housekeeping - administrators

Upload: kunal-patra

Post on 29-May-2018

238 views

Category:

Documents


1 download

TRANSCRIPT

  • 8/9/2019 Housekeeping - Administrators

    1/30

    ARAVIND EYE CARE SYSTEM

    A R A V I N D E Y E H O S P I T A L& Postgraduate Institute of Ophthalmology

    Madurai, India

    ARAVIND EYE CARE SYSTEM

    A R A V I N D E Y E H O S P I T A L& Postgraduate Institute of Ophthalmology

    Madurai, India

    Housekeeping Management inHousekeeping Management inHospitalsHospitals

    G. Krishna VeniG. Krishna Veni

  • 8/9/2019 Housekeeping - Administrators

    2/30

    A R A V I N D E Y E C A R E S Y S T E MA R A V I N D E Y E C A R E S Y S T E M

    OverviewonHousekeepingOverviewonHousekeeping

    DepartmentDepartmentHistorical PerspectiveHistorical Perspective

    Underdirection of wardnurseUnderdirection of wardnurse

    The concept of Housekeeping was not clearThe concept of Housekeeping was not clearModern PerspectiveModern Perspective

    Psychological Impact of patientsPsychological Impact of patients

    Improved hygienic practices and better sanitaryImproved hygienic practices and better sanitaryconditions have a direct relationship to the postconditions have a direct relationship to the postoperative complications.operative complications.

    Underdirection of HousekeepingdepartmentUnderdirection of Housekeepingdepartment

    Members of HK department are experts in cleaningMembers of HK department are experts in cleaningand organizing in house activitiesand organizing in house activities

  • 8/9/2019 Housekeeping - Administrators

    3/30

    A R A V I N D E Y E C A R E S Y S T E MA R A V I N D E Y E C A R E S Y S T E M

    The housekeepingdepartmentsThe housekeepingdepartmentswork has advanced rapidly inwork has advanced rapidly inrecent years and requires not onlyrecent years and requires not onlyknowledge of technical skills butknowledge of technical skills butalso anunderstanding of thealso anunderstanding of the

    Tools of managementTools of management

  • 8/9/2019 Housekeeping - Administrators

    4/30

    A R A V I N D E Y E C A R E S Y S T E MA R A V I N D E Y E C A R E S Y S T E M

    PrinciplesofmanagementPrinciplesofmanagement

    Plan, organize, coordinate, controlPlan, organize, coordinate, controland monitor all the housekeepingand monitor all the housekeeping

    activities in hand for effectiveactivities in hand for effectiveutilization of resourcesutilization of resources

  • 8/9/2019 Housekeeping - Administrators

    5/30

    A R A V I N D E Y E C A R E S Y S T E MA R A V I N D E Y E C A R E S Y S T E M

    HousekeepingHousekeeping -- DefinitionDefinition

    Housekeepingis defined astheHousekeepingis defined asthe

    pro

    vision

    of

    ap

    ro

    vision

    of

    aclean,

    comfo

    rtabl

    ean

    dclean,

    comfo

    rtabl

    ean

    d

    safeenvironmentsafeenvironment forthepatients andforthepatients and

    publicin a hospital setuppublicin a hospital setup

  • 8/9/2019 Housekeeping - Administrators

    6/30

  • 8/9/2019 Housekeeping - Administrators

    7/30

    A R A V I N D E Y E C A R E S Y S T E MA R A V I N D E Y E C A R E S Y S T E M

    AimsofhousekeepingAimsofhousekeeping

    departmentdepartmentyy Achieve the maximum efficiency possible in the careAchieve the maximum efficiency possible in the care

    and comfort of the patients and in the smooth runningand comfort of the patients and in the smooth runningof the hospital.of the hospital.

    yy Establish a welcoming atmosphere and a courteous,Establish a welcoming atmosphere and a courteous,

    reliable service from staff of all departments.reliable service from staff of all departments.yy Ensure a high standard of cleanliness andgeneralEnsure a high standard of cleanliness andgeneral

    upkeep in all areas.upkeep in all areas.

    yy Train, control and supervise the staff of housekeepingTrain, control and supervise the staff of housekeepingdepartment.department.

    yy

    Establish a good working relationship with otherEstablish a good working relationship with otherdepartment.department.yy Ensure that safety and security regulations are madeEnsure that safety and security regulations are made

    known to all staff of the hospital.known to all staff of the hospital.

