General cleaning algorithm. Rules for the current cleaning

The current cleaning of the premises is carried out for the purpose of prevention, prevention of infectious contamination, as an anti-epidemic measure, as well as to achieve and comply with the accepted sanitary and hygienic regime. Holding current cleaning ensures the removal of dangerous microorganisms, in addition, the current cleaning of the premises maintains an aesthetic appearance.

General definition

Routine cleaning of the wards, routine cleaning of the office and other premises is one of the items on the list of measures and sanitary measures carried out for anti-epidemic purposes. First of all, the current cleaning of the ward and the ongoing cleaning in other rooms is aimed at preventing infection that can spread inside the hospital.

The schedule and frequency with which the current cleaning of offices is done may change - in addition to the two mandatory ones, it is necessary to carry out additional cleaning and disinfection between operations. In all cases when the planned current cleaning of the premises is carried out, it is necessary to undergo the following types of work:

• Cleaning from various passive contaminants. Dirt, dust, other surface contaminants.
• Removal of waste of biological origin, especially carefully - if the current cleaning of the operating room is carried out.
• The use of disinfectants. AT without fail this is done if there is a current cleaning of all premises, for operating rooms and wards, additional disinfection can be carried out in several stages.

The current cleaning of hospital wards pursues the main goal in the form of the destruction of microorganisms that can multiply on various surfaces and be pathogens. various diseases, including serious ones.

Algorithm for the current cleaning

Routine cleaning of the premises is carried out at least 2 times a day, includes cleaning and disinfection of floor surfaces, window sills, doors, furniture, and all equipment. Additional routine cleanings are carried out in the operating rooms between operations. Only certified and safe cleaners and disinfectants may be used.

When carrying out ongoing cleaning of the premises, you must follow the principle:

• The first cleaning is done by applying detergents to thoroughly clean the surfaces from dirt and dust. The consumption rate of detergent additives is 50 grams per standard ten-liter bucket of water.
• The second cleaning includes the use of disinfectants. The concentration and composition is approved by the regulatory documents in force for the hospital.

The current cleaning includes the following steps:

• Surface cleaning. To do this, wipe all window sills, headboards, tables, other furniture and surfaces with a damp cloth or rag.
• In canteens or eating places for patients, a cleaning procedure is carried out. After feeding, the dispenser is obliged to wipe all tables, bedside tables and other surfaces.
• After cleaning the furniture and window sills, the floor is washed. In this case, the addition of a disinfectant solution is used.
• If necessary, additional quartzing is performed. This procedure is mandatory for the current cleaning of operating rooms.
• The final stage includes ventilation.

The used cloth used to wipe the surfaces is disinfected. For this, the composition of the disinfectant solution is diluted in accordance with the approved standards for the hospital. After disinfection, the cloth or rag is rinsed or washed running water until the smell of the disinfectant disappears. After that, it dries up.

Current cleaning logs

The current cleaning log includes an approved schedule for their implementation. After cleaning, a record is made. The journal indicates the planned date and time of the cleaning, the actual data, who did the cleaning, what detergent was used, the disinfectant solution, its quantity and concentration. This must be followed by the name of the person who controlled the process and performance. Paintings are put up by those who did and supervised the cleaning.

Separately compiled normative document, which indicates the number of cleanings for each specific type of room and lists the individual rooms for which there is a personal schedule.

Normative documents and instructions

The procedure for conducting current cleanings, their number and methodological requirements are regulated by orders of the administration's health committees. individual areas. The use of quartz irradiators for air disinfection is regulated by guidelines approved by the chief sanitary doctor of the country.

spring-cleaning medical offices

Cleaning a house or apartment is not an easy task. But it is even more difficult to do this in sensitive rooms - offices and wards of medical institutions. After all general cleaning in hospitals regulated by sanitary norms and rules, it is always carried out according to a certain algorithm. It is important not only to maintain perfect cleanliness, but also to adhere to all approved instructions. Only then will the conditions necessary for the preservation and restoration of our health be created in hospitals and clinics.

