Rules for conducting general cleaning in medical institutions. Features of general restoring order

Rules for holding general cleaning

It is carried out under the supervision of a senior medical officer. sisters of the department, sisters of the hostess. General cleaning (washing and disinfection) of the operating unit, procedural, dressing, resuscitation and postoperative wards, dental office, CSO. Buffet - dispensing and other rooms that require aseptic mode, is carried out 1 time in 7 days.

General cleaning of the premises of ward departments and other functional premises and offices is carried out according to the approved schedule at least 1 time per month and on an epidemiological basis. indications (in case of an infectious disease).

Stages of general cleaning:

1. 
   Wear a special clothing: dressing gown, headgear, gloves, mask (respirator).
2. 
   Move the existing furniture and equipment in the room to provide free access to the panels (walls) and skirting boards.
3. 
   Open window, transom
4. 
   Wipe the surfaces of furniture, walls to the height of their color (to the height of the existing tiles) with detergents (soda, soap) to remove mechanical and other contaminants in order to more effectively affect the treated surfaces of the disinfectant. Then the room (floor, walls), equipment is wiped with rags abundantly moistened with one of the disinfectant solutions.
5. 
   Turn on germicidal lamp for 60 minutes.
6. 
   Wear clean sanitary clothing (gown, gloves, mask). Wash off des. solution with a clean (sterile) cloth dampened tap water.
7. 
   Turn on the bactericidal lamp again for 30-60 minutes
8. 
   Ventilate the room for at least 30 minutes.
9. 
   Mark the date of the general cleaning, indicate the disinfectant used. means and its% concentration, time of quartzization in the "Journal of accounting for general cleaning" and "Journal of accounting for the operation of a bactericidal lamp"
10. 
    Disinfect used cleaning equipment and rags.

As a des. tools for general cleaning are used:

• 
  6% hydrogen peroxide with 0.5% detergent solution 60 minutes
• 
  0.2% solution of Javel-Solid or Deochlor 60 min
• 
  Sulfochlorantin D 0.2% solution 60 minutes
• 
  2.3% Defect solution 60 min
• 
  2% solution of Dulbak DTB/L 45 min
• 
  1% Lizafin solution 60 min
• 
  0.5 Lizafin-special solution 60 min

Used for general cleaning disinfection. the agent must be replaced at least once a quarter and in case of unsatisfactory results of laboratory control external environment.

Compiled based on:

1. 
   Order of the MOHSSSR No. 720 dated July 31, 1978 (p. 5.20) “On improving medical care patients with purulent surgical diseases and strengthening measures to combat nosocomial infection.
2. 
   Order of the Ministry of Health of the Russian Federation No. 345 of November 26, 1997 "On improving measures to prevent nosocomial infections in obstetric hospitals."
3. 
   San Pin 5179-90 " Sanitary regulations device, equipment and operation of hospitals, maternity hospitals and other medical hospitals” (clause 9.2).
4. 
   B.M. Taits, L.P. Zueva "Infection control in healthcare facilities" St. Petersburg, 1998
5. 
   Guidelines for the use of des. funds.

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JOURNAL

accounting for general cleaning

INSTRUCTIONS

on the use of ultraviolet germicidal radiation for the disinfection of air and surfaces in rooms (compiled on the basis of the guide R. 3.1.638-98 "Use of ultraviolet germicidal radiation for the disinfection of air and surfaces in rooms").

Ultraviolet bactericidal radiation is an effective preventive sanitary and anti-epidemic agent aimed at suppressing the vital activity of organisms. in air and on surfaces. It is one of the tools to reduce the spread of infectious diseases and complements the mandatory compliance with current regulations. sanitary norms and rules for the arrangement and maintenance of premises.

2. Ultraviolet bactericidal installations should be used in rooms with an increased risk of the spread of infectious agents (clause 4.2):

Operational, preoperative sterile areas of the CSO, wards for premature and injured children.

Dressing rooms, milk rooms, intensive care units, non-sterile areas of the CSO.

3. The calculated norm of the volume of the disinfecting room per one irradiator in cubic meters is as follows: - for the irradiator with a DB-30-1 lamp 30 cubic meters, for the irradiator with a DBM-30 lamp 45 cubic meters

4. Lamp life is: for DB30-1-5000 hours, for DBM-30 - 800 hours.

5. As the lamps work, the bactericidal flux decreases to compensate for this, after the expiration of 1/3 of the nominal service life, the duration of exposure increases by 1.2 times; after 2/3 of the term - 1.3 times

6. Care of the bactericidal irradiator is carried out after disconnection from the power supply:

• 
  at least once a month, wipe the outer surfaces with a damp soft cloth with a 3% hydrogen peroxide solution with the addition of 0.5% Lotus detergent; reflector - with a dry soft cloth; lamp with a cloth soaked in alcohol.

