Current cleaning - the order and sequence of carrying out. Guidelines for the organization of current and general cleaning of the premises of medical institutions (7833)
Instructionfor general cleaning
Basic provisions
This instruction introduces the rules for organizing and conducting general cleaning of the premises of the treatment room, dressing room, examination room, manipulation room and operating room.
The requirements of the instructions are aimed at reducing the risk of the emergence and spread of nosocomial infections by improving the organization and carrying out general cleaning of the premises.
The requirements set out in the instructions apply to all categories of premises.
This instruction clarifies and clarifies certain provisions of SanPin 2.1.3.2630-10 “Sanitary and epidemiological requirements for organizations engaged in medical activities”, SP 3.5.1378-03 “Sanitary and epidemiological requirements for the organization and implementation of disinfection activities”.
Responsibility for compliance with the provisions of the instructions rests with the senior nurses (laboratory assistants) of the departments.
Control over compliance with the provisions of the instructions rests with the chief nurse and epidemiologist.
Cleaning equipment and overalls
Cleaning equipment includes: a marked container for processing furniture and equipment, a marked container for walls (basin, bucket), a marked bucket for floors.
Two marked mops (for walls and for the floor).
Clean labeled rags for removing disinfectants from furniture, equipment, walls (several cloths to replace when dirty).
Clean rags for washing floors.
Napkins for the treatment of UV irradiators.
Clean rags for wiping dry and polishing surfaces (furniture, mirrors).
Container for soaking used rags (with lid).
Two sets of overalls (gown, mask, cap, gloves). One of the sets of overalls is used when washing the office (sterile, in bix).
Disinfectant working solution, manual spray for treatment hard-to-reach places.
General cleaning technology
Stage one
Nurse (nurse, laboratory assistant) to prepare the office for cleaning, free it from items, equipment, tools, medicines. Tables and cabinets must be free and accessible for processing.
Disconnect electrical appliances from the mains.
In accordance with the waste management scheme, the cleaning worker must remove class B waste, used single-use medical products from the office.
Pour the prepared working solution into containers for cleaning and bring the cleaning equipment into the office.
Wash your hands and put on overalls: gown, cap, mask, rubber gloves.
Clean rags (for applying the mortar on furniture and walls) moistened disinfectant solution from a container for furniture, wipe internal surfaces cabinets and other furniture.
Furniture, if possible, move away from the walls.
With a clean rag (for applying the solution to furniture and walls) moistened with a disinfectant solution from a wall container, wipe the walls (to a height of at least 2 meters), windows, window sills, radiators and doors with smooth movements from top to bottom. Pay special attention to switches, door handles, platbands, a tap and a sink for washing hands, as well as places in close proximity to them. Treat hard-to-reach places with a hand sprayer.
With a clean rag (for applying the solution to furniture and walls) moistened with a disinfectant solution from the furniture container, wipe horizontal surfaces furniture and equipment, starting from the top. Then proceed to the processing of vertical surfaces. In the presence of visible pollution rags should be replaced.
Wipe unplugged UV irradiators with napkins moistened with a disinfectant solution from a furniture container; lamp-napkin moistened with 70% ethyl alcohol and well wrung out, and then with a dry cloth.
Lastly, treat the garbage and waste containers with a rag moistened with a disinfectant solution from the furniture container, then immediately dump the rags into a special container.
At the end of the cleaning, before pouring the used disinfectant solution from the containers for furniture and walls, moisten the rags with it in order to treat the inside and outer surface these containers. Then process both containers freed from the working solution.
Moisten a rag for cleaning the floor with a disinfectant solution from the floor bucket and wipe the floor.
Throw the rags used during cleaning into a container with a disinfectant intended for its collection and take it to the sanitary room.
Remove gown, cap and mask and place them in a laundry bag.
Remove gloves, wash hands and sanitize.
Close the treated room for the duration of the disinfection.
Stage two
After the end of disinfection, wash your hands, put on a clean sterile gown, cap, mask, gloves and wipe shoes with a disinfectant solution.
Containers for furniture and walls treated with a disinfectant, rinse and then fill tap water. With a clean cloth for furniture and walls, moistened with tap water, wash all surfaces in the same sequence as when applying the disinfectant solution.
Window glass with inside, as well as others glass surfaces and mirrors, after removing the disinfectant solution, wipe dry and polish.
Lastly, use a clean floor mop to wipe the floor with clean tap water from the floor bucket.
