Standard Operating Procedure CRH Laundry Service

#CRH TITLE: CRH LAUNDRY SERVICE MANAGEMENTSIKKIMMANIPALUNIVERSITY ÔPlUBl Htcj US f XffDOCUMENT NO:

REVISION NO: ocCENTRAL REFERRAL HOSPITAL - SMIMSB''

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Standard OperatingProcedure

CRH Laundry ServiceManagement

4/fciMs. PTi Dr. Mingma L. Sherpa- Dr. Gaut^ri Dey- MS

Executive Operations HO DPPrepared By Reviewed By Approved ByAll information in this document is confidential and property of M/s Central Referral Hospital. Gangtok Reproduction in any form, either in part or full to be done only with written permission.

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#CRH TITLE: CRH LAUNDRY SERVICE MANAGEMENTDOCUMENT NO: H\C /

SIKKIMMANIPALUNIVERSITY

REVISION NO:CENTRAL REFERRAL HOSPITAL - SMIMS © OREVISION DATE: o O

DocumentedProcedure

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Amendment Details

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Signature of Reviewing Authority

S.No Signature of Approving Authority

Reasons

th ' Auj(Dr. Gautbm Dey- MS

/Ms. Dr. Mingma L. Sherpa-Executive Operations HO DPPrepared By Reviewed By Approved ByAll information in this document is confidential and property of M/s Central Referral Hospital, Gangtok. Reproduction in any form, either in part or full to be done only with written permission.

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m CRH TITLE: CRH LAUNDRY SERVICE MANAGEMENTSIKKIMMANIPALUNIVERSITY DOCUMENT NO: Sop/c£H \ V\\c /LS/

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SR. No. Table of Contents Page No.

Introduction1 4

Scope and Objectives1.1 4

1.2 Functions 4

Classification of category of linen2 6

Classification of laundry linen 6

4 Quantification of linen 7

Labelling of linen5 7

-IProcess flow of mechanised laundry6 8

Equipment details7 8

Procedure of collection and transportation of linen8 9

9 Procedure for washing 9

10 Procedure for drying and extracting 10

/iProcedure for mending 10

^#4fteMs. PrTyaTavf- Executive Operations

Dr. Mingma L. Sherpa- Dr. Gautam Dey- MSHO DPPrepared By Reviewed By Approved By

All information in this document is confidential and property of M/s Central Referral Hospital, Gangtok. Reproduction in any form, either in part or full to be done only with written permission.

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TITLE: CRH LAUNDRY SERVICE MANAGEMENTm CRH SIKKIMMANIPALUNIVERSITY DOCUMENT NO:

REVISION NO: O OCENTRAL REFERRAL HOSPITAL - SMIMS

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10Procedure for ironing12

10Procedure for distribution of clean linen13

1 1Workflow14

12Records and documentation15

12References16

1

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L

Executive OperationsDr. Mingma L. Sherpa- Dr. Gautam Dey- MSHO DPApproved ByReviewed ByPrepared By

All information in this document is confidential and property of M/s Central Referral Hospital, Gangtok Reproduction in any form, either in part or full to be done only with written permission.

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TITLE: CRH LAUNDRY SERVICE MANAGEMENT#CRH SIKKIMMANIPALUNIVERSITY gOP/£RR/HI<lVZ^/.g-flDOCUMENT NO:

REVISION NO:CENTRAL REFERRAL. HOSPITAL - SMIMS/'/K ' L! R"' o o00REVISION DATE:

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SOP on Hospital Laundry

1. IntroductionLinen and laundry is a recognized support service which not only ensures prevention and containment of hospital infection but also contributes to improving the image of the hospital in the eyes of public.

2. Aim:The aim of the Laundry Department is to provide adequate supply of clean linen to all the hospital departments conforming to highest standards of cleanliness and hygiene immediately and constantly for routine and emergency use from a central place.

3. Objectives:

The objectives of the Laundry Department are as follows:

• To ensure adequate supply of linen to user departments as per requirement.• To provide linen free of dirt and stains to all User Departments.• To take steps for prevention of cross-infection• To monitor and enforce controls necessary to prevent spoilage (wear & tear due to washing)

of linen and reduce the frequency of linen turn over by increasing its life period.• To maintain record of effectiveness of cleaning, disinfection• and turnover.• To stay updated regarding developments in the field in the interest of efficiency, accuracy

and provision of better patient care.

4. Functions of laundry department:

Functional flow of activities in Laundry is as follows:

• Receipt of Articles: To receive used and dirty linen from various user departments• like operation theatres, ICUs, emergency, IPD, OPD anld radiology etc.

