A Handbook on Housekeeping and Disinfection Practices for Healthcare Facilities Shakti Kumar Gupta, Kanika Jain, Lt Gen Sunil Kant, Maj Parmeshwar Kumar
INDEX
ABCDEFGHIKLMNOPQRSTUVW
Page numbers followed by f refer to figure, fc refer to flowchart, and t refer to table.
A
Accelerated hydrogen peroxide 57
Acinetobacter baumannii 23
Action plan 197
Activated carbon filter 182
Acute trauma 112
Adenosine triphosphate 135t
bioluminescence 130f
use of 130
Administrative rounds 186
Adult bedbug 76f
Adult cockroach 77f
Aeration tank 180, 181f
Air conditioning 192
Alcohol 62, 203
Animal anatomical waste 86
Anionic surfactants 57
Armed forces, healthcare facilities of 90
Aspergillus fumigatus 123t
Audit process 133
Authorization certificate, copy of 179f
Autoclave, time requirements of 90t
Automatic floor cleaners 69
B
Bacteria 123
Bar screen chamber 180
Barcoding 97
absence of 106
Bedbugs 75
life cycle of 77f
Biomedical waste 83, 203
collection 96
schedule 98
management 83, 85, 207
capacity building for 93
outsourcing of 95
Rules 84, 86, 92t, 178, 194
treatment and disposal 99
Bleach 57, 62, 203
Block cleaning 23
Blood
and body substances, cleaning spills of 48
cleaning spillage of 51
Building design 192, 193
C
Calcium hypochlorite 203
Catheter-associated urinary tract infections 196
Centers for Disease Control and Prevention 23, 55
Central Sterile Supply Department 34, 196
Central-line associated bloodstream infections 196
Checklists 186
and quality initiatives 186
Chemical
and biological exposure 118
disinfection 90
liquid waste 87
waste 87
Chlorine 62
releasing agents 203
Clean hands, steps to 25f
Cleaning
agents 55, 186
ambulance 47
bathrooms 114, 120f
biological spill 49
equipment 67
frequency 26, 35t
isolation areas, procedures for 46
level of 35t
mechanization of 191
operating rooms 45
organization of 23
principles of 22
staff 203
supplies
and equipment 203
and utility rooms, storage of 56
techniques 37
Cleanliness and quality control, assessment of 129
Clostridium difficile 23, 37
Cockroaches 76
Common Application for Consent under Water (Prevention and Control of Pollution) Act and under Air (Prevention and Control of Pollution) Act 178
Common biomedical waste treatment facility, duties of 208
Conduct visual preliminary site assessment 203
Container, types of 86–89
Contaminated waste 88
Contingency services 143
Continuous quality improvement 129
Coronavirus 201
disease-19 200, 201
COVID-19 200, 201, 205–208
history of 200
infection 201
virus 200
Cytotoxic drug 87
disposal, implementation of 197
D
Daily cleaning, guidelines for 39, 41fc
Deep cleaning 23
Designated central temporary biomedical waste collection area 98
Director general armed forces 90
Disinfection, level of 35t
advantages and disadvantages 62t
list of disinfectants 57t
Disposal, treatment of 86–89
Domestic housekeeping 3
Dress code 100
Driver's compartment 48
Dry heat sterilization 90
Dusting 118, 120f
E
Electro-mechanical equipment 68
Elevators, cleaning of 54
Emergency department 34
Energy conservation 192
Enterococcus
faecalis 123
faecium 123
Environmental
cleaning 202
products for 204
services area 203
culture 130
health and safety 49
marking tools 131
protection agency 57t
surface cleaning and disinfection 204
surveillance 196
Equalization tank 180, 180f
Equipment
storage 73
compartment 48
Escherichia coli 76, 123, 180
ESI card 100
Excess sludge handling 182
Excreta management 205
Extramural transportation 98
F
Facade improvement 191
Feces and urine 54
Figure of eight stroke technique 44f
Filter feed pumps 182
Financial capacity building 94
Floor models 68
Fluorescent
gel 134
marking 131
Fungi 123
G
General environmental cleaning techniques 203
General municipal waste, collection of 97
Glassware 89
Glutaraldehyde 65t
Glycyphagus domesticus 124t
Good housekeeping
functions of 125fc
standards of 3
Gravity flow autoclave 90
Grease trap 206f
Greenfield projects 91
H
Hand hygiene 23
moments for 24f
monitoring of 197
policy 198
Healthcare
associated infection 127, 208
establishments 108
organizations, cleaning in 22
Hemodialysis unit 34
High dependency units 34
High efficiency particulate air 68
High-level disinfection 55
High-touch surfaces, classification of 29t
Hospital
attendants, calculation of number of 16t
grade disinfectants 56
advantages of 62t
disadvantages of 62t
housekeeping 125
linen services 8
organizational chart for 5fc
Housekeeping 32, 112
checklist 186
department, objectives of 3
equipment maintenance 9
essential qualifications 6t
history of 1
importance of 10
in hospital 2, 3fc
job description 7t
personnel, analysis for 7t
practices, audit of 133
