Environmental cleaning and where it stops
Environmental cleaning covers the room itself: floors, high-touch points, examination couches and their surrounds, waiting areas, washrooms and general surfaces. It has a method, a product, a sequence and a frequency, and it can be recorded and checked. Done consistently it is a substantial contribution, and done inconsistently it undermines everything the practice does around it. Setting that boundary in writing also protects the cleaner, who should never be improvising a decision about clinical material at the end of an evening shift.
It stops at anything forming part of clinical care. Instrument reprocessing, sterilising equipment, handling of clinical waste beyond agreed container movement, and cleaning after a procedure where clinical judgement determines the method all belong with the practice. Where a practice wants a contractor to perform a task at that boundary, both the instruction and the training need to be explicit rather than assumed.
