2 8
S U P P L E M E N T T O O U T P AT I E N T S U R G E R Y M A G A Z I N E O N L I N E | M AY 2 0 1 4
When we asked them how high up the wall you're supposed to go when
cleaning, rather than responding that they use a telescoping broom handle
with a flat mop head to go all the way up the ceiling, they said they were
just cleaning spots on the wall where blood had splattered.
They were confusing turnover with terminal clean. It's called "normal-
ization of deviance."
They didn't clean the
walls on Monday, noth-
ing bad happened, so
they figured it must be
acceptable to do so
again on Tuesday. We
hang terminal cleaning
and between-case clean-
ing checklists on each
OR door. These check-
lists serve as valuable
reminders. We instruct
staff to sign off on both.
OSM
Ms. Pressimone
(
k pressi1@jhmi.edu
) is a
perioperative patient safety
nurse and Ms. Sedgwick
(
jsedg wi1@jhmi.edu
) is a
perioperative clinical nurse
specialist at Johns Hopkins
Bayview Medical Center in
Baltimore, Md.
E N V I R O N M E N T A L H Y G I E N E
Advanced Cleaning Technology
for Healthcare.
U
Turnover & Terminal Cleaning Tools
U
Advanced Mopping & Wall
Washing Systems
U
Peridox
®
Sporicidal Disinfectant
& Cleaner
U
Sanotex
®
Environmental Surface Wipes
Our Products
Our technology cleans
the most critical
environments in the
world and delivers
process improvement
through the most
advanced tools
available for a cleaner,
safer healthcare
environment.
www.contechealthcare.com
U
864-503-8333
USP<797> Compliant Products Available
for Pharmacy Cleanrooms.
ON THE WEB
Download Johns Hopkins Bayview
Medical Center's terminal cleaning
and between-case cleaning check-
lists at
www.outpatientsurgery.net/
resources
.
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