5 Housekeeping SOP

RIDDHI VINAYAK MULTISPECIALTY HOSPITAL Housekeeping

Page 1 of 27 CHAPTER NAME: ROM

Document No.: RVMH / HK/ SOP/05

STANDARD OPERATING PROCEDURES FOR HOUSEKEEPING

Approved By: Issued By: Issue Date: 25.07.2015

Standard Operating Procedure

Issue No. : 01 Rev. No. : 00 Rev. Date: 00

RIDDHI VINAYAK MULTISPECIALTY HOSPITAL



Housekeeping

AUTHORIZED SIGNATORY 1.

Approved By

2.

Issued By

Medical Director Incharge-QA







Housekeeping

AMENDMENT SHEET Sl. No.

Page No.

Clause No.

Date of Amendment

Amendment Made

Reasons

1 2

TABLE OF CONTENT Approved By: Issued By: Issue Date: 25.07.2015



Signature of approval authority


CHAPTER NAME: ROM


Housekeeping Sl. No.

Page 4 of 27

TITLE/CONTENT

1.

INTRODUCTION

2.

PURPOSE

3.

GOAL

4.

SCOPE OF SERVICES

5.

APPLICABLE AREA

6.

ORGANOGRAM

7.

JOB SPECIFICATION / REQUIREMENT

8.

RESPONSIBILITIES

9.

PROCESS FLOW CHART

10.

DUTY ROASTER

10.1

HOUSE KEEPING SUPERVISOR

11.

HOUSE KEEPING PERSONAL PROTECTIVE EQUIPMENT

12.

CLEANING SCHEDULE

13.

PROCEDURE & WORK INSTRUCTION

13.1

PROCEDURE OF BIO-MEDICAL WASTE COLLECTION AND SEGREGATION

13.1A DO’S AND DON’TS FOR WASTE MANAGEMENT 13.1C HOUSEKEEPING CLEANING FREQUENCY AS PER HIC GUIDELINE 13.1E 13.2

ENVIRONMENTAL CLEANING PROTOCOL WORK-INSTRUCTION FOR USE OF CORROSIVE / HAZARDOUS MATERIALS







Housekeeping 13.3

WORK-INSTRUCTION FOR CLEANING / SCRUBBING OF HIGH RISK AREA

13.4

WORK-INSTRUCTION FOR CLEANING/SCRUBBING OF LOW RISK AREA

13.5

WORK-INSTRUCTION OF LAUNDRY ACTIVITIES

13.6

WORK-INSTRUCTION OF WASTE MANAGEMENT IN THE HOSPITAL

13.7

WORK-INSTRUCTION OF MANAGEMENT OF PATIENTS LINEN

13.8

WORK-INSTRUCTION FOR SPILLAGE

13.8a

INFECTED SPILLS -MANAGEMENT OF BLOOD OR OTHER BODY FLUID SPILL

14.

WORK INSTRUCTION FOR HANDLING OCCUPATIONAL HAZARDS

15.

LIST OF QUALITY INDICATOR

16.

LIST OF QUALITY OBJECTIVES

17.

ANNEXURE

18.

ABBREVIATION

1. INTRODUCTION:







Housekeeping

The House Keeping department has a good role to play in Hospital hygiene and image. All staffs in house keeping department should be well groomed and clean. They should know the standards of cleaning and hygiene to up keep the image of the hospital. The House Keeping department has more than 30 staffs. Hospital cleaning, outside cleaning, Bio-medical and General waste disposal etc. comes under the supervision of House keeping. House keeping has to ensure clean-linen in each department, as this directly reflexes the quality, health and the image of the hospital. 2. PURPOSE: a. To ensure cleanliness and hygiene throughout the hospital. b. To prevent Hospital acquired infections. c. Ensure proper segregation and disposal of bio-medical waste. 3. GOAL: Cleaning and controlling infection in an around the hospital premises.

4. SCOPE OF SERVICES: a. Bio-Medical waste collection & segregation Approved By: Issued By: Issue Date: 25.07.2015




CHAPTER NAME: ROM


Housekeeping b. c. d. e. f. g. h.

