Uploaded bySARIKA M L
Providing safe and clean environment
This document discusses providing a safe and clean hospital environment. It emphasizes the importance of hospital cleaning in reducing contamination and exposure to pathogens. It outlines the roles and responsibilities of nurses and cleaning staff in daily, weekly, monthly and quarterly cleaning. Specific areas that require cleaning are identified. The document also discusses preventing accidents and infections in the hospital. It provides steps to improve patient safety and the role of nurses in maintaining a safe environment through cleaning, disinfection, and ensuring optimal conditions. Common disinfectants used in hospitals are also listed.
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Providing safe and clean environment
- 1. Providing safe andclean environment BY SARIKA M L TUTOR SUM NURSING COLLEGE SIKSHA O ANUSANDHA DTU BHUBANESWAR
- 2. Introduction Hospital cleaning Patient safety in hospital Reduction of physical hazards: fire and accidents Steps to improve safety Role of nurse in safe and clean environment Care of patient unit Disinfection of the unit Safety devices, comfort devices Bed making
- 3. Hospital cleaning Forsafe and clean envt To reduce the cross contamination and exposure to the unknown pathogen Team wok Nursing and the cleaning staff Depending on the time, size, availability of the staff
- 4. Daily Nursing station Equipments used daily: BP machine, stethoscope, surgical equipments Peri operative work areas Phone, door, door handles Patient bed, side rack Floor: sweep, brushed and mopped Bathrooms Disposal of dirty water Staff rooms Waste disposal areas
- 5. Weekly Sterilizers andanesthetic machines Walls and windows Surgical equipments
- 6. Monthly Dust cleaninside cupboards and shelves Bed and trolley wheels
- 7. Quarterly Window curtains Curtain dividing patient beds Fabric chairs
- 8. Patient safety inhospital Reduction of physical hazards: fire and accidents Preventive measures for the occurrence of fire Implement the hospital policy Material used for the building should be incombustible or flame proof Fire proof equipments Electrical devices, equipments should use according to the manufacturer instructions. Keep the refrigerator safely Safe operation and good maintenance of electrical equipments
- 9. Proper facilityfor the handling of the linen Installation of automatic fire detection devices and alarm system Internal fire alarm system Effective communicative system All elevators should have the alarm system No smoking sign must displayed in areas where the patient on oxygen therapy
- 10. Prevention of accidentsin hospital Policy regarding the prevention of hospital hazards Health care professional should know about the policy Provide safe working area to the patient Report the accidents to the committees No slippery items use in floors Floor should clean, mop and dry regularly Safety measures like; side rails, restraints should use properly
- 11. Prevention of centralline associated blood stream infections Wash your hands Barrier precautions Clean the skin with chlorhexidine Avoid femoral lines Remove unnecessary lines
- 12. Prevention of VenousThrombo Embolism Make VTE protocol
- 13. Limit the shiftduration for health care professionals To avoid mistakes Provide enough rest
- 14. Working witha patient safety organization Good hospital design principles Measure the hospitals patient safety culture Build better teams and rapid response system
- 15. Five steps toimprove safety 1. Remove stored equipments from public areas 2. Minimize hospital room clutter(waste) 3. Eliminate or organize the area clutter 4. Assure overall cleanliness 5. Minimize auditory clutter
- 16. Role of nursein safe and clean environment General cleaning of ward and equipments Sweep and mop Antiseptic solution Ventilate the rooms Dust the wall and roof Clean the windows and roof
- 17. Furniture Bed Lockers Cupboards Bed cradles, back rest, over bed tables, chairs, stools etc Bathroom Lavatories Wash basin Cabin for sanitary wares
- 18. Vermin and insects Clean the patient unit regularly Store the food properly Use fly screens on the windows and doors Keep the garbage well covered and dispose properly
- 19. Optimum envt forthe patient Adequate lighting Maintain the atm temperature Ventilation Disposal of excreta Clean the room Free from the pollution; noise , smell, air, water
- 20. Influence of externalenvt Maintain the room temp between: 20- 22°C 1. Air movement: ventilate the rooms Velocity of the air movement should be : 15-45 ft/mt Use fans, open the windows, doors
- 21. 2. lighting Naturalor artificial Avoid direct light on the face and eyes Prevent glare Difficult to take rest if there is excess light
- 22. 3. noise Noisecauses irritability, restlessness, fatigue and exhaustion Noise due to friction can reduce by lubrication Rubber tyres can use for trolleys, wheel chairs etc Avoid dropping object Make echo proof rooms Loud talking, laughing, walking with heavy shoes can avoid in hospital
- 23. 4. Purity ofair 5. Eliminate the unpleasant odors 6. Water supply and sewage disposal 7. Esthetic factors: envt should be attractive, arrangement of rooms, wall paint color etc
- 24. Disinfection of theunit Definition Disinfectants defined as the agent or solutions used to kill or destroy the growth of microorganisms.
- 25. Common disinfectants usedare: Dettol = 1:2 to 1:100 strength Chlorhexidine = 1:100 strength Eusol = 1:80 strength Lysol = 1:40 strength Savlon = 1:20 strength (0.3%chlorhrxidine and 3%cetrimide) Phenol =1:10 to 1:20 strength Formalin = 50g/1L of water Betadine (iodine) = 1:40 strength H2O2 = 1:80 strength