Main operating room environmental cleaning checklist
Aorn guideline audit tool: environmental cleaning main or (3-7)
What does this form include?
This form contains 11 sections:
Precautions
- Wears personal protective equipment
- Follows standard precautions when cleaning
- Wears proper respiratory protection if cleaning procedures are expected to generate infectious aerosols
- Cleans and disinfects surfaces or equipment as soon as possible when there is visible soiling by blood, body fluid, or other potentially infectious materials
Room number
Damp Dusting
- Inspect OR for cleanliness before case carts, supplies, instruments, and equipment are brought into the room
- Damp dusts all horizontal surfaces before the first scheduled surgical or other invasive procedure of the day
- Performs damp dusting methodically from top to bottom
- Uses a clean, low-linting cloth moistened with an EPA-registered hospital-grade disinfectant
Providing a Clean, Safe Environment
- Cleans the environmental surfaces with a detergent prior to disinfection, according to the manufacturer's IFU
- Labels the cleaning container with the chemical name, concentration, and expiration date if the chemical is removed from the original container
- Follow manufacturer's IFU for the dwell time of the disinfecting chemical
- Does not use the spray or misting methods
- Cleans progressing from clean to dirty areas
- Cleans progressing from top to bottom areas
- Cleans clockwise or counter-clockwise in conjunction with clean-to-dirty and top-to-bottom methods
- Does not use dry methods of cleaning, such as sweeping
- Cleans and disinfects noncritical items (safety belt, positioning devices) after contact with the floor
- Does not return used cleaning materials to the cleaning solution container
- Cleans reusable protective barriers
- Discards disposable cleaning materials after each use
- Changes reusable cleaning materials after each use
Post Procedure Cleaning
- Cleans and disinfects reusable noncritical, nonporous surfaces (mattress covers, pneumatic tourniquets cuffs, blood pressure cuffs) after each patient use
- Cleans and disinfects high-touch objects after each patient use
- Cleans and disinfects operating and procedure rooms after the patient has left the area
- Removes trash and used linen before beginning environmental cleaning
- Cleans and disinfects items that are used during patient care after every patient use
- Cleans and disinfects items that are used during a surgical or invasive procedure
- Cleans and disinfects the floors and walls of the OR and procedure rooms, if soiled or potentially soiled, after each surgical or invasive procedure
Terminal Clean Sample #1
- Terminally cleans and disinfects perioperative areas daily when the areas are being used and according to facility policy and procedure
- Disinfects all floors in the perioperative and sterile processing areas
- Terminally cleans floors with either a wet vacuum or a single-use mo and a disinfectant
- Cleans from the cleanest to the dirtiest areas of the floor
- Disinfects floors surfaces at the perimeter of the room before floor surfaces in the center of the room
- Disinfects the entire floor surface, including areas under the OR bed and mobile equipment
- Terminally cleans and disinfects all exposed surfaces, including wheels and casters of all items
- Uses a checklist and documents that terminal cleaning was performed
Terminal Clean Sample #2
- Terminally cleans and disinfects perioperative areas daily when the areas are being used and according to facility policy and procedure
- Disinfects all floors in the perioperative and sterile processing areas
- Terminally cleans floors with either a wet vacuum or a single-use mo and a disinfectant
- Cleans from the cleanest to the dirtiest areas of the floor
- Disinfects floors surfaces at the perimeter of the room before floor surfaces in the center of the room
- Disinfects the entire floor surface, including areas under the OR bed and mobile equipment
- Terminally cleans and disinfects all exposed surfaces, including wheels and casters of all items
- Uses a checklist and documents that terminal cleaning was performed
Terminal Clean Sample #3
- Terminally cleans and disinfects perioperative areas daily when the areas are being used and according to facility policy and procedure
- Disinfects all floors in the perioperative and sterile processing areas
- Terminally cleans floors with either a wet vacuum or a single-use mo and a disinfectant
- Cleans from the cleanest to the dirtiest areas of the floor
- Disinfects floors surfaces at the perimeter of the room before floor surfaces in the center of the room
- Disinfects the entire floor surface, including areas under the OR bed and mobile equipment
- Terminally cleans and disinfects all exposed surfaces, including wheels and casters of all items
- Uses a checklist and documents that terminal cleaning was performed
Sterile Processing Areas-Centercore (pods)
- Terminally cleans and disinfects sterile processing areas daily when the area is being used
- Cleans the clean work areas (packaging areas, sterile storage areas) before the dirty work areas (decontamination area)
- Damp dust all horizontal surfaces (sterilizers, countertops, shelving) daily
- Does not commence terminal cleaning when personnel are actively decontaminating instruments
- Cleans disinfects all work surfaces and high-touch objects
- Removes trash from receptacles in sterile processing areas when they are full, but at least daily
Cleans areas and items that are not terminally cleaned on an established schedule:
- Sterile storage areas
- Shelving and storage bins
- Corridors, including stairwells and elevators
- Walls and ceilings
- Privacy curtains
- Pneumatic tubes and carriers
- Sterilizer and loading carts
- Sterilizer service access rooms
- Unrestricted areas lounges
- Waiting rooms, offices
- Environmental services closets
- Cleans ventilation ducts, linen chutes, refrigerators, ice machines, sinks, wash basins, aerators, and faucets on a schedule per facility policy and procedure
Enhanced Cleaning Procedures, if applicable
- Follows enhanced environmental cleaning procedures on high-touch surfaces after care of patients who are infected or colonized with multi drug-resistant organisms
- In addition to high-touch surfaces, cleans and disinfects objects cleaned as part of routine cleaning, after the patient leaves the room or area
- In addition to standard precautions, wears a gown and gloves
- Uses and EPA-registered disinfectant that is effective against C-difficile to clean following the care of patients diagnosed with or suspected of infection with C-difficile
- Does not clean rooms following the care of patients diagnosed or suspected of infection with an airborne transmissible disease (tuberculosis) until a complete air exchange occurs or wears respiratory protection (N95 mask)
- Follow procedures for environmental cleaning after contamination with high-risk tissue per policy and procedure
- Performs cleaning and disinfection of environmental surfaces to remove dust and debris caused by construction, renovation, remediation, repair, or demolition, if applicable, per policy and procedure
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