Housekeeping Procedures Policy # 0123
1.1 To provide, through established practices, policies and schedules,
relevant cleaning measures for the control and prevention of infection in
the surgical suite.
2.1 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
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
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
Kick buckets are cleaned as necessary.
Table wheels are cleaned by rolling the table over floor cleaning
3.3 Anesthesia disposable suction containers are removed, if used, discarded
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
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
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
4. Terminal Cleaning of Operating Room at End of Schedule.
4.1 Furniture is thoroughly scrubbed with disinfectant using effective
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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