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COLLGE OF NURSING GIMS ,GREATER NOIDA

SUBJECT : NURSING FOUNDATION-1

UNIT – VII

TOPIC: EQUIPPMENTS AND LINEN

Presented By :

Lecture No:01 Ms. Kirti Rathee

Date: 11/09/24 Nursing Tutor

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COURSE MAPPING
GENERL OBJECTIVE OUTCOME PO, CO, LO EVALUATION
MAPPING

At the end of the Unit, the At the end of the course,

students will be able to : students will be able to
Analyze & Integrate the Analyze & Integrate the P5,CO4,L1 Essay
concepts of caring in nursing concepts of nursing process in Short answers
practice in diverse health the care of clients in the Long answers
care settings. hospital and community.

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INTRODUCTION

• The delivery of best health care services depends heavily on medical

equipment for life support, for diagnosis, for patient monitoring, for
the delivery of therapies, for rehabilitation following disease or injury
and for teaching and research purpose.

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Fig:1

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EQUIPMENTS

• Fixed or portable & non expandable items used for the diagnosis,
treatment, monitoring and direct care of patients are referred as
equipment.

• It refers to various devices, tools, instruments that are used in hospitals

and health care works.

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EQUIPMENTS

• These equipment's must be well functioning and adequate supplies

must be there to provide optimum nursing care.

• Insufficient and ill functioning equipment's results in increased work

and dangerous for patient.

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TYPES OF EQUIPMENT

Types of equipment's

Fixed Movable Disposable Reusable

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Fig:2

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Fig:3

Fig:4

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LINEN

Types of linen

Contaminated
Clean linen Soiled linen
linen

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IMPORTANCE OF LINEN IN HOSPITAL

• Clean and tidy linen should be provided to the patients

• To provide comfort
• To limit the cross infection
• To promotes cost effectiveness of hospital items

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CARE OF LINENS

• Draw mackintosh over bed sheet to protect the linen from stain and body
fluids

• Soiled linen should be placed in the laundry bag not on the floor

• Bed sheets should be replaced everyday and soiled linen should be send to
laundry and clean linen stored in cupboard

• Care should be taken to avoid patient taking home the linen on discharge.

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CARE OF BLANKET

• Blanket should be dusted in nan open place then dried in sunlight to

disinfect.

• They should not exposed to dust.

• Blanket should be covered with dust proof sheets while storing.

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CARE OF MATTRESSES AND PILLOW

• Protect them from becoming wet and stained.

• Clean/brush them at regular intervals to prevent the collection of dust.

• Disinfection is done by exposing them to sunlight, wash it under

running water.

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CARE OF MATTRESSES AND PILLOW

• Protect them from becoming wet and stained.

• Clean/brush them at regular intervals to prevent the collection of dust.

• Disinfection is done by exposing them to sunlight, wash it under

running water.

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REMOVAL OF STAINS
• STAINS - Medicine stain (apply spirit)

• Rust marks (apply salt and lemon juice)

• Tea/coffee stain (pour milk & wash)

• Blood stain fresh – soak in cold water

• old – soak in H2O2

• thick – apply thick paste of starch & dry in sun Iodine (dip in rice water)

• Paint (turpentine, alcohol)

• Ink stain Dip in cool water

• Sprinkle salt and lemon

• Dry in sun Food stain (apply salt and pour hot water)

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DISINFECTION OF CONTAMINATED/ SOILED
LINEN

• Sodium hypochloride solution 0.5% Duration – 5 minutes

• Glutaraldehyde 2% Duration – 20 to 30 minutes

• For sterilization, Glutaraldehyde 2% Duration – 10 hours

• Rinse it in water and dry in sun. Send for autoclaving( sterilization).

• After disinfecting and washing the linen, store them in appropriate

cupboards.
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Fig:5

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Fig:6

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RUBBER GOODS

• The care rubber good is essential in order to prolonged life by its safer

use.

• The purchasing of rubber goods is based on durability and quality.

• Example of rubber goods- mackintosh, hot water bottle, ice caps,

rectal tubes, ice collar etc.

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PURPOSE OF RUBBER ARTICLES

• Infection prevention

• Preparing for reuse by cleaning the article

• Stain removal

• Preserving the life of article

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BASIC PRINCIPLE FOR CARE OF
RUBBER ARTICLES
• Avoid the use of hot water for cleaning, drying with sunlight or keeping radiators
near by

• Avoid the use of hydrocarbon on rubber for cleaning purpose

• Avoid folding of the rubber sheets

• Avoid sticking pins to rubber goods

• Store rubber items in wooden cupboards

• Rubber goods are dry in shade after cleaning

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STORAGE OF RUBBER ARTICLES

• Decontamination by immersing in a tub of 0.5% chlorine/ sodium

hypochloride/ chlorhexidine solutions.
• Always wash articles with soap and water, rinse, and disinfect.
• Thereafter, dry and dust French chalk powder and roll or hang, but
never fold.
• Avoid dry heat and hot sun exposure and turpentine oil too.

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CLEANING AND DISINFECTING
• Articles Autoclaving: At 120°c temperature with minimum pressure for 15 minutes

• Chemical sterilization:

• Alcohol 50 – 70% ( for 20 to 30 minutes )

• Savlon ( for 30 minutes )

• For disinfection: Lysol or Dettol is used in the ratio 1:40.

• When both surfaces are dried, powder them with French chalk.

• Roll it and store in dark cool place.

