According to the Technical Specification for Washing and Disinfection of Medical Fabrics in Hospitals, as a medical unit, the cloth should be classified and cleaned in special areas and equipments, and strictly disinfected. However, in the cleaning process of more than 20 hospitals in Southwest Jiangxi, such as bedsheets, sick clothes and surgical clothes, mixed washing and not strictly disinfected at high temperatures occur.
Recently, a reporter from the Beijing News undercover investigation of two medical cloth washing enterprises in Changzhou City, Jiangxi Province, found that there are washing factories that use industrial detergents to clean medical cloth in order to improve efficiency, and there is no strict high temperature disinfection link. In addition, some pediatric medical cloth is mixed with adult medical cloth, and bloody medical cloth is mixed with other patientsclothes and bedsheets. Some laundry workers confess that their so-called classified washing only separates hospitals from departments and laundry equipment.
Fu Junwei, president of Jiangxi Washing Industry Association, said that according to the Basic Standards and Management Standards for Medical Disinfection Supply Centers (Trial Implementation) formulated by the National Health Commission in May this year, the companies providing medical cloth washing services should belong to the medical disinfection supply centre, which can block water, bacteria, air, wear and fold medical cloth such as operating clothes and surgical cover sheets. For the management of medical devices, the conditions of cleaning, disinfection, drying, inspection, folding, packaging, sterilization and storage must be met before they can be put into hospital for use. In addition, as a disinfection supplier for medical institutions, medical cloth washing enterprises should complete the corresponding adjustment before June 1, 2019, and obtain the Medical Institution License.
Video | Undercover Washing Plant of Jiangxi Third-Class A Hospital: Bed sheet surgical clothes mixed washers are called industrial detergents. New Beijing News
Workers fold and pack medical cloth for infants in Jiangxi Childrens Hospital, which is stacked on the ground, at Fengyuan Laundry Center in Nanchang on November 30. The scene was dirty and messy. The baby cloth was stacked on the ground after washing and drying. Photographed by Yin Yafei, a journalist of the New Beijing News
Two Washing Plants Contracted Cloth Washing in Several Hospitals
Around 11 a.m. on November 24, a van with the words Nanchang Washing Industry Association on its body stopped at the entrance of the hospitalization Department of Jiangxi Childrens Hospital. The middle-aged man who came down from the van wore a white coat and a mask. Then he opened the van and delivered the cloth to three staff members in the hospital.
The cloth was sent to the cloth room on the first and second floors of the inpatient department. A hospital worker said the clothes were surgical clothes, patient sheets, quilts and babys medical clothes washed by the washing factory.
Subsequently, the staff will stack dirty cloth everywhere downstairs, loaded into the truck. Reporters noticed that some baby medical cloth, bedsheets and doctorssurgical clothes were mixed together, and then the cloth was sent to Fengyuan Laundry Center of Yangzizhou, Nanchang City, Nanzhou Village, Yangzizhou Town, Donghu District.
An employee of the laundry center said that besides carrying on the cloth washing business of Jiangxi Childrens Hospital, it also undertook the cloth washing business of the 94 Hospital of the PLA and the Second Affiliated Hospital of Nanchang University in a total of 12 hospitals.
A person familiar with the washing industry in Nanchang said that besides Fengyuan Laundry Center, another washing factory named Shunda Washing Service Center in Nanchang also undertook the cloth washing business of several hospitals.
On the morning of November 27, the reporter met the truck that came to Shunda Washing Service Center to deliver cloth in the North Building of the Inpatient Department of Jiangxi Peoples Hospital. New Beijing News reporter on-site observation found that when staff put dirty cloth into the car, some cloth was thrown on the floor, and there were also cases of mixed cloth in the car.
After loading, the truck returned to Shunda Washing Service Center in Changling Industrial Park, a newly built District of Nanchang City. According to an employee of the center, they have undertaken the cleaning operations of 13 hospitals, such as the First Affiliated Hospital of Nanda, the Peoples Hospital of Jiangxi Province, the First Hospital of Nanchang City and the Jiangxi Psychiatric Hospital.
According to the national enterprise information publicity system, Deng Xiaobao is the legal representative of Fengyuan Laundry Center in Yangzizhou, Nanchang, and Qiu Weiguang is the legal representative of Shunda Laundry Service Center in Nanchang.
A person familiar with the washing industry in Nanchang told reporters that the two washing factories contracted most of the grass washing business of the third-class hospitals in Nanchang. The reason why they can contract is the relationship between the boss, the person told the Beijing News, The boss like Shunda is the former retired director of surgery of the first hospital in Nanchang, and he has many hospital resources. Otherwise, according to the cleaning environment and process of his company, it is impossible to contract.
