CSA Z314 10 2-2015 Laundering maintenance and preparation of reusable gowns drapes and wrappers for health care settings and laundries (Second Edition).pdf

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1、Z314.10.2-15Laundering, maintenance, and preparation of reusable gowns, drapes, and wrappers for health care settings and laundriesLegal Notice for StandardsCanadian Standards Association (operating as “CSA Group”) develops standards through a consensus standards development process approved by the

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18、constitutes your acceptance of the terms and conditions of this Legal Notice.Standards Update ServiceZ314.10.2-15August 2015Title: Laundering, maintenance, and preparation of reusable gowns, drapes, and wrappers for health care settings and laundriesTo register for e-mail notification about any upda

19、tes to this publication go to shop.csa.ca click on CSA Update ServiceThe List ID that you will need to register for updates to this publication is 2423885.If you require assistance, please e-mail techsupportcsagroup.org or call 416-747-2233.Visit CSA Groups policy on privacy at www.csagroup.org/lega

20、l to find out how we protect your personal information.ISBN 978-1-4883-0031-8 2015 CSA Group All rights reserved. No part of this publication may be reproduced in any form whatsoever without the prior permission of the publisher.Published in August 2015 by CSA Group A not-for-profit private sector o

21、rganization 178 Rexdale Boulevard, Toronto, Ontario, Canada M9W 1R3 To purchase standards and related publications, visit our Online Store at shop.csa.caor call toll-free 1-800-463-6727 or 416-747-4044.TMA trade-mar k of the Canadian S tandards Association, operating as “CSA Group”Laundering, mainte

22、nance, and preparation of reusable gowns, drapes, and wrappers for health care settings and laundriesZ314.10.2-15Z314.10.2-15Laundering, maintenance, and preparation of reusable gowns, drapes, and wrappers for health care settings and laundriesAugust 2015 2015 CSA Group 1ContentsTechnical Committee

23、on Sterilization 3Subcommittee on Packaging 7Preface 100 Introduction 111 Scope 112 Reference publications 123 Definitions 144 General requirements 165 Personnel 165.1 General 165.2 Qualifications 165.2.1 Supervisory personnel 165.2.2 Laundry personnel 165.2.3 Sharps and other medical devices 176 Wo

24、rk areas and equipment 176.1 Area design 176.2 Requirements for specific areas 186.2.1 Soiled sort area 186.2.2 Wash floor area 186.2.3 Surgical textile inspection area/pack assembly area 186.2.4 Clean and sterile storage areas 186.2.5 Chemical storage areas 186.3 Cleaning of laundry areas 196.4 Equ

25、ipment 196.5 Water quality and temperature 217 Prevention of stains and other damage to reusable textiles 218 Maintenance 228.1 General 228.2 Inspection 238.2.1 General 238.2.2 Stains 248.2.3 Holes and other defects 258.2.4 Patches 258.2.5 Repairs 268.3 Stain removal and repairs 268.3.1 Stain remova

26、l 26Z314.10.2-15Laundering, maintenance, and preparation of reusable gowns, drapes, and wrappers for health care settings and laundriesAugust 2015 2015 CSA Group 28.3.2 Barrier treatments 269 Handling, transport, receiving, and storage of soiled textiles 279.1 General 279.2 Safety of personnel 279.3

27、 Containment and handling of soiled textiles at the point of use 289.3.1 General 289.3.2 Initial handling and containment 289.4 Containers, carts, and delivery vehicles 299.4.1 Containers 299.4.2 Delivery vehicles (off-site transport) 309.5 Transport 319.5.1 General 319.5.2 Scheduling and routing 31

28、10 Laundering 3110.1 General 3110.2 Process development 3210.2.1 General 3210.2.2 Sorting and preparation for laundering 3210.2.3 Loading 3310.2.4 Washing 3310.3 Drying 3510.4 Process monitoring and management 3510.4.1 Water 3510.4.2 Chemicals 3610.4.3 Pump delivery system 3610.4.4 Textiles 3610.4.5

29、 Equipment operation 3610.4.6 Evaluation of laundry processes 3611 Folding and packaging of packs, gowns, and drapes 3711.1 Procedures 3711.2 Folding 3711.2.1 General 3711.2.2 Gowns 3811.2.3 Drapes 3812 Handling, transport, and storage of clean textiles 3812.1 General 3812.2 Handling 3812.3 Transpor

30、t 39Annex A (informative) Guidance for the design of laundering and laundry areas 42Annex B (informative) Evaluation criteria for laundries 46Annex C (informative) Suggested methods for preparing and folding packs, gowns, and drapes 48Annex D (informative) Operating Room (OR) Soiled Laundry Process

31、Flow Chart 53Z314.10.2-15Laundering, maintenance, and preparation of reusable gowns, drapes, and wrappers for health care settings and laundriesAugust 2015 2015 CSA Group 3Technical Committee on SterilizationI. Pequegnat STERIS Canada Inc, Mississauga, Ontario Category: Producer InterestChairG. Schu

32、ltz Winnipeg Regional Health Authority, Winnipeg, Manitoba Category: User InterestVice-ChairN. Aelick Health Sciences North / Horizon Sant-Nord, Sudbury, Ontario AssociateR.C. Bauer 3M Canada Company 3M HealthCare, London, Ontario Category: Producer InterestB. Bolding Consultant, Burnaby, British Co