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LIST OF STEEL ITEMS
• Forceps
Fig:7
• Sharp instruments
• Scopes
( endoscopes, laryngoscopes)etc.
Fig:8

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BASIC PRINCIPLES FOR STAINLESS STEEL
INSTRUMENTS CARE

• Proper handling of these items as they are heat resistant, anticorrosive

and long lasting but expensive.

• Avoid boiling of these items repeatedly as they get dull.

• Easily sterilized by using chemicals and by autoclaving.

• Don gloves while cleaning and washing soiled/ contaminated items.

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CLEANING
•Steel items get sterilized using chemicals and autoclaving
• Wear gloves while handling these items
• Dip items in 5% chlorine for 5 to 6 minutes then wash under running
water
• Make sure that tips, toothed ends, grooves of forceps are cleaned
properly
• Instruments with fine tip are covered in hard rubber cap
• After drying, send it for sterilization

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GLASS WARE
• Articles made up of glass are very fragile and special care is needed
while handling them
Fig:9

Fig:10

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LIST OF GLASS ITEMS

• Test tubes

• Funnel

• Slides

• Specimen bottle

• Thermometers

• Ounce glass, jar

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CARE AND CLEANING

• Immerse the used glass item in disinfectant 5% chlorine for 5 minutes

in a container covered with lid

• Clean tubes and jars with plastic brush

• Patient’s utensils and items are cleaned with soapy solution

• If the items is soiled or very much contaminated, must be discarded in

puncture proof container
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PLASTICS
• Items made up of polyvinyl chloride (PVC) are the plastic items.
These items are heat sensitive and hence they should be protected
from heat, radiations, etc. Fig:12
Fig:11

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LIST OF PLASTIC ITEMS

• Basin, bowl

• Kidney tray

• Bad pan, urinal

• Syringes

• Airways, connectors

• Oxygen hood
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CARE OF KIDNEY TRAY/BED PAN/URINALS

• The contents of kidney tray, bed pan or urinals should be discarded in

appropriate area. Its contents should not be left standing for a long time

• Rinse it in cold running water

• Wash with soap and warm water using a brush and rinse it well to
disinfect, soak them in Lysol 1:40 for one hour

• They can be placed in direct sunlight for few hours

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FURNITURE
• Furniture is movable article in a room established to fit for living or
working.
• In hospital setting, it is a collective term used for different types of
portable objects.
Fig:13

Fig:14

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TYPES OF FURNITURE

Wooden furniture – Metal furniture -

• Table, chairs • bed, trolley
• cupboard, locker • chair, wheel chair
• locker, back rest
• stool, sofa • OT table
• bed, bench • IV stand, screen
• Bowl stand, bed cradle

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CARE AND MAINTENANCE OF
FURNITURE
• Always keep the furniture dust free, clean it with a piece of soft cloth

• They can be disinfected with Glutaraldehyde or savlon and also washed with soap and water

• Hospital beds should be cleaned daily

• Trolleys, lockers, IV stand and treatment table must be disinfected after discharge or death of a
patient

• Iron furniture should be cleaned with dry duster

• Repair of furniture must be done regularly

• Stock record of furniture should be maintained and old damaged furniture are sent for
condemnation
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IMPORTANCE OF MAINTAINING
FURNITURE
•Maintenance of furniture is very important for preserving its maximum
usefulness

• It gives aesthetic sense for patient

• It prevents cross infection

• It helps in prolonging the life of furniture

• It provides favorable environment for the recovery of the patient

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Fig:15

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ITEMS USING ELECTRIC CURRENT

• Items using electric current are included in this category. It includes

• Suction apparatus
• Defibrillator
• Nebulizer machine
• Refrigerator
• Monitor
• Ventilator
• Pulse oxymeter

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POINTS TO REMEMBER

• Power off the equipment's when not in use

• Clean the equipment's and its parts with wet soft cloth
• In suction apparatus, the tubing's should changed for every 24 hours
• The working condition of the equipment's should be checked before using it
• The equipment's should be kept in safe and appropriate place
• The defibrillator should be in the charge always
• In refrigerator, unnecessary things such as food items, expired medicines, opened
medications, unused blood samples, etc. should not be kept.

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Fig:16
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INVENTORY

• Inventory is a list of articles available in ward, their characteristics,

standard number. It is record of articles available in the ward.

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PURPOSES/USES OF MAINTAINING WARD
INVENTORY
• Provide maximum supply of materials
• Avoid shortage and insufficiency
• Determine the condition of articles and to order repair or replacement if
necessary
• Provide a cushion between availability of material and the actual demand
for a material
• Reduce financial investment
• Inventory helps to handle unforeseen circumstances
• Inventory also helps to avoid workers and machinery being idle
• To return the articles to its proper place
• It helps to avoid missing of articles and to keep a check on the article

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INDENT

• Indent is a list of items made for availing in Stock.

• A list of items is made, which are not available in the stock.
• Indent is done weekly/monthly basis depending upon the shortage of
items.
• Record is maintained on register/note book know as Indent Book

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Fig:17
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Fig:18
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REFERENCES

• R1: Jyoti kathwal. Textbook of Nursing foundation. VHS Publications.

Edition 2021. Page No. 236-244.

• R 2: Dr Valsamma joseph, Susamma Varghese. Nursing foundation.

Frontline Publications. 2nd Edition 2022. Page No. 141-154.

• IMAGES REFERENCES:
• Figure1,2,4,5,6,7,8 : Google Images Courtesy

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Assignment

• Visit to CSSD department of hospital and observe the functioning of an

autoclave.

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Lesson plan

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Question Bank

• Contains:
➢Short questions
➢Very short questions
➢Long questions
➢Multiple Choice questions

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