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
2、Standards Council of Canada. This process brings together volunteers representing varied viewpoints and interests to achieve consensus and develop a standard. Although CSA Group administers the process and establishes rules to promote fairness in achieving consensus, it does not independently test,
3、evaluate, or verify the content of standards.Disclaimer and exclusion of liabilityThis document is provided without any representations, warranties, or conditions of any kind, express or implied, including, without limitation, implied warranties or conditions concerning this documents fitness for a
4、particular purpose or use, its merchantability, or its non-infringement of any third partys intellectual property rights. CSA Group does not warrant the accuracy, completeness, or currency of any of the information published in this document. CSA Group makes no representations or warranties regardin
5、g this documents compliance with any applicable statute, rule, or regulation.IN NO EVENT SHALL CSA GROUP, ITS VOLUNTEERS, MEMBERS, SUBSIDIARIES, OR AFFILIATED COMPANIES, OR THEIR EMPLOYEES, DIRECTORS, OR OFFICERS, BE LIABLE FOR ANY DIRECT, INDIRECT, OR INCIDENTAL DAMAGES, INJURY, LOSS, COSTS, OR EXP
6、ENSES, HOWSOEVER CAUSED, INCLUDING BUT NOT LIMITED TO SPECIAL OR CONSEQUENTIAL DAMAGES, LOST REVENUE, BUSINESS INTERRUPTION, LOST OR DAMAGED DATA, OR ANY OTHER COMMERCIAL OR ECONOMIC LOSS, WHETHER BASED IN CONTRACT, TORT (INCLUDING NEGLIGENCE), OR ANY OTHER THEORY OF LIABILITY, ARISING OUT OF OR RES
7、ULTING FROM ACCESS TO OR POSSESSION OR USE OF THIS DOCUMENT, EVEN IF CSA GROUP HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES, INJURY, LOSS, COSTS, OR EXPENSES.In publishing and making this document available, CSA Group is not undertaking to render professional or other services for or on behal
8、f of any person or entity or to perform any duty owed by any person or entity to another person or entity. The information in this document is directed to those who have the appropriate degree of experience to use and apply its contents, and CSA Group accepts no responsibility whatsoever arising in
9、any way from any and all use of or reliance on the information contained in this document.CSA Group is a private not-for-profit company that publishes voluntary standards and related documents. CSA Group has no power, nor does it undertake, to enforce compliance with the contents of the standards or
10、 other documents it publishes.Intellectual property rights and ownershipAs between CSA Group and the users of this document (whether it be in printed or electronic form), CSA Group is the owner, or the authorized licensee, of all works contained herein that are protected by copyright, all trade-mark
11、s (except as otherwise noted to the contrary), and all inventions and trade secrets that may be contained in this document, whether or not such inventions and trade secrets are protected by patents and applications for patents. Without limitation, the unauthorized use, modification, copying, or disc
12、losure of this document may violate laws that protect CSA Groups and/or others intellectual property and may give rise to a right in CSA Group and/or others to seek legal redress for such use, modification, copying, or disclosure. To the extent permitted by licence or by law, CSA Group reserves all
13、intellectual property rights in this document.Patent rightsAttention is drawn to the possibility that some of the elements of this standard may be the subject of patent rights. CSA Group shall not be held responsible for identifying any or all such patent rights. Users of this standard are expressly
14、 advised that determination of the validity of any such patent rights is entirely their own responsibility.Authorized use of this documentThis document is being provided by CSA Group for informational and non-commercial use only. The user of this document is authorized to do only the following:If th
15、is document is in electronic form: load this document onto a computer for the sole purpose of reviewing it; search and browse this document; and print this document if it is in PDF format.Limited copies of this document in print or paper form may be distributed only to persons who are authorized by
16、CSA Group to have such copies, and only if this Legal Notice appears on each such copy.In addition, users may not and may not permit others to alter this document in any way or remove this Legal Notice from the attached standard; sell this document without authorization from CSA Group; or make an el
17、ectronic copy of this document.If you do not agree with any of the terms and conditions contained in this Legal Notice, you may not load or use this document or make any copies of the contents hereof, and if you do make such copies, you are required to destroy them immediately. Use of this document
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