33、lumbia Category: General InterestD. Bosnjak Hamilton Health Sciences, Hamilton, Ontario Category: User InterestL. Buist Interior Health Authority, Kelowna, British Columbia Category: User InterestL. Coutoulas Southlake Regional Health Centre, Newmarket, Ontario Category: User InterestR. De Medeiros

34、Getinge Canada Limited, Mississauga, Ontario Category: Producer InterestM. Deeves Public Health Ontario-Regional, Orillia, Ontario Category: Government and/or Regulatory AuthorityS. Dufresne TSO3 Inc, Qubec, Qubec Category: Producer InterestZ314.10.2-15Laundering, maintenance, and preparation of reu

35、sable gowns, drapes, and wrappers for health care settings and laundriesAugust 2015 2015 CSA Group 4C. Hancock Charles O. Hancock Associates, Inc., Fairport, New York, USA Category: General InterestP.M. Haney Keir Surgical Ltd., Vancouver, British Columbia Category: Producer InterestS. Jacka Alberta

36、 Health, Edmonton, Alberta Category: Government and/or Regulatory AuthorityL. Jakeman L Jakeman Consulting, West Porters Lake, Nova Scotia Category: General InterestM. Kanlic St Josephs Healthcare - Charlton Campus, Hamilton, Ontario AssociateR. Khotar Providence Health Care, Vancouver, British Colu

37、mbia Category: User InterestL. Kingsbury Consultant, Vancouver, British Columbia Category: General InterestC. Landers Weeneebayko Area Health Authority, Moose Factory, Ontario Category: General InterestN. Mazurat University of Manitoba College of Dentistry, Winnipeg, Manitoba AssociateP.J. McCormick

38、 Bausch b) provide an explanation of circumstances surrounding the actual field condition; andc) where possible, phrase the request in such a way that a specific “yes” or “no” answer will address the issue.5) Committee interpretations are processed in accordance with the CSA Directives and guideline

39、s governing standardization and are available on the Current Standards Activities page at standardsactivities.csa.ca.6) This Standard is subject to review five years from the date of publication. Suggestions for its improvement will be referred to the appropriate committee. To submit a proposal for

40、change, please send the following information to inquiriescsagroup.org and include “Proposal for change” in the subject line: a) Standard designation (number);b) relevant clause, table, and/or figure number;c) wording of the proposed change;d) rationale for change.Z314.10.2-15Laundering, maintenance

41、, and preparation of reusable gowns, drapes, and wrappers for health care settings and laundriesAugust 2015 2015 CSA Group 11Z314.10.2-15Laundering, maintenance, and preparation of reusable gowns, drapes, and wrappers for health care settings and laundries0 IntroductionReusable gowns, drapes, and wr

42、appers are important elements of infection prevention and control programs within health care settings. The safety of patients and staff depends on the correct choice of products for each purpose, and on the maintenance of the products protective qualities through proper use and care. Misuse or impr

43、oper laundering can significantly decrease the protective qualities of gowns, drapes, and wrappers, thereby increasing the risk posed to patients and staff, as well as increasing costs.This Standard specifies requirements for the maintenance and laundering of reusable gowns, drapes, and wrappers, an

44、d provides this information for health care settings and their laundries, whether in- house or outsourced. It is intended to ensure the safety and serviceability of surgical gowns, isolation gowns, drapes, and wrappers, and to promote safe infection prevention and control practices for the protectio

45、n of patients and health care personnel. It might also be useful to health care settings that need to evaluate the capabilities of facilities offering contract services connected with the laundering of reusable gowns, drapes, and wrappers.This Standard is intended to be used with CSA Z314.10.1, CSA

46、Z314.14, and relevant aspects of CSA Z314.0 and other applicable standards in the CSA Z314 series.1 Scope1.1 This Standard defines essential elements in the maintenance, laundering, and preparation of reusable gowns, drapes, and wrappers in health care settings and laundry services.1.2 This Standard

47、 specifies requirements fora) the health care settings and laundry services care of reusable gowns, drapes, and wrappers;b) occupational health and safety for staff members involved in reusable laundering;c) physical requirements for laundering areas; Note: Users should also refer to CSA Z314.0.d) m

48、aintenance and repairs of laundering equipment;e) handling, transportation, and storage of soiled and laundered textiles;f) laundering;g) process monitoring and process management (testing); andh) emergency planning.Z314.10.2-15Laundering, maintenance, and preparation of reusable gowns, drapes, and

49、wrappers for health care settings and laundriesAugust 2015 2015 CSA Group 121.3 This Standard does not covera) the selection and use of gowns and drapes (see CSA Z314.10.1);b) the selection and use of wrappers (see CSA Z314.14);c) sterilization (see CSA Z314.3 and CSA Z314.23); andd) the laundry of reusable medical devices other than gowns, drapes, and wrappers (see CSA Z314.0, CSA Z314.3, CSA Z314.8, CSA Z314.14, and CSA Z314.23).1.4 In this Standard, “shall” is used to express a requirement, i.e., a provision that the user is obliged to satisfy in