Routine cleaning of toilet rooms and utility rooms. Wet cleaning of department premises. III. Cleaning the enema room

Conditions of implementation: outpatient, inpatient

TARGET:

1. Compliance with the sanitary and anti-epidemic regime of the department.

2. Prevention of nosocomial infections.

INDICATIONS. Every day 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.

Procedure algorithm

I. Cleaning the rooms.

1. During cleaning, open the windows and ventilate the room. In winter, when 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 wards and all other rooms is carried out using a wet method, because contained in dust 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 visit will be clean.

3. Repeated wet cleaning is done before quiet time and before bedtime.

4. You need to start wet cleaning from the bedside tables. They wipe off the dust, remove unnecessary items, and control the food in the nightstand (perishable items should be stored in the refrigerator).

5. Then wipe the dust from the window sill and other furniture.

6. The room should be quiet during cleaning.

7. The floor must be washed from the windows and walls to the door. Garbage is collected in the corridor.

8. The issue of ventilation is discussed with patients.

NOTE:

v To wash each room, prepare working solution disinfectant.

v In the infectious diseases hospital, general cleaning of the wards is carried out once a week.

v Buckets and cloths marked as indicated should be used strictly for their intended purpose.

v If there is a patient in the ward who is allergic to the smell of chlorine, then the floor should be washed with a disinfectant of a different composition.

II.Cleaning the dining room and pantry.

The dining room and pantry, as well as dining tables, are treated after each distribution of food with a disinfectant approved for use in accordance with the procedure established by law in the mode, according to the instructions for use, by wiping with a rag 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 filling (pouring) with a disinfectant 1:5. Tanks with lids for collection food waste after release, they are treated with an appropriate disinfectant solution, rinsed and dried.

Cleaning equipment and rags are disinfected, followed by washing and drying.

III.Cleaning 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. spring-cleaning carried out once a week with a disinfectant solution of a stronger concentration, followed by quartz treatment for 2 hours. All cleaning equipment is labeled accordingly and stored separately in a designated area. The hands of the medical staff are treated for 2 minutes with a skin antiseptic, washed with running water and personal soap, and wiped with a disposable paper towel, lubricated with protective cream.

CLEANING OF PREMISES ACCORDING TO THE TYPE OF CURRENT DISINFECTION.

GOAL: creating a safe clean environment for patients and staff

Resolution and minimization of most pathogens on the surface of non-living objects

Reducing the risk of cross-contamination

INDICATIONS: all premises of the medical facility (wards, offices, laboratories, auxiliary rooms) in which patients and staff can be located.

EQUIPMENT: disinfectants (cleaning solutions approved for use in accordance with the procedure established by law), containers No. 1 for disinfectant solutions, container No. 2 for clean water, cleaning equipment, or a stationary or portable wet-vacuum cleaning system, protective clothing for personnel (overalls or robe, moisture-resistant apron, headdress, 4-layer mask, thick rubber gloves, washable low-heeled shoes).

Cleaning frequency: wet cleaning – 1.2 times a day, cleaning with disinfectants at least once a day

Procedure algorithm

1. Wear protective clothing

2. Inspect the room for cleaning purposes

3. Clean rags soaked in disinfectant chemical composition 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 a cleaning rag in the disinfectant solution of container No. 1 and thoroughly wipe the surface to be treated.

Rinse the rags in container No. 2, wring out,

Moisten again with a disinfectant solution and wash the untreated floor surfaces

Change the disinfectant solution taking into account the consumption rate, and change the water as it becomes dirty

After disinfection, disinfect cleaning equipment, rinse, dry and store in a special cabinet or designated place.

5. Turn on bactericidal lamps.

6. Ventilate the premises

CLEANING THE OFFICE ACCORDING TO THE TYPE OF FINAL DISINFECTION.

TARGET: minimizing the number of pathogenic particles after complete cleaning of surgical premises, reducing the risk of cross-contamination.

INDICATIONS: premises of the operating unit, surgical, dressing, treatment and other manipulation rooms.

EQUIPMENT:

Disinfectant (cleaning) solutions approved for use in the Russian Federation in accordance with the established legal procedure;

Sterile rags

Cleaning equipment, either a stationary or portable wet-vacuum cleaning system;

Protective clothing medical staff: a clean gown, a moisture-resistant apron, a hat, a respirator mask, safety glasses, thick rubber gloves, and flat-heeled cleaning shoes.

Regularity: once every 7 days, according to the general cleaning schedule approved by the head of the department.

Procedure algorithm

1. Wear protective clothing.

2. Inspect the room for cleaning purposes.

3. Conduct preliminary cleaning of the room using detergent solutions.

4. Wiping the floors using the “two buckets” method.

5. Carry out disinfection: with a clean rag, generously moistened with a disinfectant chemical detergent composition, wipe the surfaces of window sills, furniture, equipment, appliances and then the floor (irrigation from spray equipment is possible).

6. Exposure to disinfectant extract.

7. Wipe surfaces with a sterile cloth.

8. Turn on bactericidal irradiators with ultraviolet light(direct or reflected)

9. Ventilate the room.

After disinfection, disinfect cleaning equipment, rinse, dry the rags and store in a special cabinet or designated place.

