Current cleaning - rules and procedures. Requirements and procedure for general cleaning in medicine

Examples of calculating the concentration of active substances in working solutions of agents

Example 1. The concentration of active ingredient in the agent (M) is 25%, the concentration of the working solution for the preparation (C) is 0.5%. To obtain the desired concentration (X), it is necessary to perform the following calculations: (25 × 0.5): 100 = 0.125%. Thus, the concentration of active ingredient in the working solution is 0.125%.

If the product contains several active ingredients (for example, a polymeric derivative of guanidine and a QAS), then the concentration for each active ingredient is first calculated, and then these concentrations are summed up.

Example 2. The concentration of one active ingredient (M 1) in the agent is 25%, the concentration of the working solution for the preparation (C 1) is 0.5%, the other active agent (M 2) is 4%, with the concentration of the working solution for the preparation (C 2) - 0.5%. Then: X 1 \u003d (25 × 0.5): 100 \u003d 0.125%, X 2 \u003d (4 × 0.5): 100 \u003d 0.02%. The final total concentration of two active substances in the working solution is 0.125 + 0.02 = 0.145%.

Table 1

Hazard classification of pest control products

table 2

Hazard Class	Zone of biocidal action	Conclusion on the possibility and scope of the use of drugs in disinfection
acute	subacute
consumption rate	consumption rate
Class 1 - extremely dangerous	< 10	< 1	Not recommended for use
2 class - highly dangerous	10-30	1-5	Recommended for use only by professional contingent with respiratory protection, eyes, skin in the absence of people with regulated conditions of use (consumption of funds, ventilation and wet cleaning).
Grade 3 - moderately dangerous	31-100	5,1-10	It is recommended for use by professional contingent and the population in everyday life with regulated conditions of use (cost of funds, ventilation mode, cleaning) in rooms of any type
Grade 4 - low-risk	> 100	> 10	Used without limitation of applications

Containers with working solutions of disinfectants should be equipped with tight-fitting lids, have clear lettering indicating the agent, its concentration, purpose, date of preparation, expiration date of the solution.

MARKING OF CLEANING EQUIPMENT

Inventory	Purpose	Marking	Marking method
Buckets	for washing toilets	UB
Buckets		For floors	applied oil paint on the outer surface of the bucket.
Buckets		For sofas	applied with oil paint on the outer surface of the bucket.
brushes	for sweeping floors in toilets;	UB
brushes	for sweeping the floors of passenger and office spaces.	For floors	applied with oil paint or burned on the brush handle
Sackcloth	for washing toilets	patch of red
Sackcloth	for washing the floors of passenger and office spaces	patch of green	flaps are sewn on the corner of the burlap
Flannel	for washing benches, sofas, walls and balustrades in passenger areas	not marked

spring-cleaning

General cleaning of the premises of ward departments and other functional rooms is carried out according to the schedule once a month with the processing of walls, equipment, inventory, lamps.

General cleaning (washing and disinfection) of the operating unit, dressing room, delivery rooms, treatment rooms, vaccination rooms, manipulation rooms, sterilization rooms is carried out once every 7 days with processing and disinfection.

Tasks:

minimizing the number of microbes;
reducing the risk of cross-contamination.

Equipment:

a schedule indicating the date and time of cleaning, approved by the head of the department;
disinfectant solutions with detergent;
clean rags (for the ceiling and walls, furniture, manipulation or sterile tables, refrigerator, etc.) two sets. Mops for the floor and with a long handle for the ceiling and walls, two ruffs for batteries;

protective clothing for medical personnel (waterproof gown, respirator, elastic cap, goggles, technical gloves, rubber shoes) two sets;
containers for detergents and disinfectant solutions. Containers must be clearly marked (see carrying out current cleaning).

