The Golden Rule of Linen Handling
Studies show that improper linen handling is a significant cause of cross-contamination in care settings. The overarching rule for handling any linen, whether soiled or clean, is to prevent the transfer of microorganisms. This means never allowing linens to touch your uniform or body, as this can transfer pathogens from the fabric to you, or vice-versa. Always handle linens with a mindful, deliberate approach, keeping them at arm's length.
Collecting Soiled Linens
When collecting soiled linens from a bed, there is a specific method to follow that minimizes airborne contaminants and personal contact. Begin by rolling the linen inward, away from you, to contain any loose debris or microbes. This technique prevents shaking and scattering particles into the air. Place the rolled-up bundle directly into a designated laundry bag or hamper. Crucially, never set soiled linens on the floor, furniture, or any other surface, even for a moment, as this contaminates the area. Always use a clearly labeled, leak-proof container for soiled items, especially those with bodily fluids.
Handling Heavily Soiled Linens
For linens contaminated with blood, feces, or other bodily fluids, additional precautions are necessary. These items present a higher risk of infection and require careful handling. Always wear appropriate personal protective equipment (PPE), such as tear-resistant gloves, when handling heavily soiled items. Before placing the item in a leak-proof bag, remove any solid excrement using toilet paper or a flat, firm object and dispose of it in the toilet. Never sort or rinse heavily soiled linens in a resident's room; all initial handling and containment should be done at the point of origin.
What Not to Do When Handling Linens
There are several common mistakes that can jeopardize hygiene and safety:
- Do not shake linens. This releases microorganisms and potential allergens into the air, allowing them to settle on surfaces and be inhaled.
- Do not carry linens against your body or uniform. As previously mentioned, this is a major source of cross-contamination.
- Do not place soiled linens on the floor or furniture. Contaminated linens can spread germs to clean areas.
- Do not overfill laundry bags or containers. This can cause spills and tears during transport, exposing workers and the environment to pathogens.
- Do not use the same cart for clean and soiled linens. Dedicated carts are essential to maintain a clean-to-dirty workflow and prevent re-contamination.
Safe Transport and Storage Practices
Once collected, linens must be transported and stored with the same level of care. Soiled and clean linens should always be kept separate during transport. Securely tie or close all bags containing soiled laundry to prevent leaks or spills. Transport these bags in a dedicated cart that is cleaned and disinfected regularly. For clean linens, use a separate, covered cart to protect them from dust and other environmental contaminants. Store clean linens in a designated, clean, dry, and enclosed space, away from any potential sources of contamination.
Essential PPE for Linen Handling
Using the right personal protective equipment is non-negotiable for infection control. For routine handling of used linens, wearing gloves is standard practice. For heavily soiled items, wearing a gown, face shield, and robust gloves is recommended to protect against splashes and direct contact with contaminants. Hand hygiene is equally important; always wash your hands thoroughly after handling any linens, even after removing gloves.
Comparative Overview of Linen Handling
| Correct Action (Do's) | Incorrect Action (Don'ts) |
|---|---|
| Hold linens at arm's length, away from your body. | Hold linens against your uniform or body. |
| Roll soiled linens inward to contain contaminants. | Shake or flap linens to remove debris. |
| Place soiled items directly into a leak-proof hamper. | Place soiled linens on the floor or furniture. |
| Wear appropriate PPE, especially with heavy soiling. | Handle soiled linens with bare hands. |
| Transport clean and soiled linens in separate, covered carts. | Transport clean and soiled items together. |
| Store clean linens in a designated, closed cabinet. | Store clean linens in the same area as used items. |
| Perform thorough hand hygiene after handling linens. | Neglect handwashing after removing gloves. |
Conclusion
For those involved in senior care, mastering proper linen handling is a fundamental skill that directly impacts health outcomes. The single correct action of holding linens away from your body is a simple yet powerful technique that underpins all other infection control protocols. By adhering to these guidelines—from wearing proper PPE to ensuring separate transport and storage—you create a safer, healthier environment for seniors and caregivers alike. This diligence is a cornerstone of compassionate and effective care.
For more detailed guidance, refer to the CDC's comprehensive guidelines on linen and laundry management for healthcare settings: CDC guidelines on linen handling.
