STAGE 2 AFTER LOCKDOWN: RELAUNCH OF THE WORKING ACTIVITIES Dr. Stefania Toto
RISK CLASSES LOW RISK MIDIUM-LOW RISK HIGH RISK AGRICULTURE • • EDUCATION AIR TRANSPORT • FISHING • • BUSINESSES like BAR, NON RESIDENCIAL • MANUFACTURE • RESTAURANT, GYMNASIUM SOCIAL WELFARE ELECTICITY, GAS and • • PUBLIC PLACES like PARKS, NON RESIDENIAL • WATER SUPPLYING BEACHS, PUBLIC HEALTHCARE PUBLISHING INDUSTRY • TRANSPORTATION PUBLIC • FINANCIAL AND • ADMINISTRATION INSURANCE SERVICES ESTATE AGENCIES • MIDIUM-HIGH RISK TRAVEL AGENCIES • BOOKSHOPS • BEAUTY SERVICES • (HAIRSTYLIST-BEUTICIAN- WELLNESS CENTRE) RESIDENTIAL SOCIAL • WELFARE DOMESTIC ASSISTANT •
EVERY WORKING BRANCH NEEDS NEW SPECIFIC GUIDELINES TO RESTART WITH THEIR OWN ACTIVITIES WITH NO RISKS SPECIFIC PROCEDURES THAT CAN AVOID EMPLOYEES AND CUSTOMERS INFECTION DURING REGULAR ACTIVITIES
LOCKDOWN STAGE 2 CLIENT FEARS IT IS ESSENTIAL TO : - GUARANTEE A HIGH LEVEL HYGIENIC STANDARD - COMMUNICATE THE CLIENT THAT OUR STUDIOS ARE ABSOLUTELY SAFE
PROCEDURES FIRST LEVEL PREVENTION a) COMMUCATION b) SPACE MANAGEMENT c) CUSTOMER ACCESS METHOD d) SUPPLIER ACCESS METHOD e) WORK ORGANIZATION f) SAFETEY DEVICES FOR STAFF
PROCEDURES SECOND LEVEL PREVENTION a) HYGIENE OF INSTRUMENTS AND TOOLS b) ROOM HYGIENE
FIRST LEVEL PREVENTION COMMUNICATION TELEPHONE TRIAGE PROTOCOLS WE CAN NOT ADMIT CUSTOMERS THAT HAVE: - TEMPERATURE (> 37,5°) - INFLUENZA SYMPTOMS - CONTACTS WITH PEOPLE WITH SYMPTOMS
FIRST LEVEL PREVENTION SPACE MANAGEMENT - WE SHOULD GUARANTEE SAFETY DISTANCES - WE SHOULD ELIMINATE EVERY KIND OF OBJECT LIKE: - MAGAZINES - FLYERS - CATALOGUES - BROCHURES - DEMONSTRATIVE PRODUCTS - PLANTS
FIRST LEVEL PREVENTION CUSTOMER ACCESS METHOD - WORK ONLY WITH APPOINTMENTS - AVOID WAITING SPACES CROWDING - LET CUSTOMER DROP OFF HIS COAT AND PERSONAL EFFECTS - LET CUSTOMER HYGIENE HIS HANDS - LET CUSTOMER WEAR - DISPOSABLE SCRUBS - SHOE COVERS - FACE MASK - DESPOSABLE GLOVES
FIRST LEVEL PREVENTION SUPPLIER ACCESS METHOD - SUPPLIERS MUST NOT ENTER STUDIOS - WE NEED TO PROVIDE A PLACE WHERE TO DEPOSIT THE PRODUCTS OUTSIDE THE STUDIOS
FIRST LEVEL PREVENTION WORK ORGANIZATION SECRETARIAL DUTIES - APPOINTMENT MANAGEMENT - WORK SCHEDULE MANAGEMENT - CUSTOMER CONTROL - MANAGEMENT OF SAFETY DISTANCES - CUSTOMER WEARING AND HYGIENE - PAYMENT MANAGEMENT
FIRST LEVEL PREVENTION SAFETEY DEVICES FOR STAFF USE OF: - SCRUBS - FACE MASKS - PROTECTION GLASSES or VISORS - GLOVES - CAPS - WORKING SHOES
SECOND LEVEL PREVENTION VOCABULARY CLEANING PROCEDURE THAT ELIMANTES A LARGE PART OF THE DISINFECTION PATHONGEN AGENTS (sufficient for COVID-19) STERILIZATION PROCEDURE THAT ELIMINATES ALL PATHOGEN AGENTS (HIV, HCV, TB) CLEANING MECHANICAL REMOVAL OF DIRT WITH OR WITHOUT DETERGENTS SANIFICATION USE OF DETERGENTS TO REDUCE THE NUMBER OF CONTAMINATS WITHIN SAFETY LEVELS SANITIZATION USE OF DISINFECTANS TO KEEP THE SAFETY LEVEL HIGH
SECOND LEVEL PREVENTION HYGIENE OF INSTRUMENTS AND TOOLS CRITICAL ITEMS THAT CAN BE CONTAMINATED BY SKIN PARTICLES ITEMS THAT CAN’T BE CONTAMINATED BY SKIN PARTICLES WHICH MAY BE WHICH MAY BE INJURED OR INJURABLE (eg. RAZORS, TWEEZERS, NEEDLES, INJURED OR INJURABLE SCISSORS) STERILIZATION DISINFECTION