The instruction is based on:

1. 
   Guidelines "Use of ultraviolet germicidal irradiation for disinfection of air and surfaces in rooms" Р.3.1.638-98
2. 
   Operation manuals for bactericidal irradiators OBN-01, OBN-15-01

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Rules for the current cleaning

Wet cleaning of premises (washing floors, wiping furniture, equipment, window sills, doors, etc.) is carried out at least 2 times a day, more often if necessary, using detergents (soap and soda solutions) and disinfectants.

Use for wet cleaning of powdered synthetic detergents not allowed.

All cleaning equipment must be clearly labeled indicating the premises and types of cleaning work, used strictly for its intended purpose and stored separately.
^

Cleaning kit

Buckets for mopping the floor

Basins (pans) for washing panels

Mops for cleaning panels (walls) and floors

Rags for washing panels and for mopping the floor

Ruffs for washing and disinfecting toilet bowls.

Separate cleaning equipment (buckets, basins, mops, rags) is allocated for cleaning in the operating room, postoperative, resuscitation wards, treatment room, canteen - dispensing room, wards, corridor, toilet (sanitary room).

Rules for processing cleaning equipment after use

1. 
   Disinfection with the use of disinfectants and the required exposure.
2. 
   Rinsing in running water
3. 
   Mandatory drying
4. 
   Proper storage.

Storage is carried out in a specially designated room on the racks. Inventory for the floor and panels is stored separately, without touching. Rags dry on racks.

Base:

1. 
   San Pin 5179-90 (clause 9.1)
2. 
   Order No. 720
3. 
   Order No. 288 of the MHSSSSR dated 03/23/76

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Algorithm for cleaning
medical and preventive organizations

1. Purpose

Cleaning is carried out to ensure preventive / anti-epidemic measures, prevent the spread of infections, comply with the sanitary and hygienic regime, provides both the aesthetic appearance of the room and the removal of microorganisms.

2. Definition

Cleaning in the premises of medical and preventive organizations is one of the links in the chain of sanitary and anti-epidemic measures aimed at preventing nosocomial infections. At the same time, dirt, dust, substrates of biological origin are cleaned and disinfected, i.e. destruction on surfaces of microorganisms - causative agents of infectious diseases.

Exist the following types cleaning:

I. Wet cleaning;

II. Spring-cleaning;

III. Cleaning according to the type of final disinfection.

3. Scope

The rules apply to the middle and junior medical staff of clinical units. Cleaning personnel must undergo qualified documented training on the types of cleaning.

Supervision of the cleaning is carried out by senior nurses and sisters of the mistress of the departments.

The control and monitoring of cleaning is carried out by the infection control service.

4. List of equipment

4.1. special clothing (robe, hat, mask, gloves);

4.2. a set of cleaning equipment (rags, brushes, mops, ruffs, spray guns);

4.3. detergents and disinfectants permitted for use in the Republic of Kazakhstan;

4.4. containers for cleaning behavior must be labeled and used for their intended purpose.

5.1. Decree of the Government of the Republic of Kazakhstan No. 87 dated 17.01.2012 "Sanitary rules" Sanitary and epidemiological requirements for healthcare facilities.

6. Document

6.1. Journal for recording cleaning and quartzing.

6.2. Instructions for the disinfectant;

6.3. The procedure for disinfecting the indoor air.

I. Wet cleaning algorithm

1. Definition

Wet cleaning - floors, furniture, equipment, window sills, doors is carried out at least twice a day (in operating rooms between operations) and as it gets dirty, using detergents and disinfectants approved for use in the Republic of Kazakhstan.

Cleaning is carried out daily at least 2 times a day:

1st time with the addition of detergent (50 gr. Detergent per 10 liters of water).

2nd time - using a disinfectant of an approved concentration.

2. Procedure

2.1. Wipe the bed, window sills, and other furniture with a damp cloth;

2.2. After feeding the patients, the distributor wipes the bedside tables and tables;

2.3. cleaning is completed by washing the floor with a disinfectant solution;

2.4. then quartz treatment is carried out (according to the list) according to the volume of the premises, followed by ventilation;

2.5. after cleaning, the rags are disinfected in a disinfectant solution according to the instructions for diluting the disinfectant, washed under running water until the smell of the disinfectant disappears and are dried;

2.6. about quartzing nurse notes in the Journal of general cleaning and quartzing.

