CHC – SANITATION – SCOPE OF WORK •  Govt. of AP, through the new policy for Sanitation Services (SSP 2015), is fully committed for improving Sanitation, which are resulting in a visible impact     in hospitals and patient satisfaction. •  Scientific Sanitation policy 2015 is being implemented from October 2017 across 115 Community health centers in the state. •  Sanitation is implemented round the clock in three shifts.  1st shift is from 6:00 am to 2:00 pm, 1 per 10 beds in first shift.  2nd shift is from 2:00 pm to     10:00 pm, 1 per 10 beds in the second shift.  3rd shift is from 10:00 pm to 6:00 am, 1 per 20 beds in the third shift.     In addition, sanitation workers shall be deployed for the open premises at the rate of 1 person per 3000 Sq. Yards per day. SCHEDULE OF FREQUENCY AND AGENTS TO BE USED (as per Swachatha Guide lines) OPERATION THEATRE/ ICU / LABOUR ROOM / NICU / ISOLATION WARDS S.No Activity Frequency Agent to be used 1 Garbage Removal Thrice a day and more when bags are 3/4th full As per the BMW guidelines 2 Cleaning of Instruments After every procedure Soap & water followed by Sterilization 3 Cleaning of clean areas and corridors of complex Twice a day/ as & when Required Damp mop with detergent and water/ 0.5% Chlorine, Hydrogen Peroxide in case of blood spills 4 Mopping (Care to be taken in case of special epoxy flooring) Thrice a day and after each procedure Damp mop with detergent and water/ 0.5% Chlorine 5 Cleaning of equipments like anaesthesia machines, monitors, ventilators, infant warmers/ baby cribs etc Twice a day/ as and when required Damp mopping, dry, disinfect with 70% Isopropyl Alcohol / 2% Glutaraldehyde 6 Cleaning of OT table and OT stretcher Twice a day/ after each surgery 0.5% Chlorine/ 70% Isopropyl Alcohol 7 Doctors’ / nurses’ / technicians’ room Twice a day Detergent & Water 8 Washroom & Wash basins cleaning Thrice a day and as and when required Wash with soap & water, then dry, wipe 0.5% Chlo¬rine 9 Washing of slippers Once a day and when re¬quired Soap & Water 10 Collection of soiled linen As and when required -------- 11 Cleaning of Mops After every use Soak in clean water with bleaching powder 0.5% for 30 minutes. Wash again with detergent and water to remove the bleach. MODERATE RISK AREA WARDS S.No Activity Frequency Agent to be used 1 Garbage Removal Thrice a day and more when bags are 3/4th full As per the BMW guidelines 2 Mopping of floor Once a day Damp mop with detergent and water Hydrogen peroxide in case of blood spills 3 Washrooms & Wash basin Thrice a day and as & when required Wash with Soap & water, then dry, wipe with 0.5% chlorine 4 Dusting / Cleaning of Equipment Once a day Damp Mopping , dry, Dis¬infect with 70% isopropyl alcohol 5 Collection of soiled linen As and when required ----- CANTEEN AND KITCHEN (wherever required) S.No Activity Frequency Agent to be used 1 Garbage Removal Thrice a day and more when bags are 3/4th full As per the BMW guidelines 2 Mopping of floor Once a day Damp mop with detergent and water 3 Washrooms & Wash basin Once a day Wash with Soap & water, then dry, wipe with 0.5% chlorine 4 Dusting Once a day Duster PUBLIC AREA WASHROOM S.No Activity Frequency Agent to be used 1 Cleaning Every 2nd hourly Damp mop with detergent and water 2 Washrooms & Wash basin Thrice a day Wash with Soap & water, then dry, wipe with 0.5% chlorine LOBBY & OPD AREA S.No Activity Frequency Agent to be used 1 Garbage Removal Thrice a day and more when bags are 3/4th full As per the BMW guidelines 2 Mopping of floor Once a day Damp mop with detergent and water 3 Washrooms & Wash basin Once a day Wash with Soap & water, then dry, wipe with 0.5% chlorine 4 Dusting Once a day Duster STORES (MEDICAL SURGICAL, NON - MEDICAL) S.No Activity Frequency Agent to be used 1 Garbage Removal Thrice a day and more when bags are 3/4th full As per the BMW guidelines 2 Mopping of floor Once a day Damp mop with detergent and water 3 Dusting Once a day Duster MORTUARY S.No Activity Frequency Agent to be used 1 Garbage Removal Thrice a day and more when bags are 3/4th full As per the BMW guidelines 2 Dusting Once a day Duster 3 Mopping of floor Once a day Damp mop with detergent and water 4 Cleaning of autopsy table