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Effect of water temperature on bacterial killing in laundry.

The increasing cost of energy directed our attention to testing the feasibility of low temperature washing. Hospital laundries use formulated chemicals at high temperature wash waters of 66 degrees C. Wash water effluents and fabric bacterial counts of heavily soiled linen were correlated with alkalinity and temperature measurements to investigate the bacterial killing action of hot and cold wash formulas. Terry towels were found to be contaminated with 10(7) to 10(9) organisms per 100 cm2 at the beginning of the washing process. The most common gram-negative rods found were Klebsiella, Enterobacter and Serratia species. Staphylococci were the predominant gram-positives. Both cold and hot water washing including the bleach cycle reduced bacterial counts in fabric by 3 log10. Similarly wash water cfu/mL mL declined 3 to 4 log10. A further 0.5 to 1.0 log10 reduction was effected in the 93.3 degrees C drying cycle. Low temperature wash formulas were comparable to high temperature laundry with respect to bacterial counts and species. Cold water formulas at 31.1 degrees C offer an alternative method to reduce energy consumption and maintain bacteriological and esthetic linen quality.

Bacteria↗

Computer provides definite linen distribution and control mechanism.

For the past 10 years or so, large laundries have been concerned with productivity. While productivity has increased 10 to 20 percent, the linen replacement cost in these same laundries has more than doubled. It will not suffice for these laundries to point toward the hospitals they serve and imply that linen service and control is solely a hospital management problem. As long as proven technology is available, these laundries have an inherent responsibility to provide hospital management with the data necessary to pinpoint and correct linen consumption and replacement problems.

Bedding and Linens↗

Cost/benefit study of reusable and disposable OR draping materials.

A large metropolitan teaching hospital in Canada wanted to know if it should continue to use disposable drapes or return to reusables. In order to determine which choice would be more cost-effective, which would be more environmentally friendly and which would best meet the surgical team's needs while meeting infection control guidelines and other pertinent standards a study was conducted of the then present draping practices and costs. The study was done on the operating room, including inpatient and same day surgery drape usage. It included drape types, patterns of usage, volume of usage and draping practices. An analysis was made based on the actual costs and number of cases for 1990 and the estimated needs for the next year. Drape expenses included handling, storage, removal from user areas and disposal. The study resulted in the conclusion that, at that time, reusable surgical drapes were a viable alternative from an environmental perspective, but based on the information available, they were not considered to be financially competitive.

Bedding and Linens↗

Consignment purchasing saves money, improves cash flow, streamlines material management function.

The responsibility of materials managers has grown tremendously in the past few years as cost containment has become a top priority. Today materials managers are responsible not only for seeing that supplies are on hand, but also for contributing to the hospital's cost savings efforts. For Southeastern General, those goals were met through consignment purchasing. In fact, the ACCESS consignment program enabled the hospital to increase its linen inventory by three times the amount it had previously carried. Whereas Southeastern General's materials management department used to be caught with stockouts at the unpredictability of an antiquated laundry system, it is now the most reliable hospital in the area. It maintains a fully stocked inventory and is prepared for the unexpected. For example, many of the small hospitals in the region will borrow from Southeastern General when they are confronted with an immediate inventory crisis rather than wait the standard 15 to 30 days for shipment from suppliers. In this circumstance, Southeastern General provides the other hospitals with materials from its inventory and Medline bills the other hospitals directly for supplies used. Overall, Southeastern General has benefited from consignment through elimination of stockouts, price stability, improved cash flow, and time and labor savings. Above all, savings through the use of consignment directly impacts the hospital's bottom line.

Bedding and Linens↗

Cost containment in laundry and linen service.

One major problem looms among all others in the area of laundry and linen service, whether a hospital has an in-house operation, is part of a shared or central laundry, or uses a commercial service. That is the costly problem of controling linen consumption and replacement. A recent seminar offers some insight into reasons for the problem and some possible solutions.

Bedding and Linens↗

Implementing new linen programs.

Columnist Carl Shusterman contends that managers shouldn't lose hope if their ideas meet with resistance. This shouldn't stop you from making recommendations.

Bedding and Linens↗

A cost-accounting system used in a hospital-related laundry facility.

A laundry facility supplying linen to several hospitals needs to keep a good account of the numbers of different types of linen which enter and leave its premises so as to allocate the costs fairly and equitably among member hospitals. This task is made difficult by the problem of errors in counting due to high volume, different sizes and shapes of linen pieces, and human error in sorting. An electronic counting system has been installed in the premises to facilitate the process of counting, and this paper describes an approach for correcting the counting errors by applying factors that account for the inherent error in the system. These factors are estimated from sampling the contents of the sorted linen and statistical analysis of the resulting data. An efficient sampling scheme is proposed.

Accounting↗

Disposable versus reusable linen: back to the future.

Decisions regarding health care practices and technology are never static. As new information becomes available, and internal and external forces shift, new decisions may have to be made. Such is the decision regarding reusable versus disposable linen. Until very recently, reusable linens were not comparable with disposable linen in the quality characteristics that directly impact patient and staff safety and health. Given the current test results on the latest generation of reusable fabrics, it is time to go back to reconsider this decision for the future.

Bedding and Linens↗