Routine cleaning of health care facilities. It is allowed to involve employees of specialized services (firms) who have permission to clean medical institutions. this type works
Frequency of current wet cleaning:
1. In surgical and maternity institutions - at least 3 times a day, including 1 time using disinfectants.
2. In ward general somatic departments - at least 2 times a day, with disinfectants -> after changing linen, as well as for epidemic indications.
3. Premises with a special regime of sterility, asepsis and antiseptics (intensive care wards, newborn and premature babies, treatment rooms, infectious disease boxes, bacteriological and virological laboratory boxes, dairy rooms, etc.) should be disinfected after each cleaning.
4. Places common use(halls, corridors, information desks, etc.) must be cleaned when dirty.
Routine cleaning according to the type of preventive disinfection. Sequence of current disinfection.
1. Put on overalls for cleaning (robe, cap, apron, gloves, slippers).
2. Prepare a 2% soap-soda solution (100.0 soap, 100.0 soda). Apply detergent to all surfaces to be treated. Wash it off with water.
3. Apply a working disinfectant solution.
4. Rinse off with clean water.
5. Disinfect cleaning equipment: soak a rag or rags in a disinfectant solution in separate containers, rinse and dry.
6. Remove the used special. clothes.
7. Carry out hygienic hand antiseptics.
8. Put on clean overalls.
9. Turn on the quartz for 30 minutes, ventilate for 15 minutes.
Execution order spring cleaning:
1. In ward departments, in offices and premises of functional departments, general cleaning must be carried out according to the approved schedule at least once every day. per month:
· with washing and disinfection of walls, floors, and all equipment
· with wet wiping of dust from furniture, lamps, blinds, etc.
2. General cleaning, including washing and disinfection of operating rooms, dressing rooms, treatment rooms, postoperative wards of the intensive care unit, and maternity ward premises, is carried out once a week.
3. In obstetric hospitals, general cleaning and final disinfection of maternity rooms is carried out every 3 days.
Technology for general cleaning - 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 warm water with 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 disinfecting working solution, maintaining exposure according to the virucidal regime;
7. wash their hands with soap;
8. change overalls to clean ones;
9. wash off with clean water;
10. arrange furniture and equipment in places;
11. turn on the bactericidal lamps for 2 hours;
12. ventilate the room for 1 hour;
13. disinfect cleaning equipment.
Infectious diseases hospital (department). Placement and layout features. Hygienic requirements for the conditions of reception, sanitation, placement and maintenance of patients. Principles of individual and group isolation.
Infectious diseases department located in a separate building. Features of layout and sanitary regime:
1. On the territory of an infectious diseases hospital (building) there must be designated “clean” and “dirty” zones, isolated from each other by a strip of green space. At the exit from the “dirty” zone, a site must be provided for disinfection of vehicles.
2. The main feature of infectious diseases hospitals or departments is the arrangement of boxes and half-boxes in them.
3. availability of reception and inspection boxes (16 m2),
4. a sanitary checkpoint is provided for personnel,
5. discharge rooms for patients discharged from half-boxes and wards, for each section separately (8 m2),
6. no common areas for patients (canteens, day rooms).
7. Infectious diseases departments must be located 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 staff, as well as those entering and leaving.
9. conditions for receiving and keeping patients
1. Upon admission to inf. hospital patients must comply with the following requirements:
· flow of movement entering the information. hospital patients should be provided with direction from the reception and examination box of the admission department to the medical departments;
· Reception of patients with infectious pathology should be carried out strictly individually. Waiting for two or more patients in the same room at the same time is not permitted;
· patients in need of resuscitation measures can be hospitalized in intensive care units, bypassing the infectious diseases emergency department. hospitals.
2. In the reception and examination rooms of an infectious diseases hospital, additional sets of protective equipment and personal protective equipment for medical workers should be allocated.
