Housekeeping Services

1
Venisha Naina D'Souza
Introduction
A clean hospital has a favorable psychological
effect on the staff and patients. It is likely to improve the standard of hospital hygiene and asepsis. Environmental sanitation has an effect on the health, comfort and morale of patients, doctors, visitors and all hospital personnel. A well kept hospital gives a feeling of confidence. Nosocomial infections may also be reduced with proper cleanliness.
Housekeeping services is undoubtedly the single
most important factor amongst support services which has a significant bearing on patient satisfaction in a hospital, especially in the overcrowded public sector. Housekeeping is a vital facet of the image that a hospital presents to the general public and specially the patients.
Definitions
Housekeeping
Housekeeping refers to the cleaning and upkeep of
the hospital premises which renders the environment surfaces safe to handle by removing organic matter, salts and visible soils.
Sanitation
Sanitation is defined as the science of
safeguarding health, and refers to the entire gamut of activities in the environment with a view of reduce disease and improve health.
Objective
To keep the environment clean with the ultimate
goal of reducing hospital associated infections, thereby decreasing average length of stay of patients. Proper management of bio-medical waste according to statutory regulations is a mandatory legal obligation on the part of hospital management.
Importance
Has a tremendous psychological impact on
patients and attendants by enhancing aesthetics. Gives a positive image to the hospital by favorable impression. Reduces hospital associated infections (HAI) by reduction of bio-burden in the environment, thus contributing to decreased duration of stay. Ensures provision of quality health care services.
Functions
Daily cleaning activities include mopping of floors
and other horizontal surface, wet dusting of furniture and fixtures used in direct patient care.
All Public floors, such as reception room, entrance hall,
corridors, elevator, stairs Patient rooms and wards. Emergency rooms and treatment rooms. Dressing rooms, rest rooms and lavatories, Service rooms Supply rooms.
Periodic cleaning of doors, windows, windows
frames, sills ceilings, walls, etc. on a weekly/ fortnightly basis and whenever required. This also includes washing of corridors, staircases, toilets and bathrooms, cubicles, rooms with water and detergents. Periodic cleaning. Window washing Wall cleaning Floor waxing and polishing Furniture washing and polishing Rug and carpet shampooing
9 Venisha Naina D'Souza
Cleaning and disinfection of touch surfaces like door-
knobs, bedrails, light switches should be done on a more frequent basis.

Garage and bio-medical waste removal: Hospitals
in India generate about 1.5-2kg/waste/bed/day which has to be removed regularly from hospitals premises. Cleaning of fans, tube lights, exhaust fans, geysers, refrigerators should be carried out periodically by adequately trained staff. Pest and rodent control by regular use of chemicals and sprays.
Qualities of a Good Housekeeper

Ability to work in team
Leadership qualities
Qualities of establishing good support with all
units Skills of public relationship Attitude Knowledge of tasks to be performed
11
Ability to conceptualize things
Active interest in the job

Ability to select team members and assign tasks
according to their ability Technical knowledge of bacteriology and mode of transmission of disease Record maintenance Knowledge of accounting and budgeting
12
Qualities of supervision and control
Manpower planning of the housekeeping services

