M a n a j e m e n L i nen 1 Ru m a h s a k i t M an a je me n L og i s tik R u ma h s a k it B a m b a n g S ho f a r i
Tuj u a n 2 M en c egah terjadi n ya i n fek s i s i l ang, i n fek s i no s ok o m i al b a gi pa s ien d an pet u gas r u m ahs a ki t de n gan m e ngel o l a dan m eng e ndal i kan b a han ba h an li n en M en j aga c itra ru m a h sa k i t deng a n m en c ipta k an k e t e r s ed i aan b a han l i nen s esu a i den g an v isi d a n m i s i s e rt a f i l os o f i r u m ah s ak i t M en g e l o l a su m be r su mb er d aya r um ahs a k i t untuk m en y ed i akan l inen bagi k ebutu h an d a n harap a n c u sto m e r s r u m ah s aki t
P r odu k j a s a m a n a j e m en 3 l i n en P e r e n cena a n k e bu t uh a n li n e n dan b a han p e ncu c ia n nya u n tuk p e lay a nan p asien dan k eperlu a n pa k a i an p etugas se suai d e ngan t u gas d a n f ung s i n y a P erb a ikan bahan l inen yang r u sak P en g a t u r an d i s t ribu s i l i nen dan pek e rjaan l aundry P e m e li ha r a a n pe r a l a t an l a und r y P en g end a li an p e nggu n aan b a han l i nen P en g a w asan k eg i a t an di un i t li n en dan l aun d r y P el a poran k egia t an dan stock opn a m e
Tu p o k s i 4 M e r encana k a n kebutuhan l i nen M e r encana k a n kebutuhan bahan pencu c i M en j a g a k ebe r s i han l i nen M e m pe r b a i ki a l at tenun y a ng r us a k M engatur s i stem d i s t ri b usi untuk ke l a n ca r an pe l ayanan l i nen M e m e l i ha r a pe r a l atan l aund r i M eny u sun l apo r an keg i atan un i t l i nen dan l aund r i M enga w asi keg i atan un i t l i n e n d a n l aund r i M e l aksana k an sto c k opna m e sec a r a pe r i od i k M e l aksana k an tugas k e p e g a w a i a n
5 K om p o n e n o r g a n i s a s i K e p a l a u n i t l i ne n d an l a un d r i A d mi n i s tr asi U n i t l i n en D i s t r i bu si R e p a i r i n g U n it l au nd r i M ask e r sh o rt er Was h e m a n F l at w o r k i r o n Tu m b el op e r a t or P r e sser h a n d m a c h i n e
U k u r a n K i n e r j a 6 P r oper c l e a n e d ( benar ² be r s i h) G ood s m e l l ( tak bau) N o pots ( tak b e r noda) W e l l p r es s ed ( pengepa k an li c i n) N i c e fo l d i ng and hang i ng ( ca r a m e li pat r ap i ) N i c e p r esentat i on ( pena m p i l a n nya m ena r i k) T im e p i ck up ( penga m b i l a n li nen tepat) T im e de l i ve r y ( penganta r a n t e p a t) W e l l i nfo rm ed ( pe m b e ri an i nfo r m a s i y a n g b e n a r e t c
D E N AH R UA N G C U C I KAMAR C U C I AN TERINFEKSI MES I N C U CI MESIN C UCI MESIN C UCI R U A N G CUC I TROLI CU C I AN NON INFRKSI T R O L I R E C U CIAN PAR BE R S I H I N G P EN YE TR I KAA N L I N E N MESIN P E N GE R I N G MES I N PENGE RING TENPAT D I STRIBUSI LINEN GUDA N G LINEN LO KET K E LU A R 7 MAS U K
A L U R L I N E N K OT O R MULAI L I N E N K O T O R YA N G DIPAKAI PASIEN T E R CEMAR TAK T E R CEMAR DIK I R I M KE LAU N DRI DIP I SAH D I T I M B A N G D I C UCI DIKERINGKAN D I SETRIKA DIP I SA H KAN DIS T R I BUSI GU D ANG P E N Y I M PANAN D I S T RI BU S I 8 LINEN N O N STERIL L I N EN S T E RIL STERILI S A SI ( C S S D )
F a k t o r ya n g m e m p e n g a r u h i 9 k eb u t u h a n li n en A r s it e k t u r d a n l ay o ut b a n g u nan r u ma h s a k it J u m l ah d a n B O R T T d ewa s a d a n a nak J u m l ah d a n j e nis o p er a s i J u m l ah d a n j e nis p e n y a k it J u m l ah d a n j e nis p e tu g as f u n g s i o nal d a n t e k n i s J e nis lin e n dan p e n c u c i P e n g g u na a n, k er u s akan dan k e hil a ng a n lin e n E r g o no m i
