Features, types and frequency of cleaning in medical institutions

Any medical facility must be kept perfectly clean.

Cleaning in hospitals and clinics is carried out not at the discretion of management or staff, but in accordance with the requirements of SanPiN.

Read the article about what types of cleaning exist in medical institutions and how they should be implemented.

Varieties according to SanPiN

The medical facility carries out preliminary, current, final and general cleaning. These procedures are performed by middle and junior personnel.

Preliminary

Pre-cleaning always takes place in the morning. The main task facing the staff is to remove the dust that has accumulated on the surface during the night's rest and prepare the medical facility for the upcoming work.

All procedures are performed not just with a damp rag, but with the use of antiseptic solutions. Floors, walls and window sills must be treated. The completion of pre-cleaning is turning on the bactericidal lamp.

Current

Routine cleaning is carried out during working hours. Its frequency depends on the characteristics of the room:

1. In operating rooms it is performed after each patient. The virucidal regime must be observed, that is, after treatment there should be no live viruses left in the room. This applies to both surfaces and air.
2. Dining room, distribution area, buffet. Treatment is carried out after each meal.
3. Maternity room - 3 times a day.
4. Treatment room, dressing room, examination room and other aseptic rooms - 2 times a day.
5. In administrative and utility rooms, routine cleaning is carried out once a day.

Current processing includes the following items:

• the staff changes into work uniforms and prepares disinfectant solutions;
• moisten a clean rag with it and wipe all surfaces - if they have been soiled with biological fluids, use a specialized disinfectant solution;
• Be sure to wash sinks, walls, baseboards, furniture;
• instruments are sterilized;
• Garbage is disposed of in accordance with SanPin standards.

To disinfect the air, turn on a bactericidal lamp. She must work for at least an hour, in accordance with the previously drawn up schedule.

Final

Final cleaning carried out at the end of the working day. Its purpose is to clean and disinfect all surfaces after completing basic procedures.

Be sure to wash the floors, as well as all surfaces located at human height, including walls. The final cleaning should end with quartzing.

The procedure for conducting it is no different from the morning one.. The main difference is the need to dispose of garbage, which is not available at the beginning of the working day (unless the medical facility operates a night shift).

General

General cleaning is carried out according to schedule. Its frequency depends on the characteristics of the room in which it is carried out.The main goal of such treatment is to prevent the spread of infection, therefore the use of disinfectant solutions is a prerequisite.

Frequency of general cleaning, depending on the type of room:

• examination room, treatment room and dressing room - once a week;
• operating room and delivery room – once a week;
• wards, doctors' offices, administrative and utility rooms - once a month.

spring-cleaning involves performing the following sequence of actions:

1. Moving furniture away. First, all contents are removed from bedside tables and shelves, the internal surfaces of cabinets are wiped from dust and treated with disinfectants.
2. Washing walls, ceilings and furniture.
3. Soak the spray bottle in a disinfectant solution for an hour.
4. Ventilation of the room.
5. Washing the floor with hot water.
6. Dry surfaces with a clean rag.
7. Air disinfection using a bactericidal lamp or recirculator. The room is kept closed for an hour, after which it is ventilated and the remaining disinfectants are washed off.
8. Disinfection of equipment by immersing it in a solution that has disinfecting properties. Before storing it, it is rinsed and dried.
9. After general cleaning, staff hand over their work clothes to the laundry.

Hydrogen peroxide 6%, to which 0.5% SMS is added, can be used as a disinfectant. Each medical institution has its own recommended means for antiseptic surface treatment. To prevent the proliferation of resistant bacterial flora, disinfectant solutions are alternated.

After completing the general cleaning An entry must be made in the log book. In addition to the date it was carried out and the full name of the employees, the name of the disinfectants used to carry out the treatment is indicated.

Conclusion

Regardless of what type of cleaning is carried out in a medical facility, the work must be carried out efficiently. Therefore, all personnel are instructed before employment.

A prerequisite is monitoring compliance with SanPiN requirements. This is the only way to guarantee the non-spread of dangerous infections inside and outside the hospital.