The frequency of general cleaning in the procedure. Current cleaning of the hospital premises

Scheme of general cleaning.

Stage 1 - room preparation.

Stage 2 - washing all surfaces.

Stage 3 - disinfection of all surfaces + air disinfection .

Stage 4 - flushing disinfectant + re-disinfection of air .

Stage 5- ventilation of the room.

Stage 6 - disinfection of rags and cleaning equipment.

Option number 1.

spring-cleaning chlorine-containing preparations.

More than 100 drugs belong to the group of chlorine-containing drugs and are approved for use for general cleaning in sensitive rooms. Consumption rates of a solution of chlorine-containing preparations - 150 - 200 ml of solution per 1 sq.m of surfaces when processed by wiping or spraying with the Kvazar apparatus.

Stage 1. Room preparation. The room is freed from medicines, sterile packing and materials, Supplies, waste. All equipment is turned off. The staff puts on overalls and protective equipment (gloves, mask, apron). Working solutions are being prepared: 2% soap and soda solution (per 10 l hot water add 50g laundry soap and 200 g of soda ash) and a disinfectant solution according to the regime that ensures the destruction of bacteria, viruses, fungi.

Stage 2. Purpose: mechanical cleaning of surfaces from mechanical impurities.

A 2% soap-soda solution is applied to all surfaces in two directions - “top-down” and “window-to-door”. At the same time, the surfaces are thoroughly washed. Then the soap-soda solution is washed off with drinking (tap) water.

Stage 3. Purpose: disinfection of surfaces.

The disinfectant solution is applied to all surfaces by wiping, observing the directions "from top to bottom" and "from window to door". Then, turn on the germicidal lamp for 60 minutes.

Stage 4. After 60 minutes of exposure exposure, the personnel changes overalls and rags for sterilized ones (after its sterilization, the storage time is not limited). The bactericidal lamp is turned off, and all surfaces are washed from the disinfectant with drinking (tap) water. Then, the bactericidal lamp is turned on again for 30 minutes.

Stage 5. Airing for about 20 minutes (until the ozone smell disappears).

Stage 6. Disinfection of rags and cleaning equipment. Rags after disinfection are washed and sterilized.

Stage 7. Paperwork.

Option number 2.

General cleaning with preparations of combined disinfecting and washing action.

Many modern disinfectants are preparations of combined action - disinfection + washing, so the stages of washing and disinfection are combined into one.

Stage 1. Room preparation. The room is freed from medicines, sterile packing and materials, consumables, waste, documentation. All equipment is turned off. The staff puts on overalls and protective equipment (gloves, mask, apron). A working solution of a disinfectant is prepared according to the regime that ensures the destruction of bacteria, viruses, fungi.

Stage 2. Purpose: disinfection of surfaces and cleaning from mechanical contamination.

A solution of a combined disinfectant is applied to all surfaces by wiping, observing the directions “from top to bottom” and “from window to door”. The drug is applied and at the same time thoroughly washed from mechanical contamination. Then, turn on the germicidal lamp for 60 minutes.

Stage 3. After 60 minutes of exposure exposure, the personnel changes overalls and rags for sterilized ones (after its sterilization, the storage time is not limited). The bactericidal lamp is turned off, and all surfaces are washed from the disinfectant with drinking (tap) water. Then, the bactericidal lamp is turned on again for 30 minutes.

Current cleaning 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 special treatment sterility, asepsis and antiseptics (intensive care units, newborns and premature babies, procedural, infectious boxes, boxes of bacteriological and virological laboratories, milk rooms, etc.) should be decontaminated 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 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. Hygienic requirements for the conditions of reception, sanitation, accommodation and maintenance of patients. Principles of individual and group isolation.

The infectious department is 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. Premises for discharge for patients discharged from semi-boxes and wards, for each section separately (8 m 2),

6. There are no common rooms 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 disease department is the need to separate the flow of patients and attendants, as well as incoming and outgoing.

