Lysol Disinfecting Wipes to-Go Pack, Lemon Scent, 15 ct (Pack of 3)
DISINFECTION
Disinfection is a set of measures aimed at the destruction of pathogenic and conditionally pathogenic microorganisms in environmental objects . Thus, disinfection interrupts the transmission of nosocomial infection to patients and / or medical staff and is applied to the premises of health facilities, medical equipment, patient care items and tools. When disinfecting, spore forms of bacteria can persist.
Reusable medical products that have not had contact with blood, a wound surface, or injection drugs are only disinfected and rinsed twice.
Instruments that have come into contact with blood, wound surfaces, or injectables are not only disinfected, but also sterilized.
Disinfection is prophylactic (carried out to prevent the spread of infectious diseases) and focal ( final - after removing the source of infection, and the current - in the presence of the patient, with the aim of immediate destruction of the infectious agent).
Disinfection methods:
1) mechanical - wiping with a clean cloth, washing with hot detergent solutions, vacuuming, ventilation, ventilation, washing;
2) physical - exposure to high temperature (burning, calcining, boiling, treatment with hot dry air, treatment with saturated water vapor under pressure), drying, ultraviolet irradiation;
3) chemical - the use of antiseptics and disinfectants;
4) combined (for example, wet cleaning of premises with the use of chloramine and subsequent ultraviolet irradiation).
PREPARATION OF WASTE
Traditionally, a solution of chloramine is used to disinfect premises and furnishings. For dilution of solutions it is necessary to have a 10-liter tank (enameled or aluminum tanks with a lid), a measuring tank, a wooden paddle. First prepare a 10% clarified solution: 1 kg of chloramine is dissolved in a small amount of warm water and water is added to 10 liters. The solution is stored in a dark place, because in the light chloramine, decomposing, loses its disinfecting properties. This solution is called mother liquor and is used to prepare working solutions of the required concentration:
0.5% solution = 50 ml of 10% solution + 950 ml of water
1% solution = 100 ml of 10% solution + 900 ml of water
3% solution = 300 ml of 10% solution + 700 ml of water
5% solution = 500 ml of 10% solution + 500 ml of water
The shelf life of the solution - 15 days
At present, various means of disinfection and sterilization of various physicochemical actions are used: halide-containing (bleach, chloramine B, iodonate, gavel), oxygen-containing (hydrogen peroxide 3-30%, Pervomore, deoxone), aldehyde-containing (formaldehyde, gigasept, sidedex), alcohols (ethyl alcohol, aseptinol), phenol-containing (carbolic acid, lysol), quaternary ammonium compounds (septodor, vegasept). The concentration when using them is calculated by analogy with a bleach solution of standard concentration.
Disinfectants are stored in a dark, dry, cool and well-ventilated area on shelves, in a tightly closed container.
RULES FOR CLEANING ROOMS
Ensuring the sanitary and hygienic regime in the department provides for a thorough cleaning of the premises . In the departments of the surgical profile, only wet cleaning is carried out. The nurse is cleaned by a nurse, and the corridor and utility rooms are cleaned. Cleaning is done with a brush, mop, rags moistened with disinfectant solutions. In cases where mothers are admitted to the ward to help the younger staff, their functions and nursing staff are coordinated by the elder sister.
GENERAL RULES OF SANITARY AND HYGIENIC CLEANING OF PREMISES
Disinfection object Sanitation Used disinfectants Multiplicity
CHAMBER: - current cleaning floor cleaning 0.5% solution of chloramine 2 times a day
wiping horizontal surfaces of furniture, equipment, radiators and heating pipes 0.5% solution of chloramine Once a day, individually - before hospitalization
ventilation 3 times 10 minutes
- bedding disinfection of mattresses, blankets, pillows centrally in the chamber after each patient
- linens dirty laundry is collected in special oil bags or linen carts centralized (laundry laundry) At least 1 time in 7 days and as pollution
CHAMBER: - general cleaning cleaning floors, walls, wiping doors and door handles, horizontal and vertical surfaces of furniture, equipment, cleaning the top of walls, ceilings and ceilings from dust 1% solution of chloramine Once a week or after discharge of all patients
quartz treatment UFO irradiator 20 minutes
CHAMBER: - focal disinfection wet room cleaning and care products 1% solution of chloramine or 3% solution for hepatitis in identifying an infectious disease
quartz treatment UFO irradiator 20 minutes
WINDOW wiping the glass inside liquid MS 1 time per month
wipe windows outside liquid MS 1 time in 3 months
CORRIDOR floor cleaning 0.5% solution of chloramine 2 times a day
wipe panels 0.5% solution of chloramine Once a week
WORK CABINETS cleaning liquid MS solution daily
spring-cleaning 0.5% solution of chloramine 1 time per month
PROCEDURE (dressing room): - pre-cleaning wet processing of horizontal surfaces 1% solution of chloramine before starting work
quartz treatment UFO irradiator 20 minutes