3. In the reception and examination rooms of the infectious diseases hospital after receiving each patient:
4. all objects that came into contact with the patient must be disinfected;
5. Wet cleaning of the floor should be carried out using chemical disinfection agents. The sanitary facility should be wet cleaned last;
6. Air disinfection should be carried out after wet cleaning.
7. Washing clothes in an infectious diseases hospital should be carried out in its own laundry.
8. Used patient care products, linen, bedding, furniture, equipment must be disinfected before removal from the department of an infectious diseases hospital (for use in other departments, write-off, disposal).
9. In infectious diseases hospitals, unauthorized movement of patients from ward to ward, unauthorized movement of patients outside departments is prohibited.
Instructionsfor general cleaning
Basic provisions
This instruction introduces the rules for organizing and conducting general cleaning 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 occurrence and spread of nosocomial infections by improving the organization and carrying out general cleaning of 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 instructions is assigned to the chief nurse and epidemiologist.
Cleaning equipment and workwear
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 floors).
Clean, marked rags for removing disinfectants from furniture, equipment, walls (several cloths to replace if dirty).
Clean rags for washing floors.
Wipes for treatment of UV irradiators.
Clean rags for wiping dry and polishing surfaces (furniture, mirrors).
Container for soaking used rags (with lid).
Two sets of workwear (gown, mask, cap, gloves). One of the sets of workwear is used when washing the office (sterile, in a bag).
Working solution of disinfectants, hand sprayer for treating hard-to-reach places.
General cleaning technology
Stage one
The nurse (nurse, laboratory assistant) should prepare the office for cleaning, empty it of objects, equipment, instruments, and medications. Tables and cabinets must be free and accessible for processing.
Disconnect electrical appliances from the network.
In accordance with the waste management plan, the cleaning worker must remove class B waste and used disposable medical products from the office.
Pour the prepared working solution into cleaning containers and bring the cleaning equipment into the office.
Wash your hands and put on protective clothing: gown, cap, mask, rubber gloves.
Use a clean rag (for applying the solution to furniture and walls) moistened with a disinfectant solution from a furniture container to wipe the interior surfaces of cabinets and other furniture.
If possible, move furniture away from the walls.
Using a clean rag (for applying the solution to furniture and walls), moistened with a disinfectant solution from a container for walls, wipe the walls (to a height of at least 2 meters), windows, window sills, radiators and doors with smooth movements from top to bottom. Special attention pay attention to switches, door handles, trim, faucets and sinks for washing hands, as well as places in close proximity to them. Treat hard-to-reach areas with a hand sprayer.
With a clean rag (for applying the solution to furniture and walls), moistened with a disinfectant solution from a furniture container, wipe the horizontal surfaces of furniture and equipment, starting from the top. Then move on to processing vertical surfaces. If there is visible contamination, the rags should be replaced.
Wipe UV irradiators that are disconnected from the network with napkins moistened with a disinfectant solution from a furniture container; lamp with a napkin moistened with 70 percent ethyl alcohol and wrung out well, and then with a dry napkin.
Lastly, treat garbage and waste collection containers with a rag soaked in a disinfectant solution from a furniture container, then immediately throw the rags into a special container.
At the end of cleaning, before pouring the used disinfectant working solution out of containers for furniture and walls, moisten a rag with it to treat the inner and outer surfaces of these containers. Then treat both containers emptied of 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 the gown, cap and mask and place them in a laundry bag.
Remove gloves, wash your hands and treat them with antiseptic.
Close the treated area for the duration of disinfection.
Stage two
After disinfection is completed, wash your hands, put on a clean sterile gown, cap, mask, gloves and wipe your shoes with a disinfectant solution.
Containers for furniture and walls treated with a disinfectant should be rinsed and then filled with tap water. A clean rag for furniture and walls, soaked in tap water, wash all surfaces in the same sequence as when applying the disinfectant solution.
Window glass on the inside, as well as other glass surfaces and mirrors, after removing the disinfectant solution, wipe dry and polish.
Lastly, use a clean scrub rag to spray the floor with clean tap water from the floor bucket.
At the end of general cleaning, disinfect the air with a bactericidal lamp for two hours.