J e n i s d a n s p e s i fi k a s i 10 Je n is l i nen P e rl e n g k apan l i nen P a ka i an fung s i onal P a ka i an d i nas Je n is t e nun s ede r h a n a d ri l l dan s at i n W a rna di s e s u ai k a n cor p or a te col o r J e n i s ba h a n m u dah k u sut w a r n a m u dah p u d a r b il a t e r b a k ar b e r abu d an b e r bau P o l y e s t e r T a k m u d a h k u sut Be r d aya se r ap r e n d ah B il a t e r b akar m e n ya l a C a m p u ra n K a t un
1 p a r st o c k T T d e w a s a 11 1 lb b e d p a d ( al a s d i a t a s k a s u r ) 3 lb k ain s p re i ( 1 al a s t id u r, 2 l b p en u t up s e lim u t ) 1 lb s t e ek la k en ( a las m e l i n t a n g ) 1 lb z eil ( pe rl a k d an k a in) 1 lb s elim u t 1 lb s a ru ng ba n t a l 1 lb b e d c o v e r 1 lb h an d u k m a nd i 1 lb h an d u k t a n ga n 1 lb h an d u k m u k a 1 lb w a s h lap 1 k e s et k a m a r m a n d i
R a t i o T T d a n Pa r l i n e n 12 1 T T : 3 – 9 p ar li n en I C U : 1 T T : 6 – 10 p ar lin e n 1 p ar l in e n d ip a k ai pasien 1 p ar l in e n d i c u c i 1 p ar d i s i mp a n d i r ua n gan 1 p ar d i s i mp a n d i g ud a ng
K e b u t u h a n per l e n g k a p a n 13 li n en B i l a penggan t ia n da n pen c u c ia n se t ia p h a r i 1 kali, bu t u h 3 pa r s t o c k p e r T T r a w a t i na p d e w a s a d i p ak a i, d i l i n en ro o m d an d i l a un d ri U n t u k r a w a t ina p a na k d i b u tuh k a n > 3 p a r s t o c k U n t u k r a w a t ina p i n t e n s if dib u t u h k a n > 6 p a r s t o c k U n t u k p e l ayana n ope r as i / t i n d a ka n t e r gan t un g j e n is d an j u ml a h o p erasi per h a r i b entuk : ber l u b an g / ti d ak u kuran : be s ar, s e d a ng, k ec i l j e n is l i n en : k a tun, d ri l l p ak a i a n f u ng s i o nal
P e r a w a t a n d a n + + + + + p e m e l i h a r a a n J E N I S M A K S TE R H ADA P T H D K A I N S U H U B L A E CH I N G S u t e r a 3 0 K a tun T g t wa r n a + p u t ih 9 0 + S i n t e t is p u t ih 6 0 + w a r n a 6 0 C a mp u r a n 6 0 + A S A M T H D A L K A L I + + + 14
Um u r p e m a k a i a n : j u m l a h pe n c u c i a n S ingl e s hee t : 25 D o ubl e s h e e t T owe l K i tc h en t owe l T abl e c l oth B e d pa d B lan k e t : 25 : 15 : 2 5 : 15 : 15 : 15 B e d c o v e r B a t h m a t N a p k i n : 15 : 12 5 : 10 Umur l i n e n t e r ga n t u ng p a da : c ara p e ng g u n a a n ju m lah p er parstock c ara p e n y i m p an a n c ara p e n c u c i a n 15
K er u s a k a n d a n k e h i l a n g a n li n en K e r u s akan ka r ena P e m a k aia n t a k b e na r Nod a o b a t/ b a ha n k i m i a be r wa r n a y an g su l i t dihilang k a n P e m eliha r aa n kur an g bai k F rek uen si p e m a ka i an t e r l a l u s e r in g K u a l i tas l i n e n k u r an g bai k T o l er a n s i l o s t d a n d e m a g e = Z % x 3 65 X Y Z = B OR X = pa r st o ck Y = pen c u c ian / h r (s t d A H A = 25 ka l i cu c i ) 16
Ru m ah sa k it d e n g an 1 00 T T m em erl u k an 3 17 p a r/ T T 3 00 p a r s t o c k d e n gan p e ncu c ui a n 1 x / h a r i d a n B O R 80% T ol e ra n s i L & D = (8 % x 3 6 5 ) /(3x1) = 97,3 p a r T in g k at L & D ≤ 9 7 , 3 par d a ri 3 00 par s t o c k m a s i h d a lam b at a s k e w a ja r an (< 50 % ) B i la did e pr e s i a k a n d a lam w a k tu : 250/ ( 365/3) x 1 th = 2 t h K ond i s i pe m aka i a n , p e ncuc i an dan j u ml ah par sto c k te r s ebut l a y a k pakai se l a m a 2 th
