PLANNING AND MANAGEMENT OF HOSPITAL LAUNDRY   DR.N.C.DAS
PLANNING AND MANAGEMENT OF HOSPITAL LAUNDRY   The objective of hospital linen and laundry service is to ensure:- <ul><li>C...
LINEN QUALITY REQUIREMENT The quantity of linen required depends on 3 factors FACTORS QUALITY OF LINEN FREQUENSY OF CHANGE...
1.FREQUENCY OF CHANGE Linen requirement varies as per the functional area of the hospital. AREA IN_PATIENT FIXED AREAS OT,...
<ul><li>BASIC FABRICS  spun into YARNS  woven to  CLOTH </li></ul><ul><li>Proper moisture repellency </li></ul><ul><li>dry...
3. WASHING METHOD . <ul><li>Wash through  contractor. </li></ul><ul><li>Laundering on contract </li></ul><ul><li>b )  Rent...
ADVANTAGE OF MECHANISED LAUNDRY <ul><li>Reduces damage to linen and loss. </li></ul><ul><li>Regular supply of linen ensure...
ADVANTAGE AND DISADVANTAGE OF LAUNDRY SERVICES   S.NO SERVICES  ADVANTAGE  DISADVANTAGE  1. Hospital Laundry  <ul><li>Loss...
LINEN CATEGORY AND TREATMENT LINEN STORE LINEN LAUNDRY LINEN i  Patient linen- -- body/bed ii  staff  iii  departmenta l l...
LAUNDRY LINEN LAUNDRY LINEN SOILED FOUL RADIO ACTIVE INFECTED
LAUNDRY LINEN i)  soiled linen  – used by patient/Ordinary dirty (without urine etc.) collection  -----washing-----pressin...
LINEN REQUIREMENT PER UNIT  Number of bed sheets and draw sheets in Paed. Ward is to be doubled. S.NO. NAME QUANTITY STAND...
ORGANIZATION OF LINEN AND LAUNDRY SERVICE ORGANIZATION  LOCATION   QUALITY CONTROL MAINTENANCE & REPAIR ADMINISTRATION   I...
LOCATION   <ul><li>The hospital laundry should be located away from the main service area of the hospital.  </li></ul><ul>...
SIZE  <ul><li>Size of the laundry area depends on the size of hospital and linen requirement.  </li></ul><ul><li>According...
INFRASTRUCTURE FOR > 500 BEDS   The Hospital Laundry Service has two major components . <ul><li>Collection from and distri...
LAUNDRY PROCESSING   <ul><li>After the dirty linen is received in main laundry it is weighed. </li></ul><ul><li>The infect...
WASHING METHODS Water   30L/Kg 70 degree C  +  10L/Kg  cold water Planning should be of 100 L /bed in case of hard ( > 3 g...
EQUIPMENT AND FURNITURES   EQUIPMENTS  BOILER  WASHING  MACHINES   HYDROEXTRACTOR   DRYER   AUTOCLAVE  ROLLER IRON STEAM P...
EQUIPMENT REQUIREMENT FOR 500 BED AND ABOVE  S.NO. NAME NUMBERS 1. Steam Boiler  2 2. Hot Water Boiler  2 3. Washing Machi...
Along with these   Folding tables 3’ x 3’ x 6’ - 10 Laundry Trollies (500 lb) - 5 for collection & distribution  Laundry T...
MATERIALS  MATERIALS  VARIUOS TYPES  OF LINENS  LIQUID & SOLID DETERGENTS   WHITNERS  LAUNDRY ASH   SOAP FLAKES   CHARCOAL...
DETERGENT REQUIREMENT (Per – 100 kg linen)   S.NO. NAME QUANTITY  1. Soap Bar  1.2 kg 2. Soda Ash 2 kg 3. Bleaching Powder...
ORGANOGRAM   MEDICAL SUPERINTENDENT   ADDITIONAL MEDICAL SUPERINTENDENT   CMO I/C LAUNDRY   LAUNDRY SUPERVISOR   ASST. LAU...
