Multi-Clean Operating Room Procedures

1. Multi-Clean Operating Room Procedures Introduction • The cleaning procedures for Operating Suites are broken into 2 groups. • Between Cases: When a patient procedure is completed and another is scheduled to follow. • End of Day: After all cases are completed, more comprehensive procedures are to be done.

2. Multi-Clean Operating Room Procedures Safety Precautions Bloodborne Pathogens It is likely you will encounter visible blood or other bodily fluids in the operating room. Special cleaning procedures are required when blood or other bodily fluids are present. Blood or other bodily fluids may contain disease causing micro-organisms (pathogens) that can be transmitted to others that come in direct contact. Never pick up sharps such as discarded needles with your hands. Always use a mechanical device such as tongs to pick up the sharp and place in the appropriate container.

3. Multi-Clean Operating Room Procedures Safety Precautions Bloodborne Pathogen Safety Precautions Always assume blood or bodily fluid spills are contaminated. The protective equipment and attire you will be wearing in the O.R. is designed to protect you when dealing with blood or other bodily fluids. ALWAYS………… ….use a two step cleaning process for blood or other bodily fluids. 1. Remove gross filth by wiping with a cloth moistened with Century Q. 2. Wipe the cleaned surface with the Century Q solution again so the surface is visibly wet and allow to air dry. Disposal of cleaning materials such as rags, sponges, paper toweling, absorbents, should be into a red Bio-hazard bag.

4. Multi-Clean Operating Room Procedures Equipment and Supplies Getting Started….Gather your supplies Wiping Cloths Mop Bucket with Century Q Solution Floor Mops Wall Mops High Duster Bucket with Century Q Solution Spray bottle, labeled, containing Century Q Solution Trash Can Liners (standard, general waste) Bio-Hazard Bags (for hazardous materials) Wet Floor Signs

5. Multi-Clean Operating Room Procedures Safety Attire and Equipment Put on your safety attire / equipment before entering the O.R. Scrubs: You will need to wear operating room attire which includes special pants, head cap,smock and shoe covers. Safety Glasses: Safety glasses with side shields are required when working in the operating room. Face Mask: You must wear a face mask when entering the operating room. Gloves: Gloves not only protect hands from cleaning chemical exposure, they also prevent contact with soils, contaminants and potentially harmful bacteria. Always wash hands before putting on gloves. You must have this safety equipment on before entering the operating room.

6. Multi-Clean Operating Room Procedures Preparing Cleaning Solution Cleaning and sanitation procedures for the operating room use a cleaner disinfectant called The product is dispensed through a special wall mounted dispenser called the Multi-Task Dispenser. #256 Century Q To activate the Multi-Task Dispenser, simply hold a spray bottle under the short fill hose and press the button. The bottle will be filled with properly Century Q. For mop buckets, place long fill hose into the bucket and press the button. Long fill hose For buckets Short fill hose For spray bottles

7. Multi-Clean Operating Room Procedures Cleaner / Disinfectant Description: Disinfectant Cleaner for use on all operating room environmental surfaces. Color Code:Number: 256 Where is it used: This product is used for all operating room surfaces, How is it used properly: In most cases it is used as a “one step” cleaner/disinfectant. The surface is wiped so that it is visibly wet and allowed to air dry. When blood or other bodily fluids are visible, the process is “two step”. First, the gross filth is removed using the Century Q solution. Second, the surface is again wiped with the solution so that it is visibly wet and allowed to air dry. Safety Precautions in using and handling: Floor Safety: Post wet floor signs and restrict access if possible until floor is dry. Personal Safety: Wear required attire for operating room services. Red

8. Multi-Clean Operating Room Procedures Procedures • Before you get started…… • Gather tools and equipment, only use • tools and equipment designated for the O.R. • Prepare cleaning solutions. Spray bottles • and mop buckets should be labeled. • Wash hands thoroughly. • Put on necessary safety equipment and • clothing before entering the O.R.

9. Multi-Clean Operating Room Procedures Between Cases After each case and prior to additional cases the same day…… • Pick Up General Waste Remove bags of waste and tie off bag. Clean inside and outside of container with Century Q solution. • Pick up any sharps Use tongs or other mechanical device to pick up any needles. Dispose of in sharps container. • Infectious Waste Remove red bags of waste and tie off bag. Clean inside and outside of container with Century Q solution. • Remove soiled linens Remove linen container for transport to laundry department. Clean inside and outside of linen containers with Century Q solution.

10. Multi-Clean Operating Room Procedures Between Cases Cleaning Strategy: Your cleaning efforts will be focused on the surgical field. The cleaning zone will be a perimeter extending 3-4 feet beyond the surgical field. • Ceilings • Overhead Light Fixtures • OR Table • Suction Units • Movable Equipment and Furnishings • Spot Cleaning of Walls, Ceilings • High Touch Surfaces • Floors – Dust Mop • Floors – Wet Mop Cleaning Zone Surgical Field

11. Multi-Clean Operating Room Procedures Between Cases You will be using Century Q 256, a detergent disinfectant solution for all cleaning done in the operating room between cases. When NO visible blood or other bodily fluid is present on the surface to be cleaned. simply wipe the surface with a clean cloth that is thoroughly moistened with the Century Q 256 cleaning solution. The cleaned surface should be visibly wet and allowed to air dry. When Blood or other bodily fluids are visible, the cleaning process becomes a two step process: 1. Remove gross filth by wiping with a cloth moistened with Century Q. 2. Wipe the cleaned surface with the Century Q solution again so the surface is visibly wet and allow to air dry. Important: Look for gross filth that has landed outside the Cleaning Zone and clean accordingly. This may include blood on ceilings, walls and floors.

12. Multi-Clean Operating Room Procedures End of Day When all cases are completed for the day….. • Pick Up General Waste Remove bags of waste and tie off bag. Clean inside and outside of container with Century Q solution. • Pick up any sharps Use tongs or other mechanical device to pick up any needles. Dispose of in sharps container. • Infectious Waste Remove red bags of waste and tie off bag. Clean inside and outside of container with Century Q solution. • Remove soiled linens Remove linen container for transport to laundry department. Clean inside and outside of linen containers with Century Q solution

13. Multi-Clean Operating Room Procedures End of Day Cleaning Strategy – Top to Bottom: Always start your cleaning on the highest surface and work your way down. This makes sure that any contaminants that drop from the higher surfaces will be picked up on the lower surfaces. Here is a checklist of items / surfaces to clean and the order in which they are done. • Ceilings • Overhead Light Fixtures • OR Table • Suction Units • Movable Equipment and Furnishings • Walls and wall fixtures • Countertops and Cabinets • Floors – Dust Mop • Floors – Wet Mop • Room Entrance