Page 7 of 27

Waste Management Hospital Cleaning Environment Cleaning Use of Corrosive / Hazardous Materials Cleaning & Scrubbing of high risk area Cleaning & Scrubbing of low risk area Laundry Activity i. Management of patient linen j. Spillage Management k. Handling Occupational Hazards

5. APPLICABLE AREA: a. b. c. d. e. f. g. h. i.

IPD Toilets Emergency Radiology Dialysis Pharmacy Mortuary Roof Maintenance

6. ORGANOGRAM: Asst. Medical Director Approved By: Issued By: Issue Date: 25.07.2015






Housekeeping

Head-HR

HOD-Housekeeping

Housekeeping Supervisor

Laundry Man

H.K Staff 7. JOB SPECIFICATION / REQUIREMENT: Refer to Human Resource Department. RVMH/HRM/FM/05 8. RESPONSIBILITIES: Refer to Human Resource Department. RVMH/HRM/FM/05







Housekeeping

9. PROCESS FLOW CHART: Activities

Input 1. Cleaning material 2. Linen as per the patient requirement /investigation area. 3. Pesticide (Outsource) Approved By: bins for waste 4. Colour coded disposal. 5. Request Issued By:for internal transport.

Issue Date: 25.07.2015

1. 2. 3. 4. 5. 6. 7. 8. 9. 10.

Sweeping Mopping Dusting Waste management Use of Corrosive Hazardous Materials. Cleaning / scrubbing of high risk area. Standard Cleaning / Operating Procedure scrubbing of low risk area Laundry Activity. Management of patient linen. Spillage Management.

Output 1. Hygienic environment. 2. Fresh and clean linen in each area. 3. Waste disposal

Issue No. : 01

4. Ambulance maintenance

Rev.5 No. : 00 Support ward nurses in patient care.

Rev. Date: 00




Housekeeping

Control Parameter Responsibility Reference Work Instruction

1. HOD-Housekeeping

Related documents

1. Toilet cleaning checklist. 2. Room checklist. 3. Waste disposal policy 4. Pest control rounds file

10. DUTY ROASTER a. Patient Ward –

A Shift – 1 GDA & 1 H.K. Staff General Duty – 9.00 to 5.00 – 1 GDA (Every Patient ward) B Shift – 1 GDA & 1 H.K. Staff C Shift – 1 GDA & 1 H.K. Staff

b. Floor OPD –

A Shift – 1 GDA & 1 H.K. Staff B Shift – 1 GDA & 1 H.K. Staff







Housekeeping

General Duty – 9.00 to 5.00 – 1 GDA (Every Patient ward) c. Other Areas –

In each shift 1 GDA

11. HOUSE KEEPING PERSONAL PROTECTIVE EQUIPMENT: Critical Area

-

Gloves, Mask, Protective Cloth,

General Area

-

Gloves, mask

12. CLEANING SCHEDULE: 12.1. CLEANING SCHEDULE OF GENERAL WARD: Landing

Daily

Shift Wise

Staircase

Daily

Shift Wise

Nursing station

Daily

Shift Wise

Corridors

Daily

Shift Wise

Rooms

Daily

Shift Wise

Toilets (rooms)

Daily

4 times in a day

General ward includes Male /Female ward, Medical Male/Female ward, general ward, pediatric ward, surgical ward, observation. 12.2. CLEANING SCHEDULE OF HIGHLY RISK AREA: Approved By: Issued By: Issue Date: 25.07.2015






Housekeeping ICU

Daily

Every 4 hourly

OT

Daily

Every 4 hourly

Dialysis

Daily

Every 4 hourly

…….

Daily

Every 4 hourly

…….

Daily

Every 4 hourly

…………..

Daily

Every 4 hourly

Pathology

Daily

Every 4 hourly

12.3. CLEANING SCHEDULE OF LAB, X-RAY, SCAN, BLOOD U.S.G

Daily

Shift Wise (As Required)

Radiology

Daily


CT/MRI

Daily


Blood collection

Daily


Emergency

Daily


12.4. CLEANING SCHEDULE OF GENERAL AREA Main porch

Daily

Shift Wise

Staircase

Daily

Shift Wise

Reception area

Daily

Shift Wise







Housekeeping Corridor

Daily

Shift Wise

Pharmacy

Daily

Shift Wise

Toilet (OPD)

Daily

Every 30 Mints

Report counter

Daily

Shift wise

Toilet (Report count)