The First Hospital of Nanchang City is the Third Affiliated Hospital of Nanchang University, which belongs to the Third A Hospital. A reporter from the Beijing News inquired that Qiu Weiguang was the chief physician, head of brain surgery and director of the Emergency Trauma Center of the hospital.
On the morning of November 28, in Shunda Washing Service Center, a worker was separating the cloth collected from the hospital. When the cloth was split, the worker stepped on the cloth pile directly to work. Photographed by Yin Yafei, a journalist of the New Beijing News
Medical wastes such as gauze and infusion tube mixed into washing machine
On November 29, a reporter from Beijing News entered Shunda Washing Service Center and became a washer.
The workshop covers an area of nearly 1,000 square meters. There are laundry, drying and folding areas in the workshop. The whole workshop works on the assembly line. Some medical wastes, such as masks and infusion bottles, are mixed in the cloth and piled on the floor of the workshop.
Zhang Chunlan is the group leader of the workshop washing group. She introduced that the First Affiliated Hospital of Nanchang University is one of the major customers of the washing plant. In addition, there are many third-class hospitals such as Jiangxi Peoples Hospital and Jiangxi Psychiatric Hospital.
Workers take the hospital as a unit and put the cloth into the machine to wash separately, counting out that they have to wash nearly 100 tons of cloth a day. Xiong Ling, the person in charge of the washing workshop, said that the washing plant went to work at 7:30 a.m. and came off at 5:30 p.m. Every day, dirty linen from the hospital was sent for cleaning. The whole process requires employees to classify the linen manually and clean it according to the color.
Around 8 a.m. on November 29, Gan AE4656 van truck specially transporting cloth drives into the factory area. The driver opens the van and throws the messy cloth on the ground. During the process of unloading the cloth, the reporter of the Beijing News noticed that the cloth was printed with the words First Affiliated Hospital of Nanchang University. The green surgical clothes were mixed with the patients bed sheets, and some of the cloth had a lot of blood and feces.
When Zhang Chunlan and others unload the goods, they will sort out the cloth and classify it into three categories according to the sheets, quilt covers and surgical clothes. Green cloth like surgical clothes should be washed separately to prevent dyeing, said Zhang Chunlan. After sorting, the cloth will be placed on the conveyor belt and sent to the washing machine for washing.
Will it be classified according to the department? Xin Jing Bao reporter asked Zhang Chunlan when sorting.
What about blood? The reporter handed Zhang Chunlan a sheet.
Zhang Chunlan covered his mouth and pointed to the ground behind him. Put it here first and wash it later.
Reporters in the sorting process, found a lot of cloth has a lot of blood and drug residues, Zhang Chunlan instructions are stacked together, put into a small washing machine for cleaning. Reporters noted that it included bedsheets, patient clothes and doctors surgical clothes.
In addition, some medical wastes, such as bloody gauze and used infusion tubes, are sometimes mixed into washing machines and washed with cloth grass.
Zhang Chunlan said that medical cloth is sorted manually, and improper sorting is a common occurrence. If the hospital finds that it has not been cleaned, it will be returned for re-washing.
An undercover investigation by reporters of the Beijing News found that the washing plant did not strictly disinfect the cloth when washing medical cloth, but did not mix the cloth in different departments, nor did it wash it exclusively by special machine. In the four processes of washing, drying, drying, ironing and folding, all the cloth is piled on the ground in disorder.
On November 30, a reporter from Beijing News turned out a transfusion tube in a pile of washed operating room cloth at Fengyuan Laundry Center. Photographed by Yin Yafei, a journalist of the New Beijing News
Mixed washing of childrens cloth with adults cloth
Reporter undercover Fengyuan Laundry Center found that it is the same operation process as Shunda Laundry Service Center.
Wang Yong, a washing worker at Fengyuan Laundry Center, told Beijing News that the company has contracted to wash more than 70 tons of cloth in 12 hospitals in Nanchang every day. Wang Yong said that all washing procedures are mixed washing, drying, drying, folding, delivery.
Like Shunda Laundry Service Center, Fengyuan Laundry Center does not classify according to the Department of the hospital, but mixes the laundry with the hospital as a unit. Wang Yong said that in the workshop, more than a dozen washing machines operate at the same time, each can wash nearly 70 kilograms of clothes, washing time is only 5 minutes. New Beijing News reporter survey found that in most washing machines, the green operating room medical cloth will be mixed with bedsheets, quilt covers and pillowcases used by patients.
The washed cloth falls easily to the ground because it is transported by a cart. Some doctorssurgical clothes and bedsheets are still dried and folded directly after they are trampled dirty on the ground.
In the folding area, the cloth is placed on a wooden table, sometimes too much, and the cloth falls on the dirty ground and stains it. Workers usually do not pick up the cloth immediately, but wait until the cloth on the wooden table is dried and folded before picking up the contaminated cloth on the ground for drying and folding operation.
