AORN’s “Recommended Practices for Environmental Cleaning in the Perioperative Setting” goes into great detail about cleaning and addresses all aspects, including the risk of dust-carrying organisms, but it does not specifically address wheels on carts.
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As a consultant, I would tell a facility that has cruddy carts/wheels that they need to be replaced or cleaned regardless of the cost or manpower needed. I would not accept anything other than CLEANLINESS in an OR suite, and that includes the floor and wheels. We have to think about prevention of infection and the environment — more so now than ever — is implicated in transmission of organisms.
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