Cleaning algorithm

On the eve of the general cleaning, they are washed with rags, if reusable cloth, it is possible to use a clean disposable rag.
On the day of cleaning, cabinets, bedside tables, and shelves are vacated. Furniture moves away from the walls. The refrigerator is defrosting.
Protective clothing is worn.
Cleaning and disinfecting solution is being prepared. Currently, disinfectants of a new generation with detergent properties are used as detergents. Then the washing solution is prepared according to guidelines to this drug. Disinfection mode (drug concentration and exposure time) is indicated in guidelines on the use of a particular disinfectant. The solution should be changed after cleaning 80-100 m² of the surface - in general somatic wards and administrative and economic and other premises that do not require special treatment and no more than 60 m² when processing rooms with asepsis regime (procedure, postoperative wards, etc.).
Cleaning agent cleans sinks.
The baseboards are cleaned with a cleaning agent with a brush, then the cleaning agent is washed off with a rag marked “for baseboards”.
With a mop with a long handle and rags marked “for walls”, we moisten the ceiling with a disinfectant solution. The solution is applied in one direction.
With this cleaning equipment we wet the walls in the direction from the door from top to bottom (from the ceiling to the plinth).
Furniture is wetted with rags marked “for furniture”, starting from the cover, and then the legs from top to bottom, but not reaching the floor 5-7 cm, so as not to contaminate the treated surface. At the end of the irrigation of the furniture, then the untreated parts of the furniture are wetted with a rag moistened with a disinfectant solution.
Batteries are wetted with disinfectant with a ruff.
With a mop with rags “for the floor”, the floor is wetted with a disinfectant solution in one direction towards the door.
Turn on the bactericidal lamp, exposure according to the passport or according to the calculation for this room.
Exposure disinfection exposure 60 minutes (the room is closed).
Ventilate the room and wash off the remaining disinfectant solution with a clean rag.
Surfaces are wiped dry with a clean rag in accordance with the asepsis regimen.
Turn on the bactericidal lamp for 1 hour.
At the end of the work of the bactericidal irradiator, it is necessary to ventilate the room for 20-30 minutes.
Cleaning equipment after cleaning is disinfected in the same disinfectant solution that was used for cleaning, rinsed until the smell disappears, dried on special grids and stored dry in a clean, dry container, closed with a lid. special cabinet and dedicated location. Mops are wiped with a working disinfectant solution - first, the handle is wiped from top to bottom, then the crossbar, twice with an interval of 15 minutes.

Current cleaning.

Routine cleaning of the premises (treatment of floors, furniture, equipment, window sills, doors) should be carried out at least twice a day using detergents and disinfectants. The current cleaning of the premises is carried out in the morning and in the evening.

Tasks.

Creating a safe clean environment for patient medical staff

Destruction and minimization of most microorganisms on the surface of inanimate objects

Reducing the risk of cross-contamination

Equipment:

Protective clothing for medical personnel (oilcloth apron, respirator, cap, technical gloves, leatherette shoes)

Cleaning equipment: clean rags for walls, furniture, floors, mop. All cleaning equipment must be clearly marked (for cleaning which room and object in the room, type of cleaning). containers for disinfection solutions. The containers are clearly marked (for disinfection of which room, object in the room - walls, furniture, floor, etc.) des. solution, mode. There should be a horizontal line on the inner surface of the container, which indicates how much disinfectant solution is needed for the object being treated (the calculation is made by multiplying the area of the object by the consumption of disinfectant, which is indicated in the guidelines for the use of this disinfectant). The mode of disinfection depends on the profile of the department.

Cleaning algorithm:

Wear protective clothing.
Inspect the premises (determine the level of contamination).
Prepare a disinfectant solution.
Cleaning agent cleans the sink.
A rag marked “for the plinth” is taken and the plinth is wetted from the door around the entire perimeter.
Rags marked "for walls" wipe the walls at arm's length, but not less than 1.5 m from the floor. The walls are rubbed from top to bottom. At the same time, window sills are wiped with the same rags in one direction, batteries.
Rags "for furniture" wipe the furniture, starting from the cover and then the legs from top to bottom, not reaching the floor 5-7 cm, so as not to contaminate the surface. At the end of wiping the furniture with a rag with a disinfectant solution on the treated parts of the furniture.
The floor is wiped with a mop with rags “for the floor”. mortar in one direction towards the door.

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Judgments

Algorithm for cleaning
medical and preventive organizations

1. Purpose

Cleaning is carried out to ensure preventive / anti-epidemic measures, prevent the spread of infections, comply with the sanitary and hygienic regime, provides both the aesthetic appearance of the room and the removal of microorganisms.

2. Definition

Cleaning in the premises of medical and preventive organizations is one of the links in the chain of sanitary and anti-epidemic measures aimed at preventing nosocomial infections. At the same time, dirt, dust, substrates of biological origin are cleaned and disinfected, i.e. destruction on surfaces of microorganisms - causative agents of infectious diseases.

