Housekeeping procedures

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					Housekeeping Procedures                   Policy # 0123


                                          Effective:


                                          Reviewed:


                                          Revised:



1.    PURPOSE.

1.1   To provide, through established practices, policies and schedules,
      relevant cleaning measures for the control and prevention of infection in
      the surgical suite.

2.    POLICY.

2.1   Housekeeping procedures include cleaning and disinfection of the surgical
      suite and disposal of soiled linen and solid wastes. These procedures are
      performed by all personnel. Adequate time must be allowed between
      surgical procedures for the proper cleaning and disinfection of the
      operating room.

3.    PROCEDURE.

3.1   Damp dust all flat surfaces and overhead lights every morning prior to the
      first surgical procedure. Use a germicide-dampened disposable towels.

3.2   All flat surfaces are cleaned by spraying approved detergent germicide
      (Citri Guard II) solution onto the surface and wiping it off with dry
      disposable towels.

         The cleaning sequence is from the periphery of the room to the center
          of the room.
         Flat table surfaces are cleaned first.
         The OR table is cleaned last and a clean sheet is placed on the
          mattress.
         Kick buckets are cleaned as necessary.
         Table wheels are cleaned by rolling the table over floor cleaning
          solution.

3.3   Anesthesia disposable suction containers are removed, if used, discarded
      and replaced.

3.4   Trash and linen are placed in Hazardous Waste Area and dirty line storage
      area. Instruments are taken to the Dirty Utility Room. Suction containers
      are emptied in the hopper and the canisters are sealed and disposed of in
      the red bag trash.




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3.5    The floor is cleaned, using a bucket with approved detergent Virucide and
       cleaner clear (lemon) and a clean mop head.

          The area cleaned is that which has contained the operating team
           (approximately 3 feet around the table).
          The OR table is moved to allow cleaning underneath as necessary.
          When grossly contaminated, the mop head is removed and placed in a
           plastic dirty bag in dirty area trash container.
          Mop bucket water is changed after every case and whenever an
           excessively dirty mop has entered the bucket.

3.6    Any blood or debris dropped on the floor is wiped up with a wipe and
       detergent germicide at the time of occurrence.

3.7    Sponges are kept contained in plastic bags for counting.

3.8    The circulating nurse disconnects the suction to prevent contamination by
       the scrub nurse's gloves and places the sealed container in the soiled
       utility room/Biohazard.

3.9    All linen is placed in plastic bags and sealed. Scrub nurse's gown is
       placed in the bag last, after all cleaning is completed.

3.10   Trash is placed in plastic bags, sealed and placed in the soiled utility
       room/Biohazard.

3.11   As much as possible, instruments are to be kept clean during the
       procedure. At the end of the procedure, all instruments, basins, etc.
       are opened and positioned in the perforated tray and sent to the dirty
       area.

4.     Terminal Cleaning of Operating Room at End of Schedule.

4.1    Furniture is thoroughly scrubbed with disinfectant using effective
       mechanical friction.

          Table wheels and casters are cleaned and inspected for debris.
          Surgical lights and tracks are cleaned.
          All wall-mounted equipment, view boxes, etc., are cleaned with a
           detergent germicide solution and disposable towels.

4.2    Kick buckets are thoroughly cleaned with detergent germicide.

4.3    Walls are cleaned as necessary.

4.4    Cabinet doors and handles are cleaned.

4.5    Entire floor space is mopped with detergent germicide.

4.6    Scrub sinks, faucets, soap dispensers and surrounding walls are cleaned.

4.7    Off site environmental services Company (KBM) cleans after center closes.

4.8    Cleaning supplies are used in the cleaning process. Refer to the MSDS
       manual for products. This manual is supplied by the Environmental Services
       Company. The MSDS manual (Red) is kept in the Chart Room.


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4.9    The linen supply company (Medico) supplies the surgery center with seven
       reusable mop heads, one clean mop head per night. These mop heads are
       strictly used in the two OR rooms to prevent cross-contamination from the
       Center to the OR.

4.10   There is a sign posted on the janitorial closet in English and Spanish
       stating instructions for mopping the ORs.

4.11   The environmental services staff are monitored once a week by the DON or
       Administrator for compliance.




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DOCUMENT INFO
Description: policies and protocols for infection control, the prevention of infection, the ability to demonstrate extreme measures are taken to prevent the cause of infection in and around the workplace. This protocol is geared more towards the surgical setting but can be customized to meet any health care setting as most of them are universal precautions based policies.
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