CLINICAL PATHWAYS – HOUSEKEEPING & INFECTION CONTROL DEPARTMENT
Document Control
Department: Housekeeping & Infection Control
Hospital: A. Care Hospitals, Tura, Meghalaya
Prepared for: Hospital Administrator, Infection Control Officer, Quality Department
Applicable to: Housekeeping Supervisors, Housekeeping Staff, Nursing, Biomedical, Security,
Outsourced Agencies
Version: 1.0
Review Cycle: Every 12 months or earlier based on audit findings, outbreak alerts, or policy changes
1. INTRODUCTION
The Housekeeping & Infection Control Clinical Pathways define standardized processes to ensure a clean,
hygienic, and infection-safe hospital environment. These pathways are critical to patient safety, staff
safety, infection prevention, and compliance with NABH and statutory requirements.
2. OBJECTIVES
To maintain high standards of cleanliness and hygiene
To prevent and control hospital-acquired infections (HAIs)
To standardize cleaning, disinfection, and waste management
To ensure staff safety and infection prevention practices
To comply with NABH infection control and facility management standards
3. SCOPE
Applicable to all hospital areas including:
OPD, IPD, ICU/NICU, OT, Labour Room
Emergency, Diagnostics, Pharmacy
Public areas, utilities, and external premises
4. GOVERNANCE STRUCTURE
4.1 Infection Control Committee (ICC)
Medical Superintendent (Chairperson)
Infection Control Officer (ICO)
Hospital Administrator
Nursing Superintendent
Microbiologist / Pathologist
Housekeeping Head
4.2 Roles & Responsibilities
Infection Control Officer (ICO)
Infection surveillance & policy oversight
Training & audit
Housekeeping Head / Supervisor
Daily cleaning operations
Staff deployment & supervision
5. STANDARD HOUSEKEEPING & INFECTION CONTROL CLINICAL PATHWAYS
PATHWAY 1: AREA CLASSIFICATION & CLEANING FREQUENCY
Classification
Critical Areas: OT, ICU, NICU, Labour Room
Semi-critical Areas: IPD wards, procedure rooms
Non-critical Areas: OPD, corridors, offices
Expected Outcomes
Risk-based cleaning coverage
PATHWAY 2: DAILY, WEEKLY & TERMINAL CLEANING
Process
Area-wise cleaning SOPs
Use of approved disinfectants
Terminal cleaning after discharge / procedures
PATHWAY 3: DISINFECTANT & CHEMICAL MANAGEMENT
Process
Approved disinfectant list
Dilution & contact time control
Storage & MSDS compliance
PATHWAY 4: BIO-MEDICAL WASTE MANAGEMENT
Process
Waste segregation at source
Color-coded bag usage
Internal transport & handover to CBWTF
PATHWAY 5: LINEN & LAUNDRY MANAGEMENT
Process
Clean & soiled linen segregation
Laundry processing
Linen traceability
PATHWAY 6: INFECTION SURVEILLANCE & HAI MONITORING
Process
HAI identification & reporting
Data analysis & corrective action
PATHWAY 7: SPILL MANAGEMENT & OUTBREAK CONTROL
Process
Blood & body fluid spill response
Outbreak identification & containment
PATHWAY 8: STAFF SAFETY, PPE & IMMUNIZATION
Measures
PPE availability & usage
Staff immunization
Needle-stick injury management
PATHWAY 9: HOUSEKEEPING MANPOWER & TRAINING
Process
Area-wise staff deployment
Induction & refresher training
Competency assessment
PATHWAY 10: AUDIT, MONITORING & QUALITY IMPROVEMENT
Tools
Cleaning checklists
Infection control audits
Corrective & preventive actions
6. DOCUMENTATION & RECORDS
Cleaning schedules & checklists
Disinfectant preparation logs
BMW records
Infection surveillance data
Training & audit reports
7. PERFORMANCE INDICATORS
HAI rate
BMW segregation compliance
Cleaning audit scores
Staff training coverage
8. TRAINING & AWARENESS
Hand hygiene training
PPE & spill management drills
Infection control refresher programs
9. NABH ALIGNMENT
Infection control standards
Facility management & safety
Patient & staff safety goals
10. REVIEW & REVISION
This document shall be reviewed annually or earlier based on surveillance data, audits, or regulatory
updates.
Approved By: ______________________________