environmental cleaning Flashcards
(41 cards)
What type of cleaning is used for a multidrug organism ?
Enhance environmental cleaning
CDC recommends which disinfectant to be used for cleaning surfaces?
EPA registered disinfectant
If an EPA disinfectant is removed from its original bottle how should the second bottle be labeled?
- Chemical name
- Concentration
- Expiration date
Have an interdisciplinary team select disinfectants for use in the perioperative setting based on the following factors:
- Environmental Protection Agency (EPA) registration and hospital-grade rating
- targeted microorganisms
- contact times
- manufacturers’ instructions for use (IFU)
- compatibility with surfaces, cleaning materials, and equipment
- patient population (eg, neonatal)
- cost
- safety
- effect on the environment
Do not use these to clean and disinfect environmental surfaces or noncritical devices.
high-level disinfectants or liquid chemical sterilants
Do not use alcohol (ie, ethyl alcohol 60%– 90%, isopropyl alcohol 60%–90%) to disinfect
large environmental surfaces (eg, tables, OR bed)
Cleaning chemicals must be prepared, handled, used, stored, and disposed of in accordance with
manufacturers’ IFU and local, state, and federal regulations
if the cleaning chemical is removed from the original container, the secondary container must
immediately be labeled with the chemical name, concentration, and expiration date
These must be available and reviewed for each cleaning chemical used in the perioperative setting
Safety data sheets
Do not use a spray bottle to apply disinfectants to environmental surfaces in the perioperative practice setting.
Disinfectants may be applied by a cloth or poured onto environmental surfaces in a manner that prevents splashing
Have an interdisciplinary team select cleaning materials, tools, and equipment based on the following factors:
surface composition of the items to be cleaned,21,36
manufacturers’ IFU for cleaning materials and equipment,21
compatibility with detergents and disinfectants,21,37
durability and life cycle,21,22,36
cost,21
personnel ergonomics and safety,21 and
effect on the environment
Determine whether to select reusable or single-use cleaning materials (eg, mop heads, cloths) based on the following factors:
laundering processes,
laundry turnaround time,
size of the areas to be cleaned,
frequency of cleaning,
cost,
effect on the environment, and
storage space
Before storage and reuse, disassemble cleaning equipment according to the manufacturers’ IFU, then clean, disinfect with an EPA-registered disinfectant, and dry the equipment
Cleaning the equipment prevents the growth of microorganisms during storage and prevents subsequent contamination of the perioperative area
Identify high-touch objects and surfaces to be cleaned and disinfected.
When cleaning high-touch objects, clean the frequently touched areas of the item (eg, control panel, switches, knobs, work area, handles)
Perform cleaning activities in a methodical pattern that limits the transmission of microorganisms.
- When cleaning with the same cleaning material (eg, cloth, wipe, mop head), progress from clean to dirty areas.
- When cleaning and damp dusting, progress from top to bottom.
- The room may be cleaned in a clockwise or counter-clockwise direction in conjunction with clean-to-dirty and top-to-bottom methods
Do not return used cleaning materials (eg, mop heads, cloths) to the cleaning solution container
Used cleaning materials are considered contaminated and returning them to the cleaning solution container contaminates the solution.
Always consider floors in the perioperative practice setting to be contaminated.
- Consider items that contact the floor for any amount of time to be contaminated
- Clean and disinfect noncritical items (eg, safety straps, positioning devices) per the manufacturer’s instructions after these items contact the floor
Mop floors with damp or wet mops. Do not dust the floor with a dry mop in semi-restricted and restricted areas
When mopping, progress from the cleanest to dirtiest areas of the floor
The center of the room, where most of the patient care occurs, is most likely to have higher levels of contamination
After each patient use, clean and disinfect reusable noncritical, nonporous surfaces such as mattress covers, pneumatic tourniquets, blood pressure cuffs, and other patient equipment according to the manufacturers’ instructions.
Clean and disinfect patient transport vehicles including the straps, handles, side rails, and attachments after each patient use.
Discard single-use items after each patient use
Apply a protective barrier covering to noncritical equipment surfaces if the surface cannot withstand disinfection or is difficult to clean (eg, computer keyboards, foot pedals, touchscreen computer monitors)
If a protective barrier covering is used, remove or clean and disinfect the cover per the manufacturer’s IFU after each patient use
Clean noncritical medical equipment that cannot be covered and cannot withstand disinfection (eg, robots, imaging system components) in accordance with the equipment manufacturers’ IFU.
Before cleaning, inspect mattresses and padded positioning device surfaces (eg, OR beds, arm boards, patient transport carts) for any moisture, stains, or damage.
Remove and replace damaged or worn mattress coverings according to facility policy and the manufacturer’s instructions
Avoid penetration of the mattress by needles and other sharp items
Standard precautions must be followed when cleaning, to prevent contact with blood, body fluids, or other potentially infectious materials
Personal protective equipment (PPE) must be worn during handling of contaminated items or cleaning of contaminated surfaces, to reduce the risk of exposure to blood, body fluids, and other potentially infectious materials.
Gloves must be worn when it is reasonably anticipated that there may be contact with blood, body fluids, or other potentially infectious materials during handling or touching of contaminated items or surfaces.
Masks, eye protection, and face shields must be worn whenever contact with splashes, spray, splatter, or droplets of blood, body fluids, or other potentially infectious materials is anticipated.
Wear respiratory protection (ie, an N95 respirator, a powered air-purifying respirator) if cleaning procedures are expected to generate infectious aerosols.
Perform hand hygiene after PPE is removed and as soon as possible after hands are soiled
Take the following steps when cleaning a spill of blood or body fluids:
Apply an EPA-registered disinfectant that is effective against bloodborne pathogens (eg, human immunodeficiency virus, hepatitis B virus) to the spill.25
Soak up the spill with an absorbent material (eg, lint-free towel, absorbent gel) and discard it.
Clean and disinfect the surface
When an EPA-registered disinfectant is not available, a freshly diluted sodium hypochlorite solution may be used
Items that would release blood, body fluids, or other potentially infectious materials in a liquid or semi-liquid state if compressed and items that are caked with dried blood, body fluids, or other potentially infectious materials must be placed in closable, leak-proof containers or bags that are color coded, labeled, or tagged for easy identification as biohazardous waste
Manage waste generated during care of patients on transmission-based precautions in accordance with standard waste management procedures per local, state, and federal regulations.
