How many times is wet cleaning carried out in the premises. Wet cleaning of medical facilities. By type of current disinfection

Every room needs cleaning, especially if these are medical institutions and organizations that are always full of people. Various types of cleaning are aimed at preventing the spread of infections in the room and following the regimen.

What are there?

In medical institutions, several types of cleaning are carried out - wet, general, final disinfection. Such a set of measures is taken to prevent nosocomial infection. As part of the work, the premises are cleaned of dirt and dust, substrates of biological origin. All types of cleaning in health facilities are carried out in several stages. Moreover, work on the care of the premises is carried out strictly in accordance with the established schedule, which is signed by the chief physician. In this case, all funds are stored in a special room and used in a particular case.

Wet cleaning in medical institutions

It is necessary to carry out wet cleaning at least twice a day, and the floor, furniture, equipment, window sills and even doors are cleaned. It is recommended to carry out cleaning as needed, that is, when pollution appears. For this, detergents and disinfectants are used, which are allowed by the standards. These types of cleaning are used not only in various institutions, but also in everyday life. At the first cleaning, a detergent is added to the water, at the second - a disinfectant. Wipe everything in the room with a damp cloth.

General cleaning in health facilities

Any type of general cleaning is carried out in accordance with established norms. So, according to the approved schedule, spring-cleaning is carried out once a week, necessarily with the disinfection of equipment and inventory. Processing of operating units, dressing rooms, maternity rooms, wards and examination rooms is carried out. Once a month, general cleaning is carried out, during which walls, floors, furniture, and inventory are processed. All work is carried out in special clothes, with the processing of the premises and even bed linen. The room is then disinfected and ventilated.

Final disinfection

Various types of cleaning in health facilities are combined to achieve comprehensive care behind the premises. Final disinfection is carried out after the discharge of patients or their death. This is done in special clothes. Everything is processed: from bedding to equipment and the entire ward. This type of cleaning is carried out by spraying or wiping ceilings, walls, beds. Be sure to wash the floor with a disinfectant solution. According to the list, in addition to cleaning, quartzization of the room can be carried out.

Preliminary and current

Various types of cleaning are carried out throughout the day. So, with pre-cleaning begins every day in the health facility. It involves removing dirt from any horizontal surfaces. The floor is also washed using a special composition.

During the current cleaning, pollution in the office is eliminated, and it is carried out throughout the working day. Instruments, dressings processed and disinfected. And at the end of the day, the final cleaning is carried out.

Which rules?

All types of cleaning that are used in medical institutions are carried out strictly in accordance with normative documents specific organization. General cleaning is carried out in hospitals once a month, and a fixed day is allocated for this.

As for the use of compounds for disinfection, it is worth choosing products that have a disinfecting, washing and deodorizing effect. Ideally, the agent should be easy to dilute and safe, but fulfill its function of protecting both premises and patients. An important characteristic composition is its non-toxicity. In any case, you need to use the funds in accordance with their instructions.

House Cleaning: The Essentials - Planning

Hygiene rules say that dry and wet cleaning should be carried out often in a residential area, and even better, combine them. It is especially important to observe this rule when there are sick people in the house. All types of home cleaning are good. But you can not do without rational planning of your time. The whole range of work must be properly distributed so that cleaning is pleasant, fast, and efficient.

Features of wet cleaning

Cleanliness is the key to health. We are taught this dogma from childhood. And today we periodically take up a rag, brush off the dust and sometimes wash the floors, believing that this is enough. In fact, to achieve a favorable microclimate in the room, so that our health is in order, regular cleaning is required. Wet cleaning of premises should be carried out daily. This prevents settling harmful substances and dust in the room.

High-quality wet cleaning is not only wiping furniture with a damp cloth. As part of these works, it is necessary to remove dust from chandeliers and all surfaces of the house, upholstered furniture, wipe openings, clean radiators. In order for the cleaning effect to be good, divide the entire scope of work into specific tasks. This will make them much easier and faster to complete. Doctors say that you need to do wet cleaning and ventilate the premises every morning and every evening, before going to bed. If there are sick people in the room, then you should definitely use disinfectants.

Features of dry cleaning

There are several types of dry cleaning. They are generally aimed at collecting dust, dirt, sand from the surface, without using water and cleaning products for this. Dry cleaning is carried out by sweeping with special mops, brooms and brushes, as well as vacuum cleaners.