Daily

Shift Wise

Lifts

Daily

Shift Wise

12.5. CLEANING SCHEDULE OF O.P.D Maternity

Daily

Shift Wise

Billing

Daily

Shift Wise

Doctors chamber

Daily

Shift Wise

EEG

Daily

Shift Wise

Cardiology

Daily

Shift Wise

Dental

Daily

Shift Wise

Ophthalmology

Daily

Shift Wise

Health Checkup

Daily

Shift Wise

OPD reception

Daily

Shift Wise







Housekeeping

13. PROCEDURE & WORK INSTRUCTION: 13.1 PROCEDURE OF BIO-MEDICAL WASTE COLLECTION AND SEGREGATION: Bio Medical waste of our hospital after disposal is handed over to the RAMK group. As per pollution control board recommendation. RAMK group has been given the contract to handle the bio medical waste of RVMH Hospital. Segregation & Dispatch of waste in Different color Bags. Covering all type of Hospital waste. Responsibility: - Supervisor, Nursing staff a. Yellow bag

-

For post operative body parts, dressing materials, blood or body fluid, contaminated paper and cloth, mask, caps etc.

b. Blue bag

-

Syringe, I.V set, catheter, gloves, Urine bags, Blood bags etc

c. Black bag

-

For food waste + All General Waste

d. P.P.C

-

One is for broken glass ampoules, slide etc. Another one is for burned needles, blades etc.

A.DEPARTMENTAL FUNCTION: a.As per pollution control board & our hospital policy we have to give our biomedical waste. b.Every shift wise the housekeeping staffs collect the biomedical waste from the each room. c.They store the waste in the sulobin shift wise. d.In the every night the housekeeping staffs collect entire waste from the floors. e.Store the waste in the bio-medical waste segregation room. B.DO’S AND DON’TS FOR WASTE MANAGEMENT DO’S: b. Do segregate waste at point of generation to  Infectious non-sharp  Sharp Approved By: Issued By: Issue Date: 25.07.2015




CHAPTER NAME: ROM


Housekeeping

c. d. e. f. g. h. i. j. k. l. m. n.

Page 15 of 27

 General  Infectious plastic waste Do collect in color-coded bags Do train & educate all categories of staff in proper segregation & handling of wast. Do decontaminate all sharps by chemical disinfectant Do shred plastic waste Do use syringes & needles destroyers Do recycle decontaminated, shredded plastic through authorized manufacturers Do cover the waste collection containers Do secure storage area Do transport through covered trolleys Provide protective wear to transporters and handlers Do clip and decontaminate rubber gloves Do immunize all waste handlers

DON’TS FOR HANDLING AND DISPOSAL OF HOSPITAL WASTE: a. Don’t mix the infectious with non-infectious waste. b. Don’t throw sharps in the trash or into non-puncture proof container/bags c. Don’t recap the needle or bend or break needles with hand. d. Don’t fill the waste containers more than 3/4th of capacity e. Don’t allow unauthorized persons access to waste collection/storage areas f. Don’t use open buckets for infectious waste or sharps C. HOUSEKEEPING CLEANING FREQUENCY AS PER HIC GUIDELINE: SL. NO. 1 2 3

TASK CURTAIN CHANGING NEEDLE JAR CHANGING MOP HEAD CHANGING

FREQUENCY MONTHLY 48 hrs WEEKLY

4 5 6 7 8

MORTUARY CLEANING DUSTER CHANGING WARD AREA SCRUBBING GENERAL PEST CONTROL FLOOR DESINFECTING

INTERVAL WEEKLY WEEKLY WEEKLY DAILY FOUR TIMES



REMARKS

ONCE ONCE ONCE THRICE Issue No. : 01 Rev. No. : 00 Rev. Date: 00




Housekeeping 9 FAN 10 WASTE DISPOSAL *Note – Frequency can be changed as when required.