Ms. Priya Ravi- Executive Operations

auta ti Dey~wlSDr. Mihgma L. Sherpa- Dr. GHO DPApproved ByPrepared By Reviewed By


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TITLE: CRH LAUNDRY SERVICE MANAGEMENT DOCUMENT NO: | C (2 H/c[ LS>j2£)# CRHSrrv

CENTRAL REFERRAL HOSPITAL - SMIMS REVISION NO: OO'"'X r D RN

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Cleaning & Disinfection: All reusable linen is thoroughly cleaned with bleaching powder/ caustic soda and disinfected using disinfectants depending upon the type of linen.

Washing: after disinfection linen is washed in the washing area by following proper guidelines.

Inspection and Assembly: Each item to be washed is inspected for wear & tears, defects, stains and then appropriately put in the washing machine. After washing, the linen is drained of for excess water using hydro extractor and dried in drier before assembling for press in the pressing machine. The operation of the machines shall be entrusted to responsible and fully trained person. It should be kept in a state of good maintenance and repair.

Clean Linen Storage: Clean linen is stored in the central linen store. Clean storage environment is designed primarily to prevent contamination of Clean Linen.

Distribution: Refers to distribution of clean goods to the patient care areas and user departments OT, IPD, OPD, casualty etc

5. Classification of linen:

Classification based on category of linen:

• General Purpose linen: This includes curtains, drapes, table clothes and similar items commonly used in all parts of the hospital. This is the linen which is not used for patient care.

• Bed linen: This consists of patient bed clothing such as bed sheets, pillow covers, blankets used by the patient.

• OT, Labour room, Procedure room linen: This includes items such as pyjamas, kurtas, gowns, shirts etc. worn by surgeons, anaesthetists, OT personnel and also surgical gowns, caps, masks, trolley covers, OT towels etc. required in OT, labour room and procedure room.

6. Quantification of hospital linen:

ll-l/C57vDr. Mingma L. Sherpa- Dr. Gai tarn Dey- MSMs.

Executive Operations HO DPReviewed By Approved ByPrepared ByAll information in this document is confidential and property of M/s Central Referral Hospital, Gangtok. Reproduction in any form, either in part or full to be done only with written permission.

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#CRH TITLE: CRH LAUNDRY SERVICE MANAGEMENTSIKKIM MAN1PAL UNIVERSITY

CENTRAL REFERRAL HOSPITAL - SMIMS

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REVISION DATE: OV

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Hospital should have 3 sets of linen per bed. It is calculated as per following:

• One already in use (on bed)• One ready to use (in sub store)• On en-route to laundry

7. Classification of linen for laundry purpose:

From laundering point of view, hospital linen is classified into following categories:

• Dirty linen: used linen without soiling.• Soiled linen: linen soiled with blood and body fluids.• Infected linen: any linen used by a patient with a known infection whether soiled

or not.

This classification is highly beneficial in terms of segregation at the point of generation. Accordingly, the soiled and infected linen is segregated into separate coloured (yellow) bags and transported to the laundry

8. Labelling of linen for identification:

• Linen should be labelled with the name of the hospital and type of linen along with the number for proper inventory control.

• The proposed method for identification of the Linen is to label the linen on name as follows:• Name of the Organisation: CRH Hospital• Name of the Article: BS (Bed sheet), DG (Doctor's Gown), B (Blanket), PC (Pillow Cover), etc• Number of linen as per count

Example CRH/BS/25

This system can enhance the inventory management and avoid loss of inventory.

9. Process flow of CRH mechanized laundry

\yW/V|C^ iMMs.^nyaâvi-

Executive OperationsDr. Mingma L. Sherpa- Dr. Gau am Dey- MSHO DPPrepared By Reviewed By Approved By


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m CRH TITLE: CRH LAUNDRY SERVICE MANAGEMENTSIKKIM MANIPAL UNIVERSITY


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The layout of the Laundry should be done in such a way that there is a unidirectional flow of materials so that mixing up of the dirty linen and clean linen is avoided.It has following areas:

Reception and Receiving Area

Sluicing & Disinfection Area for Soiled and Infected Linen

Machine Area (for Washing)

Drying Area (For Dryer)

Sorting Table for torn Clothes

Folding and Pressing Area

Tailoring Room

Clean Storage Area

Distribution Area

10. Equipment:

Washing Machine: used for washing purposeSluicing Machine: sluicing machine is required for wetting the linen, treating it with stain removal chemicals and disinfectant and giving it a wash before it is next sent to the washers.Hydro Extractor: also called extractors, for easy removal of water after the washing cycle in the washer.Tumble Drier: is used to remove moisture from a load of clothing Iron: also called as calendaring machine is used for ironing of linen Linen Trolley: used for transportation of linen Sewing Machine: is used for mending the torn line' /

Dr. Mingma L. Sherpa-Ms. Priya Ravi- Executive Operations

l

r. Gat tarn Dey- MSHO DPPrepared By Reviewed By Approved By


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11. Procedure for collection of linen and internal transportation of linen:

• Every morning, the Laundry attendants go to different areas and collect the dirty linen bags in linen transport trolleys.