  • 8/9/2019 Housekeeping - Administrators

    8/30

    A R A V I N D E Y E C A R E S Y S T E MA R A V I N D E Y E C A R E S Y S T E M

    ResponsibilitiesofResponsibilitiesof

    Housekeeping DepartmentHousekeeping Departmentyy Daily cleaningDaily cleaning

    yy Periodic cleaningPeriodic cleaning

    yy Trash andgarbage removal including proper hospitalTrash andgarbage removal including proper hospitalwaste disposalwaste disposal

    yy Discharge cleaningDischarge cleaning

    yy Exterminating bugs and pestsExterminating bugs and pests

    yy Preventing spread of infectionPreventing spread of infection

    yy Safety and security of the hospitalSafety and security of the hospitalyy Creating healing environmentCreating healing environment

    yy GardeningGardening

    yy InteriordecorationInteriordecoration

  • 8/9/2019 Housekeeping - Administrators

    9/30

    A R A V I N D E Y E C A R E S Y S T E MA R A V I N D E Y E C A R E S Y S T E M

    Organization ChartOrganization Chart

    ADMINISTRATOR

    HOUSEKEEPINGMANAGER

    HOUSEKEEPER

    SANITORY

    WORKERGARDENAR

  • 8/9/2019 Housekeeping - Administrators

    10/30

    A R A V I N D E Y E C A R E S Y S T E MA R A V I N D E Y E C A R E S Y S T E M

    OrganizingHousekeepingOrganizingHousekeeping

    DepartmentDepartmentyy LocationLocation

    yy Facility & space requirementFacility & space requirement Storage areas (e.g. under staircase)Storage areas (e.g. under staircase) Cupboards with locksCupboards with locks

    Notice boardsNotice boards

    yy Management information systemManagement information system Registers (attendance, asset,...)Registers (attendance, asset,...)

    Forms (Indent, requisitions,)Forms (Indent, requisitions,) Asset list (equipment, materials..)Asset list (equipment, materials..)

    Checklist (Quality, Maintenance..)Checklist (Quality, Maintenance..)

  • 8/9/2019 Housekeeping - Administrators

    11/30

    A R A V I N D E Y E C A R E S Y S T E MA R A V I N D E Y E C A R E S Y S T E M

    Recruitment and staffingRecruitment and staffing

    Tapping the right sourceTapping the right source

    Interview processInterview process

    Selection processSelection process

    GroomingGrooming

    Personal HygienePersonal Hygiene

    HonestyHonesty

    Courtesy tact & diplomacyCourtesy tact & diplomacy

  • 8/9/2019 Housekeeping - Administrators

    12/30

    A R A V I N D E Y E C A R E S Y S T E MA R A V I N D E Y E C A R E S Y S T E M

    OrientationOrientation

    yy The organization and brief outline of the hospitalThe organization and brief outline of the hospital

    yy Information regarding condition of service, pay,Information regarding condition of service, pay,etc.etc.

    yy Information regardinggrooming, hygiene,Information regardinggrooming, hygiene,courtesy, safety, security, etc.courtesy, safety, security, etc.

    yy Rules like dress code, hours of work, leaveRules like dress code, hours of work, leavepolicies and procedure, lunch hours, etc.policies and procedure, lunch hours, etc.

    yy Hospital tourHospital tour

    yy Observing Equipments and supplies used in theObserving Equipments and supplies used in the

    housekeepingdepartmenthousekeepingdepartmentyy Observing cleaning procedures doneObserving cleaning procedures done

