Cleanliness in ot

LEANLINESS IN OPERATION THEATER

1. Cleanliness in operation theater - riya sanjay baghele - nagpur

2. INTRODUCTION Cleaning means removing contaminants, dust, organic matter. 1.Surgical care is an integral part of health care throughout the world maintaining adequate cleanliness in a hospital environment is extremely important as it affects the well-being of patients and medical staff. 2.Patients in hospital wards have a weakened immune system and are highly prone to infections, which can be caused by medical equipment and instruments infected with micro-organisms, equipment indoor air and other people present in the Hospital. 3.Also medical staff, who come into contact w ith numerous ill patients on a daily basis, run a risk of infection. 4.Nurses are the most easy to hurt physically group in hospitals, especially regarding infections caused by pathogens transported by blood and other body fluids. 5.In operating room a patient with an open wound incision is extremely weak to contamination that’s why effective cleaning of the operative room.

3. 6.Surgical site infections remain one of the most common causes of serious surgical complications therefore maintaining cleanliness in the operating room is very important. 7.Surgical site infection account for 14-17% of all hospital acquired infections and 38% of nosocomial (HOSPITAL RELATED DISEASE) infection in surgical patients. 8.Disinfectant solutions are used to inactivate any infectious agents that may be present in blood or other body fluids. 9.To ensure effective cleanliness follow the manufactures instructions or any other specific guidelines that have been given and dilute the concentrated solution to the working strength . 10,It is absolutely necessary to meet the highest cleanliness standards in the operating theatre and in other rooms of the operating suite, where the patient is put.

4. Cleaning in operation theatres FREQUENCY OF CLEANING: Operation rooms- DAILY Entire theatre complex – ONCE A WEEK SCHEDULE FOR CLEANING OF THE OPERATION THEATRES Before first case i.e beginning of the day During a surgery Between surgeries End of the day Weekly /Monthly

5. UNIVERSAL PRECAUTIONS : Always wear gloves and other PPE (As needed)Mask or face shield disposable apron or other body coverings and shoe covers during cleanliness. Blood spills at work can be frightening to some individuals. Blood cleanup is necessary and can be perform safely. There are several serious illness that can be transmitted through exposure to blood. These diseases include HEPATITIS A,B,C which are viral infections of the liver. In addition the human immunodeficiency virus (HIV)can be acquired by making contact with the blood of infection individuals. Sodium hypochlorite 0.5% bleach is used to manage blood spillage management. If the blood spill has dried ,soak the area, or scrub the area with disposable towels and disinfectant towels and disinfectant as needed.

6. Steps to cleaning up a blood spill Protect the immediate area: The first step is to clear the immediate area to prevent spillage. And ensure that people don’t accidently step into the blood and spread their shoes. Put on protective apparel: Put on a pair of disposable latex or vinyl gloves to protect yourself from exposure during cleanup. Contain the blood spill: Take several sheets of paper towels and place them on top of the blood to begin the absorption process. Allow blood to soak into the paper towels for a minute. Prepare a disinfecting solution: As the towels are absorbing blood mix a solution of one part laundry bleach. As long as the bleach isn’t diluted any further than 10% the disinfectant will retain its ability to kill pathogens Disinfect the surface: Allow the solution to penetrate the towels and spread out to the margins of the spill site. Perform a final clean up: look around the spill site closely for blood droplets you have missed. Finish the cleaning process by disposing of your gloves and other used material.

7. Chemicals used in hospitals QUATERNARY AMMONIUM: Quaternary ammonium compounds are used broadly in routine cleaning. HYPOCHLORITE: Hypochlorite's are the most commonly used chlorine disinfectants .Sodium hypochlorite is commercially available as household bleach. PHENOLICS: Phenolic have been around for a long time. The antimicrobial properties of phenol have improved over time. PERACETIC ACID: Peracetic acid preparations are rapid acting disinfectants. They are bactericidal, fungicidal and virucidial (having tendency to destroy inactive viruses) and myco - bactericidal.

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