MEDICAL SERVICE No. 14

Routine cleaning of wards

Routine cleaning of wards is necessary for the prevention and prevention of nosocomial infections. This is a special anti-epidemic measure that allows you to comply with the sanitary and hygienic regime.

In addition, cleaning the wards allows you to maintain the aesthetic appearance of the room. It is important to comply algorithm current cleaning chambers.

Routine cleaning of wards

One of the important items on the list of sanitary measures and measures is the routine cleaning of the wards, which is carried out for anti-epidemic purposes.

First of all, the premises medical institution are subject to routine cleaning in order to prevent the occurrence of nosocomial infections.

The frequency of routine cleaning of wards and in-hospital offices and its schedule may vary. However, it is imperative to carry out additional cleaning and disinfection between procedures and operations.

During the current cleaning of wards, the following scheduled work is provided:

· cleaning surfaces from various visible contaminants. These are dust, dirt and other contaminants;

· careful removal of biological waste such as blood. It is especially relevant in operating rooms;

· applying and spraying disinfectants. Current cleaning of wards involves the use of such products; multi-stage additional disinfection is used in operating departments;

The purpose of routine cleaning of wards is to destroy dangerous microorganisms that can subsequently spread to other surfaces and be potential pathogens of infectious diseases.

Current cleaning of wards: algorithm

Rooms are cleaned at least twice a day. It includes initial cleaning of dirt and dust, followed by disinfection of all surfaces of the premises - walls, window sills, furniture, ceilings and medical equipment.

The algorithm for routine cleaning of wards assumes adherence to two principles:

· first cleaning - during it, detergents are used to initially treat the surfaces of the premises from dust and dirt;

Second cleaning - you need to use an effective disinfectant. It is used in the concentration prescribed by its manufacturer, as well as regulatory documentation operating in a medical institution.

Cleaning medical wards consists of several stages:

1. preliminary cleaning of surfaces. For this purpose, the employee wipes the headboards of beds, window sills, all existing furniture, tables and chairs, and other surfaces using special napkins or rags;

2. After treating the surfaces, you can wash the floor. To wash it, detergent and disinfectant solution are added to the water;

3. The room is subjected to quartz treatment. The use of quartz treatment in surgical and operating rooms is mandatory;

4. in conclusion, the room is ventilated;

5. all cleaning products - rags and rags - must be disinfected. To do this, it is necessary to dilute a special disinfectant solution that meets accepted standards;

6. After disinfection, cleaning products must be rinsed under running water. clean water and dry in a specially designated place.

It is necessary to make a note of the cleaning carried out in special magazine. The designated columns indicate the date of cleaning, information about the employee who carried out the cleaning, information about the detergent or disinfectant used, its concentration and quantity.

The responsible official controls the quality of the cleaning performed and its effectiveness.

The employee who carried out the cleaning and is responsible for its control puts his signature in the log.

Instructions for routine cleaning of wards

Basic provisions

These instructions are intended to familiarize you with the rules for organizing and conducting routine cleaning in ward sections using a wet method twice a day using detergents and disinfectants.
The requirements of the instructions are aimed at reducing the risk of the occurrence and spread of nosocomial infections by improving the organization and conduct of routine cleaning of premises.
This instruction clarifies and clarifies certain provisions of section SanPin 2.1.3.2630-10 “Sanitary and epidemiological requirements for organizations engaged in medical activities”, SP 3.5.1378-03 “Sanitary and epidemiological requirements for the organization and implementation of disinfection activities.”
Responsibility for compliance with the provisions of the instructions rests with the senior nurses (laboratory assistants) of the departments.
Control over the implementation of the instructions is assigned to the epidemiologist and the chief nurse.

Cleaning equipment and workwear

For cleaning wards

Cleaning equipment includes: a marked container for treating the surface of the room, a marked bucket for the floors.
Clean, marked rags for washing and treating the surfaces of furniture and equipment (several cloths to replace if dirty).
Plastic bags for collecting used rags.
A set of workwear (robe, mask, cap, gloves).

For cleaning toilet room

Marked container for cleaning surfaces in the toilet, marked bucket for floors.
One labeled floor mop
Clean, marked rags for cleaning mirrors, sinks, and surfaces of sanitary equipment.
Clean rags for wiping dry and polishing surfaces (mirrors).
Clean rags for washing floors.

