Environmental Cleaning Flashcards
What is key to preventing the spread of potentially pathogenic microorganisms that may cause surgical site infections?
cleaning and disinfecting the OR and procedure rooms
Where does the chain of infection begin? What does it include?
begins with an infectious organism that resides in a reservoir (human, animal, environment). Includes a susceptible host and a mode of transmission
What disrupts the chain of infection to help prevent infections?
Cleaning and disinfection the surgical environment
What is the single most effective action to prevent infection?
hand hygiene
What must we implement to effectively clean the perioperative environment?
standardized cleaning procedures
What are cleaning agents for perioperative environment selected based on?
the environmental protection agency registration and hospital grading, contact time of the cleaning agent, and targeted organisms
What should you not used to apply cleaning agents in the perioperative environment?
DO NOT use spray bottles
What should you do if an environmental cleaning agent is removed from its original container and placed into a secondary container?
clearly label
What should you not use for wet cleaning?
broom for debris (wet cleaning)
What should not be shared between the semi-restricted and restricted areas?
cleaning equipment
How do you clean in the perioperative environment?
- Clean from top to bottom
2. Clean from less-soiled areas to the dirtiest
What do you want to move and mop under?
the OR bed
What do you want to do cleaning wise before the first surgical procedure of the day?
damp dust all horizontal surfaces in the OR
Turnover cleaning, or between-case cleaning, occurs when?
occurs after a patient exits an operating room and before the next surgery setup begins.
What kind of process is turnover cleaning?
standardized, methodical, cleaning process
When does terminal cleaning occur?
At the end of each day the operating room or procedure room are used.
What kind of process is terminal cleaning?
more extensive, thorough cleaning that is performed by training personnel.
What type of cleaning is scheduled cleaning?
cleaning of equipment that occurs on a periodic, routine basis.
What type of cleaning is enhanced cleaning?
Implemented for patients who are suspected or diagnosed with transmissible diseases
What are the 4 areas of the sterile processing department?
- decontamination area
- Assembly area
- sterilization of equipment area
- sterile storage areas
What kind of environmental cleaning do you want to do at the beginning of the day when in SPD?
Using a designated cleaning agent, wipe down all the horizontal surfaces int he assembly and sterilization of equipment areas.
What do you want to terminally clean in SPD everyday?
each area in the SPD that has been used
What do you want to clean in the SPD before cleaning the decontamination area?
- SPD’s assembly area
- sterilization of equipment area
- sterile storage area
What do you want to do everyday in SPD areas that have been used?
Clean the floors
After procedures performed on patients with known or suspected airborne transmissible disease (TB, measles, chicken pox), what must happen?
the OR must be empty for a designated amount of time for the airborne particles to be filtered before environmental cleaning begins
What are universal key points about environmental cleaning the perioperative setting?
- Always keep the trash, equipment, and contaminated linen in the OR until the pt. leaves the OR.
- Always clean and disinfect surgical equipment before bringing it into the OR and before returning it to the storage room/area.
- The floor is always considered contaminated in every area.
What do you want to wear and follow when handling trash, linens, or other items contaminated with blood, body fluids, and other infectious materials?
PPE and follow standard precautions
What do you want to follow when disposing medical waste, including liquid medical waste?
local, state, and federal regulations
What do you want to segregate and discard into designated, puncture-proof sharps containers?
disposable sharps - knife blades, suture needles, hypodermic needles, stapling devices
When spills occur, what should you do?
clean them immediately with the designated environmental cleaning agent
Where do you want to place contaminated linens/
designated linen receptacle
What do you want to label labs sand other container with when they contain medical waste (laparotomy sponges saturated with blood/fluids)
biohazard label
What are 2 things you want to do with construction/renovation/repair areas in the Periop environment?
- clean areas before barriers are removed
2. Terminally clean areas before they are returned to service
How can you ensure that cleaning is quality?
- performed and document quality checks of how well environmental cleaningg is performed
- use standardized checklists for cleaning
What are 3 ways to assist in measuring cleanliness of Periop environment?
- visual inspections
- fluorescent gels/markers with black light illumination
- adenosine triphosphate monitoring
define cleaning
removal of dust, debris, blood, and other infectious materials
define disinfection
removal of pathogenic and other micro-organisms from surf through chemical or physical means
Why is it critical to follow the cleaning agent manufacturer’s IFU?
contact time/dry time –> how long the product needs to stay wet before you can use it
What key info is in the IFU for a cleaning agent that is used for environmental cleaning in the Periop setting?
MSDS - contact time, indication for use, how poisonous, what to do if in contact
What types of disposable items used in the OR must be place in a bag or container labeled with a biohazard label?
body tissue, anything contaminated with blood
What info should you communicate to the cleaning personnel when a patient is suspected or diagnosed with TB and the OR needs to be cleaned?
room has to be unoccupied for a certain amt. of time - 60 min.
When should you tell personnel when a patient is suspected or diagnosed with TB and the OR needs to be cleaned?
before the procedure
Describe the 3 ways to assist in measuring cleanliness of Periop environment?
Visual inspection –> another staff member, or direct observation
- Fluorescent gels (B4 cleaning) & black light (after cleaning)
- Microbiology test –> swap, insert into luminometer, read results. Done through ATP
