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What is used to clean the perioperative environment? -
ANSWER-• Cleaning agents for perioperative environment are
selected based on the EPA registration, hospital grading,
contact time of the cleaning agent, and targeted organisms.
• Do not use spray bottles to apply cleaning agents in the
perioperative environment.
• Clearly label an environmental cleaning agent that is
removed from its original container and placed into a
secondary container.
How do you clean in the perioperative environment? -
ANSWER-• Top to
bottom.
• Less-soiled areas to the
dirtiest.
• Move the OR bed and mop under
that area.
• Before the first surgical procedure of the day, damp dust
all horizontal surfaces in the operating room.
,• Turnover cleaning, or between-case cleaning, occurs after
a patient exits an operating room and before the next surgery
setup begins. It is a standardized, methodical, cleaning
process.
• Terminal cleaning occurs at the end of each day the
operating or procedure room are used. It is a more extensive,
thorough cleaning that is performed by trained personnel.
• Scheduled cleaning is cleaning of equipment (eg,
appliances, air-handling systems, closets, cupboards) that
occurs on a periodic, routine basis (eg, daily, weekly, monthly).
• Enhanced cleaning measures are implemented for
patients who are suspected or diagnosed with transmissible
diseases.
How is is the OR cleaned after procedures performed on
patients with known or suspected airborne transmissible
diseases such as tuberculosis, chickenpox, measles? -
ANSWER-The OR must be empty for a designated amount of
time for the airborne particulars to be filtered before
environmental cleaning begins.
Universal key points about environmental cleaning in a
perioperative setting: - ANSWER-• Always keep trash,
equipment, and contaminated linen in OR until patient leaves
for PACU.
,• Always clean and disinfect surgical equipment before
bringing it into the OR and before returning it to the storage
room/area.
• The floor is always considered contaminated in every area
(eg, preoperative area, OR, postanesthesia care unit, SPD).
Wear personal protective equipment and follow standard
precautions when: -
ANSWER-- handling
trash
-
linens
- items contaminated with:
- blood
- body
fluids
- other infectious
materials
What types of waste get placed in red biohazard bags? -
ANSWER-medical
waste such as laparotomy sponges saturated with
blood/fluids
Note: follow state and local laws when disposing of liquid
medical waste
, (containers of liquid waste placed in red
biohazard bags)
Cleaning after construction/renovation/repair areas in
the perioperative
environment are performed: - ANSWER-• before barriers
are removed.
• Terminally clean areas before they are returned
to service.
Three ways that assist in measuring cleanliness of the
perioperative
environment: - ANSWER-o Visual
inspections
o Fluorescent gels/markers with black light
illumination
o Adenosine triphosphate (ATP)
monitoring
How to Cover a Sterile Field: - ANSWER-• The first drape is
placed with a cuff at the halfway point. • The second drape is
placed from the opposite side and completely covers the cuff
of the first drape.
Traffic Rules for Scrubbed team members: - ANSWER-• Face
the sterile field