Organization of Linen & Laundry Services In Hospital

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    Ms. Aditi DesaiLecturer

    M.Sc.(Nursing),PGDHA ,M.Phil ,MBA

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    When most people think of hospitals they usually think in terms of doctors

    and nurses because of there high visibility, the profile services they render

    and the close relationship they have with patients and their relatives. But

    those who are familiar with the day to day operations of hospitals

    realize that no hospital can operate without the less glamorous services

    such as housekeeping, laundry and kitchen that go by the name of

    supportive services. Laundry and linen services are one such vital

    department of the hospital.

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    Patients Point of view

    Psychological Satisfaction

    Soothing

    Positive image of hospital

    Medical point of view

    Reduced HAI

    Faster recovery(Pleasant aspect)

    Patients comfort and satisfaction

    Administrators point of view

    Good public relation

    Positive image of hospital

    Ensure quality services

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    Collection of or receiving soiled and infected linen

    Processing soiled linen through laundry equipment. This includes sorting,

    sluicing and disinfecting, washing, extracting, conditioning, ironing,

    pressing and folding

    Inspection and repair of damaged linen, their condemnation and

    replacement

    Assembling and packing specialty items and linen packs for sterilization

    Distributing processed linen to the respective user departments

    Maintenance and control of active and back-up inventories and processed

    linen

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    The operational chief of the laundry is a laundry manager who may have been trained in

    laundry operation or has adequate experience in the field. He reports to one of the

    associate or assistant administrators. Much laundry manages come up through the ranks.

    However, with increased automation and better opportunities to train people in technical

    school

    No formal training required for the other personnel and most of them learn their

    responsibilities on the job. Hospitals will do well to recruit personnel who are able to

    read and understand simple instructions. Follwoing staff is require

    Laundry manager who has been trained in this activity

    Laundry assistant

    Labour staff

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    The linen requirements can be calculated on the basis of operational

    planning of areas of different activities, the nature of the hospital, type of

    hospital and the policy of the hospital

    The areas to be considered primarily are:

    Fixed areas e.g. OPD and other department

    Operation theaters and labor rooms

    Intensive care units, indoor Wards and private rooms

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    Overall availability of sets of linen

    Type of laundry system ( In-plant system)

    Type of detergent being used for washing purpose

    As per general experience 15-0 percent of the linen becomes unusable

    after period of 3 months.

    Ideally , a hospital having 100% bed occupancy should have six set of

    linen per patient as given below:

    One set in patients bed / One set en-route to laundry /One set in process in

    laundry /One set ready for use

    Two sets for active storage for work and use in case of emergencies

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    Hospital linen can be classified in the following categories:

    1) Store linen:

    i) Patient Linen : Body linen / Bed Linen

    ii) Staff Linen

    iii) Department/ service linen

    2) Laundry linen:

    Soild linen : use by the patient

    Infected Linen: contaminated by infected material such as pus, blood, bodydischarge etc.

    Foul linen :contains faeces, excretions and blood stains

    Radioactive linen

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    Linen Collection from ward

    Transport to laundry

    Sorting ( blood stained/ Non stained )

    Washing

    Drying

    Pressing

    Folding

    Sorting ( Coloured/ White)

    Loading

    Distributing

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    1)Centralized linen distribution :

    Linen issued from central linen room / Exchange trolley system

    Requirement communicated in written form

    Tedious process: counting of linen required before requisitioning

    Time consuming process

    2)Decentralized linen services : Various units, wards, OTs etc are allotted

    required quota of linen articles

    Linen are marked thus avoid mixing up

    Nursing in charge are responsible

    Large number of linen required

    3)Mixed Linen services

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    Contract system

    In Plant system

    Cooperation system

    Linen rental system

    Training Of Staff:

    Handling Of Machine

    Handling of Linen

    Use of gloves and gowns

    Should be begged separately from other linen

    Should be washed separately

    Fire Safety and precaution

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    Proper accounting

    Not storing too much of linen: Thefts are common and may be

    difficult to identify

    Keeping soiled linen under lock and key to avoid pilferage

    Keeping clean linen in cupboard to avoid theft

    Not giving away control of linen to labour staff

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    A manager must know

    production,

    purchasing

    Linen, washing formula

    Supply

    Utilization of services

    Control of the washing formula is the heart of costs in linen

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