There are the following types of cleaning:

I. Wet cleaning;

II. Spring-cleaning;

III. Cleaning according to the type of final disinfection.

3. Scope

The rules apply to the middle and junior medical staff of clinical units. Cleaning personnel must undergo qualified documented training on the types of cleaning.

Supervision of the cleaning is carried out by senior nurses and sisters of the mistress of the departments.

The control and monitoring of cleaning is carried out by the infection control service.

4. List of equipment

4.1. special clothing (robe, cap, mask, gloves);

4.2. a set of cleaning equipment (rags, brushes, mops, ruffs, spray guns);

4.3. detergents and disinfectants permitted for use in the Republic of Kazakhstan;

4.4. containers for cleaning behavior must be labeled and used for their intended purpose.

5.1. Decree of the Government of the Republic of Kazakhstan No. 87 dated 17.01.2012 "Sanitary rules" Sanitary and epidemiological requirements for healthcare facilities.

6. Document

6.1. Journal for recording cleaning and quartzing.

6.2. Instructions for the disinfectant;

6.3. The procedure for disinfecting the indoor air.

I. Wet cleaning algorithm

1. Definition

Wet cleaning - floors, furniture, equipment, window sills, doors is carried out at least twice a day (in operating rooms between operations) and as it gets dirty, using detergents and disinfectants approved for use in the Republic of Kazakhstan.

Cleaning is carried out daily at least 2 times a day:

1st time with the addition of detergent (50 gr. Detergent per 10 liters of water).

2nd time - using a disinfectant of an approved concentration.

2. Procedure

2.1. Wipe the bed, window sills, and other furniture with a damp cloth;

2.2. After feeding the patients, the distributor wipes the bedside tables and tables;

2.3. cleaning is completed by washing the floor with a disinfectant solution;

2.4. then quartz treatment is carried out (according to the list) according to the volume of the premises, followed by ventilation;

2.5. after cleaning, the rags are disinfected in a disinfectant solution according to the instructions for diluting the disinfectant, washed under running water until the smell of the disinfectant disappears and are dried;

2.6. The nurse notes about quartzization in the Journal general cleaning and quartzing.

II. General cleaning algorithm.

1. Definition

2. General cleaning is carried out once a week according to the approved schedule with the processing and disinfection of equipment, furniture, inventory in the following rooms:

3. Operating blocks;

4. Dressing rooms;

5. Delivery rooms;

6. Treatment rooms;

7. Manipulation rooms;

8. Sterilization;

9. Intensive care units;

10. Examination rooms;

11. Invasive cabinets;

12. Premises with aseptic regime.

13. General cleaning once a month according to the approved schedule and according to epidemiological indications is carried out with the treatment of walls, floors, equipment, furniture and inventory in the following rooms:

14. Chambers;

15. Ancillary premises;

16. Cabinets.

2. Procedure

2.1. Preparation for general cleaning:

a) put on special clothes (robe, cap, mask, gloves);

e) prepare working solutions (cleaning and disinfecting) according to the instructions for preparing solutions;

f) take out medical waste and disinfect containers.

2.2. General cleaning:

a) ceilings, walls, beds, bedside tables, tables and other furniture, as well as cabinet equipment, should be treated with a 0.5% cleaning solution (50 g of powder per 10 liters of water or a disinfectant with a cleaning effect *) and washed off with clean water;

b) ceilings, walls, beds, bedside tables, tables, and other furniture, as well as cabinet equipment, should be treated by spraying or wiping with rags moistened with a disinfectant of an approved concentration;

c) after which the room is closed for a certain exposure of the disinfectant solution;

d) after exposure, the room is ventilated;

e) all surfaces are washed off with water and dried (walls, ceiling, furniture, apparatus, equipment) with a clean rag;

f) cleaning is completed by washing the floor with a disinfectant solution;

g) then quartzization is carried out (according to the list) according to the volume of the premises, followed by ventilation;

g) after cleaning, the rags are disinfected in a disinfectant solution, washed under running water until the smell of the disinfectant disappears and dried;

h) special clothes are rented to the laundry;

i) the nurse notes about the general cleaning and quartzing in the Journal of general cleaning and quartzing.

III. Cleaning algorithm according to the type of final disinfection

1. Definition

Final disinfection - after discharge, transfer, death of the patient, cleaning is carried out in the vacated ward according to the type of final disinfection.

