Performance_Work_Statement_April_29_2014.pdf

PERFORMANCE WORK STATEMENT

FOR

MEDICAL LAUNDRY AND DRY CLEANING

Little Rock Air Force Base

Arkansas

29 April 2014

PERFORMANCE WORK STATEMENT

FOR

LAUNDRY AND DRY CLEANING

1. DESCRIPTION OF SERVICES

1.1. SCOPE OF WORK. The contractor shall provide all personnel, equipment, transportation, and supplies, except as specified herein as government-furnished, to provide laundry service, including pick-up and delivery for the 19 Medical group.

1.2. In accordance with the Infection control section (linen and laundry subsection) of the JACHO manual.

Contractor is responsible as a minimum for properly handling contaminated laundry. The laundry must comply with the Joint Commission Accreditation Manual for Hospitals Laundry Guidelines. The contractor’s facility will be subject to inspection of sanitary conditions by the Government at any time.

1.3. PICK UP AND DELIVERY. The pickup and delivery schedule is listed in Appendix A. The contractor and the government representative shall reconcile the weight of articles at the time of pickup and delivery (see paragraph

2.1). Any discrepancies concerning cleanliness and serviceability shall be addressed at the time of delivery. The government shall identify any items that are damaged or stained to the contractor prior to pick up. The contractor shall be responsible for all items after the pickup until the items are returned.

1.4. WORKMANSHIP AND SANITATION. The Contractor shall comply with federal, state and local

Department of Health regulations. Delivered articles shall conform to the generally accepted industry standards of quality of cleanliness, finish, and appearance. All work performed shall be done under sanitary conditions. The items shall be clean, free of soil, bacteria, fungi, and other microorganisms, including pathogens or disease-producing organisms.

1.5. PACKAGING REQUIREMENTS. All cleaned linen shall be wrapped in plastic to prevent soiling while being transported or stored. The packaging and work load estimate for medical facility and veterinary services will be as indicated in Appendix C and D, “Medical Treatment Facility Workload Estimate and Required Packaging.”

1.6. MISSING AND DAMAGED ARTICLES.

1.6.1. Missing Articles. The weight of articles picked up shall equal the weight of articles that are delivered. Items not delivered shall be considered shortages. The contractor shall deliver any shortages in the next regularly scheduled delivery at no cost to the government. Any articles missing for seven calendar days shall be considered lost and the contractor shall reimburse the government in accordance with the applicable contract clause.

1.6.2. Contractor Damaged Articles. Contractor shall repair or replace any damaged articles.

1.7. REPAIRS. Except for unserviceable articles, the contractor shall repair all government identified minor (less than four inches) rips, tears, open seams, holes, and missing buttons with materials and supplies of the same color, similar appearance and quality. All such repairs shall be performed at no additional cost to the government. Articles requiring replacement of zippers, and snaps shall be identified by the government at the time of pickup. The Contractor shall return all unserviceable articles in a separately marked bundle to the Government, after laundering the articles.

1.8. RE-PERFORMANCE OF SERVICES. Articles found to have been unsatisfactorily cleaned shall be re-cleaned at no additional cost to the government. The Contractor shall package these articles separately.

2. GENERAL INFORMATION

2.1. INVOICES AND WIDE AREA WORKFLOW (WAWF). The contractor shall provide receipts for pickups and deliveries which will be used to validate their monthly invoice. All of the contractor’s laundry and dry cleaning documents shall be available for the delegated government representative or Contracting Officer for review and audit. After the invoice is validated by the delegated government representative, the contractor shall submit the invoice for payment online at the WAWF website (https://wawf.eb.mil).

2.2. RECOGNIZED HOLIDAYS. If a scheduled pick-up or delivery falls on an observed federal holiday, service will be performed on the next workday, (i.e., if a holiday falls on Monday, service will be performed on Tuesday).

The only exception is Thanksgiving, in which case pick-up and delivery will occur on the preceding Wednesday.

