Multi-Clean

Operating Room ProceduresIntroduction

The cleaning procedures for Operating Suites are broken into 2 groups.

1. Between Cases: When a patient procedure is completed and another is scheduled to follow.

2. End of Day: After all cases are completed, more comprehensive procedures are to be done.

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Operating Room ProceduresSafety Precautions

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 containdisease causing micro-organisms (pathogens)that can be transmitted to others that comein 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.

Bloodborne Pathogens

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Operating Room ProceduresSafety Precautions

Bloodborne Pathogen Safety Precautions

Always assume blood or bodily fluid spillsare contaminated. The protective equipmentand attire you will be wearing in the O.R. isdesigned to protect you when dealing withblood or other bodily fluids.

ALWAYS…………….use a two step cleaning process forblood 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.

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Operating Room ProceduresEquipment and Supplies

Getting Started….Gather your supplies

Wiping ClothsMop Bucket with Century Q SolutionFloor MopsWall MopsHigh DusterBucket with Century Q SolutionSpray bottle, labeled, containing Century Q SolutionTrash Can Liners (standard, general waste)Bio-Hazard Bags (for hazardous materials)Wet Floor Signs

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Operating Room ProceduresSafety 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.

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Operating Room ProceduresPreparing Cleaning Solution

Cleaning and sanitation procedures for the operatingroom 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 hoseFor spray bottles

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Operating Room ProceduresCleaner / Disinfectant

Description: Disinfectant Cleaner for use on all operating room environmentalsurfaces.

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

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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.

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Operating Room ProceduresBetween 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 sharpsUse tongs or other mechanical device to pick up any needles. Dispose of in sharps container.

Infectious WasteRemove red bags of waste and tie off bag. Clean inside and outside of container with Century Q solution.

Remove soiled linensRemove linen container for transport to laundry department. Clean inside and outside of linen containers with Century Q solution.

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Operating Room ProceduresBetween 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

Su

rgical Field

Cleaning Zone

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Operating Room ProceduresBetween 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 presenton the surface to be cleaned. simply wipe the surfacewith a clean cloth that is thoroughly moistened with theCentury Q 256 cleaning solution. The cleaned surfaceshould be visibly wet and allowed to air dry.

When Blood or other bodily fluids are visible, thecleaning 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.

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Operating Room ProceduresEnd of Day

When all cases are completed for the day…..

Pick Up General WasteRemove bags of waste and tie off bag. Clean inside and outside of container with Century Q solution.

Pick up any sharpsUse tongs or other mechanical device to pick up any needles. Dispose of in sharps container.

Infectious WasteRemove red bags of waste and tie off bag. Clean inside and outside of container with Century Q solution.

Remove soiled linensRemove linen container for transport to laundry department. Clean inside and outside of linen containers with Century Q solution

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Operating Room ProceduresEnd of Day

Cleaning Strategy – Top to Bottom: Always start your cleaningon the highest surface and work your way down. This makes surethat any contaminants that drop from the higher surfaces will bepicked 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