Reviewed by:



Reviewed by:Department Head Date:Objective: To ensure that the operating rooms in the Surgery Centers and Family Beginnings Unit (FBU), and rooms used for invasive procedures in Interventional Radiology, are thoroughly cleaned and sanitized after each procedure, at the end of each day, and additionally as scheduled.To ensure that all other patient care areas, supply/equipment areas, and support areas in the surgery centers and FBU are cleaned and sanitized daily or as scheduled.Scope:This procedure applies to the following specific locations that do invasive procedures:Ambulatory Surgery Center (BASC)Ambulatory Surgery Center (CHOSC)Ambulatory Surgery Center (TASC)Family Beginnings Unit (FBU) C–Section Operating RoomsInterventional Radiology (IR) Special Procedure Rooms used for invasive procedures (CH, BVU, TSC)References:Guidelines for Environmental Infection Control in Health-Care Facilities, CDC, 2003Perioperative Standards and Recommended Practices, Chapter 16: Recommended Practices for Environmental Cleaning in the Perioperative Setting. Association of Perioperative Registered Nurses, 2012Each location will provide these documents for their specific location if deemed applicable or needed by the location:Guiding PrinciplesZone Procedure OR Furniture/Equipment DiagramsRefer to Surgery Services Department Policies:Environmental Sanitation 4.002Surgical Attire 4.009Traffic Patterns in the Surgical Center 4.012Use in Conjunction with:FM-EVS Policy 0147 Emergency Cleanup of Blood Spills and Other Body Fluids (Hard Floor Surfaces)FM-EVS Policy 0128 Cleaning PailsFM-EVS Policy 0161 Housekeeping Chemicals and SuppliesFM-EVS Policy 0102 Floor StrippingFM-EVS Policy 0104 Operating Auto ScrubberFM-EVS Policy 0166 Wet Vac Cleaning and CareFM-EVS Policy 0162 Use and Care of Standard Floor MachinesEquipment/Supplies NeededAppropriate personal protective equipment (PPE) including:Disposable, single use glovesProtective eyewear (goggles or face shield)GH approved disinfectant, preferably dispensed by a chemical solution dispenserMop bucket and wringerMop head (lint free or microfiber) and handleWall mop and heads (lint free or microfiber) Small plastic pailCleaning cloths (lint-free or microfiber); not washcloths. Scrubbing padsHand broom and dust panPlastic liners for garbage/trash containersDisposable laundry bagsBiohazard bagsNote: 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 checklistsIndividual checklists, in collaboration with EVS, may be developed specific to each site using this procedure as the guideline. II.DIFFERENCES BETWEEN THE FACILITY LOCATIONSVariablesFBU C-SectionInterventional Rad (CH/BVU)BASCCHOSCTASCEVS Staff On Site During DayYesYesNo (evening only)Hours: 5pm -1:30 amDays-on call onlyEvening Hours: (4pm-1:30 am) No (evening only)Hours:5pm-1:30amCore or No CoreNo Core No coreNo coreCoreCoreBooms or TowersN/AN/ABooms (items not unplugged from boom)TowersTowersSuction DisposalBiowasteNADornoch Disposal System&BiowasteBiowasteBiowasteGreen Light Outside Operating Rooms Identifying Positive PressureNoneNAYesNoneNoneGel pad storage locationNANAVariesVariesVariesCart washer in CSRYesNANoYesNoAnesthesia TechsCome from CH OSC on a periodic scheduled basisNAYesYesYesDepartmental