Many people ask themselves: what is better - dry or wet cleaning? Experts advise cleaning the same room with different methods to ensure cleanliness of both rooms and air. Dry cleaning is suitable for getting rid of dust. To humidify the air - wet cleaning. But there are a number of rules according to which different cleanings are performed:

  • if there are children in the house, wet cleaning must be carried out every day;
  • if there are living creatures in the house - cats, dogs, without frequent cleanings also indispensable;
  • if the windows of the apartment overlook a busy street, dust settles in the room, which must be disposed of in time, as it negatively affects health.

If there are no such “aggravating” circumstances, it is enough to wash the floor once a week and dry clean it once or twice.

Dry cleaning equipment

Cleaning is hard work. Especially if the room is specialized and large sizes. So that cleaning does not take too much time and does not require an investment of effort, they come to the rescue various tools, equipment. When carrying out dry cleaning, the following inventory is used:

  • Dry wipes that can collect dust without spreading it around. Dry cleaning is best done with microfiber cloths, faux suede, non-woven fabrics.
  • Brushes and brooms: such tools are needed for cleaning not only indoors, but also outdoor objects. With their help, you can collect fine dry dirt, sand, branches, foliage.
  • Dust mops - the most handy tool, which is suitable for quick cleaning of the room and is hygienic and efficient.
  • Mechanical sweepers are ideal for cleaning large rooms and territories, moreover, they easily cope with hard-to-reach places. In most cases different kinds office cleaning is carried out using such equipment.
  • Vacuum cleaners: Dry cleaning is unimaginable without the use of a vacuum cleaner. This method attracts with environmental friendliness, speed of the process, mobility and economy.

For wet cleaning

With this method, floors, horizontal and vertical surfaces are cleaned. This purifies and humidifies the air. For cleaning efficiency, not only various tools are used, but also water and cleaning products. Among the demanded inventory are in demand:

  • mops are the most modern and convenient tool, especially often used in medical institutions and at various enterprises, each mop is used in a specific area;
  • for cleaning walls, doors and horizontal surfaces, it is advisable to use disposable wipes that are impregnated with cleaning agents.

Traditionally, both in medical institutions and various enterprises, the so-called wet cleaning is used. It involves the use of water, detergents and disinfectants. Such cleaning is suitable for heavily polluted rooms. Wet cleaning can be carried out manually or with the help of mechanized tools.

For handmade mops, buckets with a mechanical wringer, cleaning carts are used. For mechanized wet cleaning - scrubbing machines. Such tools are used in large areas- stations, airports, sports facilities, supermarkets.

After renovation or construction

There are certain types of cleaning that are required after the completion of repair or construction works. After such large-scale operations, a lot of garbage accumulates, so many turn to professional cleaning companies. Their employees perform a wide range of works:

  • collect and completely remove construction debris;
  • clean all surfaces;
  • remove dust from skirting boards, heating system, windows and so on, and then perform wet cleaning;
  • clean and process by special means plumbing equipment;
  • wash the floors.

Thus, there are different types of cleaning that can be used in offices, shops, residential buildings or medical institutions. The quality of each operation depends on how competently the tools are selected and necessary funds to carry it out. Each room has its own method. And if general cleaning is carried out, then initial preparation is required. This allows you to think through the entire cycle of work. Particular care and accuracy should be shown when caring for operating rooms, which are thoroughly disinfected with modern means.

Approved

by order of the Ministry of Health

No. 130 dated 17.03. 2006

Room cleaning standard

Definition. Room cleaning involves keeping rooms clean and tidy for the safety of patients, healthcare workers, and visitors.

Target: Reducing the number of microorganisms that patients, visitors and medical staff can come into contact with.

Cleaning types:

Pre-cleaning - removing dust that has settled overnight on horizontal surfaces with a clean, damp cloth.

Current cleaning - cleaning, which is carried out during the working day.

spring-cleaning - cleaning, which is carried out once every seven days.

Primary requirements

Execution algorithm

Room cleaning

1. All parts of the healthcare facility should have written cleaning schedules.

    Cleaning schedules and procedures for each specific area should be planned, written and posted.

    Cleaning should start from the least contaminated area to the most contaminated area, and from top to bottom.

2. When cleaning, personnel must use individual means protection

    Bathrobe, cap/scarf

    Closed shoes:

    When cleaning heavily contaminated areas

    When handling dirty laundry

    When working with contaminated tools and objects

    When working or when destroying waste

    Household gloves:

    When working with disinfectants

    When cleaning rooms.

    Mask, goggles

    When splashes and spills are expected.

