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RIDDHI VINAYAK
CHAPTER NAME: ROM
MULTISPECIALTY
HOSPITAL
FOR
HOUSEKEEPING
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AUTHORIZED SIGNATORY
2. Issued By Incharge-QA
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AMENDMENT SHEET
TABLE OF CONTENT
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Sl.
TITLE/CONTENT
No.
1. INTRODUCTION
2. PURPOSE
3. GOAL
4. SCOPE OF SERVICES
5. APPLICABLE AREA
6. ORGANOGRAM
8. RESPONSIBILITIES
17. ANNEXURE
18. ABBREVIATION
1. INTRODUCTION:
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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.
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:
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b. Waste Management
c. Hospital Cleaning
d. Environment Cleaning
e. Use of Corrosive / Hazardous Materials
f. Cleaning & Scrubbing of high risk area
g. Cleaning & Scrubbing of low risk area
h. Laundry Activity
i. Management of patient linen
j. Spillage Management
k. Handling Occupational Hazards
5. APPLICABLE AREA:
a. IPD
b. Toilets
c. Emergency
d. Radiology
e. Dialysis
f. Pharmacy
g. Mortuary
h. Roof
i. Maintenance
6. ORGANOGRAM:
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Head-HR
HOD-Housekeeping
Housekeeping
Supervisor
Laundry Man
H.K Staff
8. RESPONSIBILITIES:
Refer to Human Resource Department. RVMH/HRM/FM/05
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Activities
1. Sweeping
2. Mopping Output
Input 3. Dusting
4. Waste management 1. Hygienic environment.
1. Cleaning material 5. Use of Corrosive
2. Linen as per the patient Hazardous 2. Fresh and clean linen in
requirement /investigation Materials. each area.
area. 6. Cleaning /
3. Pesticide (Outsource) scrubbing of high 3. Waste disposal
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4. Colour coded risk area. Issue No. : 01
disposal. 7. Standard
Cleaning / Operating 4. Ambulance maintenance
5. Request
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scrubbing of low Rev.5 No. : 00
transport. risk area Support ward nurses in
8. Laundry Activity. patient care.
Issue Date: 25.07.2015 9. Management of
Rev. Date: 00
patient linen.
10. Spillage
Management.
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RIDDHI VINAYAK
CHAPTER NAME: ROM
MULTISPECIALTY
HOSPITAL
Control Parameter
Responsibility
Reference
1. Toilet cleaning checklist.
Work Instruction 1. HOD-Housekeeping 2. Room checklist.
3. Waste disposal policy
Related documents 4. Pest control rounds file
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General ward includes Male /Female ward, Medical Male/Female ward, general ward, pediatric ward,
surgical ward, observation.
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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
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.
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General
Infectious plastic waste
c. Do collect in color-coded bags
d. Do train & educate all categories of staff in proper segregation & handling of wast.
e. Do decontaminate all sharps by chemical disinfectant
f. Do shred plastic waste
g. Do use syringes & needles destroyers
h. Do recycle decontaminated, shredded plastic through authorized manufacturers
i. Do cover the waste collection containers
j. Do secure storage area
k. Do transport through covered trolleys
l. Provide protective wear to transporters and handlers
m. Do clip and decontaminate rubber gloves
n. Do immunize all waste handlers
INTERVAL
4 MORTUARY CLEANING WEEKLY ONCE
5 DUSTER CHANGING WEEKLY ONCE
6 WARD AREA SCRUBBING WEEKLY ONCE
7 GENERAL PEST CONTROL DAILY THRICE
8 FLOOR DESINFECTING FOUR TIMES
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D. DEPARTMENTAL FUNCTION:
Housekeeping staffs clean there allocated area as per the schedule mention.
F. DEPARTMENTAL FUNCTION:
Housekeeping staff clean the environment of this hospital according to the schedule.
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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.
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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.
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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.
13.6 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.
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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.
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While receiving the linen from the laundry Count the linen item wise and compare the
same with the accompanied challan of the Laundry.
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.
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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
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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.
Cuts by Blade, Staffs are immediately attended to First Aid. Necessary items
knife /Sharp Edge 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.
Slippery floors Floors are kept dry by the staffs who keep on mopping
frequently, signage’s-Caution.
Eye irritation Hand showers are kept in the hand wash area where staffs can
(Bleaching powder.) 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
Oil spillage 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.
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.
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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.
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