Updated on May 29, 2020 at 9:35 a.m.
Cleaning Medical Offices in the Era of COVID-19: Advice for Environmental Service (EVS) Workers
Cleaning and disinfection in clinics and medical offices to help stop the spread of COVID-19. These guidelines are designed for EVS workers who will be cleaning clinics and medical offices.
Resources on Cleaning Medical Offices
6 Steps for Safe and Effective Disinfectant Use from the EPA
Checklist to Prepare Physician Offices for COVID-19 from the AAFP
Use of Personal Protective Equipment (PPE) and Personal Health and Safety
PPE is urgently needed by many practices, but supply is limited at this time. Providers should contact their local Emergency Management agency or County Health Department for details on when equipment will be available. Please visit ncdhhs.gov for more information.
View instructions from the Center for Disease Control (CDC) on proper procedures for wearing and removing PPE.
Personal Health and Safety
The following health and safety guidelines are adapted from resources issued by the Center for Disease Control (CDC).
Reported illnesses have ranged from mild symptoms to severe illness and death for confirmed coronavirus disease 2019 (COVID-19) cases. The following symptoms may appear 2-14 days after exposure
(based on the incubation period of MERS-CoV viruses).
- Shortness of breath
When to Seek Medical Attention
If you develop emergency warning signs for COVID-19 get medical attention immediately. Emergency warning signs include*:
- Trouble breathing
- Persistent pain or pressure in the chest
- New confusion or inability to arouse
- Bluish lips or face
*This list is not all inclusive. Please consult a medical provider for any other symptoms that are severe or concerning.
- Wash your hands often with soap and water for at least 20 seconds especially after you have been in a public place, or after blowing your nose, coughing, or sneezing.
- If soap and water are not readily available, use a hand sanitizer that contains at least 60% alcohol. Cover all surfaces of your hands and rub them together until they feel dry.
- Avoid touching your eyes, nose, and mouth with unwashed hands.
- Avoid close contact with people who are sick
Put distance between yourself and other people if COVID-19 is spreading in your community. This is especially important for people who are at higher risk of getting very sick.
- Stay home if you are sick, except to get medical care. Learn what to do if you are sick.
- Cover your mouth and nose with a tissue when you cough or sneeze or use the inside of your elbow.
- Throw used tissues in the trash.
- Immediately wash your hands with soap and water for at least 20 seconds. If soap and water are not readily available, clean your hands with a hand sanitizer that contains at least 60% alcohol.
- If you are sick: You should wear a facemask when you are around other people (e.g., sharing a room or vehicle) and before you enter a healthcare provider’s office. If you are not able to wear a facemask (for example, because it causes trouble breathing), then you should do your best to cover your coughs and sneezes, and people who are caring for you should wear a facemask if they enter your room. Learn what to do if you are sick.
If you are NOT sick: You do not need to wear a facemask unless you are caring for someone who is sick (and they are not able to wear a facemask). Facemasks may be in short supply and they should be saved for caregivers.
- Clean AND disinfect frequently touched surfaces daily. This includes tables, doorknobs, light switches, countertops, handles, desks, phones, keyboards, toilets, faucets, and sinks.
- If surfaces are dirty, clean them: Use detergent or soap and water prior to disinfection.