Environmental Cleaning (Spills, Room Turnover, Terminal Cleaning) for Certified Perioperative Nurse (CNOR)
Included In This Lesson
Outline
Environmental Cleaning (Spills, Room Turnover, Terminal Cleaning)
Guidelines:
- The patient should be provided a clean, safe environment
- Environmental cleaning
- Cleaning procedures should be uniform throughout the OR and for all patients
- Policies and procedures should be in place that clearly identify what needs cleaning, how it should be cleaned, and what it should be cleaned with, how often it should be cleaned, and who is responsible for cleaning it. Procedure should be in place for ongoing monitoring and evaluation of processes
- Cleaning measures are needed before, during, and after surgical procedures and at the end of each day
Considerations:
- All patients should be considered to be potentially infected with bloodborne or other infectious material
- All patients should be treated with standard precautions
- Uniform cleaning practices protect from visible and invisible contamination and prevents the need for special cleaning procedures for “dirty” cases
- Patients with documented infection or suspected infection with a highly transmissible pathogen require additional precautions
- Professional and regulatory standards
- Policy and procedures for cleaning should follow CDC guidelines
- Local and state environmental regulations should be consulted before establishing guidelines for waste disposal
- EPA approved hospital disinfectant for cleaning
Nurse’s role:
- Ensure proper environmental cleaning for spills, room turnover, and terminal cleaning
- Before first case: Damp dust all horizontal surfaces
- During surgery: confine contamination, keep doors closed
- After surgery: environmental cleaning including removal of trash and laundry once the patient has left the room.
- End of day: terminal cleaning. Surgical lights and external tracks, fixed and ceiling mounted equipment, all furniture and
equipment, hands of cabinets, ventilation faceplates, horizontal surfaces, floor, kick buckets, scrub sinks - Throughout perioperative care, careful adherence to surgical aseptic principles including hand hygiene and standard precautions
Pitfalls:
- Infection control practices should focus primarily on prevention
- Transmission of infection involves a chain of events
- Prevention occurs when there is a break in the chain of transmission
Examples:
- N/A
Linchpins (Key Points):
- Perioperative patient care is based on surgical aseptic principles
- Careful adherence to these principles supports infection prevention and control
- Improves surgical patient safety and outcomes
- Infection control practices = prevention
Transcript
References
- Rothrock, J. (2019). Alexander’s Care of the Patient in Surgery (16th ed.). Elsevier Health Sciences.
- Association of perioperative Registered Nurses (AORN): Guideline Essentials (website), 2022, https://www.aorn.org/guidelines-resources/guidelines-for-perioperative practice/guideline-essentials
NCLEX
Concepts Covered:
- Circulatory System
- Emergency Care of the Cardiac Patient
- Cardiac Disorders
- Cardiovascular
- Shock
- Shock
- Disorders of the Posterior Pituitary Gland
- Endocrine
- Disorders of Pancreas
- Disorders of the Thyroid & Parathyroid Glands
- Hematology
- Gastrointestinal
- Upper GI Disorders
- Liver & Gallbladder Disorders
- Newborn Complications
- Lower GI Disorders
- Multisystem
- Neurological
- Nervous System
- Central Nervous System Disorders – Brain
- Renal
- Respiratory
- Urinary System
- Respiratory System
- Noninfectious Respiratory Disorder
- Test Taking Strategies
- Note Taking
- Basics of NCLEX
- Prefixes
- Suffixes
- Medication Administration
- Gastrointestinal Disorders
- Respiratory Disorders
- Pregnancy Risks
- Labor Complications
- Hematologic Disorders
- Fundamentals of Emergency Nursing
- Factors Influencing Community Health
- Delegation
- Perioperative Nursing Roles
- EENT Disorders
- Basics of Chemistry
- Adult
- Emergency Care of the Neurological Patient
- Acute & Chronic Renal Disorders
- Emergency Care of the Respiratory Patient
- Respiratory Emergencies
- Studying
- Substance Abuse Disorders
- Disorders of the Adrenal Gland
- Behavior
- Documentation and Communication
- Preoperative Nursing
- Endocrine System
- Legal and Ethical Issues
- Communication
- Understanding Society
- Immunological Disorders
- Infectious Disease Disorders
- Oncology Disorders
- Female Reproductive Disorders
- Fetal Development
- Terminology
- Anxiety Disorders
- Cognitive Disorders
- Musculoskeletal Trauma
- Intraoperative Nursing
- Tissues and Glands
- Vascular Disorders
- Renal Disorders
- Eating Disorders
- Prenatal Concepts
- Microbiology
- Male Reproductive Disorders
- Sexually Transmitted Infections
- Infectious Respiratory Disorder
- Depressive Disorders
- Personality Disorders
- Psychotic Disorders
- Trauma-Stress Disorders
- Peripheral Nervous System Disorders
- Integumentary Disorders
- Neurologic and Cognitive Disorders
- Integumentary Disorders
- Newborn Care
- Basics of Mathematics
- Statistics
- Labor and Delivery
- Proteins
- Emergency Care of the Trauma Patient
- Hematologic System
- Hematologic Disorders
- Developmental Considerations
- Skeletal System
- Digestive System
- Urinary Disorders
- Postpartum Care
- Basic
- Musculoskeletal Disorders
- Bipolar Disorders
- Metabolism
- Cardiovascular Disorders
- Concepts of Population Health
- Musculoskeletal Disorders
- EENT Disorders
- Postpartum Complications
- Basics of Human Biology
- Postoperative Nursing
- Neurological Emergencies
- Prioritization
- Disorders of Thermoregulation
- Writing
- Community Health Overview
- Dosage Calculations
- Neurological Trauma
- Concepts of Mental Health
- Health & Stress
- Endocrine and Metabolic Disorders
- Childhood Growth and Development
- Prenatal and Neonatal Growth and Development
- Concepts of Pharmacology
- Integumentary Important Points
- Emotions and Motivation
- Renal and Urinary Disorders
- Developmental Theories
- Reproductive System
- Adulthood Growth and Development
- Psychological Emergencies
- Growth & Development
- Basics of Sociology
- Somatoform Disorders
- Reading
- Intelligence and Language
- Oncologic Disorders
- Med Term Basic
- Med Term Whole
- Central Nervous System Disorders – Spinal Cord
- Muscular System
- Neonatal
- Learning Pharmacology
- Pediatric
- Psychological Disorders
- State of Consciousness
- Sensory System