II. General cleaning algorithm.

1. Definition

2. General cleaning is carried out once a week according to the approved schedule with the processing and disinfection of equipment, furniture, inventory in the following rooms:

3. Operating blocks;

4. Dressing rooms;

5. Delivery rooms;

6. Treatment rooms;

7. Manipulation rooms;

8. Sterilization;

9. Intensive care units;

10. Examination rooms;

11. Invasive cabinets;

12. Premises with aseptic regime.

13. General cleaning once a month according to the approved schedule and according to epidemiological indications is carried out with the treatment of walls, floors, equipment, furniture and inventory in the following rooms:

14. Chambers;

15. Ancillary premises;

16. Cabinets.

2. Procedure

2.1. Preparation for general cleaning:

a) put on special clothes (robe, cap, mask, gloves);

e) prepare working solutions (cleaning and disinfecting) according to the instructions for preparing solutions;

f) take out medical waste and disinfect containers.

2.2. General cleaning:

a) ceilings, walls, beds, bedside tables, tables and other furniture, as well as cabinet equipment, should be treated with a 0.5% cleaning solution (50 g of powder per 10 liters of water or a disinfectant with a cleaning effect *) and washed off with clean water;

b) ceilings, walls, beds, bedside tables, tables, and other furniture, as well as cabinet equipment, should be treated by spraying or wiping with rags moistened with a disinfectant of an approved concentration;

c) after which the room is closed for a certain exposure of the disinfectant solution;

d) after exposure, the room is ventilated;

e) all surfaces are washed off with water and dried (walls, ceiling, furniture, apparatus, equipment) with a clean rag;

f) cleaning is completed by washing the floor with a disinfectant solution;

g) then quartzization is carried out (according to the list) according to the volume of the premises, followed by ventilation;

g) after cleaning, the rags are disinfected in a disinfectant solution, washed under running water until the smell of the disinfectant disappears and dried;

h) special clothes are rented to the laundry;

i) the nurse notes about the general cleaning and quartzing in the Journal of general cleaning and quartzing.

III. Cleaning algorithm according to the type of final disinfection

1. Definition

Final disinfection - after discharge, transfer, death of the patient, cleaning is carried out in the vacant ward according to the type of final disinfection.

2. Procedure

2.1. Preparation for cleaning according to the type of final disinfection:

a) put on special clothes (robe, hat, masks, gloves);

b) bedding (mattresses, pillows, blankets) is subjected to chamber disinfection or treatment with disinfectant solutions;

c) free the room as much as possible from the furniture or move it to the center of the room, to ensure free access to the treated surfaces and objects;

d) prepare working solutions according to the instructions for preparing solutions;

e) take out medical waste and disinfect containers.

2.2. Carrying out cleaning by the type of final disinfection:

a) by spraying or wiping, treat ceilings, walls, beds, bedside tables, tables and other furniture moistened with a disinfectant solution with a damp rag of an approved concentration for final cleaning;

b) after which the room is closed for the exposure time;

c) after exposure, the room is ventilated;

d) all surfaces are washed off with water and dried (walls, ceiling, furniture, apparatus, equipment) with a clean rag;

e) cleaning is completed by washing the floor with a disinfectant solution;

f) then quartzization is carried out (according to the list) according to the volume of the premises, followed by ventilation;

g) after cleaning, the rags are disinfected in a disinfectant solution, washed under running water until the smell of the disinfectant disappears and dried;

g) special clothes are rented to the laundry;

h) the nurse notes the final disinfection and quartzing in the Journal of general cleaning and quartzing.

2. List of quartzization of premises

Quartz treatment is carried out after each cleaning according to the volume of the room, followed by ventilation in the following rooms:

· Operating blocks;

· dressing rooms;

· delivery rooms;

· treatment rooms;

· manipulation rooms;

· Sterilization;

· Intensive care units;

· Observation rooms;

· Invasive cabinets;

· Aseptic rooms.

Note:

All cleaning in high-security rooms is carried out together with the nurse, the nurse starts cleaning from a clean area, i.e. manipulation table, dressing table, medical cabinets, refrigerator, couch, nurse's desk, and the nurse wipes the window sill, chair, door, door handles, sanitary facilities and finishes by mopping the floor.

In the wards, the nurse starts with beds, window sills, door handles, sanitary facilities and finishes by mopping the floor.

dining tables, bedside tables and a food refrigerator is handled by a distributor.

Washing of window glass is carried out at least once a month from the inside, at least once every 3 months from the outside and as it gets dirty.

* when cleaning is carried out with a disinfectant with a washing effect, the 1st stage of treatment with a 0.5% cleaning solution is canceled.