At the end of the general cleaning, disinfect the air with a bactericidal lamp for two hours.
Disinfect cleaning equipment, rags, rags for washing the floor with a disinfectant solution (disinfection time is indicated in the instructions for using the disinfectant). At the end of disinfection, rinse and dry the cleaning equipment and rags for washing the floor. Send the rags to the laundry.
Take off your overalls and put them in a bag.
Make an entry in the "Journal of conducting and accounting for general cleaning" and in the "Journal of accounting for bactericidal lamps" with a clear filling in all columns.
In case of unsatisfactory results of air sowing and washings from environmental objects in the offices, carry out general cleaning outside the schedule with a note in the corresponding registration log.
Before the onset of the autumn-winter season, include in the general cleaning the obligatory washing of windows on both sides and checking the tightness of the closing of the frames.
requirements for medical personnel.
The medical personnel performing the cleaning of the premises must undergo a preliminary and periodic medical examinations. Persons with hypersensitivity to chemicals used when cleaning the premises, are suspended from work.
Persons at least 18 years of age who have undergone appropriate briefing on functional duties, safety precautions, and precautions when working with disinfectants are allowed to work.
Medical staff cleaning the premises should know the rules for first aid in case of accidental poisoning with a disinfectant.
After finishing work, hand hygiene should be carried out.
General first aid measures for accidental poisoning
If precautions are not observed, acute poisoning phenomena may occur, which are characterized by signs of irritation of the respiratory system, eyes, skin and mucous membranes.
In case of contact with skin, rinse the area immediately running water within 10 minutes. Lubricate with softening cream. Seek medical attention if necessary.
In case of contact with the eyes, the product causes burns of the mucous membrane and damage to the cornea. Needed immediately!!! Rinse them with running water for 10-15 minutes (keep eyelids open) and immediately consult an ophthalmologist.
In case of accidental ingestion of the drug through the mouth, pain, burns of the oral mucosa appear. Rinse mouth immediately with water, then take 10-15 crushed tablets activated carbon with several glasses of water. Do not induce vomiting!! Seek medical attention if necessary.
In case of irritation of the respiratory organs (sore throat, nose, cough, shortness of breath, lacrimation), the victim is removed from the working room for Fresh air or in a well-ventilated area. The mouth and nasopharynx are rinsed with water. Give warm drink (milk). Seek medical attention if necessary.
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 off with clean water from residues detergents;
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 in the sewer pipes of toilet bowls 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 treatment of the premises (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 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. 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, 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 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 treatment, and no more than 60 m2 when processing rooms with asepsis regime (procedure, postoperative wards, etc.). d.).
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.
Disinfectant solution (1% chloramine solution, 0.25% sodium hypochlorite solution, etc.) is applied to surfaces and turned on for 60 minutes germicidal lamp(its power, as in other strict regime premises, 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.
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 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, procedural, postoperative wards of the intensive care unit and intensive care unit, premises of the maternity unit is carried out once a week.
3. In obstetric hospitals, general cleaning and final disinfection of the delivery rooms is 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. windows are washed with warm water and 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 regimen;
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 should 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. must be carried out wet cleaning floors with the use of chemical disinfection. 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 transfer of patients from ward to ward, unauthorized transfer of patients outside the departments is prohibited.
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GBOU VPO VolgGMU of the Ministry of Health of Russia
Department of Children's Diseases of the Faculty of Pediatrics
on the topic "Requirements and procedures for general cleaning"
Completed by: Semchenko Maria
Volgograd 2016
- Introduction
- Equipment
- General cleaning of the treatment room
- The second stage of general cleaning in the treatment room
- Own research
- Conclusion
- Bibliography
Introduction
In medicine, the health, and sometimes the life of people, directly depends on the cleanliness of the premises. The order in them is maintained in accordance with strict standards and normative documents. General cleaning will not be an exception - it is always carried out according to clear instructions. This guarantees the level of cleanliness and sterility that is necessary to treat patients and maintain the health of medical facility staff.
General cleaning is one of the methods of combating nosocomial infections and is preventive measure for the destruction of microbes.
Purpose: To study the algorithm for general cleaning. Know the disinfectants and tools used for general cleaning.
Tasks: To carry out general cleaning of the premises of the medical facility. Run a sequential algorithm for general cleaning.