Once a day and after every procedure 0.5% chlorine / 70% Isopropyl Alcohol 5 Drains Once a day Soap & Water ADMINISTRATION RECORD / ENGINEERING OFFICE S.No Activity Frequency Agent to be used 1 Garbage Removal Thrice a day and more when bags are 3/4th full As per the BMW guidelines 2 Dusting Once a day Duster 3 Mopping of floor Once a day Damp mop with detergent and water 4 Dry Mopping Once a day Soft brush 5 Washrooms & Wash basin Once a day Wash with Soap & water, then dry, wipe with 0.5% Chlorine CSSD / LAUNDRY S.No Activity Frequency Agent to be used 1 Garbage Removal Thrice a day and more when bags are 3/4th full As per the BMW guidelines 2 Dusting Twice a day Duster 3 Mopping & Washing of floor Twice a day Damp mop with detergent and water 4 Mopping (CSSD) sterile areas Once a day 0.5% chlorine/ 70% Isopropyl alcohol 5 Washrooms & Wash basin Once a day Wash with Soap & water, then dry, wipe with 0.5% Chlorine RADIOLOGY & LABORATORY S.No Activity Frequency Agent to be used 1 Garbage Removal Thrice a day and more when bags are 3/4th full As per the BMW guidelines 2 Dusting of infrastructure Once a day Damp duster, dry, then wipe 3 Cleaning of equipments Once a week Damp cleaning, dry, 70% isopropyl alcohol 4 Mopping & Washing of floor Twice a day Damp mop with detergent and water 5 Washing of Slippers Once a week Detergent & water 6 Washrooms & Wash basin Once a day Wash with Soap & water, then dry, wipe with 0.5% Chlorine Other Areas S.No Service Standard Frequency (Per Day) 1         Sun shades Once a day 2         Water Tanks Monthly 3         Walls and Ceiling Fortnightly 4         Septic Tank Once in a month 5         Roof Slab Once in a month The agency should provide the following: •  Training: All staff must receive adequate training to be able to safely perform the role asked from them. •  Supply of Personal Protective Equipment (PPE): All the health care workers appointed by the agency need to be provided adequate colour coded     uniforms and personal protective equipments (cap, mask, Industrial gloves, boots, etc). •  The colour and the pattern of the uniform will be decided by the Head of the Department. Key Personnel Protective Gears Sanitation Supervisor Wear Cap, Mask, Glove and Shoe during visit to wards and risk areas Cleaning and Sanitation Worker Wear Cap, Mask, thick Glove and Gumboots whenever at work Payment will be paid based on Service standards fixed for giving marks by the concerned hospital authorities as per the table below: S.No. Monitoring Item Weightage 1 Cleanliness of Toilets / Urinals / Wash basins 10 2 Cleanliness of Wards 10 3 Cleanliness of Labour Room / OT / Emergency / OP/ Lab 10 4 Cleanliness of Other Areas 10 5 Cleanliness of Drainage and Sewerage 10 6 Garbage Disposal (Normal Waste & Bio Medical Waste) Storage and Disposal as per BMW 2015 Guidelines 10 7 Cleanliness of open areas 10 8 Attendance and Uniform 20 9 Consumables 10 GRAND TOTAL 100 Performance of the agency will be decided based on the percentage of marks given and is as follows: The Agency shall create different levels of monitoring system with necessary supporting systems such as office equipment and furniture etc, to coordinate as detailed below: a. At Hospitals Level - Which will Co-ordinate with Implementing Agency b. At District Level - Which will Co-ordinate with District Level Monitoring Committee c. At State Level - Which will Co-ordinate with State Level Monitoring Committee MONITORING SYSTEM BY THE IMPLEMENTING AUTHORITY S.No Monitoring Item Responsible Person 1         Implementing Authority Hospital Superintendents, i/c MOs and any suitable authority looking after Sanitation, working under the Implementing authorities. 2         Supervisory Staff of Hospital for monitoring Medical Officers, Civil Surgeons and Asst. Surgeons, HNs/SNs 3         Measurement of Agencies performance by Implementing authority Weighted average for the month 4         Online platform for reporting the performance through web platform Respective HODs •  At state level a committee with all HODs will review the performance of each sanitation agencies based on the filed reports. •  Payments will made to the sanitation agencies based on the reports received as above.