SECOND LEVEL PREVENTION HYGIENE OF INSTRUMENTS AND TOOLS STERILIZATION CHEMICAL TOOLS PHYSICAL TOOLS 1 AUTOCLAVE 1 GLUTARALDEHYDE SUBSTANCES 2 DRY DEVICES (Heaters) (GLUTARIC ALDEHYDE at 2%) 3 UV-RAY EQUIPMENTS 2 CHLORINE-RELEASING COMPOUNDS 4 MICROWAVE EQUIPMENTS SODIUM HYPOCHLORITE 5 STERILIZATION WITH QUARTZ EUCLORINE BALLS MILTON SOLUTION
SECOND LEVEL PREVENTION STERILIZATION with PHYSICAL INSTRUMENTS AUTOCLAVE IT USES PREASSURE WET HEAT STERILIZATION CYCLE 121° x 20’ 134° x 5’
SECOND LEVEL PREVENTION STERILIZATION with PHYSICAL INSTRUMENTS DRY DEVICES (Heaters) STERILIZATION CYCLE 180° x 60’ 160° x 120’
SECOND LEVEL PREVENTION STERILIZATION with PHYSICAL INSTRUMENTS UV RAY EQUIPMENTS MICROWAVE EQUIPMENTS STERILIZATION WITH QUARTZ BALLS Li_le used, unreliable and not verifiable
SECOND LEVEL PREVENTION STERILIZATION with CHEMICAL INSTRUMENTS GLUTARALDEHYDE SUBSTANCES (GLUTARIC ALDEHYDE at 2%) - YOU MUST ACTIVATE IT - ONCE ACTIVATED IT LASTS 15 DAYS - IT IS POORLY CORROSIVE - YOU NEED A IMMERSION FROM 3 TO 10 HOURS (for STERILIZATION) - YOU NEED A IMMERSION OVER 20 MINUTES (for a HIGH DISINFECTION LEVEL) CHLORINE-RELEASING COMPOUNDS SODIUM HYPOCHLORITE - HAVE A STERILIZATION ACTION BUT ONLY AT AMUCHINA HIGH CONCENTRATION (10.000 ppm) EUCLORINE - THERE ARE HIGHLY CORROSIVE MILTON SOLUTION - THEY ARE TOXIC
SECOND LEVEL PREVENTION STERILIZATION CYCLE USE Cleaning in mild disinfectant DECONTAMINATION solufon removes organic residues Cleaning with gloves DETERSION TOOLS WASHER ULTRASONIC TANK DRYING and PACKAGING AUTOCLAVE LOADING
SECOND LEVEL PREVENTION HYGIENE OF INSTRUMENTS AND TOOLS DISINFECTION (always with CHEMICAL TOOLS) MEDIUM-HIGH DISINFECTION LEVEL LOW DISINFECTION LEVEL 1 CHLORINE-RELEASING COMPOUNDS 1 CHLORINE-RELEASING COMPOUNDS (500-1000 ppm) (100-500 ppm) SODIUM HYPOCHLORITE SODIUM HYPOCHLORITE EUCLORINE EUCLORINE MILTON SOLUTION MILTON SOLUTION 2 ALCOHOL 2 QUAC (Quaternary Ammonium Salts) Benzalkonium chloride 3 FENOLI (Cresolo, Fenolo) 3 CHLORIXIDINE (0.05%) 4 OXIDIZING AGENTS
SECOND LEVEL PREVENTION CORONARVIRUS IS VERY SENSITIVE to: - SODIUM HYPOCHLORITE - ALCOHOL Less sensifve to: - QUAC - CHLOREXIDINE
SECOND LEVEL PREVENTION ROOM HYGIENE HYGIENE LEVELS DRY SWEEPING OR SIMPLE WASHING OF SURFACES (floors, worktops) CLEANING REDUCES MICROBIAL CHARGE BY 50% CLEANING WITH WET CLOTH AND DETERGENT REDUCES THE MICROBIAL DISINFECTION CHARGE BY 60-80% CLEANING WITH THE AID OF DISINFECTANTS REDUCES SANITIZATION MORE THAN 80% THE MICROBIAL CHARGE CHLORINE-RELEASING COMPOUNDS (500-1000ppm) ALCOHOL QUAC CHLOREXIDINE
SECOND LEVEL PREVENTION ROOM HYGIENE PORTABLE ATOMIZERS POSSIBILITY TO SPREAD THE DISINFECTANT FAST ON LARGE SURFACES IT USES DRY STEAM + LOW CONCENTRATION SaniYzer HYGIENIO DISINFECTANT VERY EFFECTIVE Sani System Check USES 100 ° WET STEAM, HARMFUL FOR THE MATERIAL, POLTI HEAT SENSITIVE
THANK YOU FOR YOUR ATTENTION IN THE HOPE TO BE SOON ABLE TO REACH SUCH BEAUTIFUL PLACES!
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