FUNCTION:  Surveillance, Prevention, Control of Infection
 
TITLE:  Cleaning Procedures for Day Surgery
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PURPOSE:
 
To assist in maintaining a sterile environment in Day Surgery.
 
POLICY:
 
Personnel assigned to Day Surgery area will wear scrubs.  A lab coat will be
worn when leaving the unit and removed upon returning to the unit.
 
I.   Procedures (Between Surgical Cases):
 
     1.  Upon completion of each surgical case, trash will be doubled bagged
         in red liners, tied off and disposed of in proper receptacle. 
         Receptacle will be wiped with germicidal solution* and lined with
         plastic liners.
 
     2.  Remove soiled linen in yellow liners after completion of each case,
         tie off liners and place in receptacle.  Wipe with germicidal
         solution and replace liners.
 
     3.  Upon case completion, wipe furnishings and fixtures in the Operating
         Room with germicidal solution.  A clean cloth is used for each case. 
         Insure that furnishings and fixtures are wiped dry.
 
     4.  Mop Operating Room floor with clean mophead and germicidal solution. 
         Insure that all areas of floor are completely saturated, to include
         baseboards.  A clean mophead will be used for each between case
         cleaning.
 
     5.  Using clean cloth and germicidal solution, clean operating table. 
         Insure that all surface of table are clean.  Dry and make up with
         clean linen.
 
II.  Daily Procedures:
 
     1.   Clean counters of Nurses' Station with clean cloth and germicidal
          solution.  Mop area thoroughly.
 
     2.   Clean all sinks, using germicidal solution.  Insure that faucets are
          cleaned during this procedure.  Wipe sinks and faucets dry.
 
     3.   Mop floors in hallway and ancillary rooms using clean mophead and
          germicidal solution.
 
     4.   Clean all counters, tables, and work surfaces with clean cloth and
          germicidal solution.
 
     5.   Restock paper towel and soap dispensers.
 
     6.   All ancillary rooms will be mopped daily with a clean mophead and
          germicidal solution:  anesthesia room, clean and soiled utility
          rooms, sterilizer and storage rooms.
 
     7.   Damp dust O.R. Supervisor's Office furniture and vacuum carpet.
 
     8.   Stretchers will be wiped with germicidal solution, dried and made up
          with clean linen after each used.
 
     9.   Clean shelves of Linen Cart with germicidal solution.
 
    10.   Using a clean cloth, dust furnishing in Physician and Employee
          Lounge.
 
     *    See Section 5, "Selection, Use and Measurement of Cleaning
          Supplies".
 
     11.  Vacuum carpet in Physician and Employee Lounge.
 
     12.  Using a clean dustmop, clean floors inn Physician, Employee, and
          Patient Dressing Rooms.  Follow with wet mopping; using clean
          mophead and germicidal solution.  Insure that Patient Dressing Room
          is stocked with gowns.
 
III. Weekly Procedure:
 
     1.   Using a clean cloth and germicidal solution, wipe all lights
          fixtures, doors, door frames, and walls.  Include vents in this
          procedure.
 
     2.   Wash interior and exterior of trash receptacles and linen hamper
          stands with germicidal solution.  Dry thoroughly.
 
     3.   Using germicidal solution and clean cloth, wipe interior and
          exterior of Physician and patient lockers.  Wipe exterior of
          employee lockers.
 
IV.  Monthly Procedure:
 
     Hard surface floors will be spray-buffed monthly to restore appearance.
 
V.   Quarterly Procedure:
 
     Hard surface floors will be stripped, sealed, and waxed.