The following federal legal holidays are observed by this base:

New Year’s Day 1 January

Martin Luther King’s Birthday Third Monday in January

President’s Day Third Monday in February

Memorial Day Last Monday in May

Independence Day 4 July

Labor Day First Monday in September

Columbus Day Second Monday in October

Veterans’ Day 11 November

Thanksgiving Day Fourth Thursday in November

Christmas Day 25 December

2.3. SECURITY REQUIREMENTS.

2.3.1. Pass And Identification Items. The contractor shall ensure the pass and identification items required for contract performance are obtained for employees and non-government owned vehicles. The contractor shall retrieve all identification media, including vehicle passes from employees who depart for any reason before the contract expires; e.g. terminated for cause, retirement, etc.

2.3.2. Traffic Laws. The contractor and its employees shall comply with base traffic regulations.

2.3.3. Weapons, Firearms, and Ammunition. Contractor employees are prohibited from possessing weapons, firearms, or ammunition, on themselves or within their contractor-owned vehicle or privately-owned vehicle while on (Little Rock Air Force Base).

2.3.4. Physical Security. The contractor shall be responsible for safeguarding all government property and controlled forms provided for contractor use. At the end of each work period, all government facilities, equipment, and materials shall be secured.

3. GOVERNMENT-FURNISHED PROPERTY AND SERVICES. The Government will provide laundry bags for each facility. The bags will be swapped out when the contractor brings in a cart with clean linen and removes the Bags with dirty linen. A scale will be provided at the hospital for weighing incoming and outgoing bulk linen.

4. FACILITIES (Guidelines are from AFI and ANSI standards but are not all inconclusive or limited to)

4.1 The laundry facility’s physical layout and maintenance procedures shall ensure efficiency, minimize environmental contamination, and protect the materials and hygienic integrity of the processed linen.

4.2 Design guidelines

4.2.1 The essential facility consideration shall have a functional separation or areas that receive, store, or process soiled linen from areas that process, handles, or store clean linen

4.2.1.1 The soiled linen area must be functionally separated from the clean linens processing area. Functional separation may be obtained by any one or more of the following methods:

a. physical barrier

b. negative air pressure in the soiled linen area

c. positive air flow from the clean linen area through the soiled linen area with venting directly to the outside.

4.2.1.2 If storage of clean, unwrapped linen is indicated, these items must be stored in clean areas with the following specifications:

a. free of vermin

b. devoid of lint

c. temperature ranging from 68°-78F°F

d. properly ventilated to prevent accumulation of dust and lint (i.e. positive air exchange rate of 6-10 per hours)

e. positive air pressure relative to adjacent spaces

f. no drains or hot water pipes placed in this area

4.2.1.3 Shelves for storing clean linen shall be placed as per the ANSI/AAMI Standards: [ANSI/AAMI ST65:2000

9.6.2]

a. shelves will be approximately 1-2 inches from the wall for accessible cleaning

b. the bottom shelf shall be 6-8 inches from the floor; and

c. the top shelf shall be 12-18 inches below the ceiling

4.2.2 Warning signs about the presence of contaminated linen and the need to follow the Universal (or Standard)

Precautions must be posted in work areas where potentially contaminated linen area stored or sorted prior to processing.

4.2.3 Traffic patterns shall be planned and posted to minimize the potential for contaminating clean linen. Traffic in all areas of the facility shall be limited to authorized personnel only as outlined in the provider’s policies and procedures.

4.2.4 Hand-washing facilities must be located in all areas where soiled or contaminated linen are handled Hand hygiene resources (i.e. hand washing facilities or antiseptic hand-cleaner/cleaner dispensers) must be available in or around all work areas and in personnel support areas. [ANSI Z358.1; OSHA 29 CFR 1910.1030§d.2.i, ii]

4.3 Maintenance guidelines

4.3.1 Maintenance of equipment and spaces in a laundry facility processing healthcare linen shall follow documented company policies and procedures, with emphasis in two areas:

4.3.1.1 Soiled healthcare linen must be kept functionally separated from clean linen at all times

4.3.1.2 Upon completion of processing, clean linen shall be maintained as clean until delivered to the user’s storage area.

4.3.2 The physical environment (e.g., floors, walls, ceilings, vents, working surfaces, and installed equipment) shall receive scheduled cleaning appropriate for the surface. The cleaning schedule shall be maintained on a current basis and posted for inspection.

4.3.2.1 Environmental surfaces (e.g., floors, walls, ceilings, vents, and equipment) shall be subjected to periodic blow-down processes to minimize the build-up of dust and lint.

