O.R. Cleaning Procedures - Multi

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Transcript O.R. Cleaning Procedures - Multi

Multi-Clean
Introduction
Operating Room Procedures
The cleaning procedures for Operating Suites are
broken into 2 groups.
1.
Between Cases: When a patient procedure is
completed and another is scheduled to follow.
2.
End of Day: After all cases are completed, more
comprehensive procedures are to be done.
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Safety Precautions
Operating Room Procedures
Bloodborne Pathogens
It is likely you will encounter visible blood or other
bodily fluids in the operating room. Special cleaning
procedures are required when blood or other bodily
fluids are present.
Blood or other bodily fluids may contain
disease causing micro-organisms (pathogens)
that can be transmitted to others that come
in direct contact.
Never pick up sharps such as discarded needles with
your hands. Always use a mechanical device such as
tongs to pick up the sharp and place in the appropriate
container.
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Safety Precautions
Operating Room Procedures
Bloodborne Pathogen Safety Precautions
Always assume blood or bodily fluid spills
are contaminated. The protective equipment
and attire you will be wearing in the O.R. is
designed to protect you when dealing with
blood or other bodily fluids.
ALWAYS…………
….use a two step cleaning process for
blood or other bodily fluids.
1. Remove gross filth by wiping with a cloth
moistened with Century Q.
2. Wipe the cleaned surface with the Century Q
solution again so the surface is visibly wet and
allow to air dry.
Disposal of cleaning materials such as rags,
sponges, paper toweling, absorbents, should
be into a red Bio-hazard bag.
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Equipment and Supplies
Operating Room Procedures
Getting Started….Gather your supplies
Wiping Cloths
Mop Bucket with Century Q Solution
Floor Mops
Wall Mops
High Duster
Bucket with Century Q Solution
Spray bottle, labeled, containing Century Q Solution
Trash Can Liners (standard, general waste)
Bio-Hazard Bags (for hazardous materials)
Wet Floor Signs
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Safety Attire and Equipment
Operating Room Procedures
Put on your safety attire / equipment
before entering the O.R.
Scrubs: You will need to wear operating
room attire which includes special pants, head
cap,smock and shoe covers.
Safety Glasses: Safety glasses with side
shields are required when working in the
operating room.
Face Mask: You must wear a face mask
when entering the operating room.
Gloves: Gloves not only protect hands from
cleaning chemical exposure, they also prevent
contact with soils, contaminants and
potentially harmful bacteria. Always wash
hands before putting on gloves.
You must have this safety equipment on
before entering the operating room.
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Preparing Cleaning Solution
Operating Room Procedures
Cleaning and sanitation procedures for the operating
room use a cleaner disinfectant called
#256 Century Q
The product is dispensed through a special wall
mounted dispenser called the Multi-Task Dispenser.
To activate the Multi-Task
Dispenser, simply hold a spray
bottle under the short fill hose and
press the button. The bottle will be
filled with properly Century Q.
For mop buckets, place long fill
hose into the bucket and press
the button.
Long fill hose
For buckets
Short fill hose
For spray bottles
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Cleaner / Disinfectant
Operating Room Procedures
Description: Disinfectant Cleaner for use
on all operating room environmental
surfaces.
Color Code:
Red
Number: 256
Where is it used: This product is used for all
operating room surfaces,
How is it used properly: In most cases it is used as a
“one step” cleaner/disinfectant. The surface is wiped
so that it is visibly wet and allowed to air dry.
When blood or other bodily fluids are visible, the
process is “two step”. First, the gross filth is removed
using the Century Q solution. Second, the surface is
again wiped with the solution so that it is visibly wet
and allowed to air dry.
Safety Precautions in using and handling:
Floor Safety: Post wet floor signs and restrict access if
possible until floor is dry.
Personal Safety: Wear required attire for operating room
services.
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Procedures
Operating Room Procedures
Before you get started……
• Gather tools and equipment, only use
tools and equipment designated for the O.R.
• Prepare cleaning solutions. Spray bottles
and mop buckets should be labeled.
• Wash hands thoroughly.
• Put on necessary safety equipment and
clothing before entering the O.R.
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Between Cases
Operating Room Procedures
After each case and prior to
additional cases the same day……
 Pick Up General Waste
Remove bags of waste and tie off bag. Clean inside and
outside of container with Century Q solution.
 Pick up any sharps
Use tongs or other mechanical device to pick up any
needles. Dispose of in sharps container.
 Infectious Waste
Remove red bags of waste and tie off bag. Clean inside
and outside of container with Century Q solution.
 Remove soiled linens
Remove linen container for transport to laundry
department. Clean inside and outside of linen containers
with Century Q solution.
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Between Cases
Operating Room Procedures
Cleaning Strategy:
Your cleaning efforts will be focused on the
surgical field. The cleaning zone will be a perimeter extending 3-4 feet
beyond the surgical field.
Cleaning Zone
Ceilings
Overhead Light Fixtures
OR Table
Suction Units
Movable Equipment and Furnishings
Spot Cleaning of Walls, Ceilings
High Touch Surfaces
Floors – Dust Mop
Floors – Wet Mop
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Between Cases
Operating Room Procedures
You will be using Century Q 256, a detergent disinfectant
solution for all cleaning done in the operating room
between cases.
When NO visible blood or other bodily fluid is present
on the surface to be cleaned. simply wipe the surface
with a clean cloth that is thoroughly moistened with the
Century Q 256 cleaning solution. The cleaned surface
should be visibly wet and allowed to air dry.
When Blood or other bodily fluids are visible, the
cleaning process becomes a two step process:
1. Remove gross filth by wiping with a cloth
moistened with Century Q.
2. Wipe the cleaned surface with the Century Q
solution again so the surface is visibly wet and
allow to air dry.
Important: Look for gross filth that has landed
outside the Cleaning Zone and clean accordingly.
This may include blood on ceilings, walls and
floors.
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End of Day
Operating Room Procedures
When all cases are completed for
the day…..
Pick Up General Waste
Remove bags of waste and tie off bag. Clean inside and
outside of container with Century Q solution.
 Pick up any sharps
Use tongs or other mechanical device to pick up any
needles. Dispose of in sharps container.
 Infectious Waste
Remove red bags of waste and tie off bag. Clean inside
and outside of container with Century Q solution.
 Remove soiled linens
Remove linen container for transport to laundry
department. Clean inside and outside of linen containers
with Century Q solution
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End of Day
Operating Room Procedures
Cleaning Strategy – Top to Bottom:
Always start your cleaning
on the highest surface and work your way down. This makes sure
that any contaminants that drop from the higher surfaces will be
picked up on the lower surfaces. Here is a checklist of items / surfaces
to clean and the order in which they are done.
Ceilings
Overhead Light Fixtures
OR Table
Suction Units
Movable Equipment and Furnishings
Walls and wall fixtures
Countertops and Cabinets
Floors – Dust Mop
Floors – Wet Mop
Room Entrance