Cleaning and disinfecting

A disinfecting and cleaning program for an OR or other sterile area requires close work with many parties. These policies, procedures, schedules, training, disinfecting and cleaning regimes must be developed and in place prior to the OR opening.

These policies should meet the institution’s needs, conform to CDC and AORN recommendations and all disinfectant and cleaning chemicals are deemed appropriate for the surfaces (floor, wall or other) installed.

A very general disinfecting program could look like this;
  • General disinfecting using an Environmental Protection Agency (EPA)-registered disinfectant to remove visible dust, dirt, and debris from floors and walls.
  • Between case disinfecting using an EPA-registered disinfectant for patient-contact surfaces and for appropriate removal of visible potentially infectious materials (blood and body secretions and splashed irrigating solutions containing these materials).
  • Terminal or end-of-day disinfecting cleaning of surfaces and equipment with a disinfectant registered with the EPA.
After the disinfecting process, the floors and walls must be cleaned and rinsed well to remove any residues of harmful chemicals, disinfectants, or other potentially damaging residues and substances. This may be on less than a daily schedule however, it must be frequent enough to prevent damage to the floor and wall surfaces from disinfectants and other chemicals.
  • Make sure the floors and walls have been effectively disinfected per previously mentioned policy and procedures developed by infection control, housekeeping, and disinfectant supplier.
  • Put on clean disposable gloves prior to cleaning; utilize personal protective equipment as outlined in the facilities policies and procedures for cleaning and disinfecting.
  • Follow regular maintenance instructions.