house keeping service in hospital

7/27/2019 house keeping service in hospital

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Ms.Aditi Desai

LecturerM.Sc.(N.), PGDHA, M.Phil, M.B.A

Organization

of

Supportive Services



Housekeeping

Introduction: Many people think that housekeeping in the hospital is

simple and that any one can do the job without any ill effects. Although

ordinary elsewhere , housekeeping is special in the hospital set up

because it is scientifically planned to provide maximum

bacteriological control throughout the hospital environment

There is one other aspect to this- a public relations aspect. A clean

and hygienic environment makes a tremendous psychological impact

on patients and visitors. As a matter of fact, lay people who do not

understand the practice of medicine often judge the hospital by its

cleanliness.



origin

Concept is taken from hotel industry

Difference is customer and their basic need

Hotels need clean environment

Hospital needs control and prevention of infection



Overview

Housekeeping services, also called environment services, are of paramount

importance in providing a safe, clean, pleasant, orderly and functional environment

for both patient and hospital personnel

Good housekeeping is far more important than many of us are inclined

to think, and for two good reasons,

Firstly, the hospital is their temporary home for the duration of their stay

Secondly, knowingly or unknowingly, they are exposed to the risk of cross-

contamination or hospital- acquired infections. Every patient has a right to be

protected from hospital- acquired infections and from germs brought into the

environment by other patients, visitors and the hospital staff. The hospital may have

the best doctors on its staff and the most modern equipment, but if its housekeeping

is of poor quality, it will overshadow the effect of all other things.



Definition

Housekeeping sercices in a hospital is entrusted with maintain a

hygienic and clean hospital environment conducive to patient care

Activities

Cleanliness

Maintenance of hospital environment

Good Sanitation services



Objectives

To attain and maintain high standard of cleanliness

To ensure safety and security of all staff

To attain good relation with other department

Control and issue cleaning material & equipment



Functions

The department is responsible for a variety of tasks the following are some of

the common functions:

Daily cleaning: This includes sweeping and mopping floors, dusting furniture,

cleaning fixtures, walls, ceilings, windows and bathrooms, emptying trash cans

and defrosting refrigerators in nursing station

Periodic cleaning: This includes washing windows, waxing floors, cleaning

carpets, dusting high ceilings and changing draperies

Trash and garbage removal: This includes collecting trash and garbage from

various points within the hospital and moving them to the incinerator or

dumpster



•Discharge cleaning: This includes

Cleaning the patient room after discharge or transfer of a patient and readying

it for another patient•Watering indoor plants if required

•Exterminating bugs and pets

•Preventing spread of infection and ensuring conditions for good patient care

by using proven infection control procedures and techniques

The workload of the housekeeping department fluctuates,

depending on patient census. When the bed occupancy is high, the workload

increases. When it is low, empty rooms are generally kept locked makingdaily cleaning unnecessary



Location

Housekeeping serves all areas and departments of the

hospital. Although it can be situated in a nonprime area, it

should as far as possible be centrally located and close to

the vertical transport system to facilitate easy movement of

housekeeping materials and equipment



Facilities and Space requirements for

housekeeping

• Office for the executive housekeeper

• Clerical work area

• Office for the assistance executive housekeeper

• Storage room for housekeeping equipment

• Storage for housekeeping supplies

• Housekeeping closets on all floors throughout the hospital, equipped

with floor sinks, and space and shelves for housekeeping equipment,carts, buckets and supplies.



Importance of the Services

Patient satisfaction becomes customer delight

Improved motivation of staff

Better cooperation room patients and relatives

Good environment generates confidence

Projects positive hospital images

Reduces chances of hospital acquired infections

Avoids unnecessary hospital stay

Wastage of water, energy etc. can be reduced



Organization

The head of the housekeeping department is called the executive

housekeeper who is assisted in the administration of the department by an

assistant executive housekeeper and floor supervisors. The training and

qualification executive housekeeper are very important. He/ she must have a

degree in science and basic knowledge of health care sanitation including

principles of bacteriology applicable for the prevention and control of

infection and communicable diseases. She must also have a working

knowledge of medical terminology as applied to sanitation practices, and

the ability to plan, administer and develop all phases of housekeeping. Good

interpersonal skills and leadership qualities are essential



Organization

In smaller hospitals, the executive housekeeper usually reports to the

director of nursing or nursing superintendent but in larger institutions, she

reports to an associate administrator.

