Orientação de limpeza concorrente em Centro de Terapia Intensiva Pediátrico

Abstract

Introduction: Concurrent cleaning is a technique used to remove dirt and residues adhered to surfaces close to patients, and prevents the spread of microorganisms, infections during healthcare and environmental contamination (EBSERH, 2022). It can be carried out with various disinfectant solutions, including 5th generation Quaternary Ammonium. This product is composed of a mixture of cationic surfactants, didecyldimethylammonium chloride, biguanide, preservative, additive and water. It is recommended for hospitals, in critical areas with a greater chance of contracting hospital infections, outpatient clinics, and clinics. Can be applied to floors, walls, furniture, non-critical items. For use in acrylics, glazes, paints, coatings, stainless steel, metal, polyethylene, polypropylene, tiles, linoleum, floors, PVC, vinyl, latex, monitors, LCD screens, infusion pumps, electronics in general, incubators and transducers (ROCHA C. O., MENDES, M. S., GOMES, J. R. A. A., et al, 2021). It is used in the CTI PED of the Maria Aparecida Pedrossian University Hospital to clean furniture, patient units, items such as stethoscope and thermometer. For this reason, the work aimed to produce a material aimed at the fragility of using the product in the ideal technique. Objective: To provide an educational video with guidelines for adequate concurrent cleaning of surfaces in the Pediatric Intensive Care Center (CTI PED). Method: The hotel sector carried out swab collection on CTI PED surfaces and obtained unsatisfactory results, with a number of colonies above the ideal (ten colonies), so a study of the cleaning method and the product used (quaternary of 5 generation ammonia). Soon after, the material was recorded in the sector, the technique and the necessary products and protective equipment. Finally, editing the video using a photo and video editing application. Furthermore, the video was made available to sector teams for quick consultation. Results: as the material was presented to the sector, positive results were observed, since many still had doubts about the technique and, mainly, the ideal management of the quaternary, with the help of the video, the questions were clarified, which impacts the quality of cleaning carried out. Conclusion: Given this, the importance of adequate concurrent cleaning for patient safety and avoiding cross-infections, in addition to continuing education in health services, becomes evident.