- current cleaning (after each patient) disinfection of oilcloths on dressing tables, couches, aprons 1% solution of chloramine, 2-fold rubbing with an interval of 15 minutes or soaking for 30 minutes
disinfection of oilcloths on dressing tables, couches, aprons when contaminated with blood 3% solution of chloramine
- final cleaning wet processing of horizontal surfaces 1% solution of chloramine after the end of all dressings
quartz treatment UFO irradiator 20 minutes
- spring-cleaning damp cleaning with clearing of the room from the equipment and furniture, rubbing of all horizontal and vertical surfaces 1% solution of chloramine, activated with 10% solution of ammonia, or 6% hydrogen peroxide with 0.5% solution of MS Once a week
quartz treatment UFO irradiator 2 hours
DINING ROOM - current cleaning soaking dishes 3% solution of chloramine after using
washing dishes hot water
sterilization of dishes 1 h at t 180 ° С
rags for washing dishes 2% soda solution boiling 15 minutes
3% solution of chloramine 60 min
room cleaning 1% solution of chloramine after each distribution of food
- spring-cleaning washing walls, lighting; disinfection of premises 1% solution of chloramine B Once a week
SANITARY-TECHNICAL EQUIPMENT (SINKINS, BATHTUBS, TOILETS) wiping baths and sinks twice with a moistened rag with an interval of 15 minutes 1% solution of chloramine or MS "Sanita", "Gloss" after each patient
soaking vessels (urinals) in disinfecting solution for 60 minutes, rinsing under hot water 1% solution of chloramine after each use
toilet bowl treatment 1% solution of chloramine daily
INVENTORY cleaning soaking in a decontamination solution for 60 minutes, followed by washing and drying 1% solution of chloramine after each use
OPERATIONAL - pre-cleaning wet processing of horizontal surfaces 1% solution of chloramine before starting work
quartz treatment UFO irradiator 30 min
- current cleaning disinfection of the surface of the operating table 1% solution of chloramine, 2-fold wiping at 15 min intervals
disinfection of the surface of the operating table when contaminated with blood 3% solution of chloramine
- final cleaning wet processing of all horizontal surfaces with the release of space from the equipment 3% solution of chloramine after the end of all operations
quartz treatment UFO irradiator 2 hours
- spring-cleaning damp cleaning with clearing of the room from the equipment and furniture, rubbing of all horizontal and vertical surfaces 5% solution of chloramine, or 6% hydrogen peroxide with 0.5% solution of MS; aging 60 min 1 day a week
quartz treatment UFO irradiator 2 hours
PROCEDURE FOR CLEANING IN THE SURGICAL PROFILE DEPARTMENTS
(Order of the Ministry of Health No. 720)
1. A bed, a bedside table are wiped with a cloth moistened with disinfecting solution.
2. Bed is covered with bedding that has undergone chamber treatment. Disinfecting of bedding (mattress, blanket, pillow) is performed in a de-chamber using steam-formalin or vapor-air method after discharge of each patient.
3. Change of underwear and bed linen is made 1 time in 7 days or in process of pollution. After the change of linen is wet cleaning with chloramine
4. Sorting of dirty linen is made in a special room, packed in specially labeled cotton bags.
5. The patient is given individual items of care that, after use, are immediately removed from the ward and washed thoroughly.
6. Cleaning of chambers and corridors is done at least 2 times a day in a wet way. Disinfection is carried out after a change of linen and in the event of nosocomial infection.
7. Unauthorized movement of patients from ward to ward and entry to other departments is strictly prohibited.
SANITARY AND HYGIENIC REGIME
IN THE DEPARTMENT OF PURULENT SURGERY
1. It is necessary to have sponge or foam mats moistened with a 1% solution of chloramine at the entrance to the department, to the treatment room, dressing room, operating room,
2. The medical staff of the department of purulent surgery works in the department in removable coats, masks, caps. Upon termination of work change of dressing gowns, masks, hats is made.
3. Hand treatment after examining a patient with a purulent-septic disease or wound treatment is performed using disinfectants (80% ethyl alcohol or 0.5 alcohol chlorhexidine solution) - apply 3-5 ml on the palmar surfaces of the hands and rubbed for 2 minutes ; or rinse hands in the pelvis with 1% chloramine for 2 minutes.
4. Cleaning corridors and wards for patients with purulent-septic diseases is carried out 2 times a day in a wet manner with the obligatory use of 1% of the solution of chloramine
5. In the wards establish ultraviolet germicidal irradiators of the closed type.
6. Cleaning of treatment rooms, intensive care units, emergency rooms is carried out in a wet manner using 1% solution of chloramine B
7. Quartz treatment mode procedural, dressing - every 6 hours for 15 minutes, airing - 15 minutes
DISINFECTION WHEN IDENTIFYING INFECTIOUS DISEASE
When an infectious disease is detected, wet cleaning of the chamber and care products is performed using 1% of the solution of chloramine (3% of the solution for hepatitis). When the diagnosis is confirmed and the patient is transferred to the infectious diseases ward in the ward, final disinfection is performed with 0.5% chloramine solution with obligatory processing of bedding in the dekammer.
DISINFECTION OF PREMISES AND SUBJECTS.