MONTHLY DAILY

ONCE THRICE

D. DEPARTMENTAL FUNCTION: Housekeeping staffs clean there allocated area as per the schedule mention.

E. ENVIRONMENTAL CLEANING PROTOCOL Area Floor Critical Care & OT Floor, ward and public area Beds & surface Bed mattress Spill Cleaning of glassware Cleaning of W.C bowl, urinals, pint measures. Public toilet floor cleaning Toilet & bed pans washing and disinfection -ward, ITU Fogging - ward

Disinfectant Used Virex 11 - 256 Virex 11 – 256 & Phenyle Virex 11 - 256 Sodium Hypo chloride 1% 1% Sodium hypo chloride Colin Harpic

Exposure Time Every 4 hourly Shift wise (4 times) Daily Daily As required Daily Daily

Phynile/ Harpic/Soap liquid Bacilocid special & Sodium Hypo chloride Virex 11 - 256

Every half hourly Shift wise (4 times)

Fogging – critical care, OT

Virex 11 - 256

OT Staff

OT Staff

F. DEPARTMENTAL FUNCTION: Housekeeping staff clean the environment of this hospital according to the schedule. 13.2

WORK-INSTRUCTION FOR USE OF CORROSIVE / HAZARDOUS MATERIALS: a. Protect yourself. b. Approach the scene with caution.







Housekeeping c. Attempt to identify the hazardous material.

d. Obtain further information and assistance for equipment, etc. e. Avoid contact with hazardous material and person. f. TRY to contain the material as much as possible in one place. Try decontaminating the person, as much as possible at the scene. Setting up the decontamination area should be done. With few exceptions WATER is the UNIVERSAL ANTIDOTE. For biological (Infective) hazardous materials use BLEACH. DEPARTMENTAL FUNCTION: a. Before the use of the corrosive / hazardous material protect himself by the use of personal protective equipments. b. Identify the material before attempt that. c. In the cleaning time very much alert to contaminated with the body save your body to contamination with the hazardous material. d. At the end of the work decontaminate the person as much as possible. 13.3

WORK-INSTRUCTION FOR CLEANING / SCRUBBING OF HIGH RISK AREA: a. Perform the daily basis work as per work manual & collect the special instruction if any from the supervisor for the day. b. Collect the cleaning tools like broom, mop, bucket, scrubber, cleaning compounds, disinfectants etc. c. Sweep the floors carefully. d. Dilute the cleaning compounds / disinfectants with water as recommended. e. Mop the floor carefully. f. Clean the bed railing, food trolley & other associated furniture/fixture with the disinfectant. g. Fumigate the area / room as per H.K plan. (As required) h. Always collect the waste materials from designated container (colour coded bucket) and place the fresh under liner. i. Dump the entire collected garbage bag in the designated area. j. Cleaning the furniture & fixture with Colin. k. Cleaning of fixture as and when required.







l. Broom the floor m. Preparation of liquid solution for floor scrubbing in 1-lit water 20 ml. After scrubbing squeeze water and mop floor. n. 3 times mopping & Weekly mop head changing. o. Cleaning of bedpans & urinals with hot water and Hypochlorite solution and then disinfected. DEPARTMENTAL FUNCTION: a. The allocated staff perform there daily work as per work manual. b. Collect all the cleaning tools and disinfected before used them. c. Dilute the cleaning compounds / disinfectants with water. d. Sweeping & moping the floor carefully. e. Clean the associated furniture/ fixture with the disinfectant. f. Fumigation done by the high risk area as per the fumigation schedule. g. Collect & dump the biomedical waste in the designated area. h. Prepare the liquid solution for floor scrubbing. i. 4times mopping & weekly mop head changing. j. Bed pan & urinals clean with hot water & Hypochlorite solution & then disinfect. 13.4 WORK-INSTRUCTION FOR CLEANING/SCRUBBING OF LOW RISK AREA (ALL CORRIDOR, OPD, BLOOD COLLECTION, WARDS DLX, TWDXL ROOM): a. Report to the dept. & see the H.K work plan. b. Collect the special instruction if any from the HK Supervisor for the day. Report to duty on daily basis work as per work manual & collect the special instruction if any from the Supervisor for the day. c. Collect the cleaning tools like broom, mop, bucket, scrubber, chemicals (biodegradable) etc. d. The ratio of solution for furniture & fixture is Hypochlorite solution e. Use appropriate PPE ( like mask, gloves) f. Sweep the entire floor (room /corridor/ stair case etc) area and mop with the help of cleaning materials, disinfectants duly diluted with water. g. Clean & do dusting of the reception and other associate area, clean the glass doors by Glass Cleaner Chemicals. h. Change the under liner of all waste been and replace with new one. i. Clean the inner/outer body of the waste been by soap solution. j. Clean the OPD chambers through dusting, sweeping followed by mopping dusting, scrubbing & wiping. Approved By: Issued By: Issue Date: 25.07.2015






