Friday, January 4, 2013

INFECTION CONTROL 6






Cleaning the Theater
Clean it thoroughly after each day’s list, and completely every week.
Decontamination of Furniture and Fixed Equipment

•     The room itself and its furniture and fixed equipment can be cleaned and disinfected
•     All equipment and furniture used during a surgical procedure are thoroughly cleaned
•     Floors should be cleaned using a wet-vacuum system. This can be a centralized built in system or a portable wet-vacuum. If neither is available, the following procedure may be used:

      a.   Two buckets are filled with disinfectant/detergent.
      b.   Mop heads must be sterilized or a disposable mop head (used once only) used in the operating room suite.
      c.   Solutions and mop heads are changed for each suite and the buckets cleaned before new solution is mixed.
•     The pads of the operating table are removed to expose the undersurface of the table. All surfaces of the table and pads are cleaned with particular attention to hinges, pivotal points, and castors

•     Doors and walls are spot cleaned with disinfectant.

End of Day Cleanup
•     Surgical lights and slide tracks
•     All ceiling-mounted equipment
•     All furniture including castors or wheels
•     All shelves, counters, work tables and autoclave cabinet tops
•     All floor surfaces in the department the surfaces are corbo-lised
•     Scrub sinks
•     Soap dispensers.

Weekly Cleanup
•     Ventilation and air conditioning/heating duct grills must be vacuumed to prevent the release of bacteria-laden dust into the surgical environment.
•     Utility rooms, including those used to store house keeping supplies, sewer hoppers, and linens, must be cleaned.
•     OT Fumigation is utilized after occurrence of infection.

Cleaning Instruments
Use an old scrub brush. Open hinged instruments fully, scrub them, and take special care to clean their jaws and serrations

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