care of equipment's in hospital.

1. MRS.JAYA.R
BSC (N)
NURSING TUTOR
FON DEPARTMENT
GANGA COLLEGE OF NURSING

2. CARE OF
MACHINERY,EQUIPMENT AND LINEN.

3. CARE OF
MACHINERY,EQUIPMENT AND LINEN.

4. CONTENT
INTRODUCTION
MATERIALS AND ITS TYPE
EQUIPEMENT AND ITS TYPE
CARE OF LINEN
CARE OF RUBBER GOODS
CARE OF STAINLESS STEEL GOODS
CARE OF GLASS
CARE OF PLASTIC ITEMS
CARE OF FURNITURE
CARE OF MACHINERY EQUIPMENT
MAINTENCE OF INDENT AND INVENTORY

5. DEFINITION
• Machinery and equipments are
essitional and basic tools for hospital
services,used on an everyday basis for
patient care
• Handling material and equipments are
very importent resposibility of the
nurse working in the hospital

6. Types of materials used in hospital
Materials
Drugs and Medication
Supplies
for daily use
diagnostic &treatment
cotten,gauze,syringes,
Facilities
non-moveable material
used for long time
Eg:lift,water tanks.
telephone
Equipment& instruments
furnitures ,instrument,ect..

7. cont..
• Its refer to the various devices,tools, instruments that are used in
hospital and health car works
• these equipment mut be well functioning and adequate supplies must
be there to provide optimum nursing care
• insufficient and ill functiong equipment results in increased work and
dangerous for patient

8. Type of Equipments
Diagnosis equipments
Self care equipments
Surgical equipments Acute care equipments
Electronic equipments

10. Categorization of machineries and equipment.
Machineries
and
Equipment
Disposable
Reusable

11. Disposable equipments
• A disposable device is any medical
apparatus intended for one-time or
temporary use. Medical and surgical
device manufacturers worldwide
produce many types of disposable
devices.
• Examples include hypodermic needles,
syringes, applicators, bandages and
wraps, drug tests, exam gowns, face
masks, gloves, suction catheters,...

12. Reusable equipments
• Reusable medical devices are devices
that health care providers can
reprocess and reuse on multiple
patients. Examples of reusable medical
devices include surgical forceps,
endoscopes and...

13. CARE OF LINENS
• Linen is a fabric made from fibers,
• It include cloths,sheets,ect..
• In hospital seting ,linens are used for
many purpose such as covering the
bed, articles, ect..

14. Linens used in hospital setup
• The hospital including mattress, pillow
covers, blankets, bed sheets, towels,
screens, curtains, doctors coats, theatre
cloth and table cloths.
• Types of Linens:
• Clean linen(Fresh linen)
• contaminated linen
• Soiled linen(exposed to blood )

15. General instructions to avoid spoiling and wastage of linen
• Follow the hospital policy
• Store the clean linen in cupboard and
maintain the stock register
• lock the cupboard when not use
• Give clear instruction to patient
• Torn linen should nor be used
• Stock should be checked reguler
intervals
• Soiled linen should not be placed on
the floor
• Regularly send the dirty linen to
laundary for washing and ironing
• Damp linen should be dried
• Try to remove fresh stains by
using apporopriate stains
remover
• Draw mackintosh over bed
sheets to protect from stain
• The linen used for an infectious
patient should be disinfected
first before they send to laundry

17. Removal of stains
• Medicine stain(apply spirit)
• Food stain(apply salt&pour hot
water)
• Ink stain(dp in cool water/sprinkle
salt &lemon)
• Paint(turpentine,alchol)
• Rust marks(apply salt &lemon)
• Tea/coffee stain(pour milk &wash)
• Blood/fresh-soak in cold water/old-
H2O2/thick-paste of starch & try in
sun
• Iodine(dip in rice water)

18. Disinfection of contaminated /soiled linen
• Always use laundry box/hamper
• Should not be put on the floor
• Dip the linen in a buket cotaining
0.5% solution of chlorine for 10
minutes.
• Rinse it in water and get s=dry in sun
• Send autoclaving (sterilization)
• After disinfection thlinen,store in
apporopriate cupboards
• Sodium Hypochloride solution 0.5%
(duration-5 mts)
• Glutaraldehyde 2% (duration-20-
30mts)
• For sterilizationglutaraldehyde
2%(duration-10hrs)

20. Care of blanketes
• Blanketes are expensive articles amd
it will shrink while washing
• Blanketes should nio be washed.it
should be dusted in open place then
dried in sunlight
• Bhey should not be exposed to dust
• While storing, blanketes should be
carefully protected from moth using
naphthalne balls
• They shoild be coverd with dust proof
sheets