Current cleaning technology

Cleaning the ward

Check the room (turn on the lights, check the condition of electrical appliances, inspect surfaces for blood stains, used needles, syringes, cotton wool, sharp objects), collect household waste and place it in a container marked “Class B waste”.
Use a clean rag moistened with a disinfectant solution from a container for treating surfaces in wards to remove dust from all horizontal surfaces(bedside tables, bedside lamps, consoles, headboards, window sills, heating devices, TVs, telephones, etc.).
After processing horizontal surfaces, treat side surfaces and legs of ward furniture. Remove stains and visible dirt from walls and doors. Pay special attention to switches door handles and platbands, as well as places in close proximity to them. Do not treat bed frames, mattresses and pillows during routine cleaning.
Change cleaning rags if they are visibly dirty. Place dirty rags in a bag specially designed for this purpose.
Wash with a disinfectant solution using a round brush. inner surface toilet seat, paying Special attention places under the seat.
Using a clean rag moistened with the working solution, treat the surfaces, floor and walls in the shower compartment and leave them damp for the duration of the exposure time of the disinfectant solution.
Leave all surfaces damp during the exposure period of the disinfectant solution. At the end of the exposure time, wipe all surfaces of the toilet room dry and polish.
Treat the waste collection container with a detergent and disinfectant.
Use a rag for washing the toilet floor, moistened with a disinfectant solution, to wipe the floor in the toilet.
Place all used rags for washing walls and surfaces in a plastic bag.
Check the palta.
After cleaning the rooms, all equipment should be disinfected by completely immersing it in a disinfectant solution for the duration of the exposure. After disinfection treatment, dry the cleaning equipment and put it in a cabinet designed for its storage.

^ Requirements for medical personnel

Medical personnel cleaning premises must undergo preliminary and periodic medical examinations. Persons with hypersensitivity to chemicals, used when cleaning the premises, are suspended from work.
Persons at least 18 years of age who have undergone appropriate instruction on functional responsibilities, safety precautions, and precautions when working with disinfectants are allowed to work.
Medical personnel cleaning premises must know the rules of first aid in case of accidental poisoning with disinfectants.
After completion of work, you should carry out hygienic treatment hands

^ General measures first aid for accidental poisoning

If precautions are not followed, phenomena may occur acute poisoning, which are characterized by signs of irritation of the respiratory system, eyes, skin and mucous membranes.
If the product gets on your skin, immediately rinse the area with running water for 10 minutes. Lubricate with emollient cream. If necessary, consult a doctor.
If it gets into the eyes, the product causes burns to the mucous membrane and damage to the cornea. Needed immediately!!! Rinse them with running water for 10-15 minutes (keep your eyelids open) and immediately consult an ophthalmologist.
If the product is accidentally ingested through the mouth, pain and burns of the oral mucosa occur. You should immediately rinse your mouth with water, then take 10-15 crushed tablets activated carbon with several glasses of water. Do not induce vomiting!! If necessary, consult a doctor.
If the respiratory system is irritated (sore throat, nose, cough, difficulty breathing, lacrimation), the victim is removed from the work area to fresh air or a well-ventilated area. The mouth and nasopharynx are rinsed with water. Give warm drink (milk). If necessary, consult a doctor.

TARGET:

1. Compliance with the sanitary and anti-epidemic regime of the department.

2. Prevention of nosocomial infections.

INDICATIONS. Every day at least 2 times a day.

CONTRAINDICATIONS. No.

EQUIPMENT: cleaning equipment, 2 rags, trays, containers with disinfectant, gloves, masks, aprons.

For somatic and infectious diseases departments - 3% solution chloramine ;

For intensive care, surgical, tuberculosis departments - 5% chloramine solution.

TECHNIQUE:

2. Cleaning of wards and all other rooms is carried out using a wet method, 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 visit will be clean.

3. Repeated wet cleaning is done before quiet time and before bedtime.

5. Then wipe the dust from the window sill and other furniture.

6. The room should be quiet during cleaning.

7. The floor must be washed from the windows and walls to the door. Garbage is collected in the corridor.

8. The issue of ventilation is discussed with patients.

NOTE:

Prepared for washing each chamber fresh solution bleach or chloramine.

In the infectious diseases hospital, the wards are thoroughly cleaned once a week.

The bucket and rag marked as indicated should be used strictly for their intended purpose.

If there is a patient in the room who is allergic to the smell of chlorine, then the floor should be washed with a soap-soda solution or just water.

9. The dining room and pantry are sanitized after each food distribution. hot water with soap, and then disinfected twice with an interval of 15 minutes with an appropriate disinfectant solution. Dining tables treated twice with an interval of 15 minutes with a 3% chloramine solution. After removing food residues, the dishes are soaked in a 3% chloramine solution for 60 minutes, degreased with hot water and soap, 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 adding dry bleach 1:5. After emptying, containers with lids for collecting food waste are treated with an appropriate disinfectant solution, washed with hot water and soap, rinsed and dried.

Cleaning equipment, rags, disinfected full immersion in a 3% solution of chloramine or 0.5% solution of bleach for 60 minutes, followed by washing and drying.

10. TREATMENT ROOM- cleaning is carried out 3 times a day (preliminary, current, final) using a 3% chloramine solution, followed by quartz treatment 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 5% solution of chloramine or a 6% solution of hydrogen peroxide with a 0.5% solution detergent, followed by quartzing for 2 hours. All cleaning equipment is marked accordingly and stored separately in a designated area. Hands honey personnel are treated for 2 minutes with a cotton swab moistened with a 0.5% chloramine solution, washed with running water and individual soap, wiped with an individual towel and wiped with 70% ethyl alcohol.