Features of general cleaning in medicine

As a rule, current and general cleaning in wards, offices and other rooms of honey. institutions are carried out by their own staff - full-time cleaners, nurses and even nurses. The process consists of cleaning windows, doors, walls, floors, furniture and equipment from dust and dirt. In addition to washing, surfaces must be disinfected during the “general” special formulations that give the desired level of sterility and do not harm the health of patients and staff. The list of detergents and antiseptics approved for use in medical institutions is provided by the sanitary and epidemiological supervision authorities. All washing and disinfection work is carried out according to the approved schedule.

The frequency of general cleaning in health facilities

An important difference between general cleaning in health facilities is their clear frequency - at least once a month. But separate medical offices processed more frequently. So, in rooms with aseptic conditions (dressing rooms, procedural, surgical, inoculation rooms), weekly full washing and disinfection is required. In therapeutic, dental (except surgery), physiotherapy, massage rooms, x-ray room and ordinary wards, monthly “generals” are enough. There is also the concept of final general cleaning, which is carried out in individual wards after the patients are discharged.

What is needed for general cleaning in a medical facility

Inventory for sanitary and hygienic work in health facilities is selected according to the approved list:

• two containers for washing walls, floors and other surfaces (furniture and equipment);
• a bucket for washing windows;
• mops - one for washing walls and ceilings, the other for the floor;
• ordinary and sterile rags (napkins);
• detergents;
• disinfectant solutions.

Reusable devices are labeled to prevent the transmission of infections. Overalls are also required (gowns, caps, gloves, waterproof aprons), in some cases, the kit must be supplemented with glasses and masks (respirators).

Stages of general cleaning in health facilities

All work on cleaning and disinfection in medical institutions is carried out according to the prescribed algorithm. In general, there are two stages of general cleaning in the premises of health facilities. The first one consists of the following steps:

• wear overalls;
• move all furniture and equipment away from the walls;
• wash the walls and floor with detergent;
• wash off the special solution clean water;
• treat all surfaces with disinfectant;
• wait the time necessary for disinfection.

• remove apron, change gloves;
• wash off the disinfectant solution with plain water using a sterile wipe;
• wipe the surfaces dry with another aseptic napkin;
• wash the floor (method of "two buckets");
• disinfect the room with ultraviolet light, ventilate.

After completion of work, all inventory is disinfected, washed and dried in a special room. The overalls are sent to the laundry.

High-quality general cleaning for modern clinics

To carry out the whole complex of works traditional methods it takes a lot of time and a lot of money, and the staff of medical institutions do not always manage to achieve the desired cleanliness in the premises. Therefore, many private and public clinics turn to companies providing cleaning services. Specialists carry out general cleaning in medical facilities quickly and efficiently, thanks to the availability of high-tech equipment. At the same time, they are responsible for the implementation of all instructions, regulations and standards.

In St. Petersburg, you can order cleaning services from the professionals of the Shining company. The result of our work will be perfect cleanliness in every office and every ward of your institution.

Current cleaning of LPO premises. It is allowed to involve employees of specialized services (firms) with permission to clean medical institutions for cleaning. this species works.

Frequency of current wet cleaning:

1. In surgical and obstetric institutions - at least 3 times a day, including 1 time with the use of disinfectants.

2. In ward general somatic departments - at least 2 times a day, with disinfectants -\u003e after changing linen, as well as according to epidemic indications.

3. Premises with a special regime of sterility, asepsis and antisepsis (intensive care units, newborns and premature babies, procedural, infectious boxes, boxes of bacteriological and virological laboratories, milk rooms, etc.) should be disinfected after each cleaning.

4. Places common use(halls, corridors, information desks, etc.) should be cleaned as they get dirty.

Routine cleaning by type of preventive disinfection. The sequence of the current disinfection.

1. Put on overalls for cleaning (robe, hat, apron, gloves, slippers).

2. Prepare a 2% soap-soda solution (100.0 soap, 100.0 soda). Apply detergent to all treated surfaces. Wash it off with water.

