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OR3 - Controlling CDI - Operating Room Turn-Over Cleaning Training
OR3 - Controlling CDI - Operating Room Turn-Over Cleaning Training
Objectives
Review WHY the need to improve cleaning in the
OR
Clostridium difficile
Spores can exist in environment for months
Most often presents as diarrhea, can cause
Low-level disinfection
Destroys vegetative bacteria, some fungi and
viruses, not mycobacteria or spores.
Most commonly used in healthcare for
cleaning and disinfection of noncritical patient
care equipment and surfaces (bedside table).
Non-critical items: those that contact intact
skin but not mucous membranes.
Contents courtesy of Allina Health
Disinfection process
Effective cleaning is critical.
The processes are more important than products
o Need to touch the right surfaces consistently
Disinfection
Adequate amount
Enough chemical to keep surface wet for required
contact time
Adequate contact time
Amount of kill time required
Determined by testing by the U.S. EPA
Friction
Wiping the surface removes bugs
Saturation
Having enough disinfectant on a cloth to ensure that
enough chemical gets to the surface for the right
amount of time.
Contents courtesy of Allina Health
Room turn-over
Cleaning and disinfection cannot begin until after the room is
vacated unless emergent situation
Follow OR Cleaning Checklist
Clear room of contaminated items:
Surgical equipment
Equipment
Examine for damage before cleaning/ disinfecting
Remove clean equipment as appropriate
Refer to cleaning checklists for equipment surgical
services staff cleaning responsibility
Disinfect:
o Tables, instrument stands, and equipment (e.g. cables, leads,
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o
o
o
o
Environmental monitoring
Environmental monitoring- used to identify
opportunities for improving cleaning process
UV fluorescent gel
o Monitors whether the right surfaces are cleaned
ATP
o Monitors the effectiveness of the cleaning process.
Summary
C. difficile spores, MRSA, and VRE can survive
on surfaces for weeks
Thorough between case cleaning is needed to
minimize risk of transmission between
patients
Use new checklists to ensure that all items are
disinfected between cases
Contents courtesy of Allina Health