ADVANTAGE AND DISADVANTAGE OF LAUNDRY SERVICES S.NO SERVICES ADVANTAGE DISADVANTAGE 1. Hospital Laundry
Loss and damage to linen reduced.
- Regular, quality linen supply ensured.
- Safe handing of soiled and infected linen.
Complete control on washing formula for different types of linen.
Shortage of manpower
Breakdown of machine
Bad weather condition
Pilferage of linen
2. Co-operative Laundry
- Cost effective for small hospital.
- No pressure on hospital administration.
- No capital or manpower cost
- Quality of cloth is assured.
Non availability of trained work force.
- Large amount of linen has to be kept in stock.
- Chance of cross infection.
- Transportation Cost
LINEN CATEGORY AND TREATMENT LINEN STORE LINEN LAUNDRY LINEN i Patient linen- -- body/bed ii staff iii departmenta l linen collection -----washing-----pressing No sorting at source Based on the process of washing
LAUNDRY LINEN LAUNDRY LINEN SOILED FOUL RADIO ACTIVE INFECTED
LAUNDRY LINEN i) soiled linen – used by patient/Ordinary dirty (without urine etc.) collection -----washing-----pressing No sorting at source Minimum storage at source ii ) infected linen -pus, blood, body discharges Minimum storage at source Minimum handling process: sluicing, soaking in disinfectant solution then washing, conditioning and pressing iii) Foul linen Faeces, excretions and blood stain Collected in water proof containers process: Central sluicing then normal process of washing in laundry iv) Radioactive linen : Segregated by suitable detectorPut in special washer Confirm radiation free status Then normal washing
LINEN REQUIREMENT PER UNIT Number of bed sheets and draw sheets in Paed. Ward is to be doubled. S.NO. NAME QUANTITY STANDARD OF LINEN/ BED (Jain Committee) 1. Doctor’s Coat 3
Bed Sheet – 6
Pillow Cover – 4
Blanket – 4
Towel – 2
Draw Sheet – 6
Patient Dress – 4 pairs
Canvas Crate – 2/ ward
Duster – 20/ Ward
Diet Cloth – 2/ pt
Mortuary Sheet – 6/ Ward
Pillow – 2/ bed
Baby Sheet – 10/ bed
2. Cook Apron 6 3. Doctor Towel 6 (Per Ward) 4. Mattress Cove 2 5. Fixed Areas (OPD, Dispensary, O.T, ICU, Labour Room As per requirement 6. Ward Area 5 to 6 lbs/ bed/ day
ORGANIZATION OF LINEN AND LAUNDRY SERVICE ORGANIZATION LOCATION QUALITY CONTROL MAINTENANCE & REPAIR ADMINISTRATION INFRASTRUCTURE MANPOWER MATERIALS SIZE COLLECTION & DISTRIBUTION
Size of the laundry area depends on the size of hospital and linen requirement.
According to Dr. J.R Mc Gibony, area requirement for a laundry in teaching hospital should be 5800 sq ft.
- According to a survey of Delhi hospitals in 1978 is 10 sq ft/ bed or 10 sq ft/ 5 lbs of linen.
INFRASTRUCTURE FOR > 500 BEDS The Hospital Laundry Service has two major components .
Collection from and distribution to various areas.
Linen reception and treatment area .
LAUNDRY RECEPTION AREA (Collection on Shorting 54 sq mt) ADMINISTRATION & REST AREA 360 sq mt SEWING AREA 100 sq mt DISTRIBUTION & RECORD 50 sq mt SLUICING 120sq mt STERILIZATION 160 sq mt WASHING AREA 1230 sq mt DRYING AREA 125 sq mt FOLDING & PRESSING AREA 1000 sq mt STORAGE AREA 400 sq mt Each ward must have a dirty utility room for soiled cloth.
WASHING METHODS Water 30L/Kg 70 degree C + 10L/Kg cold water Planning should be of 100 L /bed in case of hard ( > 3 grains ) water softening plant should be available hard water- - scaling, maintenance increase yellow hue to linen increase consumables Sudsing: soiled linen into a container containing soap suds-agitate –suspension of dirt Multiple sudsing of short duration alternated by 3 minutes rinsing more effective Bleaching Chlorine bleach Hydrogen peroxide Maximum 10 minutes temperature not more than 160 F Souring Neutralize the alkalis in the wash(produced by alkaline soaps)---- good finish, remove yellow color Boric acid Fluoride acid
EQUIPMENT AND FURNITURES EQUIPMENTS BOILER WASHING MACHINES HYDROEXTRACTOR DRYER AUTOCLAVE ROLLER IRON STEAM PRESS ELECTRIC PRESS SEWING MACHINES RACKS,TABLES CHAIRS & ALMIRAH
Along with these Folding tables 3’ x 3’ x 6’ - 10 Laundry Trollies (500 lb) - 5 for collection & distribution Laundry Trollies (250 lb) - 20 for wet linen Laundry Trollies (150 lb) - 10 for collection & distribution FURNITURES
MARKINGS ON LINEN : Hospital monogram Hospital name nitted on sheets Date of putting into circulation Diapers of newborn babies should never be marked because of danger of toxicity Coloured linen: Discourage borrowing and improves inventory control Separate color coding for patents, doctors, nurses and staff