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A series of questions and answers related to sanitation practices in healthcare settings. It covers topics such as the role of environmental services (evs), cleaning procedures, disinfection levels, and quality management. Useful for students preparing for the certified healthcare environmental services professional (chesp) exam or for those seeking to understand sanitation principles in healthcare.
Typology: Exams
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What is the function of EVS. - ANSWER EVS performs all cleaning operations of the department. It requires an understanding and integration of infection prevention policies and procedures. An implementation of quality management program and pest control program.
What are types of equipment EVS responsible for cleaning - ANSWER Patient equipment, furniture, floor and wall coverings, window treatments, lights, other fixtures, and various finishes on counters, desks, etc
What are three basic elements of cleaning operations - ANSWER The chemicals needed to clean and/or sanitize the surface, the tools and/or equipment needed to effectively clean the surface, and the labor resources needed to properly clean the surface.
What type of rooms / or spaces does ES clean? - ANSWER 1) Patient rooms, 2) Showers and baths, 3) Common areas, 4) Operating rooms, 5) Intensive care unit, 6) Cardiac care unit, 7) Mental health unit, 8) Labor and delivery rooms, 9) Specialty rooms (e.g., computer, MRI, food preparation and storage) 10) Interventional radiology rooms (e.g., catheterization, bronchoscopy, colonoscopy) 11) Pharmacy admixture/clean rooms
How to determine what chemicals to use - ANSWER The chemicals must effectively remove the soil or stain from the surface without damaging the finish. The manufacturer's recommendations for cleaning should be reviewed.
What is cleaning and disinfection? - ANSWER Cleaning is a physical removal of foreign and organic material from a surface. Disinfection is the inactivation of disease-producing microorganisms. Thorough cleaning is a precursor to an effective disinfection.
What are the 4 basic elements of cleaning? - ANSWER Chemicals: time, temperature, concentration and mechanical action. Generally, the longer the chemical is allowed to work, the better job it does.
What are the 3 levels of disinfection and describe each? - ANSWER Per (CDC), there are three levels of disinfection: high, intermediate, and low. High level disinfection is required for reusable equipment or devices that contact mucous membranes, such as surgical instruments, and is generally done with autoclaves or other ES departments will not be involved in high level disinfection. ES departments should only use disinfectant products that are EPA registered as hospital grade.
Describe low level disinfection - ANSWER Low level disinfection will kill most bacteria (except tuberculosis and bacterial spores), some viruses and some fungi, and is generally required in areas where there is patient contact and the potential for surface contamination exists.
Describe medium level disinfection - ANSWER Intermediate level disinfection will kill vegetative bacteria, including tuberculosis (except for spore forming bacteria), most viruses and fungi, and is generally required in areas where contamination with blood or body fluids is likely.
What is a phenotype? - ANSWER the level of acidity or alkalinity in a solution. Acids are in the 0-<7 range while alkalis are >7-14. Both acids and alkalis can be physically damaging to surfaces, so they should only be used on surfaces or finishes designed for cleaning with harsh chemicals. Cleaning chemicals identified as neutral, meaning at or near pH of 7, are generally safer to use, both for the user and for the finish or surface being cleaned.
What is the purpose of a Quality Management Program? - ANSWER A Quality Management Program ensures that cleaning operations meet established standards and guidelines, promoting a safe and hygienic environment for patients and staff.
What is the role of Labor Resources in cleaning operations? - ANSWER Labor Resources are essential for physically carrying out cleaning tasks, including proper handling of equipment, following cleaning protocols, and ensuring thorough cleaning