CNOR, administrator of Advanced Family Surgery Center in Oak
Ridge, Tenn. "It's a matter of preference. There are different disinfec-
tants for surface tops and floors and they have different concentra-
tions and different kill times."
How do you know what is the best disinfectant for your needs? The
way to do that, says Ms. Norman, is to look at the IFU (Instructions
For Use) of the product. You can read what the product is designed to
do and what it's designed to kill. That will help you decide which dis-
infectants are best and what is compatible for your equipment.
The staff at Regina Hospital found that using disinfectant wipes with
a shorter dry time was more effective than using microfiber cloths to
clean.
"If you use a microfiber cloth and you're dipping every time, you're
going to have a longer dry time, around 10 minutes," says Mr.
Bainbridge. "With the wipes, by the time you get to the next station,
the one you previously wiped off is almost dry."
3. Room setup
Before the turnover team gets to work, your staff should have already
set aside all the materials they'll need for the day in the OR.
Typically, turnover times are counted as the time when one patient
leaves the room and another one enters — wheels out, wheels in. For
simple cases, the turnover time should be from 7 to 10 minutes. For
more complex cases where you have to mop the floor and clean a lot
more equipment, those may take 20 to 25 minutes.
That's why the proper preparation of the room is critical, says Anne
Dean, RN, BSN, LRM, co-founder and CEO of The ADA Group, a con-
sulting firm specializing in ambulatory surgical development and regu-
latory compliance. Make sure the physician's preference/procedure
card is current and pull exactly to that card leaving nothing out. Pull
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