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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:- ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
LINEN QUALITY REQUIREMENT The quantity of linen required depends on 3 factors FACTORS QUALITY OF LINEN FREQUENSY OF CHANGE METHODS OF WASHING
1.FREQUENCY OF CHANGE Linen requirement varies as per the functional area of the hospital. AREA IN_PATIENT FIXED AREAS OT, LR, ICU EMERGENCY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],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.
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],2.QUALITY OF LINEN .
3. WASHING METHOD . ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ADVANTAGE OF MECHANISED LAUNDRY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ADVANTAGE AND DISADVANTAGE OF LAUNDRY SERVICES   S.NO SERVICES  ADVANTAGE  DISADVANTAGE  1. Hospital Laundry  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],2. Co-operative Laundry ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
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 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],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
LOCATION   ,[object Object],[object Object],[object Object],[object Object]
SIZE  ,[object Object],[object Object],[object Object]
INFRASTRUCTURE FOR > 500 BEDS   The Hospital Laundry Service has two major components . ,[object Object],[object Object],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.
LAUNDRY PROCESSING   ,[object Object],[object Object],[object Object],RECEPTION & SORTING  WASHING   HYDRO- EXTRACTOR   DRYING  (OPEN/ DRYER) DISTRIBUTION   STORAGE  SEWING   PACKAGING   IRONING  (STEAM/ ELECT.)
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
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
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
MATERIALS  MATERIALS  VARIUOS TYPES  OF LINENS  LIQUID & SOLID DETERGENTS   WHITNERS  LAUNDRY ASH   SOAP FLAKES   CHARCOAL   FIRE WOOD   CARBOLIC  SOAP
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
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
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
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
MAINTENANCE AND REPAIR  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
QUALITY MONITORING ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
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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Planning & Manag. of Hospital Laundry

  • 1. PLANNING AND MANAGEMENT OF HOSPITAL LAUNDRY DR.N.C.DAS
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  • 3. LINEN QUALITY REQUIREMENT The quantity of linen required depends on 3 factors FACTORS QUALITY OF LINEN FREQUENSY OF CHANGE METHODS OF WASHING
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  • 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.
  • 13. ORGANIZATION OF LINEN AND LAUNDRY SERVICE ORGANIZATION LOCATION QUALITY CONTROL MAINTENANCE & REPAIR ADMINISTRATION INFRASTRUCTURE MANPOWER MATERIALS SIZE COLLECTION & DISTRIBUTION
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  • 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
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  • 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