MANPOWER FOR ABOVE 500 BEDS   S.NO. NAME QUANTITY  1. Laundry Supervisor  1 2. Asst. Laundry Supervisor  2 3. LDC 2 4. Lau...
MARKINGS ON LINEN : Hospital monogram Hospital name nitted on sheets Date of putting into circulation Diapers of newborn b...
MAINTENANCE AND REPAIR  <ul><li>Maintenance and repair of laundry is the responsibility of Hospital Engineer Services, whi...
QUALITY MONITORING <ul><li>Surprise visit by Superior Staff </li></ul><ul><li>System of delivery of linens  </li></ul><ul>...
Hospital Administration Made Easy http//hospiad.blogspot.com An effort solely to help students and aspirants in their atte...
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  1. 1. PLANNING AND MANAGEMENT OF HOSPITAL LAUNDRY DR.N.C.DAS
  2. 2. PLANNING AND MANAGEMENT OF HOSPITAL LAUNDRY The objective of hospital linen and laundry service is to ensure:- <ul><li>Clean and adequate quantity of washed linen. </li></ul><ul><li>Supply to be made on regular basis. </li></ul><ul><li>In a acceptable quality and within a reasonable cost to the hospital. </li></ul><ul><li>Steps to be taken to prevent cross infection. </li></ul><ul><li>Supply of good, clean and fresh linen to patients, is a method of great </li></ul><ul><li>satisfaction for patient and increases the public image of the hospital. </li></ul><ul><li>(vi) Mechanized laundry is the best service method of linen supply. </li></ul>
  3. 3. LINEN QUALITY REQUIREMENT The quantity of linen required depends on 3 factors FACTORS QUALITY OF LINEN FREQUENSY OF CHANGE METHODS OF WASHING
  4. 4. 1.FREQUENCY OF CHANGE Linen requirement varies as per the functional area of the hospital. AREA IN_PATIENT FIXED AREAS OT, LR, ICU EMERGENCY <ul><li>2-3 Kg of dry linen/bed/day </li></ul><ul><li>if changed alt ,day.. </li></ul><ul><li>ii)New linen is replaced when condemned. </li></ul><ul><li>iii) Minimum 6 sets of linen per bed </li></ul><ul><li>1 set in bed </li></ul><ul><li>1 set en-route laundry </li></ul><ul><li>1 set in process in laundry </li></ul><ul><li>I set ready for use </li></ul><ul><li>2 sets in buffer with proper documentation for emergencies. </li></ul>Linen required per operation X Number of operation per day X365 Time required for replacement from laundry OPD, Observation room, rest room, as per requirement . Changed at least twice a week.
  5. 5. <ul><li>BASIC FABRICS spun into YARNS woven to CLOTH </li></ul><ul><li>Proper moisture repellency </li></ul><ul><li>dry efficiency(quick drying} </li></ul><ul><li>surface fluffy </li></ul><ul><li>stenciled strength </li></ul><ul><li>Static safety(poorly static) </li></ul><ul><li>Low flammability </li></ul><ul><li>Easily sanitize </li></ul><ul><li>.Good visual appearance </li></ul><ul><li>Microbial repellant </li></ul><ul><li>Non-irritant </li></ul>2.QUALITY OF LINEN .
