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Toy Cleaning Policy

Printed copies must not be considered the definitive version

DOCUMENT CONTROL POLICY NO.
Policy Group
Infection Control Committee
Author Version no. 1.1
Kirstine Burns
Alison Knox
Reviewer Implementation date January
Kirstine Burns 2015
Jan Clarkson
Status Approved Next review date January 17
Approved by Infection Control Last review date: September
2011
Committee

Policy: Toy Cleaning Policy Page 1 of 11
Author: Kirstine Burns/Alison Knox
Date: January 2015
Version: 1.1

......... 6 8.... Cleaning Procedure............................................................ 3 3.... Toys and Games ................................................................ Introduction .................................................. Protective Isolation ................................................................................1 ........... 7 11.................................................................... Criteria ............................................................... 5 7..................Contents Page 1................................................................................................................................................................................................................................................................................................ 5 6............ 3 5...................................................................................... 3 4...... Aims ................................. Responsibilities ........................................ Purpose and Scope .. Individual in-patient ward toys/ games ........................ Group Play .......................................................................... 6 10............................... Out-patient and waiting areas............ 6 9.................... 3 2................ 8 Policy: Toy Cleaning Policy Page 2 of 11 Author: Kirstine Burns/Alison Knox Date: January 2015 Version: 1............

The guidance within this policy is evidence based and reflects best practice. Toys which are donated by the public for this purpose must be new and unused of BS standard and appropriate to the age. staff and visitors. Aims This policy will assist staff to: • Ensure all toys/games for use within NHS Dumfries and Galloway premises are fit for purpose • Ensure all toys/games for use within NHS Dumfries and Galloway are cleaned appropriately before and after use and stored correctly • Ensure all toys/games for use within NHS Dumfries and Galloway premises are in checked minimum weekly for signs of damage or wear and tear. Purpose and Scope NHS Dumfries and Galloway is committed to providing a safe environment for patients.e. 2. by following an appropriate risk assessment this policy may be adapted to suit the needs of the child/ group of children. Policy: Toy Cleaning Policy Page 3 of 11 Author: Kirstine Burns/Alison Knox Date: January 2015 Version: 1. 3.1 . Responsibilities All clinical staff within the Women and Children’s Directorate must: • Follow this policy. This policy must be implemented Board wide. Introduction Age appropriate toys and games will be available for patients within the clinical setting where children and young people are treated and which do not increase the risk of spread of infection. their families and NHS Dumfries and Galloway staff within NHS Dumfries and Galloway premises and during domiciliary visits are clean and fit for purpose. This policy must be used in conjunction with other NHS Dumfries and Galloway Infection Control policies and guidelines. i. no toys with small parts should be given to children under 3 years of age. 1. This policy will ensure that all toys/games used by children. 4. This policy applies to toys/ games owned by the directorates and used by staff and parents/ patients. This risk assessment must be documented in the patient’s notes. In areas where mental health is a key consideration.

1 . Managers must: • Ensure that staff are aware of the contents of this policy. • Will not purchase or accept donations of new toys/ games unless there is an approved method for cleaning in place as agreed in Section 5. • Inform a member of the Infection Control Team (ICT) if this policy cannot be followed. Women and Children’s Directorate must: • Keep this policy up to date • Audit compliance with the policy Policy: Toy Cleaning Policy Page 4 of 11 Author: Kirstine Burns/Alison Knox Date: January 2015 Version: 1. • Support HCWs and ICTs in following this policy. • Will have devised a process to ensure that all toys/ games in their ward/department are cleaned as per this policy. • Provide education opportunities on this policy. Infection Control Teams must: • Alert the Women and Children’s Directorate when this policy needs to be updated • Support audit of compliance with this policy.