4.3.2.2 Working surfaces (e.g., counters, bench tops, and table tops) must be kept clean of visible soil dust, and lint through use of a detergent/cleaner and water. [OSHA 29 CFR 1910.1030§d.4.ii; CDC/HICPAC: EICE.I.E.2]

4.3.2.3 Working surfaces that become contaminated with blood or other potentially infectious material (OPIM) must be decontaminated, cleaned, and disinfected. Use EPA-registered hospital disinfectants labeled tuberculocidal or registered germicides on the EPA List D and E (i.e., products with specific label claims for HIV or hepatitis B virus [HBV] and follow label instructions. [EPA: 7 USC § 136 et seq; OSHA: 29 CFR 1910.1030 § d.4.ii.A;

CDC/HICPAC: EIC E.I.A., II.A-D}

4.3.2.4 When disinfecting working surfaces that may be contaminated with patient body substances other than blood or OPIM, use an EPA-registered hospital disinfectant in accordance with the manufacturer’s instructions.

4.3.2.5 Contaminated work surfaces shall be decontaminated with an EPA registered disinfectant after completion of procedures; immediately or as soon as feasible when surfaces are visibly contaminated or after any spills of blood or other potentially infectious materials; and at the end of the work shift if the surface may have become contaminated since the last cleaning. [CDC/HICPAC: EIC E.I.A.; EPA: 7 USC§ 139 et seq]

4.3.3 Pest control program. The laundry shall have a documented and implemented Integrated Pest Management

(IPM) program.

4.4 Environmental Monitoring Procedures

4.4.1 Systems and procedures shall be in place to ensure that the facility’s use of air, water, chemicals, and other materials is in compliance with federal, state, and local regulations. Efforts to adopt H2E (Hospitals for Healthy

Environment) environmental recommendations are encouraged.

4.4.2 Using methodology stated in local state, and federal regulations, environmental monitoring results shall be properly documented.

5. Contingency Planning

5.1 The contractor will provide a contingency plan providing for uninterrupted operations and services in the event of any occurrence potentially leading to serious disruptions of facility operations. Such disruption may include, but is not limited to loss of utilities, medical emergencies, fire, work stoppage, or major accidents. The contingency plan shall include the following components: plant and transportation contingency protocol, call chain, and a list of backup facilities.

5.2 Backup Facility Agreements

5.2.1 The operator shall have written agreements in place with one or more alternate laundry facilities, detailing when and how these facilities will process linen in an emergency.

5.2.2 The operator shall have written agreements in place with one or more alternate transportation providers detailing the response time and services provided.

5.2.3 The operator shall have written agreements in place with one or more alternate linen suppliers detailing the services and delivery times provided.

6. Quality Control and Process Monitoring

6.1 Quality Control. Contractor shall have a quality control and process monitoring plan in place.

6.2 Facility Inspections

6.2.1 The provider shall have written policies and procedures covering all areas of responsibility relating to services provided to the user. The Infection Control Officer (ICO) will tour the linen facility with the delegated government representative, prior to contract award for locally purchased contracts, and annually thereafter, to evaluate and ensure the practice is IAW AIR FORCE INSTRUCTION 44-108, INFECTION CONTROL PROGRAM, Para 3.10 and the scope of work for the contract. The ICO reports findings of the assessment and any recommendations to the

Infection Control Committee and Infection Control Review Function and a written report of conditions will be forwarded to Air Force Medical Services Health Services Inspection office.

6.2.2 The provider shall maintain records of any problems experienced and mutually agreed upon solutions. A customer call log may be used for this purpose.

7. Progress Meeting

7.1 Meetings will be as often as necessary thereafter as determined by the Contracting Officer. A mutual effort will be made to resolve all problems identified. There will be written minutes of these meeting. Should the contractor not concur with the minutes, his representative will state in writing to the areas wherein he does not concur.

8. Security

8.1 Passes and Badges. All contractor delivery employees required to come on the premises of Little Rock AFB, shall obtain the required vehicle passes.

8.2 Station Regulations. The contractor and his delivery employees shall become acquainted with and obey all

Government regulations as posted or as requested by the delegated government representative.