  6. 6. 3. WASHING METHOD . <ul><li>Wash through contractor. </li></ul><ul><li>Laundering on contract </li></ul><ul><li>b ) Rental system </li></ul><ul><li>Hire laundered linen from contractor </li></ul><ul><li>Replacement and laundering is done by contractor </li></ul><ul><li>advantage Cost less </li></ul><ul><li>disadvantage 1. totally dependent on </li></ul><ul><li>contractor </li></ul><ul><li>2.constant supervision </li></ul><ul><li>3. Transportation </li></ul><ul><li>ii ) Centralised co-operative laundry </li></ul><ul><li>iii) Hospital mechanised laundry. </li></ul>
  7. 7. ADVANTAGE OF MECHANISED LAUNDRY <ul><li>Reduces damage to linen and loss. </li></ul><ul><li>Regular supply of linen ensured. </li></ul><ul><li>No dependency on climate. </li></ul><ul><li>Safe handling of soiled and infected linen. </li></ul><ul><li>Complete control on washing formula. </li></ul><ul><li>Reduces chances of Hospital infection. </li></ul><ul><li>Sterility is ensured. </li></ul>
  8. 8. ADVANTAGE AND DISADVANTAGE OF LAUNDRY SERVICES S.NO SERVICES ADVANTAGE DISADVANTAGE 1. Hospital Laundry <ul><li>Loss and damage to linen reduced. </li></ul><ul><li>- Regular, quality linen supply ensured. </li></ul><ul><li>- Safe handing of soiled and infected linen. </li></ul><ul><li>Complete control on washing formula for different types of linen. </li></ul><ul><li>Shortage of manpower </li></ul><ul><li>Power failure </li></ul><ul><li>Breakdown of machine </li></ul><ul><li>Bad weather condition </li></ul><ul><li>Pilferage of linen </li></ul><ul><li>Untrained staff. </li></ul>2. Co-operative Laundry <ul><li>- Cost effective for small hospital. </li></ul><ul><li>- No pressure on hospital administration. </li></ul><ul><li>- No capital or manpower cost </li></ul><ul><li>- Quality of cloth is assured. </li></ul><ul><li>Non availability of trained work force. </li></ul><ul><li>- Large amount of linen has to be kept in stock. </li></ul><ul><li>- Chance of cross infection. </li></ul><ul><li>- Transportation Cost </li></ul>
  9. 9. 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
  10. 10. LAUNDRY LINEN LAUNDRY LINEN SOILED FOUL RADIO ACTIVE INFECTED
  11. 11. 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
  12. 12. 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 <ul><li>Bed Sheet – 6 </li></ul><ul><li>Pillow Cover – 4 </li></ul><ul><li>Blanket – 4 </li></ul><ul><li>Towel – 2 </li></ul><ul><li>Draw Sheet – 6 </li></ul><ul><li>Patient Dress – 4 pairs </li></ul><ul><li>Canvas Crate – 2/ ward </li></ul><ul><li>Duster – 20/ Ward </li></ul><ul><li>Diet Cloth – 2/ pt </li></ul><ul><li>Mortuary Sheet – 6/ Ward </li></ul><ul><li>Pillow – 2/ bed </li></ul><ul><li>Baby Sheet – 10/ bed </li></ul>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
  13. 13. ORGANIZATION OF LINEN AND LAUNDRY SERVICE ORGANIZATION LOCATION QUALITY CONTROL MAINTENANCE & REPAIR ADMINISTRATION INFRASTRUCTURE MANPOWER MATERIALS SIZE COLLECTION & DISTRIBUTION
  14. 14. LOCATION <ul><li>The hospital laundry should be located away from the main service area of the hospital. </li></ul><ul><li>Close to boiler and water heating system. </li></ul><ul><li>Larger hospitals 500 beds and above should establish their own mechanized laundry. </li></ul><ul><li>Smaller hospitals should take the help of co-operative mechanized laundry. </li></ul>
  15. 15. SIZE <ul><li>Size of the laundry area depends on the size of hospital and linen requirement. </li></ul><ul><li>According to Dr. J.R Mc Gibony, area requirement for a laundry in teaching hospital should be 5800 sq ft. </li></ul><ul><li>- According to a survey of Delhi hospitals in 1978 is 10 sq ft/ bed or 10 sq ft/ 5 lbs of linen. </li></ul>
  16. 16. INFRASTRUCTURE FOR > 500 BEDS The Hospital Laundry Service has two major components . <ul><li>Collection from and distribution to various areas. </li></ul><ul><li>Linen reception and treatment area . </li></ul>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.
  17. 17. LAUNDRY PROCESSING <ul><li>After the dirty linen is received in main laundry it is weighed. </li></ul><ul><li>The infected linens are passed though sluicing machine, then taken for washing. </li></ul><ul><li>Wooden blankets and mattresses are autoclaved and supplied . </li></ul>RECEPTION & SORTING WASHING HYDRO- EXTRACTOR DRYING (OPEN/ DRYER) DISTRIBUTION STORAGE SEWING PACKAGING IRONING (STEAM/ ELECT.)
