Disaster Response Center

Standard hygienically clean laundering processes kill viruses,, preventing them from infecting you or others. When dealing with hard surfaces, a simple disinfectant should suffice-the EPA has posted a list of cleaners that should be effective at sanitizing surfaces after exposure to COVID-19. While the CDC doesn’t specifically outline any changes to your typical laundry routine, they do provide a list of best practices when doing laundry for someone who’s ill:

• Ideally, wear disposable gloves and discard them after each use. When using reusable gloves, only use those gloves for cleaning and disinfecting surfaces — do not use them for any other household purpose.
• Wash your hands immediately after using the gloves. If you aren’t using gloves when handling dirty laundry, be sure to thoroughly wash your hands afterwards.
• Try to not shake the dirty laundry. Shaking the laundry carries a possibility of dispersing the virus through the air.
• If possible, use the warmest water setting on your washer and ensure items are dried completely afterwards.
• Dirty laundry from an ill person can be washed with other people’s items.
• If possible, consider placing a bag liner in your hamper that’s disposable or can be laundered. Otherwise, ensure the hamper itself is washed and sanitized.
• Additionally, consider having the clothes you wear around the house separated from clothes you’ve worn while you were outside to protect the environment inside your home.

TRSA does NOT advocate for the incineration of linens. TRSA recommends following CDC and OSHA guidelines for the handling of COVID-19 linens. The directive is to follow Standard and Universal Precautions. Please refer to our video, Six Cs of Handling Soiled Linen in a Healthcare Environment, for guidance on handling soiled healthcare linen.

Treat all linens as contaminated. Use standard PPE (gloves and gowns, and bag linen) to protect employees. These linens do not have to be washed separately. According to OSHA standards, normal laundry cycles should be used according to washer and detergent manufacturer recommendations.

For the laundry industry, CDC hasn’t recommended changes in normal laundry handling and processing of textiles. Appropriate time, temperature, chemical and mechanical action will kill viruses. CDC also hasn’t recommended changes in textile handling regarding employee exposure risk in sorting. Viruses usually do not live outside a live host for long periods, especially on porous surfaces like textiles, limiting the potential exposure risk to laundry personnel who will be handling the laundry hours or days after use.

Linen providers who support the healthcare market handle potentially infections materials daily. It’s always been understood that every piece of soiled linen be treated as if it were potentially infectious. In serving other markets, similar precautions like those implemented for the healthcare market are suggested. Also vital to infection control are standard transmission-based precautions (proper hand hygiene, PPE, handle textile and laundry carefully, clean and disinfect environment surfaces, etc.).

Existing OSHA regulations specify that any linen saturated with blood or other potentially infectious materials (OPIM) should be placed in impermeable bags.

All Hygienically Clean Certified Facilities MUST follow the transportation guidelines for their specific segments. You may find these recommendations on the HygienicallyClean.org under the market-specific certifications standards.

Below is the recommendation for Healthcare under section 5.1.3.4. Transportation:

• The QA manual must describe in detail procedures for the following functions:
  • The process for servicing accounts must be designed and executed to prevent cross-contamination.
  • Service reps must be trained on pick-up/delivery.
  • Items must be covered during transportation to prevent cross-contamination.
  • Items shall be transported in designated and covered containers.
  • Service trucks shall be cleaned on a regular basis to minimize infection and contamination.
  • Trucks shall be swept out daily and decontaminated at least twice a month.
  • Reusable cart covers must be cleaned after every use.
  • Proper PPE and gloves must be worn at all times when handling soiled linen.
  • All linen retrieved from a customer location and delivered to the soiled processing area must be cleaned prior to delivery to the customer.All clean and unused linen retrieved from a customer that maintains proper functional separation and is delivered to the clean processing area may be used for redelivery to the customer. Prior to redelivery, the linen must be rotated and restocked.
  • A designated transition area with stated process controls must be identified to remove potentially soiled cart covers prior to delivering exchange carts to the clean processing area.