  • 8/9/2019 Housekeeping - Administrators

    13/30

    A R A V I N D E Y E C A R E S Y S T E MA R A V I N D E Y E C A R E S Y S T E M

    TrainingTraining

    yy Methods of supervisionMethods of supervision

    yy Housekeeping procedures like sweeping,Housekeeping procedures like sweeping,mopping,dusting workmopping,dusting work

    yy Equipments and supplies, when to use and howEquipments and supplies, when to use and howto use, amount to use and care of the equipment.to use, amount to use and care of the equipment.((Attach equip.. usageAttach equip.. usage))

    yy Refresher trainingRefresher training

    During lean periodsDuring lean periods

    Newer techniques/methodsNewer techniques/methods

    Practical trainingunder supervision forPractical trainingunder supervision forquality improvementquality improvement

  • 8/9/2019 Housekeeping - Administrators

    14/30

    A R A V I N D E Y E C A R E S Y S T E MA R A V I N D E Y E C A R E S Y S T E M

    QualitiesofthehousekeeperQualitiesofthehousekeeper

    yy Basic knowledge of health care sanitationBasic knowledge of health care sanitation

    yy Ability to plan, administer, anddevelop allAbility to plan, administer, anddevelop allphases of a comprehensive housekeepingphases of a comprehensive housekeeping

    programprogramyy Ability to assign, supervises, and evaluatesAbility to assign, supervises, and evaluates

    the work of subordinatesthe work of subordinates

    yy A pleasant personalityA pleasant personality

    yy An interest in people and tact in handling themAn interest in people and tact in handling them

  • 8/9/2019 Housekeeping - Administrators

    15/30

    A R A V I N D E Y E C A R E S Y S T E MA R A V I N D E Y E C A R E S Y S T E M

    Inter departmental relationshipInter departmental relationship

    yy Maintenance departmentMaintenance department (electricity,(electricity,plumbing, carpentry, civil)plumbing, carpentry, civil)

    yy StoresStoresyy LaundryLaundry

    yy SecuritySecurity

    yy NursingNursingyy OtherdepartmentsOtherdepartments

  • 8/9/2019 Housekeeping - Administrators

    16/30

    A R A V I N D E Y E C A R E S Y S T E MA R A V I N D E Y E C A R E S Y S T E M

    Management IssuesManagement Issues

    Effective communicationEffective communication

    Absent of responsible personAbsent of responsible person

    Work AllocationWork Allocation

    Conflicts ManagementConflicts Management

    Time ManagementTime Management

  • 8/9/2019 Housekeeping - Administrators

    17/30

    A R A V I N D E Y E C A R E S Y S T E MA R A V I N D E Y E C A R E S Y S T E M

    HousekeepingpracticesinkeyHousekeepingpracticesinkey

    working areasinhospitalsworking areasinhospitalsyy Out Patient Department andOut Patient Department and

    Clinical areaClinical area

    yy Operation TheaterOperation Theater

    yy WardWard

    yy LaboratoryLaboratory

    yy Office areaOffice area

    yy Sanitary areaSanitary area

    yy Outside areaOutside area

  • 8/9/2019 Housekeeping - Administrators

    18/30

    A R A V I N D E Y E C A R E S Y S T E MA R A V I N D E Y E C A R E S Y S T E M

    CommonHousekeepingCommonHousekeeping

    practicesinkeyworking areaspracticesinkeyworking areasyy Systematic cleaning operationsSystematic cleaning operations Year calendarYear calendar

    yy Basic work proceduresBasic work procedures

    yy Control of odors, pests, rodent & animal controlControl of odors, pests, rodent & animal control

    yy

    Waste disposalWaste disposal methods and proceduresmethods and proceduresyy Safety regulationSafety regulation Accident, fire, electricalAccident, fire, electrical

    yy Care of furnitureCare of furniture

    yy InteriordecorationInteriordecoration

    yy Storage procedure forused equipmentsStorage procedure forused equipments

  • 8/9/2019 Housekeeping - Administrators

    19/30

    A R A V I N D E Y E C A R E S Y S T E MA R A V I N D E Y E C A R E S Y S T E M

    Managing Sanitary WorkersManaging Sanitary Workers

    yy Workers under housekeepersWorkers under housekeepers

    yy work distribution for male and female workerswork distribution for male and female workers