services 1, 200
outsourcing of 137
trolley 71
types of 3
Human anatomical waste 86
Hydrogen peroxide 57, 64
enhanced action formulation 64
Hygiene promotion 197
I
Id cards 100
Incidental spill clean up 49f
Infection control 196
Institutional housekeeping 3
Integrated pest management 78, 79fc
communication flow 81f
in hospitals 78
steps of 79, 80fc
Intensive care units 76
Intermediate-level disinfection 55
International Conference on Hospital Waste Management and Infection Control 195
Intramural transportation 98
Iodophors 63t
Isopropyl 203
K
Kaya Kalp 184
campaign 185
initiatives, inclusion of 197
scheme 184
Kitchen services 193
L
Labor room 34
cleaning protocols for 53
Laundry services 193
Light and heavy-duty heavy pressure cleaners 69
Liquid waste standards 90
Low-level disinfection 56
M
Machine operators
responsibilities of 167
roles of 167
Masks 71
Material safety data sheet 56
Medical examination 100, 121
Mental stress 122
Mercury spillage, protocols for 50
Metallic body implants 89
Microbial cultures 135
Microclimate 192
Microfiber 72
Microwave 90
Middle Eastern respiratory syndrome 201
Musculoskeletal injuries 113, 114f
N
National Accreditation Board for Hospitals and Healthcare Providers 129
National Association of Testing Authorities 135
National Clean Hospital Guidelines 186
National Council for Education, Research and Training 5
National Health Service 32, 32t
National Skill Certification Program 187
Nonantiseptic formulations 63, 64
Normative weighted criteria 128
O
Occupational health and safety 112
administration 112
Odor control 7
Officer-in-charge sanitation 10
On-job training 197
Operating rooms, terminal cleaning of 46
Operation theaters, cleaning of 44, 53
Organizational information 153
Organizational structure 4
Organogram 4
Oxygen hood, cleaning of 54
P
Parameter typical range remarks 182
Penalty clauses 106, 155
Performance guarantee 103
Personal protective equipment 23, 27f, 28, 38, 71, 100, 143, 203
specifications of 26t
use of 23
Pest
control 82
management 75, 191
Phenols 57
Plumber 13
responsibilities of 167
roles of 167
Pollution control committees 90
Portable electric cleaning machines 69
Postoperative units 34
Pressure sand filter 182
Protective eyewear 71
Puccinia graminis 123t
Q
Quality
assurance regarding performance and penalty 154
cost-based system 187
initiative 187
system 127
Quaternary ammonium compounds 57t, 63t, 203
R
Radiant warmers 53
Raw sewage lift pumps 180, 181f
Residual bioburden 130
Rodents 76, 77f
Rotary floor machines 69
Routine bathroom cleaning 42
S
Sanitary attendant 12
induction training topics for 168
responsibilities of 167
roles of 167
Sanitary supervisor 12
responsibilities of 167
roles of 167
Sanitation
and housekeeping services 143
and hygiene 186
attendant, calculation of number of 17t
mechanization of 186
officer 11
personnel, methodology for 40fc
supervisor, induction training topics for 169
tender 187
Security services 193
Senior sanitation officer 11
Severe acute respiratory
infection treatment center 202t
syndrome corona virus-2 200
Sewage treatment plant 178
need for 179
sample test report for 183f
Sexual harassment 122
Signages 191
Silver dihydrogen citrate 57
Sodium 203
hypochlorite 57, 62
Soiled waste 87
Solar system for hot water 192
Spill kit, contents of 49f
Spot cleaning 34
Spring cleaning 23
Staff
responsibilities of 10
roles of 10
Stain
removal 51
principles of 51
types of 52
Standard operating procedure 184
Standardized cleaning protocols 23
Staphylococcus aureus 23
State pollution control
boards 90
committee 178
Sterile areas, cleaning of 47
Suction apparatus, cleaning of 53
Support services 193
Surgical site infection 196
Surgical ward 34
T
Tender evaluation process 154
Terminal cleaning, procedures for 42
Theater sterile supply unit 34
Training
and sensitization 196, 197
program 20
essentials of 19, 19fc
U
Ultra-microfiber cloths 72
US Joint Commission Accreditation of Healthcare Organization model for housekeeping services 126, 127fc
V
Vaccination 100
Vacuum cleaners 68
Vacuuming 117f
and scrubbing 113
Vehicle 98
for transportation, provision of 98
statutory requirement for 98
Ventilator-associated pneumonia 196
Visual inspection 134
W
Ward, sanitation checklist for 131
Washroom checklist 132, 187
Waste 192
category 85
disposal 8
in hospitals, percentage of 83f
management 193
comprises following criteria 193
types of 84, 85, 86f
Wastewater and fecal waste 205
Wet vacuums 68
WHO waste management hierarchy 84f
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Chapter Notes

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