| Resumen: |
This document defines requirements for cleaning and disinfection cleaning of surfaces in hospitals and other health care facilities in which medical care comparable to that provided in hospitals is provided. For the purposes of this document, the term "other health care facilities" means outpatient surgery facilities, preventive care or rehabilitation clinics, dialysis clinics and day clinics. This document is directed at clients/service recipients and contractors/service providers and sets out the structure, process and the quality of results during cleaning and disinfection cleaning of surfaces in hospitals and other health care facilities. This document does not cover disinfection measures without a cleaning component. This document does not cover the reprocessing of medical devices. Divergent from this, inventory and equipment can be cleaned as set out in this document (disinfection cleaning) even if classified as medical devices (non-critical medical devices, e. g. bed, infusion stands, stretchers, transport aids and storage facilities). NOTE 1 The reprocessing of medical devices is subject to the Medizinprodukte-Betreiberverordnung (Ordinance on Operators of Medical Devices - MPBetreibV; §8) [1]. Further on reference is made to the recommendations of the Commission for Hospital Hygiene and Infection Prevention (KRINKO) at the Robert Koch Institute (RKI) and of the Federal Institute for Drugs and Medical Devices (BfArM) with regard to the requirements for hygiene in the reprocessing of medical devices [2]. Areas for the production, handling and placement on the market of foods are subject to the relevant specifications on food hygiene and are therefore not covered by this document. This document is not applicable in medical facilities and clinics for the treatment of animals. Requirements for the cleaning of manufacturing areas of medicinal drugs are not defined in this document. NOTE 2 In areas in which medicinal products are manufactured or medical devices are reprocessed, the requirements of the Arzneimittelgesetz (Medicinal Act) [3]or the European Medical Devices Regulation also apply to cleaning [4]. Requirements for occupational health and safety are not defined in this document. NOTE 3 For cleaning staff the following in particular are relevant: Arbeitsschutzgesetz (Occupational Safety Act) [5], Biostoffverordnung (Ordinance on Biological Agents) [6], Gefahrstoffverordnung (Ordinance on Hazardous Substances) [7], Arbeitsstättenverordnung (Workplace Ordinance) [8], TRBA (Technical Rules for Biological Agents) 250[9] and TRGS (Technical Rules for Hazardous Substances) 525[10].
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