SURYA CLINIC SOP REV-00

Policy: Housekeeping Services Prepared by:

Policy type: Departmental Date Approved: Approved by

Policy Number:

Dept: Housekeeping Review on No of Pages 13

1.0. Introduction:

Clean, sanitary, pleasant environment and facilities are essential for clients care,
and the Clinic staff. The responsibility of providing such surroundings with in
established standards falls in a large measure upon housekeeping services of
the Clinic. Good housekeeping services also give an idea of the quality of care
among the client and his relative. Housekeeping is a complex activity requiring
constant attention to many different and minute details.

2.0. Objectives:

2.1. Maintain the clinic premises in a very clean, sanitary, orderly and hygienic
condition.
2.2. Establish and maintain policies and procedures, to ensure standards of
quality. This would include cleaning of windows, walls, floors, furniture and
fixtures.
2.3. Segregation, collection and disposal of the clinic waste (both infectious
and non-infectious) as per the standard procedures.
2.4. Co-ordinate with the infection control team.
2.5. Provide round the clock qualified supervision and direction of scheduled
activities resulting in the most effective utilisation of skilled and trained
manpower.
2.6. Train personnel in the various required skills.
2.7. Creating the awareness of the common safety precautions among the
Clinic staff.
2.8. Correct and/or report safety hazards to appropriate authority.
2.9. Co-ordinate housekeeping functions with activities of the other
departments.

The ultimate responsibility for the standard of cleanliness to be upheld in the

Clinic rests with the District Manager.

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Organogram:

District Manager

 Supervisor All Head of Departments

 Housekeeping
staff

Key:
Direct Relation
Indirect Relation

4.0. Functions:

♦ Daily cleaning: mopping & dusting of floors, furniture, cleaning

wards, toilets, restrooms, and cleaning trashcans.
♦ Trash removal: emptying the trash cans and refilling them with the
appropriate colour coded bags and moving the trash from various points
within the Clinic to the garbage storage shed till such time that the waste
is transported for the disposal.
♦ Scheduled project work: washing windows, exterior building area,
stripping and waxing floors (if applicable), cleaning of general areas like
the passages, administrative areas, carpets. This is done by the process
of washing and scrubbing either manually or machines.
♦ Furniture moving: rearranging or moving the furniture as needed.
♦ Cleaning the room after Discharge: after discharge or transfer of
the client, cleaning the room for another client.
♦ Infection Control: ensuring conditions for good client care using
proven techniques and procedures to minimise the chance of infections.
♦ Pest Control: Co-ordinate with the pest control personnel during the
pest control exercise.

5.0. Policies:

5.1. The responsibility for good housekeeping is vested in the District

Manager
5.2. There are sufficient personnel to ensure the comfort and protection of the
client at all times.
5.3. A continuous in-service training is maintained and each new employee is
trained and properly oriented in his responsibilities
5.4. The entire Clinic is maintained at all times in a clean and sanitary
condition and is free from accumulation of dirt and rubbish, is well ventilated,
and free from all foul, stale or musty odours
5.5. Walls and ceilings with all fittings like lights, fans are kept clean and
refinished as often as necessary.
5.6 Mopping, sweeping and dusting is done in a sanitary manner.

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5.7 Accumulated waste material is removed periodically.

5.8. After the discharge of a client the bed, bedding and room furnishings
used by him/her are thoroughly cleansed.
5.9 Adequate provisions are made in each nursing unit and special service for
the storage of janitor’s supplies and equipment.
5.10Methods and procedures should be instituted to prevent the entrance and
harbouring of rodents, insects, and other vermin.

