CLEANING & STERILIZATION OF OPERATION THEATRE
Spot cleaning
• After each case
    –OT Table and surface with aldehyde-based
      preparations*/any other suitable disinfectant
      recommended concentration as per
      manufacture’s recommendation
    –Floor and sink with detergent (soap)water/
------hospital grade phenyl (black color)
• High touch surfaces in contact with body fluids
    such as surgical light, Boyles apparatus, IV
    stand, suction canisters, etc.
• Spills management with 1% hypochlorite
    solution (small spill) and 10% hypochlorite
    solution (large spill i.e. more than 10 ml)
Daily
• Thorough terminal cleaning and disinfection          Linen handling
  including door handles, light switches, all          • Soak blood soiled linen in 0.1% chlorine
  surfaces, machine equipments & floor mop               solution for 20 minutes
Twice a day                                            • No rinsing of soiled linen in patient care area
                                                         or “toilets”
• Floor and sinks with detergent (soap) water/
  hospital grade phenyl at fixed times                 • Dirty NON SOILED linen and blood soiled
                                                         linen to be transported and stored separately
• OT table, table tops and surfaces- light
                                                         in leak proof bags/containers
  shades, almirahs, lockers, trolleys with 2%
  aldehyde based preparation/any other suitable
  disinfectant
                                                       After every cleaning
Thrice a day                                           • Disinfect mops by soaking in water with
Toilets with aldehyde based high level                   0.5% hypochlorite solution for 30 minutes.
disinfectants                                            Wash with detergent and water and dry
                                                         in sunlight
Weekly                                                 • Disinfect buckets and utility gloves with 0.5
• Walls, roofs, floors, furniture and fixtures           % hypochlorite solution for 1 minute
  thoroughly cleaned/washed                            • Wash the utility gloves with soap and water
• Fogging with silver nitrate and hydrogen               and hang for drying
  peroxide. Close OT for at least 1 hour (check        • Use separate mop for surfaces and floor
  literature on chemical for quantity and duration       Separate mops for critical areas
  for closure of space). After fogging, do air
  sampling after 1-2 hours and keep records.
  Fogging is not required for an OT with a HEPA        General measures
  filtered positive pressure air supply system         • Personnel entering OT should wear OT
                                                         clothes, cap, mask, and shoes all the time
Monthly                                                • Proper occlusive clothing of OT personnel
• Air sampling should be done on monthly basis           including cap, mask, shoes/slippers and
• Air sampling method to be taken by settle plate        gown at the time of surgery
  method/other air sampling methods                    • Clean and blood soiled linen to be
• Random swab sample from surfaces and                   transported and stored separately
  disinfected areas                                    • Bio medical waste management in OT as
                                                          per guideline
Every 3 months                                         • Frequent cleaning of AC filters
Microbial water testing to be done every 3 months
and when source changed/major repairs in supply       *Aldehyde based preparation – are recommended by
                                                      guidelines for implementation of Kayakalp. Subject to
system/water related outbreak suspected               availability in the hospital.
                                                                                                        Version 2022