Disinfect cleaning equipment, rags, and rags for cleaning the floor with a disinfectant solution (disinfection time is indicated in the instructions for use of the disinfectant). Upon completion of disinfection, rinse and dry cleaning equipment and rags for washing the floor. Put the rags in the wash.
Take off your overalls and put them in a bag.
Make an entry in the “Logbook for carrying out and recording general cleaning” and in the “Logbook for recording bactericidal lamps” with all columns clearly filled out.
In case of unsatisfactory results of air sowing and washouts from environmental objects in the offices, carry out general cleaning outside the schedule with a note in the appropriate registration log.
Before the onset of the autumn-winter season, include in the general cleaning the mandatory washing of glass on both sides and checking the tightness of the frames.
Requirements for medical personnel.
Medical personnel cleaning premises must undergo 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 training are allowed to work. functional responsibilities, safety precautions, precautions when working with disinfectants.
Medical personnel cleaning premises must know the rules of first aid in case of accidental poisoning with a disinfectant.
After finishing the work you should hygienic treatment hands
General first aid measures for accidental poisoning
If precautions are not observed, acute poisoning may occur, which is characterized by signs of irritation of the respiratory system, eyes, skin and mucous membranes.
If the product gets on your skin, rinse the area immediately. running water within 10 minutes. Lubricate with emollient cream. If necessary, consult a doctor.
If it gets into the eyes, the product causes burns to the mucous membrane and damage to the cornea. Needed immediately!!! Rinse them with running water for 10-15 minutes (keep your eyelids open) and immediately consult an ophthalmologist.
If the product is accidentally ingested through the mouth, pain and burns of the oral mucosa occur. You should immediately rinse your mouth with water, then take 10-15 crushed tablets activated carbon with several glasses of water. Do not induce vomiting!! If necessary, consult a doctor.
If the respiratory system is irritated (sore throat, nose, cough, difficulty breathing, lacrimation), the victim is removed from the work area to fresh air or a well-ventilated area. The mouth and nasopharynx are rinsed with water. Give warm drink (milk). If necessary, consult a doctor.
General requirements.
All premises, equipment, medical and other supplies must be kept clean. Wet cleaning of premises (washing floors, wiping furniture, equipment, window sills, doors, etc.) must be carried out at least 2 times a day, and if necessary more often, using detergents and disinfectants approved for use in the prescribed manner .
Window drains should be washed at least once a month from the inside and when dirty, and at least once every 3 months from the outside (spring, summer, autumn).
General cleaning of the premises of ward departments and other functional rooms and offices should be carried out according to a schedule at least once a month with thorough washing of walls, floors, equipment, furniture, and lamps.
General cleaning (washing, disinfection) of treatment, manipulation, and sterilization rooms is carried out once a week. General cleaning is carried out according to a schedule approved by the head of the department. The person responsible for carrying out general cleaning is the head nurse of the department.
Ventilation of wards and other rooms that require access to fresh air through windows, transoms, and doors must be carried out at least 4 times a day.
For collecting household waste and other class A waste in corridors, toilets and other auxiliary premises Urns should be installed, and pedal buckets should be installed in treatment rooms and other similar rooms associated with the medical and technical process. The accumulated waste is collected and packed into plastic bags. It is disposed of in containers located on the territory of health care facilities.
Procedure for routine cleaning.
In all medical and treatment-diagnostic laboratory rooms where parenteral interventions are carried out, work is carried out with biological material from patients, cleaning is carried out daily only with a wet method at least 2 times a day (in the morning - before working day and at the end of the work shift) and, as necessary, using detergents(2% soap-soda solution (if it is prepared centrally) or 0.5% solution of synthetic detergent (CMC) at the rate of 50 grams of powder per 10 liters of water. Second wet wiping and washing of surfaces that are not contaminated with the patient’s secretions (blood, feces, urine, pus, etc.) is carried out using disinfectants –
3% chloramine solution, 0.5% bleach solution, 6% hydrogen peroxide solution with 0.5% CMC solution, neutral anolyte 0.05%, centodorforte 0.4.%
Working surfaces can also be wiped with new-generation disinfectants intended for these purposes, following the “Methodological Recommendations” for their use, approved by the head of Rospotrebnadzor (Sanitary and Epidemiological Supervision) and the manufacturer’s instructions. Cleaning is carried out with specially designated rags using marked equipment (buckets, basins, mops).