The importance of the executive housekeeper is evident by her

being a member of the hospital infection control committee.

The assistant executive housekeeper and the floor supervisorsmust be well- trained and conversant with housekeeping procedures. They

should be able to effectively manage the housekeeping employees who are a

rather recalcitrant group difficult to handle. Good interpersonal relations are

thus important

Housekeeping employees are largely unskilled workers employed

at the lowest salary level. They should receiv3e a good orientation, in-

service education and on- the- job training.



Selection and development of personnel

Good selection: Check the application as a person, his/her ability to work with

others and potential to do the required job

Good training: Give the employee the help and training he/Good supervision:

Provide guidance in performing work, correct poor work and support him/her

on the job.

Recognition: Recognize and praise good performance. Make the employee feel

wanted and appreciated.

Infection control is an important aspect of housekeeping. Many hospitals have

an infection control committee of which the executive housekeeper is a member.

Housekeeping staff should be aware of hospital- acquired infection and

principles of infection control.



Standards of housekeeping

Each employee knows what is expected of him/her and in what

amount of time, and thereby maintain high quality service

Standard relating to frequency determine how often an

employee is required to clean an area. Time standards relating

allot the time required to complete each task.

Performance standards provide description of what is expected

of an employee in various areas of work including attendance,

punctuality, cooperation etc.



Role of Hospital Administrator to ensure proper

house keeping

Regular rounds of at least one or two area of the hospital daily

Planned rounds after prior intimation to the concerned department

along with maintenance staff and one or two representative of house

keeping staff

Surprise evening, night or early morning round at 4-5 days interval

Having suggestion boxes and attending to the suggestion received in

these boxes at least once a week

Once staff gets motivated and apprehensive most of the members will

take the responsibility and put in more work.



Safety and Security



Safety and security

Free Assess service- 24 hrs. ,365 hrs.

Continuous stress

Security person is first and last person

Person should be tactful, sensitive and diplomatic Maslow's Hierarchy of need theory



Maslow”s Hierarchy of need Theory

Self Actualization

Self esteem

Safety and security

Love & bilongigness

Food,water,

Shelter



Objective

Protection of :

Property

Staff

Patients

Image

Information

Establish a system of safeguard.



Why Safety ? Vulnerability of the Hospital is more than a medical issue

Hospitals are expected to give not only a good medical care, but

also ensure safety of the vulnerable clientele i.e patients

Hospitals have enormous investments – and destruction leads to

major economic burden for the society

Non Structural facilities are usually found more expensive areappreciably higher than the structure itself



Threats and Vulnrability

Thefts – Ext/Int

Patient property losses

Employee property losses

Damage of property Information losses

Robbery

Fire

Violation

Anti national Activity



Cont…….

Threats to medical or non medical person

Drug theft/abused

Internal/External disaster

White collar crimes Sexual assault

Strikes

Infant abduction



Hospital Sensitive Area

Pharmacy

Cash handling areas

Medical record office

Emergency Department Computer Center

Infant and pediatric unit

Parking area



Functions

Analysis of threats and vulnerability

Preparation with strategic plan

Organization and monitoring of the same

Conducting training



Role of security

To provide security services to all staff, patients and

visitors and for protection of hospital property on the

premises through use of well trained personnel,

technology, prevention activities and timely response

to request.



Why Plan for safety?

The plan can help to reduce the impact of loss of life and property

The plan help to remain functional in the event of Disaster

or Emergency

The plan can help to increase efficiency and performance

in event of Disaster as well as post disaster

The hospital can be restored rapidly aftermath disaster



Assess Control Concept

Controlling the movement of people

Identification system for staff

I-Card, logo of hospital, serial number/ photograph/

name/job title/ optional

Card access system

Locks and keys

Passwords ( Computer & information security )

Security organization

house keeping service in hospital

Documents

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