Staff Responsibility ChecklistOPERATING/PROCEDURE ROOMFBUIRASCsASCsTaskBetween Each CaseBetween Each CaseBetween Each CaseAt End of Day/OtherInstruments – Remove StaffStaffYesYesSharps – Place all used in sharps containerStaffstaffYesYesSharps container - Replace when 2/3rds full. Seal and place in biomedical waste container.StaffStaffAs neededAs neededSuction canisters/tubing - Remove all used liners and tubing StaffStaffYesYesSuction stand - Clean CH EVSEVSYesNoSuction connections (ceiling & between canisters – Replace) StaffStaffAs neededAs neededBlack/reusable straps - Remove & place in CSR laundry bin (picked up by CSR on Friday)N/AN/AYesYesWhite/disposable straps - Remove & discard in trash NAN/AYesYesLaundry – Remove & clean stand CH EVSStaffYesRemove laundry onlyTrash – Remove & clean stand/trash containersCH EVSStaffYesRemove trash onlyFloors - MopCH EVSEVSYesNoEquipment: Damp wipe with disinfectant ClipperBairHugger machine and hoseSCD machine and cableCauteryHeadlight/light sourceTowersNeopuffOtherStaffN/AYesYesand seeEnd of Day ResponsibilitiesDepartmental Staff Responsibility ChecklistOPERATING/PROCEDURE ROOMFBUIRASCsASCsTaskBetween Each CaseBetween Each CaseBetween Each CaseAt End of Day/OtherPositioning Equipment: Damp wipe with disinfectantStirrupsGel padsEVS (Stirrups only)Gel Pads = N/AN/AYesNoand seeEnd of Day ResponsibilitiesOperating Room Table: Damp wipe with disinfectantAll padsArmboardsOther accessoriesBase of tableEVSYesYesYesOther Furniture: Damp wipe with disinfectantChairs/stools/carts/stands/tables/OR TableEVSYesYesNoOther Miscellaneous: Damp wipe with disinfectantComputer console, cart, mouse, keyboard, monitors, trayDRTsYesYesYesTelephoneEVSYesYesNoBoom box (CD Player) Cover with plastic bag which is changed between patientsDRTs YesYesYesOther:YesYesErase white boardDRTsYesYesYesRemove all confidential patient informationDRTsYesFrom previous patient onlyYesAnesthesia Med/Supply Cart: Leave in ORLeave in ORLeave in ORRemove from ORDiscard all opened single use meds & anesthesia-prepared syringesAnesthesia YesYesYesDepartmental Staff Responsibility ChecklistOPERATING/PROCEDURE ROOMFBUIRASCsASCsTaskBetween Each CaseBetween Each CaseBetween Each CaseAt End of Day/OtherLaryngoscope handle - Remove & disinfect each case DRTsNAYesYesLaryngoscope used blade(s) – RemoveDRTsNAYesYesRemove towel on top of cart and trash bag DRTsYesYesYesDamp clean with disinfectant: Top of cart, all drawer handles, trash container DRTsYesYesYesReplace towel, trash bag DRTsYesYesYesRestock cartAnesthesia / Anesthesia TechYesYesYesAnesthesia Machine/Cardiac Monitor/Computer: Remove: Used suction container/tubing, and towelDRTsNAYesYesRemove: Used circuit / hoses and all items on top of machineAnesthesia / Anesthesia TechNAYesYesAnesthesia Machine: Damp clean with disinfectant all flat surfaces, drawer handles, knobs, hoses, etc.DRTsNAYesYesCardiac monitor, cable and lead wires: Damp clean with disinfectantDRTsYesYesYesComputer, keyboard, mouse, tray, monitor: Damp clean with disinfect DRTsYesYesYesRestock machineAnesthesia / Anesthesia TechYesYesYesDepartmental Staff Responsibility ChecklistOPERATING/PROCEDURE ROOMFBUIRASCsASCsTaskBetween Each CaseBetween Each CaseBetween Each