3. Apply disinfectant working solution.

4. Wash off with clean water.

5. Disinfect cleaning equipment: soak a rag, rags in a disinfectant solution in separate containers, rinse, dry.

6. Remove the used spec. clothes.

7. Carry out hygienic hand antisepsis.

8. Put on clean overalls.

9. Turn on the quartz for 30 minutes, ventilate for 15 minutes.

General cleaning procedure:

1. In ward departments, in offices and premises of functional units, general cleaning should be carried out according to the approved schedule at least 1 p.m. per month:

with washing and disinfection of walls, floors, all equipment

With wet wiping of dust from furniture, lamps, blinds, etc.

2. General cleaning, including washing and disinfection of operating rooms, dressing rooms, treatment rooms, postoperative wards of the resuscitation and intensive care unit, the premises of the maternity unit, is carried out once a week.

3. In obstetric hospitals, general cleaning and final disinfection delivery rooms carried out every 3 days.

General cleaning technology - carried out according to the type of final disinfection:

1. put on special clothes for cleaning (robe, slippers, apron, gloves, cap);

2. free the room from furniture as much as possible and move it to the center;

3. wash windows warm water with window cleaner

4. using separate cleaning equipment, apply a cleaning solution to the walls, wipe surfaces, equipment, furnishings, floors, following the sequence - ceiling, window, walls from top to bottom, equipment, floor from the far wall to the exit;

5. wash off with clean water using a rag;

6. re-treat all surfaces with a disinfectant working solution, maintaining exposure according to the virucidal regime;

7. wash their hands with soap;

8. change overalls for clean ones;

9. wash off with clean water;

10. arrange furniture, equipment in their places;

11. turn on germicidal lamps for 2 hours;

12. ventilate the room for 1 hour;

13. disinfect cleaning equipment.

Infectious diseases hospital (department). Accommodation and layout features. Hygiene requirements to the conditions of admission, sanitation, accommodation and maintenance of patients. Principles of individual and group isolation.

Infectious department located in a separate building. Features of planning and sanitary regime:

1. On the territory of the infectious diseases hospital (building), "clean" and "dirty" zones should be allocated, isolated from each other by a strip of green spaces. At the exit from the “dirty” zone, a platform for the disinfection of vehicles should be provided.

2. The main feature of infectious diseases hospitals or departments is the arrangement of boxes and semi-boxes in them.

3. the presence of reception and viewing boxes (16 m 2),

4. a sanitary inspection room is provided for the staff,

5. rooms for discharge for patients discharged from semi-boxes and wards, for each section separately (8 m 2),

6. no common areas for patients (canteens, day rooms).

7. Infectious departments must be placed in separate buildings in order to isolate patients.

8. A feature of the layout of the infectious diseases department is the need to separate the flow of patients and attendants, as well as incoming and outgoing.

9. conditions of admission and maintenance of patients

1. At reception in inf. hospital patients must comply with the following requirements:

· streaming of the movement arriving in inf. the hospital of patients should be provided in the direction from the reception and examination box of the admission department to the treatment departments;

Reception of patients with infectious pathology should be carried out strictly individually. Simultaneous waiting of two or more patients in the same room is not allowed;

Patients in need of resuscitation can be hospitalized in the intensive care unit, bypassing the admissions department for infectious diseases. hospitals.

2. In the reception and examination boxes of the infectious diseases hospital, additional sets of SHOs, PPE for medical workers should be allocated.

3. In the reception and examination boxes of the infectious diseases hospital after receiving each patient:

4. all objects that come into contact with the patient must be disinfected;

5. wet cleaning of the floor with the use of chemical disinfection agents should be carried out. room sanitary unit should be subject to wet cleaning last;

6. air disinfection should be carried out after wet cleaning.

7. Laundry in the infectious diseases hospital should be carried out in its own laundry.

8. Used patient care products, linen, bedding, furniture, equipment must be decontaminated before being removed from the department of the infectious diseases hospital (for use in other departments, write-offs, disposal).