Cleaning equipment is stored in a strictly designated place. Cleaning equipment intended for work in epidemiologically significant rooms (treatment rooms, dressing rooms, delivery rooms, toilet rooms, etc.) is stored locally.
Before cleaning, a nurse or orderly puts on a gown specially designated for this purpose and gloves.
Clean rags for surface treatment are moistened in a container with a disinfectant solution and all surfaces are wiped twice with an interval of 15 minutes in strict sequence: table for sterile material, cabinets for sterile solutions, equipment, manipulation tables, chairs, couch for patients.
The floor is washed with a disinfectant solution. Ends current cleaning ultraviolet irradiation of the room and ventilation for 20 minutes.
Procedure for general cleaning
General cleaning of premises differs from the current one in the frequency of implementation, volume of work, concentration of disinfectants, duration of air disinfection, depending on the type of premises and its epidemiological category. In treatment and dressing rooms, the operating room, the delivery room, any surgical office of the clinic where parenteral manipulations are performed, as well as in the pantry, general cleaning is carried out once a week. General cleaning (similar to final disinfection) is carried out once a week according to the approved schedule, with an entry in the appropriate log.
If chloramine solutions and other chlorine-containing preparations are used for general cleaning, then before applying these solutions to surfaces, the latter are washed with a 2% soap-soda solution or 0.5
% CMC solution. Then the detergent is washed off with water and a disinfectant solution is applied. If peroxide preparations are used for general cleaning, then the detergent is added to the peroxide and steps mechanical cleaning and disinfection are combined. Commonly used products for general cleaning of medical premises (procedure rooms, dressing rooms, operating rooms) are a 5% chloramine solution and a 6% hydrogen peroxide solution with 0.5% detergent in accordance with the recommendations of the USSR Ministry of Health Order No. 720 dated July 31, 1978 on work surgical departments and departments, intensive care units. For general cleaning in treatment rooms, examination rooms
maternity and obstetric hospitals in accordance with the order of the Ministry of Health of the Russian Federation No. 345 dated
11/26/97. use a 3% concentration of chloramine solution with a 0.5% concentration of synthetic detergent (CMC).
Hydrogen peroxide or chlorine-containing agents are applied to the treated surfaces twice with an interval of 15 minutes and left for one hour, then washed off with tap water and wiped with sterile diapers.
In the room, all surfaces to be treated are wiped with plenty of disinfectant solution sterile rags (walls, facing downwards, window sills, doors, furniture, equipment, surfaces, floors). Cleaning is carried out at behind closed doors and windows.
Cleaning is completed by ultraviolet irradiation of the room and ventilation for 20 minutes.
When carrying out general cleaning, medical personnel use a clean gown, shoes, mask, oilcloth apron, and gloves.
Requirements for cleaning equipment.
All cleaning equipment (buckets, basins, mops, etc.) must be clearly marked indicating the premises and types of cleaning work, and used strictly for their intended purpose. Cleaning equipment should be stored in separate cabinets, niches or other designated places with markings
"Cleaning equipment."
Cleaning equipment is kept clean and disinfected after each cleaning.
Cleaning equipment that cannot be disinfected (brushes, brooms, etc.) is prohibited from being used. Separate cleaning equipment is used for cleaning furniture and floors.
Cleaning of epidemiologically significant premises always ends with air disinfection using bactericidal irradiators. A bactericidal irradiator is an electrical device that contains: a bactericidal lamp, a reflector, a ballast and other auxiliary elements. Bactericidal irradiators are placed on the ceiling or wall, and bactericidal irradiators can also be mobile. They are divided into two groups: closed (shielded) and open (unshielded). Both types of irradiator must have separate switches, and the switch for the open irradiator is led out into the corridor. Closed irradiators can operate in the presence of people, while open ones can only operate in the absence of personnel and patients.