9. Conditions for admission and maintenance of patients

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

The 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;

Admission 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 emergency department of 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 wet cleaned 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. About the order in which the current cleaning is carried out, and how it differs from general guidance order, reveals 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 high-quality current restoration of order 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 of sanitary standards. 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:

Carrying out general cleaning is an absolute necessity in all catering establishments, children's and medical institutions. It can be performed by personnel or professional company. In the second case, many advantages await, and the price of the work will be low and affordable for everyone. Key Feature such work is the availability of specialized equipment and detailed adherence to sanitary and epidemiological standards. Cleaning is carried out in all institutions on an ongoing basis - daily and more thorough (general) - once a week.

Rules and requirements for general cleaning when working with food products

Food companies also have their own sanitary rules. These are the standards that sanitary and epidemiological workers are guided by when checking institutions. Sanitary standards adopted back in the period of the USSR and in the period modern Russia only specified in the form of SNiP. Sanitary requirements of enterprises retail or production relate to all aspects of working with food, general cleaning and requirements for them are only part of the whole complex of actions.

In healthcare facilities (treatment and preventive care institutions) - mandatory procedures carried out according to a certain algorithm and in accordance with the rules and instructions. Not only the cleanliness of the premises depends on the quality of their implementation, but also the protection of patients and staff from the spread of infections.

Inventory and cleaning products

Since the purpose of cleaning in healthcare facilities is not only to remove contaminants, but also to disinfect surfaces, professional cleaning products and special disinfectant solutions with antimicrobial and antibacterial effects will be required for work. Besides, For each type of work, special equipment is required:

Reusable items must be labeled to indicate their purpose. As for sterile rags, it will be required for general cleaning of aseptic and sensitive rooms.

When working with disinfectant solutions you must follow the safety rules according to the instructions on the packaging. The preparation of solutions must be carried out in accordance with the standards and recommendations specified in the instructions. On average, the consumption of such funds is 100-150 ml per 1 square meter surfaces.

Current tidying up

Current cleaning in health facilities is wet cleaning all surfaces using special means. The frequency of the procedure depends on the purpose of the room. So, in postoperative wards, dressing rooms and intensive care wards, current cleaning should be performed 2 times, in therapeutic wards - 1 time, and in wards for newborns - 3 times a day. Work must be carried out in the specified order. The algorithm for the current cleaning in the health facility is as follows:

To wash the floor reception of "two buckets" two containers are required. The first is filled with water with an antiseptic, the second - with ordinary tap water. Work begins with washing the floor with a cleaning rag soaked in the first container, then the rag is rinsed in the second container and used to re-wash the same area of ​​the floor.

To control work germicidal lamps you need to keep a log book. After the end of quartzing, airing is carried out. It is possible to close the windows (vents) only when the smell of ozone is completely gone.

General cleaning technology

General cleaning should be carried out according to the schedule drawn up by the head nurse and approved by the administration of the health facility. The schedule is developed with a focus on the profile of the organization and the mode of disinfection. For example, in wards for newborns, dressing rooms and treatment rooms, the procedure must be performed at least once a week, in therapeutic wards and doctors' offices - at least 1 time per month.

The procedure involves the treatment of all surfaces with disinfectant solutions, including radiators and internal window panes. The work is carried out sequentially, with it the stages of general cleaning in health facilities are observed. Before starting the procedure itself, it is advisable to empty cabinets and work surfaces, turn off existing refrigerators. The algorithm for conducting general cleaning in health facilities consists of the following steps:

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The rules for general cleaning in healthcare facilities provide for the use of cleaning and disinfecting agents included in the list of recommendations from the sanitary and epidemiological supervision authorities. The day before the scheduled procedure, it is necessary to sterilize the rags.

Carrying out current and general cleaning in medical facilities is an integral part of work in organizations of this purpose. The medical staff must strictly follow all the instructions, because the correct cleaning contributes to the preservation of people's health.