3. All cleaning equipment must be marked with the indication of the premises, used for its intended purpose and stored separately.

    Wall washing container

    Cleaning equipment is stored in separately installed places (cabinets).

4. At the beginning of the working day, pre-cleaning

    All flat horizontal surfaces– tables, chairs should be wiped with a clean, damp cloth (rags without lint).

    When dusting, mark the start line to ensure all surfaces have been dusted.

5. Every day in the wards is carried out current cleaning

    Prepare a washing solution (5 gr. detergent for 1 liter of water).

    Walls, windows, doors, door handles, chairs, racks, beds should be washed with a damp cloth moistened with detergent.

    Wash the floor with a cleaning solution and then with clean water: 2 times during the day and as needed (consumption 0.500 ml of cleaning solution per 1 sq.m.)

    Washing can be done using:

    "one bucket"- one bucket is used: first the bucket is used for cleaning solution, then it is rinsed and filled clean water for repeated wiping of floors from a soapy solution.

    "two buckets" - two different buckets are used, one contains the washing solution, the other is for rinsing.

6. Once a week (according to the schedule) is carried out spring-cleaning

    During general cleaning, the room should be freed from furniture as much as possible or moved to the center of the room to ensure free access to the treated surfaces and objects.

    On the ceilings and walls of the chambers, remove dust and cobwebs with a damp cloth

    Wash windows with clean water with the addition of ammonia (1 tablespoon per 1 liter of water) or an approved special window cleaner.

    Wash the space behind and inside the heating batteries with clean water

    Finish cleaning by disinfecting the floor with a disinfectant solution (0.6% Ca hyposulfite or 0.5% Septustin or 1% Veltolen) followed by washing with clean water

    At the end of the general cleaning, the nurse makes a note about its conduct in the schedule (journal) for general cleaning.

7. Premises requiring compliance special regime cleanliness after cleaning is periodically irradiated with bactericidal lamps

In the premises of a special regime, in particular, wards for premature babies, infectious boxes, milk rooms, intensive care units:

    Turn on bactericidal lamps for 60 minutes.

    After quartzing, ventilate the room for at least 15 minutes.

8. Cleaning equipment after use must be subjected to appropriate treatment

    Cleaning equipment (buckets, mops, brushes) should be disinfected in a disinfectant solution (0.6% hyposulfite.Ca, 0.5% septustin or 1% veltolen), washed with detergent and rinsed in clean water and dry before reuse.

    Rags are soaked in a disinfectant solution (0.6% hyposulfite.Ca, 0.5% septustine or 1% veltolen) for 1 hour, then rinsed in clean water and dried.

9. Household gloves must be decontaminated after use

    Before removing gloves, dip your gloved hands into a container of disinfectant solution to rinse outer surface gloves.

    Carefully remove gloves without touching the outer surface with bare hands.

    Place the gloves in a disinfectant solution for 10 minutes (0.6% Ca hyposulfite, 0.5% septustine, or 1% veltolen).

    After disinfection, rinse in clean water and dry inside and out.

    After removing gloves, wash hands with soap and water running water and treat with an antiseptic.

Cleaning of sanitary facilities

10. Sanitary facilities should be cleaned daily

    Wash the walls surrounding the surface

    Wash the walls with the one-bucket method

    Brush the sink, toilet bowl with cleaning disinfectants or baking soda. Rinse with clean water.

    Wash the floor using disinfectant solutions (0.6% Ca hyposulfite, 1% bleach solution, 0.5% septustin, 1% Veltolen)

Note

    The surface where blood or other body fluids are spilled must be treated with a disinfectant in accordance with the standard "Disinfection and sterilization when working with blood."

There are the following types of cleaning:

· Wet cleaning;

· Spring-cleaning;

cleaning by type final disinfection.

Wet cleaning of the wards (floor, furniture, equipment, window sills, doors) should be carried out at least 2 times a day ( window frames, wipe the furniture with a damp cloth, wash the floor): 1st time with the addition of detergent (50 g of detergent per 10 l of water), 2nd time - using disinfectant approved concentration.

General cleaning of the wards, functional premises and offices with the use of disinfectants is carried out once a month and, according to epidemiological indications, with the treatment of walls, floors, equipment, inventory, lamps. In the premises of the operating unit, dressing rooms, delivery rooms, treatment rooms, manipulation rooms, sterilization rooms, intensive care wards, general cleaning is carried out once a week.

