Patient environments play a significant role in health care-associated infections (HAIs) and surgical site infections. To reduce the contamination risk, perioperative staff should use a bundled approach to perform standardised cleaning and disinfection routines. Effective yet time-efficient environmental cleaning involves identifying high-touch surfaces, as well as situations, such as the presence of Clostridium difficile, that require additional steps. Use our interactive infographic to visualise the preoperative and postoperative patient environment. The colour-coded hands guide you to areas that must be cleaned, along with a recommendation of how frequently:
Every patient: Before and/or after room turnover, perform routine cleaning of the environment at least daily. Thorough cleaning with neutral detergent and water is recommended. Disinfect all exposed surfaces.
Every patient if used: Before and/or after room turnover, perform at least daily routine cleaning and disinfection of surfaces and items that patients, visitors or staff have touched.
Enhanced: During an outbreak of infection, or an unusual increase in the incidence of a particular organism, enhanced routine cleaning (minimum twice daily) is recommended. Certain areas may require more frequent cleaning and disinfection, for example, sanitary areas during an outbreak of gastrointestinal infection.
If soiled: On surfaces where blood and/or bodily fluids are evident, general cleaning should be followed by wiping with a disinfectant at least daily. The floor is always considered dirty.
Based on: Back to Basics: Environmental Cleaning, Lisa Spruce and Amber Wood, AORN Journal