k. Broom the floor and preparation of solution with floor liquid soap (Floor soap) and phenyl solution (1 lit water: 20 ml), after proper scrubbing mopping with phenyl solution if required. l. Floor mopping to be done on the basis of requirement. m. Clean the water closets. n. Mop and Make the toilet floor clean & dry o. Clean, disinfect & dry the commot seat, wash basin. p. Wipe the Mirror, water fixtures. q. Check the necessary consumables r. Finally check the air neutralizer machine / place air refresher. s. Cleaning of urinals & bedpans with warm water and soap solution then disinfected or Sodium Hypochlorite 1% after every use. t. Check if all the H.K accessories (hand disinfectant solution, towel, patient couch linen etc) are available or not. Change/Replace as necessary. DEPARTMENTAL FUNCTION: a. Collect the cleaning tools from the specific area. b. Prepare the solution. c. Used appropriate personal protective equipment. d. Sweep & dusting the entire floor area, reception and other associated area, clean the glass door by the glass cleaner chemical & mop with the help of moping materials. e. Floor moping to be done on the basis of requirement. f. Change the waste bin plastic & clean the entire bin with soap solution. g. Clean the OPD chamber with the appropriate techniques. h. Clean the water closer. i. Mop & make the toilet, commot, urinal clean, disinfect & dry. j. Wipe the mirror & water fixture. k. Check the air neutralizer machine / place air refresher. l. Bed pan & urinals clean with hot water & liquid soap & then disinfect. m. Check all the H.K accessories change / replace as necessary. 13.5

WORK-INSTRUCTION OF LAUNDRY ACTIVITIES: a. Treatment of soiled linen with disinfectant (0.1% hypochlorite) for 1 hour. b. Collection of soiled linen of the same at the floor/units. c. Transportation of soiled linen to laundry. d. Handover soiled linen to vendor.




RIDDHI VINAYAK MULTISPECIALTY HOSPITAL Housekeeping e. f. g. h. i. j. k. l. m. n. o.

13.6



Receive clear linen from vendor. Dispatch of washed linen to floor/units. Monthly inventory at linen. Indirect for new linen against condemned linen. Replacement at linen/improperly washed linen to floor’s/units. Random Quality check (Dust visible, stain, ironing, odour) Swab testing of cleaned linen. Dispatch at new linen to different floor/unit. Rewashing linen. Monthly linen Audit/Inventory checking Monthly outsourced laundry audit on their performance.

DEPARTMENTAL FUNCTION: a. Collect the soiled linen in specific time at specific place. b. Prepare the soiled linen treatment and deep the linen about 1hr. c. Transfer the soiled linen to the laundry. d. Handover the linen to the vendor. e. Received the clean linen from the vendor. f. Check the condemned linen from the washed linen. g. Send the condemned linen to the vendor. h. Random quality check and the swap test of the washed linen. i. Dispatch the clean linen to the floor. j. Monthly rewash linen audit/ inventory checking. k. Outsource laundry audit once in a month. WORK-INSTRUCTION OF WASTE MANAGEMENT IN THE HOSPITAL: a. Create consciousness through training among the user dept as well as H.K Staff. b. Identify the different type of waste, medical or non medical & Segregated according to their nature. c. Use appropriate personal protective equipment (P.P.E) like gloves, musk, chemical etc. while handling wastes. d. Place the appropriate waste bins with proper liner (refer color code for collection of Bio medical wastes) in convenient / designated places in public area /ward area for collecting wastes. e. Dump / Store all kind of wastes in the designated waste bins according to their status. f. Finally transport the wastes ( from waste bins ) to hospital waste dumping area g. Take weighment of the wastes before disposal.







h. Dispose the wastes through the approved agencies. i. Inspect the waste site from time to time and keep it clean. DEPARTMENTAL FUNCTION: a.As per pollution control board & our hospital policy we have to give our biomedical waste. b.Every day in the morning the housekeeping staffs empty the biomedical waste bag. c.Each floor wise yellow, blue, black and white container placed in a big container according to there colour. d. After collecting the waste send them in our basement. e.The biomedical waste segregation area is located in the basement. f.The housekeeping staff put the waste colour wise separate place. g.Take the weight of individual waste and handed over the waste to the approved agencies. h.Note the data of the waste collection / disposal at the end of the month and it to the commercial department. i.Keep clean the waste side and inspect time to time. 13.7

WORK-INSTRUCTION OF MANAGEMENT OF PATIENTS LINEN: a. b. c. d.