All premises in health care facilities to be equipped with bactericidal irradiators are divided into 5 categories:
Quartz time range in the absence of people open and
combined irradiators from 15 min. up to 120 or more min. When operating only a shielded lamp, the duration of its burning can be up to 8 hours a day, and every 2-3 hours the irradiator is turned off for 1.5-2 hours. After operation of bactericidal irradiators, the room is always ventilated to remove ozone and nitrogen oxides.
Personnel working with open irradiators must be provided with the means personal protection(face masks, gloves and goggles), direct rays from an unshielded illuminator are harmful to humans, causing photoophthalmia and skin erythema.
An important point The sanitary and hygienic regime in health care facilities is ventilation. With the help of through ventilation, dust and hospital strains of pathogens of nosocomial infections (HAIs) that are resistant to the used disinfectants, quartz treatment, and aerosols of antibacterial agents are removed into the external environment.
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Algorithm for cleaning in
treatment and preventive organizations
1. Purpose
Cleaning is carried out to ensure preventive/anti-epidemic measures, prevent the spread of infections, comply with sanitary and hygienic conditions, and ensure both the aesthetic appearance of the room and the removal of microorganisms.
2. Definition
Cleaning 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, cleaning from dirt, dust, substrates of biological origin and disinfection are carried out, i.e. destruction of microorganisms that cause infectious diseases on surfaces.
The following types of cleaning exist:
I. Wet cleaning;
II. Spring-cleaning;
III. Cleaning according to the type of final disinfection.
3. Scope of application
The rules apply to nursing and junior medical staff of clinical departments. Cleaning personnel must undergo qualified, documented training on types of cleaning.
Control over cleaning is carried out by senior nurses and sister housewives of the departments.
Control and monitoring of cleaning activities is carried out by the infection control service.
4. List of equipment
4.1. special clothing (robe, cap, mask, gloves);
4.2. a set of cleaning equipment (rags, brushes, mops, brushes, spray bottles);
4.3. detergents and disinfectants approved for use in the Republic of Kazakhstan;
4.4. containers for cleaning purposes must be labeled and used for their intended purpose.
5.1. Decree of the Government of the Republic of Kazakhstan No. 87 dated January 17, 2012. “Sanitary rules “Sanitary and epidemiological requirements for healthcare facilities.”
6. Document
6.1. Journal for recording cleaning and quartzing.
6.2. Disinfectant instructions;
6.3. The procedure for disinfecting indoor air.
I. Algorithm for wet cleaning
1. Definition
Wet cleaning of floors, furniture, equipment, window sills, doors is carried out at least twice a day (in operating rooms between operations) and when soiled, 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 grams of detergent per 10 liters of water).
2nd time - using a disinfectant of approved concentration.
2. Procedure
2.1. Wipe the bed, window sills, and other furniture with a damp cloth;
2.2. After feeding the sick, the distributor wipes the bedside tables and tables;
2.3.cleaning ends with 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 dried;
2.6. The nurse notes about the quartzing in the Journal of general cleaning and quartzing.
II. Algorithm for general cleaning.
1. Definition
2. General cleaning is carried out once a week according to the approved schedule with the processing and disinfection of equipment, furniture, and inventory in the following premises:
3. Operating units;
4. Dressing rooms;
5. Maternity rooms;
6. Treatment rooms;
7. Manipulation rooms;
8. Sterilization;
9. Intensive care wards;
10. Examination rooms;
11. Invasive rooms;
12. Premises with aseptic conditions.
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 equipment in the following premises:
14. Chambers;
15. Auxiliary premises;
16. Offices.
2. Procedure
2.1. Preparing for general cleaning:
a) wear special clothing (robe, cap, mask, gloves);
e) prepare working solutions (cleaning and disinfecting) according to the instructions for preparing solutions;
f) remove medical waste and disinfect containers.
