The CDC OR Terminal Cleaning QA Checklist ensures comprehensive disinfection and cleanliness of operating rooms, meeting infection control standards.
1
Ensure Operating Room (OR) is not in use and is safe to begin cleaning
2
Don personal protective equipment (PPE)
3
Wipe down all horizontal surfaces with an approved EPA-registered disinfectant
4
Clean all medical equipment thoroughly with appropriate disinfectant wipes
5
Clean all light fixtures, windows, monitors and screens
6
Complete high-level dusting including vents, ceiling, and light fixtures
7
Disinfect OR tables, beds, and other clinical contact surfaces
8
Ensure floors are properly mopped using a double bucket system or disposable mop system
9
Clean doors, faucets, sinks, and any other high-touch areas
10
Check for and properly discard any potentially sharp objects and biohazardous waste
11
Clean dispose of cleaning supplies and remove PPE
12
Complete hand hygiene
13
Inspect the room for any missed areas or remaining contaminants
14
Approval: Infection Control Practitioner for room cleanliness and disinfection standards
15
Record and file cleaning data, including time, date, disinfectants used, and name of cleaning personnel
16
Communicate completion of cleaning to relevant personnel, and set up appropriate signage or barriers
17
Notify the scheduling department or personnel to allow new patients or procedures
Ensure Operating Room (OR) is not in use and is safe to begin cleaning
Before starting the cleaning process, it is essential to ensure that the Operating Room is not currently in use and is safe to begin cleaning. This task plays a crucial role in maintaining a clean and safe environment for healthcare procedures. The desired result is to have a vacant and secure space ready for thorough cleaning. Are there any signs indicating the OR is occupied or any potential hazards present that need immediate attention? Have all necessary safety precautions been taken? Required Resources/Tools: - Communication device to alert relevant personnel - Safety equipment to handle any potential hazards - Knowledge of proper safety protocols
1
Yes
2
No
Don personal protective equipment (PPE)
To ensure personal safety while cleaning the Operating Room, it is necessary to don personal protective equipment (PPE). The use of proper PPE is crucial to prevent exposure to harmful substances and maintain a clean environment. What types of PPE are required for this task? Is there an inventory of PPE available? How often should PPE be replaced or inspected for damage? Required Resources/Tools: - Personal protective equipment (PPE) - Inventory of available PPE - Knowledge of proper use and replacement guidelines
1
Protective gloves
2
Protective gown
3
Protective mask
4
Protective goggles
1
Adequate
2
Limited
3
Insufficient
Wipe down all horizontal surfaces with an approved EPA-registered disinfectant
Thoroughly wiping down all horizontal surfaces with an approved EPA-registered disinfectant is essential to eliminate potential contaminants in the Operating Room. This task significantly contributes to maintaining a clean and sterile environment. What are the commonly used EPA-registered disinfectants for this task? How should the surfaces be wiped? Are there any specific instructions for hard-to-reach or delicate areas? Required Resources/Tools: - Approved EPA-registered disinfectant - High-quality cleaning cloths - Proper wiping technique knowledge
1
Lysol
2
Clorox
3
Dettol
4
Purell
5
Sani-Cloth
1
Horizontal motion
2
Circular motion
3
Back and forth motion
4
Gentle strokes
5
Other
Clean all medical equipment thoroughly with appropriate disinfectant wipes
Cleaning all medical equipment thoroughly with appropriate disinfectant wipes is important to prevent the spread of infections in the Operating Room. Proper cleaning of medical equipment ensures the safety and well-being of patients and healthcare personnel. What are the preferred disinfectant wipes for cleaning medical equipment? Are there any specific guidelines for cleaning different types of equipment? Required Resources/Tools: - Appropriate disinfectant wipes - Cleaning guidelines for different medical equipment - Knowledge of proper disinfection protocols
1
CaviWipes
2
Sani-Cloth
3
Clorox Healthcare Hydrogen Peroxide Wipes
4
Lysol Disinfecting Wipes
5
Other
Clean all light fixtures, windows, monitors and screens
Thoroughly cleaning all light fixtures, windows, monitors, and screens in the Operating Room enhances visibility and promotes a clean environment. It is crucial to maintain optimal lighting and clear screens for accurate healthcare procedures. How often should these items be cleaned? Are there any special instructions for cleaning delicate screens or fixtures? Required Resources/Tools: - High-quality cleaning cloths - Non-abrasive cleaning solutions - Knowledge of proper cleaning techniques
1
Use microfiber cloth
2
Avoid abrasive cleaners
3
Apply gentle pressure
4
Other
Complete high-level dusting including vents, ceiling, and light fixtures
Performing high-level dusting, including vents, ceiling, and light fixtures, is essential to maintain a clean and healthy environment in the Operating Room. Dust accumulation can lead to various problems, such as reduced air quality and potential allergens. How often should high-level dusting be performed? Are there any specific tools or techniques for reaching elevated areas? Required Resources/Tools: - Extension poles - High-quality dusters - Ladder or step stool - Knowledge of proper dusting techniques and safety measures
1
Extension poles
2
Ladder
3
Step stool
4
Other
Disinfect OR tables, beds, and other clinical contact surfaces
Thoroughly disinfecting OR tables, beds, and other clinical contact surfaces is crucial to prevent the spread of infections and maintain a safe environment. Proper disinfection protocols ensure the well-being of patients and healthcare personnel. Which disinfectants are recommended for disinfecting clinical contact surfaces? Are there any specific instructions for handling different types of surfaces? Required Resources/Tools: - Recommended disinfectants - High-quality cleaning cloths - Knowledge of proper disinfecting techniques
