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CLEANING
POLICY & PROCEDURE
PURPOSE: To maintain a safe and sanitary environment for patients in the
ambulatory surgery center (ASC) that minimizes the risk of patient and
healthcare personnel exposure to potentially infectious microorganisms
POLICY: The patient care environment throughout the facility will be
maintained in a state of cleanliness that meets professional standards in
order to protect patients and healthcare personnel from potentially infectious
microorganisms. Environmental cleaning is a team effort. Personnel
responsible for cleaning the environment and equipment will receive education
and training on proper environmental cleaning and disinfection methods, agent
use and selection, and safety precautions according to Occupational Safety
and Health Administration (OHSA) guidelines. The ASC shall maintain
oversight and assure the quality of services provided when contracting for
cleaning services provided by an outside agency. The facility shall use an
approved, hospital-grade, EPA-registered disinfectant/detergent approved by
the multi-disciplinary overseeing the infection prevention program.
PROCEDURE: Personal protective equipment (PPE) must be worn according
to the OSHA Bloodborne Pathogen Standard when disposing of waste that
could result in exposure to bloodborne or other potentially infectious
microorganisms and hazardous material. Attention to frequently touched
surfaces (e.g., light switches, door handles) is essential.
1. General Principles
a. Thorough scrubbing with friction (back and forth motion) will be used
for all environmental surfaces
b. Mop heads, cleaning cloths and cleaning solutions will be changed
frequently; mop heads and water are to be changed after each
procedure
c. Cleaning methods and machines that generate the re-suspension of
dust from surfaces will be avoided, especially in patient care areas.
Damp mopping or use of chemically treated mop for reduction of
airborne dust is generally recommended in patient care areas.
NOTE: The microfiber mop system has demonstrated superior
microbial removal compared with cotton string mops when used
with a detergent cleaner; this system may be considered/evaluated
for use
d. HEPA-filtered vacuums shall be used in patient care areas. Carpeting
will not be used in the surgical suite or in heavy soiling and spillage
areas. Carpeting will be vacuumed regularly, cleaned promptly if spills
occur and shampooed every three to six months or when indicated by
appearance or after contaminated with body fluids. Provide deep soil
extraction on an as-scheduled basis.
4.01 ASC ENVIRONMENTAL CLEANING POLICY & PROCEDURE
e. Cleaning, buffing and vacuuming should not be done during the day
when procedures are being done
f.
2. At the beginning of each day or prior to the first procedure, the following
will be damp-dusted using a clean lint free cloth dampened with a facilityapproved, Environmental Protection Agency (EPA)-registered disinfectant:
horizontal surfaces, OR/procedure room lights, OR/procedure room
furniture including the back table, prep table, ring stands, Mayo stands,
and operating table
3. Preparation of the operating room should include a visual inspection of the
room for cleanliness before the case carts, supplies, and instrument sets
are brought into the room
4. Cleaning of OR/procedure room between procedures must be done with a
facility-approved, EPA-registered disinfectant
a. Prepare disinfectant solution according to manufacturers instructions
b. Clean hands and put on gloves
c. Collect and remove all soiled linen, including linen from open packs,
from operating room and place in an impervious bag for laundering;
place in the laundry hamper
d. Collect and remove trash. Soiled sponges, suction canisters, tubing,
and other waste should be handled as infectious waste. Clean outside
of suction canisters; lift the bag and carry it out of the operating room
to the pick-up point for this trash.
e. Remove gloves and clean hands
f.
g. Clean and disinfect bed, Mayo stands, back table, prep table, and ring
table; remove gloves and wash hands
h. Damp mop floor only if visibly soiled; allow to air dry
i.
j.
Clean and disinfect all door handles, push plates, light switches and
controls, and all wall mounted equipment
j.
Clean and disinfect all furniture, Mayo stands, back table, prep table,
and ring table, including wheels/casters
Damp wipe waste receptacles, kick buckets, and racks; re-line after
items are dry
i.
Clean top and sides of mattress, turn over and clean underside
Disposal
i.
Clean hands
j.
Replenish paper towels, toilet paper, waste bag, soap and ABHR as
required
8. Clean and disinfect all sinks, including scrub sinks, floors, and surfaces
including those at the nursing stations and staff lounges in the facility
9. Reprocessing and other sterile storage areas are to be cleaned according
to the following schedule:
a. Clean all counters and floors daily
b. Clean shelves daily in sterilization, preparation, packing and
decontamination areas
c. Clean shelves every three months in sterile storage areas
d. Clean case carts after every use
e. Clean walls every six months
f.
Clean light fixtures, sprinkler heads and other fixtures every six
months
DISCLAIMER: All data and information provided by the Oregon Patient Safety
Commission is for informational purposes only. The Oregon Patient Safety
Commission makes no representations that the patient safety recommendations will
protect you from litigation or regulatory action if the recommendations are
followed. The Oregon Patient Safety Commission is not liable for any errors,
omissions, losses, injuries, or damages arising from the use of these
recommendations.