tiss hk ppt
TRANSCRIPT
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HOSPITAL HOUSEKEEPING
SERVICES
PRADNYA KARDEDR. SULAKSHANA
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INTRODUCTION
• The technological development in the modern era and knowledge explosion has
revolutionized the concept of care in the hospital. Good housekeeping has got the direct effect on the health comfort and morale of patient, doctors, health care workers and visitors. This is the area which serves the broader social need and has a history of rapid changes in function and organization.
• The housekeeping era started in the middle of the 17th century
• George Washington, considered housekeepers indispensible in his household, in order to relieve Mrs. Washington.
• Florence nightingale also emphasized Housekeeping as a specialty on its own.
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Continued -•The hotel industry initiated with the housekeeping
services. Later the concept of housekeeping got incorporated in health care set up.
•Hospital Administrators/ Trustees/ Board of Directors felt in the middle of the 20th century that the hospital housekeeping is the specialty on its own. The house keeping departments work has advanced rapidly in recent years and requires knowledge, skill and understanding of management tools.
•Good housekeeping has proved to prevent and control hospital acquired infection, and thus reducing the Average Length of Stay (ALOS), which in turn reduces the drug cost and also prevents lots of suffering.
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Continued -•It’s an activity upon which all the health giving
services of the hospital depend.•The work of housekeeping is simplistic but
when one considers maintaining a house of several hundreds of rooms and numerous public areas, the task becomes gigantic.
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DEFINITION•Housekeeping department has the duty of
cleaning and sanitation of all the hospital. The hospital housekeeping function is defined to include all labor transportation, equipment material supplies management coordination and supervision required to perform the hospital housekeeping services,
•It’s the department which is the non revenue producing service department, but has a widest scope in the hospital as it maintains the image of the hospital.
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OBJECTIVES
• To Achieve the aesthetic appeal of the hospital,• Achieve maximum efficiency possible in the care and
comfort of the patient and the smooth running of the hospital,
• To provide quality health care by personalized services,
• To increase public demands and awareness- need for public image of the highest degree of hospital
• To improve patient care, to control and prevent hospital acquired infections,
• To develop highest specified standards of property maintenance of the hospital.
• To ensure high standards of cleanliness and general upkeep in all the areas.
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STRUCTURE
PHYSICAL STRUCTURE
LOCATION:
•Housekeeping department serves for all the areas and departments of the hospital, thus it needs to be centrally located and close to vertical transport system to facilitate easy movement of materials and equipment used in housekeeping.
•Office for the Housekeeping Manager
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STRUCTURE
PHYSICAL STRUCTURE
LOCATION:
•Clerical work area•Chiefs office keepers desk and bulletin
board to put up daily duty charts and other housekeeping information.
•Store room for housekeeping equipments and materials
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Continued -• Housekeeping closets on the floors of the hospital
for the with the space and shelves for housekeeping equipment and materials, an trolleys as a mailer of routine, supplies for daily use should be delivered to the respective closets directly.
Housekeeping Control Desk: • The housekeeping desk is the nerve centre for the
entire department and its efficiency determines the smooth functioning and effectiveness of housekeeping. It is the focal point for dissemination of information and communication to various points in the housekeeping department as well as to other departments for better coordination.
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Continued- THE AREA OF CONTROL DESK MUST HAVE:
INFORMATION BOARD: • Duty chart for housekeepers and sweepers• Cleaning schedules• Hospital staff room accommodation• Other general information and important announcements.
KEY BOARD:• Patient room• Key office room• Entrance Keys• Others
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CONTINUED- REGISTERS FILES FORMS:• Housekeeping equipments and supplies list• Attendance register for sweepers• Request form for supplies and equipments from
stores• Request form for repairs to be carried out in other
wards• Inventories of supplies and equipments• Checklists for patient rooms• Year planning calendar• Inventory for furniture and furnishing• Inventory of linen• Personnel data• Progress reports
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ORGANIZATIONAL STRUCTURE
HOUSEKEEPING MANAGER
ASSISTANT MANAGER
CHIEF HOUSE KEEPER
SUPERVISORS
LEADERS (MUKADAM)
HOUSEKEEPING TRAINEES WORKERS SWEEPERS GARDENERS
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Qualities of Housekeeping manager
•Basic knowledge of health care hygiene and sanitation
•Ability to plan, administer and develop all phases of a comprehensive housekeeping program that will provide a suitable environment for the institutions medical and administrative activities
•Demonstration of personal qualities of leadership and skill in coordinating a major activity within the administrative program
•General working knowledge of cleaning operations and interior decoration
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Qualities of Housekeeping manager
•Ability to assign, supervise and evaluate the
work of subordinate supervisors and their
personnel
•Ability to develop the departmental budget and
to direct the expenditure of monies.