2.2. Carrying out general cleaning:
a) treat ceilings, walls, beds, bedside tables, tables and other furniture, as well as office equipment with a 0.5% cleaning solution (50 grams of powder per 10 liters of water or a disinfectant with a detergent effect*) and wash off with clean water;
b) treat ceilings, walls, beds, bedside tables, tables, and other furniture, as well as office equipment by spraying or wiping with a rag 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 ends by washing the floor with a disinfectant solution;
f) then quartz treatment 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 clothing is handed over to the laundry;
i) the nurse notes about the general cleaning and quartzing in the Journal of general cleaning and quartzing.
III. Algorithm for cleaning according to the type of final disinfection
1. Definition
Final disinfection - after discharge, transfer, or death of the patient, the vacated ward is cleaned according to the type of final disinfection.
2. Procedure
2.1. Preparation for cleaning according to the type of final disinfection:
a) wear special clothing (robe, cap, masks, gloves);
b) bedding (mattresses, pillows, blankets) is subjected to chamber disinfection or treatment with disinfectant solutions;
c) clear the room as much as possible of furniture or move it to the center of the room to ensure free access to the surfaces and objects being treated;
d) prepare working solutions according to the instructions for preparing solutions;
e) remove medical waste and disinfect containers.
2.2. Carrying out cleaning according to the type of final disinfection:
a) using the method of irrigation 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 duration of the exposure;
c) after exposure, the room is ventilated;
d) all surfaces are washed off with water and dried (walls, ceiling, furniture, apparatus, equipment) with clean rags;
e) cleaning ends with washing the floor with a disinfectant solution;
f) then quartz treatment is carried out (according to the list) according to the volume of the premises, followed by ventilation;
f) 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 clothing is handed over to the laundry;
h) the nurse notes the final disinfection and quartzing in the General Cleaning and Quartzing Journal.
2. List of quartz treatment of premises
Quartzing is carried out after each cleaning of the room volume, followed by ventilation in the following rooms:
· Operating units;
· Dressing rooms;
· Maternity rooms;
· Treatment rooms;
· Manipulation rooms;
· Sterilization;
· Intensive care wards;
· Examination rooms;
· Invasive rooms;
· Premises with aseptic conditions.
Note:
All cleaning in sensitive rooms is carried out jointly with the nurse; the nurse begins cleaning from the 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 ends with washing the floor.
In the wards, the nurse starts with the beds, window sills, door handles, sanitary facilities and ends with washing the floor.
Dining tables, bedside tables and a food refrigerator are processed by the food distributor.
Window glass is washed at least once a month from the inside, at least once every 3 months from the outside, and when dirty.
* when cleaning is carried out with a disinfectant with a detergent effect, the 1st stage of treatment with a 0.5% cleaning solution is canceled.
Rules for general cleaningConducted under the supervision of a senior medical officer. sisters of the department, sisters of the mistress. General cleaning (washing and disinfection) of the operating unit, treatment rooms, dressing rooms, intensive care and postoperative wards, dental office, central care center. The buffet - dispensing room and other rooms that require asepsis are carried out once every 7 days.
General cleaning of the premises of ward departments and others functional premises and offices are carried out according to the approved schedule at least once a month and on epidemiological basis. indications (in case of an infectious disease).
Stages of general cleaning:
Wear special clothes clothing: robe, headdress, gloves, mask (respirator).
Move the existing furniture and equipment in the room to provide free access to panels (walls) and baseboards.
Open the window, transom
Wipe the surfaces of furniture and walls to the height of their painting (to the height of the existing tiles) with detergents (soda, soap) to remove mechanical and other contaminants in order to more effectively influence the disinfectant on the treated surfaces. Then the room (floor, walls) and equipment are wiped with a rag heavily moistened with one of the disinfecting solutions.
Turn on germicidal lamp for 60 minutes.
Wear clean sanitary clothing (gown, gloves, mask). Wash off the disinfectant. solution with a clean (sterile) rag moistened with tap water.
Turn on the bactericidal lamp again for 30-60 minutes
Ventilate the room for at least 30 minutes.
