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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
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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
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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
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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
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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
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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.
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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
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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
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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..)
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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.
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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))
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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
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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
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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
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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
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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
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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
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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.