Cleaning of the operating room

1. The current cleaning is carried out during the operation, when the nurse picks up the balls, napkins that have fallen to the floor, wipes out the blood spilled onto the floor, exudate. Cleaning is mandatory after each operation, it consists of wet cleaning the floor, wiping oilcloth on the operating table( 1% solution of chloramine, 0.2% solution of sulfochlorantine, 2% solution of dichloro-1, etc.) twice, rags soaked in one of the above solutions. If purulent surgery( eg peritonitis) has been performed in a clean operating room or if contamination with intestinal contents( intestinal obstruction) has occurred, then an unscheduled general cleaning( disinfection) is organized. Essential features are cleaning after surgery in a patient with an anaerobic infection. Tools, gloves, aprons are poured with 5% lysol solution for 2 hours or with 6% hot hydrogen peroxide solution, after which the nurse, wearing durable rubber gloves, washes them with soap and brushes. It is necessary to wear a respirator of the RU-60 type. The operating linen is soaked for 9-10 hours in a 5% solution of lysol, a 6% solution of hydrogen peroxide with a 0.5% solution of synthetic detergent powder, and put in a laundry in a separate waterproof sack from the oilcloth with a note stating thatlinen is contaminated with anaerobic microbes. Bags after the delivery of laundry are further disinfected, if possible - subjected to gas sterilization. The dressing material is used once, during the operation it is collected in a dedicated bix and destroyed. Cleaning material( buckets, basins, rags) after use is autoclaved. After cleaning tools, gloves, aprons, linen, they make a general cleaning.

2. Final( daily cleaning).Regardless of whether there were operations or not, the final cleaning is done daily. In the planned operating room, this is done at the end of the working day, in the emergency room - before the change of the brigade of the operating nurses on duty.

Final cleaning of operating room includes washing of floors and wet wiping of walls, window sills, radiators, furniture, equipment with soap and soda solution. Remains of the solution are removed with pure tap water. During cleaning, the nurse should have two buckets or two basins: the first with a soap-soda solution, the other with hot water to rinse the rags. You should rinse rags often, change the water as soon as it gets dirty. In some operating rooms there is a special valve for hose connection, by means of which the ceiling, walls, and floor are washed by a stream of water. All the furniture is shifted into one half of the room and washes the liberated half, then the furniture and equipment are wiped with a specially selected clean rag. Finish cleaning by washing the second half of the operating room.

Daily cleaning of the operating unit is carried out in strict sequence: it starts with the operating room and ends with the premises located at the exit from the block( pre-operative, vestibule, corridor).

3. General cleaning( disinfection) of the operating room can be planned and unplanned.

Unplanned disinfection is performed after surgery, accompanied by a strong operational pollution of pus, intestinal contents, in cases of anaerobic infection.

Planned disinfection is performed once a week in a day free from operations, which is appointed by the senior operating sister with the knowledge of the head of the department. The rooms are pre-cleaned with a soap / soda solution. For disinfection use a mixture consisting of a 6% solution of hydrogen peroxide with 0.5% detergent or 5% chloramine solution;can use 0.5% activated chloramine solution and 20 ml of a 10% solution of ammonia.

Disinfection is carried out in two stages.

First the disinfecting solution is sprayed with a hydro-paneling ceiling, walls, furniture, floor. Then, using a mop or rag, the

wound on a long stick, wipe the ceiling and walls, removing the remnants of the sprayed solution. Do this preferably immediately, in order to avoid smudges of antiseptic. The second ethane provides for usual large cleaning with the obligatory observance of the order of washing: first the ceiling, walls, windows and window sills, then furniture, equipment and floor. Disinfection is ended by washing and cleaning the auxiliary rooms of the operating unit. The staff wear clean robes, shoes, respirators, goggles, oilcloth aprons, gloves when carrying out the cleaning.

After disinfection, the room is irradiated with ultraviolet light( direct or reflected) by one of the irradiators( C) BN-200, ONN-300 per 300 m2 or OBN-150, OBN-300 per 60 m2);the room is locked and left for 2 hours.