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of Haryana
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ABBREVIATIONS
HA Hospital Administrator
OT Operation Theatre
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1. INTRODUCTION
The clean bedding and clean clothes instil confidence in the patients and the public and
enhances their faith in the services rendered by the hospital. Linen 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.
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.
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iii. Washing: after disinfection linen is washed in the washing area by following proper
guidelines.
iv. 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 off 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.
v. Clean Linen Storage: Clean linen is stored in the central linen store. Clean storage
environment is designed primarily to prevent contamination of Clean Linen.
vi. Distribution: Refers to distribution of clean goods to the patient care areas and
user departments OT, IPD, OPD, casualty etc.
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4. DEPARTMENTAL STRUCTURE
Linen Department
PMO PMO
HA/DMS HA/DMS
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5. CLASSIFICATION OF LINEN:
1. 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.
Patient linen: This consists of patient clothing such as patient pajamas, shirts,
gown, coats etc. worn by patients.
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 pajamas,
kurtas, gowns, coats, shirts etc. worn by surgeons, anaesthetists, OT personnels and
also surgical, gowns, caps, masks, trolley covers, OT towels etc. required in OT ,
labour room and procedure room.
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As per the standard guidelines the detailed requirement of linen per bed is as follows:
OT linen, labor room and procedure room linen is determined based on anticipated
workload. Thus for a 200 bedded hospital approximately 1200 bed sheets are required.
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8. LABELLING OF LINEN FOR IDENTIFICATION
Linen should be labelled with the name of the hospital and type of linen. The proposed
method for identification of the Linen is to label the linen on name as follows:
Name of the Organisation: ABC Hospital
Name of the Article: BS (Bed sheet), PG (Patient Gown), DS (Draw Sheet), PC (Pillow
Case), etc.
Example ABC Hospital/BS
Doctors coat is labelled as ABC Hospital/Name of the Doctor
This system can enhance the inventory management and avoid loss of inventory.
a. Mechanized Laundry in the hospital: In house laundry service where the hospital
has its own laundry department.
Mechanized laundry is the best service method of linen supply for a large hospital
because:-
b. Out-sourcing of linen supply: In this model the laundry services are completely
outsourced. Hospital maintains a central linen store for receiving of linen from user
departments and handing over the same to the outsourced agency. Washed and
clean linen is received by central linen store in-charge and then issued to the user
departments as per indent raised by them.
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d. Dobi: Manual washing of clothes. Current practices need to be discouraged.
Washing of blood stained, infected and soiled linen get neglected because of manual
washing.
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10. PROCESS FLOW OF MECHANIZED OR IN HOUSE LAUNDRY
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
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11. EQUIPMENTS
Washing Machine : used for washing purpose
Sluicing 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, work on the same principle as a centrifuge
for easy removal of water after the washing cycle in the washer.
Tumble Drier : is used to remove moisture from a load of clothing
Flat Work Ironer: also called as calendaring machine is used for ironing of items
like sheets, pillowcases, tablecloths, aprons, etc.
Linen Trolley: used for transportation of linen
Sewing Machine: is used for mending the torn linen.
The function of central linen room is to supply all the linen for the entire hospital. This
room should be sufficiently large to hold at least 48 hours of linen supply for the
hospital. Adequate shelf spaces should be provided. Shelves, racks, linen folding tables
and closets for storage of small articles are the other items needed in the central linen
room.
Location: Adjacent to the clean end of the department and with convenient access to
the lifts. If the laundry is located in the separate building the central linen room should
be adjacent to the entrance through which clean linen is delivered to the hospital.
Sewing room: It is the integral part of the linen supply room and the entire linen repair
is carried out in the room and it should be under control of the linen store I/C and
separate register should be maintained to capture of the records of the wear and tear
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13. STANDARD OPERATING PROCEDURES
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2. SOP 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 I/C of the concerned area. A
separate register has to be maintained in different areas for the same. Linen
transport trolleys should be closed.
After rinsing the sluiced linen is wash as normal. If sluicing machine is not
available, then it can be done manually after using proper PPE.
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.
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ii. Ensure weight of the batch of linen is as per the guidelines provides for the
extractor.
iii. The dryer enables to remove moisture from the linen, at set temperature.
iv. Ensure that the dryer is working as per standards and the heat generated is
accurate
v. Each and every piece of linen should be checked for damages, and damaged
pieces should be handed over to the linen supervisor
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14. ACTIVITY FLOW: The Laundry Department usually works in following manner
Soiled Linen (Yellow bag) Infected Linen (Red bag) Dirty Linen (Green Bag)
Washing
Hydro extractor
Dryer
Yes
Damaged Mending
No
Iron
Sub stores
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15. REGISTERS MAINTAINED:
1) Records to be maintained in Central linen Room: Laundry Supervisor
is responsible for maintaining following registers
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17. OUT SOURCED LAUNDRY:
i. Collection of linen
Soiled linen is collected from various departments by the housekeeping staff and
register is maintained by Nurse in charge.
The washed linen is delivered to the central linen store by the outsourced agency.
The linen store in charge is responsible for physical verification of the linen at the
time of delivery by cross checking the same with the details entered in the
concerned register.
This is done to ensure that there is no discrepancy with the number , type of
linen and their condition etc as entered in the register while collection of the
same by the outsourced agency for washing.
A laundry issue and receipt register is maintained to keep a track of all items
collected for washing by the outsourced agency and delivered back after
washing.
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