Managing clinical environments Flashcards
reasons for correctly maintaining clinical environments?
ensure a high standard of care - both patients and staff ensure equipment is readily available and in good condition ensure efficiency and smooth running good morale infection control
general considerations for inpatient evnironment?
temperature hygiene and cleaning light ventilation noise security temperament condition being investigated/treated treatment procedures to be carried out observations
environmental temperature considerations?
healthy mammals and birds regulate their body temp through sweating and shivering
the body might need assistance when unwell or under anesthetics
temperature should be monitored with a thermostat twice a day in every room
- ideal range is 18-21°C
- it should not fall below 15.5°C
consultation rooms/clinics considerations?
important to maintain high standard of repair and hygiene
- as clients will spend time here
should have minimal furniture
- table, computer, sink, stool, storage with consumables
- no drugs
maintenance during day
- wipe table and handles after each client
- sweep and map middle and end of day
- check consumables middle and end of day
- empty bins at end of day unless smell
- remove dirty equipment after use for cleaning
if infectious patient has entered
- corner off room
- clean twice before another consult allowed in there
preparation and triage area considerations?
centra area to practice - all species and all conditions will pass through usually multipurpose non-sterile but needs to be kept clean - likely theatre is near
kennels/stables/wards considerations?
requirements
- secure and safe
- awy from consult rooms and clients
- durable
- easy to clean
- retain heat or have heat source
the correct size for patient should be allocated with correct bedding
- infectious patient = disposable bedding
access to food and water as indicated
allow for good observation and frequent attention
- perplex glass best
the room should be well ventilated but secure and soundproof
- isolation room should have closed ventilation
ideally separate species rooms
recovery area considerations?
a calm and quiet area as recovering consciousness
- staff should be able to easily monitor and observe
hygiene standards must be high since recovering patients may:
- vomit
- defecate
- urinate
- saliate
- bleed
more common in equine practice than small animal
- if in same kennels for SA - place on bottom due to discharge
exercise area considerations?
often enclosed grass area in SA usually adjacent to kennels should be escape-proof - need to be sure otherwise keep on lead some can be insulated for temperature and noise control
feed room considerations?
where different foods will be stored and prepared
- dry food must be in dry rodent-proof containers and labelled
- tinned and fresh food should be stored correctly
- a fridge should be available
- storage must allow for stock control and rotation
- sufficient work surface that are easy to clean
- sink unit
- hygienic
stock conotrol?
the purpose is to keep everything in stock but to also stop waste
- so don’t run out
- but stop excessive/unnecessary buying
- so stop products going out of date
everyone is responsible fr stock control and taking orders
- but often delegated to certain staff
when received n order check for
- damage
- dates - already expired or soon?
- everything there - have they substituted?
why cleaning clinical environments is important?
prevent pathogenic organisms spreading so minimise infection rate
there is high risk of harbouring pathogenic micro-organisms
- patients are immunocompromised
- infectious patients being walked through the practice
- staff rushing and forget to clean an area
injured and diseased animals are susceptible to pathogenic organisms
- because immunocompromised
golden rules of mopping?
use separate mops for important areas
- eg theatre or isolation
should be wrung out thoroughly before use
start at the furthest end
mop from left to right, not back and forth
change solution between rooms
mop heads should be washed daily at >40°C and dried
- if used more than once daily they should be soaked in disinfectant for 30 mins before wash
how to manage chemicals and biological spills?
confine area wear PPE - depends on what spilt - if corrosive then goggles and mask for serious spills use a spill kit - cat litter, sand, shavings or paper towel - depends - scoop to pick up - plastic container or bag for waste
COMMON DISINFECTANTS IN PRACTICE
DO WE NEED THEM??
COMMON EQUIPMENT??
DO WE NEED THEM???