21. Care of matteresses and pillows
• They should be prevented from wet and stains
• They should be brushed at regular intervals to
prevent collection of dust
• Washable covers should be covered over the
matteresses and pillows
• They are disinfected by exposing them to
sunlight
• If needed to wash, wash it under running cold
wat
• Importance of maintaining linen
• provide clean and tidy linen and bed to the
patient
• provide comfort to the patient
• prevent cross infection

23. • The rubber goods in common use are :
• Mackintosh • Aircushions • Hot water bottles • Ice caps • Rubber tubes and catheters
• Gloves • Rubber beds / air beds/ air mattress.
Principles of care:
• Natural and synthetic rubber deteriorate with age, exposure to heat, light, moistures
and by chemicals.
• They should not be folded. Avoid exposure to sunlight.
• Rubber good should never be dried by artificial heat, nor by contact with the radiator
or stove.
• It should be free from Greece and acids.
If autoclaving is used, short periods of exposure are recommended (10-15 minutes).
• They should not be pressed out of shape by any weight.
• Should not be tied in knots
• Should not be hung on hook or nails

24. Cleaning of rubber mackintosh
• Spread the mackintosh on the table or a flat surface and
wet it with cold water
• Rub the upper surface with soap and water using a clean
cloth or towel.
• Turn the other side and repeat the same process.
• Wash both the surfaces under running water
• If strains are present to be removed.
• For disinfection use Lyzol Or Dettol 1:40
• Hang them on a horizontal cylindrical pole under shade
• If Both surfaces absolutely dry powder them.
• Store them flat or rolled, never folded.
• Store them in a dark cool place.

25. Care of Rubber Gloves
 It is desired that the wearer of the gloves should wash them on
their hands just before they are removed to prevent adherence of
blood.
 After removing from the hands, they are washed with soap and cold
water, first on the outside then invert and repeat on the inside.
 Rinse well with water both inside and outside
 Holes and tears are discovered by submerging the glove filled with
air in the water. separate the torn gloves.
Hang them to dry. When out side is dry Turn inside out and dry
 When out side is dry Turn inside out and dry
When both sides are dry, powdered inside and outside and packed in
pairs of the same size , right and left gloves in a pair.
 Steam under pressure is the best method of sterilizing gloves. the
pressure should be kept minimum to avoid melting.

26. Care of Rubber Tubes
• (catheters, rectal tubes, flatus tubes, ryles tubes,
infusion sets)
• After use, wash them under running water
• A small quantity of organic matter may be lodged at the
eye end. Remove them using a swab stick
• Clean them with the soap and warm water
• Wash them again under running water
• Boile the tubes for 5 minutes by putting them in the
boiled water.
• Dry it by hanging
• When dried, powdered and store them in air tight
container, lengthwise.
• Re boil or autoclave them before use.

27. Care Of Air Cushion & Rubber Bed / Air Mattress
• To clean the air cushion and air bed,
don’t pour water into them. It is
sufficient to clean the outside.
• During cleaning it should not be filled
with air, as air filled items can crack
easily by pressure.
• The valves of the air cushions or air
beds should never be immersed in water,
as it makes them rusted and damage the
item.
• Store them after slightly inflating them
to avoid the sticking of two surfaces.

28. Care Of Hot Water Bottle & Ice Cap
• Empty the contents immediately after
use.
• Wash and dry as of the other rubber
goods.
• Hang the bags upside down to drain
the water.
• The ice caps which can not be hung are
dried with a piece of cloth.
• When the bags are completely dried ,
inflate them with air and store in a cool,
dry area.

29. Sterilization of Rubber Articles
• Autoclaving:
Regulated medical waste that might
contain bacteria, viruses and other
biological material are recommended to
be inactivated by autoclaving before
disposal. To be effective,
•The autoclave must reach and maintain
a temperature of 121° C for at least 30
minutes by using saturated steam under
at least 15 psi of pressure.
• Chemical Sterilization is the process
of removal of microorganisms by the
use of chemical bactericidal agents.
Even if physical methods of
sterilization are more appropriate for
effective sterilization, it is not always
appropriate to use for heat-sensitive
materials like plastics, fiber optics, and
biological specimens.emical
sterilization
• Solution:
• Alcohol 50-70%(for 20-30 mts)
• Savlon ( for30 mts)

30. CARE OF STAINELESS STEEL GOODS

31. LIST OF STEEL ITEMS
• Forceps
• Sharp instruments
• Scopes (endoscopes,
laryngoscopes, etc.,)

32. CLEANING
• Steel items get sterilized using chemicals and autoclaving
• Wear gloves while handling these items
• Dip the items in 5% chlorine for 5 to 6 minutes then wash under
running water
• Make sure that tips, toothed ends, grooves of forceps are cleaned
properly
• Instruments with fine tip are covered in hard rubber cap
• After drying, send it for sterilization.