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HOUSEKEEPING MANAGER
Function:• Collaborate with other departments to
ensure delivery of quality services• Interview, select, train, evaluate and
counsel staffs of housekeeping department
• Instruct and advice staffs on changes in policies, procedures or working standards
• Listens to the problems if any of the housekeepers, sweepers and try to solve them
• Conduct meeting to exchange ideas and solve problems
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Continued -
• Attend to the complaints and queries if any or other
departments and patients related to housekeeping
services
• Rounds to inspect housekeeping services in work area
• Conducts hospital housekeeping surveillance audits
• Work closely with the administrators on day to day
housekeeping requirements,
• Training induction and on job training of housekeeping
staffs
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Continued -
•Monitor departmental activities to ensure
maximum efficiency in the services being
provided
•Assist in developing, delegating and
monitoring departmental goals, objectives and
programs to ensure timely completion
• Reporting to the management
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Interdepartmental Relationship
Housekeeping
Civil, BMED and Other
Departments
Maintenance
Laundry,
Security Kitchen and
Catering
Human Resource and Personnel
Dept.
Stores
Nursing
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ASSISTANT MANAGER
•Daily rounds to inspect housekeeping services in work area
•Assisting the Housekeeping Manager in administrative work
•Monitor the use of supplies and equipments and prepare a monthly purchase request and issue request as and when required or as per the hospital protocol
•Reports to the housekeeping managers
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CHIEF HOUSE KEEPER
Functions:• Cooperates with the staffs of other
departments• Deployment supervision control and
training of the staffs• Checks the standards of cleaning of all the
areas in the hospital• Keep inventories and records of the
equipments and supplies• Supervise and instruct the sweepers on
day to day activities• Enhance the décor of different areas of the
hospital
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Continued –
•Control and supervision of the work in linen room
•Train new recruits'•Check all safety items on the allotted
floors•Record all lost and found items as per laid
down norms
• Reports to the asst. housekeeping managers.
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SUPERVISORS
• Organization of work, planning of task
• Directing the work of those responsible to him
• Co-ordinate the resources under his direction
• Control workers and resources
• Supervising and guiding the housekeeping staffs
and getting quality work done
• Evaluate the job performance of HK staffs
• Identifying the training needs and planning the same
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Mukadam (Leaders)
•Their main responsibility is to allocate the
duty
•And supplying adequate staffs to the
respective areas
•Arranging the workers in case of
shortage.
•Cooperates with the staffs of other
departments
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SWEEPERS Functions:
• Receive the allocation of the
floor and area of cleaning
• Clean the rooms at least
twice in a shift
• Clean the toilets and
bathrooms of the allotted
department at least twice in
a shift
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Continued - •Follow instruction and cleaning procedures given by the supervisor
•Use supplies economically
•Maintain polite and dignified attitude towards patient
•Report and hand over all the lost and found articles to the supervisor
•Reports to : Housekeeping Manager
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GARDENER
Function:
•Clean and maintain the garden•Taking care of newly cultivated
plants•Water and prune the plants
Reports to: Housekeeping Supervisor
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CommunicationFactors to be considered:• workers should understand clearly what is expected of
them • Unwanted actions should be avoided- use simple and
clear languages• Adopt demonstration methods to explain the work
procedures,• Proper job specification• Two way communication is essential to avoid miss
understanding of the work procedure• Guidelines given to the workers should neither be over
commanding, nor easy. They should be moderated.• New policies and procedures should immediately be
explained to the workers and their queries should be clarified,
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Selection criteria for housekeeping staff
•Edu. Qualification: Min. 12th pass
•Age: 18 to 20 yrs (as per hospital policy)
•Health and appearance: He/ She should have a good health and should clear the medical fitness test.
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Responsibilities
Direct Indirect
Responsibilities Responsibilities
Responsibilities of the housekeeping department
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•Direct:
Daily cleaning
•Periodic cleaning. Ensuring clean
linen supply
Bed making, dusting
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Continued - •Pest control Pest Control is a
major job of the Housekeeping Department. No matter how clean one keeps ones surroundings, you cannot avoid pests. It is not only embarrassing but also speaks badly of a hospital where one sees rats, cockroaches, and lizards running around. Thus a protocol should be there for regular pest control and it has to be supported by a proper documentation
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Continued -
•Preventing spread of infection•Creating an aesthetically pleasant
atmosphere•Waste constitutes a problem, the
size of the problem varying with the size of the institution, because waste must be disposed of economically and efficiently, and in a sanitary way.