CaseAt End of Day/OtherMiscellaneous End of Day: Dedicated Room Equipment: Turn off, unplug, secure all cords/cables/ hoses, and damp wipe with disinfectant ClipperBairHugger machine and hoseSCD machine and cableCauteryTowersOtherDon’t unplug equipmentDRTsYesYesYesCase Specific Equipment: Turn off, unplug, secure all cords/cables, console and damp wipe with disinfectant, and return to storage Headlight/light sourceTowersNeoprobe / NeoPuff OtherDon’t unplug equipmentDRTsYesYesYesCase specific positioning equipment and OR table attachments: Damp wipe and return to storageDRTsYesYesYesStore all clean items (armboards and other table attachments, hoses, wires, cords, autoclave racks, BairHugger, SCD machine/hose, etc) off the floorEVS cleans armboards. DRTs cover it (the left one) and place it on the chairYesYesYesReturn all clean, unused supplies (gloves, sutures, implants, medications, etc) to their proper storage areas.DRTsYesYesYesDepartmental Staff Responsibility ChecklistOPERATING/PROCEDURE ROOMFBUIRASCsASCsTaskBetween Each CaseBetween Each CaseBetween Each CaseAt End of Day/OtherRestock in-room supplies as needed.DRTsYesYesYesMake sure autoclave is emptyNANAYesYesSend all lakeside/case carts to CSR for cleaningCSR Picks upNAYesYesWindows restart all computersNurseNAYesYesPlace all patient confidential info in confidential waste binDRTsNAYesYesMiscellaneous:Shelves – spot clean / damp dust with disinfectantEVS - Each CaseWeeklyWeeklyWeeklySupply Cart plastic covers - replace N/AWeeklyWeeklyWeeklyPACU (PRE-OP & RECOVERY)FBUIRASCsASCsTaskBetween Each CaseBetween Each CaseBetween Each CaseAt End of Day/OtherDamp wipe with disinfectant:Counters/work surfaces/chairs N/AYesYesYesPatient furniture: stretchers, recliners, bedside tables/carts including drawer handles, chairsN/AYesYesYesPatient equipment: Monitors including cables and leads, SCD machines, BairHugger machines, otherN/AYesYesYesComputer keyboards, mice, trays and stands N/AYesYesYesKeep area clean (pick up after self)N/AYesYesYesShelvesN/AMonthlyNAMonthlyBins/totesN/AQuarterlyNAQuarterlyDepartmental Staff Responsibility ChecklistCORE/CLEAN or STERILE EQUIPMENT/SUPPLY STORAGE AREAS/ANESTHESIA WORKROOMSFBUIRASCsASCsTaskBetween Each CaseBetween Each CaseBetween Each CaseAt End of Day/OtherReplace supply cart covers DRTsYesNAMonthlyRemove dust from lower shelves of carts NANANAMonthlyClean bins to remove dustDRTsNANAQuarterlyCORRIDORSFBUIRCHOSCASCsPick up trash EVS as neededYesAs neededAs neededClean equipment stored in hallway DRTsAs neededBefore moving into OR and After Use/Before recoveringAs neededCover items not used frequently and change cover weeklyDRTsWeeklyWeeklyWeeklyRESTROOMS & LOUNGESFBUIRASCsASCsPick up after selfEveryoneYesYesYesPick up trash off floor & counterEveryoneYesYesYesPlace all patient info in confidential wasteDRTs / Med StaffYesYesYesClean lounge refrigerator (surgery center is responsible for cleaning weekly)StaffYesYesYesClean microwave (surgery center is responsible for cleaning weekly)Med StaffYesYesYesOFFICES & NURSING STATIONSFBUIRASCsASCsClean counters, desks & shelvesEVS, if cleared off / coordinatedYesNAYesClean computer keyboard, mouse, tray, monitorMed StaffYesNAYesEnvironmental Services Responsibility