9. Vehicles

9.1 All contractor owned vehicles shall be identified with the contractor’s name so that it is clearly visible and shall at all times display a valid state license plate and safety inspection sticker. Vehicles used for transportation shall be designed to insure adequate protection of such hospital items under JACHO requirement.

9.2 Vehicles used in the transportation of items called for in this contract shall be clean, closed, conform to commercial standards, and be equipped to protect against contamination of the items. Such vehicles shall be subject to examination by the Government or any person designated by it.

10. Permits

10.1 The contractor shall obtain all appointments, licenses, and permits required for the execution of the work and complying with applicable Federal, State, and Local laws.

11. Normal Government Working Hours.

11.1 The Government’s normal working hours and work days are from 0730-1600, Monday through Friday except

Federal holidays.

12. Access

12.1 The Government and any persons designated by it, shall at all reasonable times have access to the contractor’s premises wherein work is performed for the purposes of inspecting.

13. Contractor Furnished Items

13.1 General. The contractor shall furnish all necessary supplies, parts, materials, tools, support equipment, labor and vehicles required to perform all operations required by this Performance Work Statement.

14. Hours of Operation. The laundry contractor shall provide linen three (2) days per week and provide the services as specified in the contract.

Part II. The Linen Processing Cycle

1. Handling, Collection and Transportation of Soiled Healthcare Linen

1.1 All healthcare linen must be handled and collected in accordance with OSHA regulations and federal guidelines, thereby minimizing potential exposure of patients, hospital personnel, or laundry personnel to blood-borne pathogens or other infectious agents.

[OSHA: 29 CFR 1910.1030 § (d) (4) (iv); CDC/HICPAC EIC F.III]

1.2 All soiled healthcare linen must be assumed to be contaminated, and Universal Precautions (an OSHA term) must apply at all times to all personnel who handle soiled linen. Standard Precautions (a CDC term) may apply as determined by either the customer or the provider.

1.3 Handling soiled linen at the points of generation and/or collection:

1.3.1 The collection of soiled linen begins at the point (or points) of collection designated in writing by the customer.

1.3.2 Soiled linen shall be collected and handled only as necessary to complete the defined tasks, and in such a way as to minimize microbial contamination of the air and the personnel handling the linen.

[OSHA: 29 CFR 1910.1030 (d) (4) (iv) (A) (1)]

1.4 Containment of soiled linen:

1.4.1 Universal (or Standard) Precautions shall be followed during containment of soiled or contaminated linen.

1.4.2 The collection bags or containers must functionally contain wet or soiled linen, preventing contamination of the environment during collection, transportation and storage prior to processing. The containers must not tear when loaded to capacity, be leak-proof, and be capable of being closed securely to prevent linen from falling out.

1.4.3 The bags or other containers must be specially color-coded or labeled. If only soiled healthcare linen are coming into the laundry, and all personnel are following Universal (or Standard) Precautions when handling these linen, the bags do not need to be color-coded or labeled.

[OSHA: 29CFR1910.1030 (d)(4)(iv)(A)(2)]

1.5 Medical waste. The provider must have a written plan with the user detailing the procedures to follow when medical waste is found among soiled healthcare linen. The plan must be in accordance with state medical waste regulations.

1.6 The service provider shall follow the customer’s policy for returning items found among healthcare linen that contain personal patient information.

1.7 Functional Separation of Clean from Soiled Linen. The provider must maintain functional separation of clean from soiled linen in carts and/or vehicles at all times during collection and transportation of soiled linen.

1.8 Observe Universal (or Standard) Precautions while moving, loading, and unloading soiled linen.

2. Sorting

2.1 Soiled sorting area: The physical environment must comply with any applicable local, state, or federal regulations as per statements in Part I, Section 2.2 of this Accreditation Standard.

2.2 The physical environment in the soiled sorting area shall be cleaned and disinfected as indicated in Part I, Section 2.3, Subsection 2.3.2 of this Accreditation Standard.

2.3 All personnel who handle soiled healthcare linen must follow Universal (or Standard) Precautions to prevent contact with blood or other potentially infectious or hazardous materials. Under Universal (or Standard) Precautions, all soiled healthcare linen coming into a laundry are treated as contaminated.