33. CARE OF LARYNGOSCOPE
• CLEANING
• Take dry gauze piece to clean saliva from
laryngoscope
• Separate blade from laryngoscope and dip it in
disinfectant for 20-30 minutes
• With the help of chital forceps take it out and dry it.
• Reattach blade to laryngoscope and store on
emergency trolley for resuscitation.

34. CARE OF GLASS EQUIPMENTS
Articles made up of glass are very fragile and
special care is needed while handling them.
List of Items:
Test tubes
Funnel
Slides
Specimen bottle
Thermometers
Ounce glass, jar

35. CARE AND CLEANING
• Immerse the used glass item in disinfectant 5% chlorine for 5 minutes in a
container covered with lid
• Clean tubes and jars with plastic brush
• Patients utensils and items are cleaned with soapy solution
• If the items is soiled or very much contaminated, must be discarded in
puncture proof container

36. CARE OF PLASTIC ITEMS
• Items made up of polyvinyl chloride
(PVC) are the plastic items.
• These items are heat sensitive and hence
they should be protected from heat
radiations etc.
• LIST OF PLASTIC ITEMS
• Basin, bowl
• Kidney tray
• Bed pan, urinal
• Syringes
• Airways, connectors
• Oxygen hood

37. CARE OF KIDNEY TRAY/BED PAN/URINALS
• The contents of kidney tray, bedpan or urinals
should be discarded in appropriate area, its
contents should not be left standing for a long
time
• Rinse it in cold running water
• Wash with soap and warm water using a brush
and rinse it well to disinfect, soak them in Lysol
1:40 for one hour
• They can be placed in direct sunlight for few
hours.

38. CARE OF FURNITURE
• Furniture is movable article in a
room established to fit for living
or working
• In hospital setting, it is a
collective term used for different
types of portable objects.

39. TYPES OF FURNITURE
Wooden furniture
Metal furniture
Table, chairs, cupboard,
locker
Bed, trolley, chair, wheel chair,
locker, back rest
OT table, IV stand,

40. CARE AND MAINTENANCE OF FURNITURE
• Always keep the furniture dust free, clean it with a piece of soft cloth
• They can be disinfected with glutaraldehyde or savlon and also washed with soap
and water
• Hospital bed should be cleaned daily
• Trolley,lockers,iv stand treatment table must be disinfected after discharge or death
of the patient
• Iron furniture should be cleaned with dry duster
• Repair of furniture must be done regularly
• Stock record of furniture should be maintained and old damaged furniture are send
for condemnation.

41. IMPORTANCE OF MAINTAINING FURNITURE
• Maintenance of furniture is very important for
preserving its maximum usefulness
• It gives aesthetic sense for patient
• It prevents cross infection
• It helps in prolonging the life of furniture
• It provides favorable environment for the
recovery of the patient
• CARE OF MACHINERY AND
EQUIPMENTS

42. ITEMS USING ELECTRIC CURRENT
• Suction apparatus
• Defibrillator
• Nebulizer machine
• Refrigerator
• Monitor
• Ventilator
• Pulse oximeter

43. POINTS TO REMEMBER
• Power off the equipment when not in use
• Clean the equipment and its parts with wet soft
cloth
• In suction apparatus,the tubing should changed for
every 24 hours
• The working condition of the equipment should be
checked before using it
• The equipment should be kept in safe and
appropriate place
• The defibrillator should be in the charge always
• In refrigerator, unnecessary things such as food
items, expired medicines, opened medication,
unused blood samples, etc., should not be kept.

44. care of patients unit
• Care of flooring
• Care of wall
• Painted wall
• Daily cleaning
• Weekly cleaning
• Annual cleaning

45. MAINTENANCE OF WARD INVENTORY

46. INVENTORY
• Inventory is a list of articles available in ward.their characteristics,
standard number.it is record of articles available in the ward.
• Inventory control means stocking an adequate number and type of
stores,so that the materials are available whenever required

47. Identified techniques in inventry control
• First In,First Out (FIFO).
• Inspection of the stock Levels.
• Security of stock

48. PURPOSES/USES OF MAINTAINING WARD
INVENTORY
• To provide maximum supply of materials
• To facilitate the smooth functioning of the ward
• To avoid shortage and insufficiency
• To determine the condition of articles and to order repaired or
replacement if necessary
• To reduce financial investment

49. cont..
• Inventory helps to handle unforeseen circumstance
• Inventory also helps to avoid workers and machinery being idle
• To check the functioning status of articles
• To return the articles to its proper places
• It helps to avoid missing articles and keep a check on the articles

50. INDENT
• Indent is a list of items made for
availing in the ward. A list of items is
made, which are not available in the
stock.
• Indent is done weekly/monthly basis
depending upon the shortage of items.
• After making the list, it is been send to
the main store