9. In infectious diseases hospitals, unauthorized movement of patients from ward to ward, unauthorized movement of patients outside the departments is prohibited.

Current cleaning is a regular event aimed at maintaining order and cleanliness in the premises of residential and special funds. The frequency of its implementation depends on the purpose of the premises, the degree of contamination and the sanitary requirements. In apartments and houses they spend at least twice a week, in the premises of medical institutions at least once a day, and in special ones - several times during the day. The order in which the current cleaning is carried out, and how it differs from the general cleaning up, is revealed by the following text.

The difference between general and ongoing cleaning

General cleaning (from English word"general" - "main", "main") is aimed at streamlining things and property, as well as eliminating all pollution, including visually inaccessible places. During it, furniture is moved, surfaces are cleaned and minor repairs are carried out.

Carrying out routine cleaning involves measures to maintain cleanliness and order in the premises. The main attention is paid to places with the greatest activity of people during Everyday life. As a rule, contamination is removed quickly, the use of special detergents or equipment is not required.

What is the difference between the current cleaning and the main general cleaning is presented in the following table:

Attention! Significantly simplifies the general cleaning in the premises, carefully carried out regular ongoing cleaning - clean where they do not litter.

Current house or apartment cleaning

Carrying out the current cleaning does not imply restoring order in one day. An apartment (house) can be conditionally divided into sectors, and one can devote no more than half an hour to work every day. Individual elements are carried out in the course of daily human activity, and do not require additional attention. For example: washing dishes and wiping the table after eating, putting clothes in a closet or laundry bin after a day's wear, drying bathroom rugs, keeping the toilet clean and much more. Current and solves other problems. As such current includes:

1. Placed in the hallway outerwear and shoes in the places provided. Cleaning the surface of the mirror from dust and stains. Wet processing of the floor, and if the house is private, then the entrance steps and platforms.
2. AT living rooms periodically change bed linen. Upholstered furniture, the outer surfaces of books in cabinets, carpets are vacuumed, and a wet wipe is also carried out.
3. AT kitchen areas make an inventory of detergents and accessories, put everything in the places provided. Eliminate pollution hob and cabinets, remove sawdust from the outside of microwave ovens, refrigerators and other property. Produce a replacement kitchen towels and wash the floor.
4. In sanitary areas, mirrors, baths, sinks, toilets are serviced and faucets are cleaned from limescale. If necessary, wash rugs, replace bath towels.

Attention! Any restoring order should be accompanied by ventilation of the premises. Fresh air good for health, and a slight draft will remove the smell and chemical particles released by detergents.

Cleaning requirements for medical facilities

An example of a quality ongoing clean-up is the maintenance of the premises of medical and treatment-and-prophylactic institutions of the Ministry of Health, where there are special requirements for the implementation sanitary norms. Events are regulated by time and content. Violation of rules and regulations entails liability officials. The following are provided:

• equipment for restoring order is assigned to each room (operating room, postoperative room, resuscitation, treatment room, sanitary rooms), its use in in public places or other rooms is strictly prohibited;
• the set of a separate room includes a floor bucket, a container for liquid (processing wall panels), separate mops (walls and floors separately), rags with a specific purpose, ruffs for equipment disinfection;
• the current cleaning of the premises is carried out at least twice a day, if necessary - three or more;
• the list of activities includes washing and processing accessible surfaces of furniture, window sills, doors and other things;
• the elimination of contaminants is carried out with a soap-soda solution, and disinfection is carried out with a low-percentage composition (hydrogen peroxide, deochlor, lizafin, dulbak and others);
• carrying out mandatory quartzization of rooms where the infection is likely to spread (operating rooms, dressing rooms, wards for premature babies, sterile zones, etc.).

Important! All medical facilities maintain logs of sanitary measures, which include information about the date of the event, the person responsible for the work, and details of the disinfectant used.