Checklist (As Applicable To Location)EVS: OPERATING ROOMSFBUIRBASC/TASCCH OSCTaskFrequencyFrequencyFrequencyFrequencyLaundry Cart– Remove to pick up location Each caseAs neededDailyDailyTrash Cart – Remove to pick up locationEach caseAs neededDailyDailyBiomedical Waste Bins – Remove to pick up locationEach caseAs neededDailyDailyEquipment/Furniture: Clean with disinfectant Wheels/casters – Clean all wheels/casters of equipment/furnitureEach caseDailyDailyDailyOverhead surgical light & boomEach caseIR staffDailyDailySuction stand Each caseDailyDailyDailyLaundry stand – Clean & replace bagEach caseDailyDailyDailyTrash stand/container – Clean & replace bagEach caseDailyDailyDailyChairs/stools/carts/standsEach caseDailyDailyDailyTape – remove sticky residue with adhesive remover As neededDailyDailyDailyClean with disinfectant:Ceiling & Walls –spot clean (walls are spot cleaned up to 6 feet) Each Case / DailyDailyDailyDailyVents & light covers DailyDailyDailyDailyWindow & wall sills DailyDailyDailyDailySurgical light & boomEach caseDailyDailyDailyTelephonesEach caseDailyDailyDailyElectrical cords – ceiling to connectionEach caseDailyDailyDailyGas hosesEach caseNADailyDailyTrash can Each caseDailyDailyDailyKick bucketEach caseDailyDailyDailyLaundry hamper & lid (inside & out)Each caseDailyDailyDailyDoor handles & platesEach caseDailyDailyDailyLight switchesEach caseDailyDailyDailyWall mounted hand sanitizer & catch plateEach caseDailyDailyDailyWheel guardsDailyDailyDailyDailyStools/chairs including armrestsEach caseDailyDailyDailyClean with disinfectant:Positioning Equipment: Stirrups, arm boards and other table attachmentsEach caseDailyDailyDailyIV polesEach caseDailyDailyDailyStep stoolEach caseDailyDailyDailyMayo standEach caseDailyDailyDailyGurney/stretcher/surgilift (remove pad-clean both sides of pad)Each caseDailyDailyDailySurgical table (disassemble)Each caseDailyDailyDailySurgical table pads (top, bottom, and sides) & attachmentsEach caseDailyDailyDailyC locker top and sidesNADailyDailyDailyFloors - MopEach caseDailyDailyDailyCupboard/cabinet handles & exterior of drawersEach caseDailyDailyDailyRearrange furniture & equipmentEach caseDailyDailyDailyClean, Dry & Store all Cleaning Equipment in a clean EVS storage closetDaily DailyDailyDaily Weekly Cleaning With Disinfectant: Shelves-spot clean/damp dust with disinfectantWeeklyNANANAEntire ceilingWeeklyWeeklyWeeklyWeeklyCeiling tracksWeeklyWeeklyWeeklyWeeklyCurtain tracksWeeklyWeeklyWeeklyWeeklyVent coversWeeklyWeeklyWeeklyWeeklyLight coversWeeklyWeeklyWeeklyWeeklySprinkler headsWeeklyWeeklyWeeklyWeeklyEntire walls (including base coves)WeeklyWeeklyWeeklyWeeklyAll Linoleum lipsWeeklyWeeklyWeeklyWeeklyDoor jams & hardwareWeeklyWeeklyWeeklyWeeklyEnvironmental Services Responsibility Checklist (As Applicable To Location)EVS: OPERATING ROOMSFBUIRBASC/TASCCH OSCTaskFrequencyFrequencyFrequencyFrequencyQuarterly CleaningEngineering will damp clean light diffusersQuarterly & as neededQuarterly & as neededQuarterly & as neededQuarterly & as neededSemi-Annual CleaningChange MOR curtains (TASC)2 x year& as needed2 x year& as needed2 x yearas needed2 x year& as neededRefinish floors2 x year2 x year2 x year2 x year All Staff shall report immediately: Any safety issueAs neededAs neededAs neededAs neededBurned out or flickering lightsAs neededAs neededAs neededAs neededSharps found on floor or hard surfacesAs neededAs neededAs neededAs neededFrayed cords or wiresAs neededAs neededAs neededAs neededTorn vinylAs neededAs neededAs neededAs neededChipped surfacesAs neededAs neededAs neededAs neededEnvironmental Services Responsibility Checklist (As Applicable To Location)EVS: PACU (PREOP & RECOVERY)FBU IRBASC/TASCCH-OSCTaskFrequencyFrequencyFrequencyFrequencyRemove trash NANADailyAs needed Remove linenNANADailyAs needed Clean with disinfectant: NANAAll surfaces under 6 feetNANADailyDailyCabinets and handlesNANADailyDailyDoorknobsNANADailyDailySpot Clean WallsNANADailyDailyHopper/SinksNANADailyDailyBeds/Chairs/Stools/FurnitureNANADailyDailyElectrical Cords (ceiling to connection)NANADailyDailyIV polesNANADailyDailyTelephonesNANADailyDailyMop FloorNANADailyDailyTrash containersNANADailyDailyLaundry hampersNANADailyDailyDispensersNADailyDailyDailyCeilingNAWeeklyWeeklyWeeklyCeiling VentsNAWeeklyWeeklyWeeklyLightsNAWeeklyWeeklyWeeklySprinkler HeadsNAWeeklyWeeklyWeeklyHigh Dust all Surfaces above 6 feetNADailyDailyDailyRestock all dispensers NADailyDailyDailyClean/Dry and Store Cleaning EquipmentNADailyDailyDailyVacuum Upholstered ChairsNAWeeklyWeeklyWeeklyEnvironmental Services Responsibility Checklist (As Applicable To Location)EVS: CORE/CLEAN or STERILE EQUIPMENT/SUPPLY STORAGE AREAS/ANESTHESIA WORKROOMSFBU IRBASC/TASCCH-OSCTaskFrequencyFrequencyFrequencyFrequencyClean with disinfectant:All surfacesDailyDailyDailyDailyCeiling vent coversDailyDailyDailyDailyWall vent coversDailyDailyDailyDailySpot clean wallsDailyDailyDailyDailyMop floorsDailyDailyDailyDailyDoor handles/light switchesDailyDailyDailyDailyDoors/jambs/hardwareWeeklyWeeklyWeeklyWeeklyAutoclave roomsN/AWeeklyWeeklyWeeklyLight coversWeeklyWeeklyWeeklyWeeklyCeilingWeeklyWeeklyWeeklyWeeklyCoordinate with OR staff/engineering:Removal of all carts/equipmentMonthlyMonthlyMonthlyMonthlyClean walls, ceiling, floors, sprinkler heads, vent coversMonthlyMonthlyMonthlyMonthlyClean light diffusers (engineering)MonthlyMonthlyMonthlyMonthlyEnvironmental Services Responsibility Checklist (As Applicable To Location)EVS: OFFICES & NURSING STATIONSFBUIRBASC/TASCCHOSC TaskFrequencyFrequencyFrequencyFrequencyRemove trashDaily &As needed Daily &As needed DailyDaily &As needed Remove laundryDailyDailyDailyDailyClean with disinfectant: DailyDailyDailyDailySinks, counters, fixturesDailyDailyDailyDailyCounter tops/desks DailyDailyDailyDailyLight switchesDailyDailyDailyDailySpot clean wallsDailyDailyDailyDailyTrash cansDailyDailyDailyDailyDoor handles & platesDailyDailyDailyDailyLocker tops and faceDailyDailyDailyDailyFloorsDailyDailyDailyDailyMiscellaneous:Stock all dispensers after completing hand hygieneDailyDailyDailyDailyHigh dust all surfacesDailyDailyDailyDailyVacuum carpetsDailyDailyDailyDailyVacuum upholsteryWeeklyWeeklyWeeklyWeeklyClean:Ceiling (damp dust)WeeklyWeeklyWeeklyWeeklyCeiling Vents (high dust)WeeklyWeeklyWeeklyWeeklyLight covers (high dust)WeeklyWeeklyWeeklyWeeklyWindow blinds/sills (high dust blinds, damp dust sills)WeeklyWeeklyWeeklyWeeklySprinkler heads (high dust)MonthlyMonthlyMonthlyMonthlyEnvironmental