Basic definitions and concepts
A hospital-acquired infection is any clinically apparent disease of microbial origin that affects the patient as a result of his hospitalization or visit to a medical institution for the purpose of treatment, as well as hospital personnel by virtue of their activities, regardless of whether symptoms of this disease are manifested or not manifested at the time of finding the data. persons in the hospital.
Disinfection is a set of measures aimed at the destruction of pathogens of infectious diseases and the destruction of toxins in environmental objects. It is one of the types of disinfection.
A bactericidal irradiator is a device open type, which is intended for quartzization (disinfection) of air and surfaces in the room with direct ultraviolet rays bactericidal effect.
Frequency of current wet cleaning
Current and general cleaning in a health facility is a necessary measure aimed at preventing the development of infections and the spread of nosocomial diseases among its patients and medical staff. In addition, the bodies of Rospotrebnadzor periodically monitor the implementation of these procedures.
* minimizing the number of microbes;
* Reduced risk of cross-contamination.
General cleaning of the premises of the UZ should be carried out:
At least once every 7 days:
In the premises of the operating block and the centralized sterilization department, in delivery room, dressing, manipulation, examination, vaccination, procedural and dental rooms, in the premises of the milk room of the maternity hospital, resuscitation and surgical wards;
In wards for patients with burns, in wards for patients with infectious diseases, including in wards for patients with purulent-septic infections, tuberculosis, in aseptic wards after a single discharge of patients, as well as during reprofiling of wards;
At least once a month:
In the wards of a therapeutic profile, halls, corridors, at the nurse's station and other premises.
Every 3 days:
in obstetric hospitals.
Features of general cleaning in medicine
As a rule, current and general cleaning in wards, offices and other premises of medical institutions is 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 cleaning. 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.
Equipment
* a schedule indicating the date and time of the cleaning, approved by the head of the department;
* disinfectant and washing solutions;
* sterile rags (for the ceiling and walls, furniture, manipulation or sterile tables, refrigerator, etc.) two sets. Mops for the floor and with a long handle for the ceiling and walls, two ruffs for batteries;
* protective clothing for medical personnel (waterproof gown, respirator, cap with elastic, goggles, technical gloves, rubber shoes) two sets;
* containers for detergents and disinfectants. Containers must be clearly marked (see routine cleaning).
general cleaning medical staff
General algorithm for performing general cleaning
Before cleaning:
Lock in special magazine date of cleaning, disinfectants used for cleaning, exposure time.
Dispose of disinfected medical waste, send biks to the CSO.
Dispose of group A waste
· Wash your hands.
Put on overalls: gown, cap, respirator, gloves, use goggles if necessary.
Prepare sterile rags, containers “for surfaces” and “for the floor”.
Prepare a disinfectant solution following the dilution instructions;
Move equipment and furniture away from the walls.
Cleaning algorithm:
1. On the eve of the general cleaning, the rags are sterilized.
2. On the day of cleaning, cabinets, bedside tables, and shelves are vacated. Furniture moves away from the walls. The refrigerator is defrosting.
3. Protective clothing is put on..
4. A washing 0.5% soap-soda solution is being prepared (25 g of chips laundry soap+ 25 g of soda ash and up to 10 l. hot water).
5. The washing solution should be changed after cleaning 80-100 m 2 of the surface in general somatic wards. and administrative and other premises that do not require a special regime and no more than 60 m 2 when processing premises with an asepsis regime (procedure, postoperative wards, etc.)
6. A disinfectant is being prepared. The disinfection mode is specified in the guidelines for the use of a specific disinfectant.
7. Cleaning agent cleans the sinks.
8. With a cleaning agent, the skirting boards are cleaned with a brush, then the cleaning agent is washed off with a rag marked “for skirting boards”.
9. With a mop with a long handle and rags marked “for walls”, we moisten the ceiling with a disinfectant solution. The solution is applied in one direction.
10. With this cleaning equipment we wet the walls in the direction from the door from top to bottom (from the ceiling to the plinth).
11. Furniture is wetted with a rag marked “for furniture”, starting from the cover, and then the legs from top to bottom, but not reaching the floor 5-7 cm, so as not to contaminate the treated surface. At the end of the irrigation of the furniture, then the untreated parts of the furniture are wetted with a rag moistened with a disinfectant solution. 12. Batteries are wetted with a disinfectant solution with a ruff.
13. With a mop with rags “for the floor”, the floor is wetted with a disinfectant solution in one direction towards the door.