6.0. Standard Operating Procedures:

6.2. Task standards

The specific tasks expected to be completed when the area is cleaned, include
the following:
− Routine cleaning tasks - Empty trash; dust furniture; vacuum; spot-clean
carpeting (if any), doors, and walls; replenish supplies; dust and wetmop
− Weekly cleaning tasks - Vacuum vents and grilles; vacuum drapes and
upholstered furniture; clean blinds, polish metals and furniture

6.3. Quality Standards

The following are quality standards of the housekeeping department, which

should be followed by the sanitary attendants:

− Ceilings cleaning: free of dust and spots, cobwebs, paint intact, vents
clean and free of dust and lint, lights replaced.
− Room walls: Clean, paint intact, free of finger marks and spit stains.
− Floors: Clean: free of dust, lint, and stains; no accumulation of dirt in
corners.
− Cove bases: Clean and clear, no mop marks, no accumulation of soil in
corners.
− Doors Cleaning: free of marks, finish intact, kick plate (on swing doors like
in the OT) clean and shiny, top free of dust and lint, edges clean, handle or
knob clear and clean. Hinge facing and door-frame clean, door vent clean and
free of dust, window and frame clean and free of dust (inside and outside).
− Windows: Clear and clean, not in need of immediate washing, frame
clean; glazing intact; sill cleans; paint in good condition.
− Window drapes: free of dust; properly hung on tracks; not faded; no
stains, yellowing, or tears; pulleys and pull cords intact and working; pins
installed correctly in drapes and on carriers.
− Cubicle curtains: Clean and free of stains, not faded, pull freely in tracks,
properly mounted, no tears, adequate length and width.
− Beds: Headboards and foot boards clean, metal upright and horizontal
frame members clean, linen clean and free of stains and tears, bed properly
made, undercarriage free of lint and soil, wheels clean.
− Mattresses: Clean, free of stains, in good repair without rips or tears,
mattress turned on each discharge.

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− Chairs: Clean, free of lint and dust.

− Television sets: Clean, free of dust and lint; shelf clean & free of dust and
lint.
− Toilets - Toilet bowl clean inside and outside; no stains, streaks, or
residue; toilet seat clean, free of spots, stains, or streaks, and tightly fastened
to toilet, plumbing fixtures clean, free of dust, spots, and base of toilet free of
soil build-up and stains.
− Sinks: Clean, free of spots and streaks; plumbing connections to toilet
free of alkali build-up.
− Mirrors: Clean, free of spots and streaks; frame top and edges free of
dust and lint; shelf clean, free of spots and streaks.
− Bathrooms: Walls clean, free of soil build-up on caulking, caulking intact,
fixtures free of spots and streaks.
− Dispensers: Soap, paper towel, and seat cover dispensers clean, free of
dust and lint on top and underneath, free of spots and streaks, supplies
replenished.
− Refrigerators: Clean, free of dust spots and stains, freezer clear and free
of stains, motor vent clean and free of dust and lint.
− Counter tops: Clean, free of dust, stains, and finger marks.
− Telephones: Clean, free of dust and lint; receiver, mouthpiece, and dial
free of dust and lint.
− Water Coolers: Stainless steel free of spots and streaks.

6.4. Frequency Standards:

Frequency standards schedules will tell the housekeeping employee how often to
clean an area and inform others how often the area is cleaned.
The frequency schedule is attached as Annexure II.

6.6 Time of Cleaning Standards

OPD: Routine tasks => 7.00 p.m.daily

Weekly tasks => washing the area
Ward: Routine tasks => Thrice a day
Weekly tasks =>Washing and thorough infection control measures,
completed before 8.00 am
OT: Routine Tasks => Prior (before 7.30 am) and after every procedure,
Weekly or after every infected case => Fumigation and thorough washing
and cleaning
Administrative Area: Routine tasks => once in a day after OPD hours
Waiting area, Lobby and Corridors: Routine cleaning => every shift and as and
when required
7.0. Quality Control:

The quality control program of the housekeeping department is nothing but

adhering to the standards, continuous monitoring, control and improving the
standards. It is a system of visually inspecting the areas, measuring the degree

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of cleanliness, and recording and reporting the findings. An effective quality

control program ensures follow-up of employee work performance, indicates
areas where cleaning program frequencies need adjustments, pints out
employee training needs, ensures cleaning of all areas, creates good public
relations among housekeeping, other departments, clients and corrects
deficiencies before they become complaints.