Knowledge of technological advancements in the
field of housekeeping techniques Concern for quality assurance Aesthetic sense
13
Policies
Housekeeping Plan A housekeeping staff should keep accurate records in a daily, weekly, monthly, and yearly housekeeping plan.
This plan should include a checklist to ensure that all
areas of a building are being cleaned. Such areas of a building as bathrooms must be cleaned several times a day, for instance, while an machines might be cleaned every couple of weeks. These cleaning tasks should be clearly laid out and responsibilities should be assigned to staff members
Inspections
Conducting self-inspections can quickly determine
whether guidelines are not followed on the housekeeping plan. The results of a self-inspection should be given to a person of authority in the company to evaluate and determine whether changes should be made to the housekeeping plan.
Chemicals
There are many different kinds of chemicals used in
housekeeping and they must be properly handled at all times. All chemicals must be properly labeled in a way that meets OSHA standards (Occupational Safety and Health Administration). The purposes of these chemicals should be understood by all staff members who use them. Some types of chemicals that require regulation are disinfectants, solvents, acids, abrasive cleaners, rug cleaner, caustic products and specialty products. The chemicals should be kept in a safe location, away from heat or direct sunlight.
Work Station Housekeeping Employees must keep their own work stations neat to prevent workplace injury. Ensure all stairways, passageways and exits are free of obstructions throughout the day. Throw away supplies and materials that are no longer needed. Return all tools or items in a safe and clean
manner to their designated areas.
Keeping Green Some newer housekeeping policies and procedures focus on impacting the environment as little as possible. These policies include purchasing cleaning products that meet environmental standards, training personnel in the removal and recycling of cleaning chemicals, and instructing all workers in the buildings recycling policy. Some products that should be avoided are petroleumbased solvents, products containing glycol ethers and phenolic compounds and surfactants.
All work areas are kept clean and orderly Floors are kept clear of objects and
substances which could cause slips, trips or falls Stairways, emergency exits and corridors are kept clear to ensure free passage of persons if required in an emergency Containers, boxes, equipment and materials are stored in a manner that prevents objects from falling All dangerous goods, including combustible materials and flammable liquids, are stored in accordance with statutory requirements
Levels of Cleaning
Level 1: The floors are washed once a day with
soap and detergents. Dry sweeping is prohibited except in areas like outpatient department and public areas. A random sample of ten patients should be interviewed and their opinions sought as regards the frequency of the floor washing and the methods used. The personnel working in the housekeeping concerned with daily cleaning must be asked about the basic instructions that have been received by them with regards to their cleaning tasks.
Level 2: The hospital has an individual
responsible for the cleaning, and the procedures are standardized including instructions for the use of disinfectants. There are procedures laid down for the treatment of potentially polluting elements or for disposal of excreta.
21
Level 3: There is a committee on infection control
with a nurse epidemiologist, who participates actively in preparation and supervision of cleaning standards.
22
Types of Housekeeping Services

In house services 2. Contractual services or outsourcing
1.
23
Housekeeping Activities
A. Sanitation
i.

Basic cleaning:
Dusting Sweeping Mopping Polishing Washing
ii.
Cleaning of the physical facilities:
Floors Walls and ceiling Door and window panel Furniture and fixtures Equipments
24
B. Odor control
C. Hospital waste disposal:

Collection Transportation Disposal
D. Pest & rodent control E. Control of stray animals
25
F. Hospital linen supply

Procure from store Storage Maintenance Issue to units Accounting Sorting, segregation and sending for cleaning
26
G. Hospital housekeeping equipment maintenance

Proper placement Dusting Sweeping Mopping Polishing Washing Covering while not in use
27
H. Management task (POLICE TASK)

28
Planning Organizing Leadership and liaison Implementation Controlling Evaluation Team work that is total effort of all members (TEAM) Attitude Skills Knowledge
Cleaning Agents
Washing soda
Soda bars
Washing powder and soap Abrasives like pumice stone, nylon scourers
29
emery paper Polishes Bleaching powder Phenyl or phenol Acids Vinegar
Criteria for Good Cleaning Agents

It must have good cleaning property
It should not be toxic to handlers

It should possess good microbicidal property It should be deodorant It should be economical It should not be corrosive to floors
30
Physical facilities
Office of housekeeper
Office room for clerk

Office room for supervisors Store room for housekeeping equipments Store room for housekeeping materials like
cleaning agents Janitors closet on all floors equipped with sink, shelves for housekeeping equipments, supplies, containers, etc.
31
Services
Director
Medical superintendent
Add. MS HOD of other departments Housekeeping service 1/C HOD of other departments
Supervisor A
Supervisor B
Attendant I
Attendant II
Attendant III
32
Attendant I
Attendant II
Attendant IIII
Housekeeping equipment
Scrubbing machines
Vacuum cleaner
Fumigation machines Ultrasonic fly control device Dust bins, garbage bins, mopping machines for
mechanized cleaning
33
Scrubbing machine
34
Vacuum cleaner
35
Fumigation machine
36
Ultrasonic fly control device
37
Dust bins
38
Garbage bins
39
Mopping machines
40
Basic cleaning operations