After reviewing the procedure for the current and general cleaning, the housewives can independently determine the schedule for their implementation. It should be borne in mind that the daily putting in order is a simple job and takes a limited time, but the general one is voluminous and time-consuming. In this regard, it seems justified to invite specialists from a clearing company for general cleaning.

The presented video material presents the rules for general cleaning of premises:

I. Planning for general cleaning

For the general cleaning of the ward departments, a fixed day is set by order of the hospital once a month (for example, the last Friday of each month), which is notified in advance to the administration of the hospitalization department.

On this day, admission to the departments of planned patients is limited, only patients for emergency indications are hospitalized.

To ensure the rational placement of personnel, accounting for the amount of work performed, calculation required amount detergents and disinfectants, it is recommended to develop annual schedule carrying out general cleaning, approved by the head of the department. The technology, the cleaning schedule, the list of detergents and cleaning products are periodically reviewed, but it is possible to assess the reality of the implementation of the plan only under the condition of strict control of implementation in compliance with the rules sanitization all premises and equipment.

It is more convenient to draw up a schedule in the form of tables, indicating the full set and area of ​​\u200b\u200bthe premises, as well as the number and approximate area of ​​​​the treated surfaces of furniture, medical and sanitary (baths, toilets, sinks, radiators, etc.) equipment, windows and glazed doors.

In the same table, you can include the terms for washing windows, processing lighting fittings, step-by-step processing of non-chamber processing of all bedding, changing curtains, etc.

cleaning equipment

Procedural, manipulation, etc. with aseptic mode (according to the number of rooms);

Chambers of a therapeutic profile;

Postoperative wards for immunocompromised patients receiving hormonal preparations, etc. (according to the number of wards);

Administrative and utility rooms (doctors' offices, nursing rooms, etc.);

Bathrooms (according to the number of bathrooms);

Bathrooms (according to the number of latrines).

Cleaning equipment (cleaning equipment) should be easily disinfected. It is not recommended to use hair brushes, sorghum brooms in healthcare facilities, which are difficult to wash and practically do not withstand disinfection, as a result of which they are a factor in the transmission of infection.

According to the number of groups of premises with the appropriate asepsis regime, sets of cleaning equipment are completed:

A set of a floor brush (mop) and a mop on a long handle for washing walls and ceilings;

Buckets or plastic bags for collection and short-term storage of garbage during the cleaning period;

A set of 2 buckets (galvanized) for washing walls and ceilings with a detergent-disinfectant solution and then washing it with clean water from detergent residues;

A set of 2 buckets - respectively for washing and rinsing the floor;

Set of ruffs with handles different lengths for washing radiators, hard-to-reach places etc.;

Enameled containers (pans) for clean rags;

Brushes with hard bristles or rags - for washing bathtubs and sinks;

Cleaning brushes upholstered furniture(in the absence of a vacuum cleaner);

Round toilet brush (for processing bathrooms in separate ward sections),

Pump (kvach, plunger) - to eliminate small blockages sewer pipes toilets and sinks.

A set of rags, consisting of:

Cover-bag made of cotton jersey, put on a mop for washing (sweeping) ceilings and walls: two burlap rags (preferably with sheathed edges) - respectively, for washing the floor with a solution and then washing it with clean water;

Cotton duster.

Regardless of the type of room treatment (washing with soap and soda or disinfectant solutions) all cleaning equipment and rags after cleaning the premises are subject to disinfection, washing and mandatory drying.

The rag must be dried, as humid environment and especially in a dark room, many microorganisms multiply very intensively, causing nosocomial purulent-inflammatory diseases.

Do not store cleaning equipment in offices and wards. For this, a separate room or cabinets are allocated, in which storage is stored in separate sections. full set labeled cleaning equipment for each category of premises.

Floor brushes are best hung on wire or metal rings for better drying and protection of the bristles from bending. At the end of cleaning, the brushes must be washed in a detergent-disinfectant solution, rinsed in clean water and periodically combed through the bristles with a comb or other device specially designed for this purpose.

