATORIES, A DIVISION OF THE BULLEN COMPANIES, INC.

1640 DELMAR DRIVE, FOLCROFT, PA 19032-0037PHONE (610) 534-8900 • (800) 444-8900 • FAX (610) 534-8912

VISIT OUR WEBSITE: www.airxlabs.com

CHOOSE THE RIGHT DISINFECTANT FOR THE JOB... AND USE IT PROPERLY

USING A DISINFECTANT CLEANER WITH THE SPRAY N ROLL & SPRAY BOTTLES

USING A DISINFECTANT CLEANER WITH A MOP & BUCKET

Though disinfectant cleaners must pass rigorous laboratory tests and be registered by the EPA before they may be legally sold, their effectiveness in actual use depends also upon their proper use. Follow the simple step-by-step directions in this bulletin and achieve the best results attainable.

CHECK LISTPlace WET FLOOR signs around work areas. Keep all equipment and supplies within blocked area. Read directions and SDS for each chemical product. Be sure equipment is clean before use. Stop anyone inclined to walk on a wet floor.

If working with hands in solution, wear rubber gloves. Do not get product in eyes. If you do, rinse thoroughly. If irritation persists see a doctor. Rinse and wipe down equipment before storing. It’s easier to do before any residue dries.

SPRAY BOTTLE PROCEDURE SPRAY N ROLL PROCEDURE

Dedicate and label separate spray bottles and trigger sprayers for different disinfectant cleaners.

Dilute only enough product for a day’s use, otherwise use a ready-to-use product proven not to degrade with age.

Adjust trigger sprayer between a mist and a jet to deliver a wet spray over a wide area.

Spray to wet surface completely and liberally enough to remain damp for several minutes. (See label for proper dwell times.)

Remove loosened soil with a clean cloth or sponge.

If surface is heavily soiled, consider the first application as a cleaning step. Then, re-do to disinfect.

Food contact surfaces should be rinsed with potable water.

Wiping cloths used in areas of potential cross infection should be laundered or properly disposed of.

Affix secondary label on side of the Spray N Roll so all users will know which product is be-ing dispensed.

Release the pressure valve on the Spray N Roll and remove pump assembly.

Fill sprayer with RTU or properly diluted disin-fectant.

Depending on what surfaces are being sprayed use either the course spray tip (black unit) or the fine spray tip (solid brass unit)

Insert the pump assembly and screw into place. Pump till the release valve rises to show 2 BARS of pressure.

Spray to wet surface completely and liberally enough to remain damp for several minutes. (See label for proper dwell times.)

Food contact surfaces should be rinsed with potable water.

If applying on a floor, use “Wet Floor Signs” until thoroughly dry.

Properdilutionis very

important.

Changedisinfectant

solutionfrequently.

Only use clean tools. Microfiber mops that can be laundered shouldbe used. A clean wringer and a split or doublebucket are recommended.

Use too little disinfectant and you may not kill the organisms. Use too much and you will be wasting expensive product.

Measure both product and water for accurate dilution. (See chart above for dilution rates.)

Apply solution liberally enough to cover surfacecompletely and to remain damp several minutes.

If surface is heavily soiled consider first application as a cleaning step. Then re-do to disinfect.

Change solution in bucket as it becomes dirty.

Rinsing floors after cleaning is not absolutely necessary, but is recommended.

Mops used in areas of potential cross infectionshould be laundered and heat dried.

Where mops are not laundered, rinse well in a fresh disinfectant solution, wring and hang to dry.

Rinsing is good practice to completely remove loosened soil.

Use the dilution control device to properly mea-sure.

Rinse mop thoroughly between applications. After the cleaning step, mix a fresh solution to disinfect.

EPA qualification tests usually call for a 10 minute dwell time. Check labels for specific time requirements.

PROCEDURE HELPFUL HINTS

Product TypeGermicide

Classification &Unique Kill

pH asDiluted

CleaningAbility

Dilution RatesRatio Per Gal. Per Qt.

Airx Spray N Go

dual quat hospital & general use 12.0 ± 0.5 superior ready to use

AIRX75 dual quat hospital use/Tuberculosis 12.5 ± 0.5 superior ready to use

AIRX77 PLUS dual quat General Disinfectant 10.8 ± 0.5 good ready to use

AIRX75 WIPES dual quat hospital use/Tuberculosis 12.5 ± 0.5 superior ready to use

AIRX15 dual quat general use 9.8 ± 0.5 superior 1:32 4 oz. 1 oz.

AIRX44 HDQ dual quat hospital use/Hepatitis B 11.1 ± 0.5 excellent 1:64 2 oz. 1/2 oz.

AIRX44 ACE dual quat hospital use 7.0 ± 0.5 excellent 1:64 2 oz. 1/2 oz.

AIRX78+ dual quat hospital use 7.0 ± 0.5 good 1:28 1 oz. 1 tbl.

AIRX109A dual quat hospital use 9.8 ± 0.5 good 1:256 1/2 oz. 1 tsp.

Unfortunately no single disinfectant cleaner can be counted on to meet every need. Different products are registered by the EPA to kill different microorganisms. One should also consider the amount and type of soil to be removed. The chart below will help you make the proper selection and your AIRX distributor will be pleased to give you more details.

NET CONTENTS: 1 GAL(128 FL OZ) 3.78 L

ACTIVE INGREDIENTS

Alkyl (60% C14, 30% C16, 5% C12, 5% C18)

dimethyl benzyl ammonium chlorides............ 0.15%

Alkyl (68% C12, 32% C14) dimethyl

ethylbenzyl ammonium chlorides................... 0.15%

INERT INGREDIENTS .............................

