Functional purpose: prophylactic
Conditions of execution: outpatient, inpatient
1. Compliance with the sanitary and anti-epidemic regime of the department.
2. Prevention of nosocomial infections.
INDICATIONS. Daily at least 2 times a day.
CONTRAINDICATIONS . No.
EQUIPMENT: cleaning equipment, 2 rags, trays, containers with disinfectants, gloves, masks, aprons, skin antiseptic, napkins, paper towel.
I. Room cleaning.
1. During cleaning, open the windows, ventilate the room. In winter, during cleaning, patients should be well covered, their heads tied with a scarf or towel, and a blanket tucked under their feet. Patients on semi-bed rest are asked to leave the room.
2. Cleaning of the wards and all other rooms is carried out in a wet way, because. dust contains a large number of microbes that cause various diseases. In the morning, wet cleaning is done after breakfast, so that by 9 o’clock the doctor’s round will be clean.
3. Re-wet cleaning is done before a quiet hour and before going to bed.
4. You need to start wet cleaning from bedside tables. They wipe the dust from them, remove unnecessary items, control the products in the nightstand (perishable ones should be stored in the refrigerator).
5. Then wipe the dust from the windowsill and other furniture.
6. During cleaning, the room should be quiet.
7. The floor must be washed from windows and walls to the door. Garbage is collected in the hallway.
8. The issue of ventilation is discussed with patients.
v For washing each ward, a working solution of disinfectant is prepared.
v In the Infectious Diseases Hospital, general cleaning of the wards is carried out once a week.
v The bucket and cloth marked as shown should only be used for its intended purpose.
v If there is a patient in the room who is allergic to the smell of chlorine, then the floor should be washed with a disinfectant of a different composition.
II. Cleaning of the dining room and pantry.
The dining room and pantry, as well as dining tables, are processed after each distribution of food with a disinfectant permitted for use in the manner prescribed by law in the mode, according to the instructions for use, by wiping with rags moistened with a disinfectant solution or by irrigation. Dishes, according to order No. 408, after being freed from food residues, are soaked in a disinfectant solution, degreased, rinsed, boiled in a 2% soda solution for 15 minutes, fried in a special cabinet for 45 minutes, stored in special cabinets or racks covered with gauze.
– Food waste and flush water are disinfected by falling asleep (flooding) with a disinfectant 1:5. Tanks with lids for collecting food waste after being emptied are treated with an appropriate disinfectant solution, rinsed and dried.
– Cleaning equipment, rags, are disinfected, followed by washing and drying.
III. Cleaning of the treatment room.
Cleaning is carried out 3 times a day (preliminary, current, final) using a disinfectant solution, followed by quartzing for at least 30 minutes, depending on the power of the lamp and the cubic capacity of the room. General cleaning is carried out once a week with a disinfectant solution of a stronger concentration, followed by quartz treatment for 2 hours. All cleaning equipment is marked accordingly and stored separately in a designated place. The hands of the medical staff are treated for 2 minutes with a skin antiseptic, washed with running water with individual soap, wiped with a disposable paper towel, lubricated with a protective cream.
CLEANING OF PREMISES BY THE TYPE OF CURRENT DISINFECTION.
OBJECTIVE: to create a safe clean environment for patients and staff
– resolution and minimization of most pathogens on the surface of inanimate objects
– reduced risk of cross-contamination
INDICATIONS: all premises of health care facilities (wards, offices, laboratories, ancillary premises) where patients and staff can be.
EQUIPMENT: disinfectants (cleaning solutions approved for use in the manner prescribed by law), containers No. 1 for disinfecting solutions, container No. 2 for clean water, cleaning equipment, or a stationary or portable wet-vacuum cleaning system, protective clothing for personnel (overalls or bathrobe, waterproof apron, headgear, 4-layer mask, thick rubber gloves, washable shoes with low heels).
Regularity of cleaning: wet cleaning – 1.2 times a day, cleaning with disinfectants at least 1 time a day
1. Wear protective clothing
2. Inspect the premises for the purpose of cleaning
3. With a clean rag soaked in a chemical disinfectant used in a hospital, wipe the surfaces of window sills, furniture, equipment, appliances and then the floor
4. Wipe the floors using the “two buckets” method
– Moisten the cleaning rags in the disinfectant solution of container No. 1 and carefully wipe the surface to be treated
– rinse the rags in container No. 2, wring out,
– moisten again in a disinfectant solution and wash the untreated floor surfaces
– Change the disinfectant solution taking into account the consumption rate, and water as it gets dirty
– Cleaning equipment after disinfection should be disinfected, rinsed, dried and stored in a special cabinet or designated place.
5. Turn on germicidal lamps.
6. Ventilate the premises
OFFICE CLEANING BY THE TYPE OF FINAL DISINFECTION.
OBJECTIVE: Minimizing the number of disease-causing particles after the complete cleaning of surgical rooms, reducing the risk of cross-contamination.
INDICATIONS: premises of the operating block, surgical, dressing, procedural and other manipulation rooms.
– disinfectant (washing) solutions permitted for use in the Russian Federation in accordance with the established legal procedure;
– sterile rags
– cleaning equipment, or a stationary or portable wet-vacuum cleaning system;
– protective clothing for medical staff: clean gown, moisture-resistant apron, headgear, respirator mask, goggles, thick rubber gloves, washing shoes with flat heels.
Regularity – 1 time in 7 days, according to the general cleaning schedule approved by the head of the department.
1. Wear protective clothing.
2. Inspect the premises for the purpose of cleaning.
3. Carry out preliminary cleaning of the premises with the use of detergent solutions.
4. Wipe the floors using the “two buckets” method.
5. Disinfect: with a clean rag, abundantly moistened with a disinfectant chemical detergent, wipe the surfaces of window sills, furniture, equipment, appliances and then the floor (irrigation from spray equipment is possible).
6. Exposure of the disinfectant extract.
7. Wipe the surfaces with a sterile cloth.
8. Turn on germicidal irradiators with ultraviolet light (direct or reflected)
9. Ventilate the room.
Cleaning equipment after disinfection should be disinfected, rinsed, dried with rags and stored in a special cabinet or designated place.
MEDICAL SERVICE No. 14