2.4 Soiled linen shall be sorted into appropriate wash loads by classification such as color, type of fabric, soil type or soil load, and/or type of goods (e.g., diapers, sheets, or patient gowns) for each laundry formula used.

3. Finishing

The finishing process of ironing or folding linen shall ensure that the merchandise is maintained in the same clean state that it emerged from washing. The ironing or folding procedures shall meet the needs and expectations of the user. If any linen becomes soiled in this process, they shall be rewashed, as outlined above.

4. Packaging and Storage

Packaging and storage of healthcare merchandise shall preserve the linen in a clean state for delivery to the customer as outlined in the service agreement.

4.1 The linen must be wrapped into fluid-resistant bundles. The wrapping material may be plastic or other suitable material, and shall be securely closed during transport to the customer.

4.2 During packaging, linen shall be handled as little as possible to prevent soiling or contamination.

4.3 Bundled and wrapped linen may be stored in open racks in the laundry, on the trucks, or at the user’s facility, provided the integrity of bundled and wrapped linen is not compromised.

4.4 If any linen becomes soiled during packaging and storage, they shall be reprocessed in accordance with previously stated processing guidelines.

5. Delivery of Cleaned Healthcare Linen

5.1 Functional separation of clean from soiled linen shall be maintained during transportation by:

5.1.1 Bagging soiled linen in fluid-resistant containers

5.1.2 Anchoring soiled linen in the vehicle, so that they do not spill from their containers.

5.1.3 Training personnel regarding proper bagging and placement of linen in the transporting truck.

5.1.4 Ensuring that all employees with this responsibility follow Universal (or Standard)

Precautions at all times.

5.2 Linen containment issues:

5.2.1 Clean and soiled linen shall not be stored in the same container.

5.2.2 Containers used for the collection of soiled linen may be returned for use for clean linen, if allowed by state regulations, after cleaning in accordance with the provider’s policies and procedures.

5.3 Vehicle considerations:

5.3.1 Clean and soiled linen may be transported in the same vehicle, provided proper and effective functional separation of clean from soil is maintained at all times. Separation may be accomplished by the use of physical barriers, and/or space separation sufficient to protect clean linen from contact with soiled linen.

5.3.2 The interior of the vehicle’s cargo trailer used to transport healthcare linen shall be cleaned on a regular basis as per company policy, or whenever visibly soiled.

5.3.3 Vehicles used to transport healthcare linen shall have waterless antibacterial hand cleaner on board for the purpose of hand hygiene. If visible soil is apparent, drivers shall use utility gloves to minimize contact with the soil.

Hand-washing with soap and water is required at the earliest opportunity upon removal of the utility gloves.

5.4 Proper Use of Carts:

5.4.1 When the cart contains clean linen, the linen shall be wrapped inside the cart.

5.4.2 If a cart used to transport clean linen appears soiled, it shall be cleaned as outlined in Part II Subsection 5.4.5.

5.4.3 Any time a cart has transported soiled linen, it must be cleaned before any next use, whether to transport clean or soiled linen. Reusable linen cover materials, such as liners, must be washed before the next use.

5.4.4 Carts shall be maintained in good working order, with wheels free from strings or other debris that impairs functioning or collects dirt.

5.4.5 Containers and covers used to collect or transport soiled linen shall be properly cleaned. Proper cleaning may include:

5.4.5.1 Steam cleaning.

5.4.5.2 Cleaning with an EPA registered detergent/disinfectant.

5.4.5.3 Reusable linen covers may be washed and dried.

Contractor shall comply with guide lines in the following publication.

Publications and other directives applicable to this work statement are listed below. Service provider shall receive the following publications from the government delegated contract representative. Supplements or amendments to listed publications from any organizational level may be issued during the life of the contract. The contractor shall immediately implement those changes in publications, which result in a decrease, or no change in the contract price.

Prior to implementing any mandatory revision, supplement, or amendment to a publication or directive that will result in a contract price increase, the contractor shall submit to the CO a price increase proposal and obtain approval from the CO prior to implementing such changes. The contractor shall submit price increase proposal within 30 calendar days from the date the contractor receives notice of the revision, supplement, or amendment giving rise to increase in cost of performance; however, the CO may direct immediate implementation and waive the prior approval requirement. Negotiation and/or increased cost approval may take place during or after implementation at the discretion of the CO. Failure of the contractor to submit a price proposal within 30 calendar days from the date of receipt of any change shall entitle the Government to performance in accordance with such change with no increase in contract price.