2. Procedure

2.1. Preparation for cleaning according to the type of final disinfection:

a) put on special clothes (robe, hat, masks, gloves);

b) bedding (mattresses, pillows, blankets) is subjected to chamber disinfection or treatment with disinfectant solutions;

c) free the room as much as possible from the furniture or move it to the center of the room, to ensure free access to the treated surfaces and objects;

d) prepare working solutions according to the instructions for preparing solutions;

e) take out medical waste and disinfect containers.

2.2. Carrying out cleaning by the type of final disinfection:

a) by spraying or wiping, treat 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;

b) after which the room is closed for the exposure time;

c) after exposure, the room is ventilated;

d) all surfaces are washed off with water and dried (walls, ceiling, furniture, apparatus, equipment) with a clean rag;

e) cleaning is completed by washing the floor with a disinfectant solution;

f) then quartzization is carried out (according to the list) according to the volume of the premises, followed by ventilation;

g) after cleaning, the rags are disinfected in a disinfectant solution, washed under running water until the smell of the disinfectant disappears and dried;

g) special clothes are rented to the laundry;

h) the nurse notes the final disinfection and quartzing in the Journal of general cleaning and quartzing.

2. List of quartzization of premises

Quartz treatment is carried out after each cleaning according to the volume of the room, followed by ventilation in the following rooms:

· Operating blocks;

· dressing rooms;

· delivery rooms;

· treatment rooms;

· manipulation rooms;

· Sterilization;

· Intensive care units;

· Observation rooms;

· Invasive cabinets;

· Aseptic rooms.

Note:

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 work table, and the nurse wipes the window sill, chair, door, door handles, sanitary facilities and finishes by mopping the floor.

In the wards, the nurse starts with beds, window sills, doorknobs, sanitary facilities and ends with mopping the floor.

dining tables, bedside tables and a food refrigerator is handled by a distributor.

Washing of window glass is carried out at least once a month from the inside, at least once every 3 months from the outside and as it gets dirty.

* when cleaning is carried out with a disinfectant with a washing effect, the 1st stage of treatment with a 0.5% cleaning solution is canceled.

Instruction

for general cleaning
Basic provisions

This instruction introduces the rules for organizing and conducting general cleaning of the premises of the treatment room, dressing room, examination room, manipulation room and operating room.
The requirements of the instructions are aimed at reducing the risk of the emergence and spread of nosocomial infections by improving the organization and carrying out general cleaning of the premises.
The requirements set out in the instructions apply to all categories of premises.
This instruction clarifies and clarifies certain provisions of SanPin 2.1.3.2630-10 “Sanitary and epidemiological requirements for organizations engaged in medical activities”, SP 3.5.1378-03 “Sanitary and epidemiological requirements for the organization and implementation of disinfection activities”.
Responsibility for compliance with the provisions of the instructions rests with the senior nurses (laboratory assistants) of the departments.
Control over compliance with the provisions of the instructions is entrusted to the main nurse and epidemiologist.

Cleaning equipment and overalls

Cleaning equipment includes: a marked container for processing furniture and equipment, a marked container for walls (basin, bucket), a marked bucket for floors.
Two marked mops (for walls and for the floor).
Clean labeled rags for removing disinfectants from furniture, equipment, walls (several cloths to replace when dirty).
Clean rags for washing floors.
Napkins for the treatment of UV irradiators.
Clean rags for wiping dry and polishing surfaces (furniture, mirrors).
Container for soaking used rags (with lid).
Two sets of overalls (gown, mask, cap, gloves). One of the sets of overalls is used when washing the office (sterile, in bix).
Disinfectant working solution, manual sprayer for hard-to-reach areas.