  18. 18. 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
  19. 19. EQUIPMENT AND FURNITURES EQUIPMENTS BOILER WASHING MACHINES HYDROEXTRACTOR DRYER AUTOCLAVE ROLLER IRON STEAM PRESS ELECTRIC PRESS SEWING MACHINES RACKS,TABLES CHAIRS & ALMIRAH
  20. 20. EQUIPMENT REQUIREMENT FOR 500 BED AND ABOVE S.NO. NAME NUMBERS 1. Steam Boiler 2 2. Hot Water Boiler 2 3. Washing Machine (100 lb capacity) 4 4. Driving Tumbler (50 lb capacity) 6 5. Hydro Extractor (50 lb capacity) 4 6. Steam Calendar 1 7. Steam Press – 48” 1 8. Steam Press – 18” 1 9. Sluicing Machine (15 lbs) 1 10. Sewing Machine 2
  21. 21. 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
  22. 22. MATERIALS MATERIALS VARIUOS TYPES OF LINENS LIQUID & SOLID DETERGENTS WHITNERS LAUNDRY ASH SOAP FLAKES CHARCOAL FIRE WOOD CARBOLIC SOAP
  23. 23. DETERGENT REQUIREMENT (Per – 100 kg linen) S.NO. NAME QUANTITY 1. Soap Bar 1.2 kg 2. Soda Ash 2 kg 3. Bleaching Powder 0.5 kg 4. Neel 50 gms 5. Tinopal 50 gms
  24. 24. ORGANOGRAM MEDICAL SUPERINTENDENT ADDITIONAL MEDICAL SUPERINTENDENT CMO I/C LAUNDRY LAUNDRY SUPERVISOR ASST. LAUNDRY SUPERVISOR LDC LAUNDRY OPERATOR LAUNDRY ORDERLY TAILOR MECHANIC BOILER ATTENDANT KHALASI SAFAIWALA
  25. 25. MANPOWER FOR ABOVE 500 BEDS S.NO. NAME QUANTITY 1. Laundry Supervisor 1 2. Asst. Laundry Supervisor 2 3. LDC 2 4. Laundry Operator 21 5. Laundry Orderly 8 6. Laundry Mechnique 1 7. Tailor 2 8. Boiler Attendant 2 9. Khalasi 2 10. Safaiwala 2 Total 43
  26. 26. 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
  27. 27. MAINTENANCE AND REPAIR <ul><li>Maintenance and repair of laundry is the responsibility of Hospital Engineer Services, while daily maintenance is done by laundry mechanic. </li></ul><ul><li>All the heavy machines are kept on annual maintenance contract. </li></ul><ul><li>Time of collection from ward and distribution to be scheduled. </li></ul><ul><li>O.T, ICU and private ward there should be two time collection. </li></ul><ul><li>Other areas once daily. </li></ul><ul><li>In inventory of various types of linen time to be kept in laundry. </li></ul><ul><li>Receipt of linen and distribution should be properly recorded. </li></ul><ul><li>Torn linens which cannot be reutilized be discarded, condemned and disposed by tearing into pieces. </li></ul><ul><li>Check pilferage from laundry. </li></ul>
  28. 28. QUALITY MONITORING <ul><li>Surprise visit by Superior Staff </li></ul><ul><li>System of delivery of linens </li></ul><ul><li>System of counting and sluicing </li></ul><ul><li>Length of washing cycle </li></ul><ul><li>Right quantity of detergents </li></ul><ul><li>Removal of stains </li></ul><ul><li>Strict delivery time 12 hours/ 24 hours </li></ul><ul><li>Segregation of form linen and its disposal </li></ul>
  29. 29. Hospital Administration Made Easy http//hospiad.blogspot.com An effort solely to help students and aspirants in their attempt to become a successful Hospital Administrator. hospi ad DR. N. C. DAS

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