Mark the date of the general cleaning, indicate the disinfectant used. the product and its % concentration, quartzing time in the “Logbook of general cleaning” and “Logbook of the operation of the bactericidal lamp”
Disinfect used cleaning equipment and rags.
6% hydrogen peroxide with 0.5% detergent solution 60 minutes
0.2% solution of Javel-Solid or Deochlor 60 min
0.2% solution of Sulfochlorantine D 60 minutes
2.3% solution of Defect 60 min
2% Dulbak solution DTB/L 45 min
1% Lizafin solution 60 min
0.5 solution Lizafin-special 60 min
Compiled based on:
Order of the Ministry of Health of the USSR No. 720 of July 31, 1978 (clause 5.20) “On improving medical care for patients with purulent surgical diseases and strengthening measures to combat nosocomial infections.”
Order of the Ministry of Health of the Russian Federation No. 345 of November 26, 1997 “On improving measures for the prevention of nosocomial infections in obstetric hospitals.”
San PiN 5179-90 “Sanitary rules for the design, equipment and operation of hospitals, maternity hospitals and other medical hospitals” (clause 9.2).
B.M. Taits, L.P. Zueva " Infection control in health care facility" St. Petersburg, 1998.
Guidelines for the use of disinfectants. funds.
MAGAZINE
accounting for general cleaning
INSTRUCTIONS
on the use of ultraviolet bactericidal radiation for the disinfection of air and surfaces in premises (compiled on the basis of the guide R. 3.1.638-98 “The use of ultraviolet bactericidal radiation for the disinfection of air and surfaces in premises”).
Ultraviolet bactericidal radiation is an effective preventive sanitary and anti-epidemic agent aimed at suppressing the vital activity of organisms in the air and on indoor surfaces. It is one of the means to reduce the spread of infectious diseases and complements mandatory compliance with current sanitary standards and rules for the design and maintenance of premises.
Operating rooms, pre-operative sterile areas of the center, wards for premature and injured children.
Dressing rooms, milk rooms, intensive care units, non-sterile areas of the central health care center.
3. The calculated norm for the volume of a disinfecting room per irradiator in cubic meters is as follows: - for an irradiator with a DB-30-1 lamp 30 cubic meters, for an irradiator with a DBM-30 lamp 45 cubic meters
4. The lamp life is: for DB30-1-5000 hours, for DBM-30-800 hours.
5. As the lamps operate, the bactericidal flow decreases to compensate for this; after 1/3 of the nominal service life has expired, the duration of irradiation increases by 1.2 times; after 2/3 of the term – 1.3 times
6. Maintenance of the bactericidal irradiator is carried out after disconnecting from the power supply:
at least once a month, wipe the external surfaces with a damp soft cloth with a 3% solution of hydrogen peroxide with the addition of 0.5% Lotus detergent; reflector - dry soft cloth; lamp - with a napkin soaked in alcohol.
The instructions are based on:
Guidelines “Use of ultraviolet bactericidal irradiation for disinfection of air and surfaces in premises” R.3.1.638-98
Operating manuals for bactericidal irradiators OBN-01, OBN-15-01
^
Rules for routine 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.
The use of powdered synthetic detergents for wet cleaning of premises is not permitted.
All cleaning equipment must be clearly marked indicating the premises and types of cleaning work, used strictly for their intended purpose and stored separately.
^
Set of cleaning equipment
Buckets for cleaning floors
Basins (pots) for washing panels
Mops for washing panels (walls) and floors
Rags for cleaning panels and cleaning floors
Brush for washing and disinfecting toilet bowls.
Separate cleaning equipment (buckets, basins, mops, rags) is allocated for cleaning in the operating room, postoperative, intensive care wards, treatment room, buffet - dispensing room, wards, corridor, toilet (sanitary room).
Rules for processing cleaning equipment after use
Disinfection using disinfectants and the necessary exposure.
Rinsing in running water
Mandatory drying
Proper storage.
Base:
San PiN 5179-90 (clause 9.1)
Order No. 720
Order No. 288 of the Ministry of Health of the USSR dated March 23, 1976
