Use in Conjunction with: FM-EVS Policy 0147 Emergency Cleanup of Blood Spills and Other Body Fluids (Hard Floor Surfaces) FM-EVS Policy 0128 Cleaning Pails FM-EVS Policy 0161 Housekeeping Chemicals and Supplies FM-EVS Policy 0102 Floor Stripping FM-EVS Policy 0104 Operating Auto Scrubber FM-EVS Policy 0166 Wet Vac Cleaning and Care FM-EVS Policy 0162 Use and Care of Standard Floor Machines Equipment/Supplies Needed Appropriate personal protective equipment (PPE) including: Disposable, single use gloves Protective eyewear (goggles or face shield) GH approved disinfectant, preferably dispensed by a chemical solution dispenser Mop bucket and wringer Mop head (lint free or microfiber) and handle Wall mop and heads (lint free or microfiber) plastic pail Cleaning cloths (lint-free or microfiber); not washcloths. Scrubbing pads Hand broom and dust pan Plastic liners for containers Disposable laundry bags Biohazard bags Note: Use 1-2 or more cleaning cloths on each surface/item to prevent debris inactivation of the disinfectant. Start at the top of the surface and work down to legs/wheels then discard rag(s). Example: an OR table or gurney may require 2-3 rags. Cooperative wide Surgical Services, Interventional Radiology, and Family Birthing Unit staff and Environmental Services cleaning check lists define which service is responsible for the cleaning of the operating room and surgical services environment specific areas to assure a safe and clean environment for the patient and staff. See attached staff departmental responsibility checklists See attached Environmental Services (EVS) responsibility checklists Individual checklists, in collaboration with EVS, may be developed specific to each site using this procedure as the guideline.
II. DIFFERENCES BETWEEN THE FACILITY LOCATIONS Variables FBU C-Section Interventional Rad (CH/BVU) BASC CHOSC TASC EVS Staff On Site During Day Yes Yes No (evening only) Hours: 5pm -1:30 am Days-on call only Evening Hours: (4pm-1:30 am) No (evening only) Hours: 5pm-1:30am Core or No Core No Core No core No core Core Core Booms or Towers N/A N/A (items not unplugged from boom) Towers Towers Suction Disposal Biowaste NA Dornoch Disposal System & Biowaste Biowaste Biowaste Light Outside Operating Rooms Identifying Positive Pressure None NA Yes None None Gel pad storage location NA NA Varies Varies Varies Cart washer in CSR Yes NA No Yes No Anesthesia Techs Come from CH OSC on a periodic scheduled basis NA Yes Yes Yes
Task Between Each Case Between Each Case Between Each Case At End of Day/Other Miscellaneous End of Day: Dedicated Room Equipment: Turn off, unplug, secure all hoses, and damp wipe with disinfectant Clipper BairHugger machine and hose SCD machine and cable Cautery Towers Other Don’t unplug equipment DRTs Yes Yes Yes Case Specific Equipment: Turn off, unplug, secure all cords/cables, console and damp wipe with disinfectant, and return to storage Headlight/light source Towers Neoprobe / NeoPuff Other Don’t unplug equipment DRTs Yes Yes Yes Case specific positioning equipment and OR table attachments: Damp wipe and return to storage DRTs Yes Yes Yes Store all clean items (armboards and other table attachments, hoses, wires, cords, autoclave racks, BairHugger, SCD machine/hose, etc) off the floor EVS cleans armboards. DRTs cover it (the left one) and place it on the chair Yes Yes Yes Return all clean, unused supplies (gloves, sutures, implants, medications, etc) to their proper storage areas. DRTs Yes Yes Yes Departmental Responsibility Checklist OPERATING/PROCEDURE ROOM FBU IR ASCs ASCs Task Between Each Case Between Each Case Between Each Case At End of Day/Other
Electrical Cords (ceiling to connection) NA NA Daily Daily IV NA NA Daily Telephones NA NA Daily Mop Floor NA NA Daily Daily Trash containers NA NA Daily Laundry hampers NA NA Daily Daily Dispensers NA Daily Daily Ceiling NA Weekly Weekly Weekly Ceiling Vents NA Weekly Weekly Weekly Lights NA Weekly Weekly Weekly Sprinkler Heads NA Weekly Weekly Weekly High Dust all Surfaces above 6 feet NA Daily Daily Daily Restock all dispensers NA Daily Daily Daily Clean/Dry and Store Cleaning Equipment NA Daily Daily Vacuum Upholstered Chairs NA Weekly Weekly Weekly Environmental Services Responsibility Checklist (As Applicable To Location) EVS: or STERILE EQUIPMENT/SUPPLY STORAGE AREAS/ANESTHESIA WORKROOMS FBU IR BASC/TASC CH-OSC Task Frequency Frequency Frequency Frequency Clean with disinfectant: All surfaces Daily Daily Daily Daily Ceiling vent covers Daily Daily Daily Wall vent covers Daily Daily Daily Daily Spot clean walls Daily Daily Daily Mop floors Daily Daily