New Beijing News reporters observed that sometimes fallen on the ground cloth blocked the pace of workers turning around, will be kicked off, even on the cloth footprints.
The things in the hospital are dirty and they are not clean. A worker in the folding area talked to a reporter from the Beijing News and said, Washing is actually hot water once. In her workstation, there are plastic infusion tubes wrapped in the cloth in the operating room of the Second Affiliated Hospital of Nanchang University.
Zhang Huixian, a staff member of Fengyuan Laundry Center, said that among the 12 hospital clients of the company, the Second Affiliated Hospital of Nanchang University, the Childrens Hospital of Jiangxi Province and the Ninety-fourth Hospital of the Peoples Liberation Army had the most cloth. The monthly profit is more than 2 million.
Reporters noted that childrens hospital medical cloth, will also be mixed with adult cloth wash.
According to the existing Measures for the Administration of Washing and Dyeing Industry in China, the cloth washing in medical and health units should be carried out in special washing factories and special machines, and the cloth should be cleaned strictly according to the classification of pollutants. The medical cloth used by infants should not be mixed with the cloth used by adults.
Zheng Yongxiang, executive vice director of the Medical Textile Washing Office of the China Business Federation Washing and Dyeing Committee, said that the immunity of newborns and infants is relatively low, and their skin is relatively delicate and sensitive. When washing this kind of fabric, in order to protect the health of infants and young children, washing enterprises will be more careful and thorough in washing process, sanitation requirements and other aspects, and their corresponding washing and disinfection requirements will be higher. If businesses mix fabric used by babies with ordinary fabrics, this may increase the risk of neonatal, infant allergies, and even disease.
Cleaning Medical Cloth with Industrial Detergent
Wang Yong, who is in charge of cloth washing in Fengyuan Laundry Center, told reporters that medical cloth washing usually lasts about 5 minutes, plus drying and folding time, a cloth washing time does not exceed 10 minutes. Therefore, the cloth sent in the morning can be sent back to the hospital in the afternoon at the latest.
Wang Yong said that the types of medical cloth are relatively complex, and some bleaching agents are used to clean the cloth when washing.
In the washing area of Fengyuan Laundry Center, a reporter from Beijing News found that there were many washing products named super concentrated whitening detergent beside its washing machine.
From the product profile information on its packaging, we can see that super concentrated whitening laundry liquid contains a variety of surfactants, water softeners, anti-redeposition enzymes, whitening agents, active enzymes, etc., which has a slight stimulating effect on the skin.
Wang Yong told the Beijing News that the detergent is alkaline. The reason for choosing to use it is still because of its low cost. It belongs to industrial detergent, which can not be compared with household detergent. The instructions of the detergent clearly require that the washing time should be at least 10 minutes, while Fengyuan Laundry Center has shortened the time by half and 5 minutes.
Pan Wei, director of the National Standardization Technical Committee for Washing and Dyeing and director of the Special Committee for Washing and Dyeing of the China Federation of Commerce, said that high temperature disinfection is a necessary procedure in washing medical cloth. According to the recommended method of Technical Specification for Washing and Disinfection of Medical Fabrics in Hospitals, the washing time of medical cloth should not be less than 30 minutes and the hot washing temperature should not be less than 70 degrees Celsius in the washing process. Chemical disinfection with chlorine or quaternary ammonium salt disinfectants is also a common disinfection method. For infectious fabrics, disinfection should be followed by washing.
In Fengyuan Laundry Center, the staff piled the washed medical cloth on the ground for folding and packaging. Reporters from the Beijing News found that when the staff folded and packed the medical cloth of Jiangxi Childrens Hospital, the clothes used by the infants were stacked on the floor at will, without partitions or disinfection.
A staff member said that they had been working in this way for a long time. The so-called disinfection was only adding 84 disinfectant to the washing machine, and there was no high temperature disinfection link.
On November 30, a worker in blue clothes stepped on a large amount of surgical cloth in Fengyuan Laundry Center while waiting for washing. Photographed by Yin Yafei, a journalist of the New Beijing News
Neither of the two washing plants has been cleaned as required by the tender
During undercover interviews by journalists, Fengyuan Laundry Center and Shunda Laundry Service Center, which contracted more than 20 hospitals in Nanchang, were mixed and mixed, without strict disinfection.
What are the hospitals requirements for medical cloth washing? Do these two washing procedures meet the relevant requirements?
Fu Junwei, president of Jiangxi Washing Industry Association, introduced to Beijing News that according to the washing requirements of medical cloth, hospitals should classify the cloth to be washed according to pollutants, separate the common medical cloth from the operating room cloth, and seal and transport the cloth in some infectious departments separately. However, according to the reporters investigation, the two washing factories did not operate according to the requirements when collecting the cloth to be washed. In addition, the two washing factories did not carry out strict disinfection when washing medical cloth, did not classify the cloth carefully, and the sanitary conditions were seriously unsatisfactory.