General and current cleaning of premises in medical institutions (HCIs) are necessary measure, the purpose of which is to prevent the spread of infections and other diseases within the hospital among medical staff and patients. These procedures need to be given the most serious attention, since it directly affects human life and health, especially since Rospotrebnadzor bodies and various sanitary commissions regularly monitor these procedures in medical institutions.

Requirements for inventory and cleaning products

The first thing you should pay attention to when cleaning rooms in healthcare facilities is a competent and optimal selection supplies and detergents. Namely, these two main aspects guarantee the high-quality performance of cleaning operations in hospitals. When selecting equipment and detergents, it is also necessary to take into account the factor that, as part of the cleaning of premises in health facilities, one will have to face not only household dust and ordinary dirt, but also potential sources of various infections. Consequently, standard wet cleaning, when a full-time cleaner simply wipes the dust with a cloth, will obviously not be enough here, it is necessary to use only professional equipment and only professional chemicals. All personnel involved in cleaning work in the hospital must receive appropriate training.

The procedure, as well as the procedure for conducting current and general cleaning in modern organizations health care are regulated by the relevant documents:

• SanPiN 2.1.3.2630-10 "Sanitary and epidemiological requirements for organizations engaged in medical activities." In particular, these requirements contain very voluminous and precise recommendations for the implementation various kinds cleaning in medical premises, depending on the profile of this hospital department.
• SP 3.5.1378-03 "Sanitary and epidemiological requirements for the organization and implementation of disinfection activities."

Features of current and general cleaning

In the premises of the healthcare facility, as in any other premises, with the exception of disinfection procedures, two types of cleaning are carried out - current cleaning and general cleaning.

CURRENT CLEANING OF PREMISES OF HCI

Routine cleaning is a set of measures aimed at the effective and timely elimination of all types of pollution within the premises and is carried out during working hours.

Procedure current cleaning in a hospital and other medical organizations, it necessarily includes the processing of furniture, equipment, work surfaces and floors. At its core, it is a regular wet cleaning, with the only difference that this cleaning is carried out at least twice a day and for its implementation it is necessary to use special cleaning and disinfecting agents. Its main difference from the general one is the frequency and volume of work performed.

The frequency of cleaning may vary in each case, depending on the profile of the medical institution or even its individual premises. For example, dressing rooms should be cleaned at least twice a day, including floors, sinks, doorknobs, and walls. At the same time, radiators, windows, doors, window sills and cabinets where medical instruments are stored are cleaned at least once a day. A similar cleaning procedure is implied in recovery rooms and intensive care units. In turn, cleaning of such premises as a regular therapeutic ward is carried out at least once a day, etc.

GENERAL CLEANING OF PREMISES OF HCI

General cleaning is a complex of disinfection and sanitary-hygienic measures aimed at creating an aseptic regime in the room for the safe conduct of the required medical procedures.

To carry out these activities, it is necessary to use only professional disinfectants and detergents, as well as to use equipment designed for cleaning this particular room.

General cleaning is carried out according to the schedule agreed by the administration of the medical organization, taking into account all the required disinfection regimes suitable for the hospital department of the corresponding profile.

In functional premises, in doctors' offices and hospitals, planned general cleaning should be carried out at least once a month, including the treatment of walls and ceilings, work equipment and lighting devices. Operating rooms, maternity rooms, dressing rooms, as well as sterilization, procedural and other rooms with an aseptic regime are subject to scheduled general cleaning at least once a week. At the same time, it is important to understand that on the day of the general cleaning, surgical operations in the operating unit are not allowed. Unscheduled general cleaning may be carried out as a result of obtaining unsatisfactory indications of sterility and microbial contamination of the external environment during the inspection of the hospital premises.

Cleanliness of premises is an important component of quality medical care. Is it possible to treat people in dirty and dusty rooms? Of course not. There are special standards and norms in accordance with which wet processing of offices, maternity, operating room and other premises is carried out. Strict observance of the instructions is a guarantee of the sterility and cleanliness of the medical institution, where sick and injured people are treated. In this article, we will consider the rules and algorithm for general cleaning of the treatment room.

Cleaning in a medical room and its features

Most often, wet or general cleaning is performed by employees of a medical institution on their own - cleaners, nurses, nurses. For example, general cleaning of a treatment room according to SanPiNu involves washing the floor, walls, windows, doors, furniture and equipment. Necessary condition is the use of disinfectants during its implementation. They are needed for sterility.

General cleaning of the treatment room is carried out once a week. Rooms such as treatment rooms, inoculation rooms, or dressing rooms require frequent cleaning, unlike other rooms.

