GUIDELINES FOR IMPLEMENTATION OF “KAYAKALP”

1 MINISTRY OF HEALTH AND FAMILY WELFAREGOVERNMENT OF INDIAGUIDELINES FOR IMPLEMENTATION OF kayakalp INITIATIVEG uidelines For IMPLEMENTATION Of kayakalp Initiative2 Introduction:- ---------------------------------------- ---------------------------------------- --------------------------------5A. Improving Hospital/Facility Upkeep ---------------------------------------- -------------------------------------8 Infrastructure Maintenance ---------------------------------------- ---------------------------------------- -------------8 Hospital/Facility Appearance ---------------------------------------- ---------------------------------------- ---------11 Maintenance of Open Areas ---------------------------------------- ---------------------------------------- -----------15 Landscaping and Gardening ---------------------------------------- ---------------------------------------- ----------15 Pest and

2 Animal Control ---------------------------------------- ---------------------------------------- ---------------18 Illumination and Lighting in Hospital ---------------------------------------- ---------------------------------------1 9 Maintenance of Furniture and Fixtures ---------------------------------------- -------------------------------------23 Removal of Hospital Junks ---------------------------------------- ---------------------------------------- -------------23 Water Conservation ---------------------------------------- ---------------------------------------- ---------------------25 Work Place Management ---------------------------------------- ---------------------------------------- --------------28B.

3 Improving Sanitation and Hygiene ---------------------------------------- --------------------------------------23 General Approach to Environmental Cleaning ---------------------------------------- ----------------------------23 Material and Equipment for Cleaning ---------------------------------------- ---------------------------------------4 1 Standard Method of Cleaning ---------------------------------------- ---------------------------------------- ---------50 Monitoring of Cleanliness Activities ---------------------------------------- ---------------------------------------- -51 Drainage and Sewage Management ---------------------------------------- ---------------------------------------- -51C.

4 Improving Waste Management ---------------------------------------- ---------------------------------------- ---55 IMPLEMENTATION Of Bio Medical Waste Rules, 2016 & 2018 (Amendment) ---------------------------------55 Storage of Bio Medical Waste ---------------------------------------- ---------------------------------------- ---------59 Disposal of Bio Medical Waste ---------------------------------------- ---------------------------------------- --------60 Handling of Metal Sharps ---------------------------------------- ---------------------------------------- --------------61 Handling of Glassware ---------------------------------------- ---------------------------------------- -----------------62 Sharp Management

5 ---------------------------------------- ---------------------------------------- ---------------------62 Post Exposure Prophylaxis (PEP) ---------------------------------------- ---------------------------------------- ----62 Steps for Managing Accidental Exposure ---------------------------------------- -----------------------------------63 Management of Hazardous Waste ---------------------------------------- ---------------------------------------- ---67 Solid General Waste Management ---------------------------------------- ---------------------------------------- ---71 Liquid Waste Management ---------------------------------------- ---------------------------------------- ------------73 Equipment and Supplies for BMW Management

6 ---------------------------------------- -------------------------77 Statutory Compliances ---------------------------------------- ---------------------------------------- -----------------77D. Infection Control ---------------------------------------- ---------------------------------------- ---------------------80 Standard and Additional Precautions ---------------------------------------- ---------------------------------------8 1 Spill Management ---------------------------------------- ---------------------------------------- ----------------------111 Isolation and Barrier Nursing ---------------------------------------- ---------------------------------------- -------116 CONTENTSG uidelines For IMPLEMENTATION Of kayakalp Initiative4 Hospital Infection Control Programme

7 ---------------------------------------- ------------------------------------118 Hospital Acquired Infection Surveillance ---------------------------------------- ---------------------------------122 Environment Control ---------------------------------------- ---------------------------------------- ------------------128E. Hospital Support Services ---------------------------------------- ---------------------------------------- -------134 Laundry Services and Linen Management ---------------------------------------- --------------------------------134 Water Sanitation------------------------------ ---------------------------------------- ----------------------------------141 Kitchen Services ---------------------------------------- ---------------------------------------- ------------------------145 Hospital Security Services ---------------------------------------- ---------------------------------------- ------------151

8 Out-Sourced Services Management ---------------------------------------- ---------------------------------------- 152F. Hygiene Promotion ---------------------------------------- ---------------------------------------- ----------------155 Community Monitoring andPatient Participation ---------------------------------------- -----------------------155 Information, Education and Communication ---------------------------------------- -----------------------------157 Leadership and Teamwork ---------------------------------------- ---------------------------------------- -----------159 Staff Hygiene and Dress Code ---------------------------------------- ---------------------------------------- --------161 Annexure I.

9 Characteristics of the Main Disinfectant Groups ---------------------------------------- ---------------162 Annexure II: Standard Operating Procedures for Cleaning ---------------------------------------- -----------------164 Cleaning of Patient Care Area/Room ---------------------------------------- ---------------------------------------- ----164 Cleaning Operating Rooms ---------------------------------------- ---------------------------------------- ----------------166 Cleaning of Sterile Areas ---------------------------------------- ---------------------------------------- -------------------170 Cleaning of Labour Rooms ---------------------------------------- ---------------------------------------- -----------------170

10 Cleaning of Toilets ---------------------------------------- ---------------------------------------- ---------------------------172 Cleaning of Isolation Wards ---------------------------------------- ---------------------------------------- ---------------173 Cleaning of Equipment ---------------------------------------- ---------------------------------------- ---------------------175 Cleaning of Ambulance ---------------------------------------- ---------------------------------------- ---------------------177 Cleaning of Water Coolers: ---------------------------------------- ---------------------------------------- -----------------178 Cleaning of Air Conditioners (Ac) ---------------------------------------- ---------------------------------------- --------178 Annexure III: Sample Checklist ---------------------------------------- ---------------------------------------- -----------179 Annexure IV: Schedule I: BMW Categories and their Segregation, Collection, Treatment, Processing and Disposal Options ---------------------------------------- ----------------------------------181 Annexure V.