Wooden handles of brushes and mops should preferably be coated with waterproof paint or varnish to facilitate disinfection.

cleaning technology

Cleaning of medical and diagnostic rooms and wards is desirable to be carried out when open windows and in the absence of patients. Beds must be covered.

Cleaning of the premises should begin with the release of furniture, equipment, etc. or moving it away to provide free access to the processed objects.

When installing stationary equipment, it is recommended to seal the joints and adjoining walls with sealants to prevent leakage of liquids, accumulation of dirt and dust.

General cleaning before the onset of the autumn-winter season should include mandatory double-sided glass washing after completion of work on the repair and glazing of windows, restoration of putty. Then, the cracks are sealed with cotton wool or other material and the second frames are pasted over with special thick paper 4-5 m wide. Pasting is usually carried out with liquid starch paste.

If the frames do not fit tightly enough, it is recommended to nail thin wooden slats, pasted over with a baize or other sealing material, but not with felt, since moths and other insects are bred in it. You can use special sealants.

To protect the glasses from freezing, they are wiped with a mixture of 1 part of glycerin and 3 parts of alcohol, and some hygroscopic substance, such as a piece of charcoal, is placed between the frames.

Dirty glasses absorb up to 50% of transmitted light. Approximately once every 1-2 months they should be washed with warm water with the addition of ammonia(1 tablespoon per 1 liter of water) or special glass cleaners.

In the absence of such conditions, upholstered furniture, mattresses, pillows are covered with a moistened cloth and then cleaned by knocking out.

If disinfection treatment of upholstered furniture, curtains, various surfaces for which conventional processing is not suitable aqueous solutions, you can use "Solarcept" of the "Deconex" series of CJSC Vita-Tour - ready solution for quick disinfection of hospital furniture, fabrics, mattresses, clothes (outside of hospital gowns, shoes), objects and areas of frequent contact (devices, telephones, door handles and faucets, switches, toilet seats, etc.).

The advantage of the drug is that it does not destroy tissue structures, it wets the treated surface well and dries quickly, it is non-toxic.

When carrying out general cleaning, it is somewhat difficult to wash the batteries and the space behind them, where a significant amount of dust accumulates. For this purpose, you can use hand sprayers, filled: one with a detergent-disinfectant solution, the other with clean water for the final rinse. It is more convenient to process the space behind and under the battery in succession with two brushes (respectively for washing and subsequent laundering with clean water).

Wet rags moistened with disinfectant wipe the beds, bedside tables, tables and other furniture.

Finish cleaning the premises by mopping the floors. special attention requires washing the baseboards, which are repeatedly wiped with a rag moistened with a disinfectant solution after washing the floors.

Treatment of any surfaces (rubbing, brushing) is recommended small areas(2-3 m2).

The washing and disinfecting solution should be changed after cleaning 80-100 m2 of the surface - in general somatic wards and administrative and utility rooms, and other premises that do not require special regime, and no more than 60 m2 when processing rooms with an asepsis mode (procedure, postoperative wards, etc.).

When carrying out general cleaning with the use of spray equipment, personnel use respirators, goggles, and gloves.

Feature of general cleaning in the treatment room

Once a week, a general cleaning of treatment rooms, manipulation rooms, postoperative and resuscitation wards is carried out.

A disinfectant solution (1% chloramine solution, 0.25% sodium hypochlorite solution, etc.) is applied to the surface and switched on for 60 minutes germicidal lamp(its power, as in other rooms with a strict regime, must be at least 1 W per 1 m3 of the volume of the room, and the period of use must not exceed the normative one shown in the passport (no more than 2 years); control of timely replacement is the responsibility of the head nurse departments). Then they put on a clean gown, wash off the disinfectant solution with a sterile rag moistened with tap water. Upon completion of cleaning, the room is re-irradiated with ultraviolet light for 30 minutes. The cabinet is then ventilated. Cleaning equipment is disinfected in 1% chloramine solution for 1 hour, then washed and dried.

General cleaning of bathrooms, bathrooms, sanitary rooms, etc. utility rooms should be carried out at least 1 time in 10-15 days.