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Continued -
•Safety against fire, prevention of cross-contamination by infectious materials, odor control, and pest control are all included in waste disposal procedures.
•A carefully planned program of waste disposal will safeguard not only personnel and patient but also the community.
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Continued -
•Safety and security of the hospital•Gardening•Making necessary arrangements for the
meetings, programs and workshops.
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Continued -
Indirect responsibilities•Saving electricity by switching off the lights•Ensuring economical use of supplies to save
cost•Maintaining helpful and courteous caring
attitude towards patients and visitors•Promoting safety and reporting dangerous
conditions whenever observed•Maintaining harmonious working relation
with other departments
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In service education/ Training
• The basic training schedule for HK staffs should
be planned for a specific period and should
cover all aspects of housekeeping.
• After the training staffs should be evaluated on
their understanding of the housekeeping
services.
• After the evaluation well trained staffs should be
allocated to appropriate areas.
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The training schedule can include following topics•Introduction to housekeeping•General rules and regulation•Hospital work culture and values•Housekeeping and patient relationship-
better communication skills•Job description•Orientation •Ward management•Water tank cleaning and chlorination•Importance of checklist•Safety at work place
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Continued-• General infection control protocols relevant to them e.g
waste segregation, handling soiled and infected linen etc,
• Protocols on safety related to occupational exposure to blood and body fluid. E.g Needle stick injuries
• Waste segregation protocol of hospital• Spill management (blood and mercury)• Housekeeping procedures like
▫Bed making▫Dusting▫Cleaning▫Disinfection e.g Bacillocid, Sodium hypochlorite,
Ecoshield etc.▫Patient transportation▫Lift cleaning etc,
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Work schedule
•Standard cleaning•Planning schedule•Frequency of cleaning•Areas and zoning
▫High risk areas eg. OT Transplant units requires highest possible standards of cleaning
▫Medium risk areas e.g Kitchen & toilets requires high standard of cleaning
▫Low risk areas e.g Office waiting areas, coorridors requires good standard of cleaning
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Usage area Cleaning agent Dilution Time for cleaning agent to act Frequency of usage
Floor,tiles,waetergent 20ml,5 litre,8gm/wash basin/toilet Direct Twice a dayToilet close all stain removal HarpicNo dilution Direct Once a dayMopping the Cleaning the toilet Pursue18ml/ litre Direct Twice a daySeptic tank-lkg/washA water tank-500gms/wash Bleaching powder No
dilution 2 mins Septic tank weekly Water tank-monthlyBrass items BrassoDirect Special cleaningDrawers,wardrobes, sinks Napththalcnc balls Direct WeeklyToilet odour control Odonil Direct WeeklyDisinfections Dettol 100ml./ 5litre Direct Daily
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Handling the difficult workers• Find out the reasons for the problem- health,
personal problems or problem with the work procedures
• Arrange refresher training if required• Frequently monitor and supervise the work• Ask them to repeat the work if found
unsatisfactory• Motivate him to adopt new procedures and
techniques adopted by the department• Encourage the worker through incentives and
bonus for festivals.
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Continued-
•Overtime•Sick leave•Change the duty when they require for
genuine Reason•Help him out with advance payments if
they are in need•Festival bonus
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Welfare of the staff To keep up the ,morale of the staff and to motivate
them it is important to provide a good working atmosphere in the hospital.
• Good working conditions• Good working relationship and accessibility • Incentive bonus• Best employee award• Statutory wedges(Provident fund, gratuity etc.)• Medical facilities• Sick leave and maternity leave• Meals when on duty• Proper work method
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Housekeeping ManualA good housekeeping department must have
a written manual, which should include:
•The organization and brief outline of the hospital
•Rules like hours, leave, lunch, locker rules, safety rules etc,
•Special rules like training for specific areas•Methods of supervision•Housekeeping procedures•Equipment supply and control of inventory.
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•Separate budget to the department
•In future depending on the cost analysis if required these services can be outsourced.
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Issues and Challenges• Maintaining effective interdepartmental relationship• Effective communication• Absenteeism • Alcoholism • Work allocation• Conflict management• Time management• Procedures of housekeeping should be in
conjunction with nursing procedures• E.g. bed making after sponge bath• Prevention of cross infection• Noise pollution• Variation in work methods at different work places
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“The very first requirement in a hospital is that it should do the sick no harm.”
---Florence Nightingale
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THANK
YOU