A ir 18 G a s : C O 2 , O 2 , k ara t pad a p i p a be s i G a r a m : C a , M g meng u r an g i k a d a r a k t if s a bu n L oga m : F e k a i n p u t i h k e k un i nga n k a in be r w arn a t a k c e mer l an g M n k a in p u t i h k e k u n i nga n S y a r a t : Ke s ad a h a n : r e n d a h , m a k s 40 p p m pH : 6,5 – 7 Ko n se n t r a s i F e : m aks , 1 ppm Ko n se n t r a s i M n : m a ks , 5 ppm Ko n se n t r a s i Cl : m a ks 1 00 p pm A l k al i ni tas : m aks 4 p p m T ak b au
B a s i c l a u n d r y 19 F l u sh P r o s e s p em b a s a ha n un t u k m elep a s kan k o t o r a n y an g m ud ah l ar u t t a n p a k i m i a pe mb e rs i h d a n s u hu re nda h B r eak P r o s e s p em b a s a ha n denga n m e n a mb ah k a n a l ka l i un t u k m elep ask a n kot o r a n p r o t ei n d ala m a i r den g a n s u hu r uanga n P r e w ash P r o s e s p e n c u c ia n denga n m e n a mb a h de t e rg en , a l k al i d a n e mu l s i fer de n ga n s u h u h anga t M a i n w a sh P r o s e s p e n c u c ia n un t u k m elep a s kan s e m u a jeni s kot o r a n den g a n ai r s uh u t ingg i a g a r d et e r ge n b er a ksi o p t i m a l
B a s i c l a u n d r y a k hi r 20 B l each P r o s e s p em u c a t a n d e nga n m en g gun a k an a kt i f k hlo r i n d ala m ai r 6 C un tuk m ele p a sk a n nod a or g a n i k y an g t a k lep as den g a n c a r a d i a t a s u n t u k je n i s l in en pu t i h R i nse P r o s e s p em bila s s i sa – s i sa rek a si k i m i a den g a n m e n gguna k a n ai r dingi n d a la m ju m l ah b a n y a k da n diulan g 2 – 3 k al i Inte rm ed i a te e xt r a ct Un t u k p e m bila s a n a k hi r d eng an pe m e r a san r i n g a n F i n al r i nse P r o s e s m ene t r al k a n s i sa – s i sa k i m i a s ebag ai pe m bi l as a n
P ro d u c t k no w l e d g e Do s i s : 5 – 1 cc/kg c u c ia n k e r in g d e nga n s uh u 6 5 C 21 C l a x a lfa Cai ran ag ak k unin g; k e m a s a n je r i g e n p l a s t i k 2 l tr Un t u k me nghilang kan s e mua k o tor a n pad a s e m u a jeni s k ai n K an d unga n D e t e r ge n no n i o n i k P o l i f o s f a t u n t u k m e ng u r an g i k e s a da h a n a i r M e t a s i l i k a t s eb a g a i p en g a t u r k e s e i m b a ng a n p H d a n p e n c e g a h k a r a t P e n c e g a h m e l e k a t n y a k e m b a l i k o t o r a n P e n c e m e r l an g op t i k ( f lu o r e s c e r) K ei st i me w a an : “ on e s ho t de t e r gen ” un t u k s e mua jeni s ka i n
P ro d u c t k no w l e d g e Do s i s : 1 – 3 cc/kg c u c i an k e r i ng da n di t a m bah k a n be r s a ma d e t e rg e n 22 C l a x r a i n b o w = C l a x 1 00 s Cai ran be n i n g ; k e m a s a n je r ige n pla st i k 1 a t a u 2 l tr P e m be rs i h e m ul si da n penin gk a t d aya be r s i h de t e rg e n K an d unga n Le b i h 95 % d e t e r g e n n o n i o n i k K ei st i me w a an : S a n g a t e f e k t i f m en g h i l a n g k a n n o d a m i n y a k da n le m a k S i f a t ne t r a l ( p H 7 ) c o c o k u n t u k m e n c u c i k a i n h a l u s M e m p e r p a n j a n g w a k t u p a k a i k a i n k a r en a d a y a e m u l s i n y a M ud a h p e n g g u na a n y a n g d a p a t l a n g s u n g d i t u an g k a n k e d a l a m m e s i n c u c i
