COVER STORY
spent within theatres being present at surgical procedures – building the interpersonal relationships required to operate effectively within any team and providing a safety blanket for clinical staff with respect to theatre technology. The OST is also responsible for daily coaching and training of hospital staff in theatres and CSSDs, and can also support clinical training courses relating to equipment that is used in MAS. Ongoing training reduces the need for troubleshooting and repair management, and ensures the optimum life and performance of equipment.
Surgical Instruments as a Managed Service (SIMS)
ultimate in flexibility and affordability. This article reviews some of the key modular components of SMART Solutions: the role of the On-Site Technician (OST); working within the OR1TM
integrated
operating theatre; and the easily accessible Surgical Instruments as a Managed Service (SIMS) programme, which ensures clinical teams always have the very best in surgical equipment for minimal access surgery (MAS).
OR1 integrated operating theatres
KARL STORZ’s technological solutions have been installed in some of the world’s leading hospitals, with over 600 OR1 operating theatres in use in Europe alone. The OR1 system integrates the many complex requirements of an operating theatre, bringing together endoscopy, the latest image-enhancement HD camera technology, visualisation, documentation and communication, giving surgeons complete control over every aspect of their surgery, with all necessary information at their fingertips.
The ability to pre-set the OR1 theatre to an individual surgeon’s needs creates a bespoke experience that reduces both
operating times and the length of time a patient is under anaesthetic. This, combined with the lower impact nature of keyhole surgery, reduces the amount of time patients need to spend in hospital and helps to speed up recovery.
On-Site Technician (OST)
KARL STORZ can provide a dedicated and fully trained OST, based at the hospital, taking full responsibility for all technical and equipment support surrounding the OR1 theatre system and instruments for MAS. This helps to ensure theatre downtime is kept to an absolute minimum, and frees up clinical staff to focus on their responsibilities, safe in the knowledge that all the endoscopic technology is working perfectly – in an environment where there is no room for mistakes, knowing that all equipment is right first time is of paramount importance. The OST ensures that all
equipment provided by KARL STORZ operates at ‘as new’ capacity every time it is used, eliminating unnecessary downtime. This shifts responsibility for equipment from the clinical staff to the OST, and allows clinical time to be better focused on patient care. A significant proportion of OST time is
Case Study: Darent Valley Hospital,
operated by the Dartford and Gravesham NHS Trust there has been zero theatre downtime, no cancellations due to lack of equipment or instrument failure, and the hours we used to spend managing repairs and doing paperwork every week are now better spent on patient-focused care. The training provided means that my staff are more confident when using KARL STORZ equipment and there is less likelihood of damage to
Darent Valley was the first UK hospital to have an OR1 theatre. This pioneering partnership with KARL STORZ has continued, as the hospital was an early adopter of SMART Solutions, encompassing both the OST and SIMS schemes. Lesley Carpenter, theatre manager at Darent Valley Hospital, comments: “Since the managed equipment service started,
OCTOBER 2016
expensive equipment during surgery. “Having an OST on site means that issues are resolved quickly and leaves my staff free to focus on the patient and worry less about the technology. It gives us peace of mind to know that the kit will work every time and that someone is here to manage any problems. The managed equipment service has become an important part of the department.”
WWW.CLINICALSERVICESJOURNAL.COM I 7
With no upfront capital investment, no long tie-in period, no burden of depreciating assets, a hospital choosing SIMS can quickly have a brand new portfolio of MAS instruments, regularly checked and maintained, and replaced without question in the event of any damage. For a flat quarterly fee, clinical teams are guaranteed a complete range of market- leading new equipment, regularly audited and maintained to ensure it is always in peak condition. Hospitals are even offered the option of trading in existing items, so they can start afresh with an entirely new set of equipment.
SIMS takes all financial risk away from the hospital and offers an ‘easy in, easy out’ contract. Passing the risk, responsibility and cost of maintaining endoscopic technology onto the manufacturer, liberates clinical staff to concentrate on clinical responsibilities and has a positive effect on patient outcomes – since Wythenshawe Hospital introduced SIMS, of the 2,647 cystoscopies carried out between April 2013 and March 2016, every one was right first time, every time, with no equipment downtime.
For more information contact: KARL STORZ Endoscopy (UK) Ltd 415 Perth Avenue
Slough, Berkshire SL1 4TQ Tel: +44 (0)1753 503500 Email:
info-uk@karlstorz.com Web:
www.karlstorz.com
CSJ
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