When carrying out general cleaning, ceilings, walls, beds, bedside tables, tables and other furniture, as well as office equipment, can be processed

a) 0.5% detergent solution (50 g of powder per 10 liters of water or disinfectant with a detergent effect) and washed off with clean water;

b) by spraying or wiping with a rag moistened with a disinfectant of an approved concentration.

After treatment, the room is closed for a certain exposure of the disinfectant solution, after exposure, the room is ventilated. All surfaces are washed off with water and dried (walls, ceiling, furniture, apparatus, equipment) with a clean rag.

Final disinfection - after discharge, transfer, death of the patient, cleaning is carried out in the vacated ward according to the type of final disinfection. Cleaning by the type of final disinfection is carried out by spraying or wiping ceilings, walls, beds, bedside tables, tables and other furniture moistened with a disinfectant solution with a damp rag of an approved concentration for final cleaning.

Cleaning is completed by washing the floor with a disinfectant solution, then quartzing is carried out, followed by ventilation. After cleaning, the rags are disinfected in a disinfectant solution, washed under running water until the smell of the disinfectant disappears, and dried (Table 2).

Table 2.

Disinfection of cleaning equipment

All cleaning in high-security rooms is carried out together with the nurse, the nurse starts cleaning from a clean area, i.e. manipulation table, dressing table, medical cabinets, refrigerator, couch, nurse's desk, and the nurse wipes the window sill, chair, door, door handles, sanitary facilities and finishes by washing the floor.

In the wards, the nurse starts with beds, window sills, door handles, sanitary facilities and finishes by mopping the floor. dining tables, bedside tables and a food refrigerator is handled by a distributor.

the washing up window glass carried out at least 1 time per month from the inside, at least 1 time in 3 months from the outside and as it gets dirty.

It is necessary to ventilate the chambers at least 4 times a day. Once a year, and more often if necessary, should be carried out redecorating premises.

Staff hygiene

Personal hygiene rules include: daily shower or bath, washing of bathrobes and other personal clothing; mouth and nose protection (wearing disposable masks); turning the head away from nearby people when coughing and sneezing, washing hands.

The attendants of hospitals should have a set of replaceable work clothes: a gown (surgical suit), a cap, disposable gloves, masks. The edges of medical clothing should be completely covered personal clothing. Hair should be completely covered with a cap. Replaceable shoes should be made of non-woven material, accessible for disinfection, comfortable and silent (without heels). It is unacceptable to wear slippers at work. It is prohibited to be in work clothes and replaceable shoes outside the medical facility. Make-up should be moderate, as close to natural as possible. It is undesirable to use flavored deodorants and perfumes, as they can cause an allergic reaction in the patient. From the health worker should not smell of sweat, stale clothes, tobacco.

Personnel serving infectious patients must when coming to work, take off personal clothes and shoes and put on overalls and shoes provided for by sanitary standards. Upon completion of work, undergo treatment in a sanitary checkpoint ( to take a shower). Store home clothes and workwear in separate closets and periodically decontaminate your individual cabinets in the dressing room. Dressing gowns, caps (kerchiefs) should be changed at least 2 times a week. When contaminated with the secretions of patients, overalls are changed immediately. Household personnel (supply manager, plumber, carpenter, etc.), entering the department, must put on a sanitary robe and, leaving, leave it in the department.

At sanitization patients, when washing canteen, medical, pharmacy utensils, as well as pots and bedpans for the secretions of patients, wear a rubberized apron. When accompanying a patient transferred from one department to another, employees (nurse, nurse) must put on a second gown over their gown, which, after the transfer of the patient, is handed over for disinfection.

Service personnel prohibited:

sit on the bed of the sick;

appear in the department or at the workplace without overalls;

go out in overalls outside the infectious diseases department or put on outerwear for overalls, as well as to take overalls home for any purpose;

appear in the dining room or buffet in overalls;

use the restroom intended for patients, dishes and other things that are in the use of patients;

Eating in wards, corridors and laboratories;

smoking in wards, corridors and laboratories;

move from one department to another or enter boxes and wards without special need.

Hand treatment

Hand treatment – the most important procedure to prevent nosocomial infections. To ensure effective hand washing, it is necessary to observe following conditions: trimmed nails, no nail polish, no artificial nails, no hands jewelry and hours.

medical staff is obliged to wash hands before examining each patient, before and after performing procedures, cleaning the room, changing linen, going to the toilet, etc. There are three levels of hand decontamination: social, hygienic, surgical.