There are 4 types of treatment room cleaning:

1. Preliminary consists in daily putting things in order before the start of the shift. This includes wet cleaning every surface in the cabinet.
2. Ongoing tidying up is necessary to remove contaminants in the evening after closing. Such cleaning is carried out 2 times a week.
3. Final cleaning is also carried out in the evening. You can compare it with the previous one.
4. General cleaning of the treatment room is performed once a week.

Accounting for general cleaning

The list of general cleanings of the treatment room is in the journal. It has a table that consists of the following columns:

• the name of the office in which the processing was carried out;
• the date when the cleaning was carried out according to the schedule;
• the next date of general cleaning of the treatment room;
• the name of the disinfectant used during the treatment of the premises, as well as its concentration;
• data of the employee who performed the cleaning;
• data of the person exercising control.

cleaning equipment

SanPin also contains a list of equipment required for processing. It includes the following elements:

• 2 buckets for washing all surfaces (walls, floors);
• for windows one bucket;
• mops in the amount of two pieces;
• rags and napkins are absolutely sterile;
• disinfectant and detergent compositions;
• bathrobe, gloves, masks and goggles for cleaning.

General cleaning technique

In areas that require thorough sanitization, it is necessary to follow a certain cleaning procedure. The treatment room is just one of those. Antiseptic cleaning differs from regular cleaning in the following ways:

• thorough disinfection of all surfaces;
• the use of special clothing for processing;
• compliance of detergents and inventory with the approved list;
• using absolutely sterile wipes and rags;
• cleaning according to schedule.

The general cleaning of the treatment room is carried out according to the algorithm. Sanitary and hygienic processing takes place in several stages. Preparatory work characterized by checking the available equipment, means for processing and disinfection, a special form. All equipment in the office is disconnected from the network. Where possible, from instruments, preparations and small appliances free space and furniture.

After the preparation, the cleaning itself follows, which consists of two stages: disinfection and work after it. Let's take a closer look at each of these processes.

Stage #1

General cleaning of the treatment room is done in uniform. A uniform is put on, then a disinfectant is added to buckets of water.

So, you need to follow the following algorithm:

• remove rubbish and waste;
• treat furniture, medical equipment, windows and doors with sterile wipes and an antiseptic;
• treat lamps and fixtures with an alcohol solution, and then wipe with a dry cloth;
• wash the floor in the office with water with the addition of a disinfectant;
• leave the office for the duration of the action of antiseptic substances;
• Remove the uniform, wash your hands and treat with an antiseptic.

Stage #2

Before starting the second stage of the general cleaning of the treatment room, you must wash your hands and put on sterile clothes, as well as disinfect shoes with an antiseptic. Further observed next order processing:

• buckets that have been treated after disinfection are filled with water;
• each surface treated with the substance is wiped with a sterile cloth;
• chairs and tables are wiped dry;
• the floor is thoroughly washed;
• using quartz treatment, it is necessary to disinfect the air in the room.

The final stage of cleaning the office includes such actions as disinfection, washing and drying equipment, putting rags and uniforms in the laundry, and sterilizing these attributes.

New SanPin and new rules

What are the new rules for general cleaning of the treatment room according to the new SanPin? An integral graph is the cleanliness and sterility of equipment and inventory. Genubok is closely related to daily wet cleaning, which is carried out twice a day and includes washing all surfaces.

General cleaning is a monthly washing of windows from the inside. Outside, they can be washed once a quarter (3 months) during the warm season.

Each bucket, mop, napkin and rags must be marked. Marking is an indication of the premises, type of work. Each inventory must be used strictly for its intended purpose, and stored in a separate room.

Thorough processing according to SanPin is carried out weekly according to a clear schedule. This includes the treatment of floors, doors, windows, equipment and walls.

Cleaning up an apartment or other residential area is not so easy, but doing it in a medical facility is a task of tasks. Any cleaning in medical room governed by rules and regulations sanitization which must be strictly adhered to. Not only cleanliness is important here, but also approved instructions.

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 of sanitization of 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. After cleaning, the brushes must be washed in a detergent-disinfectant solution, rinsed in clean water and periodically comb the bristles with a comb or other device specially dedicated 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. They should be washed about once every 1-2 months. warm water with addition 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 traditional treatment with aqueous solutions is not suitable, you can use "Solarsept" of the "Deconex" series 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).

Beds, bedside tables, tables and other furniture are wiped with a damp cloth moistened with disinfectant.

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

Treatment of any surfaces (wiping, 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 aseptic regime (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 a bactericidal lamp is turned on for 60 minutes (its power, as in other high security rooms, must be at least 1 W per 1 m3 the volume of the room, and the period of use should 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 of the department). Then 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 and other utility rooms should be carried out at least 1 time in 10-15 days.