varnished or painted wood.g. those with longer admissions and/ or any identified developmental or mental health need for additional toys. They should not be shared with other patients. Toys and Games Children’s own toys – Parents informed about toy/ games policy Patients may bring their own toys/ games into hospital but for most admissions this should be limited to one or two items only. parents have the responsibility for keeping toys/ games clean as per this policy and removing them from the child should they present a health and safety risk. Only clean toys/ games will be stored in this cupboard/ area. Toy/ games selection and purchase: Toys/ games will be chosen with hard surfaces (plastic. They should be stored in their locker when not in use or other appropriate covered storage area. Storage of clean toys: Toys/ games will be stored in a dedicated cupboard/ box (or play area if large) fit for purpose and is the subject of an identified and documented regular cleaning schedule.g. e. Donations of toys and games: The board receives many offers of used toys/ games by the general public. Policy: Toy Cleaning Policy Page 5 of 11 Author: Kirstine Burns/Alison Knox Date: January 2015 Version: 1. There is discretion on the part of the nurse in charge of a ward in relation to children who may need to exceed this number. vinyl. 5. 6.1 . therapeutic or educational purposes by children. Criteria Toys/ games: The word ‘toys/ games’ in the context of this policy refers to all toys used for recreational. We will not receive soft toys made of fabric which cannot be cleaned in accordance with infection control policies and guidelines. toy box. These items will be checked by the nursery nurses or hospital play therapist and will be disseminated as appropriate. young people. Toys and games may be received from members of the public. e. and their families or by healthcare staff. In acute settings. metal) which can be thoroughly cleaned. Where toys/ games with fabric parts must be used. these parts will be able to be laundered. except when children are playing together in a group activity with an expectation that the toy or game would need to be shared in order for the activity to take place (see note on group play below).

(See Cleaning Procedure in Section 5) 9. neuro-development specialist or child mental health professional. Suitable advice may be obtained from a play specialist. Managers need to ensure that there is clarity about responsibility for decision making in these cases.e. Staff will examine each toy/ game regularly minimum weekly or when soiled to ensure that it is fit for re-use. 7. Toys/games will be cleaned using detergent and warm water or detergent wipe (unless patient is in Standard Isolation where a chlorine releasing agent should be used) prior to being returned to the toy cupboard/ box/ area. (See Cleaning Procedure in Section 11) A notice will be displayed in each waiting area advising parents/ patients to report any dirty toys to a member of staff Policy: Toy Cleaning Policy Page 6 of 11 Author: Kirstine Burns/Alison Knox Date: January 2015 Version: 1. This may require risk assessment with clear documentation by the clinician responsible for overseeing the area where such informal group play occurs. e.e. 8.g. Toys/ games will be cleaned using detergent and warm water or detergent wipe (unless patient is in Standard Isolation where a chlorine releasing agent should be used prior to being returned to the toy cupboard/ box/ area. Individual in-patient ward toys/ games The ward/ department manager must have a written system in place for staff to ensure that toys are cleaned and examined between patient use. weekly or at end of clinic session. i. Staff will examine each toy/ game after use to ensure that it is fit for re- use. Out-patient and waiting areas The clinic/ department manager must have a written system in place for staff to ensure that toys are cleaned and inspected when necessary. check for broken parts/ faults/ loose wiring etc. Where there is uncertainty.1 . check for broken parts/ faults/ loose wiring etc). Toys will be kept to a manageable minimum so that appropriate cleaning can be undertaken. professional advice should be sought regarding the importance of that activity and this advice should be weighed against the infection control advice. (i. Group Play In circumstances when children may benefit from sharing toys staff have a responsibility to support safe play.

10. .1 .Protective Isolation The clinic/ department manager must have a written system in place for staff to ensure that toys are cleaned and inspected prior to being placed into a protective isolation room Policy: Toy Cleaning Policy Page 7 of 11 Author: Kirstine Burns/Alison Knox Date: January 2015 Version: 1.