14. Turn on the germicidal lamp.
15. Exposure disinfection exposure 60 minutes. (the room is closed).
16. Ventilate the room and wash off the remnants of the disinfectant solution with sterile rags when treating rooms with asepsis (procedure, dressing, operating and postoperative wards, etc.) and clean rags in general somatic wards and other rooms.
17. Surfaces are wiped dry with a rag in accordance with the asepsis regimen.
18. Turn on the germicidal lamp, exposure 60 minutes.
19. Ventilate the room for 20-30 minutes.
20. After cleaning, cleaning equipment is disinfected in the same disinfectant solution that was used for cleaning, rinsed until the smell disappears, dried on special grids and stored dry in a clean, dry container, closed lid in a special closet and a dedicated place.
Algorithm for general cleaning in the operating room
General cleaning of the OPERATING ROOM is carried out once a week.
Before carrying out general cleaning, it is necessary to move all the furniture away from the walls, close the window. Disinfectant solution (with detergent - Ecobreeze oxy 0.5%) is applied to all surfaces (walls, ceiling, windows, window sill, sink furniture, door handles, floor, etc.) by wiping to a height of at least 2 meters or by irrigation.
After the end of the disinfection and ventilation time, they first wash and wipe one half of the cabinet and install the furniture, then the other.
The floor is washed last. Cleaning rags are disinfected with disinfectant. solution and dry. General cleaning is confirmed by an entry in the register of "general cleaning"
Stage 1.
- put on a clean special gown, hat, mask, gloves.
Close the window, TURN OFF THE AIR CONDITIONER!!!;
Apply a disinfectant solution to all surfaces and furniture with a clean rag.
Time - 60 min + 30 min irrigation with a hydro-panel (gun) with a disinfectant with a washing effect (Ecobreeze oxy 0.5%); - close the office door
Exposure disinfectant 60 minutes.
Stage 2.
- put on a clean gown, mask, rubber gloves, wipe shoes disinfected. solution (you can wear disposable shoe covers);
Wash the floor with the same disinfectant solution. Arrange furniture and equipment 30min
Turn on the bactericidal lamp based on the volume and class of cleanliness of the room ON A WET SURFACE
30 min.
Ventilate the office 20 min
All work on disinfection and washing of surfaces in the operating room is carried out in special clothing, a mask, rubber gloves.
Used cleaning equipment is disinfected in a disinfectant solution, then rinsed in water and dried.
If it is impossible to use disposable cloth napkins, reusable napkins must be washed. Cleaning equipment for floors and walls should be separate, clearly labeled indicating the premises and types of cleaning work, used separately for corridors, offices, bathrooms, stored in a specially designated place.
The instruction was developed on the basis of: SanPiN 2.1.3.2630-10 "Sanitary and epidemiological requirements for organizations engaged in medical activities", order of the Ministry of Health of the USSR dated July 31, 1978 No. 720 "On improving medical care patients with purulent surgical diseases and strengthening measures to combat nosocomial infection.
TOTAL MINIMUM GENERAL CLEANING TIME 230MIN(3h50min)
Features of general cleaning in the treatment room
It is most important to keep order in those rooms where an aseptic environment is needed. Treatment rooms also fall into this category. Their sanitization has certain differences:
cleaning includes thorough disinfection;
work is carried out in protective uniforms;
detergents and inventory must comply with the approved list;
During cleaning, sterile wipes and overalls are used;
General cleaning is carried out in the treatment room according to the established schedule (according to SanPiN, at least once a week).
Necessary cleaning equipment
For regular general cleaning in the treatment room, you will need:
freshly prepared disinfectant solution (part of it is poured into a spray bottle for convenient treatment of hard-to-reach places);
two sets of overalls (sterile and non-sterile);
three containers (for processing floors, walls and furniture);
two mops (one for the walls and one for the floor);
wipes or rags for washing surfaces, applying disinfectants and wiping dry;
A container with a disinfectant solution for used wipes and dirty overalls.
General cleaning technique in the treatment room
For achievement maximum effect all sanitary and hygienic processing in the room is carried out according to a certain algorithm. General cleaning of the treatment room is carried out in stages. During preparatory phase it is necessary to check the availability of equipment, detergents and disinfectants and overalls. It is necessary to disconnect electrical appliances - lamps and UV irradiators from the network. The room itself and furniture should, if possible, be freed from medical instruments, medicines, and small equipment.
After that, you can start the actual cleaning. It consists of two stages - before and after disinfection.