A. IDENTIFICATION & SEGREGATION OF LINENS: Before using the fresh linen, inspect the same for any discoloration, torn, heavy stains. If the linens are found not up to the mark segregate them and issue fresh linen. In case it is heavily stained linen send it to the House keeping dept for Re wash. If the linen is Torn, discolored etc, store it separately in the ward/ OT/ ICU and other concerned area and once send to the housekeeping department in a week.

B. INSPECTION OF LINEN REJECTED BY THE USER DEPTS: a. Once the discarded linens are received from the user dept, inspect the linen thoroughly for any cut marks, holes, missing button, discoloration, etc and make the necessary entry in the ward wise linen stock register. b. Segregate them separately according to the nature of damage. c. If the items are found repairable, send the items to the Tailor for repairs. d. If some of the lines are found not usable, and need to be disposed, stack them appropriately and make entry in the linen disposal register. Approved By: Issued By: Issue Date: 25.07.2015






Housekeeping

C. DISPOSAL OF TORN LINEN:a. Disposable linens to be placed to the Scrap committee in 6 months or earlier if needed. b. Evaluate and dispose the linen. D. USAGE OF REPAIRED LINEN BACK TO USE:a. Once the linen is received from the tailor after repairing, inspect them appropriately and examine if they are duly altered/ repaired and suitable for the purpose. b. If suitable, make the necessary entry in the Torn Linen Register as re useable items and send the linen for washing. c. If unsuitable, depending on the condition of the linen, either sends the same to the Tailor or to the bin where discarded linens are kept. d. Maintain the records in the torn Linen Register. E. COLLECTION OF SOILED LINEN:– a. Every day morning patient’s linen are to be changed and the soiled linen are to be kept into the dirty linen hamper bag from where soiled linen are to be collected from different departments. b. All linens are to be segregated as soiled / none soiled. c. Patient’s objects are to be returned to patients. F. COUNTING & SORTING:First sort item wise and thereafter count. G. PACKAGING & DISPATCH OF LINEN TO LAUNDRY:a. Bundle the linen while sending to laundry. b. Conduct checking of the bundle with a hand held metal detector (HHMD) to identify any metal objects be in the bundle. c. If sounds positive conduct a thorough search for the metal object by checking the individual linen packs. d. If valuables (such as ornaments, watches, coins, rings) are found, deposit the same with HOD Security. e. HOD Security to enter the item found / recovered in the Lost / Found register. f. Dispatch to Laundry under receipt. H. RECEIVING THE LINEN FROM LAUNDRY:Approved By: Issued By: Issue Date: 25.07.2015






While receiving the linen from the laundry Count the linen item wise and compare the same with the accompanied challan of the Laundry. I. CHECKING THE LINEN:a. Conduct inspection of at least 1/2 packs from each bundle at random and check if the linen is torn, stained, properly cleaned and odoure free. b. If any of these are found conduct more checking and separate the non conforming linens and return to the laundry. c. Take possession of those linens which are usable. d. Mention the no of linens received and accepted. e. Arrange Repair & Alteration of the torn linen which can be used after repair. J. STORING & DISTRIBUTION OF WASHED LINEN:a. Distribute linen to the departments / wards as per requisition. b. Issue extra linens (depending on availability) if requisitioned by the departments/ wards. c. Store the balance linens in the central Linen store. K. APPROVING LAUNDRY BILLS:a. As and when the bills are produced by the laundry, check the bills thoroughly and compare with the daily challan of the Laundry. b. Certify the laundry bill and release for payment.