1 . using disposable paper towel. Gameboys/ CDs/ DVDs) Policy: Toy Cleaning Policy Page 8 of 11 Author: Kirstine Burns/Alison Knox Date: January 2015 Version: 1.see section 4. • Dry with a clean. 11. Detergent • If wipes are not available/ suitable. laminated pages or computers should be used for children in source isolation. care must be taken to examine parts at the end of the child’s play and wash all parts thoroughly in warm water and neutral detergent. • Where possible. • Wipe dry with disposable paper towel. Books • Books and posters should be examined for visible soiling with body fluid and disposed of as necessary.) between patients toys (i.g. . where appropriate and before returning to toy computers/ cupboard/ area. photocopies of pages. Cleaning – • Use detergent wipes to wipe toys. e. Actichlor Plus or a solution containing 1000ppm hypochlorite (the use of chlorine should be accompanied by a COSHH assessment). If item is Cleaning - visibly Disinfection soiled with blood and body fluids use a chlorine based detergent. Do not store toys wet.e. Cleaning Procedure The Senior Charge Nurse (SCN)/ Department Manager/ Practice Manager must designate a member of staff to clean and check the toys/ games on a daily basis. i. use a fresh solution of detergent made up as per manufacturers instructions. source isolation unless they can be given to the child Lego as a gift to take home. paper towel.e. Construction • These should not be considered for patients in toys. Hand held • Damp wipe (disposable cloth and neutral detergent electronic or detergent wipes . Rinsing is always indicated after chlorine has been used to avoid children ingesting small amounts of the product and also to avoid unnecessary wear and tear on the product. • Between patients. • Where toys with small parts are used. wipe the cover with detergent wipe. Do not store toys wet • Clean as per cleaning procedure above.

Policy: Toy Cleaning Policy Page 9 of 11 Author: Kirstine Burns/Alison Knox Date: January 2015 Version: 1. Toys/ games • Consider disposal of toy/ game if grossly soiled contaminated. Toys /games • Clean item with a chlorine based detergent. • Therapeutic putty must be single patient use. parents should be encouraged to take the toy home to wash. used in Actichlor Plus or a solution containing 1000ppm source hypochlorite and rinsed appropriately then dried isolation before storage. Wall mounted • Damp wipe (disposable cloth and neutral detergent toys/ games or detergent wipes) after each patient use. • Where a soft bodied toy must be used. • Play dough should be made)and discarded at the end of the session and not stored for therapeutic another day. with body • All blood and body fluid should be decontaminated fluid as per NHSGGC Decontamination Policy. Stuffed soft • Avoid if possible. • Patients in source isolation should not be allowed soft toys other than their own toys. • Seek advice from a member of the ICT prior to decontamination. toys used for decoration Therapeutic • All therapeutic toys including soft bodied toys must toys be made of a wipeable material. • All children should be encouraged to wash their hands before touching any play equipment. If soiled. Play dough • The child should be encouraged to wash their hands (home prior to start of play. Stuffed • Only new stuffed animals and cloth dolls can be animals / accepted by the hospital and will be given to one child cloth dolls as a gift to have as their own toy and to be taken home at the end of their stay. the toy should be visibly clean before use.1 . i. • A child in isolation will be given their putty own play dough that is not shared with other children and discarded after use. • There must be a protocol in place for replacement/ cleaning. • Soft toys sitting in incubators and cots should be visibly inspected daily for signs of contamination.e.

1 . • Water should be discarded at the end of the session. Policy: Toy Cleaning Policy Page 10 of 11 Author: Kirstine Burns/Alison Knox Date: January 2015 Version: 1. Equality and Diversity NHS Dumfries and Galloway is committed to equality and diversity in respect of the six equality groups defined by age. Window • Prior to allowing patients to paint on windows. religion/belief and sexual orientation. race. Actichlor Plus or a solution containing 1000ppm hypochlorite. • Only clean glass surfaces should be used. disability. The surface must be able to withstand being washed and disinfected with a chlorine based detergent. Water play • This should be on a one-to-one basis only. • The responsible person must remove all traces of paint from the window when the painting is no longer required or on discharge of the patient. Wall murals • All permanent wall murals should be sealed to reduce paint from peeling/ chipping.e. 12. clear painting lines of responsibility for removing the paint must be established. i. gender. • All toys should be cleaned and dried thoroughly prior to storage. An impact assessment was carried out for this policy and no potential adverse effects have been identified.

Distribution Name Responsibility Version number 4.1 . Document Status Title Toy Cleaning Policy Author Mrs Kirstine Burns and Miss Alison Knox Approver Infection Control Committee Document reference Version number 1. Action Plan for Implementation Action Lead Officer Timeframe Upload to Infection Control Manual Andrew McCulloch January 2015 Inform relevant staff groups via Kirstine Burns/ January 2015 existing communication structures Alison Knox Policy: Toy Cleaning Policy Page 11 of 11 Author: Kirstine Burns/Alison Knox Date: January 2015 Version: 1. Associated documents 5. Document Control Sheet 1.0 2 Document Amendment History Version Section(s) Reason for update No change 3.