2 times wiping with a cloth soaked in solution
1. Chloramine B 1% solution, or
2. chloramine B 0.75% solution with 0.5% detergent
3. hydrogen peroxide 3% with 0.5% detergent
DISINFECTION OF BATHTUBS, SHELLS, ETC.
surface 2 times, with an interval of 10-15 minutes, wipe with a cloth moistened with solution
1. Chloramine B 1% solution
2. chloramine B 0.75% solution with 0.5% detergent
3. hydrogen peroxide 3% with 0.5% detergent
4. detergent-disinfectants Sanita, Gloss 0.5 g per 100 cm 2
SANITARY AND HYGIENIC MODE IN BUFFET
1. food delivery is made by barmaid or nurse on duty in lab coats labeled “to distribute food”
2. after each distribution of food, the premises are cleaned with 1% r-rum of chloramine in lab coats with appropriate marking
3. cleaning equipment must be labeled "for dining" and after use is disinfected in 1% of the solution of chloramine B - 60 minutes, followed by washing and drying
4. the dishes are treated with a 3% solution of chloramine or boiled for 15 minutes
5. A cloth for washing dishes and wiping tables at the end of cleaning is dumped into a container and boiled in 2% soda solution for 15 minutes or disinfected in 0.5% solution of chloroamine B for 60 minutes
6. the staff of the cafeteria should disinfect hands with 0.5% of p-rum chloramine B within 2 minutes
SANITARY REQUIREMENTS FOR CONTENT AND USE
CLEANING TOOLS
1. Marking (number of department, name of the room)
2. Separate storage of equipment for cleaning different rooms
3. After use - disinfection in 1% p-re chloramine B - 60 min, followed by washing and drying
OPERATING UNIT CLEANING,
WRENCH AND MANIPULATION CABINETS
Cleaning the operating room includes five types of it.
1. Pre-cleaning is done in the morning before work begins. Rags moistened with dezrastvorom (1% chloramine, 3% hydrogen peroxide with a 0.5% solution of detergent, etc.), wipe all horizontal surfaces: large and small operating tables, the surface of the equipment, window sills. Then the floors are washed using disinfectants. The operating room is closed and the germicidal lamp is turned on for 30 minutes.
2. Current cleaning is performed during the operation. Remove the dressing material and tools that fell on the floor. When the floor is contaminated, as well as blood vessels, pus, and washing fluid, this area is immediately wiped with a clean cloth moistened with a 3% solution of chloramine or its equivalent disinfecting solution.
3. Postoperative cleaning is performed in the intervals between operations, after sending the patient from the operating room. Take out used linen, dressing, tools. Nursing at the same time must be in rubber gloves, tools shift the forceps. The operating table is wiped with a disinfecting solution and covered with a clean sheet.
4. Final cleaning is performed at the end of the working day, after the end of operations. Used linen, dressings, instruments, bixes, etc. are taken out of the operating room. Roll out anesthesia machines and other equipment. Wipe with rags, abundantly moistened with disinfecting solution, all horizontal surfaces. They clean the floor with a disinfecting solution, turn on bactericidal lamps for 2 hours. They take out the garbage after disinfection. All cleaning is carried out in rubber gloves.
5. Spring-cleaning is carried out once in 7 days. Operating whenever possible free from furniture and equipment. The premises are pre-cleaned using detergent solutions to remove mechanical and other contaminants in order to more effectively affect the treated surfaces of the disinfectant.
As a rule, heaters in operating rooms are manufactured in the form of pipes or plates, rather than radiators, “accordions”, and are placed 25-30 cm from the wall, which makes cleaning the space between them and the wall accessible. Then the room (floor, walls) and equipment are wiped with a cloth that is abundantly moistened with one of the decontamination solutions: 5% chloramine solution, 6% hydrogen peroxide with 0.5% detergent, at a rate of 200 ml / m 2 of the treated surface. When using solutions of hydrogen peroxide and chloramine for irrigating surfaces, it is possible to use spray equipment. Disinfection time is 60 minutes. After exposure, the surfaces are wiped with a sterile cloth.
Efficient washing of large surfaces using the two-bucket method. Container No. 1 is filled with a washing or disinfecting solution, container No. 2 is filled with clean water. The cleaning rag is moistened in the solution number 1 and wipe the area 2-3 m 2 . Then the cloth is rinsed in tank No. 2, squeezed, re-impregnated in tank No. 1, and new areas are washed. The water in tank No. 2 is changed as it is polluted, in tank No. 1, after cleaning, 60 m 2 .
It should be borne in mind that with prolonged use of the same disinfectant, the resistance of microorganisms to it increases, so disinfectants should be periodically changed.
After disinfection, the room is irradiated with ultraviolet light (direct or reflected), including wall and ceiling bactericidal irradiators OBN-200 or OBN-350 (one irradiator per 30 m 3 ) for 2 hours.
Staff during the general cleaning uses clean bathrobes, shoes, gauze masks, oilcloth aprons, gloves. All cleaning equipment (buckets, basins, rags, mops) must be clearly marked and used strictly for the purpose.
General cleaning is carried out according to the schedule, the elder sister of the department is responsible.
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