General cleaning technology
Stage one

Nurse (nurse, laboratory assistant) to prepare the office for cleaning, free it from items, equipment, tools, medicines. Tables and cabinets must be free and accessible for processing.
Disconnect electrical appliances from the mains.
In accordance with the waste management scheme, the cleaning worker must remove class B waste, used single-use medical products from the office.
Pour the prepared working solution into containers for cleaning and bring the cleaning equipment into the office.
Wash your hands and put on overalls: gown, cap, mask, rubber gloves.
With a clean rag (for applying the solution to furniture and walls) moistened with a disinfectant solution from the furniture container, wipe internal surfaces cabinets and other furniture.
Furniture, if possible, move away from the walls.
With a clean rag (for applying the solution to furniture and walls) moistened with a disinfectant solution from a wall container, wipe the walls (to a height of at least 2 meters), windows, window sills, radiators and doors with smooth movements from top to bottom. Special attention give switches, door handles, trim, faucet and sink for washing hands, as well as places in their immediate vicinity. Hard to reach places to process by means of a manual sprayer.
With a clean rag (for applying the solution on furniture and walls) moistened with a disinfectant solution from the furniture container, wipe the horizontal surfaces of furniture and equipment, starting from the top. Then proceed to the processing of vertical surfaces. In the presence of visible pollution rags should be replaced.
Wipe unplugged UV irradiators with napkins moistened with a disinfectant solution from a furniture container; lamp-napkin moistened with 70% ethyl alcohol and well wrung out, and then with a dry cloth.
Lastly, treat the garbage and waste containers with a rag moistened with a disinfectant solution from the furniture container, then immediately dump the rags into a special container.
At the end of cleaning, before pouring the used disinfectant working solution from the containers for furniture and walls, moisten a rag with it in order to treat the inner and outer surfaces of these containers. Then treat both containers freed from the working solution.
Moisten a rag for cleaning the floor with a disinfectant solution from the floor bucket and wipe the floor.
Throw the rags used during cleaning into a container with a disinfectant intended for its collection and take it to the sanitary room.
Remove gown, cap and mask and place them in a laundry bag.
Remove gloves, wash hands and sanitize.
Close the treated room for the duration of the disinfection.

Stage two

After the end of disinfection, wash your hands, put on a clean sterile gown, cap, mask, gloves and wipe shoes with a disinfectant solution.
Rinse the containers for furniture and walls treated with a disinfectant and then fill with tap water. With a clean cloth for furniture and walls, moistened with tap water, wash all surfaces in the same sequence as when applying the disinfectant solution.
Window glass with inside, as well as others glass surfaces and mirrors, after removing the disinfectant solution, wipe dry and polish.
Lastly, use a clean floor cleaning cloth to treat the floor with clean tap water from a floor bucket.
At the end of the general cleaning, disinfect the air with a bactericidal lamp for two hours.
Disinfect cleaning equipment, rags, rags for washing the floor with a disinfectant solution (disinfection time is indicated in the instructions for using the disinfectant). At the end of disinfection, rinse and dry the cleaning equipment and rags for washing the floor. Send the rags to the laundry.
Take off your overalls and put them in a bag.
Make an entry in the "Journal of conducting and accounting for general cleaning" and in the "Journal of accounting for bactericidal lamps" with a clear filling in all columns.
In case of unsatisfactory results of air sowing and washings from environmental objects in the offices, carry out a general cleaning outside the schedule with a note in the corresponding registration log.
Before the onset of the autumn-winter season, include in the general cleaning the obligatory washing of windows on both sides and checking the tightness of the closing of the frames.

requirements for medical personnel.

Medical staff cleaning the premises must undergo preliminary and periodic medical examinations. Persons with hypersensitivity to chemicals used when cleaning the premises, are suspended from work.
Persons at least 18 years of age who have undergone appropriate instruction on functional duties, safety precautions, precautions when working with disinfectants.
Medical staff cleaning the premises should know the rules for first aid in case of accidental poisoning with a disinfectant.
After finishing work, you should hygiene treatment hands

General first aid measures for accidental poisoning

If precautions are not observed, acute poisoning phenomena may occur, which are characterized by signs of irritation of the respiratory system, eyes, skin and mucous membranes.
In case of contact with the skin, immediately rinse the area with running water for 10 minutes. Lubricate with softening cream. Seek medical attention if necessary.
In case of contact with the eyes, the product causes burns of the mucous membrane and damage to the cornea. Needed immediately!!! Rinse them with running water for 10-15 minutes (keep eyelids open) and immediately consult an ophthalmologist.
In case of accidental ingestion of the drug through the mouth, pain, burns of the oral mucosa appear. It is necessary to immediately rinse the mouth with water, then take 10-15 crushed activated charcoal tablets with several glasses of water. Do not induce vomiting!! Seek medical attention if necessary.
In case of irritation of the respiratory organs (sore throat, nose, cough, shortness of breath, lacrimation), the victim is removed from the working room for Fresh air or in a well-ventilated area. The mouth and nasopharynx are rinsed with water. Give warm drink (milk). Seek medical attention if necessary.