To ensure that the employees are doing high-quality cleaning and completing the
assigned tasks; ‘employee task completion cards’ can be used. These cards may
be valuable not only to know that the employee does his duty but also in cases to
solve client dissatisfaction, of not cleaning certain areas (when the client may not
be present at the time of cleaning). A sample is provided in Annexure I

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8.0. Flow chart of the housekeeping tasks and procedures

Routine Special Project

cleaning cleaning cleaning

 Ward  Client Room  Floor

after discharge Scrubbing &
 OT
 Isolation room polishing
 Labs  Windo
 Toilets  Disinfection of
w and
 Corridor OT, and wards
external
 Visitors when not in use cleaning
rooms
 Examin.
room
 Clinic
premises

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HOUSE KEEPING

Work - flow

HOUSEKEEPING

Entrance OPD Wards OT

- Clean the campus &
water the flowers and
plants
- Wash outside & indoor
doors and wipe them
with cloth
- Clean out window
tracks and door mats
-Clean the front desk -Clean the nursing station - At the beginning of the
counter, waiting area using a clean cloth, wipe day, clean the floors
chairs and all electic all dust from tables, chairs, using a clean cloth
gadgets available in the phones etc. dampened with 0.5 %
reception - Clean the floors with the chlorine solution
- Spray the disinfectant cloth dampened with - Clean all the horizontal
solution to the flat disinfectant solution (0.5 surfaces, OT table,
surfaces, examination chlorine solution) surgical lights,
tables, light etc. in the - Change clean bed equipments, etc. with a
doctor’s chamber and sheets everyday in the clean rag dipped in
using clean cloth wipe all morning disinfectant solution
surfaces - Spray fresheners for - Between each
- Clean the floors with a odour control procedure clean the
cloth dampened with - Call agencies for killing blood spills, OT table and
disinfectant solution rodents and pests on a floors with disinfectant
- clean the laboratory monthly basis solutions
equipments with - Collect the wastes - Fumigate the O.T
disinfectant solution generated in the wards as weekly
- To remove bad odour, per the protocol - Wear gloves and face
spray fresheners in the - Wear gloves, face mask masks while handling
reception and doctor’s while handling wastes wastes and collect the
chamber
wastes as per the waste
- Sanitize the toilets
management protocol
regularly

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Annexure I
Annexure I

Weekly cleaning checklist

Place:

Week:

Disinfection used:

Time Morning ( 6:00 am - 2:00 pm) Day (11:00 am - 7:00 pm) Evening (2:00 pm - 10:00 pm)

Name of Signature Signature Name of Signature Name of Signature Signature

the of the of the Signature of of the of the of
Date cleaner cleaner supervisor cleaner the cleaner supervisor cleaner cleaner supervisor

 This form shall be pasted at the back of the door or some convenient
place of each toilet
 The housekeeping staff shall sign their name on the form after each
shift of cleaning, countersigned by the supervisors
 The disinfectant used should also be recorded by the supervisor
 At the end of the week the form shall be submitted to the District
manager

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 Another weekly form shall be pasted at the toilet at the start of the
week
Annexure II
Check List of Frequency of Cleaning

S.No Area of cleaning Frequency of cleaning Remarks

1 OPD area
a Waiting area Per hour basis
b Doctors chamber Per hour basis
c Lab Per hour
d Toilet Every 15 minutes
2 Wards
a Nursing station Every 3 hours
b IPD Every 3 hours
3 OT(Major & Minor)
a MTP OT After every procedure
b Sterilization OT After every procedure

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Annexure III

Guidelines for cleaning procedures:

 Cleaning of Outpatient department:

1) Start in the reception counter, spray all the flat surfaces with the
disinfectant solution and using a clean rag wipe all surfaces.

2) Remove dust from the tables, chair, phone set, cupboard etc.

