(精编)【医学课件】 Guidelines for Environmental Cleaning教学课件.pptVIP

* * * Cleanliness remains to be defined. The literature showed that no single method of assessing cleanliness was definitive. Rather, a combination of methods, including providing immediate feedback to cleaning personnel, was the most effective means to improve compliance with cleaning procedures. Many of the studies reviewed during the process of updating the guideline isolated one cleaning procedure of interest and did not describe other cleaning procedures. For example, some studies of cleaning procedures for high-touch objects did not explain the cleaning materials, chemicals, or dilutions used. Of the studies regarding cleaning in the OR, most evaluated terminal cleaning or cleaning of high-touch objects at the end of procedures. However, the studies did not define how often items should be cleaned, as this depends on many factors, including the frequency of touch and level of contamination. * In a literature review, Havill recommended that multidisciplinary teams develop cleaning procedures as part of a bundle for best practice implementation for environmental cleaning. * In an observational study, Stiefel et al found that surfaces contaminated with MRSA were just as likely to contaminate the hands of health care workers as touching the patient’s skin. This study shows that the environment can be a reservoir for pathogens to contaminate health care workers’ hands. * In a literature review, Dancer identified that assigning responsibility for cleaning items in the perioperative setting is important to avoid having items that are missed during cleaning procedures. The team should determine which department will clean items in the perioperative setting (EVS vs Nursing). The department accepting the assignment should be trained and confident in what they are cleaning to avoid failures of cleaning related to human factors. * Before setting up for the first procedure of the day, the perioperative team should damp dust all horizontal surfaces to reduce the risk o