L. INSPECTION OF LAUNDRY:a. Conduct surprise inspection of the laundry once in 6 months with a team comprising of a member from Nursing and housekeeping. b. Check the facilities, methods of washing the linen, detergents / chemicals used, disinfectant used, method of drying, pressing, water used, the disposal method of waste water etc. c. Remind the Laundry owner about the necessity for preserving the environment as using unapproved chemicals and discharging the same into the draining system may disturb the ecology. Approved By: Issued By: Issue Date: 25.07.2015






Housekeeping

d. Submit the report to the Asst. Medical Director. M. LIST OF CHEMICALS / DETERGENTS / STAIN REMOVERS TO BE USED FOR WASHING: a. Prepare a list of detergents, chemicals, stain removers, disinfectants to be used by the laundry which are safe for the environment as well. b. Get the list approved by the Medical Director/ HOD Pathology as for the patient’s health. c. Issue the list to the Laundry operator under acknowledgement and obtain an undertaking that he will not use any other chemicals/ detergents which are not approved and will not release the washed water to any ponds/ water body directly. 13.8

WORK-INSTRUCTION FOR SPILLAGE: A. HAZARDOUS MATERIALS Hazardous material that contains ingredients those are harmful to health. These include materials that are lethal and non-lethal, corrosive, toxic, irritant, sensitizing, mutagenic, teratogenic or carcinogenic. The concentration level of each ingredient in a mixture is taken in to account in determining whether the mixture is determined to be hazardous. a. Purpose  In the event of a spill, competent and prompt action is necessary for immediate clean up to reduce and eliminate the hazards present.  The handling, storage and use of hazardous materials are controlled and hazardous waste is disposed off safety.

b. Type of Spills: Spill





Infected Spills --Blood --Body Fluid etc



Non-Infected Spill --Chemicals etc

DEPARTMENTAL FUNCTION: a. At first identify the type of spillage is that. b. According to the type of spillage hospital have there own policy. c. Maintain the proper action as per the define policy. 14 WORK INSTRUCTION FOR HANDLING OCCUPATIONAL HAZARDS: Cuts by Blade, knife /Sharp Edge

Slippery floors Eye irritation (Bleaching powder.)

Staffs are immediately attended to First Aid. Necessary items are placed in the First Aid Box and it is placed in prominent location. In case of serious injury, staff is rushed to the emergency department. Floors are kept dry by the staffs who keep on mopping frequently, signage’s-Caution. Hand showers are kept in the hand wash area where staffs can go and wash their eye. In case of serious, staff is rushed to the emergency department

In case of major spillage the staff is rushed to emergency otherwise first aid is given silverex /burnol which is kept in first aid box. Electrical short circuit Provide first aid in case of accident. In case of fire, extinguisher is used inform operator & task force team. Harpic /Acid Gloves mask and goggles are used while handling the corrosive materials. Oil spillage

DEPARTMENTAL FUNCTION: a. At first identify what type of spillage is that. b. According to the type of spillage hospital have there own policy. c. Maintain the proper action as per the define policy. Approved By: Issued By: Issue Date: 25.07.2015






Housekeeping 15 LIST OF QUALITY INDICATOR: a. b. c. d. e. f. g.

No. of complaints should be less than 5% % to adherence to safety precaution while handling Bio Medical Waste Patient satisfaction rate on Cleanliness No. of complaints should be less than 5% Quantity disposed (group wise, in kg, in no. of bags) % of linen stock out % of linen sent for rewashing

16 LIST OF QUALITY OBJECTIVES: a) No. of complaints should be less than 5% b) 80 % to adherence to safety precaution while handling Bio Medical Waste c) 70% Patient satisfaction rate on Cleanliness d) % of linen stock out should be < 10% e) % of linen sent for rewashing should not be < 10% of total washed.

17 ANNEXURE: NIL. 18 ABBREVIATION: a. HK – House keeping b. SOP – Standard Operating Procedure c. GDA – General Duty Attainder. d. P.P.E – Personal Protective Equipment. Approved By: Issued By: Issue Date: 25.07.2015




CHAPTER NAME: ROM


Housekeeping e. f. g. h. i. j.

Page 27 of 27

OPD – Out Patient Department. OT – Operation Theater. PCI – Pest Control of India. HOD – Head of the department. ANS – Assistant Nursing Superintendent. M S D S – Material Safety Data Sheet.




5 Housekeeping SOP

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