3) Prepare the correct dilution of the disinfectant

4) Using one clean rag, clean all the surfaces in the OPD chamber

5) Clean all the equipments placed in the OPD chamber like weight
machine, BP machine, formalin chamber etc.

6) The toilet in the OPD area should be cleaned in every 15 minutes

by using disinfectant solution, with special attention to surfaces
which come into contact with hands ( e.g. Door handles, light
switches, sink handles, paper towel dispensers, toilet paper
holders, toilet flusher)

7) Clean the Laboratory floors and all surfaces by a cloth dampened

with water and a disinfectant solution. Clean all equipments,
microscope etc. which are used to conduct tests.

8) Dispose of the wastes in the colour coded bags

9) While handling wastes, ensure correct methods of collection of

wastes and use safety measures against hazards

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10) Follow the duty schedule and daily rounds as assigned by the
clinic administrator.

 Cleaning of wards (MTP & Sterilization)

Step One

Cleaning with disinfectant and water:

1. In the basin, prepare the correct dilution of the disinfectant

2. Using one clean rag, clean all the surfaces in the ward area
pay special attention to surfaces which come into contact with
hands (e.g. Call bell, phone, door and cupboard handles, bed
rails etc.)

3. Next, to clean the bathroom, change gloves and clean the

bathroom in the usual manner, with special attention to
surfaces which come into contact with hands (eg. Door
handles, light switches, sink handles, paper towel dispensers,
toilet paper holders, toilet flusher)

4. Clean the toilet last. After cleaning the toilet, discard the
facility approved disinfectant and water from the basin, into the
toilet and flush

5. Rinse the basin with hot water

6. Change gloves again

Step Two

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Wiping with disinfectant

1. Start in the MTP ward and the sterilization ward, spray

all the flat surfaces with disinfectant and with another clean
rag, wipe all the surfaces

2. After wiping all the surfaces in the room, change gloves

and re-clean the bathroom using disinfectant

3. Put on clean gloves

Step Three

Washing the floor:

1. Dry mop the floor

2. Prepare a fresh solution of disinfectant and water in the

bucket to clean the floor

3. Wash the floor with the clean mop head as per routine

4. After the floor is washed, pour the water into the toilet
and flush

5. Place the mop heads and rags into a clear plastic bag to
be returned to housekeeping. Keep all other equipment in the
room.

6. Remove outer gloves, then the gown and finally the last
pair of gloves

7. Wash hands for 30 seconds

8. Leave the area and when outside, rub alcohol based

hand rinse agent into hands

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9. Dispose of the wastes in the colour coded bags

10. While handling wastes, ensure correct methods of

collection of wastes and use safety measures against hazards

 Cleaning of Operating Theatre ( MTP OT and Sterilization OT)

• Proper cleaning schedule should be maintained in Operation
Theatre, as it is a high-risk prone area
• At the beginning of the day the floors and all the horizontal surfaces
such as operating / procedure tables, chairs, examination couches,
surgical lights should be cleaned with a cloth dampened with water
to remove dust and lint that have accumulated overnight.
• Put on gloves and between the patients the operating / procedure
tables and any other potentially contaminated surfaces in operation
theatre should be cleaned with a cloth dampened with a disinfected
solution.
• Weekly clean all the areas inside the operating theatre complex with
warm water and detergent and let it dry.
• Dispose of the wastes in the colour coded dustbins

• While handling wastes, ensure correct methods of collection of

wastes and use safety measures against hazards

• Follow the duty schedule as assigned by the clinic administrator

 General Cleanliness:
• Wash all windows inside and out in all areas. Clean out window
tracks.
• Wash window sills and curtain rods.
• Wash inside and outside of front and back doors.
• Clean all the floors by the disinfectant solution

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• All marks must be washed off the walls. Remove all nails, do not
patch.
• Wash all vinyl and tile floors.
• All carpeting is to be vacuumed and professionally shampooed.
• All trash must be removed from the premises.
• Clean all light fixtures throughout unit and replace any burnt out
bulbs

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