In healthcare facilities (treatment and preventive care institutions) - mandatory procedures carried out according to a certain algorithm and in accordance with the rules and instructions. Not only the cleanliness of the premises depends on the quality of their implementation, but also the protection of patients and staff from the spread of infections.

Inventory and cleaning products

Since the purpose of cleaning in healthcare facilities is not only to remove contaminants, but also to disinfect surfaces, professional cleaning products and special disinfectant solutions with antimicrobial and antibacterial effects will be required for work. Besides, For each type of work, special equipment is required:

Reusable items must be labeled to indicate their purpose. As for sterile rags, it will be required for general cleaning of aseptic and sensitive rooms.

When working with disinfectant solutions, you must follow the safety rules according to the instructions on the packaging. The preparation of solutions must be carried out in accordance with the standards and recommendations specified in the instructions. On average, the consumption of such funds is 100-150 ml per 1 square meter surfaces.

Current tidying up

Current cleaning in health facilities is a wet cleaning of all surfaces using special means. The frequency of the procedure depends on the purpose of the room. So, in postoperative wards, dressing rooms and intensive care wards, current cleaning should be performed 2 times, in therapeutic wards - 1 time, and in wards for newborns - 3 times a day. Work must be carried out in the specified order. The algorithm for the current cleaning in the health facility is as follows:

To wash the floor reception of "two buckets" two containers are required. The first is filled with water antiseptic, the second - with ordinary tap water. Work begins with washing the floor with a cleaning cloth soaked in the first container, then the rag is rinsed in the second container and used to re-wash the same area of the floor.

To control the operation of germicidal lamps, it is necessary to keep a log book. After the end of quartzing, airing is carried out. It is possible to close the windows (vents) only when the smell of ozone is completely gone.

General cleaning technology

General cleaning should be carried out according to the schedule drawn up by the head nurse and approved by the administration of the health facility. The schedule is developed with a focus on the profile of the organization and the mode of disinfection. For example, in wards for newborns, dressing rooms and treatment rooms, the procedure must be performed at least once a week, in therapeutic wards and doctors' offices - at least 1 time per month.

The procedure involves the treatment of all surfaces with disinfectant solutions, including radiators and internal window panes. The work is carried out sequentially, with it the stages of general cleaning in health facilities are observed. Before starting the procedure itself, it is advisable to empty cabinets and work surfaces, turn off existing refrigerators. The algorithm for conducting general cleaning in health facilities consists of the following steps:

The rules for general cleaning in healthcare facilities provide for the use of cleaning and disinfecting agents included in the list of recommendations from the sanitary and epidemiological supervision authorities. The day before the scheduled procedure, it is necessary to sterilize the rags.

Carrying out current and general cleaning in medical facilities is an integral part of work in organizations of this purpose. The medical staff must strictly follow all the instructions, because the correct cleaning contributes to the preservation of people's health.

General cleaning rules

It is carried out under the supervision of a senior medical officer. sisters of the department, sisters of the hostess. General cleaning (washing and disinfection) of the operating unit, procedural, dressing, resuscitation and postoperative wards, dental office, CSO. Buffet - dispensing and other rooms that require aseptic mode, is carried out 1 time in 7 days.

General cleaning of the premises of ward departments and other functional premises and offices is carried out according to the approved schedule at least 1 time per month and on an epidemiological basis. indications (in case of an infectious disease).

Stages of general cleaning:

Wear a special clothing: dressing gown, headgear, gloves, mask (respirator).
Move the existing furniture and equipment in the room to provide free access to the panels (walls) and skirting boards.
Open window, transom
Wipe the surfaces of furniture, walls to the height of their color (to the height of the existing tiles) with detergents (soda, soap) to remove mechanical and other contaminants in order to more effectively affect the treated surfaces of the disinfectant. Then the room (floor, walls), equipment is wiped with rags abundantly moistened with one of the disinfectant solutions.
Turn on the germicidal lamp for 60 minutes.
Wear clean sanitary clothing (gown, gloves, mask). Wash off des. solution with a clean (sterile) cloth moistened with tap water.
Turn on the bactericidal lamp again for 30-60 minutes
Ventilate the room for at least 30 minutes.
Mark the date of the general cleaning, indicate the disinfectant used. means and its% concentration, time of quartzization in the "Journal of accounting for general cleaning" and "Journal of accounting for the operation of a bactericidal lamp"
Disinfect used cleaning equipment and rags.

