نظافة حجرة العمليات

1
OR cleaning ????? ???? ????????
?/ ????? ???? ??? ????? ???? ????? ??????? ?????
???????
2
???????

• 1- ?????? ??? ????? ???????? ???????? ?????
  ????????.
• 2- ?????? ??? ????? ??????? ????? ????????.
• 3- ??? ????? ??????? ? ??????? ???????.
• 4- ?????? ??? ??????? ?????? ???? ??????? ?? ????
  ???????? ? ????????? ??????.

3
?????????

• 1- ??? ???????? ???????? ????????.
• 2- ????? ???????? ????? ????????.
• 3- ????? ??????? ????? ????????.
• 4- ??????? ?????? ????? ???????? ?? ????? ???
  ??????.
• 5- ????? ???????? ????? ????????.
• 6- ??????? ??? ??????? ??????? ??? ???? (???
  ???????).
• 7- ??????? ???????? ?? ??????.

4
??? ???????? ???????? ????????

• ??????? Cleaning
• ?????? ?? ?? ?? ?? ???? ?? ??????? ? ??????? ?
  ???? ? ?? ???? ?? ???? ??????.
• ??????? Disinfection
• ????? ?????? ?? ?????????? (Microorganisms)
  )??????? ?????? ????????? ?? ???????? ???????
  ???????? ?? ??? ??????.
• ??????? ???????? Terminal cleaning
• ??????? ?????? ????? ???????? ?? ????? ???
  ??????.
• ??????? ??? ?? ????? ( ??? ???????)
• ? ???? ?? ????? ? ????? ???? ???????? ???
  ???????? ?? ??????? ??? ???? ? ??? ????? ??????
  ??????? ?????? ??????.

5
????? ???????? ????? ????????

• ??? ?? ???? ????? ????? ????? ??????? ??? ????
  ????? -

??????? ??????? ???? ???????? ( Unrestricted )
??????? ???????? (semirestricted)
????? ???????? ???????? ( Restricted )
6
??????? ??????? ???? ???????? ( Unrestricted )

• ???? ?? ?????? ??? ??????? ???????? ( ??? ????
  ?????? ???? ???????? ) ????? ??????? ???? ?????
  ?????? ????? ??????? ?????? ??????? ????? ?????
  ??????? ?????? .

7
??????? ???????? (semirestricted)

• ??????? ??????? ????? ??? ?????? ??????? ???????
  ???? ??????? ??? ?? ???? ????? ???? ???? ??????
  ?? ???? ??? ???? ??? ?????? ??? ??????? ???????
  ????? ???? ?????? ???? ???????? ? ???? ????? ?
  ??????? ? ?????? ??? ? ???? ??????? ? ????
  ??????? ?????? ? ???? ??????? ?????? ? ???????
  ???????? ? ????? ???????.

8
??????? ???????? (semirestricted)
9
From Unrestricted to Semirestricted?? ???????
??????? ????? ?????? ??? ????????
Unrestricted
Semirestricted
10
??????? ???????? (semirestricted)
11
????? ???????? OR Corridors
12
????? ???? ?????? Scrub Sinks
13
???? ??????? Sterile Processing Areas
14
????? ???????? ????????( Restricted )

• ??????? ??????? ???? ??? ?????? ??????? ????????
  ????? ???? ???? ?????? ?? ?????? ?????? ?????????
  ??????? ?? ?????? ?????? ??? ???? ???????? ?????
  ????? ?????? ?????? ??????? ??? ??????? ? ??
  ?????? ????? ???? ??????? ?????? ?????? ???????
  ???? ??? ???????? ????? ???? ?????? ?? ??????
  ??? ????? ????? ????? ???? ???? ?????? ??? ??????
  ?????? ?????? .

15
????? ???????? ????????( Restricted )

• ???? ??? ?? ???? ??????? ??????? ???? ????????
  ??? ???? ?????? ????? ??????? ??????? ????????? (
  Utility Room ) ????? ???? ??????? ??????
  ??????? ??????? ????? ???????? ?????? .
• ??? ?? ???? ???? ???????? ???? ?? ??? ????
  ???????? ???????? ???????? ???????? ????? ???
  ??????? ??????? .

16
(No Transcript)
17
????? ??????? ????? ????????
18
????? ??????? ????? ????????