Dusting Removing dirt
Low dusting. High Dusting.
Sweeping
Removing dust from floor
Mopping
Rub or wipe floor.
41
Scrubbing
Rubbing and scouring. Brush is used.
Waxing
Applying a protective coating to a area. This coating is later polished by friction. Wax is usually applied to floors, woodwork and furniture.
Washing
Washing entails the removal of soil by use of water. The technique includes removing loose dirt,
washing, rinsing and drying. Equipments, walls, fixtures, furniture

Type of disinfectants/ detergents

Iodophors
Halogens
Quaternary ammonium compounds Soap Detergents Abrasives
43
Other cleaning agents Toilet cleaners crystalline or liquid and rely on
acid content. Window cleaners consist of water miscible solvent, often isopropyl alcohol to which small quantities of synthetic detergent and possibly an alkali are added to improve the polishing effect of the cleaner.
44
Soda and ammonia are alkali and are used as
grease imulsifiers and stain removal agents. Vinegar and lemon are used as acids and are used for the removal of mild water stains on baths, etc. More resistant stains are removed with stronger acids ( oxalic acids, hydrochloric acids.)Paraffin oil is also efficient for cleaning the bath but owing to its smell it is seldom used.
45
Methylated spirit, turpentine substitute, and
carbon tetrachloride are grease solvents and are used for the removal of grease and wax from different surfaces. Bleaches used for cleaning purpose are generally alkaline stabilized solutions of sodium hypo chlorite are useful for stained sinks, W.C. pans etc.
46
Cleaning Products
Bowl Cleaners
A product with 22 percent hypochloric acid ( Phosphoric
acid)
Abrasive cleaners
Scouring powders, Often contain silica and sad base. Bleaching agent
Glass cleaners
Alcohol based. Ammonic based.
Degreasers and general purpose cleaners

Contain butyl cellulose. Sodium metasilicate. Very effective.
Malodours
Control or cancel disagreeable odours.
Carpet care products

Shampoo Defoamers Solvent type stain removers. Soil retardants, Aerosol type gum removers.
48
Recent Trends in Housekeeping Services

1. 2. 3. 4. 5.
6.
7. 8.
9.
10.
49
Mechanized cleaning Color schemes Deodorants Contractual system Control of hospital infection Pollution control Fire safety Provision of concealed wiring Pneumatic transport system Quality assurance program through 5S technique
5S Technique of Housekeeping
SEIRI (Sorting)
SEITON (Segregation)
SEISO (Shine/ Sweep) SEIKETSU (Standardization) SHITSUKE (Sustain / self discipline)
50
Conclusion
The housekeeping department is a non-revenue-
producing service department in the hospital. A poorly run department results in money needlessly spent and creates a negative impression on patients, visitors and staff, which may adversely affect their perception of the quality of care provided by the hospital.
51
References
Modern trends in planning and designing of
hospitals- Shakti Kumar Gupta, Sunil Kant, R. Chandrashekar Satpathy. Hospital planning and management- Cedric B. Finch, Dr. D. K Sharma, Dr. R.C Goyal Hospital administration- D C Joshi, Mamta Joshi Hospital administration and planning- A G Chandorkar
52
53

Housekeeping Services

Hochgeladen von

Dokumentinformationen

Originalbeschreibung:

Copyright

Verfügbare Formate

Dieses Dokument teilen

Dokument teilen oder einbetten

Freigabeoptionen

Stufen Sie dieses Dokument als nützlich ein?

Sind diese Inhalte unangemessen?

Copyright:

Verfügbare Formate

Housekeeping Services

Hochgeladen von

Copyright:

Verfügbare Formate

1

Venisha Naina D'Souza

Venisha Naina D'Souza