    yy Recruitment and selection procedureRecruitment and selection procedure

    Nearby areasNearby areas Different areas & familiesDifferent areas & families

    Physical appearancePhysical appearance

    Age mixAge mix

    yy Effective supervisionEffective supervision

    yy Handling the difficult workerHandling the difficult workeryy Effective communicationEffective communication

    yy Performance evaluationPerformance evaluation

  • 8/9/2019 Housekeeping - Administrators

    20/30

    A R A V I N D E Y E C A R E S Y S T E MA R A V I N D E Y E C A R E S Y S T E M

    Retaining SanitaryRetaining Sanitary

    WorkersWorkersyy Nutritious snacksNutritious snacks

    yy Providing free lunchProviding free lunch

    yy Free uniformFree uniform

    yy

    Free medical facilitiesFree medical facilitiesyy Recreation (tours, movies etc.)Recreation (tours, movies etc.)

    yy Sick leaveSick leave

    yy Change their shifts if they have any acceptableChange their shifts if they have any acceptablereasonreason

    yy

    Help them if they require money for EmergencyHelp them if they require money for Emergencyyy Help them to educate their childrenHelp them to educate their children

    yy Bonus for 100% attendanceBonus for 100% attendance

  • 8/9/2019 Housekeeping - Administrators

    21/30

    A R A V I N D E Y E C A R E S Y S T E MA R A V I N D E Y E C A R E S Y S T E M

    Challenges ..Challenges ..

    yy Routines need to be planned so that theyRoutines need to be planned so that theydo not inconvenience doctors,nurses,do not inconvenience doctors,nurses,visitorsvisitors

    yy Cleaning has to be consistent, suitable inCleaning has to be consistent, suitable inconjecture with nursing procedures, e.g.conjecture with nursing procedures, e.g.bed making before vacuum cleaningbed making before vacuum cleaning

    yy Agreaterneed for flexibility and theAgreaterneed for flexibility and theability to adjust to interruptionsability to adjust to interruptions

  • 8/9/2019 Housekeeping - Administrators

    22/30

    A R A V I N D E Y E C A R E S Y S T E MA R A V I N D E Y E C A R E S Y S T E M

    yy Methods & equipment requireMethods & equipment requirespecial attention so as to preventspecial attention so as to prevent

    crosscross -- infectioninfectionyy The noise is of more importanceThe noise is of more importance

    than elsewhere.than elsewhere.

  • 8/9/2019 Housekeeping - Administrators

    23/30

    A R A V I N D E Y E C A R E S Y S T E MA R A V I N D E Y E C A R E S Y S T E M

    yy Greater variation indifferent workGreater variation indifferent workmethods and standards indifferentmethods and standards indifferentareas, exampleareas, example -- operating theatres,operating theatres,

    wards and visitors loungewards and visitors lounge(( standards of cleanlinessstandards of cleanliness))

    yy The need for check cleaning, that is theThe need for check cleaning, that is thefrequent refrequent re--doing of cleaning tasks, indoing of cleaning tasks, inheavy use areas e.g. Mopping of floors,heavy use areas e.g. Mopping of floors,cleaning of toilets and wash basins.cleaning of toilets and wash basins.((frequency of cleaningfrequency of cleaning))

  • 8/9/2019 Housekeeping - Administrators

    24/30

    A R A V I N D E Y E C A R E S Y S T E MA R A V I N D E Y E C A R E S Y S T E M

    Laundry ServicesLaundry Services

    yy Itis a centralized functioncomingundertheItis a centralized functioncomingunderthe

    housekeeping departmenttakingcareofallhousekeeping departmenttakingcareofall

    activitiesfrompurchaseto linenactivitiesfrompurchaseto linen

    managementto laundrytocondemnationmanagementto laundrytocondemnation

    yy Linen Managementwill vary based ontheLinen Managementwill vary based onthe

    climate,culture,systems and procedureofclimate,culture,systems and procedureof

    theindividual organizationtheindividual organization

  • 8/9/2019 Housekeeping - Administrators

    25/30

    A R A V I N D E Y E C A R E S Y S T E MA R A V I N D E Y E C A R E S Y S T E M

    Hospital cango forHospital cango for

    yy Inside laundry servicesInside laundry services -- with adequatewith adequate

    machineriesmachineriesyy Inside laundry servicesInside laundry services Manual wash byManual wash by