6% hydrogen peroxide with 0.5% detergent solution 60 minutes
0.2% solution of Javel-Solid or Deochlor 60 min
Sulfochlorantin D 0.2% solution 60 minutes
2.3% Defect solution 60 min
2% solution of Dulbak DTB/L 45 min
1% Lizafin solution 60 min
0.5 Lizafin-special solution 60 min

Compiled based on:

Order of the MOHSSSR No. 720 dated July 31, 1978 (p. 5.20) “On improving medical care patients with purulent surgical diseases and strengthening measures to combat nosocomial infection.
Order of the Ministry of Health of the Russian Federation No. 345 of November 26, 1997 "On improving measures to prevent nosocomial infections in obstetric hospitals."
San PiN 5179-90 "Sanitary rules for the design, equipment and operation of hospitals, maternity hospitals and other medical hospitals" (clause 9.2).
B.M. Taits, L.P. Zueva "Infection control in healthcare facilities" St. Petersburg, 1998
Guidelines for the use of des. funds.

JOURNAL

accounting for general cleaning

INSTRUCTIONS

on the use of ultraviolet germicidal radiation for the disinfection of air and surfaces in rooms (compiled on the basis of the guide R. 3.1.638-98 "Use of ultraviolet germicidal radiation for the disinfection of air and surfaces in rooms").

Ultraviolet bactericidal radiation is an effective preventive sanitary and anti-epidemic agent aimed at suppressing the vital activity of organisms. in air and on surfaces. It is one of the tools to reduce the spread of infectious diseases and complements the mandatory compliance with current regulations. sanitary norms and rules for the arrangement and maintenance of premises.

Operational, preoperative sterile areas of the CSO, wards for premature and injured children.

Dressing rooms, milk rooms, intensive care units, non-sterile areas of the CSO.

3. The calculated norm of the volume of the disinfecting room per one irradiator in cubic meters is as follows: - for the irradiator with a DB-30-1 lamp 30 cubic meters, for the irradiator with a DBM-30 lamp 45 cubic meters

4. Lamp life is: for DB30-1-5000 hours, for DBM-30 - 800 hours.

5. As the lamps work, the bactericidal flux decreases to compensate for this, after the expiration of 1/3 of the nominal service life, the duration of exposure increases by 1.2 times; after 2/3 of the term - 1.3 times

6. Care of the bactericidal irradiator is carried out after disconnection from the power supply:

at least once a month, wipe the outer surfaces with a damp soft cloth with a 3% hydrogen peroxide solution with the addition of 0.5% Lotus detergent; reflector - with a dry soft cloth; lamp with a cloth soaked in alcohol.

The instruction is based on:

Guidelines "Use of ultraviolet germicidal irradiation for disinfection of air and surfaces in rooms" Р.3.1.638-98
Operation manuals for bactericidal irradiators OBN-01, OBN-15-01

Rules for the current cleaning

Wet cleaning of premises (washing floors, wiping furniture, equipment, window sills, doors, etc.) is carried out at least 2 times a day, more often if necessary, using detergents (soap and soda solutions) and disinfectants.

The use of powdered synthetic detergents for wet cleaning of premises is not allowed.

All cleaning equipment must be clearly labeled indicating the premises and types of cleaning work, used strictly for its intended purpose and stored separately.
^

Cleaning kit

Buckets for mopping the floor

Basins (pans) for washing panels

Mops for cleaning panels (walls) and floors

Rags for washing panels and for mopping the floor

Ruffs for washing and disinfecting toilet bowls.

Separate cleaning equipment (buckets, basins, mops, rags) is allocated for cleaning in the operating room, postoperative, resuscitation wards, treatment room, canteen - dispensing room, wards, corridor, toilet (sanitary room).

Rules for processing cleaning equipment after use

Disinfection with the use of disinfectants and the required exposure.
Rinsing in running water
Mandatory drying
Proper storage.

Base:

San Pin 5179-90 (clause 9.1)
Order No. 720
Order No. 288 of the MHSSSSR dated 03/23/76