21 Surgical Instrument Single use instrument Reusable surgical instrument
22 Materials for Surgical Instruments Stainless steel Plastic Aluminium Titanium
23 Surgical instruments and their functions Cutting and Dissecting Clamping Grasping and holding Dilating and enlarging Retracting Probing Suctioning
24 Powered Surgical Instruments The systems are driven by electric, battery, or pneumatic power. Each instrument consists of one or more handpieces and related accessories as well as disposable and limited reuse items, such as burrs, saw blades, drills, and reamers.
25 The Sterile Processing Goal: 100% 3 100% Clean & Sterile 100% Complete Operational Excellence 100% On Time John Kimsey and Jim Barton,2013
26 Three Critical Elements to Enhance Safe Surgery People Guideline Quality Improvement Data
27 People Qualification Knowledgeable & Skill Responsible
28 Collaborative Education Orientation and training about care and reprocessing of surgical instruments An float scrub nurse/ exchange program
33 Guidelines Association for Advancement of Medical Instrumentation (AAMI) - Comprehensive guide to steam sterilization and sterility assurance in health care facilities (ANSI/AAMI ST79) Association of Perioperative Registered Nurses (AORN, 2015 Edition) Centers for Disease Control and Prevention (CDC) - Guideline for disinfection and sterilization in healthcare facilities, 2008
34 Develop Collaborative Policies and Practices Actively seek involvement from OR & CSSD Provide input into decisions that may impact OR & CSSD Processing sterilization Loaner instrumentation Immediate-use steam sterilization Purchasing new instruments/ packing materials
35 Three Critical Elements to Enhance Safe Surgery People Guideline Quality Improvement Data
46 Health Care Market: Recent History Funds Time In health care today, demand for services is up while budgets are being reduced Scissors Diagram of Needs versus Budget
47 Surgical Instruments Reusable instruments Single use instruments
48 Reuse of Single-Use Medical Devices Regarding the risk of infection and injury when reusing medical devices. It must provide scientific evidence that the device is safe and effective for its intended use. ECRI, 2007
49 Selecting Products Safety Build a committee Standardize Work with the manufactures Think Green
51 Selecting Products Safety Product superior Standardized products Price Physician preference Reduction of hospital-acquired infection Safety for the patient and staff Environment impact
52 Standardized Products The pros and cons of a new product (reduced costs, improved inventory control, better use of storage space). Standardization decreases end-user training and errors related to unfamiliarity with the product.
53 Work with Manufactures Sharing important knowledge about all aspects of the product Clinical and technical data related to product research, processing, packaging, disinfection, sterilization, and environment conservation.
54 Think Green OR. : 7R Environmental Responsibility 1. Reduce: decrease unnecessary use of products, energy, and natural resources 2. Reuse 3. Reprocess 4. Recycle: made into other product 5. Repair: before purchasing a new item 6. Replace: use less energy items 7. Research: evaluated the effect of perioperative care on the environment
55 Decision Criteria for Selection of a Particular Product Sterile processing OR. that will use the instrument Risk management Infection control Occupational Health and Safety Support services Maintenance Biomedical engineering (Canadian Standards Association, 2013)
56 Surgeon Anes. Nurse Pharmacy Patient Vendor CSSD Material Management
57 Synchronize every step in your value stream
58 Benefit of Collaborative Environment Drive improved patient safety Drive improved quality of care Drive reduction in costs Drive patient satisfaction Drive improvement in operational efficiency
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