AAMI – Association for the Advancement of Medical Instrumentation. Processing of Reusable Surgical Linen for Use in Health Care Facilities. ANSI/AAMI ST65:2000.

AIA – The American Institute of Architects Academy of Architecture for Health, The Facilities

Guidelines Institute. Guidelines for Design and Construction of Hospital and Health Care Facilities.

2001 Edition. American Institute of Architects, Washington DC; Facilities Guidelines Institute, Dallas, TX.

ANSI – American National Standards Institute. ANSI Z358.1-1998;Processing of Reusable Surgical Linen for

Use in Health Care Facilities. ANSI/AAMI ST65:2000.

CDC – Centers for Disease Control and Prevention. Guidelines for Environmental Infection Control in

Health-Care Facilities. Recommendations of CDC and the Healthcare Infection Control Practices Advisory

Committee (HICPAC).MMWR 2003; 52 (No. RR-10): 1–48.

HICPAC – Healthcare Infection Control Practices Advisory Committee. Guideline for Hand Hygiene in Health-

Care Settings.MMWR 2002; 51 (RR-16): 1–48.

OSHA – Occupational Safety and Health Administration, U. S. Department of Labor. Bloodborne

Pathogens/29CFR1910.1030 Updated 7/1/2003

HLAC – The Laundry Accreditation Council, Accreditation Standards for Processing Reusable Linen for Use in

Healthcare Facilities April 2006

AIR FORCE INSTRUCTION 44-108, INFECTION CONTROL PROGRAM, 1 Jul 2000 Chapter 3.10.

APPENDIX A

PICK UP/DELIVERY SCHEDULE. The contractor’s arrival time shall be Tuesday and Friday between

8:00 a.m. and 11:00 a.m.

MEDICAL TREATMENT FACILITY (BLDG 1090, DOCK) (Arrival Time NLT 11:00 a.m.)

Items picked up on: Shall be returned on:

Tuesday Friday

Friday Tuesday

VETERINARY CLINIC (BLDG 648) (Arrival Time NLT 11:00 a.m.)

Items picked up on: Shall be returned on:

Tuesday Friday

Friday Tuesday

APPENDIX B

DEFINITIONS/ACRONYMS

Clean. Finished articles are dry and free of visible soil, lint, and objectionable odors. Spots and stains are removed without damaging the fabric.

Contractor Quality Control. Actions taken by a contractor to control the production of services to meet the requirements of the Performance Work Statement.

Defect - A service that does not meet the standard specified in the contract for that service.

Government Quality Assurance. Those actions taken by the Government to assure services meet the requirements of the PWS and to contract clauses relating to quality and performance.

Laundering. The process by which soiled fabric items are cleaned and treated. The term includes cleaning by mechanical action in appropriate temperature water with solutions of detergents and other additives. These additives include repellent treating, bleaching, bluing, rinsing, chemical rinse (sour, fabric softener, and any other agent for controlling the growth of microorganisms, such as molds and bacteria), starching, ironing, and pressing. The appropriate products and procedures are to be determined by the contractor for the various types of fabric and nature of soil.

Medical Treatment Facility (MTF). Those activities providing outpatient and/or inpatient health care services for authorized personnel.

Delegated government representative - The individual delegated by the Government to evaluate the contractor’s performance through intermittent surveillance of the contractor’s performance. The Delegated government representative may survey each task as it is performed, or increase/decrease the number of surveillances depending on the quality of performance.

Repairable Items. Those articles with minor rips, tears (less than four inches), open seams, holes, missing buttons, and broken zippers.

Unserviceable Articles. Those articles no longer usable for the purpose intended.

Wide Area Workflow (WAWF) - An electronic means that the contractor shall use to submit their invoices for payment.

APPENDIX C

MEDICAL TREATMENT FACILITY

WORKLOAD ESTIMATE AND REQUIRED PACKAGING

WORKLOAD ESTIMATE

Estimated Annual Workload 16,500 lbs.