The first stage of general cleaning in the treatment room
Put on non-sterile overalls and pour the disinfectant solution into the appropriate containers. Then follow the algorithm:
Take out waste and rubbish
Using napkins and a sprayer, treat all surfaces of furniture, equipment, windows, doors, radiator batteries with an antiseptic;
Wipe the lamps of the lamps with 70% alcohol, and then with a dry rag;
disinfect the floor of the room with a solution;
close the office for the period of disinfection;
Remove dirty protective clothing, wash hands and disinfect them.
The second stage of general cleaning in the treatment room
Wash your hands, put on sterile overalls and wipe your shoes with a disinfectant solution. The second stage of general cleaning is carried out in the following order:
Dial in containers treated with a disinfectant, tap water; using sterile wipes, wash all disinfected surfaces;
wipe glass and tables dry;
· wash the floor;
Disinfect the air with UV irradiators.
Upon completion of work in the room, disinfect, rinse and dry all inventory. Napkins (except for floor rags) together with overalls are handed over to the laundry, and then (if necessary) - for sterilization.
The role of medical personnel during general cleaning
The nurse takes measures to comply with the sanitary and hygienic regime in the room, carries out systematic sanitary and hygienic control of the premises, and also instructs the junior medical staff and supervises their work.
The nurse is also responsible for general cleaning. However, junior medical staff are assigned to help her, whom she "instructs and controls." In fact, general cleaning in rooms with a special cleanliness regime consists of works of two levels of complexity. Part of the work requires nursing qualifications: cleaning lockers, turning off and moving equipment, monitoring processing modes. After this is done, it's time for unskilled labor - washing, walls, ceilings and floors. It is performed by a nurse who, according to qualification characteristic, "cleans the premises in a medical organization." At the same time, her work should be supervised by a nurse.
Own research
In the "GUZ Clinical Hospital No. 7" I had an internship in maternity ward. During my internship as an assistant to junior medical staff, I managed to conduct my own research in general cleaning in health facilities:
I did a general cleaning of the treatment room. I put on a special clothes and gloves. She moved all the furniture: the couch, tables, cabinets for medicines. Next, I washed the walls and ceilings. Washing was carried out with a marked mop, separate for the walls, separate for the ceiling. After the start of surface treatment (couches, tables, medicine tables, medicine storage cabinets) with specially marked rags soaked in 1% Clindemezin Extra solution. The sink was treated with sanitizer and a brush. After washing off the sanitizer with running water. The batteries were washed with a brush with disinfectant. solution. Window sills wiped with rags for surfaces. I mopped the floor from the windows and walls to the middle and to the door with a rag soaked with a disinfectant. Disinfected the air with UV irradiators.
Conclusion
Perhaps the most sensitive objects in cleaning are hospitals. Since the requirements for keeping them clean and sterile are very high, the health of patients depends on cleanliness and sterility. In medical institutions, much is built on a hierarchy and exact description functions of each type of personnel - housewives, nurses, senior nurses. Technologies have stepped forward, now it is possible to do much faster, better and cheaper, and at times to do cleaning more modern technologies. Now the daily, general cleaning of the hospital premises can be facilitated with the help of high-speed technologies and professional detergents.
Bibliography
1. the federal law Russian Federation dated November 21, 2011 No. 323-FZ "On the basics of protecting the health of citizens in the Russian Federation"
2. Federal Law of March 30, 1999 No. 52-FZ "On the sanitary and epidemiological welfare of the population"
3. SanPiN 2.1.3.2630 -10 "Sanitary and epidemiological requirements for organizations engaged in medical activities"
4. SanPiN 2.1.7.2790-10 "Sanitary and epidemiological requirements for the management of medical waste"
5. Assistant to the junior medical staff of the children's somatic hospital: educational and methodological manual on industrial practice/ Malyuzhinskaya N.V., Polyakov O.V., Khalansky A.N.-Volgograd: VolgGMU Publishing House, 2015.
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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:
- Preliminary consists in daily putting things in order before the start of the shift. This includes wet cleaning of every surface in the office.
- Ongoing tidying up is necessary to remove contaminants in the evening after closing. Such cleaning is carried out 2 times a week.
- Final cleaning is also carried out in the evening. You can compare it with the previous one.
- 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. The following processing order is followed:
- 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. Genubborka 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 an apartment or other living space is not so easy, but doing it in medical institution- task from tasks. Any cleaning in medical room regulated by the rules and norms of sanitization, which must be strictly observed. Not only cleanliness is important here, but also approved instructions.