• ????? ??????? ???? ?? ???? ???? ???? ???? ??
  ??????? ?????? ?? ???? ??????? ????? ????? ??????
  ????????? .
• ??? ???????? ????? ????? ????? ???????? ???
  ?????? ???????? ?? ???? ?????? ????? .
• ???? ??????? ( ??????) ???????? ???????? ????
  ???? ????? .
• ???????? ??? ?? ???? ??????? ?????? ????? ?????
  ???? ??? ?? ???? .

19
????? ??????? ????? ????????

• ??? ?? ??? ????? ??????? ?????? ????? ?????? ?
  ??????? ?? ???? ??? ??? ?????? ?????? ??? ???????
  ????????.
• ??? ???????? ???? ???????? ?????? ??????? ??? ???
  ??????? ????? ?? ?? ?? ?? ??????? ?? ???? ????? .
• ?????? ???????? ??? ??????? ??? ?? ??? ???????
  ????? ???????? ??? ?? ???? ??? ????? ??? ?????.

20
????? ??????? ????? ????????

• ?????? ???? ?????? ???? ??? ???? ?????? ??? ??
  ??? ??????? ????? ???????? ?? ????? ????? ???????
  ??? ?? ???? .
• ??? ???????? ?????? ????? ???????? ???????
  ??????? ????? ???? .
• ????? ???? ??????? ????????? ??????? ( ??????? )
  ??? ??? ?? ??? 3 ???? ?? ??? ???? ???? ???? ???
  ????? ??????? ?????? ????? .
• ????? ??????? ??????? ??? ?? ???? ?????? .

21

• ????? ???? ?????? ???????? ???????? ??? ?? ????
  ????? ???????? ????? ?????? ?? ???? ????? ???
  ???.
• ???????? ??????? ????? ?? ??????? ??????? ??? ??
  ???? ??? ??????? ?? ????? ??????? ????? ?????
  ???????
• ????? ???????? ??? ?? ??? ??????? ???? ?? ????
  ???? ??? ???? ??? ???? ?????????? ?? ????
  ???????? ??????? ???? ??? ?? ?????? .

22
????? ??????? ????? ????????

• ????? ??????? ???????? ??? ?? ????? ????? ????
  ?????
• 15 20 ????? ??? ??? ???? ????? ?????? ???? ??
  ???? ???????? ?? ??????? ??????? ????? ????
  ??????? ??????? .

23
??????? ?????? ????? ???????? ?? ????? ??? ??????

• ?? ????? ?????? ?? ???? ???????? ???? ?????
  ??????? ??????? ( ???? ????? ??? ??? ?? ?????
  ??????? ) .

????????
???? ???????
24
??????? ?????? ????? ???????? ?? ????? ??? ??????

???? ???????
???? ???????
25
??????? ?????? ????? ???????? ?? ????? ??? ??????

• ??????? ???????? ????????? ?? ???? ???????? ???
• ( Electro surgical units ) ??? ?? ???? ??????
  ??? ?????? ??? ????? ???? ????? ?? ?????? ??
  ?????? ??? ?? ???? ?????? ???? ?????? ????? ??
  ????? ???? ????? ??????? .

26
??????? ?????? ????? ???????? ?? ????? ??? ??????

???? ????????
27
??????? ?????? ????? ???????? ?? ????? ??? ??????

28
??????? ?????? ????? ???????? ?? ????? ???
??????

• ?? ?????? ???????? ?????? ???????? ??????? ??? ??
  ???? ?????? .
• ??????? ????????? ??? ?? ???? ????? ??? ??????? .
• ?? ??????? ? ??????? ???? ??? ???????? ??? ??
  ???? ????? .

29
??????? ?????? ????? ???????? ?? ????? ???
??????
30
??????? ????????Headlights
31
???? ??????? Light Source
32
??????? Monitors
33
????? ???????? OR Bed
34
????? ???????? OR Bed
35
???? ?????? Armboards
36
???? ?????? Arm boards
37
????? ???????? OR Bed
38
????? ???????? OR Bed
39
????? ??????? Suction Devices
40
????? ??????? Suction Devices
41
??????? ?????? ????? ???????? ?? ????? ???
??????

• ??????? ??? ??? ????? ???? ???? ?? ?? ????? ????
  ?? ???? ????? .
• ???????? ???? ?? ????? ????? ?????? ????? ??
  ????? ????? .

42
??????? ?????? ????? ???????? ?? ????? ???
??????

• ????? ???? ?????? ???????? ???????? ???????? ???
  ?? ???? ????? ????? ????? ???? ?????? ???? ?????
  ????? ????? ?????? .
• ????? ??????? ?????? ??? ?? ???? ?? ????? ?????
  ????? ????? ????? ?? ???? ???? ??? ?????? ????
  ??? ??????? ?????? ??????
• ??????? ??? ????? ??????? ??????? ??? ?? ????
  ????? ?? ??? .

43
??????? ?????? ????? ???????? ?? ????? ???
??????

• ????? ??????? ?????? ??? ?? ???? ????? ???????
  ??????? .
• ?? ????? ??? ????? ???? ??????? ??? ?? ??? ?????
  ??????? ???? ???? ????? ?????? ????? ?? ???? ???
  ???? ???? ????????? ?? ????? ?????? .

44
????? ????????

• ???? ? ???? ?????? ???? ???????? ??????
• ??? ????? ????? ? ??????? ???????? ???????
  ??????? ??????? ?? ????? ????? ????? ????????
  ???? ??????? ??????? ?????? ? ??? ???? ??????
  ?????? ???????.

45
(No Transcript)
46
Courtesy of Ecolab Inc.
47
(No Transcript)
48
Courtesy of Ecolab Inc.
49
??????? ??? ??????? ??????? ??? ???? (???
???????).

• ??? ???? ??????? ??????? ???? ???? ????????.
• ??? ???? ??????? ? ?????????? ??? ?????????
  ?????? ??? ????????? ?????? ???????? ??????? ???
  ?????? ?? ??????? ??? ??????? ??????? ??????
  ????? ??????? ??????? ??????.
• ??? ????????? ? ???????? ????? ????? ?? ????
  ???????? ??? ??????? ??????? ?????????.
• ??? ????? ?? ??? ??? ???? ?? ?????? ???? ???????
  ??????? ?? ???????.

50
??????? ???????? ?? ??????

• ?? ????? ??? ??????? ??? ??????? ?????? ?? ??
  ????? ??? ??????? ?????? ???? ???? ?????.
• ??? ????? ???? ??????? ??? ?????? ?? ???? ?? ???
  ????
• ?? ??????? ???? ??? ?? ????? ( ??? ?????? ??????
  ?? ????? ).
• ?? ???????? ??? ?? ???? ????? ???????? ?????? ??
  ?????? ??????? .

51

• ???? ??????? ??????? ?? ????? ??????? ??? ?? ????
  ???????? ??? ????? ???? ???? ??? ??????? ??? ??
  ?????? ?????? ??????? ?? ??? ??????? ?????? .

52
????? ??????? ??????? ??????? ????????? ??????
???????? ????????? ???? ???? ?????
53
- ????? ??????? ? ???? ?????? - ?????? ? ???????
54
??????? ?????? ??? ???????

• ??? ??????? ????? ??????? ? ??????? ?? ?????? ??
  ??????? ???? ??????? ????
• ????????.
• ????? ??????? ventilation ducts
• ????? ??????.
• ??? ????? ???????.
• ????? ????? ???????.

55
Resources

• Association for the Healthcare Environment of the
  American Hospital Association. Practice Guidance
  for Healthcare Environmental Cleaning. 2nd ed.
  Chicago, IL American Hospital Association 2012.
• Guidelines for environmental infection control in
  health-care facilities. Centers for Disease
  Control and Prevention. http//www.cdc.gov/hicpac/
  pdf/guidelines/eic_in_hcf_03.pdf. Accessed
  February 7, 2014.
• Recommended practices for environmental cleaning.
  In Perioperative Standards and Recommended
  Practices. Denver, CO AORN, Inc 2014255-276.
• Recommended practices for a safe environment of
  care part 2 In Perioperative Standards and
  Recommended Practices. Denver, CO AORN, Inc
  2014in press.
• Recommended practices for surgical attire. In
  Perioperative Standards and Recommended
  Practices. Denver, CO AORN, Inc 201449-60.
• ,Environmental Cleaning Tool Kit, AORN Foundation
  Supporting the Nurse who Makes Surgery Safe,
  ECOLAB Everywhere It Matters, copyright 2014
  ARON, Inc. All rights reversed.

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