Ø Social level (routine handwashing) – washing lightly soiled hands with water and soap (antiseptics are not used) removes most transient microorganisms from the skin. Social processing of hands is carried out before eating, after visiting the toilet, before and after caring for the patient, when hands are contaminated.

Hand treatment rules. All jewelry, watches are removed from the hands, as they make it difficult to remove microorganisms. Hands are lathered, then rinsed with warm running water and everything is repeated anew. It is believed that during the first soaping and rinsing warm water microbes are washed off the skin of the hands. Under the influence of warm water and self-massage, the pores of the skin open, therefore, with repeated soaping and rinsing, microbes are washed away from the opened pores. Warm water makes the soap work more effectively, while hot water removes the protective oil layer from the surface of the hands. In this regard, you should avoid using too hot water for washing your hands.

Ø Hygienic level – washing with antiseptic agents; it's over effective method removal and destruction of microorganisms. Hygiene treatment hands are performed before performing invasive procedures, before caring for an immunocompromised patient, before and after caring for a wound and urinary catheter, before putting on and after removing gloves, after contact with body fluids, or after possible microbial contamination.

Hygienic processing of hands consists of two stages : mechanical cleaning of hands and disinfection of hands with a skin antiseptic.

ekoline.com.ua

The sequence of movements in the processing of hands should correspond to European standard EN-1500. Each movement is repeated at least 5 times. Hand processing is carried out within 30 seconds - 1 minute (Fig. 2).

Carrying out general cleaning is an absolute necessity in all catering establishments, children's and medical institutions. It can be performed by personnel or professional company. In the second case, many advantages await, and the price of the work will be low and affordable for everyone. Key Feature such work is the availability of specialized equipment and detailed adherence to sanitary and epidemiological standards. Cleaning is carried out in all institutions on an ongoing basis - daily and more thorough (general) - once a week.

Rules and requirements for general cleaning when working with food products

Food companies also have their own sanitary rules. These are the standards that sanitary and epidemiological workers are guided by when checking institutions. Sanitary standards adopted back in the period of the USSR and in the period modern Russia only specified in the form of SNiP. Sanitary requirements enterprises retail or production relate to all aspects of working with food, general cleaning and requirements for them are only part of the whole complex of actions.

The sanitary condition of the department is determined by the quality of cleaning of the wards, boxes and all utility rooms. The head sister of the department and the hostess are responsible for the sanitary condition, who conduct classes with the nurses, instruct them how to dilute, apply and store disinfectant solutions, and also check the quality of their work.

In the department, daily wet cleaning of all premises and general cleaning is carried out according to a special schedule.

Daily housekeeping ward consists of washing the floor, damp wiping furniture, taking out dirty diapers, treating pedal tanks, sinks and basins for washing children with disinfectant solutions. Wiping the floor is carried out once a day with a 0.2% solution of bleach and several times with a damp cloth (after the morning toilet, after visiting the doctor, after feeding the children). Wet wiping of furniture is carried out 2 times a day. Cloths for washing the floor and wiping the furniture after each cleaning are washed separately in hot water. In addition, floor rags are soaked once a day for one hour in a 0.2% bleach solution.

Sinks in which children are washed away are washed once a day with a 3% solution of bleach. When washing children out of the tank, the basin for draining water is washed every time after it is emptied. hot water and 1 time per day - 3% bleach solution. The pedal tank for storing dirty diapers is washed once a day with hot water and soap and wiped with kvach, also moistened with a 3% bleach solution.

spring-cleaning wards are performed according to the plan once a week, and also before the next admission of children. It consists in dousing the floor, walls, windows and radiators of steam heating with a 0.5% solution of bleach or a 2.5% solution of activated chloramine (50 g of chloramine is added to a bucket of chloramine). ammonia). After 2 hours, these items are washed with hot water and soap. Beds and couveuses are wiped with 0.5% chloramine solution.

In the absence of a reserve ward where children can be taken out, general cleaning is carried out in their presence, but in a slightly different way. The floor, walls, windows, steam radiators and furniture are washed with a 0.2% bleach solution. Incubators and beds in which there are children are also subject to disinfection. Children are laid out on changing tables, and the incubators and beds are wiped with a 0.5% solution of chloramine.

Each ward and utility rooms should have its own cleaning equipment (floor cleaning bucket, dust bucket, mop, rags). This inventory is stored in a special room and marked. Each bucket should have an inscription on what it is intended for (washing the floor, dusting), and indicate the ward number or name utility room(ward No. 2, drain point, procedural room, etc.).

Fitting © 2022 Design and interior of apartments