    dhobidhobi

    yy Outside laundry servicesOutside laundry services On contractOn contract

    basisbasis

  • 8/9/2019 Housekeeping - Administrators

    26/30

    A R A V I N D E Y E C A R E S Y S T E MA R A V I N D E Y E C A R E S Y S T E M

    Functionsof laundry departmentFunctionsof laundry department

    yy Collection or receiving soiled and infected linenCollection or receiving soiled and infected linen

    yy Processing solid linen through laundryProcessing solid linen through laundryequipment. This includes sorting, sluicing andequipment. This includes sorting, sluicing anddisinfecting, washing, extracting,drying,disinfecting, washing, extracting,drying,

    conditioning ironing, pressing and foldingconditioning ironing, pressing and foldingyy Inspection and repair ofdamaged articles, theirInspection and repair ofdamaged articles, their

    contamination and replacementcontamination and replacement

    yy Distributing finished linen to the respective userDistributing finished linen to the respective userdepartmentsdepartments

    yy Maintenance and control of active and backMaintenance and control of active and back--upupinventions and processed lineninventions and processed linen

    yy Maintaining all type of registersMaintaining all type of registers

  • 8/9/2019 Housekeeping - Administrators

    27/30

    A R A V I N D E Y E C A R E S Y S T E MA R A V I N D E Y E C A R E S Y S T E M

    Organizing laundry departmentOrganizing laundry department

    yy Manpower requirementManpower requirement

    yy Duties and responsibilities of linen inDuties and responsibilities of linen in -- char gechargehousekeepershousekeepers

    yy Recruitment and selection ofdhobiRecruitment and selection ofdhobi

    yy Management information systemManagement information systemyy EquipmentsEquipments selection, careselection, care

    yy LinenLinen selection, care, stain removal procedureselection, care, stain removal procedure

    yy Work procedureWork procedure

    yy

    Stain removal procedureStain removal procedureyy Management issuesManagement issues

  • 8/9/2019 Housekeeping - Administrators

    28/30

    A R A V I N D E Y E C A R E S Y S T E MA R A V I N D E Y E C A R E S Y S T E M

    TipsTips

    yy Stock the linen materials in 1:3 ratioStock the linen materials in 1:3 ratio

    yy Each day the bed sheet is dusted and the sideEach day the bed sheet is dusted and the side

    is changed when the bed is made. This wayis changed when the bed is made. This way

    both sides of the sheet is used. On the thirddayboth sides of the sheet is used. On the thirddaythe bed sheet is changedthe bed sheet is changed

    yy Use all faded anddamaged fabrics fordustingUse all faded anddamaged fabrics fordusting

    and cleaning windows, furniture etcand cleaning windows, furniture etc

  • 8/9/2019 Housekeeping - Administrators

    29/30

    A R A V I N D E Y E C A R E S Y S T E MA R A V I N D E Y E C A R E S Y S T E M

    OtherhousekeepingknowledgeOtherhousekeepingknowledge

    yy Innovative anddecorative tasks likeInnovative anddecorative tasks likeflower arrangements and pot decorationflower arrangements and pot decorationetc.etc.

    yy GardeningGardeningyy Arrangingdinner, tea forguestsArrangingdinner, tea forguests

    yy Arranging rooms for conferences,Arranging rooms for conferences,meetingsmeetings

    yy Functional arrangementsFunctional arrangements

  • 8/9/2019 Housekeeping - Administrators

    30/30

    A R A V I N D E Y E C A R E S Y S T E MA R A V I N D E Y E C A R E S Y S T E M

    ConclusionConclusion

    The housekeepingdepartment is a nonThe housekeepingdepartment is a non--revenuerevenue--producing service department inproducing service department inthe hospital. A poorly rundepartmentthe hospital. A poorly rundepartment

    results in money needlessly spent andresults in money needlessly spent andcreates a negative impression on patients,creates a negative impression on patients,visitors and staff, which will adversely affectvisitors and staff, which will adversely affecttheir perception of the quality of caretheir perception of the quality of care

    provided by the hospital.provided by the hospital.