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How to perform effective hospital cleaning?

¿Cómo realizar una limpieza de hospitales efectiva?

Healthcare in hospitals is not only limited to medical treatment and patient care, but also to the creation of a clean and safe environment for everyone: patients, visitors and staff .

In fact, hospital cleaning It is a cornerstone of infection prevention, making it crucial to ensure the safety and well-being of everyone who enters your facility. And this is especially important in a world where pathogens and antibiotic-resistant bacteria pose a growing threat.

Aware of these challenges, as specialists in the field of hygiene and disinfection , from The Corberana We have prepared a guide with a detailed and practical approach on how to clean and disinfect hospitals, adapting to the highest standards of health and efficiency.

From the selection of hospital cleaning products suitable for disinfection to the implementation of specialized procedures, our goal is to provide the tools necessary to maintain a impeccable, safe hospital environment conducive to patient recovery .

Cleaning areas in hospitals

Before establishing a cleaning protocol, it is important to differentiate the different common areas in hospitals and health clinics, since Not all areas require the same cleaning, disinfection and sterilization protocol .

In fact, areas of a hospital are classified according to their associated infection risk level, which determines the frequency and method of cleaning required.

Below we detail the main areas that must be subject to specialized attention to ensure the cleanliness of a hospital.

1. Critical areas

Critical areas include operating rooms, intensive care units (ICU), isolation rooms and any other space where invasive procedures are performed.

These areas require the highest level of disinfection due to direct exposure to open wounds and the high risk of transmission of infections.

Cleaning is carried out with broad spectrum disinfectants, following strict protocols to minimize any risk of contamination .

2. Semi-critical areas

They include those areas that, although not directly exposed to invasive procedures, do have a frequent contact with patients or with devices that patients use .

Examples of semi-critical areas are: radiology rooms, physiotherapy units and patient rooms , especially when used for treatments involving the insertion of probes or catheters.

In this sense, special attention is required in cleaning the hospital bed, table, armchairs, bathrooms and any other furniture or space in the room. Cleaning in these areas combines sanitation and disinfection techniques to control the spread of microorganisms .

Disinfection of hospitals

3. Non-Critical Areas

These are areas that have a relatively low risk of transmission of infections . They include public and office spaces such as lobbies, hallways, dining rooms and administrative areas .

Although the risk of infection is lower, effective cleaning is essential to maintain a safe and pleasant environment for all hospital users.

Regular cleaning with standard detergents and disinfectants is generally adequate for these areas.

4. Support and service areas

These areas include the kitchen, laundry, equipment and supplies storage, and waste management facilities .

Although direct contact with patients may be limited, proper cleaning and disinfection are crucial to prevent cross-contamination and ensure that supplies and services reaching critical and semi-critical areas are safe.

For each of these areas, It is essential to establish cleaning protocols that include frequency, products used and specific techniques .

It is also essential to have hospital cleaning staff specifically trained for these tasks, since, as this is an environment that requires a high level of cleanliness, it is necessary for them to know and follow the protocol indicated for each case.

Hospital Cleaning Manual, a practical guide for a safe environment

Hospitals require compliance with the highest standards of hygiene, disinfection and sterilization of the different areas to ensure a clean, safe and conducive environment for health care.

Types of hospital cleaning

The choice of frequency and techniques for hospital cleaning will be made based on the area to be cleaned, the type and quantity of organic matter present in the area and the urgency or need with which it must be cleaned.

Surface cleaning processes can be classified into 5 types :

1. Maintenance, concurrent or routine cleaning

It is the daily cleaning that is carried out in all semi-critical and non-critical areas of the hospital , including hallways, non-isolated patient rooms, offices and waiting areas.

Its objective is to maintain a basic level of hygiene by sweeping, mopping, cleaning surfaces and removing waste. This cleaning reduces the presence of microorganisms and provides a pleasant and safe environment for everyone .

2. Terminal cleaning

It is carried out in areas that have been vacated by patients , especially in rooms where infectious diseases have been treated or in operating rooms after each procedure.

Terminal cleaning is more thorough than routine cleaning and includes the disinfection of all surfaces, including walls, ceilings, floors, windows and all equipment and furniture. The objective is to eliminate any risk of infection for future occupants .

3. Decontamination cleaning

This type of cleanup focuses on areas contaminated with hazardous materials, such as spills of bodily substances or chemicals.

Requires specific protocols and the use of personal protective equipment to safely handle and dispose of contaminating materials, followed by thorough disinfection of the affected area.

4. Deep cleaning

Although similar to terminal cleaning, deep cleaning It is carried out at scheduled intervals and not necessarily after a space has been vacated .

It focuses on high-touch, hard-to-reach areas that may be prone to dirt and microorganism buildup. Includes cleaning of vents, changing of air filters and deep disinfection of medical equipment .