.... 99.70%

Total..............

...................100.00%

KEEP OUT OF REACH OF CHILDREN

CAUTIONSee side panel for additional precautionary statements.

EPA REG. NO. 1839-220-44089 • EPA EST. NO. 1459-PA-01

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Spray N Go

• Kills 99.9% of Bacteria in 5 Seconds **

• A proven sanitizer on soft surfaces §

• Cleans and cuts grease

• Effective against odor-causing bacteria

DISINFECTANT CLEANER

AND ODOR COUNTERACTANT

99.9% effective in 5 seconds against Staphylococcus aureus

against Salmonella enterica (salmonella), Pseudomonas aeruginosa, Staphylococcus aureus

Resistant Enterococcus faecium (VRE) at 2 minutes contact time. Kills Rhinovirus, Norovirus and Canine Parvovirus in

A virus. Cleaning made easy for all your hard, non-porous surfaces. Cleans tough stains. This product is intended for use in: Hospitals and Health Care Settings, Healthcare

Institutions, Animal Holding Areas, Veterinary Waiting Rooms, Veterinary Examination Rooms, Veterinary X-ray Rooms, Veterinary Operating Rooms, Animal Transportation

Vehicles, Health Clubs, Gyms and Athletic Facilities. This product will clean and disinfect hard, non-porous surfaces of: gym equipment, exercise machines, wrestling mats,

gymnastic equipment, bed railings, cabinets, carts, chairs, counters, tables, telephones, toilet seats, toilets, bathtubs, bathroom fixtures, shower stalls, sinks, tiles and vanity

tops, grocery cart handles, grocery carts, shopping carts, grocery cart child seats, changing tables, cribs, diaper pails, trashcans, garbage cans. This product is a one-step

hospital-use germicidal cleaner and odor-counteractant designed for general cleaning, disinfecting and deodorizing of hard, non-porous inanimate surfaces. Quickly

removes dirt, grime, food residue, blood and other organic matter commonly found in hospitals, in health care facilities and on medical surfaces. It also eliminates odors

leaving surfaces smelling clean and fresh. Use where odors are a problem.

Kills microorganisms on soft surfaces §, fabrics § or blinds, beddings, blankets, chairs, couches, curtains, drapes, exercise mats, fabrics, gym bags, headrests, linens, mats

for day care, mattresses, seat-and/or-soft cushions, shades, sheets, sofas, sports equipment, towels, armchairs, upholstered furniture, upholstery, washcloth, and window

treatments.

It is a violation of Federal Law to use this product in a manner inconsistent with its labeling.

This product is not for use on critical and semi-critical medical device surfaces.

GENERAL CLEANING: Spray soiled area then wipe with a dry paper towel or lint-free cloth.

DISINFECTING, DEODORIZING: Remove gross filth or heavy soil prior to application of the product. Apply product with a hand pump trigger sprayer or low pressure

coarse sprayer. Hold sprayer six to eight inches from the surface to be treated. Spray area until it is covered with the product. Allow surface to remain visibly wet for

utes. No scrubbing necessary. Allow treated surfaces to air dry or wipe off with a clean cloth, mop or sponge. When using on food contact surfaces: counter tops, stovetops,

highchairs, kitchen appliances, thoroughly rinse all treated surfaces with potable tap water. This product must not be used to clean eating utensils, glassware and dishes.

This product is an effective disinfectant against:

(MRSA), Vancomycin Resistant Enterococcus faecium,

Beta-Lactamase (ESBL) Escherichia coli and

*VIRUCIDAL ACTIVITY: This product is an effective virucide on hard non-porous surfaces against Human Immunodeficiency Virus Type-1 (HIV-1) and Avian Influenza

Virus (H5N1) NIBRG-14, when the treated surface is allowed to remain wet for

Human Rotavirus , Hepatitis B Virus (HBV), Hepatitis C Virus (HCV), Duck Hepatitis B Virus (DHBV) and Bovine Viral Diarrhea Virus (BVDV) when the treated surface is allowed

to remain wet for 1 minute. This product is an effective virucide on hard, non-porous surfaces against Feline Calicivirus, Norovirus (Norwalk Virus), Canine Parvovirus,

Rhinovirus Type 14 and Rhinovirus Type 39, when the treated surface is allowed to remain wet for

treated surface is allowed to remain wet for

KILLS HIV-1, HBV and HCV ON PRE-CLEANED ENVIRONMENTAL SURFACES/OBJECTS PREVIOUSLY SOILED WITH BLOOD/BODY FLUIDS

care settings (Hospitals, Nursing Homes) or other settings in which there is an expected likelihood of soiling of inanimate surfaces/objects with blood or body fluids, and

in which the surfaces/objects likely to be soiled with blood or body fluids can be associated with the potential for transmissio

Hepatitis B Virus (HBV) and Hepatitis C Virus (HCV).

SPECIAL INSTRUCTIONS FOR CLEANING AND DECONTAMINATION AGAINST HIV-1, HBV AND HCV OF SURFACES/OBJECTS SOILED WITH BLOOD/

BODY FLUIDS: PERSONAL PROTECTION:

CLEANING PROCEDURES: Blood and other body fluids must be thoroughly cleaned from surfaces and objects before application of this product.

CONTACT TIME: Allow surfaces to remain wet for