Services Responsibility Checklist (As Applicable To Location)EVS: OFFICES & NURSING STATIONSFBUIRBASC/TASCCH OSC TaskFrequencyFrequencyFrequencyFrequencyBaseboards (damp dust)MonthlyMonthlyMonthlyMonthlyDoor jambs & hardware (damp dust)MonthlyMonthlyMonthlyMonthlyInterior Windows (glass cleaner)MonthlyMonthlyMonthlyMonthlyEVS: CORRIDORSFBUIRBASC/TASCCH OSCTaskFrequencyFrequencyFrequencyFrequencyRemove trashAs neededAs neededDailyAs neededRemove laundryAs neededAs neededDailyAs neededClean with disinfectant:Scrub SinksDailyDailyDailyDailyMetal Sink FixturesDailyDailyDailyDailySoap Dispensers DailyDailyDailyDailyTrash containersDailyDailyDailyDailyLaundry hampersDailyDailyDailyDailyDoor handles/face platesDailyDailyDailyDailyWindows & sillsDailyDailyDailyDailyChairs, furnitureDailyDailyDailyDailyAll surfaces DailyDailyDailyDailyAll staff shall report to facilities: Lights that need changingDailyDailyDailyDailyMiscellaneous:High dust surfaces above 6 feetDailyDailyDailyDailyStock all dispensers As neededAs neededAs neededAs neededClean, dry & store all cleaning equipmentDailyDailyDailyDailyEnvironmental Services Responsibility Checklist (As Applicable To Location)EVS: CORRIDORSFBUIRBASC/TASC CH OSCTaskFrequencyFrequencyFrequencyFrequencyOther cleaning (high dust):Ceiling ventsWeeklyWeeklyWeeklyWeeklyWindow blindsWeeklyWeeklyWeeklyWeeklySprinkler headsMonthlyMonthlyMonthlyMonthlyOther cleaning (damp dust w/ disinfectant):WallsAs neededAs neededMonthlyAs neededLightsQuarterlyQuarterlyQuarterlyQuarterlyScrub & refinish floors2 x year & as needed2 x year as needed2 x year & as needed2 x year & as neededEVS: RESTROOMS & LOUNGES FBUIRBASC/TASCCH-OSCTaskFrequencyFrequencyFrequencyFrequencyRemove trashAs neededAs neededDailyAs neededRemove laundryAs neededAs neededDailyAs neededClean with disinfectant: Vent covers (high dust)DailyDailyDailyDailySinks, counters, fixturesDailyDailyDailyDailyLight switchesDailyDailyDailyDailySpot clean wallsDailyDailyDailyDailyTrash cansDailyDailyDailyDailyToilets (change gloves after cleaning)DailyDailyDailyDailyToilet stall doors (inside/out)DailyDailyDailyDailyEnvironmental Services Responsibility Checklist (As Applicable To Location)EVS: RESTROOMS & LOUNGES FBUIRBASC/TASCCH-OSCTaskFrequencyFrequencyFrequencyFrequencyDoor handles & platesDailyDailyDailyDailyShowersDailyDailyDailyDailyFloorsDailyDailyDailyDailyTables, chairsAs neededAs neededDailyAs neededClean with glass cleaner:Mirrors As neededAs neededDailyAs neededMiscellaneous:Stock all dispensers (complete hand hygiene before)As needed / DailyDailyDailyDailyHigh dust all surfacesDailyDailyDailyDailyVacuum carpetDailyDailyDailyDailyChange shower curtainsMonthlyMonthlyMonthlyMonthlyPrivacy Curtains 2 x yearor as needed (grossly / visibly soiled)2 x year or as needed (grossly / visibly soiled)2 x year or as needed (grossly / visibly soiled)2 x year or as needed (grossly / visibly soiled)Clean with disinfectant (damp dust):Blinds & window sillsWeeklyWeeklyWeeklyWeeklyBaseboardsWeeklyWeeklyWeeklyWeeklyCeiling ventsWeeklyWeeklyWeeklyWeeklySprinkler headsMonthlyMonthlyMonthlyMonthlyDoor jambs & hardwareMonthlyMonthlyMonthlyMonthly ................
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