5. High-level cleaning

Particularly relevant in critical areas such as operating rooms, intensive care units (ICU) and isolation rooms. This type of cleaning involves the use of disinfectant and sterilizing products for surfaces and equipment that are in direct contact with patients or that are used in invasive procedures.

It is carried out following strict regulations to prevent the transmission of infections.

Hygiene protocol

Before implementing a cleaning protocol for hospitals, it is important to distinguish between the concepts of cleaning, disinfection and sterilization , as they are often confused or used interchangeably, despite their fundamental differences.

Let's see...

  • Cleaning: It refers to the process of physically removing dirt, debris and surface microorganisms from objects and surfaces, typically using soap and water. This step is essential to reduce the germ load and prepare the surface or object for effective disinfection if necessary.
  • Sterilization: It is the method by which all forms of microbial life present on an object or surface are eliminated or destroyed, including bacteria, viruses, spores and fungi.
  • Disinfection: It requires the use of chemical agents to eliminate most pathogenic microorganisms, except spores, on surfaces or objects. Unlike sterilization, disinfection does not guarantee the complete elimination of all microorganisms, but it significantly reduces their number to safe levels.

It is important to note that Cleaning and disinfection are complementary processes . To achieve effective disinfection, it is essential to first perform adequate cleaning to remove dirt and organic matter. This allows disinfectant products to act more effectively when they come into direct contact with the surfaces or objects to be treated.

Frequency of hospital cleaning and disinfection

The frequency of cleaning and disinfection varies depending on the area of ​​the hospital, the level of use and the associated risk of infection. Below is a general guide to recommended frequencies for different areas within a hospital:

  • Critical areas: After each use or procedure, and thoroughly at least once a day. This ensures that these environments remain sterile and safe for patients and staff.
  • Semi-critical Areas: Cleaning should be carried out at least once a day and after each patient leaves.
  • Non-critical areas: Daily cleaning, with special attention to high-traffic areas and disinfection of high-touch surfaces at least twice a day or as needed.
  • High risk areas: Specific protocols must be followed for cleaning and disinfection after each use, with appropriate products to eliminate specific pathogens.
  • Common areas: It should be cleaned at least once a day or twice, depending on the volume of people.

Cleaning products for hospitals

Maintaining a high level of hygiene in hospital facilities is imperative and is achieved through the specific use of hospital cleaning materials.

Among these, the following stand out: non-woven cloths and biocidal disinfectants registered under the DES regulations , as well as practical solutions such as transport trolleys and systems for laundry management.

Additionally, versatile products are used that are equally essential in any cleaning context, including detergents with different pH levels, cleaning agents and Personal Protective Equipment (PPE).

These basic elements are essential to ensure the safety and effectiveness of cleaning routines in a hospital environment.

Below we present a selection of the Top cleaning supplies for hospitals :

  • pH neutral detergents
  • Neutral soaps, free of aromas and colorants
  • Hydroalcoholic gel for hand washing
  • Disinfectants with DES registration
  • Nonwoven fabric cloths
  • Cellulose products
  • Mops for sweeping and scrubbing
  • Personal protective equipment

At La Corberana we have been developing professional cleaning products formulas for over 60 years to help our clients meet all the technical and health specifications of each sector.

General recommendations for hospital cleaning

As we have previously said, each type of hospital cleaning is essential to control and prevent the spread of infections within the hospital, therefore the effective implementation of cleaning protocols is essential to meet hygiene and safety standards.

Below we will review some essential guidelines for cleaning and disinfection in hospital environments:

  • Preparation for cleaning: Before starting the cleaning process, it is necessary to collect and remove any organic residue present on the surfaces to be treated.
  • Cleaning methods: Cleaning should preferably be carried out wet, using microfibre or non-woven mops, to minimise the dispersion of particles.
  • Care and disinfection of cleaning materials: Utensils and materials used for cleaning must be thoroughly disinfected after use to prevent the spread of microorganisms.
  • Control of the dispersion of contaminants: The creation of air currents during cleaning that may spread dirt and microorganisms will be avoided.
  • Cleaning products management: Chemical products must be kept in their original containers to ensure proper identification and use.
  • Specialized training: Personnel responsible for cleaning and disinfection tasks must be properly trained and have the necessary qualifications to carry out these tasks effectively and safely.
  • Uniform and personal protection: Employees must wear appropriate uniforms, which will be replaced and laundered after each workday.

Chlorinated foam disinfectant in industrial format, designed for deep and effective cleaning of large surfaces. Chlorinated disinfectant in an economical format. Perfect for large installations that require rigorous control of water quality.

These recommendations seek to ensure a clean and safe hospital environment for patients, staff and visitors by implementing effective and safe cleaning and disinfection practices.