Procedure Room - Infection Control
The procedure suite will provide a clean environment for
PROCEDURE ROOM TECHNIQUE
Attention: Products used for disinfecting and environmental
cleaning are appropriate to the task and EPA rated as
germicide; antimicrobial, antibacterial, antiviral,
antifungal, and tuberculocidal.
1. Daily prior to first case, all flat surfaces of
tables, equipment, lights, and counter tops in
procedure room and utility room are damp dusted with
germicide. Assure that the germicide is left on the
surfaces for the proper amount of time to achieve low
level disinfecting; see the manufacturer's
2. Throughout the procedure:
a. Traffic is kept to a minimum and doors are closed
b. Proper attire shall be worn by all persons.
c. Procedures shall be performed utilizing the
appropriate level of aseptic technique.
d. Gloves are worn when handling contaminated objects
e. Visibly and potentially soiled gloves are not worn
when handling clean items.
f. Goggles are available for all personnel,
3. Following the procedure:
a. Disposable gowns and gloves are removed prior to
leaving the procedure room.
b. All contaminated equipment is placed in one area
for processing in the routine manner.
c. Sharps are disposed of in the routine manner
d. Housekeeping: Standard precautions must be
strictly adhered to. Use of facility accepted
germicidal for cleaning between cases as per
routine. Linen will be placed in laundry bag,
trash discarded in routine manner. Regulated waste
discarded in routine manner.
Cleaning should be performed on a regular basis to reduce the
amount of dust, organic debris and microbial load in surgical
environments. Operating rooms should be cleaned before and
after each surgical procedure and the end of each day.
Cleaning also may be necessary during any surgical procedure.
The ultimate responsibility for ensuring a clean surgical
environment rests with the peri-operative personnel.
The staff working within cleans the operating room. All
horizontal surfaces in the OR should be damp dusted before
the first scheduled surgical procedure for the day with a
clean lint free cloth moistened with an approved
disinfectant/germicide. Equipment from other areas brought
into the OR must be cleansed in the same manner.
For subsequent surgical procedures, between-procedure
cleaning is performed. The floor, if contaminated, is mopped
with 10% bleach solution or appropriate germicide, with a
clean mop head. The operating room tables, back tables,
Mayo, stand, OR lights and all equipment brought into the
operating room are cleansed with a lint free cloth damped
with organization approved germicide. Assure that the
germicide is left on the surfaces for the proper amount of
time to achieve low level disinfecting; see the
manufacturer's instructions. The same method is used for
dusting other electrical equipment and surfaces. If
contamination occurs, the equipment within the operating room
is decontaminated following the manufacturer' instructions.
Suction bottles are emptied into the regulated waste system.
All used disposable sharps are considered infectious waste.
They must be placed in designated puncture resistant
containers that have a biohazard label.
All instruments must be transported to the utility area in
covered boats, trays or closed washable carts.
Spills of contaminated debris in areas outside the surgical
field should be removed as promptly as possible. Gloves and
other personal protective equipment should be utilized as
appropriate. Small spills (less than 10 ml) should be
cleaned and disinfected with organization approved germicide
chlorine bleach in a 1:100 dilution. Large spills (greater
than 10 ml) must be disinfected with a 1:10 chlorine bleach
solution. Bleach solutions must be prepared daily.
Contaminated disposable patient care items should be
discarded in a leak-proof, tear resistant regulated waste
container. Staff handling contaminated items should wear
gloves, gowns, and/or other protective attire as appropriate
to the task.
Preparation of the OR should include visual inspection for
cleanliness before anything is opened or brought in for the
Patient transport vehicles including straps and attachments
should be cleaned after use with a cloth moistened with an
organization approved germicide.
The recovery rooms are cleansed in the same manner as above.
Instruments are transferred to the decontamination area in
covered boats, trays, or washable carts.
The instruments are soaked in an enzymatic detergent,
brushed, flushed, etc and then rinsed. The sets are wrapped
with sterilization indicators and autoclaved according to the
settings for the individual autoclave.
The exam room instruments are washed and sterilized in the
same manner as above.
The toilet and walls should be wiped with a germicidal wipe
or 10% bleach solution as needed. The floor may be mopped
with a dilute Clorox solution (1:10).
Personal Protective Equipment
The use of heavy gauge vinyl gloves during all cleaning
procedures is standard practice. Since there is a
possibility of splashing while cleaning, the use of goggles
and mask are mandatory.
All areas and equipment in the surgical practice setting
should be cleaned according to an established schedule.
Areas and equipment to be cleaned should include, but are not
a. Ducts and filters,
b. Air-conditioning equipment
c. Return ventilation and heating grills
d. Recessed ceiling racks for overhead lighting
e. Closets, cabinets, and shelves
g. Sterilizers and refrigerators,
h. Walls, ceilings and
i. Offices, lounges, lavatories
Approved By Governing Board