P ro d u c t k no w l e d g e Do s i s : 4 – 6 cc/kg c u c i an k e r i ng da n di t a m bah k a n be r s a ma d e t e rg e n 23 C l a x g a m m a Cai ran be n i ng t a k be r w a r na ; k e m a san je r ig en pla s t i k 20 l tr S eb a ga i al k al i builde r mem ban t u de t e rg e n me lepa sk a n k o t o ran be r a t d an n o d a m i n y ak s e r t a pe nst abi l p H K an d unga n S o d a k o s t i k un t u k m e n in g k a t k a n d a y a b e r s i h d e t e r g e n A l k a l i ( k a r bo n a t ) s e b a g a i p e m b e n t u k e m u l s i d a n p e n s t a bi l p H P o l i f o s f a t u n t u k m e ng u r an i k e s a d ah a n K ei st i me w a an : S a n g a t e f e k t i f m en g h i l a n g k a n n o d a m i n y a k da n le m a k M ud a h l a r u t d a l a m a i r p an a s a t a u d i n g i n S a n g a t e f e k t i f m en g h i l a n k a n n o d a d a r a h d a n ba u t a k s e d a p
P ro d u c t k no w l e d g e 24 C l a x c h l o r Cai ran be n i ng t a k be r w a r na ; k e m a san je r ig en pla s t i k 20 l tr S eb a ga i pe m u t i h d a n pe n ghilan g n od a or ga n i k s e r t a p e m b u nu h kum a n p ad a sem u a l i n e n pu t i h K an d unga n B a h a n a k t i f k hl o r o r g a ni k y an g a m a n P o l i f o s f a t u n t u k m e ng u r an i k e s a d ah a n P e r s en y awa a n d e ng a n a l k a l i b e r f u n g s i p e ng a t u r p H K ei st i me w a an : M en in g k a t k a n k e b e r s i h a n d a n k e c e m e r l a ng a n M e m i n i m l a k a n k e k u s a m a n k a i n Do s i s : 2 – 6 cc/kg c u c i an k e r i ng da n di t a m bah k a n pa da p e m bila s a n s uh u 40 – 5 C
P ro d u c t k no w l e d g e 25 C l a x n e u t r al Cai ran be n i ng t a k be r w a r na ; k e m a san je r ig en pla s t i k 20 l tr S eb a ga i pe n e tr a l g a ram al k al i d an k hlo r pad a p ro s es p e m bila s a n s e rta m e nc ega h wa r n a k e k uning an da n k e r u s a k a n k ai n kar en a k hlo r K an d unga n B i s u l f i t s e b a ga i p e ne t r a l a l k a l i d a n k l h o r K ei st i me w a an : A m a n u n t u k s e m u a j e ni s k a i n M ud a h l a r u t Do s i s : 1 – 5 cc/kg c u c i an k e r i ng da n di t a m bah k a n pa da p e m bila s a n
P ro d u c t k no w l e d g e p e m bila s a n s e t ela h C la x C h lo r 26 Co m f o r t Cai ran k en t a l be r wa r n a bi r u ; k e m a san je r ig en pla s t i k 20 l tr P ele mb u t c u c i a n , m ening k a t k an p e na mp i la n pad a s e mua jeni s k a i n K an d unga n D e t e r ge n k a t i o n i k + p a r f u m K ei st i me w a an : D a p a t m e m b u n u h k u m a n M ud a h l a r u t d a l a m a i r p an a s a t a u d i n g i n M en e t r al i s i r m u a t a n l i s t r i k s t a t i s t e r u t a ma p a d a ba h a n s i n t e t i s s e h i n gg a m u d a h d i s e tr i k a Do s i s : 3 – 7 cc/kg c u c i an k e r i ng da n di t a m bah k a n pa da
K a sus 27 J m l T T 12 VIP : 2 5 T T de n ga n BOR 5 % I C U : 5 TT de n ga n B OR 8 % K ela s 1 , 2 ,3 : 8 TT d eng an BOR 80 % B a yi : 1 TT de n ga n 8 ba y i / h ari J u m la h o p e rasi d a n p e rs alina n : 8 o r an g/ ha r i K ebija k a n V IP : s e t i a p h a ri K e l a s 1 , 2 , 3 : s e t i a p 2 h a ri I C U : s e h a ri 2 x B a y i : 5 x B e r a t c u c ia n / p a s i e n y a n g t e l a h op e r a s i / b e r s a l i n ± 7 , 5 k g / o r a n g
28 K a s u s …. . K o m po s i si cu c i an k o t o r 60 % nod a r ing an 25 % da n nod a be rat da n t e r c e m a r ( in feks iu s) 15 % no da s ed a n g B a h an k im i a u n t uk set i ap kg D et e r g en : a g r a m /kg c u c ia n P e r eda m nod a s eda ng : b g r a m /kg c u c ia n P e r eda m nod a be rat : c g r a m /kg c u c ia n P e m bi l as/ pen g h i l a n g b au : d g ram/kg c uc ia n P ele m bu t : e g r a m /kg c u c ia n D e s in f e ct a n : f g r a m /kg cu c ia n B e r apa l i nen d i butuh k an per tahun? B e r apa bahan k i mi a l a u n d r i d i butuhkan per tahun?