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Planning & Manag. of Hospital Laundry

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  • 1. PLANNING AND MANAGEMENT OF HOSPITAL LAUNDRY DR.N.C.DAS
  • 2. PLANNING AND MANAGEMENT OF HOSPITAL LAUNDRY The objective of hospital linen and laundry service is to ensure:-
    • Clean and adequate quantity of washed linen.
    • Supply to be made on regular basis.
    • In a acceptable quality and within a reasonable cost to the hospital.
    • Steps to be taken to prevent cross infection.
    • Supply of good, clean and fresh linen to patients, is a method of great
    • satisfaction for patient and increases the public image of the hospital.
    • (vi) Mechanized laundry is the best service method of linen supply.
  • 3. LINEN QUALITY REQUIREMENT The quantity of linen required depends on 3 factors FACTORS QUALITY OF LINEN FREQUENSY OF CHANGE METHODS OF WASHING
  • 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
    • 2-3 Kg of dry linen/bed/day
    • if changed alt ,day..
    • ii)New linen is replaced when condemned.
    • iii) Minimum 6 sets of linen per bed
    • 1 set in bed
    • 1 set en-route laundry
    • 1 set in process in laundry
    • I set ready for use
    • 2 sets in buffer with proper documentation for emergencies.
    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.
    • BASIC FABRICS spun into YARNS woven to CLOTH
    • Proper moisture repellency
    • dry efficiency(quick drying}
    • surface fluffy
    • stenciled strength
    • Static safety(poorly static)
    • Low flammability
    • Easily sanitize
    • .Good visual appearance
    • Microbial repellant
    • Non-irritant
    2.QUALITY OF LINEN .
  • 6. 3. WASHING METHOD .
    • Wash through contractor.
    • Laundering on contract
    • b ) Rental system
    • Hire laundered linen from contractor
    • Replacement and laundering is done by contractor
    • advantage Cost less
    • disadvantage 1. totally dependent on
    • contractor
    • 2.constant supervision
    • 3. Transportation
    • ii ) Centralised co-operative laundry
    • iii) Hospital mechanised laundry.
  • 7. ADVANTAGE OF MECHANISED LAUNDRY
    • Reduces damage to linen and loss.
    • Regular supply of linen ensured.
    • No dependency on climate.
    • Safe handling of soiled and infected linen.
    • Complete control on washing formula.
    • Reduces chances of Hospital infection.
    • Sterility is ensured.
  • 8. 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
    • Power failure
    • Breakdown of machine
    • Bad weather condition
    • Pilferage of linen
    • Untrained staff.
    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
  • 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. LAUNDRY LINEN LAUNDRY LINEN SOILED FOUL RADIO ACTIVE INFECTED
  • 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. 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
  • 13. ORGANIZATION OF LINEN AND LAUNDRY SERVICE ORGANIZATION LOCATION QUALITY CONTROL MAINTENANCE & REPAIR ADMINISTRATION INFRASTRUCTURE MANPOWER MATERIALS SIZE COLLECTION & DISTRIBUTION
  • 14. LOCATION
    • The hospital laundry should be located away from the main service area of the hospital.
    • Close to boiler and water heating system.
    • Larger hospitals 500 beds and above should establish their own mechanized laundry.
    • Smaller hospitals should take the help of co-operative mechanized laundry.
  • 15. SIZE
    • 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.
  • 16. 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.
  • 17. LAUNDRY PROCESSING
    • After the dirty linen is received in main laundry it is weighed.
    • The infected linens are passed though sluicing machine, then taken for washing.
    • Wooden blankets and mattresses are autoclaved and supplied .
    RECEPTION & SORTING WASHING HYDRO- EXTRACTOR DRYING (OPEN/ DRYER) DISTRIBUTION STORAGE SEWING PACKAGING IRONING (STEAM/ ELECT.)
  • 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. EQUIPMENT AND FURNITURES EQUIPMENTS BOILER WASHING MACHINES HYDROEXTRACTOR DRYER AUTOCLAVE ROLLER IRON STEAM PRESS ELECTRIC PRESS SEWING MACHINES RACKS,TABLES CHAIRS & ALMIRAH
  • 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. 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. MATERIALS MATERIALS VARIUOS TYPES OF LINENS LIQUID & SOLID DETERGENTS WHITNERS LAUNDRY ASH SOAP FLAKES CHARCOAL FIRE WOOD CARBOLIC SOAP
  • 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. 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. 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. 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. MAINTENANCE AND REPAIR
    • Maintenance and repair of laundry is the responsibility of Hospital Engineer Services, while daily maintenance is done by laundry mechanic.
    • All the heavy machines are kept on annual maintenance contract.
    • Time of collection from ward and distribution to be scheduled.
    • O.T, ICU and private ward there should be two time collection.
    • Other areas once daily.
    • In inventory of various types of linen time to be kept in laundry.
    • Receipt of linen and distribution should be properly recorded.
    • Torn linens which cannot be reutilized be discarded, condemned and disposed by tearing into pieces.
    • Check pilferage from laundry.
  • 28. QUALITY MONITORING
    • Surprise visit by Superior Staff
    • System of delivery of linens
    • System of counting and sluicing
    • Length of washing cycle
    • Right quantity of detergents
    • Removal of stains
    • Strict delivery time 12 hours/ 24 hours
    • Segregation of form linen and its disposal
  • 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