Through the Chinese Government Purchasing Network and the Chinese Government Purchasing Service Information Platform Network, the reporter of the Beijing News inquired about the purchase announcement of the cloth washing service of the First Affiliated Hospital of Nanchang University in 2017. The announcement not only clarified the annual cost of 5.5 million yuan, but also put forward many specific requirements for bidders: the factory must be reasonably laid out, divided into polluted areas, semi-polluted areas, clean areas and regional division. Clear and distinct signs to prevent the second pollution of the washed cloth; in the collection and delivery of the cloth, the medical staffs dirty clothes (work clothes, duty clothes) and the patients dirty clothes must be separated, classified, counted, collected and packed separately and sealed separately, and not mixed; in the request of the staff, the staff directly engaged in the fabric washing must be carried out before taking office. A health check-up and disinfection hygiene knowledge and related hygiene standards training.
As the First Affiliated Hospital of Nanchang University, Shunda Laundry Service Center and Fengyuan Laundry Center of Second Affiliated Hospital of Nanchang University respectively, during undercover investigation, reporters from Beijing News found that both washing companies did not meet the above requirements in actual operation.
Reporters from the Beijing News learned from the Nanchang Washing Industry Association that Fengyuan Laundry Center and Shunda Laundry Service Center are members of the Association. According to Tian Eye Check, the legal representative of Nanchang Washing Industry Association is Qiu Weiguang, the former chief physician of the Third Affiliated Hospital of Nanchang University (the First Hospital of Nanchang), the director of brain surgery and the director of the Emergency Trauma Center.
Fu Junwei, president of Jiangxi Washing Industry Association, said that the current situation of the cloth washing industry in hospitals in Jiangxi Province is that a washing factory joins one or more hospitals and undertakes the medical cloth washing company, which can not wash cloth in other industries. For the hospital cloth washing industry, there are no clear rules for targeted management at present, only from the health aspects to restrict the washing plant to wash hospital cloth, to achieve clean and hygienic, so that hospital cloth is not polluted requirements, but some washing plants in the actual washing process, there are secondary pollution situation. Fu Junwei said the association was also angry.
On November 29, a bloody pillow was dumped by workers in the rubbish heap on the ground waiting for washing in Shunda Washing Service Center, beside which medical waste such as doctorsoperating caps and infusion tubes were piled. Photographed by Yin Yafei, a journalist of the New Beijing News
Medical cloth washing will be incorporated into medical management and control system
Chinas medical cloth washing industry is not without management measures.
In May 2018, the National Health and Health Commission formulated the Basic Standards and Management Standards for Medical Disinfection Supply Centers (Trial Implementation) in accordance with the Notice of the National Health and Family Planning Commission on Deepening the Reform of Deposition and Clothing and Stimulating the Vigor of Investment in the Medical Field (No. 43 issued by the National Health Law).
The above pilot document clearly states that the administrative departments of health and health at all levels should incorporate the medical disinfection supply center into the local medical quality, safety management and control system. As a disinfection supply institution providing services to medical institutions, the corresponding adjustment should be completed before June 1, 2019, and the Medical Institution License should be obtained.
Fu Junwei said that as a company providing cloth washing services for hospitals, the washing plant should be classified as a medical disinfection supply center, which should meet the requirements of the basic standards and management norms of the medical disinfection supply center: decontamination area, inspection, folding, packaging and sterilization area, sterile goods storage area and distribution logistics area should be established.
In the basic standards and management norms of the medical disinfection supply center, the medical cloth that can block water, inhibit bacteria, breathe, wear and fold as medical equipment is managed. When washing, the conditions of cleaning, disinfection, drying, inspection, folding, packaging, sterilization and storage must be met before it can be put into hospital for use. Fu Junwei said, Because it is in the transitional period, some washing factories fish in muddy water, resulting in secondary pollution of hospital cloth.
As for the new regulations, Zheng Yongxiang, executive vice director of the Medical Textile Washing Office of the China Federation of Commerce Washing and Dyeing Professional Committee, introduced that after the introduction of the new regulations, the traditional medical textiles will be eliminated and the two-way protective fabrics will be replaced, and the material of the cloth will change. Surgical wipes will be managed as medical devices in the future, said Zheng Yongxiang. The new regulations will promote the upgrading of the medical washing industry and standardize the medical disinfection supply center.
As a medical washing enterprise, production should meet the requirements of hygiene and disinfection, which is the most basic requirement, Zheng Yongxiang said. It is about half a year before the end of the new regulation adjustment period. During this transitional period, enterprises should also strengthen self-discipline and accelerate the upgrading of enterprise hardware and software.
(Zhang Chunlan, Wang Yong, Xiong Ling and Zhang Huixian are aliased names.)
Source: Han Jiapeng_NN9841, responsible editor of Beijing News