REQUIRED PACKAGING

EST DRY WEIGHT METHOD

ITEM IN LBS PER ITEM PACKAGING SIZE OF FINISH

Blanket, Cotton 3.38 1 WDFWP

Sheet, Cotton .75 10 WDPFWP

Pillowcase .25 25 WDPFWP

Towel, Bath .25 10 WDFWP

Towel, Hand .25 20 WDFWP

Gown, OP Colored 1.19 Varies WDFWP

Shirt, OP Colored .53 Varies WDFWP

Trousers, OP Green .52 Varies WDFWP

Wrapper, 36 X 36 .28 Varies WDFWP

Dental Lab Coats White .58 Hanger Hung Pressed/OHBG

Smock Blue .58 Hanger Hung Pressed/OHBG

METHODS OF FINISHING (CODES)

(F) Fold (RO) Roll (Used Exclusively for sleeping bags)

(WP) Wrap finished work in plastic (W) Wash

(OH) Return finished work on hangars (WC) Wash in Cold Water

(WDF) Wash, Dry, Fold (BG) Return in plastic garment bag

APPENDIX D

VETERINARY SERVICES

WORKLOAD ESTIMATE AND REQUIRED PACKAGING

WORKLOAD ESTIMATE

Estimated Annual Workload 2,413 lbs.

REQUIRED PACKAGING

EST DRY WEIGHT METHOD

ITEM IN LBS PER ITEM PACKAGING SIZE OF FINISH

Blanket, Cotton 3.38 1 WDFWP

Towel, Bath .25 10 WDFWP

Towel, Hand .25 20 WDFWP

Gown, OP Colored 1.19 Varies WDFWP

METHODS OF FINISHING (CODES)

(F) Fold (RO) Roll (Used Exclusively for sleeping bags)

(WP) Wrap finished work in plastic (W) Wash

(OH) Return finished work on hangars (WC) Wash in Cold Water

(WDF) Wash, Dry, Fold (BG) Return in plastic garment bag

APPENDIX E

FACILITY INSPECTION CHECKLIST

19 Medical Group Date:

Littlerock AFB, AR Conducted by:

References:

Guidelines for Environmental Infection Control in Healthcare Facilities:

Recommendations of CDC and Healthcare Infection Practices Advisory Committee

(HICPAC), 2003

APIC Text of Infection Control & Epidemiology, 2005

A. PLANT FACILITY YES NO

1. Ventilation system has adequate intake, filtration, exchange rate and exhaust.

2. Separation of clean and soiled areas by a physical barrier, negative air pressure – soiled linen/positive air pressure – clean to soiled

3. Environmental conditions are adequate: temperature, humidity, cleanliness of area etc.

4. Adequate hand washing facilities available..

5. Eating, drinking and smoking is prohibited in all work areas.

B. PERSONNEL

1. Employees participate in relevant continuing education program with documentation available.

2. Personal protective equipment available and in use:

3. Employees remove PPE before leaving receiving/sorting area.

4. Hepatitis B vaccine required for all employees.

5. Personnel are free of infections.

6. Staffing is adequate

C. DELIVERY

1. Clean linen transported in containers exclusively for clean linen, clean hampers lined with plastic or reusable liners, placed in clean cart with a secure plastic or reusable cover.

2. Separation of clean and soiled linen. (The containers used to transport soiled linen may be used to transport clean linen if they are properly cleaned first)

3. Cleaning of carts/trucks is properly done by steam cleaning or with soap and water solution. In either case, followed by germicidal agent.

D. SOILED LINEN PROCESSING

1. Soiled linen is handled as little as possible and with minimum agitation

2. Compliance with standard/universal precautions is observed in the soiled linen area

3. Wash formula: adequate temperature, time soap/detergent/bleach used:

71C/160F x 25 minutes

4. Washer thermometer visible

5. Thermometer calibration data available

6. Linens to be destroyed are processed prior to disposal

E. HOUSEKEEPING

1. Adequate cleaning procedures are developed and implemented regarding:

Cleaning and care of equipment and work areas

Maintenance of cleaning schedules

Documentation of cleaning

F. QUALITY ASSURANCE

1. The provider shall have a written policies and procedures covering areas of responsibility relating to the service provided

2. The provider shall maintain documentation of the identification of problems and methods to resolve them.

3. The provider and the user shall periodically review the laundry/linen program

NOTES: