1. The cleaning procedures for Operating Suites are broken into 2 groups.
Multi-Clean
Operating Room Procedures
Introduction
The cleaning procedures for Operating Suites are broken into 2 groups.
Between Cases: When a patient procedure is completed and another is scheduled to follow.
End of Day: After all cases are completed, more comprehensive procedures are to be done.

2. Multi-Clean
Operating Room Procedures
Safety Precautions
Bloodborne Pathogens
It is likely you will encounter visible blood or other bodily fluids in the operating room. Special cleaning procedures are required when blood or other bodily fluids are present.
Blood or other bodily fluids may contain
disease causing micro-organisms (pathogens)
that can be transmitted to others that come
in direct contact.
Never pick up sharps such as discarded needles with your hands. Always use a mechanical device such as tongs to pick up the sharp and place in the appropriate container.

3. Bloodborne Pathogen Safety Precautions
Multi-Clean
Operating Room Procedures
Safety Precautions
Bloodborne Pathogen Safety Precautions
Always assume blood or bodily fluid spills
are contaminated. The protective equipment
and attire you will be wearing in the O.R. is
designed to protect you when dealing with
blood or other bodily fluids.
ALWAYS…………
….use a two step cleaning process for
1. Remove gross filth by wiping with a cloth
moistened with Century Q.
2. Wipe the cleaned surface with the Century Q
solution again so the surface is visibly wet and
allow to air dry.
Disposal of cleaning materials such as rags,
sponges, paper toweling, absorbents, should
be into a red Bio-hazard bag.

4. Getting Started….Gather your supplies
Multi-Clean
Operating Room Procedures
Equipment and Supplies
Getting Started….Gather your supplies
Wiping Cloths
Mop Bucket with Century Q Solution
Floor Mops
Wall Mops
High Duster
Bucket with Century Q Solution
Spray bottle, labeled, containing Century Q Solution
Trash Can Liners (standard, general waste)
Bio-Hazard Bags (for hazardous materials)
Wet Floor Signs

5. You must have this safety equipment on
Multi-Clean
Operating Room Procedures
Safety Attire and Equipment
Put on your safety attire / equipment before entering the O.R.
Scrubs: You will need to wear operating room attire which includes special pants, head cap,smock and shoe covers.
Safety Glasses: Safety glasses with side shields are required when working in the operating room.
Face Mask: You must wear a face mask when entering the operating room.
Gloves: Gloves not only protect hands from cleaning chemical exposure, they also prevent contact with soils, contaminants and potentially harmful bacteria. Always wash hands before putting on gloves.
You must have this safety equipment on
before entering the operating room.

6. Long fill hose For buckets Short fill hose For spray bottles
Multi-Clean
Operating Room Procedures
Preparing Cleaning Solution
Cleaning and sanitation procedures for the operating
room use a cleaner disinfectant called
The product is dispensed through a special wall
mounted dispenser called the Multi-Task Dispenser.
#256 Century Q
To activate the Multi-Task Dispenser, simply hold a spray
bottle under the short fill hose and press the button. The bottle will be filled with properly Century Q.
For mop buckets, place long fill hose into the bucket and press
the button.
Long fill hose
For buckets
Short fill hose
For spray bottles

7. Red Description: Disinfectant Cleaner for use
Multi-Clean
Operating Room Procedures
Cleaner / Disinfectant
Description: Disinfectant Cleaner for use
on all operating room environmental
surfaces.
Color Code: Number: 256
Where is it used: This product is used for all
operating room surfaces,
How is it used properly: In most cases it is used as a “one step” cleaner/disinfectant. The surface is wiped so that it is visibly wet and allowed to air dry.
When blood or other bodily fluids are visible, the process is “two step”. First, the gross filth is removed using the Century Q solution. Second, the surface is again wiped with the solution so that it is visibly wet and allowed to air dry.
Safety Precautions in using and handling:
Floor Safety: Post wet floor signs and restrict access if possible until floor is dry.
Personal Safety: Wear required attire for operating room services.
Red

8. Before you get started……
Multi-Clean
Operating Room Procedures
Procedures
Before you get started……
Gather tools and equipment, only use
tools and equipment designated for the O.R.
Prepare cleaning solutions. Spray bottles
and mop buckets should be labeled.
Wash hands thoroughly.
Put on necessary safety equipment and
clothing before entering the O.R.

9. After each case and prior to additional cases the same day……
Multi-Clean
Operating Room Procedures
Between Cases
After each case and prior to additional cases the same day……
Pick Up General Waste
Remove bags of waste and tie off bag. Clean inside and outside of container with Century Q solution.
Pick up any sharps
Use tongs or other mechanical device to pick up any needles. Dispose of in sharps container.
Infectious Waste
Remove red bags of waste and tie off bag. Clean inside and outside of container with Century Q solution.
Remove soiled linens
Remove linen container for transport to laundry department. Clean inside and outside of linen containers with Century Q solution.

10. Cleaning Strategy: Your cleaning efforts will be focused on the
Multi-Clean
Operating Room Procedures
Between Cases
Cleaning Strategy: Your cleaning efforts will be focused on the
surgical field. The cleaning zone will be a perimeter extending 3-4 feet
beyond the surgical field.
Ceilings
Overhead Light Fixtures
OR Table
Suction Units
Movable Equipment and Furnishings
Spot Cleaning of Walls, Ceilings
High Touch Surfaces
Floors – Dust Mop
Floors – Wet Mop
Cleaning Zone
Surgical Field

11. You will be using Century Q 256, a detergent disinfectant
Multi-Clean
Operating Room Procedures
Between Cases
You will be using Century Q 256, a detergent disinfectant
solution for all cleaning done in the operating room
between cases.
When NO visible blood or other bodily fluid is present
on the surface to be cleaned. simply wipe the surface
with a clean cloth that is thoroughly moistened with the
Century Q 256 cleaning solution. The cleaned surface
should be visibly wet and allowed to air dry.
When Blood or other bodily fluids are visible, the
cleaning process becomes a two step process:
1. Remove gross filth by wiping with a cloth
moistened with Century Q.
2. Wipe the cleaned surface with the Century Q
solution again so the surface is visibly wet and
allow to air dry.
Important: Look for gross filth that has landed outside the Cleaning Zone and clean accordingly. This may include blood on ceilings, walls and floors.

12. When all cases are completed for the day…..
Multi-Clean
Operating Room Procedures
End of Day
When all cases are completed for the day…..
Pick Up General Waste
Remove bags of waste and tie off bag. Clean inside and outside of container with Century Q solution.
Pick up any sharps
Use tongs or other mechanical device to pick up any needles. Dispose of in sharps container.
Infectious Waste
Remove red bags of waste and tie off bag. Clean inside and outside of container with Century Q solution.
Remove soiled linens
Remove linen container for transport to laundry department. Clean inside and outside of linen containers with Century Q solution

13. Cleaning Strategy – Top to Bottom: Always start your cleaning
Multi-Clean
Operating Room Procedures
End of Day
Cleaning Strategy – Top to Bottom: Always start your cleaning
on the highest surface and work your way down. This makes sure
that any contaminants that drop from the higher surfaces will be
picked up on the lower surfaces. Here is a checklist of items / surfaces
to clean and the order in which they are done.
Ceilings
Overhead Light Fixtures
OR Table
Suction Units
Movable Equipment and Furnishings
Walls and wall fixtures
Countertops and Cabinets
Floors – Dust Mop
Floors – Wet Mop
Room Entrance