1
Quaternary ammonium compounds
2
Hydrogen peroxide
3
Bleach-based disinfectants
4
Alcohol-based sanitizers
5
Other
Ensure floors are properly mopped using a double bucket system or disposable mop system
Properly mopping the floors of the Operating Room using a double bucket system or disposable mop system is essential to maintain cleanliness and prevent the spread of contaminants. Clean floors contribute to an overall hygienic environment. What are the preferred floor cleaning systems? Are there any specific instructions for handling different types of floor surfaces? Required Resources/Tools: - Double bucket system or disposable mop system - Approved floor cleaning solution - Knowledge of proper mopping techniques
1
Double bucket system
2
Disposable mop system
3
Other
Clean doors, faucets, sinks, and any other high-touch areas
Thoroughly cleaning doors, faucets, sinks, and any other high-touch areas in the Operating Room is essential to prevent the spread of germs and maintain a clean environment. High-touch areas are prone to contamination and require regular cleaning. How often should these areas be cleaned? Are there any specific instructions for cleaning different types of surfaces? Required Resources/Tools: - High-quality cleaning cloths - Non-abrasive cleaning solutions - Knowledge of proper cleaning techniques
Check for and properly discard any potentially sharp objects and biohazardous waste
Checking for and properly discarding potentially sharp objects and biohazardous waste is essential to maintain a safe and clean environment in the Operating Room. These items pose risks to healthcare personnel and need to be handled with care. How often should these checks be performed? Are there any specific guidelines for disposing of sharp objects and biohazardous waste? Required Resources/Tools: - Sharps containers - Biohazard waste containers - Knowledge of proper disposal procedures
1
Use sharps containers
2
Follow biohazard waste disposal protocols
3
Other
Clean dispose of cleaning supplies and remove PPE
Cleaning, disposing of cleaning supplies, and removing personal protective equipment (PPE) properly ensure a clean environment and the safety of healthcare personnel. This task is essential to maintain cleanliness and prevent cross-contamination. How should the cleaning supplies be disposed of? Are there any specific instructions for removing different types of PPE? Required Resources/Tools: - Waste disposal containers - Knowledge of proper cleaning supply disposal procedures - Knowledge of proper PPE removal protocols
Complete hand hygiene
Completing hand hygiene before leaving the Operating Room is crucial to prevent the spread of germs and maintain a clean environment. Proper hand hygiene practices contribute to overall cleanliness and infection control. How should hand hygiene be performed? Are there any specific instructions for using hand sanitizers or handwashing with soap and water? Required Resources/Tools: - Access to handwashing facilities - Approved hand sanitizers - Knowledge of proper hand hygiene practices
1
Handwashing with soap and water
2
Hand sanitizing with alcohol-based sanitizer
3
Other
Inspect the room for any missed areas or remaining contaminants
Inspecting the Operating Room for any missed areas or remaining contaminants ensures that the cleaning process has been thorough and effective. This task plays a crucial role in maintaining a clean and safe environment for healthcare procedures. How should the inspection be conducted? What are the common areas that tend to be missed or prone to contamination? Required Resources/Tools: - Attention to detail - Knowledge of common areas prone to missed cleaning - Proper lighting for inspection
Approval: Infection Control Practitioner for room cleanliness and disinfection standards
Will be submitted for approval:
Disinfect OR tables, beds, and other clinical contact surfaces
Will be submitted
Record and file cleaning data, including time, date, disinfectants used, and name of cleaning personnel
Recording and filing cleaning data, including time, date, disinfectants used, and the name of cleaning personnel, is crucial for tracking cleanliness and accountability. This information provides a clear record of when and how cleaning was performed. How should the cleaning data be recorded and filed? Are there any specific guidelines for data organization and accessibility? Required Resources/Tools: - Data recording forms or software - Knowledge of proper data entry procedures - File storage system
Communicate completion of cleaning to relevant personnel, and set up appropriate signage or barriers
Communicating the completion of cleaning to relevant personnel and setting up appropriate signage or barriers ensures that everyone is aware of the cleaned status of the Operating Room. This task helps maintain a coordinated and efficient workflow. How should the completion of cleaning be communicated? Are there any specific guidelines for setting up signage or barriers? Required Resources/Tools: - Communication devices - Signage and barrier materials - Knowledge of proper communication protocols
Notify the scheduling department or personnel to allow new patients or procedures
Notifying the scheduling department or personnel about the completion of cleaning allows for the smooth transition and scheduling of new patients or procedures in the Operating Room. This task ensures proper coordination and minimizes delays. How should the notification be addressed? Are there any specific guidelines for communicating with the scheduling department or personnel? Required Resources/Tools: - Communication devices - Knowledge of proper communication protocols - Scheduling system or software