• There must be separate trolleys for transporting clean and dirty linen. The trolley used for transporting dirty linen should have two compartments for carrying dirty linen in one and soiled & infected

• in the other. Whenever the attendant collects the linen, the number of different types of linen items received is entered in the record

• by the Sister l/C of the concerned area. A separate register has to be maintained in different areas for the same. Linen transport trolleys should be closed.

12. Procedure for washing of linen:

12.1 Soiled & Infected Linen:

Sluicing is carried for removing heavy soil by putting the linen in the sluicing machine. The linen is treated with hot water and for stain removal & disinfect chemical (bleaching powder) are used depending upon the type of stain.

• At 65 degree Celsius the wash cycle is for ten minutes• At 71 degree Celsius the wash cycle is for three minutes• After rinsing the sluiced linen is wash as normal.

12.2 Dirty Linen:

• Dirty linen (non-infected linen) is to be washed in the first batch• Before washing linen should be weighed and each batch should weigh less than or equal to

the established guidelines of the washing machine.• Water temperature should be checked on a daily basis, if not as per requirement the same is

to be reported to the Chief Engineer for further action.

13. Procedure for drying and extracting

• Purpose is to remove the excess water from the washed linen

\l£VO((iVv tv WpDr. Mingma L. Sherpa- D/. Gaut im Dey- r

rv>r-Ms. Ffiâ Ravi- Executive Operations

MSHO DPPrepared By Reviewed By Approved By


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TITLE: CRH LAUNDRY SERVICE MANAGEMENT«CRH SIKKIM MANIPAL UNIVERSITY


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Ensure weight of the batch of linen is as per the guidelines provided for the extractor.The dryer enables to remove moisture from the linen, at set temperature.Ensure that the dryer is working as per standards and the heat generated is accurate Each and every piece of linen should be checked for damages, and damaged pieces should be handed over for tailoring.

14. Procedure for mending of linen

• After washing and drying of the linen, linen with minor defects or which needs repair is segregated.

• Linen with minor defects will be sent to the tailor for mending and repair.• Laundry In charge will receive the linen with major defects (after wash) and will separately

store it for future condemnation as per hospital policy & simultaneously he will stock out such linen from the stock

15. Procedure for Ironing

Bed sheets, draw sheets, pillow covers, patient cloths, staff uniforms, table cloths, hand towels etc. are to be ironed through the flat work iron

16. Procedure for distribution of linen

The clean linen items are stored in the central storage area before distribution.It is issued to user departments in the linen transport trolleys on the basis of stock maintained in the wards. This linen is stored in the sub store room of the user department.

Record of linen issued is maintained by the central store and record of linen received is maintained by respective sister in-charges.

17. Workflow:

Ms. P Executive Operations

Dr. Mingma L. Sherpa- Dr. Gaujam Dey- MSHO DPPrepared By Reviewed By Approved By


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Sorting of linen at ward level

Soiled Linen (yellow bag) Infected Linen (yellow bag) Dirty LinenT iSluice Disinfect and

Preliminarv Wash1

Washing

IHydro extractor

iDryer

iYes

Damage Mending

No

Iron <■

iCentral Linen Stores

iIssue to the wards

iSub stores

’ tu Wr/Dr. Mingma L. Sherpa- Dr. G/itarJi Dey-^MSMs. IViya Ravi-

Executive Operations HODPPrepared By Reviewed By Approved By


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TITLE: CRH LAUNDRY SERVICE MANAGEMENT

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18. Records required

18.1 Records to be maintained in Central linen Room: Laundry Supervisor is responsible for maintaining following registers

• Daily Receipt and dispatch register• Stitching and mending record of linen• Master stock register: for the available stock and new procurement

18.2 Records maintained in the sub stores of the user department:

Sister l/C of the concern department are responsible to maintain these registers on daily basis.

• Record of dirty linen sent to the laundry• Record of clean linen received from laundry

18.3 Condemned items register-to be maintained by linen in-charge determining the items condemned

Equipment register-The Laundry supervisor will maintain an equipment register, where by the down time of the equipment, the repairs carried out and by which party -In-house or AMC, preventive maintenance, calibration.

18.4 The laundry supervisor will also maintain a register determining the number of pieces laundered, which will be tallied with the stock register maintained in the wards.

19. References:

• Hospital Laundry Arrangements for Used and Infected Linen. Health Service Guidelines. NHS Executive. HSG.

• Quality Control in Linen and Laundry Service at A Tertiary Care Teaching Hospital in India, Journal of Health Sciences

20. Records and Registers

VUtp?Ms. Pnya Ravi- Executive Operations

Dr. Mingma L. Sherpa- Dc/Gaut 3m Dey- MSHO DPPrepared By Reviewed By Approved By


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Documents

Standard Operating Procedure CRH Laundry Service