How to clean and disinfect the environmental surface of ICU?

Daily cleaning and disinfection of environmental surfaces in intensive care unit (ICU) is an important part of hospital infection control measures, and the following points should be noted:

1, follow the principle of cleaning before disinfection, and adopt wet cleaning and disinfection.

2, ward and bed units should be cleaned in an orderly manner, generally from top to bottom, from inside to outside, from mild pollution to severe pollution.

3. The surface of the object. The ground is cleaned and disinfected 1~2 times a day, achieving the middle and low disinfection effect.

4. Cleaning tools should be replaced when cleaning and disinfecting in different hospital beds, and they should not be used interchangeably. Clean, disinfect and dry after use. Cleaning tools should be colored according to different areas.

5. When the surface of the object is kept clean and obviously polluted, it should be cleaned and disinfected immediately. When it is polluted by a small amount of blood or body fluids, it can be cleaned first and then disinfected, or it can be completed in one step with a disinfection towel, and it can be repeated if necessary; When contaminated by a lot of blood and body fluids, we should first use water-absorbing materials to remove pollutants from courseware, and then carry out routine cleaning and disinfection.

6. After the high-risk diagnosis and treatment activities such as sputum aspiration, the environment should be cleaned and disinfected immediately.

7. The bed rail, bedside table and bedside table should be cleaned and disinfected 1~2 times a day, and wiped with disinfectant containing 500mg/L of available chlorine or with disinfectant wipes. When conditions permit, it is recommended to use disinfectant wipes.

8. Sheets, quilts, pillowcases and curtains should be kept clean and replaced regularly. If there is blood, body fluids or excreta pollution, it should be replaced at any time.

9. When multi-drug resistant bacteria such as methicillin-resistant Staphylococcus aureus, carbapenem-resistant Acinetobacter baumannii and carbapenem-resistant Enterobacteriaceae are detected on the environmental surface, the cleaning angle frequency should be increased, and appropriate disinfectants should be selected according to different pathogens.

10. For the high-frequency parts that are difficult to clean, they can be covered with insulating film and replaced once.

1 1, contaminated wet wipes or floor towels should not be repeatedly soaked in clean water, cleaning agents and disinfectants.

12, personal protection should be done during cleaning and disinfection to avoid occupational injuries of medical staff.